HITHC City Guides

Hawaii Cannabis Guide: Dispensaries, Delivery & Deals

Hawaii was one of the first states to legalize medical marijuana, passing legislation in 2000. However, the state took 17 years to establish a functional dispensary system, with the first medical cann...

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THC City Guides β€’ Hawaii (HI)

Hawaii THC Delivery, Weed Deals & Cannabis Guides

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Overview

Hawaii was one of the first states to legalize medical marijuana, passing legislation in 2000. However, the state took 17 years to establish a functional dispensary system, with the first medical cannabis dispensaries opening in 2017. As of January 2026, Hawaii operates a medical-only program with no recreational sales.

Hawaii's medical marijuana program is tightly regulated and limited compared to other states. Only patients with valid Hawaii medical marijuana cards can purchase cannabis. Out-of-state medical cards are not recognized. The program serves residents and patients who establish Hawaii residency.

Dispensaries operate on Oahu, Maui, and the Big Island (Hawaii Island), with limited availability on Kauai. Each island has unique supply dynamics due to inter-island transport restrictionsβ€”cannabis must be grown and sold on the same island, creating price and availability variations.

Prices in Hawaii are among the highest in the nation due to limited competition, island isolation, high operating costs, and restricted cultivation licenses. Expect $15-20 per gram for flower, $50-70 for eighths. No sales tax applies to medical marijuana, but prices remain premium due to market constraints.

Recreational cannabis remains illegal in Hawaii despite periodic legislative efforts. Possession without a medical card is a petty misdemeanor for small amounts. Home cultivation is illegal even for medical patients.

How Access & Delivery Work

Medical marijuana delivery is not currently permitted under Hawaii law. All patients must visit licensed dispensaries in person on their respective islands to purchase products.

Patients need valid Hawaii medical marijuana cards (329 cards) and government-issued ID for all purchases. Inter-island transport of cannabis is illegalβ€”patients must purchase on the island where they will consume.

Product Guides

flower:

Cannabis flower is available at Hawaii medical dispensaries in limited selections compared to mainland markets. Island-specific cultivation means each island has different strain availability. Quality varies by cultivator and island. Prices are premium: $15-20/gram, $50-70 eighths due to limited competition and high cultivation costs.

vapes:

Vape cartridges and disposables available at Hawaii dispensaries but selection is limited compared to recreational markets. High prices reflect limited manufacturing and distribution. Standard 510-thread cartridges and proprietary systems available from Hawaii-licensed processors.

pre_rolls:

Pre-rolled joints available at some Hawaii dispensaries but less common than in recreational markets. Prices are premium due to limited production and processing capacity on islands.

edibles:

Edibles in Hawaii medical dispensaries include gummies, chocolates, and capsules. Selection is limited compared to recreational markets. Dosing typically ranges 5mg-10mg per serving. Expect premium pricing due to limited manufacturing on islands.

beverages:

Cannabis-infused beverages are rare in Hawaii's medical market due to limited manufacturing infrastructure and small market size.

concentrates:

Concentrates including wax, shatter, and oils available at Hawaii dispensaries but selection is limited. High prices reflect processing costs and limited production capacity on islands.

tinctures:

Tinctures and oils available for medical patients seeking precise sublingual dosing. Popular among patients who need consistent medication without smoking or vaping.

topicals:

Topical cannabis products available for localized relief. Limited selection compared to mainland markets but suitable for patients seeking non-psychoactive options.

Recommended Brands

Hawaii medical cannabis brands (by island):

Oahu: Aloha Green Holdings (Noa Botanicals), Green Aloha Ltd (Cure Oahu), Manoa Botanicals
Maui: Maui Grown Therapies, Pono Life Maui
Big Island (Hawaii Island): Big Island Grown, Lau Ola, Hawaiian Ethos
Kauai: Limited dispensary availability

Note: Brand availability strictly limited to the island where cultivated due to inter-island transport restrictions. Each island has independent supply chain.

Frequently Asked Questions

Is recreational cannabis legal in Hawaii?

No. Only medical marijuana is legal for qualified patients with valid Hawaii medical cards (329 cards).

Can I use my mainland medical card in Hawaii?

No. Hawaii does not recognize out-of-state medical marijuana cards. You need a Hawaii 329 card.

How do I get a Hawaii medical marijuana card as a visitor?

Visitors must establish Hawaii residency and obtain certification from a Hawaii physician for a qualifying condition. Tourists cannot access the medical program.

What are qualifying conditions in Hawaii?

Cancer, glaucoma, HIV/AIDS, chronic pain, severe nausea, seizures, muscle spasms, Crohn's disease, PTSD, and other conditions approved by physicians.

Can I transport cannabis between Hawaiian islands?

No. Inter-island transport is illegal. You must purchase on the island where you will consume.

Why are Hawaii cannabis prices so high?

Limited licenses, island isolation, high operating costs, inter-island transport restrictions, and small market size all contribute to premium pricing.

Is medical marijuana delivery legal in Hawaii?

No. Patients must visit licensed dispensaries in person.

Can I grow cannabis at home in Hawaii?

No. Home cultivation is not permitted under Hawaii's medical marijuana program.

What are the possession limits in Hawaii?

Medical patients can possess up to 4 ounces of usable cannabis (113 grams) per 15-day period.

Are there dispensaries on all Hawaiian islands?

No. Dispensaries operate on Oahu, Maui, and Big Island. Kauai has very limited access.

Do I pay sales tax on medical marijuana in Hawaii?

No. Medical marijuana is exempt from state sales tax, but prices remain very high due to other factors.

Can employers in Hawaii fire me for medical marijuana use?

Hawaii law provides some protections for medical marijuana patients, but employers can maintain drug-free workplace policies for certain positions.

Will Hawaii legalize recreational cannabis?

Legislative efforts have been made but recreational legalization has not passed as of January 2026.

What payment methods do Hawaii dispensaries accept?

Primarily cash due to federal banking restrictions. Some dispensaries may accept debit cards.

Can I consume cannabis in public in Hawaii?

No. Public consumption is illegal. Use only in private residences.

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Last updated: January 2026