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Missouri

Missouri currently has a medical marijuana program and will allow adults who do not qualify for a medical marijuana card to purchase cannabis from medical dispensaries starting on December 8, 2023, following the approval of a voter referendum to legalize adult-use cannabis. Dispensaries that service only the adult-use market will not open until 2024. 


Patients participating in Missouri’s medical marijuana program can buy up to 4 oz of flower at one time or its equivalent in a 30-day period. They may also choose to grow up to 6 of their own plants. There is an additional $100 fee for this privilege and patients must abide by security regulations outlined in 19 CSR 30-95.030(4). Marijuana cultivation is also allowed for any Missourian over the age of 21 provided they obtain a cultivation cards, which costs $150 per year. Individuals are allowed to have six flowering plants, six nonflowering plants, and six clone plants at any time. 


Patients with the following conditions may be eligible for Missouri’s medicinal marijuana program:
•    ALS (amyotrophic lateral sclerosis)
•    Alzheimer's disease
•    Autism spectrum disorder
•    Cachexia
•    Cancer
•    Crohn’s disease
•    Chronic pain or neuropathy
•    Epilepsy
•    Glaucoma
•    Hepatitis C
•    HIV/AIDS
•    Huntington’s disease
•    IBD (inflammatory bowel disease)
•    Intractable migraines
•    Multiple sclerosis
•    Opioid substitution
•    Parkinson’s disease
•    PTSD (post-traumatic stress disorder) or other debilitating psychiatric disorders
•    Tourette syndrome
•    Sickle cell anemia
•    Seizures


Additionally, qualifying physicians may recommend marijuana should they feel it will ameliorate symptoms or conditions associated with any terminal illness or with any chronic, debilitating medical condition. At this time, only MDs and DOs licensed to practice and in good standing in the state of Missouri may choose to recommend marijuana to patients.


Missouri does not have a reciprocity program to accommodate medical marijuana patients from out of state. 


For more information, see the Missouri Department of Health & Senior Service’s page on Medical Marijuana Regulation here: https://health.mo.gov/safety/medical-marijuana/index.php.

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