First visit in person

South Dakota medical marijuana card

  • First visit must be in person
  • Renewals usually online
Renew my card online
  • Licensed South Dakota doctors
  • From $79
  • Pay only if approved

How to get a medical card in South Dakota

  1. Check you're eligible

    You need to live in South Dakota, be 18 or older (or apply with a guardian), and have a condition on the South Dakota Medical Cannabis Program list.
  2. See a South Dakota-licensed doctor

    Your first certification has to be in person. Renewals can usually be done by video.
  3. Register with the state

    Complete the South Dakota Medical Cannabis Program application and pay the $75 state fee. We walk you through it line by line.
  4. Buy from a licensed dispensary

    Usually within 2–3 weeks. Bring your card and photo ID to any licensed medical dispensary in South Dakota.

Can you see a doctor online in South Dakota?

Not for your first visit. South Dakota requires an in-person exam for your first certification. Renewals can usually be done by video, so after year one you can skip the waiting room.

More about online visits in South Dakota

What it costs in South Dakota

Doctor's evaluation

from $79

Charged only if you're approved

South Dakota state fee

$75

Paid to the state, not to us

Full South Dakota cost breakdown

A card is the only legal way to buy in South Dakota

  • Pay less tax

    Patients skip some or all of the adult-use cannabis tax in many states.

  • Higher limits

    Medical patients can usually buy and carry more than recreational buyers.

  • Medical-only products

    Some strengths and formulas are sold only behind the patient counter.

  • Legal standing

    Patient status can matter for housing, custody and some workplace rules.

Qualifying conditions in South Dakota

Do I qualify?

Online evaluations across South Dakota

Renewals by video work anywhere in the state — Sioux Falls, Rapid City, Aberdeen, Brookings, Watertown and everywhere in between.
  • Sioux Falls
  • Rapid City
  • Aberdeen
  • Brookings
  • Watertown

South Dakota medical card questions

Can I get a South Dakota medical marijuana card online?

Not the first time. South Dakota requires an in-person exam for your first certification. Renewals can usually be done by video.

How much does a medical card cost in South Dakota?

Two parts. Our evaluation starts at $79 and is charged only if you're approved. South Dakota's own fee is $75, paid to the state.

How long does a South Dakota medical card last?

1 year. You can usually renew online a few weeks before it expires, and we'll remind you.

How fast will I get my South Dakota card?

The doctor files your certification after an approved visit. After that: usually within 2–3 weeks.

Can medical patients grow cannabis at home in South Dakota?

Yes — up to 3 plants, under the state's rules.

How much can a patient buy or carry in South Dakota?

The patient limit is about 3 oz. Your dispensary tracks purchases against the state system.

Is recreational cannabis legal in South Dakota?

No. In South Dakota a medical card is the only legal way to buy cannabis at a dispensary.

Neighboring states

Renew your South Dakota card online

  • One short online form
  • A video visit with a licensed doctor
  • From $79, only if approved
Renew my card