Getting a medical marijuana card in West Virginia can cost up to $200 for most new patients, depending on which physician you choose. That total covers two separate fees paid to two different parties: a physician certification fee and a $50 state application fee paid to the West Virginia Office of Medical Cannabis (OMC).
This article breaks down exactly what each fee covers, how to qualify for a hardship fee waiver, what the program costs over two years, and what happens to your $50 if your application is rejected.
Before you book an appointment, it helps to understand exactly what you are paying for and when each fee is due.
| Fee Type | Typical Cost | Through Veriheal |
| Physician certification fee | Commonly $75 to $150 | $149, with a money-back guarantee |
| WV OMC state application fee | $50 | $50 (paid to the state, not to Veriheal) |
The physician certification fee is paid directly to your chosen provider at the time of your appointment. The $50 OMC application fee is paid separately when you submit your application through the OMC’s online portal, either online or by mail. These two fees go to two different organizations at two different stages of the process, so you will not pay both at once.
The $50 state fee is the same no matter which provider you use, because it is set by W. Va. Code §16A-5-1 and paid directly to the state.
Getting a West Virginia card involves two separate processes, and it helps to know who is responsible for each one.
Keeping these two steps separate explains the rest of this article. Questions about your appointment or certification go to Veriheal. Questions about your application, the $50 fee, a waiver, or your card go to the OMC.
The $50 fee is paid directly to the West Virginia Office of Medical Cannabis (OMC), not to Veriheal. It covers the state’s side of the process, from reviewing your application to issuing your card. Here is what that fee gets you and what to expect once you are approved:
The physician certification fee is the variable part of your total cost. The OMC does not set or cap this fee, so each telehealth provider or in-person clinic determines its own pricing independently. For new patients in West Virginia, evaluation fees commonly run from about $75 to $150.
Where a provider falls in that range usually depends on what the fee includes. Prices tend to vary based on:
If you are researching the cheapest medical marijuana card in WV, it is easy to focus on the upfront number. The better question is what you get for it and what happens if you do not qualify.
Veriheal’s physician certification costs $149, and it comes with a money-back guarantee: if you do not qualify, you get your evaluation fee back. That means you are never paying for a certification you cannot use. The fee covers:
The OMC allows physician appointments to take place in person or online, and it lists telehealth companies with registered West Virginia physicians. West Virginia’s Medical Cannabis Act defines ‘continuing care,’ the relationship your certification depends on, as requiring a full assessment that includes an in-person consultation.
In practice, this most likely means an initial in-person visit establishes that relationship, after which annual recertifications can typically proceed by telehealth, consistent with the OMC’s own guidance that appointments can happen online. If you’re unsure whether this applies to your specific situation, confirm directly with your physician or the OMC before booking.
What the physician fee does not cover: The $50 OMC application fee is always a separate payment to the state, no matter which provider you use.
To put the certification cost in context, look at the benefits of a medical marijuana card beyond dispensary access. If you want to see how West Virginia’s costs and rules compare with other states, medical marijuana card state-by-state updates breaks down the differences.
The West Virginia Office of Medical Cannabis (OMC) offers a hardship fee waiver for patients who qualify based on financial need. The waiver comes from the state, not from your provider. Under W. Va. Code §16A-5-1, the state may waive or reduce the application fee for financial hardship, and the OMC grants the waiver to applicants with income below 200% of the federal poverty level. It covers only the $50 state application fee, so you still pay your provider’s certification fee.
To request the waiver, according to the OMC, upload proof of income with your application, such as:
Request the waiver when you submit your application, and do not send payment while the OMC reviews it. If the waiver is not granted, the OMC will ask you to pay at that point.
The waiver does not change the physician certification step or the qualifying condition requirement. You still need a valid physician certification from an OMC-registered physician before the OMC will process your application, regardless of whether you are applying for a fee waiver.
Because West Virginia cards expire within one year, patients who stay in the program for two or more years pay both fees each year. The table below models that cost using Veriheal’s pricing.
| Year | Estimated Cost |
| Year 1 (new patient certification + OMC application) | Veriheal new patient fee + $50 |
| Year 2 (renewal certification + OMC application) | Veriheal renewal fee + $50 |
Some providers charge less for renewals than for new-patient visits, so check Veriheal’s current renewal pricing before you budget for year two. If you qualify for the OMC hardship fee waiver, you can apply at each renewal cycle, which reduces the recurring annual cost by $50 per year. Knowing that renewal is required each year is worth factoring into your decision early, particularly if you are planning sustained treatment for a chronic condition.
This part of the process is handled by the OMC, not by Veriheal. The OMC’s published guidance does not describe refunds of the $50 fee, but a rejected application is usually sent back for corrections rather than closed, so you fix and resubmit the same application instead of starting a new one. Most application problems in West Virginia are administrative, not medical. The OMC lists these as common reasons it rejects applications:
If your application needs corrections, the OMC sends it back with instructions. If the problem is with your physician certification, contact the physician who certified you so they can correct it. For everything else, follow the OMC’s instructions and resubmit.
The best way to avoid delays is to get your documents right the first time. Upload a clear, passport-quality photo, a current ID, proof of West Virginia residency, and your current physician certification. It also helps to finish your physician certification before you start your state application. Veriheal’s process follows that order: you see a physician, confirm you qualify, and then move on to the OMC application, so you only pay the $50 state fee once your certification is in place.
When you are ready, see Veriheal’s West Virginia pricing and book your consultation with a Veriheal-certified physician to begin the application process..
Note: The content on this page is for informational purposes only and is not intended to be professional medical advice. Do not attempt to self-diagnose or prescribe treatment based on the information provided. Always consult a physician before making any decision on the treatment of a medical condition.
Note: Veriheal does not support illegally consuming therapeutic substances such as cannabis but acknowledges that it transpires because of the current illicit status, which we strive to change by advocating for research, legal access, and responsible consumption. Always consult a physician before attempting alternative therapies.
Not automatically, but real federal risk remains. Federal law, 18 U.S.C. §922(g)(3), still bars unlawful users of controlled substances from possessing firearms. State-licensed medical marijuana moved to Schedule III in April 2026, and the Supreme Court’s Hemani ruling limits prosecutions for marijuana use alone, but ATF Form 4473 still asks about controlled substance use. Review the rules around MMJ and gun rights and consult a qualified legal professional.
The physician visit can often be scheduled quickly. After you are certified, you submit your application to the OMC, which reviews applications within 30 days, and then you download your digital card. Understanding how long it takes to get a medical card helps set realistic expectations for the full timeline.
West Virginia recognizes 15 qualifying conditions, including cancer, PTSD, epilepsy, multiple sclerosis, severe chronic or intractable pain, Crohn’s disease, HIV/AIDS, and damage to the nervous tissue of the spinal cord with intractable spasticity. An MD or DO registered with the OMC must certify your condition before the OMC will accept your application. You can book an appointment with a physician to get started.
The process has two steps. First, a physician registered with the OMC certifies your condition, and Veriheal handles that step. Second, you submit your application and $50 fee through the OMC’s online portal, which the state handles. Neither fee is typically reimbursable, as Veriheal’s guide on whether medical marijuana is covered by insurance explains. Once the OMC approves your application, you download your digital card.
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