State guideWest Virginia
Medical only

Cannabis
in West Virginia

5 dispensary operators listed across 17 cities, with their deals and standing discounts, and what the law allows.

West Virginia at a glance

Medical Only
West Virginia allows cannabis for medical use only. The Medical Cannabis Act, Senate Bill 386, became law in 2017, although the first dispensary did not open until November 2021. The Office of Medical Cannabis, part of the state Department of Health, runs the program. There is no adult-use market, and outside the program possessing any amount is a misdemeanor that can bring up to six months in jail and a fine of up to $1,000. To buy, you need a West Virginia medical cannabis card plus a photo ID. The state does not accept cards from elsewhere, so a visiting patient cannot shop here. Patients may hold a 30-day supply. Flower for vaporizing is allowed alongside oils, tinctures, pills, topicals and patches, but commercially made edibles are banned, which surprises many newcomers. Growing at home is not allowed. Expect to pay with cash or debit, and to pick up in store, since delivery is not permitted.

West Virginia cannabis law

Possession Limits

West Virginia permits cannabis for medical use only, through a program run by the Office of Medical Cannabis under the state Department of Health (omc.wv.gov). Buying from a licensed dispensary requires a state medical cannabis card (westvirginiamarijuanacard.com), and registered patients may purchase up to a 30-day supply (Flowhub). Outside the medical program, the state has not decriminalized cannabis. Possessing any amount is a misdemeanor that can bring a fine of up to $1,000 and 90 days to six months in jail (NORML; Mountain State Spotlight). --- Notes for the editor No official source for the 30-day supply limit. The only support is Flowhub, which is not a .gov source. The official statute page (code.wvlegislature.gov/16A) should cover this, but the research summary for it doesn't mention the limit. Please confirm it against Chapter 16A before publish

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Age Minimum

West Virginia has no legal adult-use cannabis market. Non-medical possession, sale, and use remain illegal (Mountain State Spotlight), so no general age allows someone to walk into a dispensary and buy. Access runs through the state's medical program, which the Office of Medical Cannabis administers within the Department of Health ([omc.wv.gov](https://omc.w

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Home Grow

West Virginia's medical program assigns cannabis cultivation to licensed businesses. Under the West Virginia Medical Cannabis Act, growers are one of the medical cannabis organization types that must hold a permit from the Bureau for Public Health (W. Va. Code ch. 16A). The Office of Medical Cannabis, a division of the Department of Health, licenses growers alongside processors, dispensaries, and laboratories (Office of Medical Cannabis). Cultivating outside that system is prosecuted under the state's general marijuana laws, and plant weight determines whether it is charged as possession or as distribution (NORML). Patients should therefore plan to buy from a licensed dispensary rather than grow their own. --- Notes for the editor No explicit home-grow statement. None of the facts provided, including those from the official sources, states outright that patients or caregivers may not grow at home. Sources 8 and 11 list "home grow" as a heading, but no underlying fact came through. I described the licensed-grower framework and the penalties for unlicensed c

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Regulatory Body

West Virginia's medical cannabis program operates under the West Virginia Medical Cannabis Act, which places administration with the Bureau for Public Health inside the state Department of Health (WV Code §16A). Day-to-day oversight is handled by the Office of Medical Cannabis, a division of the Department of Health that licenses growers, processors, dispensaries, and laboratories and works with the physicians who certify patients (Office of Medical Cannabis). Under the statute, dispensaries, growers, and processors must each hold a permit from the bureau. Practitioners must register with the bureau and complete a four-hour training course before they can take part (WV Code §16A). --- Notes Department of Revenue omitted. Source 1 names the Department of Revenue as the regulatory body, but that page is the introduced text of a 2024 adult-use bill (SB 386, 2024 RS). Nothing in the sources shows it was enacted, and it conflicts with the directory's medical-only status. Bureau and Office relationship not stated. The sources don't say outright that the Office of Medical Cannabis sits within the Bureau for Public Health. The statute names the Bureau, and the OMC site says it is a Department of Health division. I described each as its source does and did not connect them. Someone should confirm the org structure before this is tightened. Laboratories. The statute excerpt lists permits only for dispensaries, growers, and processors. Laboratories appear only on the OMC site, so I attributed that point to OMC alone. Code URL. The §16A link uses an /email/ path. It may be worth replacing it with the canonical chapter URL before publishing. Sources not used. Non-official sources (6–11) also name the Office of Medical Cannabis. I didn't cite them because the .gov sources cover the same points.

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Taxes

West Virginia operates a medical-only cannabis program overseen by the Office of Medical Cannabis (omc.wv.gov), and patients should check with that office for the current tax treatment of dispensary purchases. Lawmakers have floated cannabis taxes tied to broader legalization. A 2024 Senate bill, SB 386 as introduced, proposed a five percent special sales tax on retail cannabis sales as part of an adult-use framework (wvlegislature.gov). That rate was only a proposal. Non-medical sale and use of marijuana remain illegal in the state (Mountain State Spotlight), so the figure should not be read as a tax that applies at medical dispensaries today. --- Notes for the editor **

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On-Site Consumption

West Virginia runs a medical cannabis program under the West Virginia Medical Cannabis Act (code.wvlegislature.gov/email/16A). The Office of Medical Cannabis, part of the Department of Health, administers it (omc.wv.gov). Dispensaries are one of several permitted business types, licensed alongside growers, processors, and laboratories (omc.wv.gov; code.wvlegislature.gov/email/16A). None of our sources says whether patients may consume cannabis at a dispensary. Patients should ask the Office of Medical Cannabis or the dispensary before planning to medicate on the premises. --- Notes -

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Medical Card Process

West Virginia's medical cannabis program is run by the Office of Medical Cannabis, a division of the state Department of Health (omc.wv.gov). A patient first needs a serious medical condition diagnosed by a licensed physician or osteopath as part of ongoing care (W. Va. Code ch. 16A). Eligible conditions include cancer, HIV/AIDS, ALS, Parkinson's disease, multiple sclerosis, epilepsy, PTSD, sickle cell anemia and severe chronic pain (W. Va. Code ch. 16A). The certification must come from a practitioner who is registered with the state and has completed a four-hour medical cannabis training course (W. Va. Code ch. 16A). Once certified, patients and their caregivers can take part in the program, which also licenses the dispensaries that serve them (omc.wv.gov). --- Notes for the editor Left out because only non-official sources support them: residency proof, photo ID, passport-style photo, application fees, telemedicine evaluations, and certification and registration being separate steps. These come only from commercial sites (greenhealthdocs.com, westvirginiamarijuanacard.com, flowhub.com). They should be confirmed against the Code or OMC before they are added. Incomplete conditions list: The official Code excerpt was cut off mid-list, so the conditions above are examples rather than the full list. The unofficial westvirginiastatecannabis.org says there are 15 conditions, but I couldn't confirm that number from a .gov source, so I didn't state it. Source 1 not used: It is a 2024 introduced bill (SB 386) that would allow adult-use cannabis, not enacted law. Its possession, tax and county

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Qualifying Conditions

To join West Virginia's medical cannabis program, a patient needs a physician or osteopath to diagnose a serious medical condition while providing ongoing treatment (WV Code §16A). Conditions recognized under the Medical Cannabis Act include cancer, HIV/AIDS, ALS, Parkinson's disease, multiple sclerosis, epilepsy and other seizure disorders, neuropathies, Huntington's disease, Crohn's disease, PTSD, sickle cell anemia, and severe chronic pain (WV Code §16A). The certifying practitioner must be registered with the state and must have completed a four-hour medical cannabis training course (WV Code §16A). The program is overseen by the Office of Medical Cannabis within the Department of Health (omc.wv.gov). --- Notes for the editor: Incomplete list: The official code excerpt I had was cut off after "severe chronic pain, and te…". The missing item is probably terminal illness, and westvirginiastatecannabis.org does list it. I left it out because I could not confirm it from the official text. Please check §16A directly and add any conditions after the cutoff. Condition count left out: westvirginiastatecannabis.org says there are 15 qualifying conditions. The official source was truncated, so I could not verify that number. Wording differences between sources: The non-official site uses terms that do not exactly match the code excerpt, such as "spinal cord damage causing spas

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Application Requirements

West Virginia's medical cannabis program is set out in the West Virginia Medical Cannabis Act, which the state Code places under the Bureau for Public Health within the Department of Health (https://code.wvlegislature.gov/email/16A/). The program's public-facing office is the Office of Medical Cannabis (https://omc.wv.gov/). To qualify, a patient must have a serious medical condition diagnosed by a licensed physician or osteopath as part of continuing care (https://code.wvlegislature.gov/email/16A/). The patient's physician must certify them for the program (https://omc.wv.gov/). A practitioner may do so only after registering with the bureau and completing a four-hour training course on medical cannabis (https://code.wvlegislature.gov/email/16A/). --- Notes for the editor Left out: residency, photo ID, passport-style photo and application fee. These appear only in commercial sources (greenhealthdocs.com, westvirginiamarijuanacard.com). None of the .gov sources state them, so I didn't include them. They're worth checking directly on omc.wv.gov before adding. Left out: minimum age and caregiver applications. No source establishes an age requirement for medical patients. Caregivers are mentioned only in passing on omc.wv.gov, with no details on the requirements. Left out: telemedicine. Only greenhealthdocs.com says telemedicine evaluations are permitted. The Code page is tagged as covering telemedicine rules, but the extracted facts don't say what those rules are. Regulator naming. The Code names the Bureau for Public Health, and omc.wv.gov names the Office of Medical C

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Renewal Process

West Virginia's medical cannabis program is run by the Office of Medical Cannabis, a division of the state Department of Health (omc.wv.gov), so that office is the authoritative place to confirm current renewal requirements. Because continued access depends on holding a valid card (westvirginiamarijuanacard.com), patients should plan ahead rather than waiting until their card lapses. Under the state's Medical Cannabis Act, a patient's serious medical condition must be diagnosed as part of continuing care by a licensed physician or osteopath, and certifying practitioners must be registered with the bureau and complete a four-hour training course (W. Va. Code §16A). Getting a physician's certification and registering with the state are separate steps (Green Health Docs), so patients should expect to handle both when their card comes up for renewal. --- Note for editor: Renewal specifics are missing. None of the sources provide how long a card is valid, when renewal can begin, the renewal fee, or whether renewal differs from a first application. Flowhub and Green Health Docs list "renewal process" as a heading, but no supporting facts were supplied, and no official source addresses renewal. I left these details out instead of guessing. Please verify them directly with omc.wv.gov before publishing. Mild inference in the last sentence. Green Health Docs describes certification and state registration as separate steps in the application process generally. I applied that to renewal, which the source does not explicitly state. Please confirm with OMC or soften the wording. Source 1 excluded. It is an introduced 2024 bill (SB 386) proposing adult-use legalization, not enacted law. Its claims about Department of Revenue oversight, 21+ possession, and a 5% tax do not apply to the current medical program and would conflict with the directory's "medical" status. Agency naming. Code §16A refers to the Bureau for Public Health within the Department of Health, while omc.wv.gov names the Office of Medical Cannabis. These are consistent (the office operates under the department), so

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Telemedicine Rules

In West Virginia, a medical cannabis card starts with a certification from a practitioner, so the rules for that evaluation matter more than the format of the visit. Under the West Virginia Medical Cannabis Act, a patient's serious medical condition must be diagnosed as part of continuing care by a licensed physician or osteopath, and the certifying practitioner must be registered with the state and have completed a four-hour training course on medical cannabis (W. Va. Code ch. 16A). The program is run by the Office of Medical Cannabis, a division of the state Department of Health (omc.wv.gov). Before booking a remote appointment, patients should confirm with the Office of Medical Cannabis or a registered practitioner that a video visit will meet these requirements. --- **Notes

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Reciprocity

West Virginia's medical cannabis program is run by the Office of Medical Cannabis, a division of the state Department of Health (omc.wv.gov). Under the state's Medical Cannabis Act, eligibility depends on a serious medical condition diagnosed during ongoing care by a licensed physician or osteopath, and certifying practitioners must register with the state and complete a four-hour training course (code.wvlegislature.gov/16A). Applicants must also be West Virginia residents with proof of residency (westvirginiamarijuanacard.com). Our sources do not confirm whether the state honors medical cannabis cards from other states. Out-of-state patients should contact the Office of Medical Cannabis before assuming their card will be accepted. --- Notes for the editor Reciprocity is not established by any source. Two non-official pages (sources 5 and 10) list "reciprocity" as a

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