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Updated Oct 7, 2026 2 licenses checkedDecriminalized

Medical cannabis companies in Spain

Verdex lists 3 Spanish medical cannabis companies. Royal Decree 903/2025 limits medical access to hospital pharmacies; one company was authorized.

This page is about Spain — not the country you picked in the header.

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A private doctor's note will not get you cannabis at a Spanish pharmacy. Royal Decree 903/2025, in force since October 10, 2025, routes medical cannabis through hospitals only: a specialist prescribes an oral oil that the hospital pharmacy makes from an AEMPS-registered standardized preparation. The first two preparations authorized, according to Público in September 2026, came from Medalchemy, Curaleaf's Spanish subsidiary in Alicante. Verdex lists three companies: Medalchemy, Linneo Health, an EU-GMP producer of flower and extracts for pharma partners, and Phytoplant Research in Córdoba, which breeds and registers medical varieties.

Many licences, one authorized supplier

About 20 Spanish entities hold cultivation licences, yet Público counted a single authorized company in September 2026. The medicines agency AEMPS licenses cultivation only for research, medical use and validating active-ingredient manufacture, so a licence does not mean a product exists. First hospital dispensing was expected at the beginning of November 2026, according to a Spanish Pain Society coordinator quoted by Público.

Feature of the hospital formulaDetail
FormOily oral solution, amber glass bottle
THC-dominant base5 to 150 mg/ml THC
CBD-dominant base10 to 150 mg/ml CBD
Adult maximum32.4 mg THC a day
Shelf life30 days, below 25 °C
Not includedFlower, vapes, smoking, community pharmacies

Indications are refractory multiple sclerosis spasticity, severe epilepsy, chemotherapy nausea and chronic pain, always as a last line. The decree says nothing about reimbursement, so patients should ask the hospital how it is funded in their region. None of these companies sells to consumers, and clubs and CBD shops are separate legal questions. Read the hospital access guide and the report on the first authorized preparations.

Questions about this list

Can I get medical cannabis at a normal pharmacy in Spain?

No. Under Royal Decree 903/2025 the formula is dispensed by hospital pharmacies on a hospital specialist's prescription. Community pharmacies and private clinics outside hospital care are not part of the route.

Which conditions qualify for Spain's medical cannabis formula?

Refractory spasticity from multiple sclerosis, severe forms of epilepsy, chemotherapy-related nausea and vomiting, and chronic pain, as a last line of treatment, according to the AEMPS National Formulary monograph published in January 2026.

Who makes Spain's authorized medical cannabis preparations?

As of September 2026, Público reported one authorized company, Medalchemy, with a THC-dominant and a CBD-dominant preparation. About 20 Spanish entities hold cultivation licences, but only registered preparations can reach hospital pharmacies.

Buying in Spain

  • Possession

    Possession or use in public places is a serious administrative offense (fines €601–€30,000, Organic Law 4/2015 art. 36.16). Private possession for own use is not a crime.

  • Home grow

    Not regulated as a right. Cultivation visible to the public is a serious administrative offense (art. 36.18); private cultivation for own use is generally not prosecuted.

  • Public use

    Prohibited in streets, public establishments and public transport; fines from €601.

  • Sales

    No legal retail sale of THC cannabis. Seeds, growing equipment and cosmetic CBD are legal.

Summary, not legal advice — rules change; check local law.

How this list is ranked

  • License & compliance25%
  • Customer reviews25%
  • Lab & product transparency20%
  • Pricing & value10%
  • Service & access10%
  • Complaint handling10%

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