What does Schedule 2 mean for a cannabis prescription?
Schedule 2 is the reason your prescription has rules that an antibiotic does not: how long it lasts, how it is written, how the pharmacy stores it, and what you can do with it at a border.
The short answer
- Two different laws apply. The Misuse of Drugs Act 1971 sets the classes; the 2001 Regulations set the schedules.
- Class and schedule are not the same thing. Cannabis is Class B, and cannabis-based products for medicinal use are Schedule 2.
- Schedule 2 permits medical use under strict controls on prescribing, record-keeping and storage.
- Prescriptions have extra requirements and are normally treated as valid for 28 days.
- Travel rules are stricter, and vary by destination country.
Class and schedule are two different things
Class comes from the Misuse of Drugs Act 1971 and determines penalties for unlawful possession and supply. Schedule comes from the Misuse of Drugs Regulations 2001 and determines what lawful medical and research use is permitted.
Cannabis remains a Class B drug. That has not changed, and it is why unlawful possession is still an offence with the same penalties as before.
What changed in November 2018 is the schedule. Cannabis-based products for medicinal use moved from Schedule 1, which is essentially research-only and requires a Home Office licence, to Schedule 2, which is where morphine and methylphenidate sit. Schedule 2 is a working medical category.
The distinction in one line
Class answers how serious the offence is if possession is unlawful. Schedule answers whether lawful medical possession is possible at all.
What Schedule 2 changes about the prescription
A controlled drug prescription carries requirements an ordinary one does not, and a pharmacy cannot dispense against a prescription that fails them.
- The prescription must state the form, the strength where relevant, and the total quantity in both words and figures
- It must be signed and dated by the prescriber
- It is normally treated as valid for 28 days from the appropriate date
- Pharmacies keep controlled drug registers and store Schedule 2 medicines in a controlled drugs cabinet
The 28-day convention is the one patients notice, because it shapes the rhythm of repeat supply. It is a limit on how long a prescription stays dispensable, not a limit on how much may be prescribed at once.
The mechanics of repeat supply are covered in How is medical cannabis dispensed and delivered?, and there are glossary entries for Schedule 2 and the 28-day rule.
What it means for carrying your medicine
Lawful possession follows from the medicine having been prescribed to you. There is no permit, and no card — what matters is that the medicine is identifiably yours.
In practice that means keeping it in the container the pharmacy dispensed it in, with the label intact, and not decanting it into something unlabelled. Supplying it to anyone else, including a family member with the same condition, is an offence regardless of your own prescription.
What happens in a police encounter is covered in What happens if the police stop you with a prescription?
Travel is where Schedule 2 bites hardest
UK rules on taking controlled drugs abroad are stricter than for ordinary medicines, and the destination country's law governs what happens when you arrive. A UK prescription confers nothing outside the UK.
For longer trips a Home Office personal licence may be required to take a controlled drug out of or back into the UK, and it does not authorise anything in the country you are travelling to. Several popular destinations treat cannabis-based medicines as prohibited imports whatever your paperwork says.
The detail, including the thresholds and the application, is in Can you travel abroad with a medical cannabis prescription?
What to do with this
Nothing on this page decides anything about your own case. What decides it is an assessment by a specialist who has seen your records, and the useful preparation is your diagnosis, the treatments you have already tried, and what happened with each.
None of these rules are unusual for a Schedule 2 medicine, and clinics and pharmacies handle them routinely. The consultation itself, and what happens after it, is set out in What is the process to get a medical cannabis prescription?
Frequently asked questions
What does Schedule 2 mean?
Schedule 2 of the Misuse of Drugs Regulations 2001 covers controlled drugs that have recognised medical uses and are subject to strict controls on prescribing, record-keeping, storage and supply. Morphine and methylphenidate are also Schedule 2.
Is cannabis still Class B?
Yes. Class comes from the Misuse of Drugs Act 1971 and has not changed. What changed in November 2018 is that cannabis-based products for medicinal use moved from Schedule 1 to Schedule 2, making lawful medical prescribing possible.
Why is my prescription only valid for 28 days?
Schedule 2 prescriptions are normally treated as valid for 28 days from the appropriate date. It limits how long the prescription stays dispensable; it is not a cap on the quantity that may be prescribed.
Can I give some to a family member with the same condition?
No. Supplying a controlled drug to another person is an offence, and your own prescription does not change that. It is prescribed to you after an assessment of you.
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.
- The Misuse of Drugs Regulations 2001
- Misuse of Drugs Act 1971
- GOV.UK: Travelling with controlled drugs
- GOV.UK: Cannabis, CBD and other cannabinoids — drug licensing factsheet
- MHRA: The supply, manufacture, importation and distribution of unlicensed cannabis-based products for medicinal use
- NICE guideline NG144: Cannabis-based medicinal products
- NHS: Medical cannabis (and cannabis oils)