As of 1 August 2022, the Swiss Federal Narcotics Act was amended to allow the use of cannabis for medical purposes. The amended narcotics law allows cannabis to be cultivated, processed, traded, or imported for medical purposes. The use of cannabis for medical purposes is subject to control by the Swiss authorities, as are other narcotics such as methadone or morphine.
In order to do business with cannabis in Switzerland, an operating licence must be obtained from the competent Swiss authorities. This requires the appointment of a person who is responsible for the compliance with the requirements of Swiss narcotics law and who fulfils the required personal qualifications. A responsible person is required for all companies involved in the cultivation, production, processing or trade of cannabis, including import and export. Compliance with the technical and operational requirements is checked by the licensing authorities - if necessary also within the framework of a subsequent inspection. The use of cannabis that contains only cannabidiol (CBD) or tetrahydrocannabinol (THC) with an average total content of less than 1.0% does not require an operating licence or a responsible person. Such products are not subject to the Narcotics Act, for example CBD-containing pastes or oils.
The use of cannabis as a medicinal product requires a marketing authorisation. The product must be clinically tested for efficacy, quality and safety. In Switzerland, there are currently only two authorised medicinal products containing cannabis. Alternatively, pharmacists are authorised to prepare cannabis for therapeutic purposes. Such preparations are based on dried flowers or extracts and require a medical prescription that is issued by a doctor acting under his or her own professional responsibility and after having personally examined the patient. Furthermore, the preparation must be carried out by the pharmacist in accordance with the applicable GMP requirements and the requirements of the Swiss Pharmacopoeia (Pharmacopoeia Helvetica, Ph. Helv., GMP for medicinal products in small quantities). The raw material must be produced for medicinal use and under respective licenses.
Under mandatory health insurance, no reimbursement is available for the costs for the medical treatment with cannabis.
Advertising for cannabis is prohibited. However, this does not apply to professional advertising of cannabis medicinal products that have obtained marketing approval. Advertising to the general public is permitted for CBD medicinal products.
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