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Medical marijuana in Ohio
Medical & adult-use · updated 2026-05
Ohio's medical program is run through the Division of Cannabis Control. A physician with a Certificate to Recommend certifies you for a listed condition, and the state registration fee is now effectively free at one cent. Medical patients avoid the adult-use excise tax.
$0.01 patient registration fee (effectively eliminated from the old $50)
Card validity
One year; renew annually with a recertification
Purchase limit
Up to a 45-day supply, with amounts based on THC content
Legal forms
Oils, tinctures, edibles, patches, topicals, and dry flower for vaporization — no public smoking
Residency
Ohio resident with a valid Ohio driver's license or state ID
How to get your card
Gather medical records documenting a qualifying condition.
See a physician holding a Certificate to Recommend (CTR), in person or by telehealth.
The physician enters you into the Ohio Patient & Caregiver Registry; complete your profile and pay the $0.01 fee.
Download your card and shop at any licensed Ohio dispensary.
Qualifying conditions (26)
Ohio patients may qualify with any of the following. A state-approved physician makes the final call during your evaluation.
Chronic, severe or intractable pain
Cancer
PTSD
Epilepsy / seizures
Multiple sclerosis
Crohn's disease
Inflammatory bowel disease
Fibromyalgia
Alzheimer's disease
ALS
Parkinson's disease
Sickle cell anemia
Spinal cord injury
Glaucoma
HIV / AIDS
Hepatitis C
Huntington's disease
Cachexia
Terminal illness
Spasticity
Arthritis (under chronic pain)
Chronic migraines (under chronic pain)
Complex regional pain syndrome
Tourette syndrome
Ulcerative colitis
Autism spectrum disorder
This is general information, not medical or legal advice, and program rules change. Confirm current details with the Ohio Department of Health or a licensed physician before acting.