Medicinal Cannabis Cost in New Zealand Guide

If you are considering medicinal cannabis in New Zealand, you are not alone. One of the first questions people ask is simple. How much will it cost?

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Getting a clear answer is not always easy. With no standard pricing and limited government funding, patients often face a mix of clinic fees, prescription costs, and product price differences.

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This guide aims to make things clearer. We explain the main costs you may encounter, from your first appointment with a doctor through to your regular pharmacy expenses, so you can plan with confidence.

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Why Cost Matters

In New Zealand, the cost of medicinal cannabis can be a major hurdle for patients. Unlike other medicines, it's generally not subsidised by PHARMAC, meaning patients are likely to need to cover the full cost themselves.

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Those costs include not just the product, but also initial and follow-up consultations with a doctor. Prices vary widely depending on the product, dosage, and strength, and can add up quickly.

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While a few rare exceptions exist for potential funding through PHARMAC's NPPA process or a Disability Allowance, it's crucial for patients to understand all of the relevant costs to make informed decisions about their healthcare.

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Typical Medicinal Cannabis Cost Ranges in New Zealand

When you are exploring medicinal cannabis as a potential treatment option in New Zealand, the total cost is not just a single figure. It is made up of several components that add up over time. Think of it as a journey with a few distinct financial checkpoints.

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Consultation Fees: The Entry Point

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• Initial Consultation: This is usually the first cost patients will encounter. Many clinics, including those that focus on medicinal cannabis, use a telehealth model. These can be more convenient and sometimes more affordable than an in-person GP visit, with fees ranging from about $75–$100 for an online consultation (based on publicly available clinic pricing). This typically covers the doctor’s time to review your health history, discuss your reasons for considering medicinal cannabis, and explain whether they are able to prescribe it to you under current regulations.
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• Follow-up Appointments: Follow-up consultations let the doctor check progress, review side effects and adjust treatment if needed. The number of reviews varies and may change over time, with extra appointments recommended if issues arise. In New Zealand, these consultations are usually advertised at lower rates than the first visit, often starting around NZD $39–$49, though fees can be higher depending on the clinic and circumstances (based on publicly available pricing).

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The Product Itself: The Ongoing Expense

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• Monthly Costs: The monthly cost of medicinal cannabis can vary widely. A starting range of $100–$300 per month is common for prescriptions specifying a moderate level of use, but this is not a fixed rule. A low-dose CBD oil might fall at the lower end, while a higher-strength oil or larger quantity of dried flower could push costs beyond $500 per month.
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• Product Type: There is also a difference between oils and dried flowers. Oils and capsules are usually more expensive per unit than dried flower, since they are priced by the milligram of active ingredients. However, because they are concentrated, a single bottle may last longer than an equivalent quantity of dried flower, depending on how they are prescribed and used. Dried herb for vaporisation is typically priced by the gram. The specific product prescribed depends on prescriber guidance, availability, and personal preference, so it is important to consider the financial aspects with your prescriber and how this may affect your treatment plan.

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These ranges are only general estimates. Always check with your prescriber and local pharmacy, as costs can differ across the country.

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What Affects the Price of Medicinal Cannabis?

What people pay for medicinal cannabis in New Zealand depends on several key factors. It is not a single price tag, but a combination of elements.

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1. Type of product

The cost is largely determined by the product. Oils and capsules are often more expensive to produce and import than dried flower for vaporisation, which is typically a more budget-friendly option.

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2. Dosage and frequency

Higher doses naturally mean using more product, which directly increases the price. Because dosage is tailored to each person, costs can vary significantly.

3. Import vs local supply

Like any other product, different brands have different price points. Some brands are positioned at a premium, while others focus on affordability.

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4. Brand and manufacturer

Many products are still imported, adding shipping and compliance fees. As New Zealand’s local medicinal cannabis industry grows, prices may become more competitive.

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5. Pharmacy fees

Pharmacies add a small dispensing fee to the final cost, which can vary between locations.

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Is Medicinal Cannabis Subsidised in New Zealand?

In New Zealand, medicinal cannabis is not generally subsidised by PHARMAC, the national drug-buying agency. This means people are responsible for the full cost of the product, doctor’s consultations, and any related fees.

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There are a few very rare exceptions, such as applications through the Named Patient Pharmaceutical Assessment (NPPA) process. However, most people should assume they will need to pay for their medicinal cannabis costs out of pocket and explore any potential financial assistance options with their doctor or clinic.

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Questions to Ask Your Prescriber About Cost

When considering medicinal cannabis, it helps to prepare questions such as:

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• What will the initial and follow-up consultation fees be?
  Clinics vary widely, and some have different fees for first versus repeat appointments, and may recommend different schedules of repeat appointments. Knowing this from the beginning helps you budget for the whole process, not just the first visit. You can also ask if they offer any discounts for certain groups, such as Community Services Card holders.
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• Which product type is most suitable for my situation, and what is the price difference?
  Your prescriber might suggest a few different options, perhaps an oil, a capsule, or dried flower. This is where you can have a real conversation about the trade-offs with your prescriber. You might ask, “How do the costs of these options compare?” It is about finding the right balance between practicality,  affordability and suitability for your treatment.
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• How often will I need to refill my prescription?
  This question helps you plan your ongoing monthly budget. Your prescriber can give you an estimate of how long a single prescription may last based on the recommended dosage. For example, if one lasts about six weeks, you know to budget for the next one before it runs out.

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This content is for general information only. It is not medical advice, diagnosis, or a recommendation for treatment. Always speak with a qualified health professional for advice tailored to your circumstances. Regulations and costs may change. Please confirm current details with the Ministry of Health or Medsafe.

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