West Virginia Cannabis Compliance & Licensing

Informational summary of public regulatory information — not legal advice. Confirm current requirements with the state regulator before acting.

West Virginia legalized medical cannabis in 2017 through the West Virginia Medical Cannabis Act (SB 386), though banking and implementation hurdles delayed the first dispensary sales until late 2021. The Office of Medical Cannabis licenses growers, processors, and dispensaries and registers patients. Recreational use remains illegal. For ancillary providers, West Virginia is a small Appalachian medical market where operators particularly need banking, payments, and compliance support.

Market & regulatory snapshot

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Legal sinceMedical only: 2017 (SB 386); sales 2021
Primary regulatorOffice of Medical Cannabis (OMC), WV Bureau for Public Health
Source: state regulator · as of 2026-01
Legal statusMedical only: 2017 (SB 386); sales 2021
Source: state statute · as of 2026-01
Track-and-trace systemMetrc
Source: Office of Medical Cannabis (OMC), WV Bureau for Public Health · as of 2026-01

Frequently asked questions

Is medical marijuana legal in West Virginia?
Yes. West Virginia passed its Medical Cannabis Act in 2017 and dispensary sales began in late 2021; the program is medical-only, and recreational use remains illegal.