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Getting a Medical Marijuana Prescription in HI

Hawaii has a different name for the medical cannabis card. In Hawaii, patients are issued a 329 Registration Card. Qualified patients can visit a medical cannabis dispensary to purchase products. The Hawaiian name for cannabis is “Pakalolo,” which means “numbing tobacco.” And the first written mention of Pakalolo for medicinal use in Hawaii dates back to 1842.

Medical Marijuana in Hawaii (2021 Update)

The Hawaii State Legislature introduced two new bills in 2021 that would expand medical marijuana options for patients. Senate Bill 758 passed the first reading in March 2021. The legislation would increase the amount of cannabis that a medical cardholder can possess to one ounce (28.5 grams). The second bill would create a path to legalizing adult-use (recreational) cannabis in Hawaii. Senate Bill 767 would legalize marijuana for adults aged twenty-one (21) years and older. If passed, SB 767 will also make growing up to three (3) cannabis plants at home legal for adults. 


Who qualifies for medical marijuana in Hawaii?

Any patient who is eighteen (18) years of age or older is eligible to apply for a medical cannabis card in Hawaii. Minors under the age of eighteen years are required to have a designated legal guardian and caregiver for assistance.

The health conditions that qualify for medical marijuana in Hawaii include:

  • Amyotrophic Lateral Sclerosis 
  • Cancer
  • Glaucoma
  • Lupus 
  • Epilepsy 
  • Multiple Sclerosis Rheumatoid Arthritis 
  • Post-Traumatic Stress Disorder 
  • Cachexia or Wasting Syndrome
  • Severe Pain
  • Severe Nausea
  • Seizures or Epilepsy
  • Multiple Sclerosis 
  • Crohn’s Disease

Before you apply for your Hawaii medical card, it’s important to make sure you have a diagnosis for one of the qualifying health conditions. And if you were diagnosed more than two years ago, have your primary care provider update your diagnosis in your health records. 

What Medical Marijuanas are Available in HI?

If you have a medical card and you are a resident of Hawaii, you can visit a dispensary to purchase the following cannabis products:

  • Capsules and Tablets
  • Edibles
  • Smokable Flower
  • Hawaii Delta-8
  • Vape Cartridges
  • Concentrates (Dabs, Resins, and Extracts)
  • Topical Creams and Gels

There is no excise tax on Hawaii medical marijuana. However, all purchases are subject to a 4% retail sales tax. In Oahu, the sales tax is 4.5%. If adult-use cannabis is legalized in the state, non-medical users could pay up to 20% excise and sales tax, including local community taxes of 3%. 

Hawaii has reciprocal agreements with other states. Out-of-state patients (OSPs) may apply for a maximum period of 2 x sixty-day licenses in a calendar year. Patients can transfer from an OSP to an in-state patient (ISP) card if they become permanent residents of Hawaii. 

How Old Do You Have to Be to Get a Hawaii Medical Card?

You have to be eighteen (18) years of age or older to apply for a Hawaii 329 Registration Card. However, minors under eighteen with a qualifying health condition may also apply. A designated caregiver is required. 

Do I need to create my own MMJ patient profile?

Yes. The first step is to create an account. The name you use to register as a patient must exactly match the name on your state-issued driver’s license. Patients are required to upload documentation as part of the medical card application process. There is a video tutorial that explains how patients can complete the registration online for a Hawaii medical card. 

Can I register my child for medical marijuana?

Yes. If you are the legal guardian or parent of a minor with a qualifying health condition. Each qualified patient may only have one caregiver. 

How can I become a caregiver for MMJ in HI?

Caregivers do not have a separate application process. Each caregiver must also be designated by a qualifying patient who is already accepted into the Hawaii Medical Cannabis Registry Program. And the caregiver includes documentation at the same time as the patient applies for a medical card.

Caregivers can request permission to grow cannabis for the minor in their care. However, after December 31, 2023, caregivers will only be permitted to grow cannabis for a patient if they live on an island that does not have a medical dispensary. The application to become a caregiver is available on the Hawaii Medical Cannabis Registry Program website. Caregivers do not have to pay a separate fee. It is included with the patient application fee of $38.50.

How do I renew my Hawaii medical card?

The first time patients receive their 329 Registration Card; it expires after a period of one year. However, after the one-year renewal, the Hawaii medical marijuana card has a two-year expiration date. In order for a patient to receive a two-year 329 Registration Card, they must have the approval of the certifying physician or APRN. Patients are permitted to renew their HI medical card up to sixty (60) days prior to expiration. 

The renewal fee for a Hawaii 329 Registration card is $38.50 for one year and $77.00 for a two-year medical card. The fees do not include the cost of the medical health evaluation required annually.

What if I lose my medical card in HI?

The State of Hawaii provides a “Change Form Packet” that patients can use to request a new registration card. It can also be used to update the Hawaii Medical Cannabis Registry Program of a change in legal name or address. 

Registered patients are required to notify the MCRP of any changes, or report a lost or damaged card within five days. The cost is $16.50 to request a new card. And your new card will not become valid until the old card expires. 

Where do you get medical marijuana in Hawaii?

Medical cardholders may visit a local cannabis dispensary to purchase products. Medical dispensaries can also provide suggestions on different types of strains, THC potencies, and intake methods. 

When did medical marijuana in HI become legal?

Hawaii was the first state in America to legislatively legalize medical marijuana. It was passed by the House of Representatives and Senate in 2000. Governor Ben Cayetano signed Act 228, making Hawaii the eighth state to make medical cannabis legal for patients. 

The History of Medical Marijuana in Hawaii 

Adult-use marijuana may become legalized in Hawaii in 2022. But historically, there has been more support for medical use. Many communities are opposed to recreational use. However, cannabis has been used as a cultural medicinal in Hawaii for more than two centuries. 

February, 2017—Governor David Ige signed Act 228, which included approval for a pilot program to support industrial hemp cultivation and research. All criminal sanctions against growing, processing, or possessing industrial hemp were removed.

Source Web 2021:

July, 2019—Governor David Ige stated that he would allow small amounts of cannabis for personal use to be decriminalized. However, he would allow it to become law without signing the bill. Effective January 11, 2020, possession of three grams or less of marijuana would be punishable by a $130 fine. Previous to the legal reform, it would carry a sentence of up to thirty (30) days in jail and a fine of $1,000.

Source Web 2021:



Hawaii Department of Health Medical Cannabis Registry Program:
Mailing Address: 4348 Waialae Avenue #648, Honolulu, Hawaii 96816
Phone: (808) 733-2177
Website: Hawaii Medical Marijuana Registry Program


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The State of Hawaii has a legalized medical marijuana program, which allows patients to receive a medical marijuana recommendation from a certified physician, and apply for a state-issued Hawaii Medical Marijuana ID Card, permitting the patient to grow and/or purchase marijuana for medicinal use, as per Hawaii state guidelines.

Since the Hawaii medical marijuana program is still changing their laws and new Hawaii medical marijuana laws are being enacted on a regular basis, please be sure to visit our site frequently to get the most updated laws as it pertains to the Hawaii medical marijuana program. Please click a corresponding link to find out more about Hawaii’s Medical Marijuana Program. We have compiled the following Hawaii medical marijuana index of information to serve as a medical library to our users for legal reference of Hawaii’s laws, guidelines and program details regarding medical cannabis use in Hawaii.

Please note: In order to become a legal medical marijuana patient you must first have a qualifying condition as outlined by the department of health services and/or department of justice. For a comprehensive list of Hawaii’s qualifying medical marijuana conditions, please visit our qualifying conditions section located on the top of our menu under “legal states”.

Hawaii Qualification

If a patient wishes to use medical marijuana in Hawaii but does not suffer from a condition on the state’s qualifying list, they may be able to petition the state’s Department of Health to be allowed to use cannabis. Our Who Qualifies for Marijuana in Hawaii section offers comprehensive information on restrictions, qualifying conditions and much more.

Hawaii Medical Marijuana Laws

The Hawaii Legislature has considered several bills to decriminalize the possession of small amounts of weed in recent years, but it has only approved a law to study the impact of decriminalization. The law continues to view pot possession as illegal. Having as little as an ounce can result in penalties of a year in jail and a fine of up to $2,000. Check out our section on Hawaii’s Full Medical Marijuana Laws to learn more.

Hawaii Medical Marijuana Card

People holding a medical marijuana card in Hawaii used to have to either appoint a caregiver to grow their pot or grow their own. However, the law changed in 2015 to allow for the establishment of medical cannabis dispensaries. can show you how to get a Hawaii Medical Marijuana Card so you are as informed as possible regarding the process.

Hawaii Medical Marijuana Facts

According to a poll conducted in 2012 by QMark Research, nearly 70 percent of voters in Hawaii believe people caught with small amounts of weed should not be taken to jail. Check out our Hawaii Medical Marijuana Facts section to learn more about this extremely important issue.


Act 242 SLH 2015 — Adds non-discriminatory language to existing laws as they may pertain to the medical use of cannabis.
Act 116 SLH 2018 — Makes several changes to the current law:

  1. Extends the validity of the certification with the concurrence of the patient and patient’s physician/APRN.
  2. Safe Pulmonary Administration (SPA) products have been added to the list of approved “merch” licensed medical cannabis retail dispensaries may sell to qualifying patients.
  3. Patients who are registered for medical cannabis use in other states may be able to benefit from our program while visiting the islands.
  4. One or both parents/guardians are now allowed to register as caregivers for one or more qualifying minor patients.
  5. The bona fide provider-patient relationship may continue via telehealth after the relationship has been established by a face-to-face consultation.

Doctors in Hawaii

Learn more about medical marijuana doctors in Hawaii by checking out our listings in your city:

Dispensaries in Hawaii

Learn more about dispensaries in Hawaii by checking out our listings in your city:

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Finally, a helpful & informative website! answered all of my medical marijuana questions and helped me schedule an appointment with an accredited doctor in my area.~Susan - Denver, CO