Missouri: Medical Marijuana Handbook
Missouri Marijuana Tax Rate
| Sales Tax Medical | Excise Tax Medical | Max Medical Tax | Sales Tax Recreational | Excise Tax Recreational | Max Recreational Tax |
|---|---|---|---|---|---|
| 4.00% | N/A | 4.00% | N/A | N/A | N/A |
2024 Missouri Medical Marijuana Handbook 
Missouri has 8 bordering states consisting of Arkansas, Illinois, Iowa, Kansas, Kentucky, Nebraska, Oklahoma, and Tennessee.
Medical marijuana is legal in Arkansas and is subject to a cannabis sales tax of 6.50%. There is also a 4% cannabis excise tax on all sales of medical marijuana in Arkansas.
Medical marijuana is legal in Illinois and is subject to a cannabis sales tax of 1.00%. There is no cannabis excise tax charged on medical marijuana in Illinois.
Medical marijuana is legal in Iowa , but there is no cannabis sales tax on it. There is no cannabis excise tax charged on medical marijuana in Iowa.
Medical marijuana is legal in Oklahoma and is subject to a cannabis sales tax of 4.50%. There is also a 7% cannabis excise tax on all sales of medical marijuana in Oklahoma.
Medical Marijuana is illegal in Kansas, Kentucky, Nebraska, and Tennessee, so there is no tax on medical marijuana in those states.
About Missouri Medical Marijuana
Is medical marijuana legal in Missouri?
Yes, medical marijuana is legal in Missouri
When and how did Missouri legalize marijuana for medical use?
Missouri legalized medical marijuana in 2018.
This law was passed using Ballot Amendment 2
and passed
with a vote of 66%.
The official name for this law is the
Right to Access Medical Marijuana, Art. XIV of the Missouri Constitution 
Missouri Medical Marijuana possession limits
Plants:
- 6 flowering plants (14" tall or higher) and 6 clones (less than 14" tall)
Is it legal to grow marijuana for medicinal use at home in Missouri?
Yes, medical marijuana patients are allowed to grow marijuana for medicinal use.
A qualifying patient or their primary caregiver can cultivate up to 6 flowering plants over 14” high and 6 clones (plants under 14” high) for the exclusive use of that patient by seeking a separate cultivation registration card. All cultivation must take place in an enclosed and locked facility. Two qualifying patients, caregivers, or one of each with cultivation cards may share one enclosed facility with no more than 12 flowering plants and 12 clones. If one of those individuals was a qualified caregiver and patient with a cultivation card, they can also have an additional 6 flowering and 6 clone plants for a total of 18 plants in one growing space. The holder of the cultivation card must make their facility available to access to their patient cultivation facility immediately at the request of the department or the card will be revoked.
Are there medical dispensaries available to patients?
Yes, as long as the patient presents the appropriate documentation for Missouri.
Missouri limits the amount of dispensary licenses to 24 for every district within the state, as of 12/6/18. Dispensaries must make information available to customers about addiction, the different strains of medical marijuana available at that dispensary, potential side effects, and the prohibition on consuming medical marijuana in public. Dispensaries can sell only 4 ounces of dried unprocessed marijuana per qualifying patient or caregiver every 30 days.
Is there a list of specific conditions for medical marijuana in Missouri?
- cancer
- epilepsy
- glaucoma
- intractable migraines unresponsive to other treatment -A chronic medical condition that causes severe, persistent pain or persistent muscle spasms, including those related to MS, seizures, Parkinson’s, and Tourette’s;
- Debilitating psychiatric disorders, including PTSD if diagnosed by a state licensed psychiatrist -HIV or AIDS
- Chronic medical condition that is normally treated with a prescription medication that could lead to physical or psychological dependence when a doctor determines that marijuana could be effective in treating the condition and would be a safer alternative to prescription medication
- Any terminal illness
- Any chronic, debilitating, or other medical condition including Hepatitis C, amyotrophic lateral sclerosis (ALS), inflammatory bowel disease, Crohn’s, Huntington’s, autism, neuropathies, sickle cell anemia, agitation of Alzheimer’s, cachexia, and wasting syndrome in the professional judgment of a physician.
The list above, and more detailed information on it, can be found in the Missouri medical marijuana law
Does Missouri have a medical registry system or ID card?
Yes, Missouri keeps track of their medical marijuna patients.
Qualified patients must obtain a card and renew it on a yearly basis for a fee of $25 per year per card. If the department fails to issue a card and deny the application within 30 days, then the physician certification will serve as the registration card for dispensing or cultivation for up to one year from the certification date. Primary caregivers must also obtain a card yearly for $25.
Does Missouri recognize patients from other states?
No, Missouri does not recognize patients from any state.
Are there any age restrictions for medical marijuana in Missouri?
A minor can be prescribed medical marijuana by a physician with the written consent of a parent or guardian. Only the parent or legal guardian can serve as the primary caregiver and purchase the marijuana. They must also supervise the administration of the marijuana. Patients under 18 cannot be issued patient cultivation authorization cards.
Extra Resources
Click here for the medical marijuana program rules.
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