A licensed physician or nurse practitioner will review your health history. If you qualify, you'll apply for a state card that lasts three years and pay less tax on every purchase than adult-use shoppers.
A Missouri-licensed MD, DO, or nurse practitioner registered with the state evaluates you. When the standard of care allows, this can happen by telemedicine.
If you're certified, submit your application through the Department of Health and Senior Services registry within 30 days of your provider signing.
The state reviews applications within 30 days. Approved cards are downloaded and printed at home and stay valid for three years.
Missouri taxes medical and adult-use marijuana differently. Here's what that looks like before regular sales tax.
Illustration only. Regular state and local sales tax applies to both.
Missouri's constitution lists specific conditions, then gives physicians and nurse practitioners room to certify other chronic or debilitating conditions in their professional judgment.
Your provider makes the call after reviewing your history.
“The tax difference adds up fast when you're buying every month.”
— Renee D., Florissant“My provider explained exactly what photo and ID to upload. The application took ten minutes.”
— Marcus J., Hazelwood“Having my son as my caregiver means he can pick things up when my arthritis flares.”
— Dolores A., Black JackThree years from approval. To renew, you'll need a new certification; the renewal window opens 60 days before expiration.
No. You download and print your approved card from the online registry.
An application fee adjusted yearly for inflation. Current amounts are on the DHSS fee schedule.
A physician (MD or DO) or nurse practitioner who is licensed and in good standing in Missouri and registered with DHSS.
Yes, when the standard of care doesn't require an in-person exam and the provider can complete every attestation on the certification form truthfully.
Missouri doesn't require any provider to certify patients. Many people see a provider who specializes in medical marijuana evaluations instead.
Up to 6 ounces of dried marijuana, or its equivalent, in a rolling 30-day period, unless your provider certifies a higher amount.
Yes. Patients can designate up to two licensed caregivers, who must be 21 or older.
On the Missouri Department of Health and Senior Services patient FAQ page.
On Lindbergh near Old Town, serving medical patients and adult-use customers, with online ordering and drive-thru pickup. Confirm current hours before you go.
Sixty-four acres with a fishing lake, walking room, and pavilions — home to summer concerts on warm Saturday evenings.
Settled by French colonists in the late 1700s, Florissant takes its name from the French word for "flourishing." The Old St. Ferdinand Shrine, built in 1821, is among the oldest Catholic church buildings west of the Mississippi, and the brick streets of Old Town still reflect those roots. Today it's the largest city in north St. Louis County. Residents follow the same statewide medical marijuana process as every Missourian.
Article XIV of the Missouri Constitution authorizes medical and adult-use marijuana. The Department of Health and Senior Services' Division of Cannabis Regulation licenses patients and caregivers and issues cards through its online registry.
Lower tax, higher purchase limits, and access for 18- to 20-year-olds keep the medical program valuable alongside adult-use. For current guidance, visit DHSS Cannabis Patient Services.
Visits with Missouri-licensed physicians and nurse practitioners.