Assura and medical cannabis — 2026 coverage

Assura holds around 5 % of the Swiss market. When does it reimburse cannabinoids and how do you file a request?

Assura covers Sativex® for MS spasticity via mandatory insurance. Other cannabinoids need an individual cost-approval (14–30 days). Assura is a low-cost insurer that reviews off-label requests strictly. Expect longer processing and frequent indication questions.

Default coverage

Under mandatory insurance (LAMal/KVG), Assura pays cannabinoids on the Specialities List — currently only Sativex® for moderate-to-severe MS spasticity.

Dronabinol, standardised THC flower and magistral preparations sit outside and require an individual decision.

Cost-approval process

Article 71a/71b LAMal form filled by your doctor, reviewed by the Assura trusted physician.

Assura is a low-cost insurer that reviews off-label requests strictly. Expect longer processing and frequent indication questions. Allow 14–30 business days.

Cannabis Social Club alternative

If declined and for recreational use, the CSC offers a legal and much cheaper path.

FAQ

Does Assura reimburse cannabis?

Sativex® for MS yes; other products require an individual cost-approval.

Processing time?

14–30 business days at Assura.

Cost without coverage?

CHF 8–15/g THC flower, CHF 60–120/bottle dronabinol.

Supplementary insurance useful?

No, supplementary insurance almost never covers cannabis on its own.

Assura and cannabis — coverage 2026