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Allows Medical marijuana?: Yes

Allows Adult-Use marijuana?: No

2018 Medical Sales : N/A

2022 Projected Medical Sales : N/A

2018 Adult Use Sales : N/A

2022 Projected Adult Use Sales : N/A

Noteworthy Information: 
{{COVID-19 Update: Physical distancing measures are delaying the opening of the first dispensaries in the new medical cannabis program. }}

Missouri is in the process of opening its first stores in its medical cannabis market. Missouri became the 32nd state to legalize medical marijuana when voters approved Amendment 2 on November 6, 2018, legalizing the growing, manufacturing, sale and consumption of marijuana for medicinal use. The legislation included: state-licensed physicians able to recommend marijuana use to patients with certain qualifying conditions, a 4 percent state tax on marijuana sales (which will help fund services for veterans), and patients can grow up to six plants. The Missouri Department of Health and Senior Services is tasked with overseeing and regulating the state’s medical marijuana program.

Is there a Regulatory Structure? (State Agency): Yes (Department of Health and Senior Services)

# of Dispensaries Allowed (# issued): 192 allowed

# of Cultivations Allowed (# issued): 61 allowed

# of Manufacturers Allowed (# issued): 82 allowed

# of Testing labs Allowed (# issued): N/A

Geographic Distribution of Licenses: N/A

Application Fee: 
Cultivators: $10,000 non-refundable application fee
Dispensaries: $6,000 non-refundable application fee
Manufacturers: $6,000 non-refundable application fee

Licensing Fees: 
Cultivators: $25,000 annual fee
Dispensaries: $10,000 annual fee
Manufacturers: $10,000 annual fee

Residency Requirements: 

Vertical Integration Allowed, Required or Prohibited: 
Not Required

Medical Marijuana Qualifying Patient Conditions: 
Intractable migraines unresponsive to other treatment;
A chronic medical condition that causes severe, persistent pain or persistent muscle spasms, including but not limited to those associated with multiple sclerosis, seizures, Parkinson’s disease, and Tourette’s syndrome;
Debilitating psychiatric disorders, including, but not limited to, post-traumatic stress disorder, if diagnosed by a state licensed psychiatrist;
Human immunodeficiency virus or acquired immune deficiency syndrome;
A chronic medical condition that is normally treated with a prescription medication that could lead to physical or psychological dependence, when a physician determines that medical use of marijuana could be effective in treating that condition and would serve as a safer alternative to the prescription medication;
Any terminal illness; or
In the professional judgment of a physician, any other chronic, debilitating or other medical condition, including, but not limited to, hepatitis C, amyotrophic lateral sclerosis, inflammatory bowel disease, Crohn’s disease, Huntington’s disease, autism, neuropathies, sickle cell anemia, agitation of Alzheimer’s disease, cachexia and wasting syndrome.

Testing Required: 


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