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Obsessive-Compulsive Disorder and cannabis in Maryland

The state does not list this condition by name, but its statute or regulator permits a certifying physician to add conditions case-by-case. Patients should expect to bring full diagnostic records to the certification visit.

Physician-discretion program
✗ No
LEGAL
30-day supply as certif…
POSSESSION
$25/yr
STATE FEE
7–21 d
TIMELINE
Physician-discretion program. The state does not list this condition by name, but its statute or regulator permits a certifying physician to add conditions case-by-case. Patients should expect to bring full diagnostic records to the certification visit.

Maryland statute and program

The Maryland Medical Cannabis Program is the operating authority for Maryland patient certification. The authoritative legal text is: Md. Code, Alcoholic Beverages and Cannabis Article: Title 36.

What the evidence says about cannabis and Obsessive-Compulsive Disorder

repetitive behaviors or mental acts performed in response to obsessions, aimed at reducing anxiety or preventing a feared outcome. The behaviors are not realistically connected to what they aim to prevent or are clearly excessive.

For the full evidence base, including the NASEM tier, randomized trial summaries, and symptom-domain breakdown, read the mmjnow Obsessive-Compulsive Disorder page.

How to qualify in Maryland

The Maryland Medical Cannabis Program requires the following registration steps for a Obsessive-Compulsive Disorder patient (or any qualifying diagnosis):

  1. Register as a patient with the Maryland Cannabis Administration (MCA). Patients self-register through the MCA online patient portal before seeing a provider. Registration requires a Maryland driver license or state ID, a passport-style photograph, and proof of Maryland residency. Out-of-state patients with a qualifying condition may also register and are issued a 30-day temporary identification card.
  2. Get certified by an MCA-registered provider. A Maryland-licensed physician, dentist, podiatrist, advanced practice registered nurse, nurse midwife, or physician assistant registered with the MCA must issue a written certification documenting a qualifying condition such as chronic pain, severe nausea, seizures, glaucoma, PTSD, or another condition the provider determines may benefit from medical cannabis. Telehealth certifications are accepted.
  3. Pay the $25 patient registration fee. The MCA patient identification card fee is $25 for a three-year registration (reduced from the original $50 under 2024 Maryland Cannabis Administration reforms). Caregiver registration is $50 per caregiver. Renewals require updated provider certification at the end of the three-year period.
  4. Purchase from licensed Maryland dispensaries. With the MCA registration ID, patients may purchase from any licensed Maryland medical-cannabis dispensary up to a 30-day supply (defined by potency-adjusted dosage units rather than weight). Adult-use retail launched July 1, 2023; patients retain medical-only product access, lower taxation, and statutory employment and family-court protections under the Maryland Medical Cannabis Act.
State registration fee
$25
Physician visit (typical)
$125–$250
Certification to card
7–21 days
Out-of-state patients
Eligible
Minors
Eligible with caregiver

For full Maryland registration steps, fees, and reciprocity rules, see the Maryland cannabis-laws page.

ICD-10 code

A certifying physician documenting Obsessive-Compulsive Disorder for the Maryland medical cannabis program will typically record ICD-10 F42.9 or SNOMED-CT 191736004 in the patient's record. The state registry does not itself collect ICD-10 codes in most programs, but the physician's chart is the audit trail if the certification is later reviewed.

Frequently asked questions

Does Maryland list Obsessive-Compulsive Disorder as a qualifying condition for medical cannabis?

Not by name, but Maryland permits physician discretion. Under Maryland Medical Cannabis Program, a certifying physician can add a condition like Obsessive-Compulsive Disorder on a case-by-case basis when the physician judges that the patient would benefit from medical cannabis. This is different from a state where the qualifying-condition list is fixed in statute. Whether a particular physician will certify Obsessive-Compulsive Disorder depends on the physician's training, the strength of the patient's documentation, and the practitioner's reading of the available evidence — evidence is described as insufficient (no high-quality controlled data is available either for or against). Patients should expect to bring full diagnostic records to the certification visit.

How do I get a Maryland medical marijuana card for Obsessive-Compulsive Disorder?

Step one is finding a physician licensed in Maryland who is registered with Maryland Medical Cannabis Program and willing to evaluate Obsessive-Compulsive Disorder cases. Step two is collecting your records (diagnosis documentation, treatment history, and the ICD-10 code your physician will use) and bringing them to the certification visit. Step three is the physician's certification through the state registry, followed by the patient registration application, state fee, and waiting period before the card is issued. Maryland does not honor out-of-state cards, so the certification process has to originate inside the state. Verify the patient minimum age with the state program before applying. Confirm the current process with the state regulator before applying, because the rules change.

What does the evidence say about cannabis for Obsessive-Compulsive Disorder?

For Obsessive-Compulsive Disorder, evidence is described as insufficient (no high-quality controlled data is available either for or against). The mmjnow condition page for Obsessive-Compulsive Disorder lays out the current evidence base, including the citations underlying that evidence tier — typically the National Academies of Sciences, Engineering, and Medicine consensus reports, federal agency guidance, and peer-reviewed reviews. Evidence quality is independent of state law: a state can list a condition for which evidence is limited, and a state can decline to list a condition for which evidence is strong. Patients deciding whether to pursue medical cannabis for Obsessive-Compulsive Disorder should review the underlying evidence (linked on the condition page) and discuss expected benefit, dosing, and risk with a clinician familiar with both Obsessive-Compulsive Disorder and cannabinoid pharmacology. Cannabis is not a substitute for evidence-based first-line treatments for Obsessive-Compulsive Disorder; the evidence position above describes whether trial data supports its use, not whether it should replace standard care.

Sources

  1. Maryland Constitution Article XX: Adult-Use Cannabis (Question 4 of 2022)accessed May 15, 2026
  2. Md. Code, Alcoholic Beverages and Cannabis Article: Title 36accessed May 15, 2026
  3. Maryland Cannabis Administrationaccessed May 15, 2026
  4. NIH National Institute of Mental Health: Obsessive-Compulsive Disorderaccessed May 18, 2026
  5. NASEM: The Health Effects of Cannabis and Cannabinoids (2017)accessed May 18, 2026
  6. International OCD Foundation: About OCDaccessed May 18, 2026
  7. American Psychiatric Association: Practice Guideline for the Treatment of OCDaccessed May 18, 2026
  8. MedlinePlus: Obsessive-compulsive disorderaccessed May 18, 2026