How to Get a Medical Cannabis Card in South Dakota

South Dakota (SD)Program Active

How to get a medical marijuana card in South Dakota. $50 fee, qualifying conditions, reciprocity for visitors, and application process for South Dakota's medical cannabis program.

View full South Dakota cannabis market profile →Medical cannabis conditions →

Program Details

Registration Fee

$50

Renewal Period

1 year

Minimum Age

18+

Renewal Fee$50

TelemedicineAllowed

CaregiverAllowed

ReciprocityAccepted

Overview

South Dakota approved medical marijuana in 2020 through Initiated Measure 26. The program is administered by the South Dakota Department of Health. South Dakota does not have recreational cannabis, so a medical card is the only legal way to access cannabis. The program allows reciprocity for out-of-state patients and permits home cultivation for patients who live more than 50 miles from a dispensary. Registration is $50 annually.

Key Facts

•Registration fee is $50 annually.
•South Dakota is a medical-only state; a card is required for legal cannabis.
•South Dakota recognizes out-of-state medical cards (reciprocity).
•Patients living 50+ miles from a dispensary can grow up to 3 plants at home.
•Telemedicine evaluations are accepted for physician certifications.

How to Apply: Step-by-Step

1Obtain a written certification from a South Dakota-licensed physician confirming a qualifying condition.

2Register on the South Dakota Department of Health medical cannabis portal.

3Submit the application with physician certification, proof of South Dakota residency, a photo, and the $50 fee.

4Receive your medical cannabis card upon approval.

5Visit a licensed South Dakota dispensary to purchase medical cannabis.

Visit official South Dakota medical cannabis registry →

Qualifying Conditions

+Cancer

+Glaucoma

+HIV/AIDS

+Cachexia (wasting syndrome)

+Chronic pain

+Severe nausea

+Seizures including epilepsy

+Persistent muscle spasms including multiple sclerosis

+PTSD

+Crohn's disease

+Any terminal illness

Frequently Asked Questions

Does South Dakota accept out-of-state medical cards?+

Yes, South Dakota has reciprocity. Visiting patients with valid out-of-state medical cards can purchase from South Dakota dispensaries.

Can I grow cannabis at home in South Dakota?+

Only if you live more than 50 miles from a licensed dispensary. Eligible patients can grow up to 3 cannabis plants.

How much does a South Dakota medical card cost?+

The state registration fee is $50 annually. Physician evaluations typically cost $100-$200.

Medical Cards in Other States

Explore medical cannabis card guides for other states with similar programs or neighboring jurisdictions.

Continue Exploring

South Dakota Cannabis Market

Conditions & treatments

Home Grow Laws

South Dakota cultivation

Disclaimer: The information on this page is provided for educational and informational purposes only and does not constitute medical or legal advice. Cannabis remains illegal under US federal law. South Dakota's medical cannabis program fees, qualifying conditions, and regulations are subject to change. Always verify current requirements with the official South Dakota medical cannabis program and consult with a qualified health care provider before pursuing a medical cannabis card. Cannabismarketcap does not guarantee the accuracy or completeness of any information presented.