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Tag: Germany

Medical Cannabis Imports Double In Germany In The Last Year

Germany is home to the largest economy in Europe and a population that is more than twice the size of the population of California. With that in mind, it is not a coincidence that Germany’s medical cannabis market is one of the largest on earth.

Ever since Germany’s medical cannabis program opened up to the masses in recent years, cannabis entrepreneurs and investors have tried to crack into the German medical cannabis market in a meaningful way, and in the process, reap the financial rewards.

Domestically cultivated cannabis is still evolving in Germany, with the market still being supplied by medical cannabis imports from other countries. According to recent statistics released by Germany’s government, the import market grew significantly in the last year in Germany. Per Born2Invest:

The German government provided figures on the increasing demand for medical cannabis products. In 2019, 6.5 tons of cannabis flowers were imported into Germany to meet the needs of patients who treat their diseases with medical cannabis. That amount is double compared to the previous year. Significant increases have also been recorded for Sativex, Dronabinol and other cannabis products used for therapy.

Almost the entire demand for cannabis is covered by imports since cultivation is strictly regulated in Germany. According to Kirsten Kappert-Gonther, drug policy spokesperson of the parliamentary group of Bündnis 90/Die Grünen, the hard cap on the cultivation of cannabis in Germany was a mistake.

It will be very interesting to see if the import figures level off with domestic cultivation ramping up in Germany, or if it will continue to increase in size. Germany’s medical cannabis industry is still young by many standards, and it’s likely a safe bet that many patients will choose whichever option is the most affordable.

In theory,  domestically cultivated cannabis has an edge from a pricing standpoint. Local cannabis is fresher and doesn’t require the shipping costs and other financial burdens that come with sending medical cannabis across international borders (and in some cases, oceans).

However, domestic cannabis isn’t an automatic winner from a profit potential standpoint. Cannabis may be able to be cultivated abroad for cheaper. Perhaps so much cheaper that the combined wholesale price and cost to export the wholesale medical cannabis is less than cultivating cannabis in Germany. After all, there’s a reason why a lot of agricultural products come from South America. Why would cannabis be different from fruits and vegetables in that regard?

Are Prices Going To Fall On Domestically Grown Cannabis In Germany?

With the world in lockdown and the race for “The Vaccine” if not “The Cure” what does this bode for cannabis pricing and availability in Europe, and specifically Germany?

For now, pharmacies are absolutely in lockdown, preventive medicine mode.

But there is hope on the horizon. A new tender bid for a domestic distributor for cannabis grown in Germany has now been issued by BfArM (the German FDA). To be considered, applications must be filed electronically by April 28.

This distribution contract will run from September 2020 for several years (until 2025).

BfArM will still technically “own” the cannabis, although distributors must pick up the product at the three locations in Germany where this is grown and deliver it to pharmacies as well as store it if necessary.

The winning distributor, who must have experience in narcotics distribution, although not necessarily cannabis, will be required to have experience, insurance, and the ability to prove their track record with good distribution practices. 

The agency believes that the floss will be bundled in 50-gram containers, which the distributor will then deliver to the pharmacies.

What Will Happen To Pricing?

BfArM has set pricing at €2.3 euros a gram. With a mark-up for administrative management costs at BFArM, plus a distributor mark-up, the total price to pharmacies is expected to beat the current price they are paying (about €10 per gram). By law, pharmacies are required to mark up everything by statute, although what this overhead will be is in discussion between insurers and pharmacies right now.

The good news, however, is that for the first time since the cultivation bid was offered, pharmacies will be able to sell the drug at a price considerably less than the current prices. And this is good for everyone.

What About Imports?

There is a lot of discussion about the pricing of imports right now. Clearly, the price to beat is German domestically produced cannabis. However, everyone also knows there is not enough being grown in the country. How much insurers (to start with) will be tolerant of large deviations from the price of domestically produced cannabis is unknown. However, this development alone begins to shed light on a price band for imports that is clearly developing.

Be sure to attend the International Cannabis Business Conference in Berlin this summer for more developments on the German cannabis market.

What Kind Of Cannabis Is Being Dispensed In German Pharmacies?

According to the latest figures from the statutory health insurers, there are now five different kinds of cannabinoids being dispensed and covered in Germany.

What are the trends, and where is this going in 2020?

Unprocessed Flower Is Still A Big Deal – The dispensation of unprocessed flower has steadily increased at German pharmacies for the last year. Between January and December, insurers increased their payments from €3.7 million euros to €5.5 million euros, an increase of just over 48%. That is good news for the raw flower market.

Cannabinoid Preparations Are Also Increasing – Cannabinoid preparations, which have now been reclassified into three different categories (cannabinoid preparations, flower used in preparations and full-spectrum extracts) have also increased from €2.9 million at the beginning of the year to €5.6 at the end of 2019 (a 93% increase).

Pharmaceutical Cannabinoids Hold Steady – Interestingly, finished pharmaceutical products increased the least in the last year (from €1.4 million at the beginning of January to €1.8 million by December). This is only a 28% increase, suggesting that patients are requesting, and insurers are covering, floss and floss based preparations at the pharmacy.

Trends For 2020

Overall reimbursements for cannabis as medicine are also increasing. In sum €123 million worth of cannabis was reimbursed in 2019, an uptick of 67% over the €74 million worth of cannabinoids that was reimbursed in 2018. 

That said, overall prescriptions did not increase in the same proportion – namely there was a 44% increase in the number of prescriptions processed year over year between 2018 and 2019 (267,348 over 185,370). This appears to indicate that doctors are writing prescriptions for larger quantities of cannabis, not necessarily that there are more patients.

All of this data is also based only on statutory health insurers (public healthcare). Data from private insurers is still not included.

The other issue in the room and in a big way, is that many early adopter patients have given up on legitimate prescriptions due to the hassle, if not fights with their insurers. This population, which is also largely untracked for obvious reasons, is either growing their own again, or obtaining it from the black market. In many parts of Europe, however, due to border closures caused by the Covid-19 epidemic, the difficulty of obtaining the drug in the first place may yet encourage many patients to go back into the legal system again or to look again, for a prescribing doctor.

Be sure to attend the International Cannabis Business Conference in Berlin this summer to understand the latest trends on the ground in the largest cannabis importing market.

Does Germany Actually Know How Much Cannabis It Is Consuming?

There has been a growing awareness, including among policymakers, that something is not working with the current German cannabis laws and that starts with understanding who is doing what. With a lack of clarity around all private patients, the numbers being reported are those who have made it through the “statutory” health system to approvals. This kind of insurance covers the vast amount of Germans (90%).

However private patients are in another kettle of fish. They may have an easier time finding doctors willing to prescribe, but the prices they face at the pharmacy are eye-watering. This is one of the biggest problems the German government itself now faces. Estimating the amount needed accurately, while trying to get a grip on what is legit and what is not coming in over the border.

With a relaxation of CBD rules now in the offing, this puts another wrinkle into the game. Drug interdiction in such an environment – and determining which is legit and which is not – is becoming even more of a losing game. Does any policeman want to arrest a patient for CBD flower?

Upping Domestic Production

The country is now in the grips of an extended leadership discussion that has been going on for several years. Issues across the map, including cannabis reform, are catching the traditional party unawares. There are many reasons that Germans want to see cannabis cultivation expanded here – including of course capitalizing on a national theme – namely exports. But there are many other compelling reasons slowing the industry down. Acceptance is one thing. Finding a way to bring this unwieldy, strange plant, into regulated rules is another.

That said, with a clarification on at least CBD, there is another subtext in the room. If hemp as a plant is not “novel,” much less cannabinoids extracted from the same, what does this mean about the THC discussion? Especially as medicine and already in the room?

These are all issues now on the table as the country faces the reality that medical cannabis works, and for a range of conditions. But who should get priority? Who should pay for it? And is there actually enough certified product to even go around now?

All of these questions from a policy perspective are in the air right now, as Germany again faces a leadership challenge within the CDU, and political alliances are again shifting. Cannabis and legalization policies are very much in the front and center of German life. And likely to be so for the foreseeable future.

Be sure to attend the International Cannabis Business Conference in Berlin – now moved to new summer dates for the latest and greatest updates on an industry that is finally starting to come into its own.

Is CBD Coming Back Into Focus In Germany?

With the news that the German government has woken up to biology and declared that CBD is not necessarily a novel food (big victory for the European Industrial Hemp Association if not a high five of success), the market is certainly changing.

If 2018 was the year of the CBD cannabuzz and last year the Anti Hempire Strikes Back (all over Europe), this new decision by the German government will finally begin to clarify things.

In reality, this discussion is about two issues – the source of the plant and how cannabinoids are extracted. If the plant genus is from Europe and regulated extraction processes are followed (as in EU Bio), the entire conversation shifts.

However what it also does, as is clearly the case, is beginning to open the decks for investment capital now hungrily looking again at cannabis options (see the big raise this week in the UK). With the British about to go the same route as the Germans, this means, for the first time, there will be a regulated path for CBD products across the continent. Expect other governments to follow suit.

What Does This Mean For The German Hemp Industry?

This is unbelievably good news for a German-based hemp market that has struggled for respect. First, the medical market blew it away with all the attention and the money. Then governments stepped in. With the dust clearing on the ground on the CBD discussion at least when it comes to novel food, the next step will be what regulatory mandate does this industry fall under?

And there the path is very clear. 

As a result, German hemp farmers will finally be allowed to go into more or less unrestricted business, although don’t expect fast steps. With the German Federal Office of Consumer Protection and Food Safety (BVL) facing off vs the Federal Ministry of Food and Agriculture (BMEL) don’t expect overnight change. There are lots of big discussions right now about disagreeing German departments when it comes to cannabis. Welcome to the club.

However, in the shorter term, this is good news overall for the industry. There are many hurdles to overcome yet, but in sum? The clouds appear to be clearing a bit on the cannabis storm auf Deutschland.

Make sure you book your tickets for the now rescheduled summer International Cannabis Business Conference! Hemp and CBD policies, as well as regulatory oversight of the industry, is a big topic this year.

Is Recreational Cannabis Reform Finally Internationally A La Mode?

With Mike Bloomberg calling for decrim and record expungement in the United States as he tests the political race, and German politicians moving, inching, deliberating slowly towards acceptance of the new normal, it is clear that 2020 is going to be another showdown year on cannabis.

Yet what exactly does this mean besides political lip flap? Will anywhere (like the United States or Germany) suddenly pop “pro weed” for any purpose? And what does that mean for the industry, if not users and patients, really?

Legalization Is Still A “Long” Game…But…

Nobody really thinks that federal legalization in the United States is going to happen before 2021, no matter who wins the White House. That said, this great big green enchilada is coming to a Congressional hearing on both sides of Capitol Hill as soon as the dust clears on the Presidential election. That said, all those hearings and committee meetings and poison amendments to slow this bad boy down, take time.

In Germany right now, there is also a fascinating drum beat now thrumming. The discussion of where the country goes next is bringing cannabis squarely into the mainstream political debate for the first time ever. Look for parallel developments here from now on. But things are absolutely cooking at a new tempo despite everyone’s attempt to “just stay sensible.” Germans are giddy about the prospects of legalization on all fronts. Starting with not arresting legal patients. However, beyond that, there are marches in the streets here about the need for ways to protect the industry at its retail front (think CBD) as well as every kind of user. Not to mention better ways to make sure that pharmacies are not caught in the middle of still tough access and approvals issues.

It is not unrealistic to believe that within 24 months, there will be a national discussion about legalization as Germany again redresses its political issues overall. And that will have huge implications on the discussion globally.

Business (Starting With Prescriptions) Follows Politics

As much as the industry has been a voice for reform, ultimately the legal business follows political reform, obviously. And that still has a long way to go and in places where the industry still needs advocates. Starting with doctors.

As Germany has proven, legitimization at a federal level does little to move doctors to prescribe a drug of any kind, let alone this one. There are many issues still in play about basic patient access, and not all of those can be solved politically – indeed most of them cannot. 

That said, many of those can use the help of the industry, starting with an increased focus on doctor education, particularly in Europe.

For this reason, any ostensibly “political” marketing campaign attached to the plant or products also should understand that the most important hills are still to be won, and far from the centres of political power. No matter how also obviously full and formal reform should be on the top of everyone’s agenda, even if a step at a time.

For an in-depth look at the efforts on the ground at the last mile of the discussion in Germany and internationally, be sure to attend the panels on regulatory reform and doctor education at the Berlin International Cannabis Business Conference, April 1-3, 2020.

Bustin’ Out In Düsseldorf? The Greens In State Parliament Propose Rec Trial

The Green Party in Düsseldorf, the state parliament for the most populous state of Germany, has advocated a controlled cannabis distribution trial project. The idea would be to reduce both the black market and illegal access by teens.

Cannabis remains, by far, the most widely used “illicit” drug in Germany – a country that has begun, albeit slowly, to recognize the medical efficacy of cannabis. 

About 32% of the population between the ages of 18 to 59 have used cannabis at some point in time. In addition, there are now about 40-50,000 patients, but nobody knows exactly how many – it is easier to count prescriptions in a year and divide by four (cannabis prescriptions are issued every 90 days).

However, the call also comes at a strange and meaningful time in German politics. The Green Party is using cannabis as a way to attract voters to its cause at a time when the electoral map is shifting. Quite often, the choice is between the “far left” – or the “far right.” Die Linke and the Greens, in particular, back cannabis liberalization. The far-right, anti-immigrant, Alternativ für Deutschland or AfD does not.

No matter where this trial goes in other words, it may finally pierce the veil of “no” in Berlin – a political city on the federal level, which has denied such trials to its own citizens for years now.

Why Now?

The tide is moving and shifting and changing of course. There is still a long way to go, but there is home grow in Italy, and rec trials scheduled all over Europe these days. 

It is only natural that the Germans would pay attention. Particularly now, and particularly in this region of the country.

Prohibition Is Getting Old

While Germans can be a conservative lot, there is also a pragmatism which is very much at the heart of all things political too. And right now, there are quite a few things that are starting to feel “stale” if not a need for a good shake up. The CDU, the mainstream, conservative party that held the country together since WWII is feeling many challenges right now, and cannabis legalization is absolutely fodder in the discussion.

Look for more of this kind of pressure as the ground in Europe begins to shift and change with political forces of all kinds at the table. Cannabis, in this environment, is absolutely one of the biggest playing cards if not pink elephants in the room.

For an insider’s look at the shifting landscape of cannabis regulation in Germany and across Europe, be sure to attend Peter Homberg’s headliner at the International Cannabis Business Conference in Berlin!

From RustBelt To GreenBelt? Dortmund Gets Itself On The Cannabis Map

For soccer fans, BVB Dortmund needs no introduction. In fact, it is the world-famous sports team that has kept this former Rühr Valley industrial powerhouse on the team as the region is slowly turned into an academic and research hub.

But the city has also had another reputation for some time – namely one where drugs and crime, particularly in a place near the north of town (Nordstadt or Borsigplatz) had blighted large areas of an otherwise quaint, reinventing German town.

That might be changing. There is a renewed focus this spring by several political parties to make medical marijuana an “issue.” Especially as there are now 100 legitimate patients, with a potential for 6,000 more. Both Die Linke and Pirate political parties have now taken up the challenge with local authorities, demanding both cultivation of medical cannabis within the city as well as the establishment of a local cannabis club for the distribution of the same.

Authorities seem mildly interested in the same – but it is clear that such proposals are increasing all over the country.

Dortmund, like many German rust belt towns, is going to be an interesting place to watch for cannabis activism going forward. Particularly as those proposals intersect with both economic redevelopment that is actively going on in such places, directed by the German government and academic, tech or insurance hotspots.

With similar campaigns also going on in nearby Bremen, as well as cities and towns across the country, look for this issue to become an ever more fervent one.

The topic of medical cannabis has caught fire in Germany and most people who are seriously in need know the current situation is unworkable for most parties.

As the first crops grown in Germany come to the market this year, look for more calls for local, German production, as opposed to that financed or grown by outsiders – and for everything to do with matters from quality to price.

As much as the government has tried to slow down the tide, the movement for increased access to the plant will not be stopped and is showing up in places where pain, of both a physical and economic kind, has been in the room for decades now.

That is a potent mix, and 2020 promises to be another potent year for the industry – and at all levels. 

Be sure to book your tickets now for the top cannabis industry festival in Europe this spring – the International Cannabis Business Conference in Barcelona, Berlin, and Bern!

Setting The Price For Medical Cannabis In Europe?

The German government has just announced that it will buy at least 650 kilograms (1,433 pounds) of GMP certified, medical cannabis flower from “domestic producers” who won the tender lots. This means, in other words, that of the three Canadian companies who won the bid (Aurora, Aphria and Wayland/ICC/Demecan), the only domestic production that currently takes place is via the ICC facility in Eastern Germany.

This means that at least the short term winner, certainly on the price front, is ICC and Demecan.

Why?

It is the only one of the three that has certified production facilities in place. The other two producers, Aphria and Aurora, must import from somewhere else. 

However, this announcement makes things even more strategically interesting, as Aurora announced a much lower price to the Italian government – canceled bid nonetheless (that was for medical-grade CBD).

That alone undermines the price now set out by the German government – of €2.30 euros a gram wholesale – as the one to beat in Europe.

This also means that enterprising producers elsewhere now have a reference price to beat (and many of them can). Even with the price of transportation, this price is a calling card for those of Portuguese, Spanish, Greek and Polish extraction who have either entered or about to enter the game.

It also puts the decision to delay the export of North Macedonian flower in an even more interesting new light. No matter when the country decides to export, it has a world of opportunities on its immediate, European, if not German, doorstep.

With this number on the table, enterprising distributors now also have not only benchmarks for the first time, but an insight into the market that so far has only been acquired before by personal interviews of insiders on the ground.

Bottom line? The market is opening for low cost, imported flowers, and oil that can beat that price.

Combined with a reduction in the required mark-up imposed by German pharmacies this means that the retail cost of cannabis in Germany is in line for another fairly dramatic correction at point of sale, and while it may not quite yet beat the unregulated market, this means that cannabis priced certainly under €15 a gram will be available soon.

It also means that the high cost put on bringing in a new premium-priced product is finally beginning to normalize (although expect to see additional drops in price as rules continue to change around Europe). If nothing else, both Italian and Polish crops will further undermine the German reference price, to say nothing of the winds now blowing if not growing in Portugal, Spain, Greece, and other lower labour climes throughout Europe.

However, no matter the ultimate winners in the market from the business side, it also means that patients are beginning to have alternatives to either out-of-sight priced product only affordable with insurance coverage or the black market.