What does “Special (unlicensed special)” mean?

A medicine manufactured or imported to meet the needs of an individual patient where no licensed product is suitable.

Special (unlicensed special) in plain English

A medicine manufactured or imported to meet the needs of an individual patient where no licensed product is suitable.

Most cannabis-based products prescribed privately in the UK reach patients through this route, which is why supply can vary and why a particular preparation is not guaranteed to remain available.

Specials must be manufactured to appropriate standards and are subject to MHRA oversight of manufacture and importation.

Frequently asked questions

What does special (unlicensed special) mean?

A medicine manufactured or imported to meet the needs of an individual patient where no licensed product is suitable.

Sources and further reading

Every factual statement on this page is drawn from the following public sources. Links open in a new tab and are not affiliated with Flora House.

  1. NICE guideline NG144: Cannabis-based medicinal products
  2. NHS: Medical cannabis (and cannabis oils)
  3. MHRA: The supply, manufacture, importation and distribution of unlicensed cannabis-based products for medicinal use

Patient guide · Written by the Flora House editorial team · Last reviewed: 8 September 2026