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Guidance: Supply unlicensed medicinal products (specials)

Medicines Healthcare Products Regulatory Agency

January 29
09:01 2025

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This Medicines and Healthcare products Regulatory Agency (MHRA) guidance is for those who want to manufacture, import, distribute or supply unlicensed medicines for human use (also known as specials), includingCBPMs.

Specials are products which have been specially manufactured or imported for the treatment of an individual patient after being ordered by a:

  • doctor
  • dentist
  • nurse independent prescriber
  • pharmacist independent prescriber
  • supplementary prescriber

Persons authorised to procure unlicensedCBPMsin the UK are:

  • doctors on the GMC Specialist Register
  • specialist Importers with a Home Office import and Domestic licence and MHRA licence
  • registered pharmacies or retail pharmacy businesses (with Home Office Domestic licences, where appropriate)
  • licensed wholesale dealers for supply to the order of any of the above

Updates to this page

Published 6 May 2014
Last updated 29 January 2025 +show all updates
  1. A new Guidance document, complementary to MHRA Guidance note 14, has been included linking different government pages of interest to the supply unlicensed medicinal products in the UK.

  2. Updated PDF for 'The supply of unlicensed medicinal products 'specials', MHRA guidance note 14'

  3. Updated to add guidance on manufacturing, importing, distributing and supplying specially manufactured or ordered cannabis-based products for medicinal use in humans (CBPMs) known as 'specials'.

  4. First published.

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