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Tuvalu
Strictly Illegal
Full guide →Reimbursed Care Access
Tuvalu maintains strict domestic controls on psychoactive substances under its Dangerous Drugs and Pharmacy/Poisons legislative framework; there is no formal reimbursement program or regulatory pathway for psychedelic-assisted therapies. Ketamine is used in routine medical care as an anaesthetic agent within the national hospital system, but newer branded psychedelic medicines (e.g., esketamine) and classic psychedelics have no authorised medical programs or public reimbursement in Tuvalu.
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