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Jan 06, 2026

Do Pharmacists Need to Charge HST in Ontario

Many pharmacists working as independent contractors or through professional corporations ask the same question:

Many pharmacists working as independent contractors or through professional corporations ask the same question:

Do I need to charge HST on my pharmacy services?

The short answer is: sometimes yes, sometimes no — it depends on what services you provide, who your client is, and how CRA classifies the supply.

At Momentum Accounting CPA Professional Corporation, we help pharmacists across Hamilton, Toronto, Mississauga, Brampton, Oakville, Milton, Vaughan, Markham, Scarborough, Ottawa, Kitchener-Waterloo, London, Windsor, and across Ontario determine whether their services are HST-exempt or taxable, and ensure full CRA compliance.

How CRA Determines Whether Pharmacist Services Are HST-Exempt

In Ontario, HST is charged at 13% on most supplies. However, under the Excise Tax Act, certain health-care services are exempt from HST.

Under Schedule V, Part II of the Excise Tax Act, pharmacy services are generally exempt when they are:

  • Provided by a licensed pharmacist
  • Intended to maintain health, prevent disease, or treat illness
  • Delivered directly as patient care

👉 The key test is the primary purpose of the service, not the professional title alone.

When Pharmacist Services Are Exempt from HST

Pharmacist services are generally HST-exempt when they involve direct patient care, including:

  • Dispensing prescriptions
  • Medication reviews
  • Patient counselling
  • Vaccinations and injections
  • Relief or locum pharmacist services
  • Clinical pharmacy services in hospitals or long-term care

This exemption applies even if you are:

  • An independent contractor
  • Incorporated
  • Working for pharmacies, hospitals, or healthcare organizations

When Pharmacist Services ARE Subject to HST

HST must be charged when the service is not primarily patient care, even if performed by a licensed pharmacist.

Common taxable pharmacist services include:

  • Consulting or advisory services
  • Management or administrative services
  • Training or education services
  • Policy development
  • Business, compliance, or operational consulting

These services are considered taxable professional services, not exempt health-care supplies.

Employee vs Independent Contractor: Why It Matters

If you are an employee, you never charge HST.

If you are an independent contractor or incorporated pharmacist, CRA examines factors such as:

  • Control over work
  • Ownership of tools
  • Financial risk
  • Contract terms

Once CRA determines you are self-employed, you must assess whether each service is exempt or taxable.

The $30,000 Small Supplier Rule

If your total taxable revenue exceeds $30,000 in any 12-month period, you must:

  • Register for HST
  • Charge HST on taxable services only
  • File HST returns

⚠️ Exempt pharmacy services do not count toward the $30,000 threshold.

Common HST Mistakes Pharmacists Make

  1. Assuming all pharmacist work is automatically exempt
  2. Failing to register after exceeding $30,000 in taxable revenue
  3. Mixing taxable and exempt income without proper tracking
  4. Claiming ITCs on exempt pharmacy services
  5. Issuing invoices without clear HST treatment
  6. Using the wrong business structure
  7. Poor documentation for mixed services

These errors often lead to CRA reassessments, denied ITCs, penalties, and interest.

What If You Provide Both Exempt and Taxable Services?

Many pharmacists do both:

  • Exempt work (pharmacy shifts, patient care)
  • Taxable work (consulting, advisory, training)

CRA requires you to:

  • Track revenue separately
  • Charge HST only on taxable services
  • Claim ITCs only for expenses related to taxable work

Proper bookkeeping and invoicing are critical.

Frequently Asked Questions

Do pharmacists need to charge HST in Ontario?

Only if they provide taxable services such as consulting or management. Patient care services are generally exempt.

Do I need to register for HST if I earn under $30,000?

No, unless you choose to register voluntarily. The threshold applies only to taxable revenue.

Does incorporation change HST rules?

No. The corporation becomes the supplier, but the same exemption rules apply.

Can I charge HST on exempt services to claim ITCs?

No. CRA prohibits charging HST on exempt supplies.

How do I confirm if my service is exempt?

Review your contract and service purpose. CRA Policy P-256 provides guidance.

How Momentum Accounting CPA Professional Corporation Helps Pharmacists

We work with pharmacists across Ontario and Canada to:

  • Determine whether services are taxable or exempt
  • Register and manage HST accounts
  • Set up compliant invoicing systems
  • Track mixed revenue properly
  • Optimize incorporation and tax planning
  • Reduce CRA risk and audit exposure

📍 Serving Hamilton, Toronto, GTA, and Ontario-wide

📧 info@momentumaccountingcpa.ca

📞 647-717-1242

Key Takeaways

  • Not all pharmacist services are HST-exempt
  • Patient care services are generally exempt
  • Consulting and business services are taxable
  • Independent contractors must assess HST carefully
  • Proper planning prevents CRA penalties

Disclaimer

This article is for general information only and does not constitute tax or legal advice. Tax outcomes depend on individual circumstances. Consult a qualified CPA before taking action.