The Jerusalem Post

Rx 4/20 on its way

- • By MAX SCHINDLER

Instead of teenagers smoking after school at 4:20 p.m. or activists waiting until April 20 (4/20 by US date notation), nearly two dozen Israeli pharmacies will start selling medical marijuana on that date this Friday – known worldwide as a day on which advocates for legalizati­on light up in public.

As part of a pilot program, 21 Super-Pharm outlets plan to sell medical cannabis oil in cities throughout the country, with the exception of Tel Aviv and Eilat.

Two other private pharmacies plan to participat­e but are not expected to start selling this week, while the four Israeli health fund pharmacies are not interested in providing medical marijuana – for now.

Initially, the participat­ing pharmacies will sell marijuana oil from two Israeli suppliers, Panaxia and Rafa.

Israel’s Cannabis magazine has suggested that Super-Pharm is participat­ing because the Koffler family, which owns the firm, is well-enmeshed financiall­y with the global marijuana industry.

The publicatio­n added that the Health Ministry may not yet have finalized preparatio­ns for Friday’s sale.

While medical marijuana

advocates praised the news that general pharmacies would sell the drug in concentrat­ed, oil form, some expressed alarm at the pricing plans.

Until now, marijuana patients in Israel paid 370 shekels ($105) per month for an unlimited amount of dry cannabis, according to Oren Lebovitch, chairman of Israel’s pro-legalizati­on party Ale Yarok (Green Leaf).

“The government says people were abusing that,” said Lebovitch, referring to how some patients could theoretica­lly walk away from suppliers with their arms full of marijuana.

Lebovitch added: “An inspector in the Israeli medical cannabis unit in the Health Ministry publicly accused a patient, [charging] that a woman took 180 grams a month. He accused her, in a speech, [saying] that she was selling. So the patient sued him, and he was forced to pay her 50,000 shekels.” WITH THE CHANGE in pricing, medical-marijuana oil concentrat­e now will cost NIS 150 ($43) for 10 grams, with a minimum purchase of 20 grams per month. For patients who face debilitati­ng and painful diseases, many of whom require 30-60 grams of the dry material per month, the new prices of oil concentrat­e make it much more expensive.

“Children today receive six to eight oil bottles a month,” Lebovitch said. “Each bottle is equivalent to 10 grams. They will have to pay – sick children and cancer patients – thousands of shekels.”

The medical cannabis oil being sold has a concentrat­ion of 20-30% of the active ingredient THC. It is not being provided in bud form, in order to discourage patients from smoking the substance.

On the black market, a gram of dry cannabis bud costs around NIS 90-100 ($25-28), with a THC concentrat­ion of between 12-20%, according to Lebovitch. That makes Israel the fifth most expensive country in the world to buy underthe-table marijuana.

Patients in Israel can get a prescripti­on for medical marijuana if their condition does not improve after trying traditiona­l drugs for one year. Israel restricts the drug quite rigorously. Marijuana treatment is available for the relief of chronic neuropathi­c pain, the symptoms of multiple sclerosis and the side-effects of chemothera­py, among other diagnoses.

Around 33,000 Israelis are prescribed medical cannabis, using an average of 34 grams of the dry substance month.

The sale by pharmacies of cannabis oil comes on the heels of a government conference next week, along with an agreement earlier this month that the cabinet will consider approving medical marijuana exports. •

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