Missouri

Missouri

68,222
Registered Patient Population
1.11%
of Total Population Represented by Patients
3
Total Medical Retail Locations Currently in Operation
22,741 : 1
Patients : Retail

Medical cannabis is legal in Missouri, any registered patient or caregiver may posses up to 4 ounces of cannabis. A registered patient or caregiver over the age of 18 may apply for a home cultivation license. Patients may also purchase up to 4 ounces of cannabis, or its equal in other forms, per 30 day period from state licensed retailers. Missouri does not recognize out of state medical cannabis cards.

Patient Rights and Civil Protections 60/100   
Arrest Protection 25/25
Affirmative Defense 20/20
Parental Rights Protections 10/20
DUI Protections 0/10
Employment Protections 0/20
Explicit Privacy Standards 5/5
Access to Medicine 65/100   
Authorizes Retail Access 10/10
Alternative Accessibility Methods 10/20
- Authorizes Delivery 10/10
- Authorizes Curbside Pickup 0/10
Personal Cultivation 15/15
Collective Gardening 0/5
Sufficient Number of Licenced Retailers 30/30
Reciprocity 0/20
Program Functionality 83/100   
Legal Protections Within Reasonable Time Frame 10/20
Reasonable Possession Limits 10/10
Reasonable Purchase Limits 8/10
Telemedicine for Physician Certifications 15/15
Patient and Physician Representation in Program Decision Making 20/20
Reasonable Caregiver Standards 5/5
- Background Checks 2/2
- Number of Caregivers 3/3
Reasonable Physician Standards 5/5
Access to Administration Methods 10/10
- Allows Dried Flower 5/5
- Allows Edibles, Concentrates, and Other Forms 5/5
Provides Access to Minors on School Grounds 0/5
Affordability 40/100   
Sales Tax Break for Patients and Caregivers 20/20
Covered by State Insurance or Health Aid 0/20
Reasonable Registration Fees 20/20
Financial Hardship Waivers or Discounts 0/20
Donation Program 0/10
Allows Multi-Year Registrations 0/10
Health and Social Equity 60/100   
State Program Protections 25/25
Housing Protections 0/25
Access for Minors 10/10
Access in Underserved Areas 5/10
List of Qualifying Conditions is Exhaustive or All Inclusive 10/10
Allows Patients to Medicate Where they Choose 0/10
Organ Transplants 5/5
Ownership or Employment Restrictions 5/5
Consumer Protection and Product Safety 148/200   
Total 36/50
Quality Management Systems 10/10
Staff Training 10/10
Standard Operating Procedures 5/8
- Facility and Equipment Sanitation 1/1
- Workplace Safety 1/1
- Storage 0/1
- Batch and Lot Tracking 1/1
- Security 1/1
- Waste Disposal 1/1
- Water Management 0/1
- Records Management 0/1
Pesticide Usage Limitations 0/2
Environmental Impact Regulations 0/2
Required Testing 7/8
- Cannabinoids 1/1
- Terpenes 0/1
- Microbials 1/1
- Aflatoxins 1/1
- Pesticides 1/1
- Heavy Metals 1/1
- Foreign Matter 1/1
- Moisture Content/ Water Activity 1/1
Packaging and Labeling 1/3
- Cannabinoids 1/1
- Terpenes 0/1
- Pesticides 0/1
Complaints, Adverse Event Reporting, and Recall Protocol 3/7
Total 38/50
Quality Management Systems 10/10
Staff Training 10/10
Standard Operating Procedures 5/7
- Facility and Equipment Sanitation 1/1
- Workplace Safety 1/1
- Storage 0/1
- Batch and Lot Tracking 1/1
- Security 1/1
- Waste Disposal 1/1
- Records Management 0/1
Environmental Impact Regulations 0/3
Required Testing 8/10
- Cannabinoids 1/1
- Terpenes 0/1
- Microbials 1/1
- Aflatoxins 1/1
- Pesticides 1/1
- Heavy Metals 1/1
- Residual Solvents 1/1
- Homogeneity 0/1
- Foreign Matter 1/1
- Water Activity 1/1
Packaging and Labeling 2/5
- Cannabinoids 1/1
- Terpenes 0/1
- Ingredients 1/1
- Allergens 0/1
- Nutritional Content 0/1
Complaints, Adverse Event Reporting and Recall Protocol 3/5
Total 29/50
Staff Training 20/20
Standard Operating Procedures 4/7
- Facility Sanitation 1/1
- Workplace Safety 1/1
- Storage 0/1
- Batch and Lot Tracking 1/1
- Security 1/1
- Waste Disposal 0/1
- Records Management 0/1
Product Testing 5/10
- Product Meets Requirements Before Sale 5/5
- COA Disclosure 0/5
Complaints, Adverse Event Reporting and Recall Protocol 0/13
Total 45/50
Independent or Third-Party 5/5
Laboratory Sampling 5/5
Method Validation 4/4
Quality Management Systems 10/5
Staff Training 10/20
Standard Operating Procedures 7/7
- Facility and Equipment Sanitation 1/1
- Equipment and Instrument Calibration 1/1
- Workplace Safety 1/1
- Sample Tracking 1/1
- Security 1/1
- Waste Disposal 1/1
- Records Management 1/1
Result Reporting 4/4
Score Penalties 0/5   
Gives Regulatory Preference to Adult Use 0/20
Classifies Cannabis as a Medicine of Last Resort 0/15
Administrative or Supply Problems 0/15
Requires Vertical Integration 0/10
Requires Paperwork for Out of State Patients 0/10
Creates New Criminal Penalties for Patients 0/10
Limits Patients to a Single Retailer 0/10
No System for Adding Qualifying Conditions 0/10
Imposes Bans or Limits on THC 0/5
Excerpted from ASA's 2021 State of the States Report.
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Becoming a Patient in Missouri

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Recommending Cannabis in Missouri

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History of Medical Cannabis in Missouri

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Policy Recommendations Missouri