In the Canadian Armed Forces, our drug formulary is evidence-based, as I mentioned. We do cover the majority of the conditions that would be causing problems for our patients. The case of medicinal marijuana is unique. First of all, it's not considered to be a medication. If we look at the evidence.... I'm not an expert in the area, but I can tell you I've been to many conferences. From one conference to another, the studies contradict each other at this time. Until they can come up with clear evidence of the usefulness of medicinal marijuana, it's going to be hard to determine where it fits.
In our formulary, we do cover nabilone, which is a synthetic cannabinoid. There is evidence in some situations, and we have criteria to use that. Currently if patients had a need for that, they could get that prescribed without any problem.
For medicinal marijuana, because of the access the Supreme Court came out with a few years ago, we have a policy that of course if members have a need and it's recommended by their physician, then they would be allowed to use it. Then they have to be assessed, as with any other medication, to see if they need to have military employment limitations. Of course, if you have a patient using medicinal marijuana, there might be impact on whether they can pilot a plane, use weapons, and things like that. Those things have to be considered.
We don't have specific rules for medicinal marijuana compared with any other drugs or medical conditions.