Iowa has one of the most restrictive medical cannabis programs in the US, limiting patients to processed products only (no flower) and restricting THC quantities to 4.5 grams per 90 days. Recreational cannabis remains illegal with harsh penalties. The 2025 legislature is considering expansion including allowing medical cannabis buds and doubling the number of dispensaries from 5 to 10. Iowa's program has struggled with high prices and limited access, leading some patients to seek alternatives in neighboring states. The state continues to resist recreational legalization while slowly expanding medical access.
Registered patients can access medical cannabidiol through five licensed dispensaries located in Sioux City, Windsor Heights, Waterloo, Council Bluffs, and Iowa City. Patients need a valid registration card and government ID to purchase products. Out-of-state patients with valid medical cards can also access Iowa dispensaries but cannot purchase products.
Qualifying conditions include: ALS, cancer, Crohn's disease, epilepsy, HIV/AIDS, Huntington's disease, multiple sclerosis, Parkinson's disease, seizures, severe or chronic pain, severe nausea or severe vomiting, terminal cancer, untreatable pain, and several other conditions. The Department of Health can approve additional conditions. Patients are limited to 4.5 grams of THC every 90 days unless they have a waiver.
The Iowa Department of Health and Human Services' Bureau of Cannabis Regulation manages the state's medical cannabidiol program. This includes patient registration, dispensary oversight, and product regulation. The department works to balance patient access with safety and compliance requirements.
Yes, patients must register with the Iowa Medical Cannabidiol Program through the Department of Health and Human Services. You receive an electronic registration card that must be presented at dispensaries along with a government-issued ID.
Registered patients can access medical cannabidiol through five licensed dispensaries located in Sioux City, Windsor Heights, Waterloo, Council Bluffs, and Iowa City. Patients need a valid registration card and government ID to purchase products. Out-of-state patients with valid medical cards can also access Iowa dispensaries but cannot purchase products.
The registration process costs vary, but patients can purchase up to 4.5 grams of THC every 90 days. Cards are typically valid for one year and must be renewed annually. Iowa has been working to reduce barriers and costs for patients, and the state is considering expanding the program to allow more dispensaries.