Does Missouri Accept Out-of-State Medical Cards?
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If you happen to be a cannabis user visiting Missouri, you may have questioned whether the state recognizes out-of-state medical cards. While many states have legalized medical or recreational cannabis, only a few states that permit medical use extend their acceptance to out-of-state medical cards.

Does Missouri acknowledge medical marijuana reciprocity? Which states have reciprocal arrangements for medical marijuana? In this article, we will define medical marijuana reciprocity, explore the situation in Missouri, and examine the states that offer reciprocity for medical marijuana.


The Evolution of Medical Marijuana in Missouri

In November 2018, Missouri voters approved Amendment 2, which legalized the use of medical marijuana for qualified patients. This marked a significant shift in the state’s approach to cannabis, leading to the establishment of a regulated medical marijuana program.

Under Amendment 2, patients diagnosed with certain qualifying medical conditions are eligible to apply for a medical marijuana card. The card grants them access to state-licensed dispensaries, where they can purchase medical cannabis products for their specific health needs.


Obtaining a Missouri Medical Marijuana Card

If a person lives in Missouri or moves there, getting a medical marijuana card isn’t too difficult as long as they match the requirements. Patients must meet the following requirements to be eligible:

Be at least 18 years old or have their primary carer be a parent or guardian.
Have a current Missouri driver’s license or utility bill as proof of residency.
Obtain written confirmation that the patient meets the requirements for medical marijuana usage from a doctor with a state-issued license.
Register with and pay the required application fees at the Missouri Department of Health and Senior Services (DHSS).

Qualifying Medical Conditions

Patients must have been given a diagnosis of one or more of the state’s recognised medical conditions in order to qualify for a medical marijuana card in Missouri. These prerequisites consist of, but are not limited to:


  • Cancer
  • Epilepsy
  • Intractable migraines
  • Chronic medical conditions causing severe, persistent pain or muscle spasms
  • Glaucoma
  • Debilitating psychiatric disorders
  • Inflammatory bowel disease
  • Multiple sclerosis
  • Parkinson’s disease

The list of qualifying conditions may be subject to change as the state reviews and updates its medical marijuana program. Therefore, it’s essential for patients to check the DHSS website or consult with a medical professional for the latest information on qualifying conditions.


What is Medical Marijuana Reciprocity?

It refers to a state’s acceptance of out-of-state medical marijuana cards, enabling residents of other states to benefit from some services that are available to residents of that state, such as the ability to buy medical marijuana from dispensaries.

But it’s important to remember that just because a state accepts out-of-state medical marijuana licenses doesn’t mean that getting medicinal cannabis from dispensaries will be simple. Each state with medical marijuana reciprocity has a unique procedure for granting access to patients from other states that calls for careful planning.

Let’s now analyze whether Missouri has medical marijuana reciprocity.


Does Missouri Have Medical Marijuana Reciprocity?

The Missouri Department of Health and Senior Services (DHSS) has acknowledged that reciprocity for the state’s medical marijuana programme has not yet been established. This indicates that the medicinal Marijuana Programme in Missouri does not currently recognise medicinal marijuana identification cards from other states.

However, a clause in Missouri law protects out-of-state patients who have a legitimate medical marijuana card. The possession of up to an ounce of cannabis by certain patients while they are in Missouri is not subject to criminal prosecution. It’s vital to remember that, despite the fact that Missouri now allows out-of-state patients to possess cannabis, they are not allowed to buy it.

Due to the lack of reciprocity, any patient who wishes to purchase medical marijuana in Missouri must have a valid medical card issued by the state of Missouri.


States With Medical Marijuanas Reciprocity With Missouri

Is Missouri open to out-of-state medical cards? No, Missouri hasn’t established medical marijuana reciprocity, making it uncommon for other states to accept MMJ cards from Missouri.

Reciprocity laws for medical marijuana differ among states and may change over time. It’s important to research a state’s reciprocity laws before traveling there.

Now, let’s explore states with medical marijuana reciprocity, excluding those with recreational cannabis.



Patients from other states can purchase medical marijuana in Arkansas with approval. They need to provide their medical marijuana card and pay a $50 application fee 30 days before their visit. An AR registry card is valid for 30 days, allowing the purchase of up to 2.5 ounces of medical marijuana every two weeks, with a possession limit of less than 1 ounce.



Hawaii allows out-of-state patients to apply for a Hawaii 329 Registration Card, granting access to medical marijuana dispensaries. Patients must provide proof of their medical marijuana card and pay a fee of $49.50. The card is valid for 60 days.



Out-of-state patients can apply for a temporary medical marijuana license in Oklahoma by providing proof of their MMJ card and fulfilling a few other requirements. The license costs $100 and is valid for 30 days before renewal.


Rhode Island

Rhode Island accepts out-of-state medical cards as if they were their own. Patients need to show two forms of identification and their physical MMJ card to access dispensaries in the state. They can possess up to 2.5 ounces of medical marijuana. Additionally, they must complete a compassion center intake form to be included in the center’s tracking system.


Out-of-state MMJ patients can apply for a temporary Utah MMJ card, granting access to the state’s dispensaries, but they must meet one of the state’s qualifying conditions. The cards are valid for 21 days each, and patients can receive up to two 21-day cards per calendar year.

States like New Hampshire and Pennsylvania have passed legislation to accept out-of-state MMJ patients, but full reciprocity is still in progress. Currently, New Hampshire allows out-of-state patients to possess cannabis.


Also Read: How To Register On The MMMP Website Missouri?



For those who reside in Missouri or plan to relocate to the state, obtaining a Missouri medical marijuana card remains the most viable option for legally accessing medical cannabis products from state-licensed dispensaries. As with any medical decision, it is crucial to work closely with a qualified healthcare professional to determine the suitability of medical marijuana for managing specific health conditions.

By Sumridhi

Sumridhi is a talented writer with a strong focus on medical topics. She works hard to support people who want to get their medical marijuana cards. She believes in the power of medical cannabis and its potential to help people around the world and is committed to spreading awareness and understanding about this important medicine.

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