Skip to main content
Holistic Wellness Maryland

Medical vs. Adult-Use

Already have adult-use access? Here's why patients still register.

Maryland allows adult-use cannabis purchases for anyone 21 and older, so it's a fair question: why bother becoming a medical patient? For many people managing a chronic condition, the medical program offers real, practical advantages.

TopicAdult-UseMedical Patient
Clinical evaluationNone — purchases are self-directed with no clinician involved.A licensed provider reviews your condition, medications, and safety considerations before you buy anything.
Possession limitsUp to 1.5 oz of flower (or 12g of concentrate) per purchase; up to 2.5 oz stored at home.Substantially higher limits set for registered patients — ask your provider for current specifics.
Home cultivationUp to 2 plants per household.Up to 4 plants for registered patients.
Sales taxStandard adult-use excise tax applies at checkout.Registered patients are exempt from the adult-use sales tax on qualifying purchases.
Ongoing careNo follow-up, no medication review, no relationship with a clinician.Renewal visits, medication-safety review, and a provider who knows your history over time.
Maryland cannabis laws and program rules can change. This page summarizes general differences as of your visit date — visit the Maryland Cannabis Administration for the most current rules, and ask your provider how they apply to your specific situation.