How to Get a Medical Cannabis Card in North Dakota in 2022

Residents living in North Dakota may be eligible for MMJ cards. MMJ cards may provide a variety of benefits. Those seeking to use marijuana to control a chronic condition must meet certain requirements. To find out more, check out our comprehensive guide.
State Program
Approved on
November 8, 2016
Online Application
MD Evaluation
Card Validity
Patient Registry fee
Official Gov Site:


  • $150-$200




  • NO


  • 19


  • Alzheimer’s disease agitation or related dementia
  • ALS
  • Anorexia
  • Anxiety disorder
  • Autism
  • Brain injury
  • Bulimia
  • Cancer
  • Crohn’s disease
  • Decompensated cirrhosis caused by hepatitis C
  • Ehlers-Danlos syndrome
  • Endometriosis
  • Epilepsy
  • Fibromyalgia
  • Glaucoma
  • Interstitial cystitis
  • Intractable spasticity
  • Migraine
  • Neuropathy
  • PTSD
  • Rheumatoid arthritis
  • Spinal stenosis or chronic back pain
  • Terminal illness
  • Tourette syndrome
  • Severe and persistent muscle spasms, including MS

Governor Doug Burgum signed a medical cannabis bill (Measure 5) into law in 2016. Since then, however, the progression of North Dakota’s MMJ program has been painfully slow. The North Dakota Department of Health formally established the program in April 2017. Nonetheless, there were no official manufacturing facilities chosen until May 2018.

Sales were supposed to begin by the Spring of 2018. Alas, the language of Measure 5 meant that getting the program off the ground was a tough task. In April 2019, Governor Burgum signed a series of bills into law. These included increasing the number of qualifying conditions. These new laws made it easier for doctors to certify patients and permitted physician assistants to certify MMJ patients.

This continuously-updated article outlines the necessary steps to apply for a medical marijuana card in North Dakota and answers FAQs on the state’s MMJ program. However, first, let’s check out the penalties for illegal use of marijuana in ND.

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North Dakota Medical Marijuana Law

Although attempts to legalize recreational marijuana in North Dakota have failed, activists continue to push for adult-use weed. On the plus side, the state eliminated prison time as a punishment for possessing a small amount of marijuana in May 2019. House Bill 1050 ensured that the possession of up to half an ounce amongst adults aged 21+ is a civil infraction. However, if convicted, you still pay a fine of up to $1,000!


If caught with more than half an ounce, you could spend up to 30 days in jail as it is classified as a misdemeanor. The potential prison sentence increases to a year if you’re found with 500+ grams.

The sale of ANY amount is a felony with a possible jail term of 3-10 years. Cultivation is also illegal, with penalties based on the aggregate weight of the plants found.

With the above in mind, it is best to apply for an MMJ card in North Dakota to avoid trouble with the law. Here’s how to complete the process.

How to Get a Medical Marijuana Card in North Dakota

Applying for a medical marijuana card in North Dakota is pretty simple compared to most other states. All you need is access to a computer, a decent internet connection, and a few routine identification documents. Here is the easy step-by-step process for getting a medical cannabis identification in ND.

Please note that only North Dakota residents aged 19+ can apply through this process, and minors must complete a different application.

Step 1 – Speak with a Physician

In ND, you need to use a doctor with whom you have a ‘bona fide’ doctor-patient relationship. Furthermore, North Dakota does not provide a list of doctors who write medical cannabis recommendations. Therefore, if your provider does not agree to one, you need to find a ‘marijuana-friendly’ physician.

The doctor will ask you about your health during the consultation and decide if using MMJ will help you.

Step 2 – Go Online and Create an Account

Once you receive the recommendation letter, the next step involves going online and creating an account with the ND BioTrackTHC system. This is the online program to complete and submit North Dakota medical marijuana card applications. (Click here to create your account).

The North Dakota Department of Health (NDDOH) will contact the healthcare provider on your behalf once you provide your doctor’s information. You may not submit your own application, and all recommendations are written and submitted directly from the healthcare provider’s office.

Step 3 – Pay the Fee and Submit Your Application

Once the doctor is ready to submit your application, you must pay the non-refundable fee. Send payment to the following address:

NDDoH, Division of Medical Marijuana

600 East Blvd Ave, Dept 301

Bismarck, ND 58505

You will receive a notification email if you get approved. Incidentally, you can log into your BioTrackTHC account at any time and complete one of the following actions:

  • View or edit certain account information
  • View or edit an incomplete application
  • View your submitted application and track where it is in the review and approval process
  • Check your maximum purchase limit balance

The state has implemented electronic ID cards for patients, designated caregivers, and agents. They work the same as a printed card, and you can access them on a smartphone. You can only receive an electronic card when your application is approved and its status is ‘issued.’ You can access it by logging into the registration system.

If you lose your card, it costs $25 to replace it. If you need to change the MMJ card for any other reason, such as a name change, the state charges just $5.

How Long Does It Take to Get an ND MMJ?

Once you have submitted the necessary documentation, including the physician’s written certification, you can expect to receive your North Dakota medical marijuana card in 2-4 weeks. You can check the status of your application at any time in your account. There are nine statuses, ranging from ‘Saved/Waiting’ to ‘Issued.’


If you request a new card, it can take up to 20 calendar days to arrive after approval, and it will also have a new 10-digit code.

Other Information on the North Dakota Medical Marijuana License Process

How Much Can I Purchase & Possess with an MMJ Card?

Certified patients and caregivers can purchase up to 2.5 ounces in 30 days (maximum THC concentration of 4000mg) and possess a maximum of three ounces at any time. Those with cancer or are otherwise eligible for an enhanced amount can buy up to six ounces in 30 days. Minors who qualify cannot buy or consume dried leaves and flowers.

Also, patients aged 19+ can purchase the following types of cannabis:

  • Dried leaves and flowers, including pre-rolls
  • Capsules
  • Solutions
  • Concentrates or extracts
  • Transdermal patches with a max of 50mg THC per dose
  • Topicals with up to 6% THC

House Bill 1391, which would legalize marijuana edibles, has been sent to the Senate after passing in the House’s lower chamber.

Where Can I Use MMJ in North Dakota?

You can only use it in a private residence. It is illegal to smoke MMJ wherever it is illegal to smoke tobacco.

Can I Grow MMJ at Home?

A legislative change meant you could grow cannabis at home if you live more than 40 miles from a dispensary. However, the introduction of SB 2344 removed this provision. Therefore, at present, you are not permitted to grow cannabis as an MMJ patient in ND.

Where Can I Purchase Cannabis in North Dakota?

You can purchase MMJ from one of eight dispensaries in ND. Here are the names and locations of each one:

  • Pure Dakota Health of Bismarck – Bismarck
  • Curaleaf – Devil’s Lake
  • Curaleaf – Dickinson
  • Pure Dakota Health – Fargo
  • Strive Life – Grand Forks
  • Curaleaf – Jamestown
  • Curaleaf – Minot
  • Pure Dakota Health of Williston – Williston

Does North Dakota Have Reciprocity Laws?

No. There are no such agreements between ND and other states.

Where Can I Use MMJ in ND?

You can only use it at home or in a private residence, and it is illegal to use MMJ in the workplace or a public area. Also, you are not allowed to unwrap packaged cannabis dried leaves & flowers or any other MMJ product inside a dispensary.

Can I Use a Caregiver?

Yes. You can choose a ‘designated caregiver’ if they are a North Dakota resident aged 21+. They must complete the same registration and application steps as patients and complete a criminal background check every two years. Individuals with felony convictions or misdemeanor drug convictions within the last five years cannot participate in the program. A caregiver can act on behalf of up to five MMJ patients.

Can Minors Use MMJ?

Yes. Those aged 18 or younger can get MMJ in North Dakota. However, they need a parent or legal guardian to complete the application.

How Do I Renew My North Dakota Medical Marijuana Card?

The MMJ card is valid for a year, and the renewal process involves seeing a licensed physician again. Please note that you must begin the renewal process within 45 days of your card’s expiration. You can complete the process via the BioTrackTHC system and patient portal. The renewal fee is $50, and you must also pay for the consultation.

Final Thoughts on Getting a North Dakota Medical Marijuana Card

The medical marijuana program in North Dakota is well-established, and the application process is straightforward. However, MMJ patients believe that the cost of cannabis in North Dakota is prohibitive. You can expect to pay around $330 an ounce for medium-quality marijuana in the state, well above the national average of $260.

The continuous efforts to legalize recreational marijuana in ND may eventually succeed but for now, obtaining an MMJ card is the only way to acquire the substance legally. Unable to get a physician’s certification? You still have the option of purchasing CBD. Top-rated brands such as Premium Jane, Joy Organics, and Elixinol  ship their products to North Dakotan residents.

Please share this article with someone looking for information about applying for an MMJ card in North Dakota if you found it helpful.

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If you found this article helpful, please share it with someone looking to learn about applying for an MMJ card in North Dakota.

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