Conditions · West Virginia

Does ALS (Lou Gehrig's disease) qualify in West Virginia?

Yes. The West Virginia Medical Cannabis Program lists Amyotrophic lateral sclerosis (ALS) as a qualifying condition. A West Virginia-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About ALS (Lou Gehrig's disease)

A progressive disease that destroys the nerve cells controlling muscles, causing weakness, cramps and trouble swallowing.

Not enough research. Research is limited to small studies. Patients mainly use cannabis for cramps, spasticity, appetite, drooling and sleep.

Symptoms West Virginia patients most often hope to ease:

  • Painful muscle cramps and twitching
  • Stiffness and spasticity in the arms and legs
  • Loss of appetite and unwanted weight loss
  • Trouble falling or staying asleep
  • Excess saliva and drooling
Before you start. Sedating effects can add to breathing weakness, so tell your doctor about any breathing problems, sleep apnea or use of a breathing machine. Smoking or vaping can irritate the airways and is generally avoided when lung function is reduced.

Read more: medical marijuana for ALS (Lou Gehrig's disease).

How to get certified in West Virginia

  1. Confirm you have one of West Virginia's listed serious medical conditions.
  2. See an OMC-registered physician, in person or through a listed telehealth company, and get certified.
  3. Create an account in the MyComplia patient portal.
  4. Upload a passport-style photo, your photo ID and proof of West Virginia residency.
  5. Pay the $50 fee by mail or ACH bank transfer, or request a hardship waiver with proof of income.
  6. Wait for the OMC review (within 30 days), then download your digital card from the portal.

West Virginia allows the evaluation by telehealth, so you can see a West Virginia-licensed provider by video. Our evaluation starts at $79 and is charged only if you're approved.

Costs and timeline

  • State fee: $50 (initial and renewal) (Fee waived for household income below 200% of the federal poverty level (proof required))
  • Card lasts: 1 year
  • Processing: Reviewed within 30 days
  • Patient limit: A 30-day supply as purchased (see purchase limit)
  • Home grow: Not allowed
  • Recreational sales: Not legal
  • First visit online: Yes

See the full West Virginia cost breakdown and West Virginia program overview.

Other qualifying conditions in West Virginia

ALS (Lou Gehrig's disease) in nearby states

Frequently asked questions

Do I need medical records for ALS (Lou Gehrig's disease)?

Helpful records include: a diagnosis letter or clinic notes from your neurologist or ALS clinic confirming ALS; a current list of all your medicines, including riluzole, edaravone, muscle relaxants and sleep aids; recent notes on breathing tests and swallowing assessments, if you have them. Many patients are still evaluated on their history alone, and your West Virginia provider will tell you if more is needed.

How long does certification take in West Virginia?

The provider visit takes about 15 minutes. Reviewed within 30 days.

Can I renew online in West Virginia?

In most cases, yes. Cards last one year. Within 60 days of expiration, see a registered physician in person or online, then submit a renewal application and $50 payment in the portal.

Sources

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.

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