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Plenty of countries where having a doctor in the pharmacy is common practice. Buy some retail space in YYZ and you're set...

> you can't fill a foreign prescription without having a local doctor sign off on it

This is how medical tourism typically works.

Is that process that can happen online? Or does it require the patient being physically present in Canada?

Can be done virtually but you might have to use a VPN or even lie about your place of residence.

Depends on province. From my best reading, pharmacists in Alberta with prescribing authority can directly prescribe all schedule 1 drugs themselves.