Medical Cannabis in South Dakota
In 2020, the voters of South Dakota passed Initiated Measure 26 and approved medical cannabis. Since then, the South Dakota Medical Cannabis program has been launched and is operational. The Departments of Health and Education have delivered a regulatory program that ensures the safety of patients, students, and the public in this new industry.

Happening Now

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

December 5, 2022

184
Approved Practitioners

5,619
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

November 28, 2022

183
Approved Practitioners

5,298
Approved Patient Cards

Patient Card Renewal Process

November 22, 2022

Patients are currently starting the card renewal process. Please note once a patient card has been renewed, the original card is invalid and will not work.

For example, a patient has card #AHCD17XYD0, and it expires on 01/01/2023. The patient goes to the physician, recertifies for another year, and pays the renewal fee.

The department will review the patient renewal card application. Once the renewal card has been approved and printed, it is mailed the same day. After the renewal is approved, the original card (Card ID #AHCD17XYD0) becomes invalid.

The patient will receive a brand-new patient renewal card with a new number. The renewal card makes the old patient card ID invalid. A patient cannot go to an establishment to make purchases using an invalid card.

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

November 21, 2022

183
Approved Practitioners

5,197
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

November 14, 2022

177
Approved Practitioners

4,852
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

November 8, 2022

177
Approved Practitioners

4,634
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

October 31, 2022

174
Approved Practitioners

4,362
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

October 24, 2022

174
Approved Practitioners

4,202
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

October 17, 2022

171
Approved Practitioners

3,930
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

October 11, 2022

169
Approved Practitioners

3,768
Approved Patient Cards

Check the FAQs

October 6, 2022

Be sure to check the Frequently Asked Questions (FAQs) section OFTEN for updates and new information.

View FAQs>

METRIC EXTERNAL TRANSFERS ONE-TIME EXTENSION

October 3, 2022

UPDATE: Due to the hurricane and resulting emergency circumstances in Florida, Metrc has been offline or unavailable to help process requests from South Dakota users. Therefore, the medical cannabis program is extending the deadline for beginning inventory one final time, to October 14, 2022, 5:00 pm central time. Please do not wait until the deadline to begin the process, or you may be unable to input all the requisite information. The new deadline to have completed any and all required external transfers for your beginning inventory is October 14, 2022, at 5:00 pm. This is a modification to the previous deadline of October 3, 2022, described in the original announcement below.

More Information>

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

October 3, 2022

162
Approved Practitioners

3,591
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

September 26, 2022

159
Approved Practitioners

3,355
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

September 19, 2022

154
Approved Practitioners

2,909
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

September 15, 2022

154
Approved Practitioners

2,759
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

September 6, 2022

150
Approved Practitioners

2,621
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

August 29, 2022

150
Approved Practitioners

2,484
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

August 22, 2022

150
Approved Practitioners

2,277
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

August 17, 2022

149
Approved Practitioners

2,177
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

August 10, 2022

143
Approved Practitioners

2,118
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

August 1, 2022

132
Approved Practitioners

1,867
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

July 25, 2022

131
Approved Practitioners

1,732
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

July 18, 2022

126
Approved Practitioners

1,614
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

July 11, 2022

118
Approved Practitioners

1,465
Approved Patient Cards

WEEKLY PRACTITIONER AND PATIENT
CARD NUMBERS

July 5, 2022

115
Approved Practitioners

1,362
Approved Patient Cards

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

June 27, 2022

106
Approved Physicians

1,195
Approved Patient Cards

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

June 21, 2022

106
Approved Physicians

1,150
Approved Patient Cards

PUBLIC HEARING FOR MEDICAL CANNABIS RULE CHANGES

June 15, 2022

A public hearing will be held in The Hayes Building conference room on the first floor, 600 East Capitol Avenue, Pierre, South Dakota, on June 21, 2022, at 1:00 pm Central, to consider the adoption and amendment of proposed medical cannabis administrative rule changes.

Persons interested in presenting amendments, data, opinions, and arguments for or against the proposed rules may appear in-person or remotely at the hearing, or mail them to Department of Health, 600 east Capitol Avenue, Pierre South Dakota, or e-mail to dohcomments@state.sd.us. Those wishing to testify remotely must register by June 17, 2022, by email to dohcomments@state.sd.us. Witnesses should provide their full name, email address, whom they are representing, and city of residence. The deadline to submit any such written comments for consideration by this agency is July 1, 2022.

For More Information>

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

June 13, 2022

106
Approved Physicians

1,121
Approved Patient Cards

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

June 6, 2022

105
Approved Physicians

989
Approved Patient Cards

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

May 31, 2022

102
Approved Physicians

911
Approved Patient Cards

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

May 23, 2022

98
Approved Physicians

824
Approved Patient Cards

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

May 16, 2022

97
Approved Physicians

768
Approved Patient Cards

WEEKLY PHYSICIAN AND PATIENT CARD NUMBERS

May 10, 2022

96
Approved Physicians

652
Approved Patient Cards

RANDOM DRAWING TO DETERMINE SUCCESSFUL APPLICANTS FOR ESTABLISHMENT CERTIFICATION IN THE CITY OF NORTH SIOUX CITY

April 20, 2022

The South Dakota Medical Cannabis Program performed a random drawing on Wednesday, April 20, at 3:00PM CST to determine successful applicants for dispensary, manufacturing, and cultivation certification in the city of North Sioux City. The drawing was held at the South Dakota Lottery on the third floor of the Dolly-Reed Plaza, 711 East Wells Avenue, Pierre, SD. Members of the public had the opportunity to view the drawing live through a viewing window or via videoconference.

Watch Drawing>

RAPID CITY DISPENSARY LOTTERY DRAWING

March 9, 2022

The South Dakota Medical Cannabis Program performed a random drawing on Wednesday, March 9, at 3:00 PM CST to determine successful applicants for dispensary certification in Rapid City. The drawing was held at South Dakota Lottery on the third floor of the Dolly-Reed Plaza, 711 East Wells Avenue, Pierre, SD. Members of the public had the opportunity to view the drawing live through a viewing window or via videoconference.

Watch Drawing>

RANDOM DRAWING TO DETERMINE SUCCESSFUL APPLICANTS FOR DISPENSARY CERTIFICATION IN THE CITY OF YANKTON

January 26, 2022

The South Dakota Medical Cannabis Program performed a random drawing on Wednesday, January 26, at 3:30PM CST to determine successful applicants for dispensary certification in the City of Yankton. The drawing was held at South Dakota Lottery on the third floor of the Dolly-Reed Plaza, 711 East Wells Avenue, Pierre, SD. Members of the public had the opportunity to view the drawing live through a viewing window or via videoconference.

See Drawing Results>

FIRST ESTABLISHMENT REGISTRATION CERTIFICATIONS ISSUED

January 19, 2022

The Department of Health has issued South Dakota's first medical cannabis establishment registration certificates to dispensaries from Watertown and Keystone. Certified establishments will be listed on the Medcannabis.sd.gov website. As staff continue to review applications, additional registration certificates will be issued in the coming weeks.

View More >

APPLICATION REVIEW CHECKLIST NOW AVAILABLE

December 21, 2021

To aid medical cannabis establishment applicants, the checklist that Department of Health staff will utilize to review and certify medical cannabis establishments is now available to the public. In preparing applications for individual establishment types, refer to this checklist to make sure required information is provided in all applications.

View More >

Notice of Intent to Award Issued to Metrc

December 15, 2021

Metrc, LLC has been issued an "intent to award" letter. Upon contract approval, they will design and implement a "seed to sale" inventory tracking system to help monitor the South Dakota medical cannabis program.

Patient Application Portal Now Available for Physician Certifications

November 8, 2021

Physicians can now access the medical cannabis patient portal and begin certifying medical cannabis patients. Once certified by a physician, patients will then be able to access the online application process and complete their applications. Approved applicants will have a medical cannabis patient card mailed to them.

View Application Portal>

Information pertaining to establishment applications that must be submitted to the department by November 1, 2021 pursuant to ARSD 44:90:03:12

October 28, 2021

The Department of Health has released information pertaining to establishment applications that must be submitted to the department by November 1, 2021 pursuant to ARSD 44:90:03:12. Applicants will be allowed to submit establishment applications without a sales tax ID, so long as the application is supplemented with a sales tax ID within 14 days of submission. Applicants will also be allowed to submit applications without a completed Form E, so long as the application is supplemented with an executed Form E within 90 days of submission. Please see the updated FAQs for more information.

View FAQs>

Establishment Application Now Available

October 25, 2021

Click below to apply for a medical cannabis establishment registration certificate with the Department of Health.

View Application>

Establishment Application Checklist Available

October 21, 2021

In preparing to apply for a medical cannabis establishment registration certificate with the Department of Health, applicants may utilize this checklist to ensure they are prepared to answer all questions and gather all required documents. Applications will be available soon!

View Checklist>

Updated Reverted Rules

October 15, 2021

The South Dakota Department of Health released updated reverted rules related to implementation of the state’s Medical Cannabis Program.

View Reverted Rules>

Medical Cannabis Program Rules Pass Interim Rules Review Committee

September 13, 2021

The Legislature’s Interim Rules Review Committee approved the Department of Health’s proposed administrative rules to establish a medical cannabis program in South Dakota. The legislature approved 143 of 149 proposed rules.

View News Release>

Department of Health Presented Proposed Administrative Rules to the Legislature Interim Rules Review Committee

September 13, 2021

The Department of Health presented to the Legislature Interim Rules Review Committee its proposed administrative rules.

View Presentation>

Department of Health released latest draft of its proposed administrative rules

September 3, 2021

The Department of Health released the latest draft of its proposed administrative rules for the South Dakota Medical Cannabis program.

View Revised Proposed Rules>

Department of Health Holds Medical Cannabis Public Hearing

August 18, 2021

The Department of Health held an in-person/virtual public hearing in Pierre to consider the adoption and amendment of proposed rules for South Dakota medical cannabis program as required by SDCL 34-20G.

**Please note due to technical difficulties, some portions of the hearing may not have audio.

View Public Hearing >

South Dakota Department of Health Notice of Public Hearing to Adopt Rules

July 27, 2021

The South Dakota Department of Health announced that a public hearing will be held on August 18, 2021, from 1:30 to 3:30 p.m. CDT, in Conference Room 3 of the Kneip Building, 700 Governor’s Drive in Pierre, SD to consider the adoption and amendment of proposed rules for South Dakota medical cannabis program as required by SDCL 34-20G.

View Info >

RFP for Cannabis Seed to Sale Tracking System - RFP ID#2439

July 12, 2021

The South Dakota Department of Health (SD-DOH) and the South Dakota Department of Revenue (SD-DOR) are jointly issuing a request for proposal (RFP) (ID #2439) to acquire a cannabis tracking system to be used to support the final implementation of the South Dakota medical cannabis program.

View Info >

Highway Patrol Framework for Implementation of IM-26 & Debilitating Conditions

June 30, 2021

Department of Health Holds
Medical Cannabis Zoom Sessions

June 29, 2021
The Department of Health held four zoom sessions with stakeholders to receive input on the proposed Administrative Rules. Participants included business establishments, law enforcement representatives, local municipalities and health care providers.

View Info >

Department of Health Hosts
Medical Cannabis Telephone Town Halls

June 28, 2021
The Department of Health hosted two tele-townhalls to receive public input on the proposed draft rules of medical cannabis in South Dakota.

View Info >

Recent Events


  • March 9, 2022: The South Dakota Medical Cannabis Program performed a random drawing to determine successful applicants for dispensary certification in Rapid City. The drawing was held at South Dakota Lottery on the third floor of the Dolly-Reed Plaza, 711 East Wells Avenue, Pierre, SD. Members of the public had the opportunity to view the drawing live through a viewing window or via videoconference.
  • January 26, 2022: The South Dakota Medical Cannabis Program performed a random drawing to determine successful applicants for dispensary certification in the City of Yankton. The drawing was held at South Dakota Lottery on the third floor of the Dolly-Reed Plaza, 711 East Wells Avenue, Pierre, SD. Members of the public had the opportunity to view the drawing live through a viewing window or via videoconference.
  • January 19, 2022: The Department of Health has issued the first medical cannabis establishment registration certificates to dispensaries in Watertown and Keystone, South Dakota.
  • November 18, 2021: Today, in accordance with SDCL 34-20G and the unwavering commitment of Governor Noem and the South Dakota Department of Health to deliver a safe and responsible medical cannabis program, the first medical cannabis patient cards were printed and issued. See news release here.
  • November 8, 2021: Physicians can now access the medical cannabis patient portal and begin certifying medical cannabis patients. Once certified by a physician, patients will then be able to access the online application process and complete their applications. Approved applicants will have a medical cannabis patient card mailed to them. See Patient Process Overview for more information.
  • October 26, 2021: The Rules Review Committee approved the Department of Health Revised Rules with a 6-0 vote.
  • October 25, 2021: The South Dakota Department of Health released medical cannabis establishment application form.

more events >
SD Secretary of Health
Former SD Secretary of Health, Kim Malsam-Rysdon, seeks input from the State Medical Association on medical cannabis at their annual conference in Sioux Falls.

frequently asked questions

Download and Print FAQs

Patient Information

Any sale or purchase of medical cannabis must comply with SDCL 34-20G and ARSD 44:90. Any sale or purchase of cannabis outside of the regulated medical cannabis establishments is illegal.

Under the new law passed by the voters, a condition that allows a patient to use medical cannabis must be a "debilitating medical condition," which is defined by SDCL 34-20G-1 as "a chronic or debilitating disease or medical condition or its treatment that produces one or more of the following: cachexia or wasting syndrome; severe, debilitating pain; severe nausea; seizures; or severe and persistent muscle spasms, including those characteristic of multiple sclerosis".

ARSD 44:90:02 establishes the requirements for applying for a medical cannabis card including:

  • A photocopy of an unexpired form of identification (e.g., driver’s license, passport, US government-issued ID card, tribal ID card, student ID card);
  • A passport-quality photo; and
  • A $75 fee. Low-income individuals (those with gross monthly household income <130% of the federal poverty level) can request a reduced fee by providing documentation of household income.

Applications for a medical cannabis card cannot be processed until the South Dakota Medical Cannabis Program receives the certification for medical cannabis use by the patient’s physician. Click here for an overview of the patient process.

Yes. The renewal fee for a medical cannabis registry identification card is required at the time of renewal with no exceptions.

Per 44:90:04:04, a photograph meeting all the following requirements:
 (a)  A high resolution color photo that is not blurry, grainy, pixelated, or digitally altered;
 (b)  Uses a clear image of the individual’s face without filters;
 (c)  Uses a plain white or off-white background;
 (d)  Is two by two inches in size;
 (e)  Is printed on matte or glossy photo quality paper; and
 (f)  Is not damaged with holes, creases, or smudges;

The South Dakota Medical Cannabis Program began accepting applications from qualifying patients on November 8, 2021. Click here for an overview of the patient process.

Per SDCL 34-20G-1, a physician, physician assistant, or advanced practice registered nurse, who is licensed with authority to prescribe drugs to humans. In relation to a nonresident cardholder, the term means a person who is licensed with authority to prescribe drugs to humans in the state of the patient's residence.

No, the South Dakota Medical Cannabis Program does not maintain a list of practitioners who will provide a certification for medical cannabis use.

Yes, so long as the designated caregiver:

  • Is at least twenty-one years of age;
  • Has agreed to assist with a qualifying patient's medical use of cannabis;
  • Has not been convicted of a disqualifying felony offense; and
  • Assists no more than five qualifying patients with the medical use of cannabis, unless the designated caregiver's qualifying patients each reside in or are admitted to a health care facility or residential care facility where the designated caregiver is employed.

As part of the application process to obtain a registry identification card for the South Dakota Medical Cannabis Program, applicants may also apply to cultivate no more than two flowering cannabis plants and two cannabis plants that are not flowering plants in their home.

This question should be referred to local law enforcement or the South Dakota Department of Public Safety.

Initiated Measure 26 became SDCL 34-20G. Administrative rules for the program can be found at ARSD 44:90.

The South Dakota Medical Cannabis Program has a statewide patient registry, verification, and licensing system that will ensure that only verified patients and caregivers have access to medical cannabis. The patient verification system ensures that South Dakota law enforcement officials have the necessary tools to accurately identify medical cannabis patients/caregiver they may encounter.

The South Dakota Medical Cannabis Program takes privacy and health information security seriously. The secure online registry system for patients, caregivers, practitioners, and law enforcement will meet or exceed all state and federal standards for confidentiality, accessibility, and information security.

The South Dakota Medical Cannabis Program cannot provide legal advice to qualifying patients as to the impact of medical cannabis use. Qualifying patients or others with legal questions should consult with their own legal counsel.

No. Our patient-friendly application process is explained here and no fee, other than an application fee, should be paid to apply for your medical cannabis patient/caregiver card. Individuals should use caution if using a business offering to assist with the application process. If you have been targeted or feel you have been victim to a scam, please report it here. Got questions about the medical cannabis program? Call us at 605-773-3048.

Medical Cannabis Establishments

SDCL 34-20G establishes the following registration types: cultivator, manufacturer, dispensary, and testing. Collectively these are referred to as establishments.

Initiated Measure 26 became SDCL 34-20G. Administrative rules for the program can be found at ARSD 44:90.

You may register your medical cannabis establishment with the Department of Health using this link.

Note: Additional registration and operational requirements may be established/required at the local level.

The South Dakota Medical Cannabis program has developed a checklist to help establishments in preparing to apply for a medical cannabis establishment registration certificate.

No, the transportation of cannabis across state lines remains a federal crime and could result in federal criminal prosecution.

Yes, SDCL 34-20G-12 allows certified South Dakota medical cannabis cultivation establishments to purchase seeds from the equivalent of a medical cannabis establishment that is registered in another jurisdiction.

You will not be able to create one additional plant and add it to an existing plant batch. The software will not allow you to use the same Immature Plant Batch name more than once. You will need to make the plant batch name slightly different. If you have already created the planting you can rename the group by utilizing the "Rename" button.

Inventory sold to a dispensary prior to being logged into Metrc can be entered by the dispensary into Metrc by the deadline of October 14, 2022, as beginning inventory. This will allow the dispensary to continue to sell and be compliant with the regulations after the deadline.

The South Dakota Medical Cannabis Program is considering beginning inventory as any cannabis you have in your possession now, that you did not acquire from an in-state vendor with a pre-existing Metrc tag from South Dakota. The beginning inventory must be entered into Metrc no later than October 14, 2022.

For Medical Cannabis Establishment Applications that Must be Submitted by November 1, 2021 pursuant to ARSD 44:90:03:12:

Yes, the Department of Health will allow applicants who must submit applications by November 1, 2021 (per ARSD 44:90:03:12) to submit applications that do not have a sales tax ID number. You must supplement your application with the sales tax ID number within 14 days of submission, or as soon as you receive the sales tax ID number from Department of Revenue. Please contact the Department of Health with questions.

Yes, the Department of Health will allow applicants who must submit applications by November 1, 2021 (per ARSD 44:90:03:12) to submit applications without an attached Form E. You must supplement your application with a completed Form E within 90 days of submission. Please contact the Department of Health with questions.

Local Process Guidance Statute SDCL 34-20G Rules ARSD 44:90 Helpful Terminology Safe Storage Tips DOH DOE