Pennsylvania Medical Cannabis Program

Act 16 of 2016 created the nation's largest medical-only market. 440,000+ patients, 24 qualifying conditions, zero sales tax, telehealth certifications, and $7.7 billion in cumulative sales.

Last verified: March 2026
440K+
Patients
$0
Sales Tax
24
Conditions
$7.7B+
Total Sales

Overview

Pennsylvania's Medical Marijuana Program was established by Act 16 of 2016 and is administered by the Department of Health (DOH), Bureau of Medical Marijuana. The first dispensaries opened in February 2018, and the program has grown into the largest medical-only cannabis market in the United States, surpassing $7.7 billion in cumulative sales.

The program is remarkably patient-friendly: zero sales tax on all medical cannabis purchases, telehealth certifications permitted since Act 44 of 2021, a fee assistance program for low-income patients, and a broad list of 24 qualifying conditions — with anxiety disorders accounting for approximately 60% of all certifications.

The Department of Health administers Pennsylvania's Medical Marijuana Program under Act 16 of 2016. The program includes 24 qualifying conditions and is available to patients certified by DOH-approved practitioners.

PA Department of Health

Program Structure

Governing Law Act 16 of 2016 (35 P.S. §§ 10231.101–2110)
Regulator PA Department of Health — Bureau of Medical Marijuana
Patient Phone (888) 733-5595
Registry Portal padohmmp.custhelp.com
Approved Practitioners 1,901 physicians (MD/DO with 4-hour training)
Dispensary Locations ~150 (50 permits × up to 3 locations)
Sales Tax 0% — no state or local tax
Supply Limit 90-day supply / 192 units maximum

24 Qualifying Conditions

Pennsylvania recognizes 24 serious medical conditions for medical cannabis certification. Anxiety disorders are by far the most common, accounting for approximately 60% of all patient certifications:

  1. ALS
  2. Anxiety disorders (~60% of certs)
  3. Autism
  4. Cancer (including remission)
  5. Chronic hepatitis C
  6. Crohn's disease
  7. CNS damage with spasticity
  8. Dyskinetic/spastic movement disorders
  9. Epilepsy
  10. Glaucoma
  11. HIV/AIDS
  12. Huntington's disease
  1. Inflammatory bowel disease
  2. Intractable seizures
  3. Multiple sclerosis
  4. Neurodegenerative diseases
  5. Neuropathies
  6. Opioid use disorder
  7. Parkinson's disease
  8. PTSD
  9. Severe chronic/intractable pain
  10. Sickle cell anemia
  11. Terminal illness
  12. Tourette syndrome

For detailed information on each condition, see our Qualifying Conditions page. HB 533 has been introduced to replace the specific condition list with broader language covering "any serious condition" — which would give physicians more discretion.

What Patients Can Buy

Pennsylvania's product menu has expanded significantly since the program launched, but several important restrictions remain:

  • Flower — available since May 2018, but vaporization only (smoking flower is not a permitted form of administration)
  • Vape cartridges and concentrates — widely available
  • Tinctures, oils, and capsules — oral administration
  • Topicals — creams, salves, and transdermal patches
  • No edible sales — dispensaries cannot sell edibles, but patients may infuse cannabis into food at home
Vape Only for Flower

Pennsylvania law authorizes flower for vaporization only. Smoking cannabis (combustion) is not a permitted form of administration under Act 16. While enforcement is minimal for private use, dispensaries sell flower packaged for vaporizer devices.

Pricing

Prices have dropped dramatically as the market has matured:

  • Average price per gram: $7.59 (down 49% from $14.90 in 2021)
  • Eighths (3.5g): $40–$65
  • Vape cartridges (1g): $60–$70

Combined with zero sales tax, Pennsylvania's medical cannabis is increasingly affordable. See Prices & Trends for detailed analysis.

Telehealth Certifications

Since Act 44 of 2021, patients can obtain their medical cannabis certification via telehealth — a video consultation with a DOH-approved physician without leaving home. This has dramatically improved access, particularly for patients in rural areas or those with mobility limitations. Most telehealth evaluations cost $75–$199 and take 10–20 minutes.

Caregiver Access

Patients may designate a caregiver to purchase and transport medical cannabis on their behalf. Caregiver requirements:

  • 21 years of age or older
  • Pennsylvania resident
  • Pass a criminal background check
  • Pay a $50 registration fee

Caregivers are essential for minors, homebound patients, and those who cannot visit dispensaries independently.

No Home Growing

Cultivation Is a Felony

Pennsylvania law does not authorize home cultivation for any purpose. Growing even a single cannabis plant is a felony carrying 2.5 to 5 years in prison and up to $15,000 in fines. This applies to medical patients and non-patients alike.

Official Sources

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