© 2022 KOMAND Consulting
GERMANY
Population:83,368,541
GDP/Capita: USD$50,801
Wholesale Medical Flower Price/Gram: €4.30(2022)
FormedicalcannabiscultivatedinGermany.Forimportedcannabisflowers,pharmacypurchase
pricefromlicenceddistributorremainsat€9.52/gram
Current Med/Rec Usage (15-64yrs): 6.1%
Depression
Nausea/Vomiting
Multiple Sclerosis
Anorexie/Wasting
Spastic
Neoplasm
Pain
3%
5%
6%
6%
10%
18%
73%
Prescription Count H1 2022
191,148
Prescription Count 2021
372,071
Manufacturer German Importer/Distributor (80+ in total)
AphriaInc.
ACAMüllerGmbH
AuroraCannabisEnterprisesInc.
AdrexpharmaGmbH
AuroraNordicCannabisA/S
alephSanaGmbH
DemecanGmbH
AuroraDeutschlandGmbH
PeaceNaturalsProjectInc.(Cronos)
BatheraGmbH
BedrocanInternationalB.V.
BavamedicalGmbH
FotmerLifeSciences
CannamedicalGmbH
LinneoHealthSL
CannizinPharmaGmbH
NorthernGreenCanada
CannovumHealtheG
RuaBioscience
CanPharmaGmbH
TilrayPortugal
CansativaGmbH
TilrayCanadaLtd.
CantourageGmbH
TweedInc
CCPharmaGmbH
TerrAscend
canymedGmbH
Cannim
DemecanGmbH
Dr.Reddy’s/Nimbus
FagronGmbH&Co.KG
FarmakoGmbH
Four20PharmaGmbH
G.Pohl-BoskampGmbH&Co.KG
GecaPharmaGmbH
HeinrichKlenkGmbH&Co.KG
iuvoTherapeuticsGmbH
LexamedGmbH
MateriaGermanyGmbH
MedicalCNBSPharmaGmbH
NowedaApothekergenossenschaftKG
Paesel+LoreiGmbH&Co.KG
PhateboGmbH
SpektrumCannabisGmbH
TilrayDeutschlandGmbH
VayamedGmbH(Sanity)
Federal Institute for Drugs & Medical Devices (BfArM)
Issuesthelicensestocultivate,produce,trade,import,export,
deliver,sellorbuynarcotics(pharmaceuticallicences).Alsopublish
theGermanPharmacopoeia(DeutschesArzneibuch,DAB)
The European Medicines Agency
ComplianceguidelinesforEUGMP,EUGDP&EUGACP,
inspectionproceduresandformsagreedbyallEUMemberStates
Quarterly imports of medical cannabis flower in
Germany, 2020-22
e
Imports in Kg
Q3
2020
Q4
2020
Q1
2021
Q2
2021
Q3
2021
Q4
2021
Q1
2022
Q2
2022
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
2,399
4,043
4,705
5,315
5,012
5,737
4,690
5797
Regulatory Agencies
Prescription Count
c
d
Bundesgesundheitsblatt
The percentage is based on a
Sample of 10,010 German
Patients, each percentage being
non-exclusive – a “Pain” patient
may also get Prescriptions for
“Spastic” etc
Sources:WorldPopulationReview,WorldBank,lobalComplianceNews,EMCDDA
Medical Cannabis Distribution in Germany
g
k
Cannabis Ärzte, DIMDI für Bürgerinnen und Bürger
Back to Europe
STATUS
• Germanyprovidesbroadaccesstomedicalcannabiswithout
specificindicationrequirements
• Insurers(bothpublicandprivate)arerequiredtoreimburse
patientsformedicalcannabisprescriptions,unlessa“generally
recognisedtherapyundermedicinalstandardsisavailable”
NEWS
• ReimbursablebasepriceforGermanmedicalcannabishalves.
• SanityGroupclosescannabisinvestmentroundworth€37.6m
• Curaleafcompletesagreementtoacquire55%ofFour20Pharma
Status Quo & Recent News
Products
Patients
e
BfArM
Product Channels
c
Source: gkv-gamsi.de
Product
Gross Turnover
(€)
Prescriptions
Cannabis flowers in preparations
3.1m 4,960
Cannabis flowers in unaltered state
37.1m 52,976
Cannabinoid-containing finished medical
products (without pharma central no)
10.7k 48
Cannabinoids or finished medicinal products
in preparations
21m 66,165
Substances containing cannabinoids in an
unaltered state
10.6m 25,663
Medicines Canemes®, Epidyolex®, Sativex®
24.4m 41,336
Gross Sales and prescriptions of cannabis-based
medical products – 6 Months (Jan - June 2022)
b
b
gkv-gamsi.de
Last Updated – Oct 2022
Q4-2021
Q3-2021
Q2-2021
Q1-2021
Q4-2020
Q3-2020
Q2-2020
Q1-2020
109,075
78,497
93,334
91,165
90,843
86,047
83,012
78,233
Medicinal Cannabis Prescriptions in Germany
by Quarter
f
f
GKV-Arzneimittel-Schnellinformation für Deutschland
Cannabis
Pharma
German Condition/Symptom Percentage by
Patient Prescriptions
d
Product
Package
Size
Package
Wholesale
Price
Package Retail
Price
Raw flower
Various €9.52/g €118(5g)
Full spectrum extract (25:1 THC)
30ml €172 €309.5
Sativex, oral cavity spray
3x10ml n/a €354
Dronabinol Drops (Tilray)
500mg €170 €348
Epidyolex 100mL (100 mg / ml)
100mL n/a €1,229
Nabilone (Canemes), capsules 28Capsules
n/a €479
List of Approved Products - BfArM
a
a
Drug Price Regulation (AMPreisV) #3, #4, #5, gelbe-liste.de, DAZ,
German cannabis experts, doctors and medical staff, cannabis-med