The judicialization of health has been growing in recent years, the number of judicial decisions has been forcing the government to provide medications and supplies for patients who may need it. The objective of this study is to describe the extrajudicial and judicial actions demanded in the city of Santarém (PA) from 2008 to 2018. This is a descriptive and retrospective study, with a quantitative approach, observing the paths that users take to use the judicialization of health in two aspects: Extrajudicial, with data extracted from the Procedural Control System of the 8th Prosecutor's Office for Fundamental Constitutional Rights, Constitutional Actions, Defense of Administrative Probity and Public Treasury - Health and Education, and the Judicial, extracted in the 9th Regional of the Secretary of Public Health of the State of Pará. Between 2015 and 2018, 187 extrajudicial actions were filed and 124 lawsuits between 2008 and 2018. It can be said that there was an effective growth in both of extra and judicial processes. In extrajudicial cases, 80.7% originated from the Public Health System, 62.6% registered the active ingredient and 61.5% contained drugs listed in the list of essential medicines. In the judicial process, 61.3% of the lawsuits has been originated from the Public Health System, only 29.8% accused the registration of the active ingredient and only 12.9% contained drugs listed in the list of essential medicines. Access to medication through extrajudicial means is a more efficient and quicker resolution strategy, considering that some demands were resolved only through the administrative process, reducing actions that forces the government to provide the medications.
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