What Are The Rules For Ohio's Medical Marijuana Program

The State of Ohio has put forth a system of rules that govern Ohio’s medical marijuana program and, to make sure that our patients have a full understanding of the rules they must follow with their Ohio Marijuana Card, we have put together a short article including the most important aspects covered under the program.


Although medical marijuana patients are protected under the Ohio Medical Marijuana Control Program, there are certain rules and laws that still must be followed in order to be in full compliance with the program.

Rules for Ohio's Medical Marijuana Program:

Registration Fee:

  • The annual registration fee for the Patient Registry is $50

    • Patients must be in the Patient Registry in order for dispensaries to serve patients​

  • The annual fee for a caregiver is $25

  • The Board of Pharmacy may reduce registration fee by 50% for a patient who qualifies for disabilities, social security, or supplemental income; or veteran status

    • Veteran's must have their veteran card as well as some form of record to show honorable discharge (i.e. a DD 214 form)

Process of Getting a Card:

  • Check the list of 21 qualifying conditions to confirm that you do qualify

  • Schedule an appointment with one of our certified doctors

  • Meet with our doctor (M.D. or D.O.) to verify qualifying condition

    • MUST HAVE MEDICAL RECORDS verifying the qualifying condition(s) in addition to a valid form of State I.D.

  • Receive your recommendation from our doctor

    • You will receive a signed letter from the doctor as a placeholder until you download the official card from the Ohio Board of Pharmacy. The signed recommendation letter cannot be used to access a dispensary, but can be utilized as a secondary form of proof that you are an approved medical marijuana patient in Ohio.

  • The State Board of Pharmacy will process the recommendation and enroll you in the Patient Registry

  • After receiving an email from the Ohio Board of Pharmacy that you have been approved, you will pay the State fee and print off your official Ohio Marijuana Card

    • With the Ohio Marijuana Card you have access to any dispensary in the State of Ohio​

  • Follow up with prescribing doctor every 3 months through phone call

  • The evaluation date for the renewal of your medical marijuana coverage must be done 1 year from the initial evaluation date



Individuals that have registered with the State to purchase, possess, and administer medical marijuana for qualifying patients

  • Each patient can have two caregivers, and an individual can serve as a caretaker for two patients



The State has not established reciprocity with any other medical marijuana states; however, there is a possibility this will be revisited in the future. The main problem with reciprocity is, due to the federal law still making marijuana illegal, crossing over state borders with marijuana products, even medicinal, is still considered a federal crime. 

Minors (Under the age of 18):

The minor's parent or legal guardian must consent for medical marijuana treatment. This is done by submitting a caregiver registration submission through the OMMCP's website. The medical marijuana products must then be purchased by the licensed caregiver.

  • When turning 18 the patient must renew at that time, or wait until the end of the yearly coverage


Medical Marijuana Products:

  • Tier 1: 23% or less THC concentration

  • Tier 2: 23-35% THC concentration

    • Concentrated oils must have a THC concentration of less than 70%​


Ohio Medical Marijuana Forms and Methods Amount

A patient may purchase no less than ___ per day: 

  • 2.83 grams (1/10 of oz)

  • 295 milligrams of THC in patch, lotion, cream, or ointment

  • 110 mg of THC in oil, tincture, capsule, or edible (50 mg. per edible)

  • 590 mg of THC in oil for vaporization


90 day limits:

  • Tier 1: No more than 8 ozs

  • Tier 2: No more than 5 and 3/10 ozs

  • No more than 26.55 grams of THC content in patches, lotions, creams, or ointments

  • No more than 9 and 9/10 grams of THC content in oil, tincture, capsule, or edible form

  • No more than 53 and 1/10 grams of THC content in oil for vaporization


Terminal illness (90 days):

  • Tier 1: No more than 10 ozs

  • Tier 2: No more than 6 and 6/10 ozs

  • No more than 33 3/10 of THC in patches, lotions, creams, or ointments

  • No more than 11 and 7/10 of THC in oil, tincture, capsule, or edible

  • No more than 65 and 7/10 grams of THC in concentrated oils