- A Montana medical card can save you more than 15% on every marijuana purchase.
- See a healthcare provider on your schedule.
- Pay only $149 for your appointment — and get your money back if not approved!
Get Approved in Minutes
Apply for Your Montana Medical Marijuana Card

How to Get a Montana Medical Marijuana Card Online
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.
2
Discuss Medical Marijuana with your Doctor
Speak with a certified physician, licensed in Montana state. Leafwell has an experienced team ready to meet with you. This consultation fee is $149 for an examination. The process is quick, simple and HIPAA-compliant. Most appointments take 15 minutes or less.
3
Receive Your Medical Cannabis Certificate Submit your Application to the State Website
You will need to submit your doctor’s certificate and personal information and proof of identification to the Montana state website. During the application, you will need to state whether you plan to grow your own cannabis or shop at a dispensary – you cannot do both.
4
Get Your Card and Buy Your Medicine
You can print out a temporary access certificate and shop immediately at any Montana dispensary. A card will be mailed to you within 30 days from the Montana state program.
Benefits of Having a Medical Card in Montana
While adult-use cannabis is legal in Montana, many benefits are afforded solely to medical marijuana cardholders. Both adults 21 and older and registered cardholders may possess up to one ounce of usable marijuana at a time. However, adult-use products may not exceed 35% total THC per dry flower weight, with other potency limits on different product types. This means medical users have access to higher-potency medicine than adult-use consumers.
Medical users also only pay a 4% sales tax on cannabis products, while recreational users pay 22% in total taxes.
Eligibility Requirements
Patients must be aged 18 or over and reside in the state to qualify for a Montana medical marijuana card for themselves.
Can Minors Get a Medical Card in Montana?
Minors who need medical marijuana or those older than 18 but cannot access cannabis for themselves need a caregiver, known in Montana as a “designated purchaser.” Designated purchasers must be aged 21 or over and, in the case of a minor, be the patient’s parent or legal guardian.
Caregivers
Caregivers in Montana must register as a “designated purchaser.” Caregivers must be aged 21 or over. The patient will register their designated purchaser(s) in their online application.
Designated purchasers will also need to provide proof of identity and residency. Acceptable documentation includes a driver’s license, state identification card, birth certificate, passport, etc.
Medical Conditions
Here are the medical conditions which qualify for an MMJ ID Card in Montana:
- AIDS/HIV
- Cachexia or Wasting Syndrome
- Cancer
- Chronic Pain, Muscle Pain and Other Types of Pain
- Crohn’s Disease
- Glaucoma
- Multiple Sclerosis (MS)
- Nausea & Vomiting
- Palliative Care (Admittance Into Hospice)
- Peripheral Neuropathy (PN)
What You’ll Need to Apply
You must show some identification documents to apply for your MMJ Card in Montana. You should gather together the following:
- Photo ID, such as a driver’s license, valid U.S. passport, or state-issued ID
- Two proofs of address, such as a bank statement, utility bill, or rental agreement
- Medical records; these aren’t required, but they’re helpful for practitioners to understand your medical history and situation better.
Costs
The consultation with a Montana registered practitioner via Leafwell’s HIPAA-compliant online consultation service is a one-off fee of $149. However, you will only be charged if you qualify for an MMJ Card and our practitioner your certificate.
Upon receiving your certificate, you can submit your application to the Montana government. The application fee, payable to the state, is $30. The application cost for a Montana caregiver application is $25.
Leafwell also offers renewal services from $149.
Because cannabis is federally illegal, insurance companies will not cover any costs incurred from applying for a medical marijuana card.
Medical Marijuana Reciprocity
Patients from other states must register with the DPHHS and are not offered reciprocity in Montana. Legal protections for qualified patients are limited to Montana registry ID cardholders. If you are a medical marijuana patient from out-of-state, Montana’s medical marijuana laws do not protect you.
Other states that have either legalized the recreational use of marijuana or recognize out-of-state medical marijuana cards include:
- Arizona
- Alaska ^
- Arkansas *
- California ^
- Colorado ^
- Connecticut ^
- Delaware ^
- Guam
- Hawaii *
- Illinois ^
- Maine
- Maryland ^ (as of July 2023)
- Michigan (qualifying state must also have reciprocity with Michigan)
- Missouri ^
- Montana
- Nevada
- New Hampshire
- New Mexico * (recreational cannabis is legal in NM)
- Oklahoma *
- Oregon ^
- Pennsylvania (minors only)
- Puerto Rico
- Rhode Island
- U.S. Virgin Islands *
- Utah (max. 45 days, after which the patient must apply for a Utah MMJ card)
- Vermont ^
- Virginia ^
- Washington ^
- Washington D.C.
States marked with * require visitors to complete a visiting patient application for their stay.
States marked with ^ have adult use programs but do not accept out-of-state cards.
Where to Buy Medical Marijuana in MT
In all states with an MMJ program, the only way to purchase medicinal marijuana products is via a legally-licensed medical dispensary or pharmacy or another legally designated space to buy medicinal cannabis. Only those with a legal license to sell medicinal cannabis in Montana can do so.
Cultivation
Montana cardholders or their designated purchaser (caregiver) must notify the state of their intent to cultivate on the application form. If the cardholder has not named a designated purchaser, the cardholder may possess up to four mature plants, four seedlings, and the amount of usable marijuana allowed by the department by rule (one ounce of usable cannabis).
Those who intend to grow their own cannabis on a rented or leased property must include a Property Owner Permission Form in their application. This can be obtained on the MT state website.
Montana Medical Marijuana Laws to Know
There are restrictions on where MMJ cardholders and recreational cannabis users can consume marijuana. Per Montana marijuana laws, use is not permitted in:
- Healthcare facilities
- Schools or post-secondary schools
- Any property owned or leased by a school or post-secondary school
- School bus or public transit
- Public parks, beaches, and rec/youth centers
- Places of worship
- The open public
- Any location where children’s health could be affected
Both recreational users and medical patients benefit from employee protections regarding their use of cannabis. While employers can still have workplace drug tests, recent laws passed suggest that there may be some protections for medical marijuana patients protecting off-work use.
Employers may still prohibit employees from possessing or consuming cannabis at the workplace. Employers may also take adverse action against employees if their off-duty marijuana use:
- Affects employees’ ability to perform their jobs correctly or affects the safety or responsibilities of others in the company
- Conflicts with a bona fide occupational qualification that is reasonably related to the employee’s employment
- Violates a personal service contract with an employer
- Conflicts with the nature of a non-profit organization and its objectives, whose objectives include discouraging the use of marijuana
Frequently Asked Questions
How much does a Montana Medical Marijuana certificate and card cost?
An online consultation with a licensed healthcare provider for a Montana medical marijuana card costs $149 with Leafwell. Patients must also pay a separate $20 fee with their state application to the Montana Cannabis Control Division.
Here’s an overview of the fees:
- $149 Initial certificate from Leafwell
- $149 Renewal certificate from Leafwell
- $298 Minor certifications (includes two certificates)
- $20 State application fee*
The consultation fee includes a 1-year certification, and you’ll only be charged if approved. Plus, now you can sign up with a friend and each save 10% on your consultation with Leafwell.
*State fees are not included with Leafwell fees and are paid directly to the state.
What medical conditions qualify for a Medical Marijuana Card in Montana?
In Montana, the following conditions may qualify you for a medical marijuana certificate and card:
- Cachexia or Wasting Syndrome
- Cancer
- Crohn’s Disease
- Epilepsy
- Glaucoma
- Intractable Nausea or Vomiting
- Intractable Seizure Disorder
- Multiple Sclerosis (MS)
- Painful Peripheral Neuropathy
- Post-Traumatic Stress Disorder (PTSD)
- Severe Chronic Pain
- A central nervous system disorder resulting in chronic, painful spasticity or muscle spasms
- Admittance into hospice care in accordance with rules adopted by the department
How does the online evaluation process work for getting a Medical Marijuana certificate Letter/Medical Certificate in Montana?
There are three simple steps to seeing a Leafwell provider in Montana to obtain your medical marijuana card:
1. Create a Leafwell account using a valid email address and choosing a password. You’ll then be asked to complete a brief questionnaire of personal and health information and to either take or upload a photograph of identification (Leafwell is required by law to verify your identity). You will need a smartphone, computer, or tablet with a reliable internet connection and a working camera to be seen by a Leafwell provider.
2. Next, you will be taken to the virtual waiting room where you’ll be connected Leafwell provider for a video chat (i.e., a virtual doctor’s visit). (You will receive a text message to your cell phone when the provider is ready to see you.) During the video chat, the provider will assess your health situation to determine if you qualify for a medical marijuana certification.
3. Submit your doctor’s certificate and information to the State website. If you are approved for a medical marijuana card, you’ll be sent a copy of your certificate letter via email. You choose whether you want to grow your medical cannabis or choose a dispensary. You cannot do both. Whether the new recreational laws will affect this ruling, we cannot say for definite as of yet.
How old do I have to be to apply for a Medical Marijuana Card in Montana?
You must be at least 18 years of age in order to apply for a Medical Marijuana Card in Montana. Caregivers must be 21 years of age.
Can I be/have a caregiver for a medical marijuana patient in Montana?
Yes, medical marijuana patients in Montana can have a caregiver, but they are called designated purchasers instead of caregivers.
Caregiver (Designated Purchaser) Requirements:
- All designated purchasers must be 21 years of age or older.
- Designated purchasers can be a patient themselves.
- Designated purchasers cannot have a felony drug conviction.
- A Consent to Fingerprint Form is only required for the legal guardian of a minor applicant who will cultivate marijuana for the minor.
- Cardholders may designate up to two individuals to make purchases of medical marijuana on their behalf.
- The designated purchaser must be in possession of the patient’s medical card to purchase on the patient’s behalf.
Here’s how the designated purchaser process works:
- Designated purchasers may be added during an initial application or upon subsequent annual renewal applications.
- The patient must complete Step 6 of the online registration form with their designated purchaser(s) information. Once fully approved, they will receive a card as well.
- There is no fee for having a designated purchaser.
State Resources:
How do I apply for the state program in Montana?
Before you start, have these supporting documents ready:
- Photo of applicant
- The style should be similar to a driver’s license or passport photo
- Clear, in colour, neutral background
- From shoulders up, facing the camera
- No hats, face masks, sunglasses
- Taken within the last six months
- Proof of Montana Residency
- Montana driver’s license, Montana state or tribal identification card, voter registration form, Montana hunting or fishing license, etc.
- Your Physician statement from Leafwell (dated within 60 days)
- Minors need approval of two physicians
Getting Your Montana Medical Marijuana Card
- Register as a new user through the TransAction Portal
- Click Apply for a New Medical Marijuana Card
- Note: renew your card here next year too
- Note: you can request a replacement if your card is lost or damaged here too
- Select either Adult Application or Minor Application
- Complete the application
- Pay the state fee of $20
- You can do this via credit, debit or ACH
- Once submitted, you will gain access to a temporary card which can be printed out – it is not valid in digital form
- Once your application is approved, you will receive your medical cannabis card from the Montana state in the mail
Note: applications must be submitted within 60 days of the date of your consultation with a Leafwell physician
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