Cannabis Freedom Index

Context not part of the score

Medical cannabis

How patients get cannabis as medicine: who qualifies, who prescribes, what forms there are and what it costs.

Medical cannabis came back into law through the side door of state and national exceptions. California’s Proposition 215 let patients with a doctor’s recommendation possess and grow it in 1996; Germany let doctors prescribe flower and extracts in 2017, paid for by health insurers after approval. In 2020 the UN took cannabis out of its strictest schedule for drugs with little medical value, without changing the duty to prohibit other use. See also medical cannabis.[1]

A medical law on paper is not the same as access. These sections say who qualifies, who may prescribe, what forms are sold and what they cost, and the map counts a programme as established only where patients are actually treated, not where research or export licences alone exist.

profiles with this section
220
explained as not applicable
0
not researched yet
0
of 220 places covered
100%

Medical status, on the map

Select a country for its section. The interactive map →

LegalLimitedNone verifiedNot researched yet

Medical status: how the 220 researched places divide

StatusWhat it meansPlaces
LegalPatients have an established legal route to cannabis or cannabis-based medicine29
LimitedA patient treatment route is case-specific, pharmaceutical-only, regional, a pilot or not yet operational73
None verifiedNo patient treatment route verified; research/export licences and CBD or industrial hemp alone do not establish one118

Country by country

The opening of each profile's section; the country's page has it in full, with sources.

CountryMedical statusWhat the profile says
AbkhaziaAsiaNone verifiedThe cannabis/hashish use offence applies to use without a doctor’s order. It also exempts a person who voluntarily seeks medical help for illegal drug use from administrative liability under that article.
AfghanistanAsiaNone verifiedNo medical cannabis programme or patient supply was found. Cannabis is not listed as a medicine in the sources read, and the 2023 cultivation ban leaves no lawful production route.
AlbaniaEuropeNone verifiedThe 2023 law concerns production for export. A domestic patient treatment route was not verified in the reviewed sources.
AlgeriaAfricaNone verifiedNo patient programme. The statutory medical and scientific exception is implemented through health-ministry authorisation for production, import, export and research, not for prescribing to patients.
AndorraEuropeNone verifiedA claimed therapeutic purpose did not protect the resident convicted in the CBD flower case: the court recorded that no doctor had prescribed cannabis to him. The 2026 cultivation plan concerned future medicinal production.
AngolaAfricaNone verifiedNo patient programme is documented. Law 3/99 punishes use and personal possession without authorisation, with suspension for treatment only for dependent users.
Antigua and BarbudaNorth AmericaLimitedMedical cannabis is legal under the Cannabis Act 2018, on a practitioner's recommendation, through licensed dispensaries.
ArgentinaSouth AmericaLegalThe medical route is the main legal path. A REPROCANN physician must be registered with REFEPS, have accredited academic training in medical cannabis, register a digital signature with the health ministry and submit bilateral…
ArmeniaAsiaNone verifiedNo medical cannabis programme, registered cannabis medicine or patient supply was found. In February 2019 the health minister said there could be no initiative to free the use of narcotics and that he would veto one.
ArubaNorth AmericaNone verifiedCBD products with no more than 0.2% THC are treated as medicines under the health inspectorate’s import rules.
AustraliaOceaniaLegalAmong the easiest medical systems to use: any doctor can prescribe through the special-access or authorised-prescriber pathways with no fixed list of conditions.
AustriaEuropeLimitedPatients can obtain cannabinoid medicines on prescription, including pharmacy-compounded dronabinol. A parliamentary report describes reimbursement where medically justified and approved by the insurer's reviewing doctor.
AzerbaijanAsiaNone verifiedThe drug law permits narcotic drugs for medical use and allows imports by state bodies, but the sources read identify no cannabis-based medicine, prescription route or patient programme.
BahamasNorth AmericaNone verifiedThe 2024 Act lays out a prescription and dispensary system, but those sections and the companion Dangerous Drugs and Pharmacy amendments remain out of force.
BahrainAsiaNone verifiedNo medical cannabis programme. The general controlled-medicine route requires medical prescriptions and licensed pharmacy supply, but cannabis is a listed plant and the law restricts prescribing or dispensing it.
BangladeshAsiaNone verifiedNo medical cannabis programme was found. Cannabis is not on the list of approved medicines, and the 2018 Act controls the plant and its preparations. Medical status stays none.
BarbadosNorth AmericaLegalLegal under the 2019 Act on prescription from a medical practitioner. The first licensed medicinal dispensary opened on 14 June 2025.
BelarusEuropeNone verifiedCannabis and cannabis-based preparations are prohibited for medical use under the Health Ministry’s traveller guidance supplied to the INCB.
BelgiumEuropeLimitedVery limited: a 2015 royal decree allows cannabis-based medicines, in practice one mouth spray for multiple-sclerosis spasticity. Pharmacies may not dispense herbal cannabis. Belgium permitted prescription Sativex in 2015.
BelizeNorth AmericaNone verifiedThere is no medical cannabis programme.
BeninAfricaNone verifiedNo patient programme is documented. The 1997 Act forbids using drugs and the retained sources set no medical route.
BermudaNorth AmericaLimitedNamed cannabinoid medicines have a prescription route under the 2014 pharmaceutical law, alongside the minister’s personal-import licensing powers.
BhutanAsiaNone verifiedNo medical cannabis programme. Cannabis is Schedule I, described as having no medicinal value; section 18 permits research, teaching or forensic work, not treatment. No CBD medicine was found.
BoliviaSouth AmericaNone verifiedThe ombudsman reported an individual compassionate cannabis-import approval in November 2021 after helping a family clarify medicines-agency requirements.
Bosnia and HerzegovinaEuropeLimitedThe December 2025 rescheduling opened a route to controlled cannabis medicines. In September 2026 the Ministry of Civil Affairs reported that the implementing framework was still incomplete after almost nine months.
BotswanaAfricaLimitedLicensed production for medical and scientific use is permitted, and section 48(3) contemplates prescriptions.
BrazilSouth AmericaLimitedDoctors can prescribe registered or imported cannabis products — prescription oils and extracts, mostly CBD-dominant, with no legal flower for general sale;
British Virgin IslandsNorth AmericaNone verifiedThe Act gives the minister powers to regulate authorised controlled-drug activities, including professional medical and pharmacy handling, subject to specified restrictions.
BruneiAsiaNone verifiedNo medical cannabis programme. Cannabis is Class A; the regulations allow medical and dental officers to prescribe controlled drugs in the course of duty, but no approved cannabis medicine or patient route was found.
BulgariaEuropeNone verifiedNo medical cannabis programme — unlike neighbouring Greece and Romania, there is not even a law on paper. A doctor who prescribes cannabis faces up to five years in prison and a fine of up to €1,533.88.
Burkina FasoAfricaNone verifiedNo patient programme is documented. The 2018 code prohibits using controlled drugs outside a medical prescription but sets up no route for patients to obtain cannabis.
BurundiAfricaNone verifiedNo patient route is documented. Cannabis is illegal, and the 2017 code bans growing, selling, transporting and holding controlled drugs outside health-ministry conditions, with no medical programme provided for.
Cabo VerdeAfricaLimitedThe limited label reflects a statutory framework, not a verified patient programme. Decree-Law 92/92 permits scientific or teaching cultivation licences and provides controlled medicines authorisations, special prescriptions for…
CambodiaAsiaNone verifiedNo medical cannabis programme and no legal products; the licensing system permits clinical and research activity but no patient supply route exists.
CameroonAfricaNone verifiedCannabis and its resin sit in Table I of high-risk drugs, and article 9 prohibits ordinary handling, leaving only the narrow route of article 77: ministerial authorisation for research, training or forensic work in strictly…
CanadaNorth AmericaLegalAny physician or nurse practitioner can authorise medical use with no list of qualifying conditions. Patients buy from federal licence holders by mail, or register with Health Canada to grow their own or designate a grower.
Cayman IslandsNorth AmericaLimitedThe medical-extract amendment commenced on 18 November 2016. A doctor licensed locally may prescribe extracts or tinctures for medical or therapeutic purposes and determines the dosage.
Central African RepublicAfricaNone verifiedThe law regulates licensed operations involving controlled medicines and permits specific research authorisations, but the sources reviewed establish no operating medical cannabis programme.
ChadAfricaNone verifiedNo patient programme is documented. The 2000 law regulates controlled medicines and the 1966 decree let the health minister grant exceptions for scientific research, but no route for patients to obtain cannabis is provided for.
ChileSouth AmericaLimitedCannabis medicines can be prescribed and sold in pharmacies since a 2015 decree, and patients with a prescription may grow their own — a few prescription products, otherwise only what a person grows.
ChinaAsiaNone verifiedNo medical cannabis of any kind and no THC products. CBD is not permitted in food or medicines, was banned from cosmetics, and in 2024 was placed under precursor-chemical controls.
ColombiaSouth AmericaLegalMedical cannabis has been fully legal since 2016 under Law 1787, with prescriptions, product standards and patient access regulated by the health ministry. Any doctor can prescribe;
ComorosAfricaNone verifiedThe retained sources do not establish whether a medical cannabis programme operates.
CongoAfricaNone verifiedNo medical cannabis programme was found. Authorisations under the law are for medical use only under Article 8, with no programme or product pathway located.
Costa RicaNorth AmericaLimitedLaw 10113 created the medical framework in 2022. Decree 44917-S allows pharmacy sales of registered medicinal cannabis products; controlled products require a digital prescription.
Côte d'IvoireAfricaNone verifiedThe sources reviewed establish no operating medical cannabis programme. The 2022 law punishes unauthorised holding and use without a medical-use exception for cannabis.
CroatiaEuropeLimitedLegal since October 2015 for conditions such as multiple sclerosis, cancer, epilepsy and AIDS, on prescription, capped at 7.5 g of THC per 30 days, with no home growing.
CubaNorth AmericaNone verifiedNo medical cannabis programme operates in the sources read: possession and growing are punishable without a patient route, and authorised use is limited to prescription channels with no patient supply established.
CuraçaoNorth AmericaLimitedAuthorised pharmacists and dispensing doctors have medical-purpose exemptions for handling extracts and tinctures, subject to medicines rules.
CyprusEuropeLimitedThe 2017 official explanation required individual ministerial approval and a doctor’s prescription for cannabis oil.
CzechiaEuropeLegalPatients receive medical flower or extracts on an electronic prescription, dispensed through pharmacies. Approved prescribers include general practitioners as well as the listed specialists;
DenmarkEuropeLegalA pilot programme that began in 2018 let any doctor prescribe cannabis products not otherwise approved as medicines, as flower and oils. Parliament made it permanent from 1 January 2026, with partial reimbursement.
DjiboutiAfricaNone verifiedNo medical cannabis programme.
DominicaNorth AmericaNone verifiedNo functioning medical cannabis programme.
Dominican RepublicNorth AmericaNone verifiedNo medical cannabis programme operates. Law 50-88 punishes possession and growing without a patient route, and the sources read give no recognised foreign-card or pharmacy channel. Law 50-88 graded possession by weight.
DR CongoAfricaLimitedThe public-health law of 13 December 2018 allows narcotics cultivation, production, possession and sale for medical and scientific purposes under authorisation, and tasked the health minister with setting the conditions.
EcuadorSouth AmericaLimitedMedical cannabis was legalised in 2019: the December reform excluded below-1% THC cannabis from controlled substances and made holding cannabis medicines for therapeutic, palliative or medicinal use — including alternative…
EgyptAfricaNone verifiedNo medical cannabis programme operates: use is a crime punished through possession, and the 1960 law's only medical route is sanatorium treatment for dependent users, not patient supply.
El SalvadorNorth AmericaNone verifiedNo medical cannabis programme operates. The drug law provides no patient route, and the sources read establish no pharmacy or prescription channel. The 2003 law set the growing terms.
Equatorial GuineaAfricaNone verifiedArticles 2–3 of the 1993 decree expressly contemplated authorised medical and scientific use of controlled drugs and rules for prescribing medicines containing them;
EritreaAfricaNone verifiedNo medical cannabis.
EstoniaEuropeLimitedAccess is narrow: Epidyolex was authorised in 2019, while a doctor may apply case by case for an unauthorised cannabinoid medicine or standardised cannabis; those medicines are available on special application only.
EswatiniAfricaNone verifiedNo medical programme and no patient access. The pending bill would allow medical and industrial cannabis only, not adult use, and would repeal both the 1922 and 1929 Acts.
EthiopiaAfricaNone verifiedNo medical cannabis. In March 2019 the health minister said growing cannabis for medical purposes had never been recognised or approved, and the Investment Commission said it would issue no permit to grow it, after a proposed…
Faroe IslandsEuropeLimitedThe Chief Medical Officer confirms a medical-cannabis trial has operated since April 2019. Joint prescribing guidance identifies pain, multiple sclerosis, spinal-cord injury and chemotherapy-related nausea among treatment areas,…
FijiOceaniaNone verifiedFiji has been developing a medicinal cannabis industry proposal. Separately, section 11 of the 2004 drug law exempts lawfully prescribed or supplied treatment and permits health-authority licensing of drug imports, exports or…
FinlandEuropeLimitedExtremely limited: a mouth spray for multiple sclerosis as a last resort, and Dutch medical flower only through an individual special permit held by a small number of patients.
FranceEuropeLimitedA national experiment began in 2021 for a few thousand patients with severe conditions. It formally ended on 31 December 2024 with no permanent regime in place.
French PolynesiaOceaniaLimitedThe Assembly first adopted a law on poisonous substances in November 2022, promulgated on 5 January 2023. It would have allowed cannabis medicines and licensed growing, but needed about fifteen implementing decisions.
GabonAfricaNone verifiedThe 2026 Health Code provides for specially authorised medical and scientific activities involving controlled drugs and for special narcotic prescriptions.
GambiaAfricaNone verifiedNo medical cannabis.
GeorgiaAsiaNone verifiedNo approved cannabis medicine, prescription route, clinical trial or production licence was found. Cannabis is a Schedule I drug, and the law permits circulation only for teaching, scientific, expert and forensic activity.
GermanyEuropeLegalCannabis is no longer a narcotic in law: any doctor can prescribe it on an ordinary prescription, dispensed by pharmacies.
GhanaAfricaNone verifiedNo medical programme for THC cannabis. The July 2026 licences cover low-THC cultivation for industrial, medicinal and research purposes, not a supply for patients.
GibraltarEuropeLimitedGHA doctors must complete training before authorising cannabis medicines. Eligible conditions are treatment-resistant multiple-sclerosis spasticity, severe refractory epilepsy, severe life-altering pain, and intractable…
GreeceEuropeLimitedMedical cannabis was enabled in 2017 and production regulated in 2018. Patients first obtained finished prescription products in February 2024; on 27 February the health minister met the first patient prescribed one.
GreenlandNorth AmericaLimitedGreenland’s law permits pharmacy supply and possession of controlled medicines under prescription rules. The regulation permits receipt and possession by people receiving treatment and authorised institutions.
GrenadaNorth AmericaNone verifiedNo medical programme yet; it is expected as part of the second phase.
GuamOceaniaLimitedVoters approved medical cannabis on 4 November 2014. Since October 2018, qualified patients or designated caregivers may apply for a $15 annual home-cultivation permit while no medical dispensary is operating, allowing six…
GuatemalaNorth AmericaNone verifiedThe general drug law permits strictly necessary quantities for medical treatment, scientific research, analysis and medicine manufacture by legally authorised people, with prescriptions required for lawful sales to private…
GuernseyEuropeLegalIslanders can obtain pharmaceutical-standard cannabis medicines through private prescriptions from local doctors, or arrange licensed imports using UK or Jersey prescriptions.
GuineaAfricaNone verifiedNo patient programme is documented. The 2016 code prohibits use outside a medical prescription but sets up no route for patients to obtain cannabis.
Guinea-BissauAfricaNone verifiedArticles 21–23 regulate care for people using drugs: voluntary attendance carries anonymity and professional secrecy, while treatment ordered within proceedings involves reports to the court.
GuyanaSouth AmericaNone verifiedNo medical cannabis programme.
HaitiNorth AmericaNone verifiedNo medical cannabis programme operates. The law provides permits only for medical or scientific purposes, with no patient supply route. The 2001 drug law set these terms.
HondurasNorth AmericaNone verifiedNo patient programme is documented. The code punishes possession for trafficking or for facilitating consumption and sets no medical route. A 2020 patients bill never advanced.
Hong KongAsiaNone verifiedCannabis and cannabis resin are excluded from the ordinary professional and pharmacy authorities in the ordinance, so a doctor cannot supply THC cannabis merely as a doctor.
HungaryEuropeNone verifiedNo medical cannabis programme exists in Hungary. The Criminal Code names no lawful source for patients: acquiring, holding and consuming are punished, as is supplying.
IcelandEuropeLimitedLimited to approved cannabinoid medicines: Sativex on specialist (neurologist) prescription for multiple-sclerosis spasticity, and Epidyolex also listed as available. Prescription access to Sativex was confirmed in 2018.
IndiaAsiaLimitedNo national medical programme, but cannabis-leaf preparations are sold as Ayurvedic medicines, some on prescription; bhang and hemp-seed foods are the lawful consumer products.
IndonesiaAsiaNone verifiedProhibited absolutely: Class I narcotics may not be used for health services, and CBD is treated as cannabis.
IranAsiaNone verifiedThere is no approved medical cannabis programme. A 2021 systematic review found no licit or medical production of cannabis, and the law treats cannabis as a prohibited drug.
IraqAsiaNone verifiedNo medical cannabis programme or registered cannabis medicine was found. Article 18 permits individuals to possess their own prescribed controlled medicine, but no cannabis-based product has been registered under it.
IrelandEuropeLimitedThe Medical Cannabis Access Programme covers only three conditions where standard treatment has failed, prescribed by consultants; other patients need an individual ministerial licence.
Isle of ManEuropeLegalPatients pay privately for specialist prescriptions and dispensing: the island’s health service does not provide the ordinary cannabis prescription route.
IsraelAsiaLegalMedical cannabis is legal on prescription for ten indications, including active oncology, inflammatory bowel disease, AIDS, multiple sclerosis, Parkinson's, Tourette syndrome, epilepsy, terminal illness, autism and dementia.
ItalyEuropeLegalLegal since 2013. Any doctor can prescribe cannabis prepared by pharmacies; reimbursement depends on the region, and supply shortages are frequent. Italy legalised medical cannabis in 2013.
JamaicaNorth AmericaLegalAny registered medical practitioner can recommend ganja for medical or therapeutic purposes, with no fixed list of conditions. Patients buy from licensed herb houses.
JapanAsiaLimitedJapan allows cannabis-derived medicines in law, but no cannabis medicine has been approved. The 2024 reform created the approval route, and in June 2024 the health ministry gave orphan designation to Jazz's cannabidiol for Dravet…
JerseyEuropeLegalMedical cannabis is prescribed privately by doctors, some at cannabis clinics, and patients may also bring it in under a personal import licence. Eighteen prescribers were recorded in 2022 and twenty in the first half of 2023.
JordanAsiaLimitedThe legal medical route is limited to approved CBD medicines and natural preparations containing no more than 0.3% THC, dispensed on a valid prescription.
KazakhstanAsiaNone verifiedNo approved cannabis medicine or patient-access programme was found in the sources read. The narcotics law allows a narrow route for producing narcotic medicines under Article 18, but licensed cannabis cultivation is described as…
KenyaAfricaNone verifiedNo medical cannabis; a bill has been proposed in the Senate.
KiribatiOceaniaLimitedLawful prescription supply authorises possession of controlled preparations, and registered pharmacists may prepare cannabis extracts and tinctures. In 2016, a sailor’s prescribed marijuana remained a prohibited import;
KosovoEuropeNone verifiedCannabis is in Table I, whose exceptions cover scientific research, education and police work. The table expressly includes cannabis, resin, extracts and tinctures.
KuwaitAsiaNone verifiedThe drug law provides controlled medical prescribing, pharmaceutical manufacture and institutional medical or scientific cultivation.
KyrgyzstanAsiaNone verifiedCannabis oil, resin, plant material, marijuana and extracts or tinctures appear in narcotic list IV. The drug law prohibits medical and veterinary use of substances on that list;
LaosAsiaLimitedDecision 3789/MOH permits prescribed dried hemp flower with a 1% THC ceiling, and medical products with a 0.2% ceiling and CBD at least four times the THC content; no operating patient route was verified.
LatviaEuropeNone verifiedNo medical cannabis programme and no legal THC products. In 2018 the health minister said there were more important things to discuss;
LebanonAsiaNone verifiedNo patient route. Cannabis remains Table 1 "no medical use"; Law 178 licenses production, not consumption, and does not reschedule the plant.
LesothoAfricaNone verifiedNo domestic patient-access scheme. Licensed production is for medical and scientific use, but the 2024 research found no legal route for local patients to obtain medical cannabis.
LiberiaAfricaNone verifiedNo medical cannabis. Schedule I lists cannabis, resin, extracts and tinctures, and unauthorised use is an offence; the express rehabilitation alternative sits in the separate paragraph for Schedules II–IV, not for cannabis.
LibyaAfricaNone verifiedNo medical cannabis programme. Cannabis is a Table 1 narcotic and a Table 5 plant; Articles 30–31 let the health committee license public services, scientific institutes and research centres to grow banned plants for medical or…
LiechtensteinEuropeLimitedNo medical cannabis programme, though two cannabinoid medicines can be prescribed.
LithuaniaEuropeLimitedThe medical reform effective in May 2019 permits registered cannabis-based medicines whose safety and effectiveness have been demonstrated.
LuxembourgEuropeLegalPatients obtain prescribed cannabis free from hospital pharmacies, through a doctor with the required certified training.
MacauAsiaLimitedNo operating patient programme or registered cannabis medicine was found. The lawful-drug rules allow licensed chemical and pharmaceutical firms to extract or manufacture scheduled substances for medical or scientific purposes,…
MadagascarAfricaNone verifiedNo patient programme exists. The law bans use outside medical prescription, but cannabis is in Table I, expressly listed as having no medical interest, and no route for patients to obtain it was found.
MalawiAfricaLimitedThe Act provides for medicinal cannabis as approved final products — processed flowers, extracts, resin, crude oil, distillates and isolates — with qualified patients tracked through a registry and caregivers for minors and the…
MalaysiaAsiaNone verifiedMedical or research use is lawful only with authorisation from the health minister. No cannabis-based medicine is currently registered for patients: Sativex was registered in 2014 and cancelled in 2017 at the company's request.
MaldivesAsiaNone verifiedNo patient programme is documented. Cannabis is a Schedule 1 drug and use is an offence of three years.
MaliAfricaNone verifiedThe sources reviewed establish no operating medical cannabis programme: the 2017 authorisation served exports only and was withdrawn in 2020, and use outside a medical prescription is prohibited.
MaltaEuropeLegalLegal since 2018 on prescription from a registered doctor, with an approval card for the patient, dispensed in pharmacies. Products are limited and paid out of pocket.
Marshall IslandsOceaniaLimitedThe Act expressly extends its medical and professional exceptions to marijuana and concentrates. It recognises licensed professional handling and possession under a valid prescription.
MauritaniaAfricaNone verifiedNo medical cannabis programme. Cannabis is in Table I of the 2008 law, which the annex treats as having no real medical interest; licensed medical handling is limited to Tables II and III.
MauritiusAfricaLimitedLegal since the 2022 amendment, but only with individual authorisation from the Ministry of Health, for a short list of conditions.
MexicoNorth AmericaLimitedMedical cannabis was legalised in 2017 and regulations were issued in 2021, allowing prescription and import of approved products. Availability is limited, with a handful of registered products;
MicronesiaOceaniaNone verifiedThe national code and Pohnpei's published code provide controlled research registration for Schedule I substances. In Yap, section 1005 expressly bars prescriptions for the listed hallucinogens, which include marijuana.
MoldovaEuropeNone verifiedThe general controlled-substance law provides medical uses for authorised substances, while prohibiting cannabis cultivation to produce narcotics.
MonacoEuropeNone verifiedAuthorised pharmaceutical medicines containing cannabis or THC are exempt from the general prohibition under article 32. This 2019 change depends on the product holding the required medicines authorisation.
MongoliaAsiaNone verifiedNo patient programme is documented. The 2002 law restricts narcotic drugs and the code sets no medical route for cannabis.
MontenegroEuropeNone verifiedThe drug law provides licences for controlled medical and pharmaceutical activities and permits possession of a drug-containing medicine within the quantity prescribed by a doctor.
MoroccoAfricaLimitedCannabis-based medicines can be registered and sold through pharmacies; by October 2026 four epilepsy medicines had market authorisation, three from Sothema and one from Pharma 5, and five medical societies had approved CBD…
MozambiqueAfricaNone verifiedThe sources reviewed establish no operating medical cannabis programme: treatment provisions address dependent users, not patient supply.
MyanmarAsiaNone verifiedNo medical cannabis. The 1993 law defines the cannabis plant as a narcotic and makes no hemp, CBD or patient exception; the 2019 Mandalay hemp prosecution is the leading example.
NamibiaAfricaNone verifiedNo medical cannabis: cannabis remains illegal for medical use with no legal framework. Only synthetic THC (dronabinol) may be prescribed under tight restriction, with no domestic supply or dispensary network.
NauruOceaniaNone verifiedCabinet may issue renewable one-year licences for medicinal drug imports on the minister’s recommendation. Licensees must record imported quantities and how and to whom they are provided;
NepalAsiaNone verifiedMedical use appears in federal plans. Gandaki's 2026 Act is a cultivation framework for medicinal and industrial cannabis, and a patient still has no lawful supply under it.
NetherlandsEuropeLegalDoctors have been able to prescribe medicinal cannabis since 2003. Pharmacies dispense it as dried flower from the government's Office of Medicinal Cannabis, which holds a legal monopoly on buying and selling it.
New ZealandOceaniaLegalAny doctor can prescribe approved medicinal cannabis products for any condition. Products are unsubsidised and costly. Prescription flower and oils must meet the scheme's quality standard;
NicaraguaNorth AmericaNone verifiedNo patient programme is documented. Law 735 criminalises cannabis and the code sets no medical route. Organised-crime law passed in 2010.
NigerAfricaNone verifiedNo patient programme is documented. Article 144 prohibits use outside a medical prescription but sets up no route for patients to obtain cannabis.
NigeriaAfricaNone verifiedNo medical cannabis programme.
North KoreaAsiaNone verifiedNo medical cannabis.
North MacedoniaEuropeLimitedMedical/scientific cultivation entered the statutory framework in 2016. A 2025 market report describes specialist-prescribed products for conditions including multiple sclerosis, epilepsy, HIV/AIDS and certain cancers, with few…
Northern CyprusEuropeNone verifiedCannabis import requires a licence under the northern drug law; a prescription alone is not that permission. Manufacture and distribution are also subject to authorisation.
Northern Mariana IslandsOceaniaLegalThe 2018 law covers medical as well as adult use. A patient or caregiver may grow up to twelve mature and twenty-four immature plants when a physician considers it necessary and practical for treatment, with a registry card and…
NorwayEuropeLimitedNarrow: two approved prescription medicines, plus case-by-case specialist applications for other products since 2018. As of late 2016 a single patient in the whole country had been approved.
OmanAsiaNone verifiedNo medical cannabis programme or registered cannabis product was found. Article 27 requires a licensed doctor's prescription before a pharmacy may dispense a controlled drug, but the sources read do not identify a cannabis…
PakistanAsiaLimitedApplicants can seek licences for medicinal cultivation, extraction, pharmaceutical manufacturing and research through the Cannabis Control and Regulatory Authority.
PalauOceaniaNone verifiedNo medical cannabis programme. A Medical Marijuana Act was introduced in 2015 and shelved, and a 2021 compassionate-use bill passed first reading without becoming law.
PalestineAsiaNone verifiedNo medical cannabis programme. Article 3 allows institutional cultivation and seed imports for medical and scientific work, not patient supply. No registered cannabis medicine, patient registry or prescription route was found.
PanamaNorth AmericaLimitedExecutive Decree 6 of April 2025 revised the 2021 framework. In June 2026 the ministry approved patient and companion forms: a qualified doctor certifies treatment, the ministry verifies registration, and an approved patient…
Papua New GuineaOceaniaNone verifiedNo medical-cannabis programme. Schedule I is described as having no medical value, and the Act's prescribed-medication defence applies only to Schedules II–IV. Cannabis flower, resin, oil and plants are all in Schedule I;
ParaguaySouth AmericaLimitedLaw 6007 created PROINCUMEC and its patient registry. Resolution 488/2025, effective on signature on 19 December 2025 under Health Ministry Resolution 902/2025, sets up a two-year exceptional pilot for medicinal combinations of…
PeruSouth AmericaLegalLegal since Law 30681 of 2017, on prescription with patients listed in a national registry; association growing was added to improve access and affordability.
PhilippinesAsiaLimitedThere is no medical-cannabis programme and no lawful cannabis or CBD consumer products; the definition covers every part of the plant, its seeds, resin, extract and tincture.
PolandEuropeLegalDoctors can prescribe cannabis preparations made from authorised pharmaceutical raw materials — flower, extracts, tinctures and resin; veterinarians cannot issue these prescriptions.
PortugalEuropeLegalAny doctor may prescribe authorised products for the approved indications when conventional treatment has failed or causes significant adverse effects, with dispensing confined to pharmacies.
Puerto RicoNorth AmericaLegalThe May 2015 executive order directed the health secretary to authorise medical cannabis through the drug law’s procedures. Dispensary sales began in December 2016, followed by the 2017 Medical Cannabis Act.
QatarAsiaNone verifiedNo medical cannabis programme. Cannabis is a Schedule 1 narcotic, and the only licensed route is article 30 research cultivation or seed import for government bodies and recognised institutes.
RéunionAfricaLimitedNo Réunion-specific patient route exists; access follows the restricted national French medical framework, limited to patients carried over from the 2021 experiment during the transition to a permanent regime.
RomaniaEuropeLimitedCannabis may be prescribed for medical use only as a pharmaceutical product. The controlled-substances law requires a prescription and permits patients to hold the prescribed quantity of their controlled medicine.
RussiaEuropeNone verifiedPatients have no domestic medical-cannabis dispensing route: marijuana, hashish and cannabis oil are listed among prohibited Schedule I narcotics. The cultivation decree permits medical poppy and industrial hemp.
RwandaAfricaLimitedMedical use requires a prescription from a doctor whom the health ministry has authorised in writing to prescribe cannabis. The reviewed September 2026 pharmaceutical register contained no cannabis or cannabinoid medicine;
Saint Kitts and NevisNorth AmericaLimitedLegal under the Cannabis Act for people with a qualifying medical condition, through the Medicinal Cannabis Authority. The system is new and access is still limited.
Saint LuciaNorth AmericaNone verifiedNo medical cannabis programme is in operation.
Saint Vincent and the GrenadinesNorth AmericaLegalLegal since December 2018 on a medical recommendation, supplied by licensed local producers.
SamoaOceaniaNone verifiedNone. The Samoa Law Reform Commission recommended regulating medicinal use under section 29, not creating a dispensary scheme, and the government did not adopt it.
San MarinoEuropeLimitedPatients have a prescription-based route, with retail sales reserved to state pharmacies. The authorised categories include flowers, preparations and pharmaceutical raw material, but routine availability of dispensed flower has…
São Tomé and PríncipeAfricaNone verifiedCannabis flower, resin and oil are listed controlled drugs. The Penal Code recognises authorised controlled-drug activities and penalises doctors and pharmacists who prescribe or provide drugs for non-therapeutic purposes.
Saudi ArabiaAsiaNone verifiedNo medical cannabis programme. The law licenses some medicines containing controlled drugs, but cannabis itself remains on the prohibited-plant schedule rather than a patient-access pathway.
SenegalAfricaNone verifiedThe sources reviewed establish no operating medical cannabis programme.
SerbiaEuropeNone verifiedThe current schedules place cannabis and resin on both lists 1 and 2. The law permits list-2 substances for research and exceptionally for therapy under its controls.
SeychellesAfricaLimitedThe 2020 rules cover defined CBD medicines, with THC and specified related substances limited to 2% of the CBD content.
Sierra LeoneAfricaNone verifiedThe Pharmacy Board's guidelines permit licensed medical cultivation and processing for export, drawing on the written-consent power in the 2001 pharmacy law. The guidelines give an effective date of 17 May 2024.
SingaporeAsiaLimitedNo medical cannabis programme. In rare cases the health regulator has approved a cannabidiol medicine for a named patient, such as a child with drug-resistant epilepsy.
Sint MaartenNorth AmericaLimitedThe ordinance contains an exemption for people who can show that they need the cannabis quantity for their own medical use and obtained it lawfully.
SlovakiaEuropeNone verifiedGrowing, importing and selling cannabis for medical use remain prohibited; the country has no medical cannabis access programme.
SloveniaEuropeLegalSince 20 August 2025 any physician may prescribe cannabis for any condition on their professional judgment, for up to a month at a time, either reimbursed by health insurance or self-paid.
Solomon IslandsOceaniaLimitedSections 13–20 contemplate regulated cannabis extracts and tinctures within the controlled-medicines system, including prescription rules, storage and authorised withdrawal by medical and pharmacy professionals.
SomaliaAfricaNone verifiedArticles 6 and 15–17 of the 1970 law regulate institutional narcotics use, dispensing on prescription and inappropriate prescribing. This is a general medicines framework;
SomalilandAfricaLimitedThe inherited 1970 law provides a general medical route for controlled drugs through authorised institutions and prescription dispensing.
South AfricaAfricaLimitedA patient who needs THC must find a doctor willing to apply to the South African Health Products Regulatory Authority for permission to prescribe an unregistered medicine for that named patient;
South KoreaAsiaLimitedSouth Korea allows imported cannabis medicines, not domestic production or general prescribing. The MFDS approves the patient and the import, and the Korea Orphan and Essential Drug Center supplies the medicine;
South SudanAfricaNone verifiedThe code permits named medical, dental, veterinary, pharmaceutical, laboratory and state professionals to handle controlled drugs where necessary for their professional roles, including specified cannabis handling.
SpainEuropeLimitedA royal decree in force on 10 October 2025 lets hospital specialists prescribe a standardised cannabis solution when authorised medicines have failed, and hospital pharmacies make it up and hand it out.
Sri LankaAsiaLimitedTreatment is available only within the Ayurvedic system, through registered practitioners and the state Ayurvedic Drugs Corporation; traditional Ayurvedic preparations contain cannabis.
SudanAfricaLimitedArticle 12 permits medical and scientific activities under ministerial licence, and article 14 allows recognised universities and research institutions to hold controlled drugs, plants and seeds for scientific purposes.
SurinameSouth AmericaNone verifiedNone. A push under the previous government to legalise medical use and home growing was dropped after the 2020 election.
SwedenEuropeLimitedLimited to two approved prescription medicines; anything else requires an individual licence application by the patient's doctor to the Medical Products Agency, rarely granted.
SwitzerlandEuropeLegalSince 1 August 2022 doctors can prescribe cannabis medicines, including flower and pharmacy-made preparations, without a special federal health-office permit. Prescribers must report treatment data during the first two years.
SyriaAsiaNone verifiedNo medical cannabis programme. The 1993 law allows controlled narcotic medicines to be prescribed and dispensed through pharmacies, but cannabis is a prohibited plant rather than a listed medicine.
TaiwanAsiaLimitedA patient route exists for one CBD medicine. Epidyolex was licensed on 19 January 2024 and reimbursed from 1 April 2024 for Dravet syndrome from age two and tuberous sclerosis complex from age one, after at least three…
TajikistanAsiaNone verifiedThe drug law provides licensed medical handling of controlled drugs and reserves scientific growing for licensed research institutions. It also prohibits non-prescribed use and regulates prescribing through the health ministry.
TanzaniaAfricaNone verifiedNo medical cannabis.
ThailandAsiaLegalThe medical route is the whole legal system now: doctors, Thai traditional medicine practitioners and other licensed professionals can prescribe, often on site at the dispensary. Foreign prescriptions are not recognised.
Timor-LesteAsiaNone verifiedNo medical cannabis programme operates. The law allows Health Ministry licensing for handling controlled drugs, but no implementing decree, registered cannabis medicine or prescribing route was found.
TogoAfricaNone verifiedThe sources reviewed establish no operating medical cannabis programme: use outside a medical prescription is prohibited, and the Code's licences cover scheduled medical activities without a cannabis patient supply.
TongaOceaniaNone verifiedNo medical cannabis programme. Section 6 lets a traveller undergoing treatment possess a lawfully prescribed medicine for up to one month with written doctor authority, but cannabis is not a registered Tongan medicine and there…
TransnistriaEuropeNone verifiedTransnistria operates no medical cannabis programme, and local health authorities recognise no therapeutic role for cannabis or cannabinoid preparations.
Trinidad and TobagoNorth AmericaLimitedThe 2022 Act provides for medicinal-cannabis licences, including a dispensary licence, but those licences do not operate until the President proclaims a commencement date. There is no working medical programme.
TunisiaAfricaNone verifiedNo medical cannabis programme. Article 2 permits narcotics for authorised medicine and pharmacy, but no approved cannabis medicine, patient registry or prescription route was found.
TürkiyeAsiaLimitedVery limited. The special import list includes cannabidiol oral solution and THC/CBD mouth spray on red prescription.
TurkmenistanAsiaNone verifiedThe general controlled-medicine rules require special prescriptions and supply through licensed state pharmacies. The health ministry sets the dispensing and prescription procedures.
TuvaluOceaniaLimitedThe minister can issue medical and scientific licences under the 2025 Act, subject to conditions on records, security and reporting.
UgandaAfricaLimitedMedical use is permitted in principle: section 14 provides for licences for medical sale, manufacture, production and distribution, and growers need health-ministry licences.
UkraineEuropeLimitedPatients began receiving prescribed THC capsules on 11 June 2026, initially through six pharmacies in six cities.
United Arab EmiratesAsiaLimitedNo high-THC medical cannabis is legal. The 2026 hemp law permits only authorised medical products that contain industrial-hemp compounds or raw materials, under the medical-products law;
United KingdomEuropeLimitedLegal since 1 November 2018, but only doctors on the specialist register may initiate it, and the NHS funds it for a handful of patients.
United StatesNorth AmericaLegal40 states have medical programmes. Most require a doctor's certification for a listed condition, a state patient card and an annual fee.
UruguaySouth AmericaLegalMedical cannabis is legal and a 2019 law aimed to widen access, but few registered products exist, they are expensive, and most patients rely on the adult-use channels or home-made preparations instead.
US Virgin IslandsNorth AmericaLimitedThe territory approved its medical cannabis programme in January 2019, sponsored by Positive T.A. Nelson. The 2023 law replaced it with a combined medical, adult-use and sacramental system;
UzbekistanAsiaNone verifiedNo approved cannabis medicine or patient-access programme was found. A 2019 report said the sale of medical cannabis was prohibited and that only one state-linked company held a licence for narcotic medicines.
VanuatuOceaniaLimitedMedical cannabis under the industry licensing Act is grown for export — the drug law lists cannabis, resin and resin-based preparations, while separated mature stalks and fibre sit outside its cannabis definition, and the…
VenezuelaSouth AmericaNone verifiedNo medical cannabis programme operates: the law provides treatment and rehabilitation for consumers, not patient supply, and unauthorised supply and growing remain criminal. Treatment for users dates to 1984.
VietnamAsiaNone verifiedNo medical cannabis programme. The 2025 drug law excludes cannabis cultivation even from licensed research and production routes, and Decree 28/2026 keeps cannabis in List I, absolutely prohibited in medicine and social life.
YemenAsiaNone verifiedNo cannabis treatment programme operates. Pharmacy dispensing under the general medicines framework requires a medical prescription, but no cannabis-specific prescribing route was verified.
ZambiaAfricaLimitedThe Cannabis Act's licensing system for medicinal cannabis has not come into force. The Controlled Substances Act, in force since 16 January 2026, licences controlled substances used as medicine and lists cannabis.
ZimbabweAfricaNone verifiedProduction for medicinal and scientific purposes is licensed. In its 2022 report, the medicines regulator described production as export-oriented, with local use limited to research and development, and separately recorded…

References

  1. Wikipedia — Medical cannabis

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