Contributed By Covington & Burling LLP
Pharmaceuticals and medical devices in the UAE are governed by Federal Decree-Law No 38 of 2024 Governing Medical Products, Pharmacists, and Pharmaceutical Establishments (“Pharma Law”). The Pharma Law refers to both pharmaceuticals and medical devices as medical products.
The Ministry of Health and Prevention (MOHAP) and the Emirates Drug Establishment (EDE) are the regulatory bodies that apply and enforce pharmaceutical and medical device regulation at a federal level.
MOHAP, as a UAE federal ministry, is part of a centralised administration, whereas EDE is a semi-autonomous regulator.
There are emirate-level regulators that issue regulations for their respective emirate as well:
Under the Pharma Law, certain decisions may be appealed. These include the rejection of an application for a pharmacist licence and any disciplinary penalty issued under the Pharma Law. Appeals must be filed within 15 days. The Pharma Law does not specify the detailed requirements or procedures for filing such appeals, which are expected to be clarified in the forthcoming Implementing Regulations (IR).
In addition, claimants may challenge certain decisions issued by MOHAP or the EDE. Specifically, MOHAP provides an appeal service for decisions issued by the Medical Licensing Committee and for previously recorded health advertisement violations.
For appeals against Medical Licensing Committee decisions, the required documentation includes an appeal letter addressed to the Minister of Health and Prevention, along with all documents relevant to the grievance. For appeals relating to previously recorded health advertisement violations, claimants must provide identification documents that substantiate the basis of the appeal.
These appeal procedures vary depending on the sector and the regulatory body involved. Each regulatory authority has its own requirements and processes for challenging decisions. It should also be noted that food supplements and cosmetics fall within the scope of the Pharma Law.
There is limited publicly available information on challenges to decisions by MOHAP and the EDE, and court cases in the UAE are generally not made public.
Pharmaceuticals are regulated as:
Medical devices are regulated based on risk, similar to the FDA’s Classes I–III. The medical devices’ classification determines the permitted sales channels, regulating where and how a medical device may be sold.
Clinical trials of medical products are regulated and overseen by the EDE. Their governance is largely based on the Good Clinical Practice (GCP) framework. The federal Guidelines for Conducting Clinical Trials with Investigational Products and Medical Devices establish the relevant ethical and regulatory processes.
Under the Pharma Law, operating a clinical research entity requires obtaining a licence from the EDE. Among the key requirements for securing an EDE licence are as follows.
The specific “terms, controls, and procedures” governing clinical research will be detailed in the forthcoming Implementing Regulations. Until those regulations are issued, the UAE continues to rely on the existing regulatory framework, which is grounded in the GCP standards.
Additionally, the DOH and DHA maintain their own clinical research guidelines for studies conducted within their respective emirates, complementing the federal framework.
Under the Pharma Law, conducting clinical trials without first completing non‑clinical research is prohibited, except in cases involving the compassionate use of pharmaceuticals and medical devices.
For interventional clinical trials, approvals must be obtained from both the EDE and the Ethics Committee, and an import permit for the medical product is required.
For non‑interventional clinical trials, approval from an Ethics Committee is necessary, and the EDE must be notified.
Clinical trials may also be conducted by submitting an application through the DHA or DoH.
There is currently no comprehensive database for clinical trials in the UAE. However, the UAE has launched the UAE Health Research Portal (“Health Portal”), which provides access to data and information from clinical trials as well as health and biomedical research publications conducted in the UAE. It is not yet clear, though, whether the portal offers complete or fully comprehensive coverage of all such research activities.
There are no restrictions for using online tools to support clinical trials in the UAE.
Health data in the UAE is governed by Federal Law No 2 of 2019 Concerning the Use of Information and Communications Technology in Health Fields (“Health Information Law”) and Ministerial Decision No 51 of 2021 (“Health Data Transfer Regulation”).
Under the Health Information Law, health data – including data resulting from clinical trials – must comply with the following requirements.
The Health Data Transfer Regulation outlines the circumstances under which health data may be stored or transferred outside the UAE as exceptions to the restrictions set out in the Health Information Law. One of these exceptions includes data used for approved scientific research.
Data transferred under the scientific research exception must be encrypted and anonymised, and it may only be used for the purposes of that specific scientific research. Such data may only be shared with the relevant entity.
In practice, approval from the health authority of the relevant emirate may be required before transferring health data.
Under the UAE Personal Data Protection Law (PDPL), biometric and health data (including genetic data and healthcare‑related data) are considered sensitive personal data.
Under the PDPL, any transfer of personal data must rely on a lawful basis, one of which is consent.
Data necessary for scientific studies is listed as an exception under the PDPL, meaning it may be processed without consent. This exception, however, remains subject to the requirements of the Health Information Law and the Health Data Transfer Regulation.
Additionally, the Department of Health, under its Healthcare Data Privacy Standard, and the Dubai Health Authority, under its Policy for Health Data and Information Sharing, prohibit the transfer of patient health data unless expressly authorised by the DOH or DHA.
Personal and sensitive data will be subject to the PDPL, the Health Information Law, and the Health Data Transfer Regulation.
The Health Information Law stipulates that health data may not be used for purposes unrelated to healthcare without the patient’s consent. However, scientific and clinical research is exempt from this consent requirement, provided that the patient’s identity is not disclosed.
In addition, the Guidelines for Conducting Clinical Trials with Investigational Products and Medical Devices require that all information related to clinical testing must be recorded, monitored, processed, and stored in accordance with the PDPL and the Health Information Law.
Pharmaceutical products are products that contain one or more active substances that achieve their intended purpose in or on the human or animal body through a biological effect. They are manufactured, sold, or offered for use in the diagnosis, treatment, cure, alleviation, or prevention of disease, as well as the restoration, renewal, modification, or correction of organ functions.
Pharmaceutical products also include biological products, food supplements, and cosmetic products.
Medical devices are products – whether a substance, device, instrument, appliance, implant, detector, or system, including accessories and operating software – that achieve their intended purpose in or on the human or animal body without a pharmacological, immunological, or metabolic effect. They are manufactured, sold, or offered for use in the diagnosis, treatment, cure, alleviation, monitoring, or prevention of a disease, injury, or disability; the detection of, compensation for, or modification of an anatomical condition; and the regulation of conception.
To obtain an official classification of a medical product, an application may be submitted to the EDE. The EDE will then issue a classification letter specifying the product’s regulatory category.
There is a distinct Marketing Authorisation (MA) application process for biological products, which must be submitted through the EDE portal. Biological products are subject to additional requirements compared to other medical products.
To obtain an MA for a biological product, applications must be submitted in accordance with the eCTD format. This format requires extensive quality, clinical, and non‑clinical data, including chemistry, manufacturing and controls (CMC) information, as well as non‑clinical pharmacology, toxicology, and immunogenicity studies, among other elements.
A Good Manufacturing Practice (GMP) Certificate issued by the EDE, or an equivalent certificate from a reference jurisdiction accredited by the EDE, is also required.
Conditional Marketing Authorisation may be granted for biological products intended for the treatment of rare diseases, provided the product has received provisional approval from a recognised reference jurisdiction.
Marketing Authorisations are valid for five years and may be renewed through the EDE Portal for an additional five years.
An MA may be revoked under any of the following circumstances.
An MA is obtained by applying to the EDE through its online portal, completing the application form, submitting the required documents, and paying the applicable fees. The applying entity must be registered with the EDE prior to registering its products.
The application requirements are as follows.
The following circumstances constitute a variation to the MA that requires submitting a new MA application and results in the invalidation of the existing MA.
The following constitute minor changes to the medical product. In such cases, the existing MA remains valid and a new application is not required. Instead, the MAH must submit an application to amend the MA.
The MA may be transferred from one MAH to another with the approval of the EDE. The process, terms, and conditions governing such transfers will be set out in the forthcoming Implementing Regulations of the Pharma Law.
The Pharma Law introduces several exemptions to the requirement for a Marketing Authorisation.
Physicians may prescribe medical products without an MA under a compassionate use exception. The specific details, terms, and conditions governing compassionate use programmes will be set out in the forthcoming Implementing Regulations of the Pharma Law.
Medical products may also be issued an Emergency Use Authorisation. To obtain such authorisation, there must be evidence of the product’s efficacy and benefits, supported by data from clinical research or trials. Additionally, there must be no adequate alternative treatment available, and a monitoring plan must be in place once the product is prescribed.
The following products may be granted a conditional MA, which is subject to less onerous application requirements and is valid for only one year.
The MAH must implement a comprehensive quality assurance system, a product traceability system, as well as a pharmacovigilance and post‑marketing surveillance system.
The MAH must appoint one or more qualified persons based in the UAE. A qualified person is an individual who holds a valid licence to practice pharmacy or medicine within the UAE.
The MAH must appoint a minimum of two pharmaceutical establishments to act as importers of the medical product, as well as at least one pharmaceutical establishment to distribute the product. If the medical product is manufactured within the UAE, the MAH must additionally appoint at least one pharmaceutical establishment to store the product.
The MAH must monitor the movement of the medical product throughout the distribution channels.
The MAH must provide the necessary resources and systems required to meet all obligations associated with obtaining an MA.
The MAH must monitor the performance of the medical product and receive reports from healthcare establishments regarding its effectiveness, safety, and quality.
The MAH must comply with all guidelines and standards issued by the EDE relating to pharmacovigilance.
The MAH must follow up on all product recall procedures.
The MAH must also follow up on matters concerning the protection of patents and manufacturing rights for the product.
Under the UAE’s Guidelines in Good Vigilance Practice (GVP Guidelines), no distinction is made between pharmaceuticals and medical devices; the guidelines apply similarly to both, where relevant.
Under the GVP Guidelines, the MAH must.
The EDE may issue a Medical Devices Field Safety Alert for certain medical devices. When this occurs, the manufacturer must provide users with a Field Safety Notice containing details of the Field Safety Correction Action.
Under Abu Dhabi’s Standard on Medical Device Reporting, the MAH must report any deaths, serious injuries, malfunctions, and any public health risks requiring corrective action related to the medical device. The MAH must also report any non‑urgent safety matters, such as use errors, quality issues, or therapeutic failures.
Pending applications are not made public.
MOHAP maintains a Registered Medical Products Directory, which contains information on approved medical products (not all fields apply to every product). The directory includes:
Information relating to the approved MA for the relevant product is governed by the PDPL and the UAE Health Information Law, as applicable.
There is a Fast-Track Marketing Authorisation route for medical products that are innovative and of therapeutic significance.
The terms, controls, and requirement for the Fast-Track Marketing Authorisation are to be expanded upon in the forthcoming Executive Regulations of the Pharma Law.
The UAE has adopted the concept of regulatory reliance and takes into account marketing approvals granted in reference jurisdictions when evaluating a product’s effectiveness, safety, and conformity with approved quality specification requirements.
The EDE may issue a conditional marketing approval for orphan medical or biological products intended for the treatment of rare diseases, provided these products have received provisional approval from certain reference health authorities.
The EDE is preparing to update its list of authorised reference jurisdictions. Historically, however, it has accepted authorisations from the following regulatory authorities.
Manufacturing plants – referred to in the Law as Pharmaceutical Manufacturing Facilities – must be licensed by the EDE.
To obtain a licence from the EDE for a Pharmaceutical Manufacturing Facility, the applicant must:
Pharmaceutical establishments engaged in the wholesale of pharmaceuticals and medical devices must obtain a licence from the EDE. An establishment conducting wholesale activities will primarily require a Medical Warehouse Licence.
The application for a Medical Warehouse Licence – to store and possess medical products – is submitted through the EDE online portal.
To obtain a Medical Warehouse Licence, the establishment must meet the following requirements.
In addition to the Medical Warehouse Licence, the pharmaceutical establishment must also obtain an EDE licence for any of the following activities:
The Executive Regulations of the Pharma Law will also specify any additional activities requiring a licence. These Regulations have not yet been released.
A Biobank, Pharmaceutical Laboratory, Non-Clinical or Clinical Research Entity, Bioequivalence Center, Medical Products Factory, or a contracted Medical Products Manufacturing Company may also obtain activity permits from the EDE.
Pharmaceuticals may be classified as follows.
The UAE is a signatory to the United Nations Office on Drugs and Crime’s International Drug Control Conventions. These international commitments are reflected in national legislation governing drug classification and the control of narcotic and psychotropic substances.
The Pharma Law governs the importation and exportation of pharmaceuticals and medical devices.
The EDE is responsible for issuing the permits and licences required for such import and export activities.
The UAE Federal Customs Authority enforces the import regulations at the point of entry, after which enforcement is carried out by the EDE. The DHA and the DOH may also participate in enforcing the import regulations within their respective Emirates, working in co-ordination with the EDE.
The Pharma Law defines an “importer” as a legal entity licensed by the EDE to import medical products into the UAE.
To obtain an EDE import licence, the legal entity must meet the following requirements.
Additionally, the holder of the MA must appoint at least two pharmaceutical establishments to import the medical products into the UAE, and must appoint at least one pharmaceutical establishment to distribute the products.
See 7.1 Governing Law and Relevant Enforcement Bodies and 7.2 Importer of Record of Pharmaceuticals and Medical Devices.
There are no exemptions from the importation authorisations, including for over‑the‑counter pharmaceuticals and medical devices.
To import a pharmaceutical product or medical device for personal use, an individual must apply for a separate Permit to Import Medicines for Personal Use. The individual must provide a valid prescription and a valid medical report detailing their clinical history.
A standard import permit is valid for two months.
Non‑tariff regulations and restrictions on importation are applied based on the Harmonised System (HS) Code of the product. The UAE is currently undertaking a phased implementation of the Gulf Cooperation Council (GCC) Integrated Customs Tariff (“Integrated Tariff”). Under this model, the previous six‑digit HS codes will be replaced with a standardised 12‑digit code used consistently across the GCC. The Integrated Tariff framework remains based on the HS. To support correct product classification, Dubai Customs has developed an AI‑powered online platform called Al Munasiq.
The legal framework governing the use of both the HS codes and the Integrated Tariff Model is set out in Federal Decree‑Law No 15 of 2022 on the Ratification of the Common Customs Law of the GCC (“Common Customs Law”). In addition, Federal Decree‑Law No 14 of 2021 on the Establishment of the Federal Authority for Identity, Citizenship, Customs and Ports Security regulates the UAE Federal Customs Authority.
Dubai Customs Notice No 10 of 2025 and Notice No 2 of 2026 outline the phased approach for implementing the Integrated Tariff and confirm that the previous eight‑digit code may continue to be used until further notice.
The UAE is a member of the GCC, which operates under a unified customs law implemented in the UAE through the Common Customs Law. Although a unified customs agreement exists, entities must still obtain an import permit when importing products from a GCC member state into the UAE, even if those products may be exempt from duties or tariffs.
The UAE is also a party to more than 25 Free Trade Agreements (FTAs), including the UAE–Singapore FTA, the UAE–EFTA FTA, and the UAE–Türkiye FTA, all of which include provisions relating to customs and trade facilitation.
Prices of pharmaceuticals and medical devices are controlled by the EDE. Under the Pharma Law, the Pharmaceutical Policy Committee is the dedicated body responsible for proposing policies related to the circulation, pricing, and monitoring of pharmaceuticals and medical devices.
According to Cabinet Decision No 90 of 2021 on the Implementing Regulation of Federal Law No 8 of 2019, prices set by the EDE or MOHAP may not be discounted or altered, except by the EDE or MOHAP themselves. Once the Implementing Regulations for the Pharma Law are issued, Cabinet Decision No 90 of 2021 will be abrogated.
Pharmaceutical prices are regulated under Ministerial Decision No 140 of 2013 on the Unification of the Price of Import of Drugs from the Factory at the Country of Origin on a CIF basis, priced in USD (the “Pricing Law”).
Under the Pricing Law:
Pricing decisions are published through Ministerial Decisions and may vary by Emirate. For example, the DHA may set different prices from the DOH, although prices may also be established at the federal level.
The EDE may take into account the prices for the same products in other countries if they are imported into the UAE.
See 8.1 Price Control for Pharmaceuticals and Medical Devices. The formula for determining the price of a pharmaceutical and medical device is:
Pharmacy Price = Import Price + 15% of the Import Price (in AED). The Import Price is calculated first as USD, then converted into AED.
The Sale Price of pharmaceuticals and medical devices depends on the Import Price.
Note that, notwithstanding the above, the EDE retains discretion regarding the pricing of medical products.
In the UAE, reimbursement for medical products is governed primarily at the emirate level. Reimbursement occurs through government‑funded programmes rather than a single national health service. Cabinet Resolution No 87 of 2023, which establishes the Supreme National Committee for Unified Procurement (“Procurement Resolution”), sets the framework for the federal Unified Procurement Program (UPP). The UPP aligns procurement processes for government programmes within the health sector, although reimbursement mechanisms may change once the Implementing Regulations are released.
Dubai
Pharmaceuticals used for insured patients (including those in public hospitals) are reimbursed indirectly through the Diagnosis Related Group (DRG) payment system.
Under this model, inpatient pharmaceuticals are bundled into DRG tariffs. These tariffs cover hospital stays, clinical procedures, ancillary services, and associated medications based on a patient’s diagnosis. As a result, routine inpatient medications are funded through public or mandatory insurance payments rather than reimbursed on an itemised basis.
Medications prescribed in outpatient settings are reimbursed based on the patient’s health insurance coverage policies or DHA‑approved formularies, with eligibility dependent on clinical necessity or DHA guidelines.
Similar reimbursement principles apply to medical devices. Routine devices used during inpatient care fall under DRG bundled payments, requiring hospitals to manage these costs within fixed tariffs. This incentivises efficient and clinically appropriate use.
High-cost or specialised devices – such as implants and surgical prostheses – may be reimbursed through additional payment parameters or DRG outlier adjustments. These usually require prior authorisation and clinical justification.
In public hospitals, essential medical devices may also be provided free of charge to patients, funded by federal or emirate‑level health budgets, provided they meet clinical effectiveness and cost‑effectiveness criteria.
Reimbursement from public funds requires compliance with DHA coding standards, DRG submission rules, and ISAHD claims adjudication requirements, as set out in relevant guidance circulars.
Abu Dhabi
The Department of Health has implemented the UPP for government programmes. Reimbursement of health services, including medical products, is governed by the DOH’s Claims and Adjudication Rules and its Circulars. These establish how medical products are procured, funded, and dispensed.
For UPP‑listed pharmaceuticals, reimbursement is generally limited to the permitted markup on the public price. Reimbursement is only allowed if the medical product falls under government‑funded insurance programmes (including Thiqa, basic health insurance, and Abu Dhabi‑funded mandates).
Medical products not included in the UPP but covered under approved government programmes – ie, those provided free of charge or subsidised – are reimbursed at the public drug price.
Under DOH rules, medical devices are incorporated into bundled payments for inpatient and ambulatory services, particularly under the IR‑DRG methodology.
There is currently no federal Health Technology Assessment (HTA) framework in the UAE. As of 2025, Abu Dhabi is the only emirate with a formal HTA system in place, which focuses on new and innovative technologies.
Notwithstanding the above, Cabinet Resolution No 87 of 2023, which established the Supreme National Committee for Unified Procurement (“Procurement Resolution”), addresses – at least in part – principles relevant to cost‑benefit considerations.
One of the overarching principles guiding the federal Committee for Unified Procurement (“Committee”) is “achieving financial savings” within the unified procurement system.
This principle is supported by the Committee’s authority to identify procurement opportunities, assess the medical products market, and oversee negotiations between suppliers and manufacturers.
The Department of Health (DOH) has also issued HTA Guidelines, which describe how economic evaluations are to be conducted under the HTA process.
Before a new or innovative health technology can be recommended, it must undergo an economic evaluation that determines whether it should be endorsed. This evaluation includes the following.
A new or innovative product cannot be considered without an HTA submission addressing all three factors above.
HTA findings are also taken into account when determining the pricing of pharmaceuticals, medical devices, and medical services. However, pricing decisions are not based solely on a cost‑benefit assessment; rather, all three evaluation factors are considered.
For reimbursement purposes, Abu Dhabi government insurance programmes will reimburse a pharmaceutical product or medical device after the manufacturer or distributor submits an HTA dossier containing the relevant clinical and economic evidence. These HTA dossier submissions are assessed according to the product’s clinical effectiveness, cost‑effectiveness, budget impact, and therapeutic added value.
Prescriptions and dispensations are regulated at the federal level under the Pharma Law, and at the emirate level by the DHA and DOH.
In Dubai, according to the DHA’s Pharmacy Guidelines, pharmacists may only dispense the medical product specifically prescribed. They are prohibited from directing customers toward any other medical products that are not included in the prescription.
Within Dubai Healthcare City Freezone, additional regulations apply on top of federal and emirate-level rules. A pharmacist may not dispense a generic equivalent if the prescription includes a note prohibiting substitutions. A generic may also not be dispensed if its price is the same as or higher than the prescribed brand. If the prescription does not prohibit substitutions, the pharmacist may dispense a generic equivalent, provided the patient is informed that a cheaper alternative exists and is given the choice between the branded and generic drug.
Under the DRG regime in Dubai, prescriptions fall within a fixed reimbursement amount. This indirectly incentivises cost‑effective prescribing and treatment choices.
In Abu Dhabi, the DOH’s Standard for the Prescribing and Dispensing of Generic Medicines (“Prescription Standard”) requires pharmacists not to dispense a branded medical product when the prescription specifies a generic product. However, if a specific branded product is prescribed, the pharmacist may not dispense a generic substitute when a “Do Not Substitute (DNS)” note is included. The Prescription Standard also sets out several circumstances in which pharmacists may not offer generic alternatives for specific or branded prescriptions.
Under Abu Dhabi’s implementation of the UPP framework, providers are reimbursed based on fixed markups rather than the full product price. This discourages the prescribing of higher‑priced medical products when a cheaper alternative is available.
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