Introduction: Pharmacists' service fees are paid to pharmacies, not directly to pharmacists, which may hinder the adoption of expanded pharmacists' services. Our aim was to identify barriers and enablers to pharmacists' delivery of services in relation to the payment model.

Methodology: We conducted semi-structured interviews with community pharmacists or owners in British Columbia using a constructivist approach and performed a thematic analysis.

Results: Three themes emerged: tension regarding pharmacists' perception of their role in healthcare, influence of systemic factors on pharmacists' role and autonomy over practice.

Conclusion: While payment is a significant factor in deterring pharmacists from clinical service delivery, systemic factors also influence how pharmacists feel about their role.

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