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How to Get a Medical Marijuana Card in Missouri

February 10, 2023

This year (2023) marks a major milestone for the show-me state. For the first time ever, adult Missouri residents are able to purchase marijuana at dispensaries for recreational use. But just because you can—does it mean you should?

Find out whether it’s still worth it to get a medical cannabis card in Missouri. And if so, how do you become a cardholder?

Medical Cannabis Card Vs. Recreational

Medical Marijuana cards have been available in Missouri for over five years now, since 2018. Recreational legalization of cannabis for Missouri residents just went into effect in 2023.

So, what’s the difference?

Compare medical cannabis rights vs. recreational marijuana privileges in the table below:

Medical Marijuana Cardholder Recreational Use (Adult Use)
Legal Protections
  • Employment discrimination
  • No discrimination protections from employers
Quantity Allowed in Possession
  • Up to 6 ounces per 30-day period (as of 12/8/22)
  • Up to 3 ounces in possession and per transaction
  • Cultivation of up to six plants with a 90-day supply of dried, unprocessed marijuana
  • Cultivation (indoor only) requires a personal cultivation identification card
Price and Taxes
  • 4% Excise Tax on top of state and local sales tax
  • 6% Excise Tax on top of state and local sales tax
Age Requirement
  • 18+
  • Under 18 with special cases and permission
  • 21+

Medical marijuana cardholders benefit from additional legal protections, increased allowances, and fewer taxes at the counter in Missouri. If you prefer to pay less at the dispensary, the ability to keep more marijuana on hand, and need employment protection—then a medical cannabis card is the way to go.

Do I Qualify for a Medical Cannabis Card in Missouri?

Yes, if you have a debilitating medical condition that is on the list of qualifying conditions. The following debilitating medical conditions are currently approved in Missouri:

  • Post Traumatic Stress Disorder
  • Debilitating Psychiatric Disorders
  • Cancer
  • Epilepsy
  • Glaucoma
  • HIV or AIDS
  • Hepatitis C
  • ALS
  • Crohn's Disease
  • Alzheimer's Disease (for agitation)
  • Wasting Syndrome
  • Severe, Persistent Pain
  • Seizures
  • Muscle Spasms (severe, persistent)
  • Migraines (intractable only)
  • Multiple Sclerosis
  • Parkinson’s Disease
  • Tourette’s Syndrome
  • Chronic Medical Conditions (as an alternative to dependence-prone medications)
  • Terminal Illness
  • Inflammatory Bowel Disease
  • Huntington’s Disease
  • Autism
  • Neuropathies
  • Sickle Cell Anemia

If you need medical marijuana to manage any of the debilitating medical conditions listed above, My Virtual Physician can help you obtain your Missouri medical cannabis card. The next steps to get your card are covered below.

Getting Your Medical Cannabis Card in Missouri

There are three simple steps to obtaining your medical card for cannabis in Missouri. Here’s what you’ll need:

  1. Physician’s Certification
  2. Completed Medical Cannabis Card Application
  3. Payment

Step #1: Physician’s Certification

It’s likely that you already know that you have one of the debilitating medical conditions that qualifies you to use medical marijuana in Missouri. In that case, you’ll still need a doctor’s written approval on a state-specific form in order to satisfy the state’s requirements.


Get your doctor’s approval quickly and easily via telemedicine through My Virtual Physician. We have Missouri-licensed doctors on staff who can complete the required visit and paperwork on your behalf.

Our doctors will take care of completing the Missouri physician’s certification form. All that is required to speak with one of our doctors to get your card now.

Keep in mind that you’ll need to move to the next step within 30 days of the date of your certification.

Step #2: Medical Cannabis Card Application

After your consultation with a My Virtual Physician doctor, the next step is to register with the Missouri Department of Health & Senior Services and begin the application process. Read the step-by-step instructions for the state’s registration process, which include:

  1. How to add your doctor’s electronic physician certification form to your application
  2. How to register for access to the Missouri registration portal online
  3. How to create a new application and submit it for processing

Be sure to complete the above steps and submit your application within 30 days of the signature date on your physician certification form (the date of your consultation).

Step #3: Paying for Your Medical Cannabis Card

Getting your medical marijuana card requires two payments—one to your doctor and one to the state of Missouri.

  • My Virtual Physician offers your medical marijuana consultation for $115, required with each application or renewal.
  • Missouri cannabis medical card application fees are very affordable at just $25 for marijuana patients.


State fees are paid through the portal when you submit your application or renewal. Renewals are the same price as the initial application, required every three years to keep your cardholder status.

That puts your total cost for a medical cannabis card at $140, good for three years.

Get Your Card Now

If you’re a Missourian looking for where to get a medical cannabis card, look no further. Start the process today by setting up your physician consultation with My Virtual Physician today to get relief now.

Get Your Medical Cannabis Card Now

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