Cook Islands

Reimbursed Care Access

The Cook Islands maintains a tightly regulated controlled‑drugs framework administered through Te Marae Ora (Ministry of Health) and recent amendments have permitted limited medicinal cannabis importation under prescription, but there is no broad, reimbursed medical access pathway for classical psychedelics. Controlled medicines may be imported or possessed only under strict conditions and approved medical channels; most serotonergic/psychedelic compounds remain legally controlled with no routine therapeutic reimbursement or licensed prescribership outside authorised medical or research processes. For ketamine specifically, injectable ketamine is listed on international essential medicines lists and is available for legitimate medical (anaesthetic/pain) use under the Cook Islands’ controlled‑drug rules, but there is no publicly documented, nationally reimbursed psychedelic/psychotherapy programme for ketamine or other psychedelic-assisted therapies in the Cook Islands as of the date of this report (February 20, 2026).