Last verified: May 2026
State and Local Sales Tax
North Dakota imposes a 5% state sales tax on medical cannabis purchases. Counties and municipalities may impose additional local sales tax up to ~3.25%, depending on jurisdiction. Effective tax rate ranges from 5% to ~8.25% depending on dispensary location. Tax revenue flows to the state general fund and county/municipal coffers like any other sales tax.
No Excise Tax
Unlike most adult-use cannabis programs (Colorado 15% retail + 15% wholesale; Washington 37%; California ~30% effective; Missouri ~14.475%), North Dakota imposes no excise tax on medical cannabis. The 5% state sales tax + local sales tax is the entire tax burden on consumers. Program funded by patient and licensee fees, not by tax revenue.
Patient Fees (per 2025 SB 2294)
- Patient application fee: $40 (raised from $25 by SB 2294).
- Card validity: 2 years (extended from 1 year).
- Caregivers: not charged.
- Some pre-2024 sources cite $50; this reflected pre-2024 amounts and certain duplicate-card scenarios.
Licensing Fees (post-October 2023 N.D. Admin. Code 33-44-01)
The October 2023 amendment to N.D. Admin. Code 33-44-01 substantially reduced licensing fees:
- Manufacturing facility application fee: $3,000.
- Manufacturer biennial certification fee: $75,000 (every two years).
- Dispensary application fee: $2,000.
- Dispensary biennial certification fee: $60,000 (every two years).
- Production-only authorized manufacturer: $40,000.
⚠️ Older sources (pre-2023) cite higher pre-amendment fees: $5,000 application, $90,000 dispensary certification, $110,000 manufacturer fee. Verify current fee against the live administrative code before relying.
FY2024 Program Finance
- Total dispensary sales: $22.42 million.
- Program revenue (fees): $623,275.
- Program expenses: $930,257.
- Cumulative FY2020-FY2024 sales: ~$85.7 million.
- Program operates at fee-revenue deficit; supplemental funding from state.
Comparison to Neighboring Adult-Use Programs
- Minnesota adult-use: 10% retail tax + state/local sales tax (~7.875% Twin Cities).
- Montana adult-use: 20% excise tax + 0% state sales tax.
- Manitoba/Canada: 25% federal excise + provincial markups + 13% HST.
- South Dakota medical only: state sales tax + local; no excise.
ND’s relatively low tax burden on medical cannabis reflects the program’s policy posture as therapy rather than revenue-generating market.
Workers’ Compensation Coverage
Per N.D.C.C. § 65-05-07(8)(l), Workforce Safety & Insurance (WSI) does NOT pay for medical cannabis. Patients pay out-of-pocket. Health insurance coverage of medical cannabis is unavailable due to federal Schedule I status (pending Schedule III rescheduling).
For in-depth cannabis education, dosing guides, safety information, and research summaries, visit our partner site TryCannabis.org
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