- Patient Need
Magistral preparation (Fórmula Magistral) is the PRIMARY patient access pathway in Spain. Physicians prescribe; pharmacies compound cannabis formulations from imported pharmaceutical-grade cannabis. Sativex is the only nationally authorized cannabis medicine. Cannabis clubs operate in legal grey area (Barcelona, Catalonia) — NOT the official pathway.
- Physician prescription
- Cannabis formula specified
- Physician Prescribes Cannabis Formula
Physician prescribes a specific cannabis formula (Fórmula Magistral) for the patient. Prescription specifies active ingredients, dosage form, and strength.
- Medical prescription
- Cannabis formula composition specified
- Indication documented
- Pharmacist Evaluates Magistral Preparation
Compounding pharmacist evaluates feasibility of the prescribed formula. Assesses availability of pharmaceutical-grade cannabis and other ingredients.
- Spanish pharmacy license
- Magistral preparation capability
- Formula viability assessment
- Product / ingredients available?
Pharmacist determines whether pharmaceutical-grade cannabis and other ingredients are available from authorized importers.
- Authorized Importer Supplies Cannabis
Authorized importer provides pharmaceutical-grade cannabis to the compounding pharmacy. Importer must have AEMPS import authorization.
- AEMPS import authorization
- EU-GMP compliant supply
- Pharmaceutical-grade cannabis
- Pharmacist Compounds Formula
Pharmacist compounds the prescribed cannabis formula (Fórmula Magistral) according to the prescription. Quality controls applied per magistral preparation standards.
- Formula prepared per prescription
- Quality control per magistral standards
- Labeling and patient instructions
- Patient Receives Formula ✓
Compounded cannabis formula dispensed to patient. Follow-up with prescribing physician required.