North Dakota Medical Marijuana Card: Complete Guide
North Dakota Medical Marijuana Card: Program Overview
North Dakota's medical marijuana program is administered by the North Dakota Department of Health and Human Services (ND HHS) under North Dakota Century Code Chapter 19-24.1, the medical marijuana law North Dakota voters approved as Measure 5 in 2016 (the North Dakota Compassionate Care Act). North Dakota is a medical-only state with no adult-use (recreational) market, so a state-issued registry identification card is the only legal way to purchase cannabis from a registered North Dakota dispensary. Since House Bill 1203 took effect on August 1, 2025, the program permits a telehealth visit for the initial certification, and the registry identification card is valid for two years (extended from one year by the 2025 legislative session). Patients apply through the state's BioTrackTHC registration portal at mmregistration.health.nd.gov after a North Dakota-licensed physician completes the written certification.
What a North Dakota Medical Marijuana Card Costs
The North Dakota state application fee is a flat $40, paid to ND HHS through the registration portal. The MMJ.com physician evaluation is $149.99 (refunded in full if the physician determines you do not qualify). Because the North Dakota card lasts two years, the state fee works out to roughly $20 per year, among the lower annual state-fee burdens of any program in the country. North Dakota does not offer an income-based reduced fee, so the $40 fee is the same for every adult patient; the fee is non-refundable once ND HHS processes the application.
North Dakota Qualifying Conditions
North Dakota Century Code 19-24.1-01(15) sets out the debilitating medical conditions that qualify. The enumerated conditions are a terminal illness, AIDS, agitation of Alzheimer's disease or related dementia, ALS, anxiety disorder, anorexia nervosa, autism spectrum disorder, brain injury, bulimia nervosa, cancer, Crohn's disease, decompensated cirrhosis caused by hepatitis C, Ehlers-Danlos syndrome, endometriosis, epilepsy, fibromyalgia, glaucoma, interstitial cystitis, migraine, neuropathy, positive status for HIV, PTSD, rheumatoid arthritis, spinal stenosis or chronic back pain, and Tourette syndrome. North Dakota also recognizes any chronic or debilitating disease or medical condition (or its treatment) that produces cachexia or wasting syndrome, severe debilitating pain, intractable nausea, seizures, or severe and persistent muscle spasms. The certifying physician confirms a qualifying condition during your evaluation.
What You Can Buy at a North Dakota Dispensary
Adult patients (19 and older) may purchase dried leaves and flower as well as other product forms: capsules, solutions, topicals, transdermal patches, concentrates and extracts, and edibles (added in 2025). Under North Dakota Century Code 19-24.1-33, the standard 30-day purchase limit is 2.5 ounces of dried leaves and flower (3 ounces possession), and physicians may authorize an enhanced amount of up to 6 ounces per 30 days (7.5 ounces possession) only for patients with the qualifying condition of cancer. The 30-day limit for other (non-flower) products is 6,000 mg of THC; edibles are capped at 5 mg of THC per serving and 500 mg of THC possession, and cannabinoid concentrate containers are limited to one gram. Minor patients (under 19) are not authorized dried leaves and flower. Because North Dakota has no adult-use market, the registry identification card is the only legal way to buy any of these products.
Why Get Your North Dakota Card Through Telehealth
North Dakota authorized telehealth for the first-visit certification under House Bill 1203 in 2025, so there is no need to find an in-person clinic. Through MMJ.com, your evaluation is a secure video visit with Dr. David Okonkwo, MD, a North Dakota-licensed physician (NPI 1457796062, North Dakota Board of Medicine license 17716). The visit takes about 15 minutes, the written certification is completed in the state registration system, and you submit the $40 application through the BioTrackTHC portal the same day. North Dakota HHS then issues your 2-year registry identification card after its standard 2 to 4 week review.