The Gulf Cooperation Council states receive the majority of written coverage on Middle East pharmaceutical import, but three markets sitting just beyond the GCC border deserve equal attention: Lebanon, Jordan and Iraq. Combined, they account for more than 65 million people, operate some of the most respected tertiary hospitals in the Arab world, and carry procurement challenges that most published guides do not address.
Each of these markets runs a distinct regulatory system. Lebanon operates through the Ministry of Public Health and the Order of Pharmacists, Jordan through the Jordan Food and Drug Administration, and Iraq through a dual federal and Kurdistan Regional Government structure with Kimadia at the centre of public sector procurement. None of these three countries participates in the GCC centralised registration scheme, and none follows the documentation exactly as Saudi Arabia or the UAE would require.
This guide covers how hospitals, health ministries and licensed importers in Beirut, Amman, Baghdad and Erbil source medicines from a UK MHRA-licensed wholesaler. It is written for hospital procurement officers, pharmacy directors and supply chain managers who need a practical reference before engaging a UK supplier. For a companion guide on the GCC states, see our Saudi Arabia and UAE import guide.
Importing Medicines into Lebanon
The Regulator: Ministry of Public Health
The Lebanese Ministry of Public Health (MoPH), through its Pharmaceutical Department, regulates all medicine imports into the country. The MoPH issues import permits, maintains the national drug registry, enforces pricing controls, and oversees post-market pharmacovigilance. All licensed importers must be registered pharmacists or companies employing a qualified pharmacist in a technical capacity, and the Order of Pharmacists plays a parallel role in licensing the profession.
For a UK supplier exporting to Lebanon, the commercial counterparty is always a Lebanese licensed importer or hospital pharmacy with direct MoPH import authorisation. The UK supplier does not interact with the MoPH directly. Instead, the importer applies for the product-specific import permit using the documentation package prepared by the UK wholesaler, then handles customs clearance and local distribution.
Named Patient and Exceptional Import
Lebanon operates a named patient import pathway for unregistered medicines required for specific patients with no locally available therapeutic alternative. Applications are made by the treating hospital pharmacy or the patient's consulting physician, supported by clinical justification, evidence of local unavailability, and product documentation from the manufacturer or licensed wholesaler.
For cancer treatment, rare disease therapies and specialty biologics, this pathway is the practical route into Lebanon. The American University of Beirut Medical Center, Hotel Dieu de France, Saint Joseph University Hospital and the Lebanese Hospital Geitaoui are among the major tertiary centres that operate named patient import programmes. See our Lebanon pharmaceutical supply service for full detail on how we support these applications.
Economic and Payment Reality
Lebanon has operated under extended economic stress since 2019, with sustained currency depreciation and restrictions on foreign currency settlement through the banking system. For a UK supplier, this means contract terms, invoicing currency, and settlement mechanics are as important as the regulatory pathway. Hard currency transactions via approved Banque du Liban channels, pre-payment arrangements, and correspondent banking through regional hubs are common practical structures.
A supplier unfamiliar with these mechanics will often struggle to complete a Lebanon shipment even when the regulatory pathway is clear. The MoPH import permit may be granted, the product may be GDP-compliant, but without workable payment terms the shipment stalls. Experienced UK wholesalers operating in the region have established payment structures that work around these constraints.
Key point: Lebanon requires Arabic language labelling and patient information leaflets for registered pharmaceutical products. For named patient shipments the labelling requirements are more flexible, but the product must remain in its original licensed packaging with the UK or EU leaflet intact.
Importing Medicines into Jordan
The Regulator: Jordan Food and Drug Administration
The Jordan Food and Drug Administration (JFDA) is the independent regulator responsible for all pharmaceutical affairs in the Hashemite Kingdom of Jordan. The JFDA oversees drug registration, manufacturing inspection, import control, pricing review and post-market surveillance. It operates from offices in Amman and works closely with the Jordan Association of Pharmaceutical Manufacturers (JAPM) and the Jordan Pharmacists Association.
Jordan has one of the most capable pharmaceutical regulatory systems in the Arab world. The JFDA is a member of the Pharmaceutical Inspection Co-operation Scheme (PIC/S), recognises a defined list of reference authorities that includes the UK MHRA, and accepts the WHO Certification Scheme Certificate of Pharmaceutical Product for import purposes. For a UK MHRA-licensed wholesaler, this combination of factors makes Jordan one of the more predictable regulatory environments in the region.
Medical Tourism and Hospital Demand
Jordan is the leading medical tourism destination in the Levant, with Amman drawing patients from across the Arab world, North Africa and the wider Middle East. The King Hussein Cancer Center is the regional reference institution for oncology treatment and operates a sophisticated named patient import programme for advanced therapies. Jordan University Hospital, the Islamic Hospital, the Arab Medical Center, the King Abdullah University Hospital and the Royal Medical Services each maintain hospital pharmacy teams capable of managing complex imports.
For a UK supplier, the commercial reality is that Jordan hospital demand skews heavily toward specialty medicines: oncology, haematology, rare disease biologics, transplant medicine and advanced cardiology. Generic molecules are well supplied by the domestic manufacturing base, so UK wholesale demand concentrates in unlicensed, named patient and shortage categories. See our Jordan pharmaceutical supply service for detail on how we support these hospitals.
Named Patient Pathway
The JFDA operates a named patient or exceptional use pathway for unregistered medicines required for specific patients. The treating physician submits a clinical justification through the hospital pharmacy, documenting the diagnosis, the absence of registered alternatives in Jordan, and the rationale for the specific unregistered product. The JFDA reviews each application individually and retains full discretion over approval.
Quantities authorised under named patient imports are typically limited to a defined treatment course, ranging from a single cycle to six months of therapy depending on the medicine and clinical context. Refills require fresh applications. UK suppliers support these imports by providing WHO-format Certificates of Pharmaceutical Product, batch-specific certificates of analysis, and cold chain validation records where the product is temperature-sensitive.
Importing Medicines into Iraq
The Regulators: Federal MoH and Kimadia
Iraq operates a dual regulatory structure. The federal Ministry of Health, based in Baghdad, is the national pharmaceutical authority responsible for drug registration, market authorisation, pharmacovigilance and supply oversight. Kimadia, the State Company for Marketing Drugs and Medical Appliances, sits under the MoH and functions as the centralised procurement body for the federal public hospital network. In the Kurdistan Region, the Kurdistan Regional Government Ministry of Health operates its own procurement and regulatory apparatus, with principal activity centred in Erbil, Sulaymaniyah and Duhok.
For a UK supplier, this means Iraq is three markets in practical terms: Kimadia public tender supply to federal government hospitals, Kurdistan public tender supply to KRG hospitals, and private sector supply to private hospitals and wholesale importers across the country. Each route has its own commercial logic, documentation requirements and lead times.
Kimadia Tender Process
Kimadia publishes pharmaceutical tenders on a rolling basis for medicines required across Iraq's public hospital network. Foreign suppliers participate through a locally registered Iraqi agent holding tender eligibility certification from Kimadia and the MoH. The agent submits the tender package incorporating the UK supplier's technical documentation, pricing and delivery terms. Tenders are evaluated on price, technical compliance and supplier track record.
For a UK MHRA-licensed wholesaler, Kimadia tender participation is viable where the supplier can provide a stable sourcing channel, competitive pricing through scale purchasing, GDP-compliant cold chain, and the full documentation package Kimadia requires. The product should hold MHRA marketing authorisation or at minimum a credible Certificate of Pharmaceutical Product from a recognised reference authority.
Private Sector and KRG Hospitals
Private hospitals in Baghdad, Basra, Erbil and Sulaymaniyah operate independent procurement through licensed Iraqi importers. This route is significantly faster than Kimadia tender cycles and is the primary channel for named patient, specialty and urgent supply. Kurdistan public hospitals also procure separately, with KRG tenders published through the regional Ministry of Health and a distinct supplier registration process.
For oncology supply in particular, the regional reference centres include the Baghdad Medical City oncology unit, the Basra Oncology Centre and the Hiwa Cancer Hospital in Sulaymaniyah, which is one of the largest cancer treatment facilities in the Kurdistan Region. These institutions maintain active demand for advanced oncology molecules that often require named patient pathways to enter Iraq. See our Iraq pharmaceutical supply service for full detail on how we serve these markets.
Logistics note: Direct air freight to Baghdad International Airport is increasingly viable, but many Iraqi shipments route via Amman Queen Alia International or Dubai International for onward dispatch. Erbil International Airport is the standard gateway for KRG-bound shipments. Temperature-sensitive products require validated cold chain packaging rated for 120-hour autonomy on these routes.
Documentation Standard for Levant and Iraq Imports
While each country operates its own regulatory system, the core documentation package a UK MHRA-licensed wholesaler prepares is broadly consistent across Lebanon, Jordan and Iraq. The table below summarises the standard documentation set, with country-specific variations noted.
| Document | Purpose |
|---|---|
| Certificate of Pharmaceutical Product (CPP) | Issued by the MHRA in WHO Certification Scheme format. Confirms UK marketing authorisation and GMP manufacturing status. Required by MoPH Lebanon, JFDA Jordan, federal MoH Iraq and KRG MoH. |
| Certificate of Analysis (CoA) | Batch-specific quality testing results from the licensed manufacturer. Required for every shipment in all three markets. |
| Manufacturer Licence | Copy of the manufacturer's MHRA manufacturing licence confirming GMP compliance. Typically submitted with first import, retained on file for subsequent shipments. |
| GDP Wholesale Dealer Authorisation | Copy of the UK wholesaler's MHRA WDA(H) licence. Establishes supplier legitimacy and GDP compliance. Required in supplier qualification. |
| Commercial Invoice | Certified by a UK chamber of commerce for Iraq and Jordan imports. Lebanon accepts uncertified invoices for named patient shipments. Must match shipping manifest quantities exactly. |
| Packing List | Itemised to carton level with batch numbers, expiry dates and temperature storage requirements. GDP-compliant format expected. |
| Temperature Monitoring Records | Continuous data logger records for the entire shipment where cold chain is required. Standard for insulin, vaccines, biologics and most oncology medicines. |
| Airway Bill / Bill of Lading | Issued by the carrier. Required for customs clearance at destination. Named patient Iraq shipments often routed via Amman or Dubai with reissued onward AWB. |
Why a UK MHRA-Licensed Wholesaler
For hospital pharmacy directors in Beirut, Amman, Baghdad and Erbil, the practical reason to source from a UK MHRA-licensed wholesaler rather than a regional trader comes down to supply chain provenance. UK wholesalers operating under WDA(H) authorisation hold medicines in validated GDP-compliant facilities, maintain full batch traceability back to the licensed manufacturer, and provide genuine Certificates of Pharmaceutical Product issued by the MHRA under the WHO Certification Scheme.
Regional traders frequently source from parallel markets with opaque supply chains, creating risk of falsified medicines, broken cold chain and regulatory refusal at the destination border. Both Lebanese MoPH and Jordanian JFDA customs inspection have intensified scrutiny of Certificates of Pharmaceutical Product in recent years, with falsified CPPs a recognised rejection reason. Iraqi Kimadia supplier qualification has also tightened, with verified manufacturer licence documentation now routinely demanded.
Euro Biom holds MHRA Wholesale Dealer Authorisation WDA(H) 59239 and operates from a London facility with direct access to Heathrow cargo. Our compliance framework covers the full GDP requirement set. For Levant and Iraq supply, we manage the documentation package, the cold chain validation, and the carrier routing, working directly with the hospital pharmacy or the registered local importer at destination.
Working With Euro Biom
If you are a hospital procurement team in Lebanon, Jordan or Iraq looking to source a specific medicine from the UK, or a licensed importer wanting to establish a supply relationship with a UK MHRA-licensed wholesaler, our commercial team will respond to your enquiry the same working day. We handle named patient, emergency and institutional supply, and provide the full regulatory documentation package each of these markets requires.
For Iraqi federal tender or KRG public procurement, we work with your registered local agent on tender submissions. For private sector and named patient supply into Lebanon, Jordan and Iraq, we ship direct to the importer or hospital pharmacy as specified.
Supply for Levant and Iraq Hospitals
UK MHRA-licensed wholesale supply for hospitals and importers across Lebanon, Jordan and Iraq. Named patient, emergency, and institutional tender support.
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