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Medical marijuana in West Virginia
Medical only · updated 2026-05
West Virginia's program is run by the Office of Medical Cannabis. A physician who has completed a state course issues a written certification for a listed condition, then you register on the state portal and pay a $50 fee. There is no adult-use market, so the medical card is the only legal route.
$50 application fee, paid by check or money order to the Office of Medical Cannabis
Card validity
One year; renew about 30 days before expiry
Purchase limit
Up to a 30-day supply as determined by your certifying physician
Legal forms
Oils, gels, pills, patches, tinctures, creams, and dry leaf for vaporization — smoking is not permitted
Residency
West Virginia resident with proof of residency
How to get your card
Confirm you have a listed qualifying condition.
Get a written certification from a WV-registered physician (telehealth allowed).
Register on the West Virginia Medical Cannabis Portal and mail the $50 fee.
Once issued, use your card at any licensed WV dispensary.
Qualifying conditions (15)
West Virginia patients may qualify with any of the following. A state-approved physician makes the final call during your evaluation.
Cancer
HIV / AIDS
ALS
Parkinson's disease
Multiple sclerosis
Intractable spasticity from spinal-cord damage
Epilepsy
Neuropathies
Huntington's disease
Crohn's disease
PTSD
Intractable seizures
Sickle cell anemia
Severe chronic or intractable pain
Terminal illness
This is general information, not medical or legal advice, and program rules change. Confirm current details with the West Virginia Department of Health or a licensed physician before acting.