Medical

West Virginia Cannabis Laws & Dispensary Compliance Guide

Last reviewed: June 14, 2026

Reviewed byFrancine Whu Muhammad, JDSenior Director, Compliance & Enterprise Risk

Dutchie does not provide compliance advice. Merchants are responsible for their own compliance. External Dutchie compliance documentation may be updated from time to time and has been prepared for informational purposes only, is not intended to provide, and should not be relied on for, tax, legal or compliance advice. Merchants should consult their own tax, legal and compliance advisors to determine how best to operate within the cannabis industry.

Market Status

Medical cannabis only

Traceability

Metrc (real-time reporting)

Regulator

Office of Medical Cannabis (OMC)

Market Type

In West Virginia, cannabis is regulated by the Office of Medical Cannabis (OMC). Only medical cannabis is allowed.

Metrc and Inventory

West Virginia uses Metrc as their state traceability system. In West Virginia, medical sales must be reported in real time, and Metrc provides each patient’s allotment.

Purchase Limits

Medical purchase limitsPurchase Limits are case by case, determined by the prescribing physician. Each patient’s allotment is recorded and Metrc, and a lookup must be performed before each sale to ensure compliant adherence to the patient’s limit.

Equivalencies: WV regulators have defined equivalencies in this document. One ounce of flower is equivalent to 10,000 mg (10 g) of THC in non-flower products.

Taxes

Medical: 10 percent of the gross receipts the dispensary receives

Delivery

Delivery not allowedWest Virginia does not allow delivery at this time.

Things to Note

Traceability ConfigurationWV uses the active flag on the Metrc patient allotment check to confirm the patient is in good standing with the state. Patient’s with an inactive flag should not be served. Dutchie configures the lookup in this market to respect this distinction.

State Resources

The OMC has compiled a series of FAQs as well as their legislative rules.

About the author

Written by

Roy Sherwood

Senior Regulatory Compliance Analyst

Frequently asked questions

What type of cannabis market is West Virginia?

West Virginia is a Medical cannabis only cannabis market.

Who regulates cannabis in West Virginia?

Cannabis in West Virginia is regulated by Office of Medical Cannabis (OMC).

What cannabis traceability system does West Virginia use?

West Virginia uses Metrc (real-time reporting) as its cannabis traceability system.

What are the cannabis purchase limits in West Virginia?

Purchase Limits are case by case, determined by the prescribing physician. Each patient's allotment is recorded and Metrc, and a lookup must be performed before each sale to ensure compliant adherence to the patient's limit. Equivalencies: WV regulators have defined equivalencies in this document .

How is cannabis taxed in West Virginia?

Medical: 10 percent of the gross receipts the dispensary receives

Is cannabis delivery allowed in West Virginia?

West Virginia does not allow delivery at this time.