How access works here
D — named-patient / exceptional. Cannabis products without a Norwegian marketing authorisation are obtained per patient through a 'godkjenningsfritak' (exemption from the approval requirement) that the doctor applies for at the Direktoratet for medisinske produkter (DMP, Norwegian Medical Products Agency). Sativex is the only cannabis-based medicine with a marketing authorisation.
Helsedirektoratet (Norwegian Directorate of Health) authorises, under Forskrift om narkotika (Narcotics Regulation, FOR-2013-02-14-199) § 5, three groups of prescribers: doctors with group-A prescribing rights may prescribe approved cannabis medicines (Sativex) and unapproved cannabis products with less than 1 % THC; only specialists employed in public or private hospitals with group-A rights may prescribe unapproved products with more than 1 % THC. In every case the doctor must first apply for godkjenningsfritak from DMP before treatment begins. The DMP annual report for 2024 confirms: 'Det er kun spesialister i sykehus som kan søke om godkjenningsfritak for uregistrerte cannabisprodukter som inneholder mer enn 1 % THC'.