Iowa Medical Marijuana Card

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Is Medical Marijuana Legal In Iowa?

Yes, medical cannabis is legal in Iowa pursuant to the Medical Cannabidiol Act. The Iowa legislature passed the SF 2360 bill in 2014 to allow only patients with intractable epilepsy access CBD products with up to 3% THC content for treating their conditions. The initial bill has undergone a few amendments, with the latest June 2020 amendment (HF 2589) signed by Governor Kim Reynolds adding more qualifying conditions and expanding the pool of medical professionals permitted to recommend medical cannabis. HF 2589 allows registered patients to access 4.5 grams of THC over a 90-day period.

How to Get a Medical Marijuana Card in Iowa in 2024


Schedule a visit to a licensed healthcare practitioner in person or via telemedicine (telehealth) to get certified for medical cannabis treatment


Once certified by a healthcare practitioner for medical marijuana treatment, apply to the Iowa Department of Health and Human Services (IDPH) for a medical marijuana card online or by mail

Qualifying Conditions for Medical Card in Iowa

An Iowa resident with any of the following conditions qualifies to apply for a medical marijuana card in the state in 2024:

  • Cancer – if the condition or its treatment produces one or more of the following:
    • Cachexia or severe wasting
    • Severe or chronic pain
    • Nausea or severe vomiting
  • Crohn’s disease
  • Seizures
  • Chronic pain
  • AIDS or HIV
  • Amyotrophic lateral sclerosis (ALS)
  • Multiple Sclerosis with persistent muscle spasms
  • Parkinson’s disease
  • A terminal health condition with a life expectancy of no more than 12 months, if the condition or its treatment causes: severe or chronic pain, nausea or severe vomiting, cachexia or severe wasting
  • Post-Traumatic Stress Disorder (PTSD)
  • Ulcerative colitis
  • Severe, intractable pediatric autism with self-injurious or aggressive behaviors
  • Corticobasal Degeneration
  • Severe, intractable autism with self-injurious or aggressive behaviors

Can I Apply For A Medical Marijuana Card In Iowa Online?

Yes, it is possible to apply for an Iowa medical marijuana card online. First, a qualifying patient must have their medical condition certified by an approved healthcare practitioner via telemedicine or in person. Afterward, they can apply for the state's medical cannabidiol card through a dedicated online patient registration portal.

How Do I Register With The Iowa Medical Cannabis Program?

To register with the Iowa Medical Marijuana Program, a patient must schedule an appointment with a licensed healthcare practitioner who will certify their medical condition. After certification, the qualifying patient can enroll in the state's Medical Marijuana Program online using the state's approved registration system. Alternatively, they may register by sending completed approved forms via mail to the Iowa Department of Health and Human Services.

Do I Need To Be An Iowa Resident To Get A Medical Marijuana Card?

Yes. Qualifying medical cannabis patients in Iowa must have proof of the state’s residency to apply for medical cannabidiol registration cards.

What Is The Cost Of An Iowa Medical Marijuana Card?

The annual fee for a medical cannabidiol card in Iowa is $100 unless the patient is eligible for a reduced fee. A reduced fee is available to persons with the following:

  • Copy of proof of Supplemental Security Income Payment
  • Copy of Social Security Disability Benefit notice
  • Copy of Hawk-I member card
  • Copy of Iowa Medicaid member card

The reduced application fee is $25.

What Do You Need When Visiting A Medical Marijuana Dispensary In Iowa?

A patient must bring a form of photo identification, such as an Iowa ID or driver's license, and an Iowa medical cannabidiol registry identification card to the dispensary when visiting.

Who Can Prescribe Medical Marijuana In Iowa?

The following categories of healthcare practitioners in Iowa are permitted to issue medical marijuana recommendations:

  • MD (Doctor of Medicine)
  • DO (Doctor of Osteopathy)
  • ARNP (Advance Registered Nurse Practitioner)
  • PA (Physician Assistant)
  • Podiatrist

Can A Minor Get A Medical Marijuana Card In Iowa?

If you are below the age of 18 and have a qualifying condition under the Iowa Medical Cannabidiol Program, you must have an adult caregiver apply for a registry ID card for you. The adult caregiver will be issued a card on your behalf when approved. For more information on caregiver registrations, see the online caregiver app and renewal guide.

Can You Get A Medical Marijuana Card At 18 In Iowa?

If you are 18 in Iowa and have a qualifying health condition, you can apply for a medical cannabidiol card without the help of a caregiver. The state’s medical cannabidiol program is open to persons aged 18 or older as long as they have obtained certifications from licensed healthcare providers attesting to their eligibility to use medical cannabidiol to treat their conditions.

How To Renew Your Iowa Medical Marijuana Card

Your Iowa medical cannabidiol registration card expires one year from the time it is issued. The OMC will send you a notification by email or letter 60 days before your card expires. Each year, you must have your condition recertified by your physician, submit the same forms to the Department of Public Health, and provide payment. Note that you must select "Yes, I am a renewing patient" on the online patient registration link on the OMC portal to initiate your application process. For more information on renewal applications, see the online patient application and renewal guide on the Department of Health and Human Services website.

Can You Grow Medical Marijuana In Iowa?

No, Iowa law prohibits the cultivation of medical marijuana. Only licensed growers are allowed to grow and process cannabis in Iowa.

Does Iowa Allow Medical Marijuana Patients To Designate Caregivers?

A caregiver is a person who is a resident of Iowa or a bordering state (Nebraska, Missouri, Illinois, Wisconsin, South Dakota, and Minnesota), including but not limited to a parent or approved guardian, at least aged 18, who has been designated by a patient's healthcare practitioner as a necessary caretaker taking responsibility for managing the well-being of the patient pertaining to the use of medical cannabidiol.

Per Iowa laws, patients who are minors, disabled, or unable to visit a dispensary may have designated caregivers. Note that the patients' physicians designate caregivers. To understand the caregiver registration process under the Iowa Medical Cannabidiol Program, see the caregiver registration page of the Office of Medical Cannabidiol website.

Iowa Medical Marijuana Reciprocity

Registered cannabidiol patients in Iowa are advised to contact the agency tasked with regulating medical marijuana in other states before traveling there with their cannabidiol registration card. Out-of-state medical marijuana patients can use medical cannabidiol but are not permitted to purchase from any state-licensed dispensary.

Are My Medical Marijuana Records Private?

Yes, the Health Insurance Portability and Accountability Act (HIPAA) protects medical marijuana patients' information in Iowa. The state's Department of Human Services is a covered entity under HIPAA and is expected to adhere to the Act's provisions concerning releasing medical marijuana patients' protected information. Also, HIPAA compliance is a requirement for Iowa-licensed medical cannabidiol dispensaries that handle protected health information (PHI). However, law enforcement can access Iowa's patient registry through the Department of Transportation (DOT) central system, hence certain patients' data. Similarly, under the HIPAA privacy rule, certain protected health information about medical cannabis patients in Iowa may be disclosed to their employers.

Does Insurance Cover Medical Marijuana In Iowa?

No, health insurance policies do not cover medical cannabidiol costs in Iowa.

What Is The Medical Card Limit In Iowa?

Iowa medical cannabidiol registration card holders may purchase no more than 4.5 grams of THC within a 90-day period unless approved by their healthcare practitioners.

Can You Go To A Dispensary Without A Medical Card In Iowa?

No. A medical cannabidiol patient or caregiver in Iowa must have their medical cannabidiol registration card when visiting a state-licensed dispensary.

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