Finland
Reimbursed Care Access
Finland maintains a restrictive controlled‑substance regime: pharmaceutical esketamine (Spravato) is an authorised medicine in the EU and available in Finland under prescription and supervised administration, while generic ketamine is an established medical anaesthetic (and occasionally used off‑label in psychiatric emergency settings) but psychedelic classical compounds (psilocybin, MDMA, DMT, 5‑MeO‑DMT, ibogaine, ayahuasca/DMT plant preparations, mescaline, and 2C‑X) are scheduled as narcotics with no routine medical reimbursement except in authorised clinical research. Reimbursement of any medicine in Finland is governed by decisions of the Pharmaceuticals Pricing Board (Hila) and Kela; some medicines require special permits from Fimea and individual reimbursement decisions or Hila listing to be reimbursable. [https://www.ema.europa.eu/en/medicines/human/EPAR/spravato|EMA Spravato EPAR] [https://finlex.fi/fi/lainsaadanto/2008/543|Finlex: Government decree on narcotics (543/2008)] [https://www.hila.fi/en/notices/reimbursable-authorized-medicinal-products-and-their-prices/|Hila: Reimbursable products and prices] [https://www.kela.fi/can-you-get-reimbursement-for-medicine-costs|Kela: Medicine reimbursement system].