Regulatory Hierarchy

Workflow steps

1. Pharmacy and Drug Services — Ministry of Health
   Primary regulator for all medicines including cannabis. Issues import authorizations, manages approvals. Cyprus passed medical cannabis law in 2019. Relatively conservative access compared to Netherlands/Germany.
   • Import authorizations per shipment
   • Specialist prescription required
   • GMP recognition — EEA network
   • Pharmacovigilance
2. Ministry of Health — Policy oversight
   Sets national medicinal cannabis policy. Medical cannabis law passed in 2019. Oversees Pharmacy and Drug Services.
   • National medical cannabis policy (2019 law)
   • Oversight of Pharmacy and Drug Services
   • EEA treaty obligations
3. Hospital Pharmacies — Dispensing
   Cannabis medicines dispensed through hospital pharmacies in Cyprus. Relatively conservative access.
   • Hospital pharmacy license
   • Specialist prescription required
   • Controlled substance register
4. Specialist Physicians — Prescribers
   Specialist physicians prescribe cannabis medicines. Relatively conservative prescribing culture.
   • Specialist qualification
   • Authorization for unlicensed products
   • Documented clinical justification
5. Patients — End recipients
   Relatively conservative access compared to Netherlands/Germany. Medical cannabis law passed in 2019 but implementation remains limited.