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Europe's largest cannabis exporter, with tightly restricted domestic patient access.
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Portugal's framework (Law 33/2018 and Decree-Law 8/2019) requires non-pharmaceutical products to obtain a market authorisation (ACM) from INFARMED — a bureaucratic, costly process requiring GACP/GMP evidence — and regulates the commercial supply chain under Ministerial Order 83/2021.
Any doctor may prescribe, but only for specific conditions and as a last resort; in practice few do so owing to limited training. Approved indications include MS/spinal spasticity, treatment-related nausea, palliative appetite stimulation, chronic pain, Tourette's, epilepsy and therapy-resistant glaucoma.
There is no reimbursement; patients pay out of pocket, and prescription numbers remain low relative to other established markets.
Few products are available domestically — a small number of extract products and two flower products — as companies focus on production for export rather than the low-demand home market.
Portugal is the largest European exporter, with exports rising year on year; Germany is by far the biggest destination, followed by Spain, Poland, the UK and Australia. Some companies also package and re-export imports.
A large licensed base spans cultivation, manufacturing and EU-GMP certification, driven by low production costs, an open commercial framework, skilled agricultural labour and a favourable climate.
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