Gabon

Reimbursed Care Access

Gabon’s penal code criminalizes possession, use and trafficking of plants and substances classified as stupéfiants, while preserving narrow medical/clinical exceptions for licensed practitioners and health facilities. In practice, classical serotonergic psychedelics (psilocybin, MDMA, DMT, 5‑MeO‑DMT, mescaline, 2C‑X) and novel/ritual compounds (ibogaine, ayahuasca) have no authorized medical reimbursement pathway outside research or tightly controlled cultural/administrative regimes; ketamine is used in clinical anaesthesia practice, but newer psychedelic pharmaceuticals (esketamine) are not established as reimbursed products in Gabon.