North Dakota Patient Application Process

≥19 years old (minors via designated caregivers; non-flower pediatric formulations). $40 application fee (raised from $25 by 2025 SB 2294). Card validity: 2 years (expanded from 1 year by SB 2294). Online via NDDHHS BioTrack portal at mmregistration.health.nd.gov. Approval window 2-4 weeks. Telehealth permitted for initial certifications post-HB 1203 (2025). Designated caregivers must be ≥21, pass background checks, may assist up to 5 patients.

Legal Disclaimer: This information reflects North Dakota cannabis law as of June 2026 and is for educational purposes only. It is not legal advice. Laws and regulations change — always verify current rules with the North Dakota Department of Health and Human Services (NDDHHS) Division of Medical Marijuana or a qualified attorney. Cannabis remains illegal under federal law.

Last verified: May 2026

Eligibility

≥19 years old (minors may participate via designated caregivers; minors limited to non-flower pediatric formulations).
Diagnosis of a qualifying debilitating medical condition by a registered certifying provider.
Bona fide provider-patient relationship.
Successful BioTrack application.

Fees and Card Validity

Application fee: $40 (raised from $25 by 2025 SB 2294; some pre-2024 sources cite $50).
Card validity: 2 years (expanded from 1 year by SB 2294).
Renew at least 45 calendar days before expiration per § 19-24.1-05.
Caregivers not charged an application fee.

Application Process

Establish a relationship with a licensed certifying provider (MD, DO, APRN, PA).
Receive practitioner certification of qualifying condition.
Apply online via NDDHHS BioTrack at mmregistration.health.nd.gov.
Pay $40 application fee.
Wait for approval (typically 2-4 weeks if complete).

Telehealth Initial Certifications — HB 1203 (2025)

After 2025 HB 1203, telehealth is now permitted for initial evaluations — previously, only renewals could be done remotely. This change is critical for patients in rural counties (Williston, Bowman, etc.) where no in-person providers were certifying as of 2025.

Designated Caregivers

Per § 19-24.1-04: caregivers must be ≥21, pass background checks (no felony or recent drug-related misdemeanor convictions), and may assist no more than five qualifying patients. Caregivers are not charged an application fee.

Out-of-State Reciprocity

None for in-state purchase. Non-resident applicants may obtain a 60-day electronic North Dakota medical card under SB 2294, but North Dakota does not honor cards issued by other states, and a North Dakota card may or may not be accepted in other states under reciprocity rules.

Possession and Purchase Limits

Per registry card type (cancer "Enhanced" patients have higher allowances):

30-day purchase: 2.5 oz dried flower (cancer 6 oz); 6,000 mg combined THC concentrates; 310 mg THC edibles.
Possession at any time: up to 7.5 oz flower; up to 500 mg edibles; 1 g per concentrate container.