Conditions · North Dakota

Does arthritis qualify for a medical card in North Dakota?

Yes. The North Dakota Medical Marijuana Program lists Rheumatoid arthritis as a qualifying condition. A North Dakota-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About arthritis

Arthritis covers more than 100 conditions that affect the joints. Osteoarthritis (wear and tear) and rheumatoid arthritis (autoimmune) are the most common.

Moderate evidence. Arthritis-specific trials are few, but arthritis pain falls under chronic pain, where the National Academies found substantial evidence of benefit. Many patients prefer topicals for joint pain.

Symptoms North Dakota patients most often hope to ease:

  • Ongoing joint pain in the knees, hips, hands or back
  • Stiffness after rest or first thing in the morning
  • Pain that interrupts sleep
  • Reduced ability to walk, grip or exercise
  • Reliance on pain relievers that cause side effects
Before you start. Cannabis does not stop joint damage in rheumatoid arthritis, so it should never replace disease-modifying drugs. CBD can affect how the liver handles some medicines, including warfarin and methotrexate, so your doctor may want to check blood tests.

Read more: medical marijuana for arthritis.

How to get certified in North Dakota

  1. Make sure you have a qualifying condition and an ongoing treatment relationship with a North Dakota physician, PA or APRN.
  2. Create an account on the Medical Marijuana Registration Portal (mmregistration.health.nd.gov) and verify your email.
  3. Fill out the patient application with your North Dakota address, a photo for your card and a copy of your North Dakota ID.
  4. Enter your provider's name and email address correctly; the provider completes the written certification online.
  5. Name up to five caregivers if needed, then sign the attestation and pay the $40 fee online or by mail.
  6. Allow 2-4 weeks for processing, then buy from a registered North Dakota dispensary.

North Dakota requires your first certification visit in person. Renewals can usually be done online.

Costs and timeline

  • State fee: $40 (No fee for hospice patients; fee may be waived for minors whose parent/guardian is their caregiver and lives with them)
  • Card lasts: 2 years
  • Processing: 2-4 weeks after a complete application, payment and provider certification
  • Patient limit: 3 oz of dried flower (7.5 oz with an enhanced amount) and 500 mg of THC in edibles at any time
  • Home grow: Not allowed
  • Recreational sales: Not legal
  • First visit online: No — in person first

See the full North Dakota cost breakdown and North Dakota program overview.

Other qualifying conditions in North Dakota

See every qualifying condition in North Dakota

Arthritis in nearby states

Frequently asked questions

Do I need medical records for arthritis?

Helpful records include: a diagnosis of the type of arthritis, such as an X-ray report or rheumatology notes; a list of treatments tried, including pain relievers, injections and physical therapy, and how well they worked; any recent lab results for rheumatoid or other inflammatory arthritis. Many patients are still evaluated on their history alone, and your North Dakota provider will tell you if more is needed.

How long does certification take in North Dakota?

The provider visit takes about 15 minutes. 2-4 weeks after a complete application, payment and provider certification.

Can I renew online in North Dakota?

In most cases, yes. Patients and caregivers can renew through the online portal up to 45 days before the card expires. Renewal requires a new written certification from the provider.

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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