Individual Membership Form

Individual Membership Form

If you require membership and professional liability insurance for the period May 15th to June 30, 2023 please email the office at

Personal Information

Membership Detail

Membership prices shown do not include GST.

Online registration for the 2022/2023 membership year has been suspended. If you require membership and professional liability insurance for the period April 1st to June 30, 2023 please email the Pharmacists Manitoba office at to have your application processed manually.

View our refund policy here

(Optional) Please provide us with your licence number.

Pharmacists Manitoba is once again offering an 85% member discount for access to RxFiles but you must indicate your interest now and then sign up within one month of receiving notice to register with RxFiles. Please note if you currently have a subscription to RxFiles, you will be required to register to receive the discount but your subscription will remain in place and the discount will be applied when the current subscription ends. Notice to register with RxFiles will be sent by Pharmacists Manitoba in mid-July and you must register within one month to receive the discount.

Please indicate whether you are interested in volunteer opportunities with Pharmacists Manitoba.


The Public Relations Fund is used to consistently promote a strong, positive image of pharmacists to the public and stakeholders through the design, marketing, promotion and delivery of communication campaigns that are developed in partnership with stakeholders. In 2022 our public relations messaging focused on the role of pharmacists as immunizers and providers of professional services including smoking cessation services through the Quit Smoking With Your Manitoba Pharmacist Social Impact Bond. In 2023, we will continue to promote expanded scope services and promote pharmacists and their role in providing front-line healthcare services. We are requesting that all pharmacists contribute $50 each to the Public Relations Fund. If you would like to donate an amount other than $50 please enter it below. The donation is completely voluntary.

The Friends of Pharmacy Fund is used to promote certain special interests concerning pharmacy.

Professional Liability Insurance Add-On

The Manitoba Pharmaceutical Act Regulations require all licensed pharmacists be covered by professional liability insurance that provides a minimum of $2,000,000 per claim or per occurrence and a minimum $4,000,000 annual aggregate.

Choose your level of professional liability insurance provided by the Canadian Pharmacists Benefits Association. Please read through the options carefully and select your level of coverage.


Limits $3,000,000 per claim / $5,000,000 aggregate
Deductible: $0

Declaration: I declare that to the best of my knowledge and belief, the statements set forth herein are true and correct and that reasonable efforts have been made to obtain sufficient information to facilitate the proper and accurate completion of this application form. I further agree that if any significant change in the condition of the applicant is discovered between the date of this application form and the effective date of the policy, which would render this application form inaccurate or incomplete, notice of such change will be reported immediately in writing to the Insurance Manager.


  1. Has any application for Professional Liability insurance ever been denied or cancelled?
  2. Have you ever sustained a Professional Liability loss or has such a claim been made against you in the last five years? Only answer Yes if you have not already reported this to BMS/the insurer.
  3. Have you any knowledge of any negligent act, error or omission or breach of duty which might give rise to a claim against you? Only answer Yes if you have not already reported this to BMS/the insurer.

If you have answered "YES, one or more apply to me" to the question above, please continue with your membership renewal by selecting the "I Decline" insurance option above. CPBA’s insurance program broker, BMS Canada Risk Services Ltd., will facilitate the insurance component of your purchase. Please contact BMS at to review your insurance application and they will assist you in securing coverage under the CPBA program


I declare that during the last five years no insurer has cancelled, declined or refused to issue me any form of liability insurance and that this application discloses the hazards known to exist at the date of this application. I declare that the statements made herein are in every respect true and correct and hereby apply for a contract of insurance to be based upon the truth of the said statements.

Submitting this form does not bind the Applicant or company to complete the insurance but is agreed that this form shall be the basis of the contract should a policy be issued. The insurance premium is fully retained and not refundable.

I understand that if no insurance selection is made above that I have opted not to have insurance coverage through CPBA as part of my Pharmacists Manitoba membership.


I hereby acknowledge that the information collected in the Application form is acquired by my insurance broker to be transmitted to the insurer for the sole purpose of obtaining an insurance policy, and will be kept confidential.

I consent to be contacted directly by e-mail by BMS Canada Risk Services Ltd. concerning the professional liability insurance coverage (primary and supplementary), they make available to me through the Canadian Pharmacists Benefit Association and Pharmacists Manitoba, and my eligibility and application for, and renewal of, such insurance coverage. I understand that I may withdraw this consent at any time.