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Get a Pennsylvania Medical Marijuana Card

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Pennsylvania medical marijuana card, in short: You can get certified online. You’ll need Pennsylvania residency and one of 24 serious medical conditions — such as anxiety disorders, severe chronic or intractable pain, PTSD, cancer or epilepsy. A Leafwell telehealth appointment is $99, plus the Department of Health’s $50 annual fee — $149 total. Pay the state fee within 60 days or your certification expires. Cards last one year.

Who qualifiesPennsylvania residents with one of 24 serious medical conditions — including anxiety disorders, severe chronic or intractable pain, PTSD, cancer, epilepsy and Crohn’s disease. There is no minimum age; patients under 18 are served through a caregiver.
Cost$99 Leafwell telehealth appointment plus the Department of Health’s $50 annual fee — $149 total. The state fee is $0 for patients on Medicaid, PACE/PACENET, CHIP, SNAP or WIC through the Medical Marijuana Assistance Program, bringing the total to $99.
How long it takesThe appointment is usually same-day. You then have 60 days to pay the state fee or the certification expires and must be obtained again. Pennsylvania asks you to allow 7 days for printing and 14 days for delivery — about three weeks to the card in hand.
How long it lastsOne year. The $50 fee is paid once every 12 months regardless of how many cards or certifications you are issued. The Department emails you 60 days before your certification expires and 30 days before the fee is due — two separate clocks.
Online or in personFully online. Pennsylvania permits telehealth certification, so the medical appointment is done entirely online with a PA-licensed practitioner. Leafwell also has five Pennsylvania locations — Whitehall, Allentown, Easton, Reading and State College.
What you can buyUp to a 90-day supply from a Pennsylvania dispensary, set by your practitioner on your certification. Medical marijuana is exempt from Pennsylvania sales tax. Adult-use cannabis is not legal in Pennsylvania — the medical card is the only lawful route (Act 16 of 2016).

The key benefits of a PA medical marijuana card

  • Enjoy legal protections for employment

  • Get legal cannabis at age 18+, rather than 21+

  • Access to dispensaries

  • Higher possession

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Pennsylvania’s Medical Marijuana Program: How It Works

Pennsylvania’s medical marijuana program lets residents with a qualifying condition get a medical marijuana card and buy cannabis from state-licensed dispensaries. To get a Pennsylvania medical marijuana card, you’ll have a telehealth evaluation with a state-approved physician, register with the PA Department of Health, and pay the state fee. Most patients are approved the same day and can shop at any of Pennsylvania’s dispensaries once the state issues their card. Below, we break down the cost, the qualifying conditions, and the four steps to get your card.

4 easy steps to get your PA medical card

Get approved in minutes using Leafwell’s online platform.

  1. 1. Get a patient number

    Apply to the Pennsylvania Medical Marijuana Registry and receive a patient number.


  2. 2. Sign up

    Register with Leafwell on any device and consult with a licensed medical marijuana doctor in minutes.


  3. 3. Submit your application

    Once approved, receive an email from the state, and log into the Pennsylvania website to submit the $50 state fee.


  4. 4. Get your card

    Receive your medical card within 2 weeks of your application’s approval.


A few more questions about the process?

Watch this video to learn more about getting a medical marijuana card in Pennsylvania.

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How much does the card cost?

Medical cannabis patients save more with Leafwell. Get your money back if not approved.

label New with Leafwell Renewal with Leafwell
Medical marijuana certificate$99$99
State application fee$50$50
Total$149$149
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Qualifying Conditions for Medical Marijuana in Pennsylvania

Adults at least 18 experiencing at least one qualifying condition may be eligible to apply for a medical marijuana card. All minor patients must have a caregiver to be eligible. Pennsylvania recognizes 24 serious medical conditions:

Two conditions that do not qualify for a standard card. Traumatic brain injury and Type II diabetes are approved under Chapter 20 of Pennsylvania's medical marijuana regulations for research purposes only. A practitioner cannot certify you for a standard patient card on either condition.

A diagnosis is not an automatic approval — an approved practitioner still has to determine that medical marijuana is appropriate for you.

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2 documents needed to apply for a medical card

To apply for a medical marijuana card in Pennsylvania, you must follow a few essential steps to ensure your eligibility and successful registration. The process begins by gathering the necessary documents and information, which includes obtaining a Patient Number, securing a Medical Marijuana Recommendation, and providing Proof of Identity.

  1. Patient Number
    The first step in applying for Pennsylvania’s Medical Marijuana Program is to obtain a Patient Number. This is done by creating a profile in the Medical Marijuana Registry, which can be accessed online through the Pennsylvania Department of Health’s website. During this registration, you will be required to provide personal and medical information, proof of Pennsylvania residency, and a valid government-issued ID. This registration process is crucial as it sets the foundation for your application and ensures that you are recognized by the state as a potential medical marijuana patient.
  2. Medical Marijuana Recommendation
    After obtaining your Patient Number, the next step is to consult with a registered MMJ physician who can evaluate your condition and provide a recommendation. At Leafwell, once you are approved by a healthcare provider, they will submit your patient certification to the Pennsylvania Medical Marijuana Registry. It is essential to choose a physician who is experienced in treating patients with your specific condition, as they will be able to provide the necessary certification that forms a critical part of your application.
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Renewal information

Can I renew my Pennsylvania medical marijuana card online?

Yes, Leafwell can help you renew your medical marijuana certificate and card. If you’re a returning patient, all your information is stored in our HIPAA-compliant platform, and the process is quick and easy.

Here’s the full process to renew your PA medical card:

  1. Log into your account with the Pennsylvania Medical Marijuana Program, confirm your address, and pay the $50 annual state fee.
  2. Sign in to your Leafwell account or register as a renewal patient here.
  3. Speak to a Pennsylvania-licensed physician online and get approved.
  4. The provider will submit your certification directly to the state.
  5. If your annual payment is up to date, your new card will arrive in the mail in 1-2 weeks.

Next steps after renewal

You’ll receive an email with directions on how to renew your card 60 days before your annual renewal and payment is due. This email includes a due date — usually about a week before the expiration date on the ID card. If payment is not received by that date, the ID card will automatically be deactivated. When you log in and pay the annual fee, this will reactivate your card.

Renewing process

  1. Get approved for a renewal certificate with Leafwell. The physician will update your certification using your PA patient ID number.
  2. Check your details.
  1. Pay the annual fee.
  • You’ll receive an email 30 days before your card expires with instructions for making the $50 payment (or $0 if you qualify for a fee reduction).
  1. Receive your new card.
  • Once you’re certified by a doctor and have paid the annual fee, a new card will be printed and mailed to you at the address you listed in the patient portal. The new card will have an issue date for the day after your original card expires.

How do I get a Pennsylvania patient number?

The first step to getting a medical marijuana card in Pennsylvania is to register with the state which will allow you to get a patient number.

Here is the guide:

  1. Create a profile in the Pennsylvania Medical Marijuana Registry. Click here to go to the registry.
    1. Please note: You can navigate the to provided link by going to the Department of Health website, selecting ‘Medical Marijana’ and then ‘Apply for ID Card / Access Account’.
  2. Click on ‘Adult Patient Registration
    1. This profile includes basic information such as:
      1. your legal name
      2. current address
      3. contact information
    2. You must have a Pennsylvania driver’s license or an ID card issued by the Pennsylvania Department of Transportation.
      1. Click here for more information on getting a driver’s license or ID card in Pennsylvania.
  3. After creating your username and password, you will see a screen that displays your account information, including your Patient ID number.
  4. Return to the Leafwell website (www.leafwell.com). Your Leafwell registration will have a line that says “”Pennsylvania Patient Number”” and you will enter it there.
    1. Note: If you are already a Pennsylvania patient or previously started the state registration process, you can obtain your patient number by logging into the state website here, and going to “Profile Settings”. The patient number is located by your User Name.

Next steps after approval

Congratulations on getting approved for your medical certification.

Per state regulations, you must pay the state fee within 60 days of your certification being submitted.

Here's a guide to what you need to do next:

Before you start, have these supporting documents ready:

  • A credit or debit card

Getting your Pennsylvania medical marijuana card

  1. Your Leafwell physician will have passed all required details to the Pennsylvania Medical Marijuana Registry following your appointment - all the difficult work is done for you by our team!
  2. Log back into the Pennsylvania Medical Marijuana Registry: https://padohmmp.custhelp.com/app/login
  3. Pay the $50 state fee.
    1. Patients who participate in assistance programs including Medicaid, PACE/PACENET, CHIP, SNAP, and WIC may be eligible for a $0 state fee.
  4. Receive your card in the mail.
    1. The state will mail your medical card to your address. It normally takes 1-2 weeks to arrive after you’ve paid the fee. The card will be valid for 1 year.
  5. Legally purchase cannabis from an approved dispensary.
    1. To purchase medical cannabis, you must bring your medical cannabis card and a valid form of photo identification, such as a driver’s license, with you to the pharmacy.

Please note: you have 60 days from the date your certification was submitted to pay the $50 annual state fee. If payment is not made in time, your certification will expire and you will need to obtain a new one.


Legal limitations for PA card holders

Navigating marijuana laws in different states can be tricky, but we’re here to break it down for you. Here are some key points you should be aware of if you have a medical marijuana ID card in Pennsylvania:

Possession limits:  With a valid medical cannabis card, you can purchase and possess up to a 90-day supply of medical cannabis products. Make sure to keep your card handy!

No Recreational Use:  Just a heads-up—recreational marijuana is still a no-go in Pennsylvania. According to the state’s marijuana laws, medical use only at this time.

State taxes: 0% tax for medical patients.

Cultivation: Growing cannabis plants is illegal in Pennsylvania, even if it’s for your own medical marijuana use.

CBD and Delta-8: CBD and other minor cannabinoids manufactured from hemp-derived CBD, such as delta-8 THC and HHC, are legal per federal law and are not further regulated by the state of Pennsylvania.


How to become a caregiver

If you’re looking to become a medical marijuana caregiver for a medical marijuana patient in Pennsylvania, there are some important rules and steps to follow.

Picking Up for Patients

As a caregiver, you can pick up medical marijuana from a dispensary on behalf of a patient.

Caregiver Limitations

Medical patients can designate up to two caregivers. If the patient is a minor, having a caregiver is a must.

Application Process

Caregivers need to submit a separate application to the caregiver registry through the Pennsylvania Department of Health to get their own card.

Eligibility Criteria

To qualify, you must:

  1. Be at least 21.
  2. You need to be living in Pennsylvania and have proof of residency.
  3. Have a Pennsylvania driver’s license or a state-issued ID card with your current address.
  4. Background Check: You’ll need to complete a criminal history background check.
  5. Clean Record: If you’ve been convicted of a criminal offense relating to drugs in the last five years, you won’t be eligible.
  6. Register for an ID Card: Once you meet all the criteria, you’ll need to register and get an ID card that allows you to pick up medical marijuana products at a Pennsylvania dispensary.

Timing

It can take up to four weeks to hear back about your caregiver application status after your fingerprinting appointment.


Minor medical cannabis patient information

Minor patients are able to be certified through Leafwell.

Minor patients under the age of 18 with a serious medical condition may get medical marijuana through a caregiver. See the Caregivers section for requirements.

Minors only need to see one certifying provider and a caregiver will be required (either a parent/legal guardian or someone designated by the parent/legal guardian).

Minors will not receive a card and caregivers will shop on their behalf. The Department will issue a medical marijuana patient authorization letter to a minor patient instead of issuing an identification card to the minor.

If you are the minor’s parent, legal guardian or spouse, you can register as their caregiver by selecting the appropriate caregiver option on the registration site.

If you are not the minor’s parent, legal guardian or spouse, it is recommended that an ‘authorization to designate a third-party caregiver’ form be completed. This form can be downloaded from the caregiver’s profile. Once completed, you can upload the form in your caregiver profile.

When a minor patient turns 18 during their cycle, the certificate will transfer over, but they need to submit a new, adult patient application through their pa.gov portal. Once the patient obtains their adult patient ID number, they will need to contact the state to have them link their adult and minor accounts.


Can you use a Pennsylvania medical card in other states?

Pennsylvania does not offer medical marijuana reciprocity to cardholders from other states. Whether your Pennsylvania card is useful elsewhere depends on the state — and in many places it no longer matters, because cannabis is legal for adults 21 and over regardless of any card.Where you do not need your card at all
  • Arizona — adult use is legal. Your Pennsylvania card protects possession but does not let you buy medical cannabis here (see below).
  • Delaware — adult use is legal, with retail sales open since August 2025. Dispensaries can also register you as a visiting medical patient on the spot via a QR-code application.
  • Maine — adult use is legal. Maine does not accept out-of-state medical cards; it maintains a closed list of approved states and Pennsylvania is not on it.
  • Michigan — adult use is legal. Michigan dispensaries may also serve visiting medical patients, but it is at the dispensary's discretion.
  • Nevada — adult use is legal, and Nevada does recognize your Pennsylvania card. Worth carrying: medical patients are exempt from the 10% retail excise tax.
  • New Jersey — adult use is legal. New Jersey does not offer reciprocity. To buy as a medical patient you would have to be certified by a New Jersey practitioner and enroll in New Jersey's own registry.
  • New Mexico — adult use is legal, and New Mexico recognizes your card as a "reciprocal participant." Worth carrying: medical purchases are tax-free and the limit is higher.
  • Rhode Island — adult use is legal. Rhode Island also recognizes out-of-state cards if you show a government ID issued by the same state as your card and complete an intake form.
  • Washington, D.C. — you do not need a Pennsylvania card. Anyone 21 or over can self-certify at a licensed D.C. dispensary; D.C. also names Pennsylvania on its medical reciprocity list.
Medical-only states where your Pennsylvania card matters
  • Arkansas — apply for a visiting patient registration: $50, valid 90 days, allow about two weeks for processing. Apply before you travel.
  • Hawaii — register as an out-of-state patient (Form 329): $49.50, valid 60 days, renewable once per calendar year. Apply before you travel.
  • Louisiana — your Pennsylvania card is accepted directly. No state application; the pharmacy will have you complete its own attestation form at the counter.
  • New Hampshire — your Pennsylvania card is accepted directly and you may purchase. No application needed.
  • Oklahoma — apply for a temporary patient license: $100 plus a small processing fee, valid 30 days, allow about two weeks. Apply before you travel.
  • Puerto Rico — your Pennsylvania card is accepted directly. No application needed.
  • Utah — Utah does not accept your Pennsylvania card by itself. You must obtain a Utah non-resident card, valid 21 days and limited to two per calendar year, and your qualifying condition must appear on Utah's list, which is narrower than Pennsylvania's.
States that protect possession but will not sell to you
  • Arizona — your card is a defense against arrest for possession, but Arizona law does not permit visiting patients to purchase medical cannabis. Buy from an adult-use store instead if you are 21 or over.
  • South Dakota — your card protects possession of up to three ounces. You cannot purchase. There is no adult-use market.
Cannabis remains illegal under federal law, so do not carry it across state lines, through airports, or onto federal land — including national parks — even between two states that both recognize your card. Last verified 3 September 2026 against each state's health department or cannabis regulator. Laws change; check the destination state before you travel.

Frequently asked questions

What qualifies you for a medical card in PA?

Pennsylvania recognises 24 serious medical conditions: ALS, anxiety disorders, autism, cancer including remission therapy, chronic hepatitis C, Crohn's disease, damage to the nervous tissue of the central nervous system with objective neurological indication of intractable spasticity, dyskinetic and spastic movement disorders, epilepsy, glaucoma, HIV/AIDS, Huntington's disease, inflammatory bowel disease, intractable seizures, multiple sclerosis, neurodegenerative diseases, neuropathies, opioid use disorder where conventional therapeutic interventions are contraindicated or ineffective, Parkinson's disease, post-traumatic stress disorder, severe chronic or intractable pain, sickle cell anemia, terminal illness, and Tourette syndrome. You must also be a Pennsylvania resident and be certified by a practitioner approved by the Department of Health. Traumatic brain injury and Type II diabetes are approved only for Chapter 20 research purposes and do not qualify you for a standard card.

How much does a med card cost in PA?

A Leafwell certification appointment costs $99, and the Pennsylvania Department of Health charges a separate $50 annual fee for the ID card, so most patients pay $149 in total for the first year. The $50 state fee is $0 if you are enrolled in the Medical Marijuana Assistance Program, which covers patients on Medicaid, PACE/PACENET, CHIP, SNAP or WIC — those patients pay $99. The $50 fee is paid once every 12 months regardless of how many cards or certifications you are issued. Replacement cards cost $25 for the first and $50 for each additional one.

Can I get a medical card online in PA?

Yes. Pennsylvania permits practitioners to certify patients by telehealth, so the medical part of the process is done entirely online with a PA-licensed practitioner. You then complete the state side yourself: register with the Department of Health at padohmmp.custhelp.com, pay the $50 annual fee, and the Commonwealth mails you the physical ID card. You cannot get the card itself instantly — the state asks you to allow 7 days for printing and 14 days for delivery.

How long does it take to get a medical marijuana card in PA?

About three weeks from your appointment, most of which is state processing. Your Leafwell certification appointment can usually happen the same day or the next day. Once you have paid the $50 state fee, the Pennsylvania Department of Health asks you to allow 7 days for the card to be printed and a further 14 days to receive it in the mail. If three weeks pass after you have met all the requirements and no card has arrived, you can request a new one from the Profile Settings tab of your registry account.

How long do I have to pay the state fee after I am certified in PA?

Sixty days. The Pennsylvania Department of Health states that if payment is not made within 60 days from the date your certification was submitted, your certification expires and you will be required to obtain a new one. That means missing the deadline costs you the certification you paid for, not just a late fee. Pay the $50 annual fee as soon as you receive the confirmation email after your appointment.

How do I renew my medical marijuana card in Pennsylvania?

Pennsylvania runs two separate clocks and it is worth keeping them apart. Sixty days before your patient certification and ID card expire, the Department of Health emails you to say it is time to obtain a new certification from a practitioner — that is the appointment you book with Leafwell. Separately, 30 days before your annual renewal fee is due, the Department emails you instructions for paying the $50 (or $0 if you qualify for a fee reduction). The fee is paid once every 12 months regardless of how many cards or certifications you are issued, so the payment date does not necessarily line up with the certification date.

Does anxiety qualify for a medical marijuana card in Pennsylvania?

Yes. Anxiety disorders are one of Pennsylvania's 24 serious medical conditions, added to the list in 2019. A practitioner approved by the Department of Health still has to examine you and decide whether certification is appropriate for your situation; a diagnosis on its own is not an automatic approval.

Can I be denied a job for having a medical marijuana card in Pennsylvania?

Pennsylvania law protects your status, not your conduct, and the distinction matters. Under Act 16 of 2016, section 2103(b)(1), no employer may discharge, threaten, refuse to hire or otherwise discriminate against an employee regarding compensation, terms, conditions, location or privileges solely on the basis of that employee's status as an individual certified to use medical marijuana. But section 2103(b)(2) says nothing in the act requires an employer to accommodate use on the premises, and it expressly does not limit an employer's ability to discipline an employee for being under the influence in the workplace or for working under the influence where conduct falls below the standard of care for that position. The act also does not require an employer to do anything that would put it in violation of federal law, which is why safety-sensitive and federally regulated roles are treated differently. Speak to an employment attorney about your own situation.

Can I fail a drug test with a medical marijuana card in Pennsylvania?

Yes. A Pennsylvania medical marijuana card does not stop THC showing up on a drug test, and Act 16 does not require an employer to ignore a positive result. What the law protects is your status as a certified patient — an employer cannot refuse to hire you or discipline you solely because you hold a card. Employers may still enforce drug-free workplace policies and may discipline you for being under the influence at work. Federally regulated roles, including commercial drivers, remain subject to federal rules regardless of state law.

Does a medical marijuana card show up on a background check in Pennsylvania?

No. Pennsylvania's medical marijuana registry is confidential and holding a card does not appear on a standard criminal background check. Note that caregivers, unlike patients, do have to complete a state background check as part of their own application.

What happens if my Pennsylvania medical marijuana card expires?

You lose the legal protection the card gives you until it is active again, and you cannot buy from a Pennsylvania dispensary in the meantime. There is no penalty fee and no higher price for letting it lapse — the $50 annual fee is the same whenever you pay it. To restore it you need a current patient certification from an approved practitioner and a paid annual fee. Because the Department of Health emails you 60 days before your certification expires and 30 days before the fee is due, the simplest way to avoid a lapse is to act on the first of those two emails.

Can I use my PA medical card the day it expires?

Yes, a Pennsylvania ID card is valid through its stated expiration date, so you can use it that day. After that date it is inactive and dispensaries cannot serve you until your certification and fee are current again.

Can I go to a dispensary before my Pennsylvania card arrives in the mail?

No. Pennsylvania requires the physical medical marijuana ID card to purchase at a dispensary, and the Department of Health is explicit that you can buy once you have received the card. Being certified and having paid the state fee is not enough on its own, so allow roughly three weeks between paying and your first dispensary visit.

How do I get my Pennsylvania patient number?

You get a patient number by registering yourself with the Pennsylvania Department of Health before your appointment, at padohmmp.custhelp.com. You will need a Pennsylvania driver's licence or PA state ID with your current address, since Pennsylvania requires patients to be state residents. The registry issues your patient number immediately on registration, and your practitioner needs it to file your certification, so complete this step first.

Can a minor get a medical marijuana card in Pennsylvania?

Yes. Pennsylvania has no minimum patient age, but a patient under 18 cannot hold their own card — a caregiver obtains medical marijuana on their behalf. Under 28 Pa. Code section 1191a.23(c) the caregiver for a minor must be a parent or legal guardian, or an individual designated by a parent or legal guardian. A patient may have up to two caregivers under section 1191a.25, and caregivers must be Pennsylvania residents, register for their own ID card and complete a background check.

How much can I buy with a Pennsylvania medical marijuana card?

Up to a 90-day supply, as set by your practitioner on your certification. Under Act 16 section 405 as amended by Act 44 of 2021, receipt of medical marijuana from a dispensary may not exceed a 90-day supply of individual doses, and during the last seven days of any 30-day period you may obtain and possess a 90-day supply for the next 30-day period. A dispensary cannot dispense a further 90-day supply until you have exhausted all but a seven-day supply. State regulations express the limit as 192 medical marijuana units. Medical marijuana is exempt from Pennsylvania sales tax.

Can you smoke medical marijuana in Pennsylvania?

No. Act 16 of 2016 section 304(b)(1) makes it unlawful to smoke medical marijuana in Pennsylvania. Dry leaf and plant form may be dispensed for vaporization under regulations adopted by the Department of Health, so inhalation is permitted by vaporizer but not by combustion. Section 303(b)(2) also allows pill, oil, topical, tincture and liquid forms, and section 304(c) permits a patient or caregiver to incorporate medical marijuana into edible form themselves to aid ingestion. Using medical marijuana outside what the act permits is treated as a violation of the Controlled Substance, Drug, Device and Cosmetic Act.

Can I buy from a dispensary without a medical card in PA?

No. Adult-use cannabis is not legal in Pennsylvania, so a medical marijuana ID card issued by the Department of Health is the only lawful route to buy from a Pennsylvania dispensary. Pennsylvania also does not operate a visiting-patient or reciprocity scheme: patients must be Pennsylvania residents, and the provision of Act 16 that once dealt with medical marijuana from other states, section 2106, has expired.

Can I own a gun if I have a medical marijuana card in Pennsylvania?

This is a federal question, not a Pennsylvania one, and it is unsettled. The Pennsylvania State Police say only that possessing a medical marijuana card and using medical marijuana can result in a federal firearms prohibition, and direct questions about eligibility to qualified legal counsel — they do not assert a state ban on holding a licence to carry. At federal level, ATF Form 4473 question 21.f asks whether you are an unlawful user of marijuana, and answering it untruthfully is a federal crime. State-licensed medical cannabis moved to Schedule III in April 2026, and a revision to Form 4473 has been drafted but is not final, so the position may change. Speak to an attorney about your own circumstances before relying on any of this.

Is it hard to get a medical marijuana card in Pennsylvania?

The process is straightforward but it has four steps and one of them has a deadline. You register with the Pennsylvania Department of Health to get a patient number, get certified by an approved practitioner for one of the 24 serious medical conditions, pay the $50 annual fee within 60 days of your certification being submitted, and wait roughly three weeks for the card to arrive. The certification appointment itself is done online and takes minutes. The step people miss is the 60-day payment deadline: let it pass and the certification expires and has to be obtained again.

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Content reviewed by Dr. Gavin Moreland
Last updated: Sept 4, 2026