San Marino prohibits recreational cannabis but has permitted limited medical use of cannabis-based pharmaceutical preparations since 2019. As a microstate entirely surrounded by Italy, San Marino's drug policies are influenced by Italian legislation, though it maintains sovereign control over its own narcotics regulations through the State Congress.
Ask the Expert about San MarinoDecree No. 100/2019 (Medical Cannabis Regulation)
Istituto per la Sicurezza Sociale (Social Security Institute — Health Authority)