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West Virginia's program is run by the Office of Medical Cannabis. A physician who has completed a state course issues a written certification for a listed condition, then you register on the state portal and pay a $50 fee. There is no adult-use market, so the medical card is the only legal route.
| Legal status | Medical only |
| Card fee | $50 application fee, paid by check or money order to the Office of Medical Cannabis |
| Card validity | One year; renew about 30 days before expiry |
| Purchase limit | Up to a 30-day supply as determined by your certifying physician |
| Legal forms | Oils, gels, pills, patches, tinctures, creams, and dry leaf for vaporization — smoking is not permitted |
| Residency | West Virginia resident with proof of residency |
West Virginia patients may qualify with any of the following. A state-approved physician makes the final call during your evaluation.