Under the Portuguese Law, the use of cannabis for medical purposes is admissible, provided the necessary requirements and the mandatory licenses are obtained.
The Portuguese legal framework is set forth under Law no. 33/2018, of July 18th and the Decree-Law no. 8/2019 of January 15th on the use of medicines, preparations, and substances based on the cannabis plant for medicinal purposes, determining its principles and objectives, as well as the regulation and supervision of activities related to the use of the cannabis plant for medicinal purposes..
More recently, the Ministerial Order 83/2021 established a number of practical aspects regarding the authorisations to engage in activities related to the medical use of, as well as the requirements and procedures for applying and granting authorization the exercise activities of cultivation, manufacture, wholesale trade, transport, circulation, import and export of medicines, preparations and substances based on the cannabis plant. According to which the applications for the authorisation of activities related to cannabis for medical, veterinary or scientific research purposes should be submitted through INFARMED’s website, which will then request an opinion from the Intervention Service on Additive Behaviours and Addictions (SICAD).
The considered authorizations must comprise a number of mandatory elements and information, which may vary depending on the specific scope of activity.
Regarding the INFARMED authorisation, INFARMED will decide on the request within 90 days from the date of admission of the application.
The prescription of cannabis-based medicinal products, preparations, and substances is a special medical prescription made in accordance with a special form approved by the Ministry of Health. The prescription must identify the patient, the prescribing doctor, the medicinal product, preparation or substance, respective quantity, dosage, and mode of application. The prescription of cannabis-based medicinal products, preparations, and substances can only take place when conventional treatments are not efficient or cause relevant adverse effects and the therapeutic indication of the cannabis-based medicinal products, preparations and substances have been approved by INFARMED. Prescriptions of cannabis- based medicinal products, preparations, and substances can only be used once.
Dispensation of cannabis-based medicinal products, preparations, and substances for medical purposes can only be made in pharmacies by pharmacists upon provision of the respective prescription and verification of the purchaser’s identity.
The holder of a special prescription for cannabis-based medicinal products, preparations, and substances can hold and transport cannabis-based medicinal products, preparations, and substances for their own consumption, according to the prescription and up to the quantity prescribed.
Furthermore, under the Ministerial Order 83/2021 a number of security measures must be implemented throughout the medical cannabis production chain, such as (i) video surveillance system, (ii) intrusion detection system, (iii) permanent connection with control center; (iv) security guard on permanent duty. These obligations can be densified according to the activity pursued.
Additionally, Ministerial Order no. 44-A/2019, of 31 January, establishes the mechanisms under which the price of medicines and preparations and substances based on the cannabis plant intended for medical purposes should be set. In general, the framework establishes that the price should be proposed by the holder of the authorisation to place the substance on the market to INFARMED, with reference to the current price on the international market. The price will then be approved or refused by INFARMED. In case of refusal, the holder of the authorisation to place the substance on the market should propose a new price.
Finally, a recent technical note regarding the Management of Cannabis Waste in the context of activities that produce cannabis for medicinal purposes was published on 8 February 2022 has been issue jointly by INFARMED and APA (the Portuguese Environmental Agency), establishing an ancillary obligation to submit all data on the waste managed to the Integrated Electronic Waste Registration System (Sistema Integrado de Registo Eletrónico de Resíduos - “SIRER”). Moreover, the cannabis plant waste must be sent to a specific destination in accordance with the waste hierarchy principle
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