West Virginia Cannabis Guide: Dispensaries, Delivery & Deals
West Virginia passed the Medical Cannabis Act (Senate Bill 386) in April 2017, becoming the 29th state to legalize medical marijuana. After years of regulatory delays, the first dispensary finally ope...
THC City Guides • West Virginia (WV)
West Virginia THC Delivery, Weed Deals & Cannabis Guides
West Virginia THC discovery built for real intent: shop by product, explore brands, compare delivery services, and find storefront options by city.
Overview
West Virginia passed the Medical Cannabis Act (Senate Bill 386) in April 2017, becoming the 29th state to legalize medical marijuana. After years of regulatory delays, the first dispensary finally opened in Morgantown in November 2021.
As of January 2026, West Virginia has over 65 licensed medical cannabis dispensaries serving more than 35,000 registered patients. The program is regulated by the West Virginia Office of Medical Cannabis (OMC).
Available product forms include flower (dry leaf), vape cartridges, concentrates, tinctures, topicals, pills, and dermal patches. Notably, edibles are NOT permitted for sale, though patients can infuse their own. Smoking cannabis is also prohibited - patients must vaporize flower.
The program requires patients to have one of several qualifying serious medical conditions and obtain certification from a registered physician. Telemedicine evaluations are permitted, making access convenient throughout the state's rural areas.
Recreational cannabis remains illegal in West Virginia, with possession penalties among the harshest in the nation. Several bills to legalize adult-use cannabis have been introduced but none have advanced.
West Virginia borders five states: Ohio (recreational), Pennsylvania (medical), Maryland (recreational), Virginia (recreational), and Kentucky (medical). Despite this, transporting cannabis across state lines remains federally illegal.
Legal Snapshot
| Category | Status |
|---|---|
| Medical Status | Legal (since 2017, sales began Nov 2021) |
| Recreational Status | Illegal |
| Minimum Age | 18+ with medical card (minors with caregiver) |
| Patient Possession | 30-day supply (up to 4oz dried flower equivalent) |
| Purchase Limit | 30-day supply per transaction |
| Home Cultivation | Illegal |
| Dispensaries | 65+ licensed statewide |
| Delivery | Not permitted |
| Public Consumption | Illegal |
| Smoking | Prohibited - vaporization only |
Buying Across State Lines
West Virginia borders five states with varying cannabis laws:
OHIO (West/Northwest): Recreational legal since 2024. Dispensaries available.
PENNSYLVANIA (North/East): Medical only. Reciprocity NOT available.
MARYLAND (East): Recreational legal since 2023. Dispensaries available.
VIRGINIA (East/South): Recreational legal (sales began 2024).
KENTUCKY (Southwest): Medical legal since January 2025.
CRITICAL: Despite being surrounded by states with legal cannabis, transporting ANY cannabis across state lines is a federal crime.
West Virginia does NOT accept out-of-state medical cards. You must have a WV card to purchase in WV.
If you live near a border, you must still purchase from WV dispensaries and consume only within West Virginia.
What People Actually Pay
West Virginia medical cannabis pricing (January 2026):
Flower: $40-60 per eighth, $250-350 per ounce
Vape cartridges: $40-70 per half gram, $60-90 per gram
Concentrates: $50-80 per gram
Tinctures: $40-80 per bottle
Topicals: $30-70
Capsules: $30-60
Taxes:
- Standard West Virginia sales tax (6%)
- No additional cannabis excise tax
Medical Card Costs:
- State registration fee: $50 annually
- Physician evaluation: $75-200 (telemedicine available)
- Financial hardship waivers available for patients below 200% federal poverty level
Payment: Most dispensaries are cash-only. Some accept debit cards. Credit cards not accepted due to federal banking restrictions.
Prices in West Virginia tend to be moderate compared to neighboring states. No delivery means in-person trips required.
How Access & Delivery Work
Cannabis delivery is NOT currently permitted in West Virginia. All purchases must be made in-person at licensed dispensaries.
Patients can place orders online for in-store pickup at many dispensaries, but the product must be collected in person. Caregivers may pick up orders on behalf of registered patients.
This can be challenging in West Virginia's rural, mountainous terrain where some patients live far from dispensaries. The state continues to evaluate potential delivery options.
For disabled patients, registering a caregiver is recommended so they can make dispensary trips on your behalf.
Product Guides
Flower (dry leaf) is the most popular product in West Virginia, comprising about 65% of all sales. Smoking is prohibited by law - patients must use vaporizers. Various strains available from state-licensed growers.
Vape cartridges account for approximately 20% of West Virginia sales. Available in various strains and formulations. Batteries and devices sold at most dispensaries.
Concentrates make up about 10% of sales. Includes oils, waxes, and other concentrated forms for vaporization.
Sublingual tinctures available in various THC:CBD ratios. Popular for precise dosing and patients who cannot vaporize.
Creams, lotions, balms, and dermal patches available for localized relief without psychoactive effects.
Edibles are NOT permitted for sale in West Virginia. However, patients may purchase tinctures or oils and infuse their own food or beverages at home.
Capsules and pills available for patients preferring traditional medication formats. Less than 3% of total sales.
Recommended Brands
West Virginia Medical Cannabis Dispensaries (January 2026):
Major Operators:
- Trulieve (multiple locations)
- Zen Leaf (Verano) - Charleston, Morgantown, Wheeling, Clarksburg, Buckhannon, Westover
- The Landing Dispensary (multiple locations)
- Cannabist (Columbia Care) - St. Albans, others
- Green Thumb Industries
- NewLeaf
- Kanacare (Charleston, Parkersburg, White Hall)
- Greene Street Cannabis Co.
Local Brands:
- HillFire (West Virginia grown flower and vapes)
Over 65 dispensaries now operate across West Virginia, with locations in Charleston, Huntington, Morgantown, Parkersburg, Wheeling, Martinsburg, Beckley, Fairmont, Clarksburg, and many smaller communities.
Current Trends (2026)
West Virginia cannabis trends (January 2026):
Program Growth: Over 35,000 active patients, up from 21,000 in early 2024. Dispensary count exceeds 65, with more opening.
Product Preferences: Flower dominates at 65% of sales. Vapes at 20%, concentrates at 10%. Pills and tinctures under 5%.
No Edibles: West Virginia remains one of few medical states prohibiting edible sales. Bills to allow edibles have been introduced but not passed.
Recreational Efforts: HB 4873 (2024) sought adult-use legalization but died in committee. No recreational timeline exists.
Vaporization Only: Smoking cannabis is prohibited. Patients must use dry herb vaporizers for flower.
Dispensary Expansion: Zen Leaf (Verano) opened Charleston location in January 2026, bringing their WV total to 6. Trulieve and others continue expanding.
Rural Access: Delivery remains unavailable, creating challenges for patients in remote areas. Caregiver system helps somewhat.
Pricing Stable: Prices have remained relatively stable as competition increases.
Frequently Asked Questions
Is recreational marijuana legal in West Virginia?
No. Only medical cannabis is legal for registered patients with qualifying conditions.
How do I get a medical marijuana card in West Virginia?
Get certified by a registered physician (telemedicine allowed), then register online and pay the $50 state fee.
How much does a WV medical card cost?
$50 state fee annually, plus $75-200 for physician evaluation. Financial hardship waivers available.
Can I smoke marijuana in West Virginia?
No. Smoking is prohibited by law. Patients must vaporize flower using approved devices.
Are edibles available in West Virginia?
No. Edibles are not permitted for sale. Patients may infuse their own food with purchased tinctures or oils.
Can I grow cannabis at home?
No. Home cultivation is illegal. All cannabis must be purchased from licensed dispensaries.
Is delivery available?
No. Delivery is not permitted in West Virginia. All purchases must be made in-person.
How many dispensaries are in West Virginia?
Over 65 licensed dispensaries operate across the state as of January 2026.
What conditions qualify for medical marijuana?
Cancer, chronic pain, PTSD, epilepsy, MS, Parkinson's, Crohn's, HIV/AIDS, and other serious conditions.
How much cannabis can I possess?
A 30-day supply, up to 4 ounces of dried flower or equivalent in other forms.
Does West Virginia accept out-of-state cards?
No. Only West Virginia medical cards are valid in the state.
Can I use cannabis in public?
No. Medical cannabis may only be consumed in private residences.
What about Delta-8 in West Virginia?
Delta-8 derived from hemp with under 0.3% Delta-9 THC is currently available in retail stores.
Can I have a gun and medical card?
Federal law prohibits cannabis users from possessing firearms, regardless of state medical laws.
Do employers have to accommodate medical cannabis?
No. West Virginia has no workplace protections for medical cannabis patients.
Safety Note
Purchase only from WV-licensed medical cannabis dispensaries. All products are tested and tracked through METRC.
Remember: Smoking is prohibited. Use vaporizers for flower products.
Start with low doses, especially with concentrates and tinctures.
Do not drive impaired. West Virginia has strict DUI laws.
Store cannabis securely away from children and pets.
Consume only in private residences. Public consumption is illegal.
Keep your medical card and purchase receipts when transporting cannabis.
Do not transport cannabis across state lines, even to other legal states.
Firearms: Federal law prohibits cannabis patients from possessing firearms. This remains enforced regardless of state medical laws.
Employment: West Virginia has no workplace protections for medical cannabis patients. Employers may still drug test and enforce policies.
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Local routing + decision-first structure for shoppers and operators.
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City hub designed to reduce noise: browse neighborhoods, compare fast, decide clean.
Comparison-first city hub with neighborhood depth. Built for real THC intent.
Comparison-first city hub with neighborhood depth. Built for real THC intent.
Comparison-first city hub with neighborhood depth. Built for real THC intent.
Local routing + decision-first structure for shoppers and operators.
Comparison-first city hub with neighborhood depth. Built for real THC intent.
City hub designed to reduce noise: browse neighborhoods, compare fast, decide clean.
Comparison-first city hub with neighborhood depth. Built for real THC intent.
Local routing + decision-first structure for shoppers and operators.
