Holy See

Reimbursed Care Access

Vatican City / the Holy See has no public, standalone psychedelic medical programme and follows tightly regulated international controls; most classic psychedelics have no authorised medical use there outside of sanctioned clinical research. Healthcare for Vatican employees and residents is administered through the Vatican Healthcare Fund (FAS) and, operationally, many services are provided in Italy under bilateral arrangements, so access to legally authorised European medicines (for example esketamine/Spravato) is practically obtained via Italian health providers and private arrangements rather than a distinct Vatican reimbursement pathway. For all compounds not used within standard medical care (ketamine for anaesthesia; esketamine for TRD), national criminal-law or treaty obligations and local prosecutorial discretion govern non-medical possession and use.