Updated on November 18, 2021. Medical content reviewed by Dr. Joseph Rosado, MD, M.B.A, Chief Medical Officer
Are you living with chronic pain or other debilitating symptoms? North Dakota has legalized medical cannabis for qualified patients. That means a new option for symptom management. Applying for a North Dakota medical card is not difficult. But there are a few steps required to become a patient registered with the North Dakota medical marijuana program.
There was an effort to put adult-use (recreational) cannabis on the November 2022 ballot. Organizers feel that there is strong support for legalizing adult-use in North Dakota. The bill to legalize recreational cannabis was passed by the House of Representatives and then rejected by the North Dakota Senate. Then a few Senators moved to bring the question to voters in the 2022 election. The deadline to advance the initiative to ballot had passed, but a small group pushed the bill to the Senate Delayed Bills Committee. Unfortunately, on April 1, 2021, the Senate voted 26-21 against putting adult-use on the November 2022 ballot.
Two cannabis advocacy groups are collecting signatures to qualify adult-use as a constitutional amendment on the 2022 ballot. Residents can get involved with the North Dakota Cannabis Caucus or Legalize ND.
Patients must be at least nineteen (19) years of age at the time they apply for their medical card. To be eligible, patients must also have a formal diagnosis of one of the following medical conditions:
Chronic or debilitating disease or medical condition or treatment for such disease or medical condition that produces one or more of the following:
Before you schedule an appointment for your ND medical card health evaluation, check your health records. Make sure that your primary care provider has documented your qualifying diagnosis so that you can apply.
After a patient receives their North Dakota medical card, they can visit a dispensary. To enter the dispensary and browse products, you must have valid government-issued photo identification.
There are medical cannabis dispensaries across the state of North Dakota to serve patients. Different strains and potencies of cannabis products are available at each location.
Most states require patients to be eighteen years of age or older. However, in North Dakota, you must be at least nineteen (19) to apply for your medical card. In North Dakota, anyone under the age of nineteen requires a caregiver or legal guardian to become a registered patient.
Yes. For non-minor applicants (age nineteen and older), the medical card application happens through a secure online portal. The North Dakota Medical Marijuana Program uses the BioTrackTHC system. This system also connects with dispensaries to track and monitor cannabis purchases.
There is a $50 fee required to apply for a medical marijuana card. Visit the “Patient Application Instructions” page for more information. And for a list of supporting documents needed to complete your ND medical card application online. Issuing of the North Dakota medical marijuana card can take from 2-4 weeks, according to the NDMMP.
Yes. Children under the age of nineteen years can apply and become registered patients in the North Dakota Medical Marijuana Program. Minors must have at least one of the qualifying health conditions or chronic symptoms to be eligible. Minors are not permitted to visit a medical dispensary or purchase cannabis. Each minor registered in the North Dakota MMJ program must have a designated caregiver to provide assistance.
Yes. If you are the legal guardian or parent of a minor (under the age of eighteen years), you may apply to register a child for the MMJ program. Caregivers in North Dakota must be aged twenty-one (21) years or older.
Refer to the “Designated Caregiver Application Instructions” page on the NDMMP website for more information. Caregivers are required to complete a criminal record check.
Patients with a medical card in North Dakota are required to renew within forty-five (45) days prior to expiration. Renewal of the medical card is done online through the BioTrackTHC system and patient portal. Get more information about the application renewal process on the North Dakota Medical Marijuana Program website. Annual renewal is also required for caregivers, and the renewal fee is $50.
If a medical card has been lost, patients are required to notify the North Dakota Division of Medical Marijuana within twenty-four hours. If a name change is required for the medical card, it must be requested within ten calendar days.
The cost for replacing a lost card is $25. The fee charged for a new card because of a name change (or caregiver change) is $5. It can take up to 20 days to receive your new North Dakota medical marijuana card. And the card will provide a new 10-digit patient registration number (barcode).
There are licensed dispensaries across the state where patients with a medical card can purchase cannabis products. There are maximum purchase amounts provided for patients. Dispensaries register sales in the BioTrackTHC system.
The North Dakota Department of Health (DOH) launched the medical marijuana program on April 19, 2017.
North Dakota is one of many states that have decriminalized cannabis for personal-use amounts. However, the criminal penalties for cannabis possession and cultivation are still very punitive compared to some other states. In North Dakota, possession of ½ ounce of cannabis or less no longer carries a criminal charge. However, residents can be fined up to $1,000 and assessed for drug addiction. Possession can also result in mandatory addiction education instead of criminal charges.
May, 2015—House Bill 1430 was the first attempt to establish the North Dakota Medical Marijuana Program. However, it failed to pass with a sweeping vote of 26-67 against HB 1430.
Source Web 2021: legis.nd.gov
November, 2016—Voters approved Measure 5, which allowed a new medical cannabis program to be created in North Dakota. One of the many changes to the legislation was to remove the right for medical cardholders to cultivate cannabis at home. Both the ND House and Senate opposed legalized home cultivation for patients.
Source Web 2021: ballotpedia.org
July, 2019—The North Dakota Department of Health opens applications for medical marijuana dispensary licenses. The first two communities to be issued licenses were in Bismarck and Fargo, North Dakota.
Source Web 2021: ndhealth.gov
North Dakota Department of Health
600 East Blvd Ave., Dept. 301
Bismarck, ND 52505-0200
Phone: (701) 328-1311
Fax: (701) 328-1333
Website: North Dakota Medical Marijuana Program
The State of North Dakota 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 North Dakota Medical Marijuana Card, permitting the patient to purchase marijuana for medicinal use, as per North Dakota state guidelines.
Since the North Dakota medical marijuana program is still changing their laws and new North Dakota 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 North Dakota medical marijuana program. Please click a corresponding link to find out more about the North Dakota Medical Marijuana Program. We have compiled the following North Dakota medical marijuana index of information to serve as a medical library to our users for legal reference of North Dakota’s laws, guidelines and program details regarding medical cannabis use in North Dakota.
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 North Dakota’s qualifying medical marijuana conditions, please visit our qualifying conditions section located on the top of our menu under “legal states.”