The COVID-19 pandemic accelerated moves towards the virtual delivery of primary care in Canada.  As this occurred, debates over how virtual primary care (VPC) ought to be encouraged or discouraged, governed and paid for have intensified. Within these high-level debates there has been little attention paid to the details of which technologies are being deployed to deliver VPC and how those technologies interact with non-technical factors to ensure efficiency and effectiveness.With a policy-making audience in mind, the research sought to: 1) identify the various constellations of VPC technology that are being deployed; 2) characterize how key informants see them working and to what purpose; and 3) describe how those technologies are interacting with non-technical factors to shape success to care.29 qualitative interviews with mid-level VPC experts from the provinces of Alberta, Nova Scotia, and Ontario. Data were coded and analyzed using an Interpretive Description approach.From basic phone calls to advanced multi-platform multi-disciplinary case conferences, participants saw VPC technologies as improving access to primary care by increasing efficiency and coordination. Specifically VPC was deployed to improve the accessibility, availability, and accommodativeness of care. VPC technologies interacted with and relied on: human efforts, funding models, and the institutional contexts in which they were deployed.From a policy-making perspective, the effectiveness and sustainability of VPC technologies were strongly influenced by human rather than purely technical factors.  Finding ways to support and icentivize the social networks that underpin effective VPC interventions will be important to ensuring their sustainability.  Policy makers may want to consider adjustments to funding models, and supports for cultural change within the institutions of primary care.Policy-makers seeking to optimize VPC will want to consider ways to support not just purchases of technology, but: the human effort required to choose and manage technology; the funding mechanisms that incentivize the efficient use technology; and the institutional contexts and cultures that underpin access improvements through technology.