Named-patient access pathway for medicinal cannabis in Norway
General Verified 2026-04-20
Workflow steps
Patient Need
Patient has condition potentially treatable with cannabis medicine. Must have exhausted conventional treatment options first.
Referral to Specialist
GP refers to specialist physician (neurologist, oncologist, or pain specialist). Specialist evaluation required before cannabis prescription considered.
GP referral to specialist
Documented conventional treatment failure
Condition assessment by specialist
Specialist Section 4-4 Application
Specialist applies to NoMA for Section 4-4 authorization to prescribe an unlicensed cannabis medicine. Clinical justification must be strong.
Section 4-4 application to NoMA
Detailed clinical history
Proposed product and dosing rationale
Monitoring plan
NoMA approval?
NoMA reviews application. Conservative — approval not guaranteed. Processing typically 4–6 weeks.
Patient Access Granted ✓
Medication dispensed via hospital pharmacy. Ongoing monitoring by prescribing specialist required.