Minor Ailments
Ontario funds pharmacist assessment for 28 minor ailments. The money is real and the volume is proven; the risk is billing the wrong PIN or prescribing outside the formulary. AgileRx constrains both.
What it does
In the pharmacist’s words.
Prescribing is hard-constrained to Column 3 of Schedule 4, O. Reg. 256/24 — the drug picker only ever shows the legal formulary for that condition. For UTI, that is fosfomycin, nitrofurantoin, sulfamethoxazole and trimethoprim, and nothing else.
Every billing category has four PINs — prescription or no prescription, in person or virtual. AgileRx picks the right one from what actually happened in the encounter.
Conditions are not billing categories. The July 2026 EO Notice merged all six dermatitis variants into one PIN set with a shared annual maximum, merged allergic and viral rhinitis, and merged calluses, corns and warts. AgileRx tracks the maximum against the merged category, not the condition — which is where pharmacies get rejected.
A red flag means it is not a minor ailment. AgileRx routes to referral and blocks the claim, because that service cannot be billed.
The edge
The competition sells the decision tree. AgileRx sells the workflow, the claim, and the audit defence around it.
Sources
Every fee, PIN, code and date on this page traces to a published ministry or College document. When one of them changes, the rules table changes with it.
- O. Reg. 256/24, Schedule 4 (conditions and permitted drugs).
- Executive Officer Notice, minor ailments expansion effective July 1, 2026 (merged billing categories).
- Ontario minor ailments claims volume, 2023–24.
See Minor Ailments on a real clinical day.
Minor Ailments does not ship alone — it runs on the same patient record as the other six modules, which is what lets AgileRx catch the things a single-service tool never sees. Book thirty minutes and we will walk the whole day, not the demo.