© 2022 KOMAND Consulting
2013 2014 2015 2016 2017 2018 2019 2020 2021
NETHERLANDS
Population: 17,564,623
GDP/Capita: USD$58,061
Wholesale Medical Flower Price/Gram: €5.83
Pharmacy purchase price from OMC (Dutch Office Medical Cannabis)
Current Med/Rec Usage (15-64yrs): 9.2% (2017 Prevalence)
Sources : World Population Review, World Bank, EMCDDA, Cannabis Bureau
Dutch Medicinal Cannabis Distribution and Export
Source : Bedrocan
STATUS
• Medical cannabis has been available in pharmacies since 2003
• Bedrocan is sole producer for the Office Medical Cannabis
• OMC purchases product from Bedrocan at a mandated price
• OMC distributes product to pharmacies, and exports abroad
• Dutch insurance system does not cover medical cannabis
NEWS
• A UK supply of Bedrocan oil has been established
• Canada’s Xebra brand successfully cultivates and harvests first crop in
the Netherlands
• Bedrocan develops new standard for medical cannabis cultivation -
GMCCP (Good Medicinal Cannabis Cultivation Practice)
Status Quo & Recent News
Products
Product
% THC
Package
Size/Dosage
Package cost
(exclude VAT +
prescription fee)
Bedrocan flos
22% 5g
€27.50
Bedrobinol flos
13.5% 5g
€27.50
Bediol flos (granulated)
6.3% 5g
€27.50
Bedica flos (granulated)
14%
5g
€27.50
Bedrolite flos (granulated)
<1% 5g
€27.50
Bedrolite CBD 10% oil
Cannabidiol Sublingual Drops
0% 100mg / ml
€16.35 / ml
*
Bediol 1.3 / 2.0% oil
Sublingual Drops
0.65% 13/20mg / ml
€4.03 / ml
*
Bedrocan/Bedrolite 10/5 oil
Sublingual Drops
10% 100/50mg / ml
€19.40 / ml
*
Sativa 2.0/5.0 % oil
Sublingual Drops
2.0% 20/50mg / ml
€4.25 / ml
*
Indica 5.0/5.0% oil
Sublingual Drops
5.0% 50/50mg / ml
€8.09 / ml
*
Bediol 0.65%/1% Ointment
0.65% 6.5/10mg / g
€3.27 / g
*
List of Approved Products - OMC
a
a
OMC = Dutch Office of Medicinal Cannabis
* Pharmacies process Bedrocan flower into prescribed preparations, these per ml
prices include VAT but exclude prescription service fees
Back to Europe
Product Channels
Medical Cannabis Prescription Breakdown
e
Oil prescriptions
Flower prescriptions
13,200
e
Stichting Farmaceutische Kengetallen (SFK) statistics
Shows count of prescriptions dispensed by community pharmacies pa.
Average amt of medicinal cannabis per dispensation is about 16grams
On average, a user has about six dispensations in a year
Benefitting conditions
f
1. Pain and muscle spasms/cramps associated with
(MS) or spinal cord damage
2. Nausea, reduced appetite, weight loss and
debilitation associated with cancer and AIDS
3. Nausea and vomiting caused by medication or
radiotherapy for cancer and HIV/AIDS
4. Chronic pain (nerve pain, phantom pain, facial
pain or pain that persists after a cured shingles
infection)
5. Tics associated with Tourette Syndrome
6. Glaucoma (if standard treatment is not
effective)
7. Various forms of epilepsy
f
CIBG (Ministry of Health, Welfare and Sport)
Prescribing Pharmacies
Clinical Cannabis Care B.V.
Transvaal
Infinity Pharma
16,800
26,100
45,300
53,300
49,500
48,500
Dutch medicinal cannabis flower distributed
domestically and exported abroad
b
2018 2019 2020 2021
Exports (from Holland) Domestic (Holland)
3,558 kg
550 kg
2,000 kg
3,380 kg
580 kg
b
Italy & Germany are the main importers of OMC cannabis
There other EU purchasers (e.g. Denmark) of which the aggregate total imported
from the Netherlands would be <150kg
Sources : MjBiz Daily, Prohibition Partners, OMC
Last Updated – Oct 2022
Office of Medicinal Cannabis (OMC)
Responsible for the production and distribution of cannabis for
medical and scientific purposes, and import/export of cannabis
The European Medicines Agency
Compliance guidelines for EU GMP, EU GDP & EU GACP,
inspection procedures and forms agreed by all EU Member States
Farmatec
Responsible, among other things, for granting pharmaceutical
permits for cannabinoid-based drugs (none authorised presently)
Regulatory Agencies
Cannabis
Pharma
655 kg
Patient Count 2020
9,000
Prescription Count 2020
43,900
Patient Count 2019
11,000
Prescription Count 2019
48,500 (Trailing 12-month)
Patient/Prescription Count
d
Patients
d
The Patient Count is the total population of patients that have been
prescribed medical cannabis at some point in the named year
2018 2019 2020
€4.8m
€4.7m
€5.1m
Dutch medicinal cannabis domestic sales at
pharmacies (not publicly insured)
c
c
Medical cannabis is paid for out of pocket in Holland; source https://www.sfk.nl/
43,900
33,580
3,700 kg