
South Dakota Medical Marijuana Card
Obtaining Your Medical Marijuana Card
In South Dakota We Accept
- South Dakota medical cards with a South Dakota-issued driver’s license or state-issued ID
Recreational cannabis use is not legal.

South Dakota Medical Marijuana Cardholder Registry
South Dakota Medical Marijuana Card Qualifying Conditions
Under South Dakota’s medical cannabis laws, a condition that allows a patient to use medical cannabis must be a “debilitating medical condition,” which is defined by SDCL 34-20G-1. The program allows patients with debilitating medical conditions, as determined by a licensed physician, to obtain a medical cannabis card. These conditions include but are not limited to:
For full information and any additional questions not answered below, please visit the Medical Cannabis in South Dakota website.
- Cancer
- Terminal illness
- Epilepsy
- Multiple sclerosis
- Chronic pain
- Debilitating medical conditions as determined by a licensed physician
The Process
Per SDCL 34-20G-1, a patient must be certified by a physician, physician assistant, or advanced practice registered nurse, who is licensed with authority to prescribe drugs to humans. In relation to a nonresident cardholder, the term means a person who is licensed with authority to prescribe drugs to humans in the state of the patient’s residence.
Individuals who meet the qualifying conditions under a physicians approval can apply for a medical cannabis card through South Dakota’s online registration system available on the website. The application process requires submitting relevant medical documentation and a fee.
Applicants will not be able to start the medical cannabis application process until their physician has created a patient certification via the state portal. Once the physician creates the patient certification, the system will automatically create a patient account after which the patient will need to activate the account at medcannabisapplication.sd.gov.
Once the physician completes the certification, the patient will receive an automatic email from noreply@sd.airlift.app. NOTE: the notification may route to the patient’s junk email folder, so be sure to check that if the email appears to be missing.
For a step-by-step guide to completing the application process on the state portal, please visit https://medcannabis.sd.gov/docs/StepbyStepGuide_Patients.pdf
After receiving your South Dakota Medical Marijuana Card, come visit us at one of our South Dakota Greenlight locations! Our knowledgeable, friendly budtenders are excited to serve you.
On your initial visit you will need to bring your state-issued driver’s license or identification card and your South Dakota Medical Marijuana Patient Card . Only individuals with valid South Dakota Patient or Caregiver Cards will be allowed to purchase dispensary. Your identifications will be verified at the reception desk and once approved, you may enter the product room and greeted by one of our fantastic budtenders who will assist you with any questions and finalizing purchases.
All our South Dakota Greenlight locations accept cash and debit cards, and provide on-site ATM service.
Medical Cannabis Patient Process
Patient can not start the medical cannabis application process until their physician creates a certification, which will automatically create a patient account on https://medcannabisapplication.sd.gov/.
In South Dakota, dispensaries, not pharmacies, sell cannabis. Medical certification is not a prescription.

Medical Complaint
Patient schedules an appointment with their physician.

See Physician
A determination is made by the physician whether the patient would benefit from the therapeutic or palliative use of medical cannabis for their qualifying condition. If yes, a medical certification is issues through the on-line portal for the patient. Physicians must create an account at medcannabisapplication.sd.gov to provide written certifications.

Patient Applies with DOH
Paient receives email to create account on medcannabisapplication.sd.gov. Once complete, the patient must wait for the DOH approval.

Caregiver Applies
Some applications, including minor patient applications, require caregivers to be registered. Caregivers will receive an email to create an account on medcannabisapplication.sd.gov. Once complete, the caregiver must wait for the DOG approval.

Shop at Dispensary
Once the patient or caregiver gets DOH approval, a medical cannabis card will be mailed to the patient or caregiver. The cardholder may then purchase cannabis from a certified dispensary.
