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Conditions · Hawaii

Does cachexia & wasting syndrome qualify in Hawaii?

By MyMMJRx Editorial Team · Updated · 5 min read

Yes. The Hawaii Medical Cannabis Registry Program lists Chronic or debilitating disease or its treatment that produces cachexia or wasting syndrome as a qualifying condition. A Hawaii-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About cachexia & wasting syndrome

Severe, unintended loss of weight and muscle that comes with serious illnesses like cancer or HIV.

Limited evidence. There's limited evidence that cannabinoids increase appetite and reduce weight loss in HIV/AIDS.

Symptoms Hawaii patients most often hope to ease:

  • Poor appetite and feeling full quickly
  • Nausea that makes eating difficult
  • Ongoing loss of weight and muscle
  • Changes in taste or smell of food
  • Fatigue and low energy
Before you start. Dizziness, low blood pressure and sedation can raise the risk of falls in people who are already weak. People with weakened immune systems should avoid smoking cannabis because of a risk of lung infections from contaminated plant material.

Read more: medical marijuana for cachexia & wasting syndrome.

How to get certified in Hawaii

  1. Create an account on the state's online medical cannabis registry portal.
  2. See a Hawaii physician or APRN (in person or by telehealth) who establishes a bona fide relationship with you.
  3. Your provider submits a written certification of your qualifying condition through the registry.
  4. Complete your patient application, including caregiver and grow-site details if you plan to grow.
  5. Pay the $38.50 application fee online.
  6. Once approved, download or print your 329 card and use it at licensed dispensaries.

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

Costs and timeline

  • State fee: $38.50
  • Card lasts: 1 year (up to 3 years if the provider states the condition is chronic)
  • Processing: Often within days online
  • Patient limit: Up to 4 ounces of usable cannabis (shared between patient and caregiver)
  • Home grow: Up to 10 plants (mature or immature) per patient at a registered grow site
  • Recreational sales: Not legal
  • First visit online: Yes

See the full Hawaii cost breakdown and Hawaii program overview.

Other qualifying conditions in Hawaii

Cachexia & wasting syndrome in nearby states

Frequently asked questions

Do I need medical records for cachexia & wasting syndrome?

Helpful records include: records confirming the underlying illness, such as a cancer, HIV or heart failure diagnosis; weight records over time showing unintended weight loss; notes from your oncologist, HIV specialist or dietitian about appetite and nutrition. Many patients are still evaluated on their history alone, and your Hawaii provider will tell you if more is needed.

How long does certification take in Hawaii?

The provider visit takes about 15 minutes. Often within days online.

Can I renew online in Hawaii?

In most cases, yes. Patients re-apply through the online registry before their card expires, with a new provider certification and another $38.50 fee. Cards for chronic conditions may be issued for up to three years.

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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