Cayman Islands
Is CBD Legal in Cayman Islands?
Status
Legal
Covers
Jurisdiction
Last updated
May 29, 2026
The short answer
Medicinal CBD oil is legal in the Cayman Islands under controlled access. The Misuse of Drugs (Amendment) Law 2016, signed into law on 26 October 2016 and brought into force in 2017, amended the Misuse of Drugs Act to permit the importation, possession, and use of cannabis oil (including CBD-dominant products) for medical purposes on prescription from a registered medical practitioner. The Health Practice Commission and the Cayman Islands Customs and Border Control administer the import authorisation.
Patients with prescriptions may import cannabis oil from licensed overseas sources with prior Ministry of Health approval. CBD wellness products without THC are sold in selected pharmacies and wellness retailers in George Town, but products containing detectable THC remain controlled and require the medical pathway. The Health Practice Commission publishes guidance on the prescribing physicians register and the standard of care expected.
This page is for informational purposes only and does not constitute legal advice. Verify current law with qualified counsel before making compliance decisions.
Key facts ·
Cayman Islands
Key facts
Rules at a glance
THC limit
Medicinal cannabis oil including CBD permitted on prescription; non-THC wellness CBD tolerated at retail
Regulator
Ministry of Health, Environment, Culture and Housing; Health Practice Commission; Customs and Border Control
Key regulation
Misuse of Drugs (Amendment) Law 2016
Effective
October 26, 2016
Adult-use cannabis
Illegal
Medical cannabis
Legal
For brands and importers
Import and export rules
Import of medicinal CBD requires prior Ministry of Health approval supported by a registered physician's prescription. Customs and Border Control at Owen Roberts International Airport (GCM) processes authorised imports with documentation. Commercial export is not authorised. Retail importation of THC-free CBD wellness products is reviewed against product composition and labelling.
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