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How to Get a Medical Card in Puerto Rico

  1. 1

    Register Online with Leafwell

    Register with Leafwell and speak to a healthcare provider licensed in Puerto Rico. The cost for your appointment is $99, and you must be 21.

  2. 2

    Discuss Medical Marijuana with Your Doctor

    Your Leafwell healthcare provider will ask you questions based on your medical history and decide if the medicinal use of marijuana is the best option for you. You’ll also discuss your cannabis product preferences.

  3. 3

    Get Approved by Leafwell and Apply

    If approved, your healthcare provider will submit your medicinal cannabis recommendation details directly to the state.

    From there, you must complete an online application for a Adult Patient (Paciente Adulto) card and pay the $25 fee. If you’re a military veteran, you qualify for a reduced fee with the submission of a valid D-14 Form.

  4. 4

    Receive Your Puerto Rico Medical Card

    Once approved, you will receive a notification from the Puerto Rico government. From there, you can download your “voucher” (aka medical card). You won’t receive a physical Adult Patient Card.

Benefits of Getting a Puerto Rico Medical Card

Only those with a valid medical recommendation from a PR-licensed healthcare provider and a medical marijuana card can legally consume cannabis in Puerto Rico. But that’s not the only reason to get a medical card.

Pay No Additional Sales Tax

Medical marijuana cardholder in Puerto Rico don’t have to pay additional sales tax when purchasing products in a licensed dispensary.

It’s the Only Way to Access Therapuetic Medicinal Cannabis Products

There are currently 216 licensed cannabis dispensaries in Puerto Rico, meaning there are plenty of locations for residents with medical marijuana cards to purchase cannabis products legally.

Employment Protections

Law 15-2021, signed into law in July 2021, protects qualified medical cannabis patients from workplace discrimination by declaring them members of a protected class under the territory’s employment protection laws.

Under the expanded law, employers may not discriminate against authorized patients of medical cannabis in the recruitment, hiring, designation, or termination process or when imposing disciplinary actions. However, some limitations exist, like patients cannot use it at work.

About Medical Marijuana in Puerto Rico

Puerto Rico legalized medical cannabis in 2015, and the first licensed dispensaries opened in 2017.

Here is a brief overview of the history of medical marijuana laws and legislation in Puerto Rico:

  • 2015 – Puerto Rico legalized medical cannabis.
  • 2017 – Act 42 relaxed the rules, and Puerto Rico became one of the most open and accepting places for medical cannabis in the world.

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How to Qualify

You must be a legal resident of Puerto Rico to apply for a medical marijuana card.

However, out-of-state medical cards are accepted. If you're traveling to Puerto Rico on vacation and are already a medicinal use patient in another state, you can purchase with your existing, valid medical card.

Medical Conditions

According to Puerto Rico law, these are the qualifying conditions:

Possession and Growing

As an MMJ cardholder in Puerto Rico, you can purchase up to one ounce, or 28 grams, daily.

Smoking cannabis is illegal (you can still vape flower), but these other product types are available:

  • Capsules or tablets
  • Concentrates
  • Edibles
  • Oils
  • Oral drops or inhalers
  • Suppositories
  • Topical ointments and creams
  • Transdermal patches
  • Vapes

Cultivating cannabis plants is illegal in Puerto Rico.

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Medical Marijuana Patients in Puerto Rico Can Have a Caregiver.

During the appointment, you must to inform your healthcare provider about your plans to have a caregiver — Authorized Companion/Acompañante Autorizado — so the provider can add it to the information submitted to the territory government.

Caregivers in Puerto Rico qualify if they:

  1. 01

    Are at least 21.

  2. 02

    Submit a valid photo identification.

  3. 03

    Provide a Certification of Criminal Record as part of your Authorized Companion/Acompañante Autorizado application.

Medical Marijuana Reciprocity

Puerto Rico accepts any valid medical card from states with functioning medical programs, called medical marijuana reciprocity.

You don’t have to worry about traveling with medical marijuana if you’re headed to the island territory. Puerto Rico accepts medical cards from states with medical cannabis programs, so you can visit any dispensary and purchase the products you need.

That said, you must apply for a 30-day certification and complete a state application if you need to purchase cannabis flower while on the island. You don’t need to have a physical address within the territory to apply.

Puerto Rico Cannabis Laws
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Frequently Asked Questions in Puerto Rico

How much does a Puerto Rico Medical Marijuana certificate and card cost?

Online consultation with a Puerto Rico licensed physician at Leafwell = $99

It costs $25 for the application fee, but the physician’s fee is separate.

What medical conditions qualify for a Medical Marijuana Card in Puerto Rico?

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

  • Any chronic condition or symptom
  • Alzheimer’s Disease
  • Anorexia
  • Anxiety
  • Arthritis
  • Cachexia
  • Cancer
  • Chemotherapy Side-Effects
  • Chronic Pain
  • Coeliac Disease
  • Crohn’s Disease
  • Depression
  • Fibromyalgia
  • Glaucoma
  • Irritable Bowel Diseases (IBS)
  • Migraine
  • Multiple Sclerosis (MS)
  • Parkinson’s Disease
  • Post-Traumatic Stress Disorder (PTSD)
  • Radiation Therapy Side-Effects
  • Severe Nausea
  • Seizures
What do I need to know about applying for my Medical Cannabis Card in Puerto Rico online?

Using Leafwell, it’s quick and easy to attend an online medical marijuana consultations for Puerto Rico patients. Here’s how it works:

  1. Register online & speak to a friendly physician.
  2. Get approved and the physician will submit your details to the state
  3. Complete the state application, pay the $25 fee and download your temporary pass
  4. Go to a dispensary and get your meds!
How old do I have to be to apply for a Medical Marijuana Card in Puerto Rico?

You must be aged 18 years old or over in order to apply for a medical marijuana certificate and card in Puerto Rico.

Can I be/have a caregiver for a medical marijuana patient in Puerto Rico?

Yes, the Puerto Rico medical marijuana program allows for caregivers but they call the Authorized Companions, not caregivers. However, they perform the same functionality for children, for example.

Caregivers of children under 18 may access medical cannabis in Puerto Rico for their children as long as both parents or guardians are in agreement. Caregivers must also be 21 years or older. Schools do not necessarily have to allow medical cannabis use on their grounds.

Authorized Companions have to provide official ID and a Certification of Criminal Records.

How do I apply for the state cannabis program in Puerto Rico?

Once a Leafwell physician has approved you, you’ll need to complete your application to the Puerto Rico government program. Follow these steps to get certified:

  1. Go to the state website:
  2. Click on ‘Apply for your license.’
  3. Complete the registration process.
  4. You will match your social security number to the certificate submitted by the Leafwell physician to confirm that you’ve seen a healthcare provider.
  5. Read and agree to the privacy polic.y
  6. Upload a passport sized/style photo which will be used on your ID card.
  7. Pay the $25 application fee.
  8. Once registered and approved, you can access your digital certificate quickly and easily by clicking ‘Download your license’ on the government website and completing the quick application process.