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How to Get a Medical Card in Missouri.

  1. 1

    Register online with Leafwell

    It’s quick and easy! Plus all of your data and medical records are secure on our state-of-the-art telemedicine platform. Leafwell has an experienced team ready to meet with you. This consultation fee is $125 for an examination.

  2. 2

    Discuss Medical Marijuana with your Doctor

    Attend your online MMJ consultation and get approved. The process is quick, easy and HIPAA-compliant. Most appointments take 15 minutes or less. Once approved, the physician will submit your details electronically to the state.

  3. 3

    Complete the application via the Missouri DHSS website online

    This must be done within 30 days of getting approved. You will use your SSN to match your application with the submitted physician certificate. The department will either approve or deny the application within 30 days of receipt of the completed application.

  4. 4

    Get a Card from the State of Missouri

    Missouri issues an electronic medical cannabis card two to three business days after approval.

    Once you have your card, you can log into the Missouri Medical Marijuana Portal for more information at any time. Please note that the state issues you with an electronic medical marijuana card – Leafwell will not send you anything. Your card will be valid for three years.

Benefits of Getting a Missouri Medical Card

While recreational (adult-use) is now legal in Missouri, there are still many benefits to being a medical cannabis cardholder:

  • Pay just 4% tax on products.
  • Allows you to possess up to six ounces of cannabis per month.
  • Medical cannabis card holders can grow up to six flowering marijuana plants, six nonflowering marijuana plants (over 14 inches tall), and six clones (plants under 14 inches tall) at any given time in a single enclosed facility. This requires approval for a separate Patient Cultivation Card.

The biggest benefit of having a medical card in Missouri is employment protection. Amendment 3, passed in November 2022, says that employers cannot discriminate against employees with medical marijuana cards who lawfully use cannabis during their off hours away from the workplace.

About Medical Marijuana in Missouri

Missouri passed legislation for the medical cannabis program in 2018, and it was rolled out over the following year. With Leafwell, getting your Missouri medical marijuana card online is quick, easy, and HIPAA-compliant. This online application process came into effect in 2019 when medical marijuana was legalized in Missouri. Our telemedicine platform allows for a seamless and hassle-free application process from the comfort of your home.

2018 – The Medical Marijuana Program in Missouri was approved on November 6th, 2018.

July 2019 – Applications for medical marijuana start being processed. The state announces it will have 30 days from the patient’s application to decide whether the patient qualifies for medical cannabis.

August 2019 – The state will evaluate who qualifies for growing/cultivation, infusion, dispensary, and distribution licenses.

October 2020 – Medical cannabis is now legal to purchase for qualifying patients of Missouri.

November 2022 – Missouri residents voted to legalize the recreational use of marijuana. Amendment 3 allows Missourians to possess up to six ounces of cannabis with a medical card and three ounces without. It also:

  • Changes the expiration dates of medical cards. All medical marijuana cards are now valid for three years instead of one.
  • Employment protections to prevent discrimination if medical cannabis is used during non-work hours away from the worksite.
  • Missouri residency is no longer required to apply.
  • Nurse practitioners can now certify patients.
  • The cost to apply to grow cannabis will decrease from $100 to $50.

The new law also allows non-incarcerated individuals with non-violent marijuana charges to have their records reviewed and possibly have their convictions expunged.

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How to qualify

Patients must be aged 18 years old or over in order to qualify for a medical marijuana card and obtain a physician’s certificate for themselves in Missouri.

Previous convictions for possession do not disqualify an individual from applying for and successfully obtaining an MMJ ID Card. However, the card may be revoked for certain criminal conduct which occurs after the card has been issued.

There are dispensaries licensed across Missouri in all of the major counties which are ready to provide this vital service to individuals across the state holding a valid MMJ card.

Cities in Missouri cannot ban medical marijuana dispensaries, but they can limit where and what hours they operate so check in your local area before visiting.

  1. Information for caregivers

    • Caregivers must be at least 21.
    • Those under 18 must have a designated primary caregiver for medical cannabis and cannabinoid-based medications (although this may not necessarily be the case for the FDA-approved Epidiolex).

Medical Conditions

According to Missouri law, the following debilitating conditions may qualify you for a medical marijuana card:

Possession and Growing

Medical marijuana cardholders can have up to six ounces every 30 days.

The Department of Health may limit the amount of marijuana possessed, provided the limit is not less than 60 days’ supply.

Two physicians must sign the patient’s recommendation/certification for amounts greater than the possession limit. Cannabis is not available for recreational use in Missouri.

You can grow cannabis but must apply for a Patient Cultivation Card and your MMJ card. It costs $50 for a Patient Cultivation Card.

Medical cannabis card holders can grow up to six flowering marijuana plants, six nonflowering marijuana plants (over 14 inches tall), and six clones (plants under 14 inches tall) at any given time in a single enclosed facility.

If the patient has a caregiver, only one individual needs to apply for and obtain a cultivation license.

Only medical cannabis patients are permitted to grow cannabis plants in Missouri at this moment in time.

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Medical Marijuana patients in Missouri can have a caregiver.

  1. 01

    Caregivers must be 21. Caregivers fill out their own application form and must also be listed on the patient’s application form. The Caregiver must register with the Missouri Department of Health and Senior Services (DHSS).

  2. 02

    The Caregiver must also give proof of identity and address in order to get a Caregiver Card. The Caregiver fee is $25.

  3. 03

    Caregivers cannot use cannabis for themselves unless they have their own medical marijuana card, physician’s certificate and a qualifying condition.


There is no reciprocity between Missouri’s Medical Marijuana Program (MMMP) and other state medical marijuana programs.

Individuals licensed in another state do not automatically qualify for a license in Missouri. However, Missouri now has no proof-of-residency requirement when applying for a medical card.

Missouri Cannabis Laws
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Frequently asked questions in Missouri

How much does a Missouri medical marijauna certificate and card cost?

You must pay two separate fees to get a Missouri medical marijuana card. First, you must pay for your appointment with a prescribing physician. This certification appointment is $125 with a Leafwell provider. Then you must pay the State of Missouri a $25 application fee.

Missouri medical marijuana cardholders can also grow their own cannabis plants with a Patient Cultivation Card that includes a $50 application fee.

What medical conditions qualify for a medical marijuana card in Missouri?

In Missouri, the following conditions may qualify you for a medical marijuana certificate and card:

What do I need to know about applying online for my medical cannabis card in Missouri?

There are four simple steps to seeing a Leafwell provider in Missouri to obtain your medical marijuana card online:

  1. Register with Leafwell and speak to a Missouri-licensed physician online.
  2. Once approved, the doctor submits your recommendation details directly to the state.
  3. Complete the state-side of your approval by registering with Missouri Medical Marijuana Program.
  4. Once the state approves, download and print your card and legally purchase cannabis from a licensed dispensary.
How old do I have to be to apply for a medical marijuana card in Missouri?
Can I be/have a caregiver for a medical marijuana patient in Missouri?

Yes, medical marijuana patients in Missouri can have a caregiver. Missouri’s medical marijuana program allows patients to have a registered caregiver. A caregiver will be allowed to purchase medical marijuana products for patients that they have been linked to in the case of patients being unable to travel to purchase products themselves.

A caregiver is also required for any patient under 18; in this event, a parent or legal guardian must obtain a caregiver ID to purchase medical marijuana for a minor.

​Missouri has clarified patients can have two caregivers that can assist them to purchase medical marijuana. Caregivers can have up to three patients.

​The following criteria are required for an individual to register as a caregiver in Missouri:

  • Must be at least 21;
  • Responsible for managing the well-being of a qualified patient; and
  • Designated on the primary caregiver’s application for an identification card or written notification to the Department.

The Missouri Department of Health & Senior Services has stated that the application process is online, and the application fee to the state for a caregiver ID has been marked at $25. Payment methods will be made with a debit or credit card.

​Application forms and instructions are available now for qualified patients and their caregivers. The entire application process will be online. To apply as a caregiver, follow this process:

  1. Patients must fill out the form, listing their caregiver on the form. The forms are available here: Missouri Caregiver medical marijuana card instructions can be found here.
  2. The caregiver will need to fill out their own application form and a Parent/Legal Guardian Consent Form for patients under 18.
  3. The patient will need to have a physician’s medical cannabis certificate.
  4. Once approved, the patient and caregiver receive a medical marijuana identification card.
How do I apply for the state program in Missouri?

To apply for the state program, you must first register for a patient/caregiver account with the State of Missouri and then submit an application for a Missouri medical marijuana license.

How to register for a patient/caregiver account: 

  1. Navigate to the Registry website at:
  2. In the top right corner of the Sign In page, click ‘Register.’
  3. Complete the provided form by entering your Legal First Name, Legal Last Name, Email Address, and Phone Number. Be sure to select the type of application you want. Enter your Social Security Number and Date of Birth and make sure they are correct before registering.
  4. Read the Terms and Conditions and check the box. Click “I’m not a robot,” follow the prompts, and click Register.

How to complete and submit an application for a Missouri medical marijuana license:

  1. Navigate to the Registry website at:
  2. Enter your Username (email) and Password.
  3. Check the Accept Terms and Conditions box.
  4. Click “I’m not a robot.” If a pop-up window appears, follow the prompts, and click Verify.
  5. Click Sign In.
  6. Click Create New Application.
  7. For the Application Type, click the “I am a” drop-down box and select Patient.
  8. If you are a new patient, select New Patient Registration. If you are renewing an application, select Patient Renewal. Click Create Application.
  9. Click on the Physician/Condition Information Tab.
  10. Under Recommendation Type, click the drop-down, and select Electronic Certification.
  11. A green box will appear to the right labeled View Available Certifications. Click the green box.
  12. A pop-up will appear listing all available physician certifications linked to the applicant’s social security number and date of birth. Choose the electronic form and click ‘Update’. The information submitted by the certifying physician will auto-populate into the application.

    Once the electronic form is selected and appears in the application, applicants need to click Save and Next to continue completing the application.

    Applicants submitting an electronic physician certification form with their patient application are not required to submit an upload of their form. This category on the Documents Tab will disappear when an electronic form is attached to an application.

  13. Suppose a tan box indicates that No Physician Certification was found. In that case, either the physician has not submitted an electronic form or the information submitted with the electronic form is incorrect. To correct the errors, please contact Leafwell first to determine if the error is within the electronic form or within their account, and then contact the Department.
  14. To learn how to complete the rest of the application, please visit the Application Video Guides tutorial page available on the Missouri Department of Health website.