AM Policy Update: March 16, 2026

AM Policy Update: March 16, 2026

AM Policy Update
March 16, 2026. 20 regulatory items from Federal Register, regulations.gov, and regulatory RSS feeds.
Score 85Federal Register

Schedules of Controlled Substances: Temporary Placement of Bromazolam in Schedule I

The DEA temporarily placed bromazolam, a benzodiazepine analog, in Schedule I, restricting its legal availability and relevance to cannabis medicine through potential drug interaction considerations.

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Score 85Regulations.gov

Schedules of Controlled Substances: Placement of Butonitazene, Flunitazene, and Metodesnitazene in Schedule I

The DEA placed three synthetic opioids (butonitazene, flunitazene, metodesnitazene) in Schedule I due to abuse potential and lack of accepted medical use, affecting controlled substance regulations.

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Score 85Regulations.gov

Schedules of Controlled Substances: Placement of Ethylphenidate in Schedule I

# Regulatory Summary The DEA placed ethylphenidate, a synthetic stimulant, in Schedule I, establishing it as a controlled substance with no accepted medical useโ€”relevant to cannabis medicine as a parallel scheduling precedent for emerging psychoactive substances.

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Score 85Regulations.gov

Schedules of Controlled Substances: Temporary Placement of N-pyrrolidino metonitazene and N-pyrrolidino protonitazene in Schedule I

The DEA temporarily placed N-pyrrolidino metonitazene and N-pyrrolidino protonitazene into Schedule I, restricting their availability for research and medical use due to abuse potential.

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Score 85Regulations.gov

Importer of Controlled-Biopharmaceutical(2024-20085)DEA1425

# Regulatory Summary The DEA issued importer registration (2024-20085) for controlled biopharmaceutical substances, enabling licensed facilities to legally import cannabis-derived pharmaceutical products for research, development, or distribution purposes.

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Score 85Regulations.gov

Schedules of Controlled Substances: Temporary Placement of N-Desethyl Isotonitazene and N-Piperidinyl Etonitazene in Schedule I

The DEA temporarily placed two synthetic opioid analogs (N-desethyl isotonitazene and N-piperidinyl etonitazene) into Schedule I, addressing emerging drugs of abuse unrelated to cannabis medicine regulation.

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Score 85Regulations.gov

Schedules of Controlled Substances: Rescheduling of Marijuana

The DEA reclassified marijuana from Schedule I to Schedule III, recognizing accepted medical uses and reducing perceived abuse potential, thereby affecting cannabis medicine research, prescribing practices, and pharmaceutical development.

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Score 85Regulations.gov

Schedules of Controlled Substances: Placement of Etodesnitazene, N-Pyrrolidino etonitazene, and Protonitazene in Schedule I

The DEA placed etodesnitazene, N-pyrrolidino etonitazene, and protonitazene in Schedule I, classifying these opioid-like synthetic drugs as having high abuse potential and no accepted medical use.

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Score 85Regulations.gov

Schedules of Controlled Substances: Placement of Butonitazene, Flunitazene, and Metodesnitazene Substances in Schedule I

The DEA placed three synthetic opioids (butonitazene, flunitazene, and metodesnitazene) in Schedule I due to abuse potential, establishing controlled substance status with no recognized medical use.

Read more →
Score 85Regulations.gov

Schedules of Controlled Substances: Placement of 2-Methyl AP-237 in Schedule I

The DEA placed 2-Methyl AP-237, a synthetic opioid analog, into Schedule I, establishing it as a controlled substance with no accepted medical use, impacting cannabis medicine research involving opioid alternatives.

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Score 85Regulations.gov

Schedules of Controlled Substances: Placement of 2,5-dimethoxy-4-iodoamphetamine and 2,5-dimethoxy-4-chloroamphetamine in Schedule I

# Regulatory Summary The DEA placed two synthetic amphetamine derivatives (DOI and DOC) in Schedule I, establishing stricter controls on substances with no accepted medical use and high abuse potential.

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Score 85Regulations.gov

Schedules of Controlled Substances: Temporary Placement of MDMBโ€“4enโ€“PINACA, 4Fโ€“MDMBโ€“BUTICA, ADBโ€“4enโ€“PINACA, CUMYLโ€“PEGACLONE, 5Fโ€“EDMBโ€“PICA, and MMBโ€“FUBICA into Schedule I

# Regulatory Summary The DEA temporarily placed six synthetic cannabinoids (MDMBโ€“4enโ€“PINACA, 4Fโ€“MDMBโ€“BUTICA, ADBโ€“4enโ€“PINACA, CUMYLโ€“PEGACLONE, 5Fโ€“EDMBโ€“PICA, MMBโ€“FUBICA) into Schedule I to restrict their distribution and prevent

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Score 85Regulations.gov

Schedules of Controlled Substances: Placement of Ethylphenidate in Schedule I

# Regulatory Summary The DEA placed ethylphenidate, a synthetic stimulant analog, into Schedule I, establishing it as having no accepted medical use and high abuse potential, thereby restricting research and clinical applications.

Read more →
Score 85Regulations.gov

Schedules of Controlled Substances: Placement of Metonitazene in Schedule I

# Regulatory Summary The DEA placed metonitazene, a synthetic opioid, in Schedule I, establishing it as having no accepted medical use and high abuse potential, distinct from cannabis medicine regulatory frameworks.

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Score 85Regulations.gov

Schedules of Controlled Substances: Temporary Placement ofEtizolam, Flualprazolam, Clonazolam, Flubromazolam, and Diclazepam in Schedule I

The DEA temporarily placed five benzodiazrazepines (etizolam, flualprazolam, clonazolam, flubromazolam, and diclazepam) in Schedule I, restricting their legal availability and relevance to cannabis medicine regulation and controlled substance classification.

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Score 85Regulations.gov

Importer of Controlled Substances Application Biopharmaceutical Research Company – DEA1224

# DEA Form 1224: Importer of Controlled Substances Application The DEA Form 1224 enables biopharmaceutical research companies to legally import controlled substances, including cannabis-derived compounds, for licensed medical research and pharmaceutical development purposes.

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Score 70Regulations.gov

Importer of Controlled-Bright Green(2024-20083)DEA1426

# Regulatory Summary DEA registration 2024-20083 authorizes an importer to legally obtain controlled cannabis materials for medical research, manufacturing, or distribution purposes under federal regulations.

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Score 70Regulations.gov

Importer of Controlled-Cambridge Isotope(2024-20082)DEA1429

# Regulatory Summary DEA registration 2024-20082 authorizes Cambridge Isotope Laboratories to import controlled precursors or substances for cannabis-related pharmaceutical research and development purposes.

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Score 70Regulations.gov

Medicare and Medicaid Programs: Calendar Year 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; etc.

# Regulatory Summary CMS updates 2025 Medicare and Medicaid physician payment policies and Part B coverage; relevant to cannabis medicine as it may affect reimbursement eligibility and payment rates for qualifying providers.

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Score 70Regulations.gov

Medicare and Medicaid Programs; CY 2025 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program (CMS-1807-P)

# Regulatory Summary CMS proposed 2025 Medicare Part B payment policies and coverage rules; cannabis-derived medications remain federally controlled substances excluded from Medicare coverage under current law.

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Clinical Commentary

Dr. Caplan’s Take
# Clinical Reflection As a cannabis medicine practitioner, I observe that these 20 policy items are almost entirely focused on scheduling novel synthetic opioids, benzodiazepines, and stimulants, with only item 7 addressing cannabis itself, which suggests the DEA’s enforcement priorities remain heavily concentrated on synthetic drug analogs rather than cannabis rescheduling implementation. The apparent rescheduling of marijuana in item 7 represents a significant regulatory shift that could expand clinical research opportunities and clarify the legal framework for evidence-based cannabis prescribing, though the digest lacks detail on whether this reflects the August 2023 HHS recommendation to move cannabis from Schedule I to Schedule III. These policy trends signal that cannabis medicine can expect continued evolution in the legal landscape while synthetic drug scheduling will likely remain a separate enforcement track, requiring me to stay current on
Drug EnforcementControlled SubstancesSubstance SchedulingDrug PolicySynthetic Drugs

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