Many Ohio patients still hear about a $25 renewal fee, but it no longer applies to most cardholders. The Division of Cannabis Control (DCC) cut the patient registration fee to one cent in March 2024, and that fee covers renewals as well as new registrations.
Here you’ll find where the $25 figure came from, what renewal costs today, and how to renew. By the end, you’ll know which cost deserves your attention and what to do first.
Until March 2024, Ohio charged patients $50 a year and caregivers $25 a year, according to the DCC’s notice to patients. Patients with veteran or indigent status could have their fee cut in half, which brought a patient’s fee down to $25.
That is why you still see $25 mentioned. It was the standard caregiver fee, and it was the reduced rate for eligible patients. Neither is the current patient fee.
Beginning March 4, 2024, the registration fee became $0.01, according to the DCC’s notice. The notice says the reduced fee applies to new registrations and renewals. It also says patients do not need to send extra documents to get it.
Here is how the patient and caregiver fees changed:
| Period | Patient fee | Caregiver fee |
| Before March 2024 | $50 per year | $25 per year |
| Since March 4, 2024 | $0.01 | $0.01 |
The DCC said it planned to remove the fee completely, so check the registry for the current charge when you renew. All fees are non-refundable, so confirm the amount before you pay.
Not much anymore. The reduced rate for veterans and indigent patients made a real difference when the fee was $50, but at one cent there is almost nothing left to reduce. You also don’t need to apply for anything to get the one-cent rate, according to the notice.
The physician visit is now your bigger renewal cost. Ohio requires a new recommendation from your recommending physician before you renew, and physicians set their own prices, not the state.
Renewing takes two steps, according to the DCC’s renewing patient registration page:
You can start within 30 days before your registration expires. If you want to plan ahead, Veriheal’s guides on how long it takes to get a medical card and how to get your medical marijuana card online are good places to start.
Staying registered can save you money. The DCC says registered patients may get dispensary discounts, and medical purchases are not subject to Ohio’s 10% adult-use excise tax. Veriheal’s guide on the benefits of a medical marijuana card shows what else a card offers.
If you’re wondering who can see your card, Veriheal’s guide on whether a medical cannabis card shows up on a background check is a good place to look.
If you own firearms, the 2026 changes matter before you renew. A medical card can still carry federal risk, even though the rules shifted.
What changed in federal law? On April 28, 2026, state-licensed medical marijuana moved from Schedule I to Schedule III, per the Federal Register rule. Marijuana outside a state medical license or a Food and Drug Administration (FDA)-approved product stays in Schedule I. On June 18, 2026, the Supreme Court held in United States v. Hemani that a prosecution under 18 U.S.C. § 922(g)(3) based solely on marijuana use was inconsistent with the Second Amendment. The judgment was unanimous, and the Court called its decision narrow.
What changed at the gun counter? The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) rescinded its 2011 open letter. That letter had told dealers a medical card was grounds to refuse a sale.
What stayed the same? Section 922(g)(3) remains federal law, and ATF Form 4473 is unchanged, so you must still answer its drug-use question truthfully. The ATF has issued no replacement guidance, so real federal risk persists. A licensed attorney can explain how these rules apply to you. Veriheal’s guide on medical cannabis patients and gun rights is a helpful place to start.
Veriheal connects you with an Ohio physician for an online video evaluation, which covers the new recommendation your renewal needs. Your physician can tell you whether any in-person follow-up applies to you. Read Veriheal’s guide on telemedicine for medical cannabis.
The evaluation costs $199, and you can split the fee into interest-free installments. Every Veriheal evaluation comes with a “get approved or your money back” policy. The state fee is separate and paid to Ohio.
The physician visit is the main renewal cost, so it is the best place to start. Start your Ohio evaluation with Veriheal today, or connect with a medical marijuana doctor to book your renewal visit.
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.
Ohio does not charge a $25 renewal fee for most patients today. Caregivers and reduced-rate patients paid $25 before March 2024, when the Division of Cannabis Control cut the fee to one cent and said it planned to remove it. Your main renewal cost is now the physician visit, and Veriheal connects you with an Ohio physician for an online video evaluation.
Renewing an Ohio medical card costs one cent in state fees as of March 2024, plus the price of your physician visit. Physicians set their own prices, so check the registry for the current state charge. At Veriheal, the online video evaluation is $199, and you can split it into interest-free installments.
Ohio’s one-cent fee applies to renewals as well as new registrations, and you don’t need to submit extra documents to get it. The old reduced rate for veterans and indigent patients matters little at that price. The cost worth planning for is the physician visit, and Veriheal’s online video evaluation comes with a “get approved or your money back” policy.
You can renew your Ohio medical card within 30 days before your registration expires. If it has already expired, you can renew after you get a new recommendation from your physician.
Ohio requires a new recommendation from your recommending physician before the registry lets you renew your medical card. Veriheal connects you with an Ohio physician for an online video evaluation, so you can get that recommendation without an in-person visit. After the recommendation is in the registry, you finish the renewal yourself.
Yes, you can renew your Ohio medical card online. Veriheal connects you with an Ohio physician for a video evaluation, which covers the new recommendation you need. Once it’s in the registry, you sign in and select Renew Card to finish.
An Ohio patient registration is valid for one year. Plan your renewal visit within the 30 days before it expires.
An Ohio medical marijuana card can still create federal firearms risk, even after the 2026 changes. Section 922(g)(3) remains federal law, ATF Form 4473 is unchanged, and the ATF has issued no replacement guidance. A licensed attorney can explain how these rules apply to you, and Veriheal’s guide on medical cannabis patients and gun rights is a helpful place to start.
In United States v. Hemani, decided June 18, 2026, the Supreme Court unanimously held that prosecuting someone under 18 U.S.C. § 922(g)(3) based solely on marijuana use was inconsistent with the Second Amendment. The Court called its decision narrow, and Section 922(g)(3) remains federal law. Before you renew, a licensed attorney can explain how this applies to you.
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