Malta Medical Cannabis Guide

Malta made European history in 2021 by becoming the first EU member state to legalise adult-use cannabis. Its medical cannabis programme, overseen by MACCA, offers a clear prescription pathway for qualifying patients, with access through specialist referral.

Legal — Medical + Adult Use (2021) Since: 2018 (medical) / 2021 (adult use) Adult Use: Yes (MACCA regulated) Est. Cost: €80–€200/month

Quick Facts

Legal StatusMedical SinceAdult UseAccess TypeEst. Monthly CostInsurance
Legal — Medical + Adult Use (2021)2018 (medical) / 2021 (adult use)Yes (MACCA regulated)Specialist prescription via MACCA€80–€200/monthNo

Legal Timeline

YearDevelopment
2018Medical cannabis legalised; Ministry of Health oversees early programme
2021Malta becomes first EU country to legalise adult-use cannabis — MACCA (Malta Authority on the Responsible Use of Cannabis) established
2022Cannabis Social Clubs permitted; cultivation at home (up to 7g per adult)
2023MACCA expands approved medical products list

How to Access Medical Cannabis in Malta

  1. Obtain referral from your GP to a specialist doctor registered with MACCA
  2. Specialist assesses your condition against approved qualifying criteria
  3. If approved, specialist submits application to MACCA for a medical cannabis permit
  4. MACCA issues permit; medication dispensed from authorised pharmacies
  5. Follow-up review every 6 months to maintain permit

Qualifying Conditions

Licensed Providers & Clinics

ProviderWebsiteNotes
MACCAmacca.gov.mtMalta Authority on the Responsible Use of Cannabis — official regulator and permit issuer
Mater Dei HospitalMain public hospital; specialist referrals for medical cannabis

Cost Breakdown

ItemEstimated Cost (€)Insurance Coverage
Medical cannabis (monthly supply)€80–€200Not covered by state insurance
Specialist consultation€60–€150Partially covered if via public system
MACCA permit feeMinimal administrative feeN/A

Frequently Asked Questions

Is cannabis legal in Malta?+

Yes — Malta was the first EU country to legalise adult-use cannabis in 2021. Adults may possess up to 7g in public and grow up to 4 plants at home. Medical cannabis is available via specialist prescription through MACCA.

How do I access medical cannabis in Malta?+

Your GP refers you to a MACCA-registered specialist. If the specialist deems cannabis appropriate, they apply to MACCA for a medical cannabis permit on your behalf. Once approved, you collect medication from an authorised pharmacy.

Is medical cannabis covered by health insurance in Malta?+

Currently, medical cannabis is not reimbursed by Maltese state health insurance. Patients pay out of pocket. Costs are generally lower than other EU countries due to shorter supply chains.

What is MACCA?+

MACCA (Malta Authority on the Responsible Use of Cannabis) is the government body established in 2021 to regulate both medical and adult-use cannabis in Malta. It issues medical permits, oversees Social Clubs, and enforces quality standards.

Can I join a Cannabis Social Club in Malta?+

Adults over 18 may join a MACCA-registered Cannabis Social Club, which can cultivate and distribute cannabis to members. Membership is capped and clubs must register with MACCA.

What products are available medically in Malta?+

Approved products include dried flower, oils, and standardised extracts from MACCA-authorised suppliers. Product availability is expanding as the local market develops.