State guides
Medical marijuana card rules in every state
Telehealth rules, fees, and conditions vary enormously by state. Information reviewed June 2026. Pick your state for the full picture.
100% online states (29)
Alaska
AK100% online evaluations
State fee: $25 · Card: 1 year
Arizona
AZ100% online evaluations
State fee: $150 · Card: 2 years
Arkansas
AR100% online evaluations
State fee: varies · Card: 1 year
California
CA100% online evaluations
State fee: varies · Card: 1 year
Connecticut
CT100% online evaluations
State fee: none · Card: 1 year
Delaware
DE100% online evaluations
State fee: $50 · Card: 1 year
Georgia
GA100% online evaluations
State fee: $25 · Card: 2 years
Hawaii
HI100% online evaluations
State fee: $38.50 · Card: 1 year
Louisiana
LA100% online evaluations
State fee: none · Card: 1 year
Maine
ME100% online evaluations
State fee: none · Card: 1 year
Maryland
MD100% online evaluations
State fee: none · Card: 6 years (annual recertification)
Massachusetts
MA100% online evaluations
State fee: none · Card: 1 year
Michigan
MI100% online evaluations
State fee: $40 · Card: 2 years
Minnesota
MN100% online evaluations
State fee: none · Card: 3 years (recertification cycle)
Missouri
MO100% online evaluations
State fee: $27.40 · Card: 1 year
Montana
MT100% online evaluations
State fee: $20 · Card: 1 year
Nevada
NV100% online evaluations
State fee: $50 (1 yr) / $100 (2 yr) · Card: 1–2 years
New Jersey
NJ100% online evaluations
State fee: none · Card: 1 year
New Mexico
NM100% online evaluations
State fee: none · Card: 1 year
New York
NY100% online evaluations
State fee: none · Card: 2 years
North Dakota
ND100% online evaluations
State fee: $40 · Card: 2 years
Ohio
OH100% online evaluations
State fee: $0.01 · Card: 1 year
Oklahoma
OK100% online evaluations
State fee: $100 · Card: 2 years
Pennsylvania
PA100% online evaluations
State fee: $50 · Card: 1 year
South Dakota
SD100% online evaluations
State fee: $75 · Card: 1 year
Texas
TX100% online evaluations
State fee: none · Card: CURT registry entry (no card)
Vermont
VT100% online evaluations
State fee: $50 · Card: 3 years
Virginia
VA100% online evaluations
State fee: $50 (optional) · Card: 1 year
West Virginia
WV100% online evaluations
State fee: $50 · Card: 1 year
In-person first visit (13)
Alabama
ALIn-person evaluations
State fee: $50 · Card: 1 year
Colorado
COIn-person first visit · online renewals
State fee: $52 · Card: 1 year
Florida
FLIn-person first visit · online renewals
State fee: $75 · Card: 1 year
Illinois
ILIn-person first visit · online renewals
State fee: $50 · Card: 1 year
Iowa
IAIn-person evaluations
State fee: $100 · Card: 1 year
Kentucky
KYIn-person first visit · online renewals
State fee: $25 · Card: 1 year
Mississippi
MSIn-person first visit · online renewals
State fee: $25 · Card: 1 year
New Hampshire
NHIn-person first visit · online renewals
State fee: none · Card: 1 year
Oregon
ORIn-person first visit · online renewals
State fee: $200 · Card: 1 year
Rhode Island
RIIn-person first visit · online renewals
State fee: none · Card: 1 year
Utah
UTIn-person first visit · online renewals
State fee: $8 · Card: 1 year
Washington
WAIn-person first visit · online renewals
State fee: none · Card: 1 year
Washington, D.C.
DCIn-person first visit · online renewals
State fee: none · Card: 2 years
Programs opening soon (1)
No medical program yet (8)
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