State guides
Medical marijuana card guides, state by state
Every U.S. state runs its own medical marijuana program, so the qualifying conditions, fees, card validity period and telehealth rules all change at the state line. MMJ-Docs certifies patients online in 13 states — Arizona, Delaware, Kentucky, Maine, Maryland, Michigan, Minnesota, New York, Ohio, Oklahoma, Pennsylvania, Virginia and West Virginia. The physician fee is the same in all of them: $75 for a new certification, $50 to renew. Everything else is state-specific, and each guide below covers it.
Reviewed by the MMJ-Docs Medical Team Last reviewed Sources
Medical marijuana card cost and validity by state
MMJ-Docs physician fees are identical across all 13 states. Card validity is set by each state program, not by MMJ-Docs. Figures current as of .
| State | New cert. | Renewal | Card valid for | Telehealth | Full guide |
|---|---|---|---|---|---|
| Arizona AZ | $75 | $50 | Varies by program | Yes | AZ guide → |
| Delaware DE | $75 | $50 | 1 year | Yes | DE guide → |
| Kentucky KY | $75 | $50 | 1 year | Yes | KY guide → |
| Maine ME | $75 | $50 | 1 year | Yes | ME guide → |
| Maryland MD | $75 | $50 | Varies by program | Yes | MD guide → |
| Michigan MI | $75 | $50 | Varies by program | Yes | MI guide → |
| Minnesota MN | $75 | $50 | 3 years | Yes | MN guide → |
| New York NY | $75 | $50 | Varies by program | Yes | NY guide → |
| Ohio OH | $75 | $50 | Varies by program | Yes | OH guide → |
| Oklahoma OK | $75 | $50 | Varies by program | Yes | OK guide → |
| Pennsylvania PA | $75 | $50 | 1 year | Yes | PA guide → |
| Virginia VA | $75 | $50 | 1 year | Yes | VA guide → |
| West Virginia WV | $75 | $50 | 1 year | Yes | WV guide → |
Fees shown are the MMJ-Docs physician fee only. Where a state charges its own registration or card fee, that amount is paid directly to the state agency and is listed in the individual state guide.
What changes from one state to the next
Qualifying conditions
Each legislature writes its own list. Chronic pain and PTSD appear in nearly every state; anxiety qualifies in some and not others. Oklahoma has no fixed statutory list at all and leaves the judgment to the certifying physician. Browse conditions
State registration fees
Separate from the physician fee and paid to the state agency. Some states charge nothing, others charge annually, and several waive the fee for veterans or patients on state assistance. Full cost breakdown
How long the card lasts
Anywhere from one to three years. Minnesota runs longest among the states we serve; most others are annual. A handful let the certifying practitioner set the duration case by case. Renewal guide
Telehealth rules
All 13 states we serve permit certification over a telehealth visit with a physician licensed in that state. Elsewhere, some programs still require an in-person exam first. How telehealth visits work
States where MMJ-Docs can certify you
Thirteen states, listed alphabetically. Each guide covers who qualifies, what it costs, how long the card lasts and exactly how to certify online.
Arizona
Registry card issued by AZDHS after certification.
$75 new · Varies by program
Delaware
Annual certification; compact program, small patient registry.
$75 new · 1 year
Kentucky
Newest program of the 13; annual certification.
$75 new · 1 year
Maine
No state patient registry requirement for adults.
$75 new · 1 year
Maryland
Registration handled through the Maryland Cannabis Administration.
$75 new · Varies by program
Michigan
One of the largest medical registries in the country.
$75 new · Varies by program
Minnesota
Longest certification period of any state we serve.
$75 new · 3 years
New York
Certification length is set by the certifying practitioner.
$75 new · Varies by program
Ohio
Administered by the Ohio Division of Cannabis Control.
$75 new · Varies by program
Oklahoma
No fixed statutory list of qualifying conditions.
$75 new · Varies by program
Pennsylvania
Certification and state card renew on an annual cycle.
$75 new · 1 year
Virginia
No state registration step for patients since 2021.
$75 new · 1 year
West Virginia
Annual certification through the Office of Medical Cannabis.
$75 new · 1 year
Found your state?
Book a same-day telehealth visit with a physician licensed in your state. $75 new, $50 renewal, physician fee refunded in full if you are not approved.
Other state programs, explained
MMJ-Docs does not certify patients in these states. We keep the guides as educational references on how each state's own program works, so you know what to expect and who can certify you locally.
Florida
Program reference · not served by MMJ-Docs
California
Program reference · not served by MMJ-Docs
New Jersey
Program reference · not served by MMJ-Docs
Illinois
Program reference · not served by MMJ-Docs
Massachusetts
Program reference · not served by MMJ-Docs
Missouri
Program reference · not served by MMJ-Docs
Questions about state medical marijuana programs
Which states can I get a medical marijuana card in through MMJ-Docs?
MMJ-Docs certifies patients by telehealth in 13 states: Arizona, Delaware, Kentucky, Maine, Maryland, Michigan, Minnesota, New York, Ohio, Oklahoma, Pennsylvania, Virginia and West Virginia. You must be a resident of the state where you certify and hold a valid ID issued by that state.
Do medical marijuana laws differ from state to state?
Substantially. Each state writes its own statute, so the qualifying condition list, the state registration fee, how long a card stays valid, possession limits and whether telehealth certification is allowed all change at the state line. Nothing about one state's program safely predicts another's.
Can I get a medical marijuana card in a state I do not live in?
Generally no. Almost every medical program requires proof of residency in the form of a state-issued ID or, in some states, a lease or utility bill. Certify in the state you actually live in, then check that state's reciprocity rules before travelling.
Does a medical marijuana card work in other states?
Sometimes. A number of states offer reciprocity and let visiting cardholders purchase or possess cannabis, but many do not, and the policy changes often. Reciprocity is never guaranteed, so confirm the current rules of the state you are visiting before you travel with a card.
Which states allow medical marijuana certification by telehealth?
All 13 states MMJ-Docs serves permit certification through a telehealth visit with a physician licensed in that state. Telehealth rules elsewhere vary: some programs require at least one in-person examination, and a few require an existing physician-patient relationship first.
How much does a medical marijuana card cost in each state?
The MMJ-Docs physician fee is the same everywhere: $75 for a new certification and $50 for a renewal. What changes by state is the separate registration fee paid to the state agency. Some states charge one and others do not, so check the individual state guide for the total.
How long is a medical marijuana card valid?
It depends on the state program. Among the states we serve, Minnesota certifications can run up to three years, while Delaware, Kentucky, Maine, Pennsylvania, Virginia and West Virginia are generally annual. Several states set the period case by case rather than fixing it in statute.
Do all states require a qualifying medical condition?
Most do, and the lists differ sharply — chronic pain and PTSD appear almost everywhere, while anxiety qualifies in some states and not others. Oklahoma is the notable exception among the states we serve: it has no fixed statutory list and leaves the decision to the certifying physician.
What if my state is not listed here?
MMJ-Docs cannot certify you in a state where it does not operate. We keep educational guides for several of those states so you can understand how their program works, but you will need a physician licensed in that state to certify you.
How these guides are maintained
Verified at source
Fees, validity periods and condition lists are checked against the state agency that administers each program, not against other websites.
Reviewed quarterly
State programs change often. Every guide is re-checked at least every three months and the review date is shown on the page.
Corrections welcome
If a figure here is out of date, tell us and we will correct it. This page is educational and is not medical or legal advice.
Published · last reviewed by the MMJ-Docs Medical Team. Official program authorities for each state are cited on the individual state guides.