Missouri Medical Cannabis Guide

Missouri voters legalised medical cannabis in 2018 and adult use in 2022 (Amendment 3, 53% approval). Adult-use sales launched in February 2023. With over 200 licensed dispensaries and a well-developed medical programme as its foundation, Missouri has one of the fastest-growing cannabis markets in the US.

Legal — Adult Use + Medical Since: 2018 (medical) / 2022 (adult use) Adult Use: Yes (Amendment 3, 2022)

Quick Facts

Legal StatusMedical SinceAdult UseAccess TypeEst. CostInsurance
Legal — Adult Use + Medical2018 (medical) / 2022 (adult use)Yes (Amendment 3, 2022)Licensed dispensaries — 200+ statewide, no card needed 21+USD 30-60/eighthNo

Legal Timeline

YearDevelopment
2018Amendment 2 passes (66%) — medical cannabis legalised
2020First Missouri medical dispensaries open after licensing delays
2022Amendment 3 passes (53%) — adult-use cannabis legalised
2023February: Adult-use sales launch at existing medical dispensaries
2024Over 200 licensed dispensaries; expungements of prior convictions processed

How to Access Cannabis in Missouri

  1. Adults 21+ may purchase from any licensed dispensary with valid ID — no card required
  2. Possession limit: 3oz of flower, 15g concentrate, 3000mg THC in edibles
  3. Home cultivation: 6 plants per household for personal use
  4. Medical card: apply through the Missouri DHSS for higher limits and tax savings
  5. Find retailers at the Missouri DHSS licensed facilities database or Weedmaps

Qualifying Medical Conditions

Licensed Dispensaries & Providers

ProviderWebsiteNotes
Missouri DHSS Cannabishealth.mo.govDept. of Health and Senior Services — regulator and dispensary list
Greenlight Dispensariesgreenlightdispensary.comMissouri's largest dispensary chain — 20+ locations
N'Bliss Cannabisnblisscannabis.comMissouri dispensary chain with broad product range
Sinse Cannabissincecannabis.comMissouri dispensary group — adult-use and medical

Cost Breakdown

ItemEstimated Cost (USD)Insurance Coverage
Flower — 1/8 oz (3.5g)USD 30-60No coverage
Concentrate (1g)USD 35-70No coverage
Edibles (100mg pack)USD 15-35No coverage
Medical card (annual)USD 25Not covered

Frequently Asked Questions

Is cannabis legal in Missouri?+

Yes — adults 21+ may purchase from licensed dispensaries, possess 3oz of flower, and cultivate 6 plants at home. Adult-use sales launched in February 2023.

When did adult-use sales start in Missouri?+

Adult-use retail sales launched on February 3, 2023. Missouri converted its existing medical dispensaries to dual adult-use/medical use first, then began issuing new adult-use-only licences.

What are the cannabis taxes in Missouri?+

Adult-use cannabis is subject to a 6% state excise tax plus local sales taxes. Medical cannabis is taxed at 4%. Missouri's relatively low excise tax has kept retail prices competitive.

Can I expunge a prior cannabis conviction in Missouri?+

Yes — Amendment 3 included automatic expungement provisions for many prior cannabis convictions. Individuals may also petition for expungement. Contact Missouri Legal Aid for assistance.

Can I grow cannabis at home in Missouri?+

Yes — adults 21+ may cultivate up to 6 plants per household for personal use. This applies to both medical patients and adult-use consumers.

Do I need a medical card in Missouri?+

No — recreational purchase is available to all adults 21+. A medical card (USD 25/year) provides lower tax rates and potentially higher purchase limits.