Missouri Amendment 2: Understanding From The Patient’s Point of View

Congratulations Missouri on passing Amendment 2!

Now that the amendment has passed you may be asking, “now what happens?”

We have been gathering the answers and plan to go over what happens next so that you will be ready to act on any of the aspects of the soon to be legalized cannabis industry in the State of Missouri. 

Starting off we would like to discuss Amendment 2 from the patient’s point of view.

Patients interested in getting a prescription from their doctor for medical marijuana (also known as cannabis) will be able to contact their General Practitioner (GP) or specialist after June 4, 2019, and request a prescription.

However, just because you have a prescription in hand does not mean you will be able to walk into a dispensary and purchase just yet.

We’ll cover the deal with dispensaries later in another article but for now, you need to know that the prescription you get for medicinal cannabis after June 4, 2019, is valid for 12 months and will cost $100 annually to keep the prescription valid and up to date.

You will need to provide that signed, valid prescription to the State of Missouri and apply for your cultivation, purchasing, and possession card.

It will cost $25 just to complete the application and if your application is approved, you will pay the additional $100 annual fee.

If you don’t complete your application within 30 days of obtaining your prescription from the doctor, you will need to go back to the doctor and start the process over again.


Great question. There are a number of conditions that qualify a patient for a medical marijuana card and below is a rather comprehensive list of qualifying medical conditions.


  • Cancer
  • Epilepsy
  • Glaucoma
  • Intractable migraines (unresponsive to treatment)
  • A chronic medical condition causing severe pain or muscle spasms that are persistent
  • Debilitating psychiatric disorders (including PTSD)
  • Chronic medical condition ordinarily requiring prescription medication with a tendency to cause physical or psychological dependence (e.g. opiate based medication)
  • Terminal illness
  • Any other condition recommended by a physician

That last bullet leads you to the question of whether or not so-called “Cannabis Doctors” will start setting up shop in Missouri and that’s another great question that we’ll cover under Physicians and Caregivers in another article coming up. The short answer to that question is probably.

So once you have your card, (that you may not get until July 4, 2019, because the State of Missouri has 30 days to approve your application) you will be able to cultivate your own medicinal cannabis plants.

You will also be allowed up to four ounces of medicinal marijuana every 30 days unless your prescribing doctor provides an exemption.

You will be able to “move about” with up to a 60 day supply (so 8 ounces) and if you are cultivating plants at home, you may keep up to a 90 day supply on your property, under your control.

That language, “under your control”, hints at the myriad of issues that can accompany growing your own plants at home. From kids to your own security, make sure you think through all of the aspects of growing your own plants at home before you commence.

We also recommend buying a strong box (especially if you have kids) to secure your supply when you need to secure it.

That takes us to the other methods of consumption because these other methods of consumption may not appear to look like medicine, especially to a child or someone unfamiliar with the cannabis industry. Edibles are the most likely form to be mistaken for an innocent piece of candy or cookie so please, make sure you secure your supply so accidental ingestion does not happen on your watch.


  • Ingestion (e.g. capsules, drinks, oils, etc)
  • Inhalation (Vaporization or Combustion of plant material, extracts, or oils)
  • Topical (ointments, balms, moisturizers, etc.)
  • Transdermal (patches or suppositories)
  • Consumption (edibles)
  • Other (physician recommendation)

If you break the rules and possess more than the legally allotted amount (say, a little less than double the legal limit) you will lose your patient ID card and incur a fine.

If you have more than double the legal limit in your possession you will not only lose your patient ID and incur a fine but you will also be subject to one year of jail time.

Just follow the rules and you won’t have to worry about it.


December 6, 2018 – Amendment 2 goes into effect

June 4, 2019 – Applications available for patients, growers, caregivers, and dispensaries

July 4, 2019 – The first 30 days have elapsed and the State of Missouri will have approved patient applications as promised.

Denials of application appealable to the Administrative Hearing Commission and then to judicial review.Link to the Missouri Secretary of State office information and applications.

We hope this article has been helpful for those interested in becoming medical cannabis patients in the State of Missouri.  We will continue to provide updates as we learn more about Amendment 2 and other news in the cannabis industry.


To Learn More about the products we currently have available and are 100% legal to purchase and use,  click here.