North Carolina

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State Summary

North Carolina remains one of the more restrictive states for cannabis, with no medical marijuana program and full prohibition of recreational use. The state has a very limited therapeutic hemp program allowing low-THC CBD oil only for severe epilepsy. Multiple medical marijuana bills have been introduced over the years with some bipartisan support, but none have passed. The 2025 legislature saw renewed efforts including the NC Compassionate Care Act, but progress remains slow. North Carolina has decriminalized possession slightly (small amounts are misdemeanors rather than felonies) but still maintains criminal penalties. The state appears to be one of the most resistant to cannabis reform in the region.

Process to get a Medical Marijuana Card

You cannot legally access marijuana in North Carolina except for very limited low-THC CBD oil products for severe epilepsy through the state's restricted program. Many North Carolina residents travel to neighboring Virginia or other legal states to access cannabis, though transporting it back remains illegal.

Conditions Approved for Medical Marijuana Use

North Carolina does not have qualifying conditions for medical marijuana because there's no comprehensive medical program. However, the state allows limited CBD oil with very low THC (0.9% or less) for severe epilepsy and seizure disorders only. This is one of the most restrictive programs in the country.

Telemedicine Rules
State Regulatory Body

North Carolina doesn't have a cannabis regulatory agency because marijuana remains illegal. The very limited CBD oil program is overseen by the Department of Health and Human Services, but this only covers specific low-THC products for severe epilepsy and seizure disorders.

Application Requirements

No, there's no state registration for medical marijuana in North Carolina because there's no medical cannabis program. The limited CBD oil program doesn't require state registration - just physician recommendations for qualifying severe epilepsy or seizure conditions.

Application Process

You cannot legally access marijuana in North Carolina except for very limited low-THC CBD oil products for severe epilepsy through the state's restricted program. Many North Carolina residents travel to neighboring Virginia or other legal states to access cannabis, though transporting it back remains illegal.

Renewal Process

There are no medical marijuana registration costs in North Carolina because there's no program. For limited CBD oil products, patients pay for physician consultations and the cost of the restricted CBD products available through the therapeutic hemp program.

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