Montana Medical Marijuana

Updated on August 26, 2019.  Medical content reviewed by Dr. Joseph Rosado, MD, M.B.A, Chief Medical Officer

Montana Medical Marijuana Program: Contact Details

Medical Marijuana Program
Montana Department of Health and Human Services
Licensure Bureau
2401 Colonial Drive, 2nd Floor
P.O. Box 202953
Helena, MT 59620-2953
Phone: (406) 444-0596
WebsiteMontana Medical Marijuana Program

Montana Medical Marijuana Program: Information

  1. To meet medical marijuana qualifications in Montana, Patients must be a resident of the state of Montana with proof of residency. If you do not have a Montana I.D. an out of state I.D., passport, or other photo I.D. with proof of residency such as bank statement, utility bill, etc is acceptable.
  2. Patients must obtain legitimate medical records or documentation from your primary care physician describing their diagnosis and bring these records with you to your marijuana evaluation appointment — *Learn how to request your medical records
  3. The qualifying patient must have been diagnosed by a physician as having a debilitating medical condition — *Find a certified medical marijuana physician in Montana
  4. If you are applying for marijuana use for chronic pain, you must provide necessary and relevant x-ray, MRI or other diagnostics; OR have a second physician may confirm the chronic pain diagnosis, after performing a physical exam.
  5. If the patient is a minor, applying to qualify for medical marijuana on or after June 20, 2011, you are required to have a recommendation from two physicians in order to qualify for the registry.
  6. Obtain a written certification from a physician licensed in the state of Montana.
  7. Once the patient has received a written certification from the physician, he or she must register with the Department of Health and Human Services as a qualifying patient, and obtain a Montana Medical Marijuana card from the state of Montana.

Recent Legislation Changes

Note from State, on sources for medical marijuana

“The Department has no advice on obtaining marijuana,” MMP FAQ [Accessed March 01, 2016]

The Montana Patient Registry fee is $75 for new applications and renewals. The Montana Marijuana Registry is mandatory and does NOT accept other state’s registry cards.

As legislation changes in Montana, check back to this section for information about how those legislative changes will affect the medical marijuana program in Montana.

The Montana medical marijuana program offers access to a wide variety of patients across the state, but that wasn’t always the case. Not only were cultivators limited to serving no more than three patients at a time, but they also weren’t even eligible to receive compensation. Thankfully, however, a more common-sense approach has prevailed.

On July 1, 2017, SB 333 became effective. SB 333 created more detailed regulations on the Medical Marijuana Program in Montana. These regulations apply more directly to the commercial side of medical marijuana, requiring analytical testing of marijuana products by all dispensaries/distributors and taxation changes.

On April 28, 2011, SB 423 was passed, and transmitted to Montana’s Governor, on May 03, 2011. Effective July 01, 2011, SB423, changed the application process to require a Montana driver’s license or state-issued ID card; and requires that all patients with a chronic pain diagnosis, have a second physician.

On November 02, 2004, 62% of Montana voters approved Initiative 148, effective November 02, 2004, essentially removing state-level criminal penalties on the use, possession and cultivation of marijuana, by patients possessing the medical recommendation from their physician, stating that he or she may benefit from the medical use of marijuana.

“A provider or marijuana-infused products provider may assist a maximum of three registered cardholders”, and “may not accept anything of value, including monetary remuneration, for any services or products provided to a registered cardholder.”

Please note: Montana’s medical marijuana laws, have never technically been enacted — as soon as the initial restrictions were passed by the legislature, they were immediately suspended without taking effect, resulting in years of appeals. In February 2016, the Montana Supreme Court upheld sections of the law, including limiting the number of patients dispensaries are allowed care for to no more than three (3) patients, however it struck down the portion of the law that specifically prohibited them from selling medical cannabis. However, the newly upheld law has also never been enacted, and too, remains hung up in appeals — until November, when a recreational-use measure, that is set to be placed on the ballot, is expected to pass.

On November 08, 2016, Montana voters officially reinstated the state’s medical marijuana laws, with 56.2% of the vote.

The Montana medical marijuana, “Initiative no. 182” effectively allows qualified patients with a debilitating illness, and doctor’s recommendation, to lawfully use marijuana for medical purposes. Furthermore, the initiative also repealed the restrictions of SB 143, by removing the three-patient limit imposed on medical marijuana providers.

Additionally, I-182 effectively added chronic pain and post-traumatic stress disorder (PTSD), to the approved list of qualifying conditions, expanding patient access in Montana.

Finally, the initiative also removed the requirement demanding that all physicians who evaluate more than 25 patients a year, must be referred to the board of medical examiners.

Montana Medical Marijuana Program: Possession and Cultivation Regulations

Montana law states that “registered cardholders are limited to 12 seedlings (<12”), 4 mature flowering plants, and 1 ounce of usable marijuana,” however, “if a registered cardholder assigns a caregiver, they cannot grow for themselves.”

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Montana Medical Marijuana Telemedicine Services Online

Qualified patients in Montana may choose to see a marijuana doctor online instead of in-person, using the telemedicine portal, provided that a medical marijuana telemedicine doctor first establish a bonafide relationship with the patient in-person, after which all follow-up visits may be conducted via medical marijuana telemedicine services, online.

The State of Montana 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 Montana Medical Marijuana Card, permitting the patient to purchase marijuana for medicinal use, as per Montana state guidelines.

Since the Montana medical marijuana program is still changing their laws and new Montana 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 Montana medical marijuana program. Please click a corresponding link to find out more about Montana’s Medical Marijuana Program. We have compiled the following Montana medical marijuana index of information to serve as a medical library to our users for legal reference of Montana’s laws, guidelines and program details regarding medical cannabis use in Montana.

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 Montana’s qualifying medical marijuana conditions, please visit our qualifying conditions section located on the top of our menu under “legal states.”


Unlike many other states, the rules governing medical marijuana in Montana allow patients suffering from a wide range of illnesses to obtain medicinal cannabis. Montana offers the program to patients with:

For more information on who qualifies for marijuana in Montana, read our comprehensive guide.

Medical Marijuana Laws

Even though the Montana medical marijuana program has evolved over time, the penalties for pot possession remain harsh. For example, if you are caught with just a little more than two ounces (60 grams) of weed, you could be sentenced to a jail term of up to six months and have to pay a $500 fine.

If you are arrested a second time for the same offense, you’ll be looking at up to three years in jail and a $1,000 fine. Learn more by reading our comprehensive look at Montana’s medical marijuana laws.

Medical Marijuana Card

Ironically, the Montana medical marijuana program formerly allowed patients from other states with medical cannabis cards to be protected from legal action for possessing medicinal pot, even though Montana’s own program was quite restrictive. Now, the Montana program has expanded but out-of-state visitors no longer have that protection.

Learn more about obtaining a medical marijuana card in Montana, as well as restrictions governing who can and cannot get a card.

Medical Marijuana Facts

According to the Marijuana Policy Project, there were more than 1,500 arrests for cannabis-related offenses in Montana in 2012. Of those arrests, 95 percent involved possession. During the same year, more than 85 percent of vehicle thefts went unsolved, as did 91 percent of burglaries. Our section on Montana marijuana laws provides more information.

Doctors in Montana

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

Dispensaries in Montana

Learn more about dispensaries in Montana 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