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Virginia is unusually simple: a CCA-registered practitioner can issue a written certification for any condition they judge cannabis may help, with no state ID card and no separate state fee. You can use the certification immediately at any licensed Virginia pharmacy. Adult possession is legal at 21+, but there are no recreational stores, so the certification is the way to buy.
| Legal status | Medical (adult possession legal, no rec sales) |
| Card fee | No separate state ID-card fee (Virginia dropped the registration requirement); you pay only the practitioner's fee |
| Card validity | Up to one year, at the practitioner's discretion |
| Purchase limit | Set by your practitioner; dispensed at licensed Virginia cannabis pharmacies |
| Legal forms | Flower, vapes, edibles, tinctures, oils and topicals from licensed pharmacies |
| Residency | Located in Virginia at the time of your telehealth visit |
Virginia patients may qualify with any of the following. A state-approved physician makes the final call during your evaluation.