Reciprocity​

Surrounded by eight neighboring states, Missouri experiences frequent cross-border travel, particularly for residents living near state lines. This raises questions among Missourians holding medical marijuana cards about whether their cards are valid in adjacent states, allowing them to purchase cannabis while traveling legally. In this article, we’ll explore the concept of ‘reciprocity’ with both neighboring and distant states from Missouri:

Do neighboring states, or those farther away, recognize Missouri’s medical marijuana cards? What does this mean for Missourians looking to buy quality cannabis products in other states?

Understanding Reciprocity for Medical Marijuana Patients

First, let’s clarify the term ‘reciprocity’ in the context of medical marijuana. Reciprocity involves one state recognizing the legal medical marijuana provisions of another state. This means that a person legally eligible to purchase medical marijuana in one state might also be allowed to buy it in another.

However, Missouri does not offer reciprocity. This means that cardholders from other states are not permitted to purchase medical marijuana within Missouri.

Many states offer some form of reciprocity, though the specifics vary. Some states might recognize out-of-state medical marijuana cards with specific conditions, others through a medical marijuana program, and some under strict regulations.

States Recognizing Missouri Medical Marijuana Cards in 2025

Missouri does not have reciprocity agreements with other states for medical cannabis. While out-of-state medical marijuana patients can legally possess medical cannabis in Missouri, they are not permitted to purchase it from Missouri dispensaries.