Hawaii • MEDICAL CARD GUIDE
How to Get Your Hawaii 329 Card
Hawaii is medical-only, and it is one of the few states that formally registers visiting patients.
Hawaii has run a medical cannabis program since 2000 and licensed dispensaries since 2017. There is no adult-use market, so the 329 card is the only lawful route to dispensary product. It is also unusually accessible: the state fee is low, in-state patients may grow their own, and out-of-state patients can register for a 60-day term through the 329V process rather than being shut out entirely.
Quick Facts
Qualifying Conditions
Hawaii combines named conditions with symptom pathways, and gives the certifying provider room to identify a debilitating condition that fits the statute.
- Cancer
- Glaucoma
- HIV or AIDS
- Lupus
- Epilepsy
- Multiple sclerosis
- Rheumatoid arthritis
- Crohn disease
- Post-traumatic stress disorder
- Cachexia or wasting syndrome
- Severe pain
- Severe nausea
- Seizures
- Severe and persistent muscle spasms
- Any other debilitating condition the certifying provider determines qualifies
The symptom pathways carry most Hawaii registrations. Severe pain in particular is the route used by the majority of patients, and the certifying provider documents both the underlying condition and the symptom.
Finding a Certifying Provider
Hawaii requires a physician or advanced practice registered nurse licensed in Hawaii, with a bona fide provider-patient relationship. Telehealth is used heavily because of the geography.
Your own provider
Standard office visit rateIf your physician or APRN is willing to certify, this is the cheapest route and the chart notes are already there. Providers on the neighbor islands are often more willing than the large Oahu systems.
Certification clinics
Roughly 100 to 250 dollarsClinics on Oahu, Maui and Hawaii Island that handle 329 registrations routinely. They know the portal and normally complete the state submission during the appointment.
Telehealth for out-of-state patients
Varies by serviceVisiting patients apply through the 329V process using their home-state registration, so they generally do not need a Hawaii provider appointment. Confirm your home state card is currently valid before applying.
Tip: Apply well before you travel if you are a visitor. The 329V registration is not instant, and it can only be used for two 60-day terms in a calendar year, so timing it around an actual trip matters.
The Application Process
Hawaii runs an online registry through the Department of Health. Residents and visitors use different tracks.
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Establish which track you are on
Hawaii residents apply for a 329 card. Patients registered in another state apply for the 329V out-of-state registration, which is time-limited and does not allow cultivation.
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Get certified, or gather your home-state card
Residents see a Hawaii-licensed physician or APRN who certifies a qualifying condition. Visitors provide their valid out-of-state medical cannabis registration and matching identification.
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Apply through the Department of Health portal
Create an account, complete the application and upload identification. Residents nominate a cultivation site if they intend to grow.
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Pay the fee
38.50 dollars for a one-year resident card, 77 dollars for two years, or 49.50 dollars for the out-of-state 60-day registration. Fees are non-refundable.
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Collect product in person
Once registered, buy at a licensed dispensary with your card and photo ID. Hawaii does not permit delivery, so every purchase is in person.
Costs and Fees
Hawaii keeps the state side inexpensive. The provider visit and, for visitors, the trip timing are the real constraints.
- One-year 329 card 38.50 dollars
- Two-year 329 card 77 dollars
- Out-of-state 329V registration 49.50 dollars for up to 60 days
- Certifying provider Office rate, or 100 to 250 dollars at a clinic
- Cultivation site registration Included in the resident application
Total Estimate: 40 to 290 dollars depending on route
After You Are Approved
A Hawaii registration is broader than most medical cards on cultivation and narrower than most on convenience.
- Buy up to 4 ounces in any 15 consecutive days and 8 ounces in any 30 consecutive days
- Shop at licensed dispensaries on Oahu, Maui, Hawaii Island and Kauai
- In-state patients may cultivate up to 10 plants at a registered site
- Out-of-state 329V patients may buy but may not cultivate
- No delivery. HRS 329D-6 requires in-person pickup at the dispensary
- No consumption in public, in a vehicle, or on any beach or park
- Cannabis cannot travel between islands by air, because that route is federal jurisdiction
Renewal
Resident cards run one or two years depending on what you paid for, and renewal means a fresh provider certification and another state fee. Out-of-state registrations do not renew in the ordinary sense: they run up to 60 days and you may hold no more than two in a calendar year, so a third visit in the same year has no registration route.
Timeline: Residents should start 45 to 60 days out because provider appointments can be slow, particularly on the neighbor islands. Visitors should apply two to three weeks before travel.
Frequently Asked Questions
Can visitors get a Hawaii card?
Yes. The 329V out-of-state registration costs 49.50 dollars, lasts up to 60 days and requires a valid medical cannabis registration from your home state. You can hold no more than two of them per calendar year.
How much can I buy?
Four ounces in any 15 consecutive days and no more than 8 ounces in any 30 consecutive days. The limits apply to in-state and out-of-state patients alike.
Can I grow my own?
In-state patients may cultivate up to 10 plants at a registered address. Out-of-state 329V patients may not cultivate at all.
Is delivery available?
No. HRS 329D-6 requires in-person pickup at a licensed dispensary, which is why Hawaii shows as a no-delivery state even though the program is otherwise mature.
Can I fly between islands with my medicine?
No. Interisland flights pass through federal jurisdiction, and taking cannabis through an airport is a federal issue regardless of your Hawaii registration.
How much does the card cost?
Residents pay 38.50 dollars for one year or 77 dollars for two. Out-of-state patients pay 49.50 dollars for a registration valid up to 60 days.
Is recreational cannabis coming to Hawaii?
Legalization bills have been introduced repeatedly without passing. As of September 2026 Hawaii remains medical-only, and the registry is the only lawful route to dispensary product.
Where can I legally consume?
On private property with the owner permitting it. Beaches, parks, vehicles and most hotels are all off limits, and enforcement in tourist areas is active.
More Hawaii guides
The Hawaii cannabis guide covers legal status, licensed retail by city, and neighborhood-level pages for this state.
