Medical Cannabis in South Dakota

Qualifying conditions, how to get your medical card, dispensaries and costs

Quick Facts

Programme StatusSinceAdult UseCard CostPossession Limit
Medical + Adult Use2020Yes$75/year3 oz

How to Get a Medical Cannabis Card in South Dakota

  1. Get a physician certification for a qualifying condition
  2. Apply through the South Dakota Department of Health
  3. Pay the $75 annual fee
  4. Receive your medical cannabis patient card
  5. Purchase from a licensed dispensary

Qualifying Conditions

Frequently Asked Questions

Is adult-use cannabis legal in South Dakota?

Yes — both medical and adult-use were passed by voters in November 2020 (though adult-use was briefly blocked before being upheld).

Which conditions qualify in South Dakota?

Cancer, HIV/AIDS, MS, ALS, PTSD, terminal illness, and chronic pain.

How much does a South Dakota medical card cost?

$75 per year.

Can adults purchase without a medical card?

Yes — adult use is legal for all adults (21+) without a card.

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