JurisdictionsTopicsUpdatesWorkflowsCompareChat with ExpertMarketplacePricing
🇷🇴🏛️

Regulatory Hierarchy

Romanian regulatory structure from Ministry of Health to patient

Regulatory Structure Verified 2026-04-20

Workflow steps

  1. Ministry of Health — Ministerul Sănătății
    Sets national medical cannabis policy. Oversees ANMDM and the implementation of Legea 339/2005 on cannabis-based medicines. Approves national formulary entries.
    • National cannabis policy framework
    • Oversight of ANMDM
    • Patient access policy and specialist approval
  2. ANMDM — Agenția Națională a Medicamentului și a Dispozitivelor Medicale
    National Agency for Medicines and Medical Devices. Primary regulatory authority for cannabis-based medicines. Issues import authorizations, manufacturing licenses, and product approvals.
    • Import authorization per shipment
    • Manufacturing and wholesale distribution licenses
    • GMP inspections (EEA-aligned)
    • Product marketing authorization
  3. Hospital Pharmacies — Spital farmacie
    Medical cannabis in Romania is dispensed only through hospital pharmacies — not community pharmacies. This is a significant access restriction unique to Romania.
    • Hospital pharmacy license
    • Controlled substance storage requirements
    • Dispensing only against specialist prescription
  4. Specialist Physicians — Neurology / Oncology / Pain
    Only specialist physicians (neurologists, oncologists, pain specialists) may prescribe cannabis-based medicines. General practitioners cannot prescribe. Named-patient requirement applies.
    • Specialist physician credential required
    • Named-patient prescription
    • Hospital-based practice setting
  5. Patients — Named-patient basis
    Patients receive cannabis-based medicines on a named-patient basis, prescribed by a specialist physician and dispensed through hospital pharmacies. Strict named-patient protocol — no general access pathway.
Import Authorization