Licence for the exceptional dispensing of up to one month's supply of doses of diacetylmorphine

In exceptional cases, at the competent doctor's request, the FOPH may authorise the dispensing of up to one month's supply of daily doses to a patient.

Art. 13 para. 3 of the Ordinance on Narcotics Addiction (NarcAO; RS 812.121.6), provides for the possibility of dispensing up to seven daily doses of diacetylmorphine.

However, at the reasoned request of the competent doctor, in exceptional cases the FOPH can authorise the dispensing of up to one month's supply of daily doses to a patient.

Content of the request

In order for a licence to be granted for the exceptional dispensing of up to one month's supply of doses of diacetylmorphine, the following conditions must be met:

  • The patient must have been on prescribed diacetylmorphine-assisted treatment for at least six months without interruption;
  • The risk of abuse must be deemed very low;
  • The patient's health and social situation must be stable;
  • The patient has to travel for a certain period for personal or professional reasons

The request for the exceptional dispensing of up to one month's supply of diacetylmorphine must be submitted by the attending physician from the institution on behalf of the patient.

The licence for the exceptional dispensing of up to one month's supply of doses of diacetylmorphine is free of charge (Art. 40 let. d NarcAO)

The form (PDF, 202 kB, 26.04.2023) should be sent to hegebe@hin.ch .

Further information

Diacetylmorphine-assisted (heroin-assisted) treatment

Diacetylmorphine (pharmaceutical heroin) substitution treatment is intended for individuals with a severe heroin addiction. It is administered in specialist centres.

Last modification 26.04.2023

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Federal Office of Public Health FOPH
Prevention Non-communicable diseases Division
Schwarzenburgstrasse 157
3003 Bern
Switzerland
Tel. +41 58 463 88 24
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