Ireland

Reimbursed Care Access

Ireland maintains a largely prohibitionist statutory regime for classic psychedelics (psilocybin, MDMA, DMT, mescaline, 5-MeO-DMT, ibogaine, 2C‑X and sacramental preparations such as ayahuasca) where possession/supply is a criminal offence except under licence for research or other narrowly defined purposes. Separately, esketamine (Spravato®) is an authorised medicine in Ireland with a formal HTA/reimbursement process and has been made available under HSE arrangements following negotiation; ketamine remains a licensed anaesthetic (controlled drug) and is used off‑label by some clinicians/clinics for treatment-resistant depression, typically outside public reimbursement pathways.