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Updated 14/08/2025
Medical cannabis has been lawful in Washington since 1998 under Initiative 692. To qualify in 2025, an applicant should be a Washington resident, be at least 18 years old, and—if under 18—have a designated provider who is at least 21 years old. The program is overseen by the Washington State Department of Health (DOH).
Eligibility requires a medical cannabis authorization issued by a Washington-licensed health care professional authorized under RCW 69.51A.030. The authorization confirms that the patient has a qualifying medical condition.
Qualifying conditions include:
After receiving an authorization, patients can obtain a recognition card by presenting the authorization and government-issued ID at a medically-endorsed retail store; program staff will enter the patient into the authorization database and issue the card.
To obtain a Washington medical cannabis recognition card in 2025, applicants present required items at a medically endorsed retailer; authorizations are issued by practitioners following DOH guidance on the healthcare practitioner information page, and card issuance is recorded in the state authorization database, which is a secure system.
Ensure all information matches across documents to avoid delays during card issuance at the retailer.
The state fee to issue or renew a Washington medical cannabis recognition card is $1, collected when the card is printed at a medically endorsed retail store. State law permits retailers to charge an additional card-issuance fee, and any added amount is set by the retailer. Fees for the medical cannabis authorization appointment are separate and determined by the authorizing health care professional.
To receive a Washington medical cannabis recognition card at a medically endorsed retailer, bring:
Ensure all information matches across documents to avoid delays during card issuance at the retailer.
After a Washington-licensed health care professional issues your medical cannabis authorization, call a medically endorsed retail store to schedule an appointment with a certified medical cannabis consultant. During the appointment, the consultant reviews your authorization for completeness, enters your record into the state medical cannabis authorization database, and prints your recognition card. Once the card is issued, you may purchase Department of Health–compliant products, including high-THC compliant cannabis products, from medically endorsed retailers.
Yes. Medical cannabis is legal in Washington under state law. Qualifying patients obtain an authorization from a licensed health care professional and are issued a recognition card through the state system; requirements for authorization and patient eligibility are outlined in RCW 69.51A.210. Patients must follow program rules to remain in compliance.
To get a medical card in Washington, you must be a state resident, be at least 18 years old (patients under 18 require a designated provider who is at least 21), have a qualifying medical condition, and obtain a medical cannabis authorization from a Washington-licensed health care professional. After authorization, you are entered into the state system and issued a recognition card at a medically endorsed retailer.
Qualifying conditions are determined by the authorizing health care professional using state guidance. Examples commonly include cancer, HIV/AIDS, multiple sclerosis, epilepsy, Crohn’s disease, glaucoma, chronic pain, and post-traumatic stress disorder (PTSD).
Washington does not set a “monthly” purchase amount; instead, patient possession and cultivation limits are set in statute.
Federal law treats marijuana as a controlled substance. Firearm ownership questions are governed by federal law; individuals should consult current federal guidance or legal counsel.
Minors may qualify with consent and participation of a designated provider who meets state requirements. In certain circumstances, state law provides for compassionate care renewals; see the session law on compassionate care renewal for details.
No, you must have a valid medical marijuana card to purchase medical marijuana from a dispensary in Washington.
No, insurance typically does not cover the cost of medical cannabis in Washington. Patients are responsible for the purchase and expenses related to their medical marijuana.
While Washington law protects medical marijuana patients from discrimination, employers may have their own policies regarding drug use and employment. It is advisable to consult with the employer or legal counsel to understand the specific policies in place.
The Washington State Nursing Commission has specific guidelines regarding the use of medical marijuana by nurses. It is recommended to consult with the commission or legal counsel to understand the regulations and requirements for nurses.
The eligibility for government jobs in Washington may vary. It is advisable to review the specific requirements and guidelines provided by the government agency or consult with legal counsel for accurate information.
Failing a drug test while having a medical card in Washington may have consequences, depending on the employer's policies and the nature of the job. It is recommended to review the employer's policies and consult with legal counsel for guidance.