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There are a lot of perks that come with having a medical marijuana card — one of the biggest being reciprocity. 

 

However, with how often regulations change, it can be tough to keep up with what states allow out-of-state medical cards in 2024. But, that’s exactly why we’re here. 

 

Below, we’re covering the ins and outs of medical marijuana reciprocity, which states allow it, and other regulations you should know. Let’s get started.

What is Medical Marijuana Reciprocity?

Before we get into which states allow out-of-state medical cards, let’s cover something important: what is medical marijuana reciprocity in the first place? 

 

Medical marijuana reciprocity is essentially when a state recognizes and allows MMJ patients who have valid medical marijuana cards from other states to access medical cannabis under certain conditions within its jurisdiction. 

 

In other words, some states allow you to use your out-of-state medical card to buy weed. 

 

This means that if a patient is legally allowed to use medical marijuana in their home state, they can also legally access it in a state that offers reciprocity, following the host state’s rules and regulations.

 

Medical marijuana reciprocity is a great option for cardholders who are going on vacation or traveling but still want/need access to their medication easily.

Fort Smith marijuana card; illustration

What States Allow Out-of-State Medical Cards in 2024?

Unfortunately, not every state that has legal weed also has medical marijuana reciprocity — plus, these rules tend to change quite often. 

 

That brings us to the million-dollar question: what states allow out-of-state medical cards in 2024? 

 

First, we’ll start with the basic reciprocity states.

Medical Marijuana Reciprocity States

In 2024, the following states allow you to purchase medical cannabis in their jurisdictions with your out-of-state MMJ card: 

 

Possess-But-Not Purchase States

There are also a few places in the US that the industry calls “possess-but-not-purchase states.” 

 

These are states that allow medical marijuana cardholders to possess certain amounts of marijuana legally; however, they are not allowed to go into dispensaries and purchase products.

 

New Hampshire is one of these states, as out-of-state medical marijuana patients can possess up to 2 ounces of usable cannabis; however, they are not permitted to purchase cannabis from local dispensaries.

 

Additionally, Utah allows visiting patients with one or more of the state’s approved qualifying conditions to possess but not purchase medical cannabis while visiting. However, you can get a temporary UT medical cannabis card to use for up to 21 days when you’re there!  

 

If you’re a medical marijuana cardholder getting ready to travel, make sure to research the reciprocity laws in the place you’re traveling to. This will give you perfect insight into what you can expect from your MMJ experience.

MMj card illustration; What States Allow Out-of-State Medical Cards in 2024?

Can You Fly With Medical Marijuana?

Let’s say you’re traveling to a state that doesn’t have medical marijuana reciprocity. So, can you stock up on your medical cannabis and fly with it, instead? 

 

Sadly, no. Flying with medical marijuana — or just traveling across state lines in general — is federally illegal in the United States. It doesn’t matter if you have your medical marijuana card, you cannot travel with marijuana products

 

The only types of cannabis that TSA allows you to fly with are hemp and hemp-derived products that contain 0.3% THC or less.

Get a Medical Marijuana Card and Get Your Favorite Medicine — Even When You Travel

Even though you can’t use your out-of-state medical card in every legal state in the country, having your MMJ card still grants you more cannabis access across the US than ever before. 

 

Having your medical card not only means getting your weed out of state, but it also means gaining access to the highest quality products at the lowest prices. 

 

If you live somewhere that has legalized both medical and recreational cannabis, MMJ cardholders won’t have to pay as much in taxes. Plus, you will get medical-only discounts. 


When you want to expand your medical cannabis access, it’s time to get a medical card. Click the button below to book your same-day online appointment and Elevate Holistics will take it from there.

Get top-shelf weed at low prices -- all around the country.

Get your MMJ card today and explore the benefits of reciprocity.

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Elevate Holistics’ process is quick, affordable, and done entirely online. It’s never been so easy.

About the author

Ally Hilbert is the Content and SEO Manager here at Elevate Holistics, working to publish and run Elevate’s blogs and landing pages, as well as conduct keyword research, competitor analysis, and more. After having brain surgery at the age of 17, Ally became fascinated with medical cannabis and its benefits, and, at 18, had her first CBD-related piece published. Today, she’s been writing about cannabis for the past six years, and simply can’t think of a better company to get to do it for. When she’s not writing or editing, Ally’s side-by-side with her pup Sadie in Seattle.
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