How to Get a Medical Marijuana Card in Hawaii

Illustrated map of Hawaii

Hawaii signed Act 228 into law in June 2000, permitting cardholders to grow medical marijuana at home or have a qualified and registered caregiver do it for them in the state of Hawaii. What Act 228 did not do was create a pathway for Hawaii residents to purchase medical marijuana from a dispensary. Act 228 didn’t develop provisions for a legal medical marijuana market, just home cultivation. 

Act 241 was signed into law on July 4th, 2015. This effectively created the Hawaiian Medical Cannabis Program. Hawaiians could use this program to register for their 329 cards and purchase medical marijuana from a dispensary. Hawaii’s first legal dispensary sale was on August 8th, 2017 and the state has generated millions of dollars in revenue since launching the official market. 

If you’re a resident of Hawaii, you might be eligible for a medical marijuana card. The state also has an application for out-of-state visitors to apply and access medical marijuana on their trip to Hawaii. Considering there were almost 200,000 tourists in Hawaii on any given day in May of 2021, there are plenty of people who benefit from the option to get an out-of-state medical marijuana card in Aloha State. Other states, like Nevada and Montana, also have regulations in place to allow out-of-state patients to access medical marijuana when they visit. 

Quick Guide to Getting a Medical Marijuana Card in Hawaii:

See If You’re Eligible

Before you do anything else, verify you meet the criteria to access medical marijuana in Hawaii. 

Speak With a Doctor

Once you’ve confirmed you qualify for a medical marijuana card, reach out to a cannabis-educated physician to recommend medical marijuana. 

Apply for Your 329 Card

Your 329 registration grants you access to Hawaiian medical marijuana dispensaries. 

Do I Qualify For a Medical Marijuana Card in Hawaii? 

Getting a Medical Marijuana Card in Hawaii

Here’s the official list of qualifying conditions to obtain a medical marijuana card: 

Hawaii’s list of qualifying conditions is limited compared to other states, but there are still 34,240 valid medical marijuana patients as of October 31st, 2021. Medical marijuana patients can possess up to four ounces of cannabis at one time. 

Talk With a Cannabis-Educated Physician 

Medical Marijuana Card in Hawaii Consultation

Medical cannabis is not covered under medical insurance. That’s why you’ll be charged a flat fee when you see a physician for your medical marijuana card recommendation. The fee varies depending on the doctor you see. Remember, this is not a prescription, it’s a medical marijuana card recommendation. 

It’s essential to speak with a doctor who understands how cannabis works in the body. Some data shows that cannabis might interact with other drugs, like antidepressants, so always be upfront with your healthcare provider about any medications. 

Your doctor should be comfortable recommending different methods of consumption to you, especially if you’re a new cannabis consumer. This is the time to ask any questions you have about consuming cannabis, so prepare a list ahead of time to get the answers you need. Heally’s network of online doctors provides information and holistic strategies for patients across the country, including Hawaii residents looking for a medical marijuana card. 

Apply for Your 329 Card

Once your doctor recommends medical marijuana for your condition, you can apply for your 329 cards on the Hawaii Department of Health’s website. Only the state of Hawaii calls them 329 cards, most states just say medical marijuana cards. Visitors will get a 329V card. 

You must renew your medical marijuana card in Hawaii, just like in other states. You must meet certain criteria to qualify for a two-year card renewal. One-year renewals cost $38.50, and two-year renewals are $77 and can be paid by credit, debit, or direct withdrawal from a savings or checking account. 

Make Your Appointment to Get a Medical Marijuana Card

Heally’s online telehealth services make it easy to get a medical marijuana card. Or, we can connect you with a licensed physician for an in-person visit. 

We believe in treating the root cause of disease and illness, not just the symptoms. Fill out our patient form and we will reach out to you as soon as possible. 


Interested in using cannabis as an alternative treatment? Get your cannabis card with a licensed physician.

Interested in using cannabis as an alternative treatment? Get
your cannabis card with a licensed physician.