The strictest program in America
No telehealth, period — Alabama requires in-person physician evaluations for initial certification and every renewal, unique nationally. No smokable or vapable products: the formulary runs tablets, capsules, tinctures, gels, and patches, dosed in 'daily dose' units capped at 50 mg THC (75 mg after 90 days). Possession runs to 70 daily doses, purchases to 60 doses per 60 days. Cards cost $50/year ($40 virtual) with annual recertification.
The qualifying list is defined and includes some conditions rare elsewhere — depression appears explicitly, alongside PTSD, chronic pain, autism, epilepsy, cancer-related symptoms, and others (full list on our Alabama page).
Realistic expectations for Alabama patients
Supply will be thin during rollout: a handful of dispensaries serving the whole state means drives and possible product gaps through 2026. The in-person-everything rule means your certifying physician relationship is local by necessity — our role for Alabama patients is information and lead routing to participating physicians rather than telehealth.
Watch items: the AMCC's April 2026 rule revisions (caregiver ratios among the details in flux) and further dispensary openings across the planned 12 sites. We review Alabama's data quarterly like every state.
The information on this site is for educational purposes only and is not medical or legal advice. Cannabis use carries risks; consult a licensed physician about whether medical cannabis is appropriate for you. Federal status (as of June 2026): marijuana dispensed under state medical licenses and FDA-approved cannabis products are Schedule III controlled substances; all other marijuana remains Schedule I under U.S. federal law. Laws cited here change; confirm current rules with the linked primary sources before acting on them.