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German Cabinet Approves Draft to Tighten Medical Cannabis Prescribing and Dispensing

Ministers say a sharp post‑2024 import surge necessitates tighter controls.

Overview

  • Initial prescriptions would require an in‑person doctor visit, with video consultations no longer sufficient for a first script.
  • Follow‑up prescriptions could be issued via telemedicine after the first visit, with at least one on‑site consultation required in each four‑quarter period.
  • Mail‑order sales of cannabis flowers for medical use would be banned, while pharmacy delivery services would remain allowed.
  • Pharmacies would be required to provide personal counselling before dispensing medicinal cannabis.
  • Government data cite imports up 170% from H1 to H2 2024 and more than 400% year over year to about 80 tonnes in H1 2025, while statutory‑insurance prescriptions rose by roughly 9%.