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Montana medical marijuana card, in short: To get a medical marijuana card in Montana you need to be a Montana resident with one of 13 qualifying conditions, get a written certification from a Montana-licensed physician online, then register with the DPHHS for $20. A Leafwell appointment is $129, so $149 total, and your card lasts up to a year.

Who qualifiesMontana residents aged 18+ with one of 13 conditions named in state law, including cancer, glaucoma, HIV/AIDS, severe chronic pain, PTSD, epilepsy, multiple sclerosis and Crohn’s disease. Under-18 patients apply with a custodial parent or legal guardian. Montana has no catch-all condition, so anxiety alone does not qualify.
Cost$129 for the Leafwell appointment, charged only if you are approved, plus a $20 non-refundable state registration fee — $149 total. Renewal costs the same. A replacement card is $10.
How long it lastsUp to one year from your approval date, or less if your physician specifies a shorter period.
Online or in personEntirely online. Montana law expressly permits certification by telemedicine for new patients as well as renewals — but not by an audio-only call unless you have already been seen in person, so plan for a video visit.
Why bother if cannabis is already legal hereA card means 4% tax instead of 20%, legal access from age 18 instead of 21, 4 mature plants plus 4 seedlings at home instead of 2 and 2, and a 5-ounce possession allowance allowance you can petition the state to raise.

The key benefits of a medical marijuana card in Montana

  • Save up to 16% on products

  • Enjoy legal protections for housing

  • Access higher-potency cannabis products

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

  • Cultivation

  • Higher possession

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4 easy steps to get your MT medical card

Get approved in minutes using Leafwell’s online platform.

  1. 1. Sign up

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


  2. 2. Get your certification

    Once approved, you will receive your digital physician’s statement immediately.


  3. 3. Submit your certification

    Submit your physician’s statement and complete the application in the TransAction Portal (TAP). There is a $20 fee.


  4. 4. Get your card

    Print a temporary card to use immediately and receive a card in the mail within 60 days.


A few more questions about the process?

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

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How much does the Montana medical cannabis card cost?

A Montana medical marijuana cardholder can save more with Leafwell. Get your money back if not approved.

label New with Leafwell Renewal with Leafwell
Medical marijuana certificate$129$129
State application fee$20$20
Total$149$149
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How to qualify for a Montana medical cannabis card

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With Leafwell, you'll be matched up with a highly knowledgeable, empathetic, licensed medical marijuana doctor or provider.

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3 documents needed to apply for a Montana medical marijuana card

  1. Medical Marijuana Recommendation
    Once approved, you must download your physician’s statement and complete the state application on the Montana TransAction Portal (TAP) within 60 days.
  2. Proof of Identity
    You will need a government-issued photo ID. Accepted forms of identification are a Montana driver’s license, state ID card, or Montana Tribal ID.
  3. Medical Records (Minor Patients Only)

During your onboarding with Leafwell, you may upload medical records supporting your qualifying condition(s). Minor patients must provide medical records to be eligible, according to the Montana Medical Marijuana Act.


Next steps after approval

Congratulations on getting approved for your medical certification.

Per state regulations, you must complete the state side of the application process within 60 days of receiving your physician statement!

Here’s a guide to what you need to do next.

Before you start, have the following ready:

  • Photo of applicant
    • The style should be similar to a driver’s license or passport photo
    • Clear, in color, 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.  All four pages are required.)
    • Minors need the approval of two physicians

Getting Your Montana Medical Marijuana Card

  1. Access the TransAction Portal (TAP).
  2. Scroll down to the Cannabis Control Card section and click “Apply for or Manage a New Medical Marijuana Card.”
  3. In the Medical Marijuana Registry section, click “”Apply for a New Medical Marijuana Card.””
  4. You should now be on the application type screen. Select either Adult Application or Minor Application. Click the “Next” button.
  5. Complete the Cardholder Application. It contains required data fields, question responses, and document uploads.
    1. Click “”Address needs to be verified“” to verify the location of your address and the physician’s address.
  6. Pay the state application fee of $20. You can do this via credit, debit, or ACH. Applicants can also mail in a check or money order, or deliver cash, check, or money order.
    1. Pay online:
      1. Log in to TAP, locate your Cannabis License Account, and select Make a Paymentor
      2. Visit TAP and select Make a Payment in the Quick Links section.
      3. Pay by e-check (free) or credit card (will include additional transaction fees).
    2. Pay by telephone:
      1. Call the state at (406) 444-6900.
      2. You will need your Montana Account ID and bank or credit card information.
      3. Pay by e-check (free) or credit card (will include additional transaction fees).
    3. Pay by check:
      1. Make check payable to the DPHHS.
      2. Write your Montana Account ID on the memo line of your check. Please remember to sign the check.
      3. Mail your payment to:
        DPHHS
        P.O. Box 6309
        Helena, MT 59604-6309
  7. Once submitted, you will gain access to a temporary card that can be printed out directly from the submission confirmation screen – it is not valid in digital form.
    1. The temporary card expiration date is initially set to a maximum of 60 days. Once a Cardholder Application is approved, that expiration date changes to ten (10) business days from the date of approval to allow time for your cardholder registry identification card to arrive in the mail.
    2. If you need to download and print your temporary card at a later time, you can retrieve your application at Search for an Existing Submission. You will need your email address and retrieval code.
  8. You will receive an email notification from the state when you are fully approved or if there is a problem with your application. Rejected applications can be corrected and resubmitted.
  9. Approved patients receive a physical medical card, from the state, via mail.

Additional Resources:

Please note: You have 60 days from the date of your certification to complete the state application. Failure to do so may result in additional fees.


How to renew your card

Looking to make a medical marijuana card renewal? Here’s what you can expect:

  1. Sign in to Leafwell or register as a renewal patient if you’re new to Leafwell.
  2. Speak to one of our Montana-licensed medical marijuana doctors online.
  3. Get approved and download your doctor’s renewal certificate.
  4. Renew your card through the TransAction Portal (TAP). Under the “Cannabis Control” section, select “Apply for or Manage a Medical Marijuana Card” and then “Renew an Existing Card.”
  5. Complete the renewal application and pay the state’s $20 fee.
  6. Download and print your temporary card to use immediately. Your new physical card will arrive in the mail once your application is approved.

Next steps after renewal

Here’s a guide on how to complete your renewal application with the Montana Cannabis Control Division.

The state recommends that renewal applications be submitted at least 30 days prior to expiration to allow for sufficient review and processing time.

Per state regulations, you must complete the state application within 60 days of your physician’s approval for renewal.

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 color, 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

Renewing Your Montana Medical Marijuana Card

  1. Renew through the TransAction Portal (TAP).
  2. Scroll down to the Cannabis Control Card section and click “”Apply for or Manage a New Medical Marijuana Card.””
  3. In the Medical Marijuana Registry section, click “”Renew an Existing Card.””
  4. Select either Adult Application or Minor Application.
  5. Complete the application.
  6. Pay the state fee of $20.
    1. You can do this via credit, debit, or ACH.
  7. Once submitted, you will gain access to a temporary card which must be printed out – it is not valid in digital form.
  8. Once your application is approved, you will receive your new medical cannabis card in the mail.

Please note: You have 60 days from the date of your certification to complete the state application. Failure to do so may result in additional fees.


Legal limitations for MT cardholders

  • Public consumption is not allowed: There are restrictions on where a medical marijuana cardholder can consume marijuana products, according to the Montana Medical Marijuana Act. These restrictions also apply to recreational marijuana use. Per Montana medical marijuana law, consumption 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.
  • Employee protections: Both recreational marijuana 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.
  • Higher possession limits for patients: The medical marijuana law in Montana gives medical marijuana patients the ability to purchase and possess higher amounts of usable marijuana. Specifically, registered cardholders can purchase up to 5 oz of marijuana flower for medical use monthly (and 1 oz of marijuana flower daily). Recreational cannabis users are only allowed to possess 1 oz of usable marijuana.
  • Cultivation is legal: Cultivation is legal for Montana residents who are either patients with qualifying conditions and recreational users. Cardholders can grow up to four mature plants and four seedlings, whereas recreational users can grow no more than two mature plants.
  • Telehealth is legal: Patients in Montana may receive evaluations and recommendations via telemedicine. This makes it legal for patients to obtain a certification through Leafwell.
  • Some hemp derivatives are illegal: While marijuana and hemp-based CBD are legal in Montana, synthetic cannabinoids like delta-8delta-10, and HHC are not.

How to become a caregiver in Montana

There technically isn’t a Montana medical marijuana program for caregivers. However, patients may designate up to two designated purchasers to acquire and deliver marijuana products from a medical marijuana dispensary when they apply for a new MMJ card or a medical marijuana card renewal.

Minor patients will require a custodial parent or legal guardian with responsibility for health care decisions to consent to the use of marijuana by the minor.

Caregiver (Designated Purchaser) Requirements:

  • All designated purchasers must be 21 years of age or older.
  • Designated purchasers can be patients with a qualifying medical condition themselves.
  • Recreational cannabis use is not a disqualifying condition.
  • 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. These designated purchasers may be added during the initial application or upon subsequent annual renewal applications. For designated purchasers to make purchases on behalf of registered cardholders, the designated purchasers must be in possession of the medical card.

Caregiver (Designated Purchaser) Registration:

  • Patients 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 state application fee for having a designated purchaser.
  • Designated purchasers may be added during the initial application or upon subsequent annual renewal applications.

Can you use a Montana medical card in other states?

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.

States that will recognize the medical card of Montana cannabis patients include:

  • Arizona
  • Arkansas *
  • Delaware
  • Hawaii *
  • Louisiana
  • Maine
  • Michigan (at the dispensary’s discretion)
  • Nevada
  • New Hampshire
  • New Mexico
  • Oklahoma *
  • Puerto Rico
  • Rhode Island
  • U.S. Virgin Islands *
  • Utah * (up to two 21-day periods in a calendar year)
  • Washington, D.C.

*Visitors must complete a visiting patient application with the Montana marijuana program.


Minor patient information

Minor patients need a caregiver, known in Montana as a designated purchaser. Designated purchasers for minor patients must be 21 or older and must be the patient’s parent or legal guardian.


FAQs

Discover answers to frequently asked questions about medical marijuana in Montana.

What are the requirements to get a medical card in Montana?

You must be a Montana resident, have one of the debilitating medical conditions named in Montana law, and get a written certification from a Montana-licensed treating or referral physician. You then apply to the Montana Department of Revenue through the TransAction Portal with proof of Montana residency, a passport-style photo taken in the last six months, your Physician Statement dated within the last 60 days, and a $20 non-refundable fee. Patients aged 18 and over apply as adults; under-18 patients apply with a custodial parent or legal guardian and need a second physician's certification unless their physician is an oncologist, neurologist or epileptologist.

How much does a medical marijuana card cost in Montana?

A Leafwell telehealth appointment costs $129 and you are only charged if you are approved. The Montana Department of Revenue charges a separate $20 non-refundable registration fee for a new card or a renewal, and $10 for a replacement card. Total out of pocket is $149 for a card valid up to one year. The $20 goes to the state, not to Leafwell.

Do you need a medical card to buy from a dispensary in Montana?

No, but a card changes what you pay and what you are allowed to do. Adults aged 21 and over can buy from adult-use dispensaries in Montana without a card. A registry identification card lets you buy from the medical side at 4% tax instead of the 20% adult-use rate, lowers the minimum age from 21 to 18, doubles what you can grow at home to 4 mature plants and 4 seedlings, and gives you a 5-ounce monthly purchase allowance that you can petition the Department of Revenue to increase. The possession limit itself is 1 ounce either way.

What disqualifies you from getting a medical marijuana card in Montana?

Three things. You cannot register if you are not a Montana resident, because Montana has no visiting-patient or non-resident route at all. You cannot register if your condition is not one of the debilitating medical conditions named in Montana law — Montana has no catch-all provision. And under MCA 16-12-508(5) you cannot be a registered cardholder while you are in the custody of, or under the supervision of, the Montana Department of Corrections or a youth court. A past criminal conviction on its own is not a bar to holding a patient card.

Can non-residents get a medical marijuana card in Montana?

No. Montana does not recognise medical marijuana cards issued by other states, and unlike some states it offers no visiting-patient registration either — proof of Montana residency is a statutory requirement for a registry identification card. Visitors aged 21 and over can still buy from Montana's adult-use dispensaries, at the 20% adult-use tax rate and the 1-ounce possession limit. Your Montana card will likewise not be recognised in other states unless that state operates its own reciprocity or visiting-patient process.

Can you smoke marijuana outside in Montana?

Generally no. Montana law prohibits consuming marijuana in a public place and on trains, buses and other public transport, and bars using marijuana anywhere smoking tobacco is prohibited. It is also prohibited on the grounds of any preschool, school or postsecondary school, in a school bus, in a health care facility, on the grounds of any correctional facility, in a hotel or motel room unless that room is a designated smoking room, and in a vehicle, aircraft or motorboat that is being operated, including in the passenger seat. Holding a registry identification card does not create a right to consume in public. A property owner may also prohibit marijuana on property they own, lease or manage, although a lease signed after 1 January 2021 cannot stop a tenant lawfully consuming by means other than smoking.

How much can I buy at a dispensary in Montana with a medical card?

A registered cardholder may buy up to 1 ounce of usable marijuana a day and no more than 5 ounces a month, and may petition the Department of Revenue for a higher monthly limit if their physician confirms their condition warrants it. These are daily and monthly limits, not per-transaction limits. Separately, the amount you may possess at any one time is 1 ounce of usable marijuana, of which no more than 8 grams may be in concentrated form and no more than 800 milligrams of THC may be in edible products meant to be eaten or swallowed in solid form. That 1-ounce possession limit is the same for cardholders and for adult-use customers.

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

You can usually complete the Leafwell telehealth appointment the same day and receive your written certification immediately on approval. Once you submit your state application and the $20 fee in the TransAction Portal you can print a temporary card straight away — it must be printed, as a digital copy is not accepted. The Department of Revenue notifies you by email when your application is approved and mails your physical card. Your application must reach the Department within 60 days of the date on your Physician Statement.

What are the qualifying conditions for a medical marijuana card in Montana?

Montana law names these debilitating medical conditions: cancer, glaucoma, positive status for HIV/AIDS, cachexia or wasting syndrome, severe chronic pain, intractable nausea or vomiting, epilepsy or an intractable seizure disorder, multiple sclerosis, Crohn's disease, painful peripheral neuropathy, a central nervous system disorder resulting in chronic painful spasticity or muscle spasms, admittance into hospice care, and post-traumatic stress disorder. The treatment of cancer, glaucoma or HIV/AIDS also qualifies. Montana has no catch-all provision, so a condition not on this list does not qualify.

Can I get a medical card for anxiety in Montana?

No. Anxiety on its own is not a debilitating medical condition under Montana law, and Montana has no catch-all provision that lets a physician certify an unlisted condition. Post-traumatic stress disorder is a named qualifying condition, so a PTSD diagnosis can qualify you even though anxiety alone cannot.

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

Montana law does not restrict firearm ownership because you hold a registry identification card, but federal law is the problem. Federal law bars an unlawful user of a controlled substance from buying or possessing a firearm, and the federal firearms transaction form asks buyers directly about marijuana use. The April 2026 move of state-licensed medical cannabis to Schedule III did not resolve this, and the revised federal form addressing it remains in draft. Speak to an attorney about your own situation before relying on either rule.
Content reviewed by Dr. Gavin Moreland
Last updated: Sept 18, 2026