San Marino

Reimbursed Care Access

San Marino implements and enforces international narcotics conventions and maintains a national controlled-substance framework administered by its Health Authority (Authority Sanitaria). Classic psychedelic compounds (psilocybin, MDMA, DMT, mescaline, 5‑MeO‑DMT, ibogaine, ayahuasca, 2C‑X) are controlled under San Marino’s updated list of stupefacenti and have no authorised medical/reimbursed use outside tightly regulated clinical research; medically‑used dissociative anesthetics (ketamine) are regulated as controlled medicines under the national medicines framework. The Authority Sanitaria acts as focal point for import/export and for oversight of controlled medicines and therapeutic imports. [https://www.gov.sm/pub2/GovSM/Authority-Sanitaria/Medicinali-stupefacenti-e-psicotropi.html|Authority Sanitaria - Medicinali stupefacenti e psicotropi] [https://www.consigliograndeegenerale.sm/on-line/home/scheda17172091.html|Decreto Delegato 15 April 2021 n.64 - aggiornamento elenco sostanze stupefacenti].