Below is a general guide of the steps to be taken when initiating medication abortion (MA) services at your pharmacy. Some of these may not apply and some other considerations not listed below may be needed, depending on your pharmacy.

• Review product monographs and protocols to dispense Mifegymiso.
• Review clinical guidelines to prescribe medication abortion if needed.
• Get familiar with regulations by your provincial College of Pharmacists. This summary contains some but not all province-specific regulations.
• Prepare your own protocol, and invite other staff to review and give feedback.
• Become familiar with provincial insurance schemes and coverage of Mifegymiso.
• Explore the willingness to dispense Mifegymiso among all staff, including pharmacy assistants, technicians and administrators, address their concerns and stigma, and determine how to best initiate abortion services at your pharmacy.
• Review current pharmacy staffing to determine the capacity to provide MA.
• Determine a key person or team to be primarily responsible for MA patients.
• Develop, print and distribute posters to let clients and other healthcare providers know that you dispense Mifegymiso.

Adapted from the Checklist for starting medical abortion services by National Abortion Federation.