Remaining 26 probably using GW's Epidiolex Sure, there are 48 that can import CBD for use, but MJNA only mentions 22 for RSHO-X. That's likely because the first CBD to be imported was Epidiolex by GW Pharma, and that happened last October: https://news.vice.com/article/an-8-year-old-girl-just-became-mexicos-first-medical-marijuana-patient MJNA has piggybacked onto that program. If MJNA had gotten all 48 patients, it would have said so. Instead, it repeatedly refers to 22 as being able to import RSHO-X