Costa Rica

Reimbursed Care Access

Costa Rica follows a strict national drug-scheduling framework derived from international conventions (the Ley Nº 8204 drug law) that criminalizes production, trafficking and non-authorized uses of most classic psychedelics, while permitting conventional medical use of anesthetics and controlled medicines. In practice, ketamine is available and used in medical and private-clinic settings (including international medical-tourism offerings); other compounds (psilocybin, MDMA, DMT, mescaline, 2C-X, 5‑MeO‑DMT) are treated as controlled/illegal except where used within approved research or in unregulated retreat/ceremonial contexts (which operate in a legal gray zone). Several international/medical-tourism clinics offering ibogaine or ayahuasca-style services operate in Costa Rica despite limited or absent formal sanitary registration or explicit legislative permission. [http://www.cicad.oas.org/fortalecimiento_institucional/legislations/PDF/CR/ley_8204.pdf|Ley Nº 8204].