MT Marijuana Qualification

Updated on June 22, 2020.  Medical content reviewed by Dr. Joseph Rosado, MD, M.B.A, Chief Medical Officer

What Ailments Qualify For Medical Cannabis in Montana

Patients in Montana diagnosed with one of the following severe, debilitating, or life-threatening medical conditions, are afforded legal protection under the Montana Medical Marijuana law, as per Initiative 148:

  • Cancer;
  • Glaucoma;
  • Positive status for Human Immunodeficiency Virus or Acquired Immune Deficiency Syndrome (HIV/AIDS);
  • When the condition or disease results in symptoms that seriously and adversely affect the patient’s health status;
  • Cachexia or Wasting Syndrome;
  • Severe Chronic Pain that is persistent pain of severe intensity that significantly interferes with daily activities as documented by the patient’s treating physician and by:
    • objective proof of the etiology of the pain, including relevant and necessary diagnostic tests that may include but are not limited to the results of an x-ray, computerized tomography scan, or magnetic resonance imaging; or
    • confirmation of that diagnosis from a second physician who is independent of the treating physician and who conducts a physical examination;
  • Intractable Nausea or Vomiting;
  • Chronic Inflammatory Demyelinating Polyneuropathy;
  • Epilepsy or an Intractable Seizure Disorder;
  • Multiple sclerosis;
  • Crohn’s Disease;
  • Painful Peripheral Neuropathy;
  • A central nervous system disorder resulting in chronic, painful spasticity or muscle spasms;
  • Admittance into hospice care in accordance with rules adopted by the department;
  • Any other medical condition or treatment for a medical condition approved by the legislature
  • * Chronic Pain— effective November 08, 2016
  • Post Traumatic Stress Disorder — effective November 08, 2016

How to Become A Medical Marijuana Patient in Montana

  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.

Who Qualifies for Medicinal Marijuana in Montana

On November 2, 2004, 62% of Montana voters approved Initiative 148, which removes state-level criminal penalties on the use, possession and cultivation of medical marijuana (also referred to as medical weed, medical pot or medical cannabis) by patients who possess written documentation from their physicians authorizing the medical use of marijuana.
Qualifying patients must register with the Montana Department of Public Health and Human Services and obtain a medical marijuana card.

On June 1, 2011, Senate Bill 423 made significant changes to Montana’s existing medical marijuana law, changing the application process to require a Montana driver’s license or state-issued ID card — patients with a chronic pain diagnosis, require a second physician.

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Medical Marijuana Access in Montana

Some medical marijuana patients will claim they have a doctor’s prescription for medical marijuana, but marijuana prescriptions are in fact illegal. The federal government classifies marijuana as a schedule I drug. Therefore doctors are unable to prescribe marijuana to their patients, and medical marijuana patients cannot go to a pharmacy to fill a prescription for medical marijuana. Instead, medical marijuana physicians will supply patients with a medical marijuana recommendation in compliance with state law.

According to Montana medical marijuana law, patients and their caregivers may each grow and possess 4 mature marijuana plants, 12 seedlings, and 1 ounce of usable marijuana.

* Please note: The Montana Medical Marijuana Act does not allow for the purchase or sale of medical cannabis – caregivers must agree to supply cannabis to registered patients for free.

Patients meeting Montana medical marijuana qualifications are slowly beginning to benefit from the therapeutic qualities of cannabis. Even though many state legislators have been trying to repeal the state’s medical marijuana program since it was first approved in 2004, voters in 2016 approved a measure that would actually expand the program.

Instead of only being able to serve a maximum of three patients, dispensaries can now serve hundreds of them. If you would like more information on the medical marijuana program in Montana, such as how to obtain a medical cannabis card in the state, check back with on a regular basis.

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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