7 things to know about North Dakota's medical marijuana program

North Dakota's Medical Marijuana Program is run by the Department of Health and Human Services under NDCC Chapter 19-24.1. Adult patients, aged 19 and older, apply online through the state's registration portal. They upload a photo and a North Dakota ID and pay a $40 fee. A North Dakota physician, PA or APRN with an ongoing treatment relationship then completes the written certification in the same system. Cards last two years, and patients buy from licensed dispensaries within strict 30-day limits. Home growing is not allowed, and adult-use cannabis is not legal. Veterans treated at the VA, hospice patients and nonresidents have their own application routes.

7 things to know

1. North Dakota treats anyone under 19 as a minor, and minors may use only lower-THC pediatric products.
2. The patient fee is $40 for a two-year card, and hospice patients pay nothing.
3. Providers certify through the same online portal the patient uses, so the provider's email must be entered correctly.
4. Veterans treated through the VA and hospice patients can apply using records instead of a written certification.
5. Nonresidents can get a 60-day North Dakota card based on their home-state medical card.
6. Purchases are capped at 2.5 oz of flower and 6,000 mg of THC in other products every 30 days.
7. Home growing is not allowed, and adult-use cannabis is not legal.

At a glance

• 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

Sources

• Medical Marijuana - ND Department of Health and Human Services
• Adult Patient Application Instructions (3/2026, ND HHS PDF)
• Patient Application FAQs (8/2025, ND HHS PDF)
• NDCC Chapter 19-24.1 Medical Marijuana (ND Legislative Branch PDF)

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.