Missouri State Information Page

Current Legality State – Missouri

Decriminalized & Medical

  • Medical Marijuana Program only
  • Decriminalized statewide for minor possession
  • Medical patients can possess up to four ounces of marijuana per month; recreational use possession is illegal.
  • Cultivation of recreational marijuana is illegal; medical marijuana patients are allowed to apply for a separate license to grow cannabis; up to six plants for qualified patients

Current Legality State

Decriminalized & Medical

  • Medical Marijuana Program only
  • Decriminalized statewide for minor possession
  • Medical patients can possess up to four ounces of marijuana per month; recreational use possession is illegal.
  • Cultivation of recreational marijuana is illegal; medical marijuana patients are allowed to apply for a separate license to grow cannabis; up to six plants for qualified patients

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Missouri Qualifying Conditions For Medical Marijuana

The following is a list of the most common conditions that qualify registered patients for medical marijuana in Missouri: ​​

  • Alzheimer’s disease
  • Any terminal illness
  • Autism
  • Cancer
  • Crohn’s disease
  • Chronic, persistent pain
  • neuropathy
  • Epilepsy
  • Glaucoma
  • Hepatitis C
  • HIV/AIDS or cachexia or wasting syndrome
  • Huntington’s disease
  • IBS
  • Muscle spasms
  • Intractable migraines
  • Lou Gehrig’s disease
  • Multiple Sclerosis
  • Opioid substitution
  • Parkinson’s disease
  • PTSD or other “debilitating psychiatric disorders”
  • Tourette syndrome
  • Sickle cell anemia
  • Cannabis can potentially treat persistent seizures and many mental health disorders.
  • Any “other debilitating or chronic medical condition” that may be alleviated by the medical use of marijuana “in the professional judgment of a physician” especially if prescription medication options have been exhausted.

Does Missouri accept out-of-state medical cards?

Missouri does not accept out-of-state medical cards, but an adult medical patient can visit a legal dispensary to purchase with an ID.

When does my Missouri medical card expire?

Medical cards expire one year from the date the patient completes the registration process with the state.

Get a Missouri Medical Marijuana Card

Missouri marijuana DUI laws

The Missouri Department of Health and Senior Services does not make any punishment exceptions for driving under the influence of cannabis; however, the state constitution says it is illegal to drive under the influence of any substance in the United States.

Missouri marijuana growing laws

A Missouri resident is not allowed to grow marijuana unless you have a medical marijuana cultivation license. Medical cannabis patients are allowed to grow up to six plants for adult use after paying an additional fee when purchasing their medical card. No more than two patients per household may cultivate cannabis in Missouri.

Missouri public consumption laws

Missouri residents or visitors are not allowed to use marijuana in any public place. Public places include parks, sidewalks, schools, and businesses.

Missouri city specific laws

The laws listed here are for the state. Cities, counties, schools, universities, and employers may set their own rules and consequences. Be sure to check how marijuana laws differ in each county or town before you use.

Cannabis Policy Reform Timeline

2004: Local decriminalization began with the city of Columbia, MO.  Kansas City and others soon followed.

2014: Missouri lawmakers amended the criminal code to reduce marijuana possession penalties with Senate Bill 491; CBD oil and hemp extract with low THC was legalized

2017: Possession of fewer than 10 grams of cannabis became only punishable by a fine for certain marijuana-related offenses.

2018: Missouri residents passed constitutional amendment 2 (Missouri Medical Marijuana Bill) and legalized marijuana use by adults in the state.  Industrial hemp became legal in the United States.

2020: The state began awarding licenses to dispensaries, labs, manufacturers, and growers; the first dispensary for retail marijuana sales opened in Missouri. There is a ballot initiative being organized and signature gathering for legalizing marijuana recreationally and allowing the use of cannabis products for adults.

Some of the Current Cannabis Bills in Missouri

Learn more about Cannabis legalization in Missouri:

Frequently Asked Questions

  • How many Missouri voters support medical marijuana legalization?

    In a recent poll, 66 percent of Missouri voters supported legalized medical marijuana use.

  • Can you get a legal Missouri cannabis card for anxiety?

    No. Anxiety is not currently recognized as a qualifying medical cannabis condition in Missouri unless a doctor recommends that it is debilitating.

  • Are vape pens legal in Missouri?

    Medical marijuana inhalation devices are legal in the state of Missouri. State-licensed dispensaries offer vape cartridges for purchase

  • Can medical patients grow in Missouri?

    Yes. Medical marijuana patients can cultivate marijuana; up to six plants once they become license holders to grow marijuana.

  • Is a medical marijuana card available in Missouri?

    Yes. Missouri law requires the following for a patient to qualify for a medical card:

    • Be 18 years of age or older
    • You must be able to provide proof of your Missouri residency
    • You must have a diagnosis that a Physician determines will qualify for medical marijuana use in Missouri.
    • You must submit a signed Physician Certification with your MMP application – and that is where Leafy Doc can help.  We can assist with booking your appointment and then provide the Physician’s approval certificate so that you can apply to get your patient identification card. We also provide an options health coach and helpful resources for new license holders.