Physician Prescribing Practices Program (P4)


Expanding on other services that support prescribing by Alberta physicians, e.g. the Triplicate Prescription and Methadone programs, the College introduced the Physician Prescribing Practices Program, or P4 in October 2009.

Guided by an advisory committee of practicing physicians and College staff, the P4 will offer physicians educational materials, peer support and practice tools contributing to the overall quality of prescribing in Alberta. The program emphasizes a quality improvement approach to prescribing that includes collaboration between physicians, College staff and others with expertise in prescribing practices.

Initially, the program will focus on providing Alberta physicians with information related to medications on the Triplicate Prescription Program list. Future plans include incorporating information from additional databases made available to P4.

Under the Health Professions Act, College Council is required to approve rules for physician participation in the P4 program. Following circulation of the proposed rules to the profession, Council approved the Rules for Member Participation in September 2011.

2013 CPSA Annual Report: Rx for better prescribing 



Benzodiazepines added to Alberta’s drug monitoring list

There is no change to prescribing or dispensing processes. Unlike other drugs that are part of TPP, benzodiazepines will not require a triplicate prescription, and prescribers will not be required to register with TPP to prescribe benzodiazepines. Notice to Prescribers - July 2015

Marihuana for Medical Purposes

  • Patient Medical Document outlines the information Alberta physicians must collect from a patient seeking marihuana for medical purposes. (April 3, 2014)
  • College of Family Physicians of Canada Preliminary Guidance document: Authorizing Dried Cannabis for Chronic Pain or Anxiety

  • Citalopram Toxicity

    Potential for Citalopram toxicity when prescribed in doses of 60 mg or more per day:

    Quick Links

    Related Programs  Guidelines
    Courses Patient Safety


    Ed Jess, Director of Physician Prescribing Practices 
    780-969-4946 or 1-800-561-3899 ext. 4946 (in Alberta)  

    If you are a patient seeking information or access to a clinic, please contact one of the Alberta Methadone Clinics.

    *Note the College does not provide a list of physicians that prescribe specific medications.

    For information on how to apply for a Methadone Exemption please see Methadone Exemption or our Frequently Asked Questions.

    If you are a physician, pharmacist or healthcare provider with a specific enquiry or concern, please email or call the Physician Prescribing Practices department at (780) 969-4942