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North Dakota

Allows Medical marijuana?: Yes

Allows Adult-Use marijuana?: No

2018 Medical Sales : 1,000,000

2022 Projected Medical Sales : $36,000,000

2018 Adult Use Sales : N/A

2022 Projected Adult Use Sales : N/A

Noteworthy Information: {{COVID-19 Update: Although not listed among businesses that are required to close, it remains unclear if medical cannabis dispensaries may remain open. The state’s health department did warn on its website that patient and caregiver applications could be delayed. }}

North Dakota voters passed medical medical cannabis in November 2016. The first dispensary opened in Fargo on March 1, 2019. A registered qualifying patient can purchase up to 2.5 ounces of dried leaves and flowers (special authorization from the health care provider is required) in a 30 day period. A patient can purchase up to 2,000 mg of other cannabis product in a 30 day period. Concentrates, tinctures, capsules, transdermal patches, and topicals are permitted. A measure to legalize recreational marijuana in the November 2018 election failed. The House passed a number of bills to expand the medical marijuana program in February 2019, including a bill that would add 13 new medical conditions to the list of debilitating medical conditions.

Is there a Regulatory Structure? (State Agency): Yes (North Dakota Department of Health)

# of Dispensaries Allowed (# issued): Called Compassion Centers. The North Dakota Department of Health has established eight regions for dispensaries registered through the Medical Marijuana Program to be located. Under state law, the Department is to register no more than eight dispensaries unless the Department determines additional dispensaries (or manufacturing facilities) are necessary to increase access to usable marijuana by registered qualifying patients and registered designated caregivers.

# of Cultivations Allowed (# issued): The Health Department has selected two growers: Pure Dakota in Bismarck and Grassroots Cannabis in Fargo.

# of Manufacturers Allowed (# issued): Two entities have been selected as manufacturing facilities.

# of Testing labs Allowed (# issued): The state has awarded a contract to Keystone State Testing (doing business as Dakota State Testing) to conduct compliance testing of marijuana and usable marijuana for the Medical Marijuana Program.

Geographic Distribution of Licenses: N/A

Application Fee: 
Non-refundable compassion center application fee: $5,000

Licensing Fees: 
Compassion Center licensing fee= $25,000

Residency Requirements: 
Not yet known

Vertical Integration Allowed, Required or Prohibited: 

Medical Marijuana Qualifying Patient Conditions: 
a. Cancer
b. Positive status for Human Immunodeficiency Virus (HIV)
c. Acquired Immune Deficiency Syndrome (AIDS)
d. Decompensated cirrhosis caused by hepatitis C
e. Amyotrophic Lateral Sclerosis (ALS)
f. Posttraumatic Stress Disorder (PTSD)
g. Agitation of Alzheimer’s disease or related dementia
h. Crohn’s disease
i. Fibromyalgia
j. Spinal stenosis or chronic back pain, including neuropathy or damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity
k. Glaucoma
l. Epilepsy
m. A terminal illness
n. A chronic or debilitating disease or medical condition or treatment for such
disease or medical condition that produces one or more of the following:
* Cachexia or wasting syndrome
* Severe debilitating pain that has not responded to previously
prescribed medication or surgical measures for more than three
months or for which other treatment options produced serious side
* Intractable nausea
* Seizures
* Severe and persistent muscle spasms, including those characteristic of multiple sclerosis

Testing Required: 
Yes, though in-house may be allowed


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