Tag Archive: doctor’s recommendation

  1. How to Get a Medical Marijuana Card in New York

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    When President Nixon began the Drug War in earnest, it was nearly inconceivable to most illicit cannabis users that the world would acknowledge the Devil’s lettuce as an actual medicine. Oh, the hippies knew what cannabis was capable of, but the rest of the world treated “marihuana” like a weapon of mass destruction.

     

    You can still see some of this leftover mentality in the intensely prohibitive regulations that surround the plant – even in legal states. Still, we’ve come a long way since the ’70s, as a recent poll shows an astonishing 94% of Americans approve of medical cannabis.

     

    New York is one of the 31 (and counting) states that now allow cannabis use for medical purposes. If you’re thinking about asking your doctor whether cannabis is a good choice for your particular condition, you’ve come to the right place.

     

    ­­­In this guide, we’ll cover everything you need to know about becoming a medical cannabis patient in New York. Whether you feel like a deer in headlights when it comes to cannabis options or you’re having trouble digesting the legal jargon – we’re here to ensure you have the best experience possible. As cannabis becomes more widely accepted, we want to make sure you have accurate, reliable information so that you can find the relief you need…and the happiness you deserve.

     

     

    Are You a Candidate for Medical Cannabis in New York?

     

    What to Know About Your Initial Cannabis Consultation

    There are four basic steps to becoming a registered cannabis patient in New York:

    1. See a doctor
    2. Obtain a patient certification
    3. Register online as a patient
    4. Purchase from one of New York’s authorized dispensaries

     

    While this is a very straightforward process, there are a few things you will need to consider before you begin the process.

     

    Residency

    You’re required to prove New York state residency to become a cannabis patient here. This requirement is usually satisfied with a driver’s license or a state ID. If you don’t have a state ID, you can show proof of residency through a utility bill or a lease with your name on it. The department may also allow other proof of residency at their discretion.

     

    Those who temporarily reside in New York for serious medical treatment can also sign up for the program, so long as they provide documentation of temporary residency.

     

    Qualifying NY Medical Cannabis

    Not everyone qualifies for medical cannabis in New York. While the law is less restrictive than it was originally, you need to have one of the following “severe, debilitating or life-threatening conditions:”

    • Cancer
    • Positive status for HIV or AIDS
    • Amyotrophic lateral sclerosis (ALS)
    • Parkinson’s disease
    • Multiple sclerosis
    • Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity
    • Epilepsy
    • Inflammatory bowel disease
    • Neuropathy
    • *Chronic pain as defined by 10 NYCRR §1004.2(a)(8)(xi)
    • Huntington’s disease
    • PTSD
    • Opiate replacement

     

    You must also have one of the following associated or complicating conditions:

    • Cachexia (weakness and wasting of the body due to severe chronic illness)
    • Severe or chronic pain
    • Severe nausea
    • Seizures
    • Severe or persistent muscle spasms

     

    Finding a Licensed Cannabis Doctor in New York

     

    Because the Empire State requires these serious conditions to access medical cannabis, your doctor won’t recommend it for a minor condition. Any doctor who promises to approve, no matter what, is likely not compliant. Some people simply won’t qualify for the program.

     

    Your doctor should ask to see the medical records connected to your condition. These records might include:

    • Hospital visits
    • Prescriptions
    • Physical therapy records
    • Detailed patient charts
    • Medical test results


    It’s a good idea to have all of those records ready before you talk to the doctor so you can provide any supplemental information he or she needs. Also, plan for the extra time it may take to track down certain records and other info. A legitimate doctor will take every step necessary to ensure you qualify under the law before certification.

     

    For New York residents who shudder at the thought of making a special trip or simply don’t have time in their hurried schedule, consultations can be done entirely online. Save the car fare and cook that homemade meal while talking to your cannabis doctor from the privacy and comfort of home.

     

    Cannabis or Medical Marijuana Vs Opiods

     

    How to Start the Conversation with Your Cannabis Doctor

    It’s important to know that not every doctor in New York can recommend cannabis as medicine. Doctors are first required to take a 4-hour certification course then register with the program as providers; so don’t be bewildered if your doctor won’t prescribe it. Instead, ask for a referral to a cannabis-friendly doctor who is qualified to help.

     

    During the registration process, your doctor will have the option to tell the state their recommended method of administration and THC:CBD ratio. He or she will also have the option to leave this decision up to your dispensary’s pharmacist. Just discuss these preferences with your doctor during the consultation to make sure you get the proper dosage and cannabis type that meet your needs.

     

    How to Get Your Medical Cannabis Registration in New York

     

    If your doctor determines you’ll benefit from cannabis, he or she will register you with the state as a medical cannabis patient. Here’s the NuggMD process:

     

    1) Create an account with NuggMD New York.

     

    2) Provide basic info like your name, address and proof of age.

     

    3) Provide your medical history with as much detail about your condition(s) as possible so the doctor will have a chance to evaluate your potential treatment options.

     

    4) Provide your payment information and enter the virtual waiting room. You shouldn’t wait too long since there are several fully-licensed, cannabis-friendly physicians currently working with NuggMD. While you do, chat with one of our knowledgeable cannabis concierges to learn more about medical cannabis in New York.

     

    5) When your new physician becomes available, he or she will finish your evaluation via our telemedicine platform. The video consultation can be as short or long as needed, with some consultations only requiring a few minutes to complete. And remember: don’t be afraid to ask questions. This is an important new step in your journey to wellness, and knowledge is power.

     

    Some questions you should consider:

    • What ratio of CBD to THC do I need?
    • What method of application should I try?
    • Should I combine methods?
    • How often should I take my medicine?
    • How will this affect other medicines I am taking?

     

    Be sure to tell your doctor about every medicine, vitamin and herb you’re currently or have recently taken so he or she can ascertain any possible interactions.

     

    6) As a NuggMD member, you only pay $149 for the evaluation.

     

    7) Once approved as a cannabis patient in New York, you’ll receive an email with specific instructions to complete your state registration process. If you have any trouble completing this process, just hop on over to our site and our concierge service will happily give you a hand.

     

    * On July 12, 2018, the Department of Health announced that they are enhancing the registration process to allow patients to print out 30-day temporary ID cards. This will allow patients to purchase medicine immediately upon completion of registration while they wait for the Department to process their application and mail out an ID card (ID cards must be renewed each year). 

     

    Buying Medical Marijuana in New York

     

    How to Buy Medical Cannabis in New York

    After you’ve obtained your certification and registered with the state, it’s finally time to purchase your herbal medicine.

     

    There are currently only 10 organizations in New York that are allowed to legally dispense medical marijuana:

    • Columbia Care
    • Etain, LLC
    • MedMen, Inc.
    • Vireo Health of New York LLC
    • NYCANNA, LLC DBA  *
    • Fiorello Pharmaceuticals, Inc. *
    • Valley Agriceuticals, LLC *
    • Citiva Medical LLC *
    • PalliaTech NY, LLC DBA

     

    Facilities marked with an asterix (*) are in the process of licensing dispensaries and will open soon.

     

    What Cannabis Consumption Methods Can I Use in New York?

     

    There are three main consumption methods available for cannabis in NY:

    • Inhalation
    • Oral
    • Topical

     

    Let’s explore each of these methods in detail.

     

    Inhalation

    This allows the active ingredients from your cannabis to directly enter the bloodstream through your lungs.

     

    Oral

    It’s the slowest method of cannabis administration, but also the longest lasting. The effect of edibles tends to be much stronger than inhaled cannabis so proceed cautiously.

     

    This is because taking cannabis orally produces different compounds in our bloodstream that affect us differently than inhalation. Basically, our liver converts at least some of the delta-9 THC (the ingredient that makes us high when inhaled) to 11-hydroxy-THC, a much more potent psychedelic. When we inhale cannabis, it bypasses the liver so we don’t get all of that 11-hydroxy-THC.

     

    Topical

    Some new patients prefer topical cannabis applications because they’re (mostly) non-psychoactive. Rather than ingesting cannabis and feeling the potent effects of THC, topicals deliver THC and CBD directly into the affected area.

     

    Topicals come in many forms, including lotions, balms, oils, lubricants and transdermal patches. They also come in many different THC:CBD ratios. But since THC isn’t easily absorbed into the skin, high THC topicals might be a little pricey when compared to their effects. Most are high in CBD and combined with other soothing ingredients like capsaicin, mint or other essential oils for added benefit.

     

    A more recent trend in topical application is the transdermal patch. It utilizes the same type of agents that help the nicotine patch deliver compounds through the skin. These transdermal patches can make you high if they contain enough THC, so be careful when choosing the right topical.

    Medical Marijuana Topical Treatment

     

    Picking the Right Ingestion Method

    All of these methods of delivering cannabis into the system provide a unique opportunity to help alleviate symptoms. Your physician might even recommend a combo of up to three different methods to get the maximum benefits.

     

    For instance, the doctor might recommend a vape pen for immediate pain, then an oral dose since the vape pen’s effects tend to wear off sooner. With careful timing and dosing, it’s possible to get relief without the associated peaks and lows that come with other medicines.

     

    Whichever methods your doctor recommends, be sure to follow dosing instructions to the letter. Taking your medicines in the wrong order or doubling up on doses could give you anxiety or couch-lock instead of relief.

     

    Types of Cannabis Product Available in New York

     

    Unlike many medical cannabis states, the range of legally available products in New York is very restricted. The state regulates the amount of THC in a product, the way it can be administered, and the amount that can be dispensed in a 30-day period.

     

    The products currently allowed are:

    • Metered liquid or oil preparations like vape pens and tinctures
    • Solid and semisolid preparations like capsules, tablets and lozenges
    • Ground, non-smokable plant preparations
    • Topical applications and patches

     

    The NY Compassionate Care Act forbids smokable cannabis and edibles. So the only fast-acting inhaled form of cannabis allowed is vaporization. Gummy bears or brownies are definitely out.

     

    Each registered cannabis organization is also required to have at least one brand of cannabis with low THC/high CBD and one with equal THC/CBD. Aside from that, they’re allowed to produce their own brands with their own proprietary ratios of THC and CBD, so long as they get department approval first. We’ll go over a comprehensive list of the products available so far, a little later in this guide. For now, let’s go over the basics.

     

    Each of these formulations and administration types are designed to target certain symptoms and conditions. Your doctor or pharmacist may have an in-depth discussion with you about these. In the meantime, here’s a basic breakdown of each product type, what conditions they’re most commonly used for, and how they’re used. 

     

    Vape Pen

    Relatively new compared to the old joint, vaporizer pens are metered oil preparations heated into vapor then inhaled. They first started popping up in the early 2000s and have caught on quickly due to their convenience and discretion.

     

    Vape pens are usually heated with a small cylindrical battery the size of a cigarette, although there are other battery types on the market. You can purchase vapor oil in bulk to fill cartridges, or in disposable cartridges.

     

    When the cartridge is attached to the battery and activated, the solution heats up to about 390°F. This is actually below the combustion level so the active ingredients are inhaled without the smoke and tar you’d get with a joint or a bong.

     

    Vaporizing Medical Marijuana is the best method

     

    Tinctures

    A cannabis tincture is a liquid solution held under the tongue for fast absorption through the network of blood vessels there and in your gums. They might also be called cannabis oral solutions, but the action is basically the same.

     

    Sometimes patients assume a tincture doesn’t work because they don’t take enough with the first dose and don’t feel the effects fast enough. This leads to discomfort once they get a surprise dose of highly psychoactive 11-hydroxy-THC, which grows more uncomfortable if they took another sublingual dose. Use extreme caution with this potent method and don’t take another dose ’till it’s time.

     

    Like vaping, tinctures come in low to high CBD to THC ratios designed to treat different conditions.

     

    Oral Sprays

    Cannabis oral sprays work like tinctures, though make microdosing much easier. You’ll know exactly how much cannabis you absorb per spray, controlling your dose. This factor makes oral sprays ideal for first-time users who need THC, but want to start light.

     

    Ads for oral sprays often refer to the fact that they mimic smoking. This doesn’t mean you should inhale like you do joints or vaporizers. You’re supposed to spray it on the mucous membranes inside your mouth and hold it for 30 seconds to a minute without swallowing. While you’ll feel the effects faster if administered properly, swallowing immediately still produces the same effects as other oral doses. Ask your pharmacist exactly how much THC is delivered with each spray.

     

    Capsules

    This is a more comfortable way to take cannabis for those who have never taken anything other than pills. Cannabis capsules come in a very wide variety of dosing options and a wide range of THC:CBD ratios.  

     

    If you have any allergies such as gluten or wheat, let your pharmacist know as inactive ingredients may contain something that will irritate your allergies. Capsules come in very precise doses so you’ll have little risk of accidentally taking too much as long as you follow the doctor’s instructions.

     

    Hard-Pressed Tablets

    Tablets affect you in roughly the same way as capsules, but unlike capsules, you can break them down into smaller doses. This is a new product that recently became available and comes recommended for those who lack the motor control necessary for more intricate dosing methods.

     

    What Does Cannabis Feel Like?

     

    Surely you’ve heard stories about uncontrollable giggles, paranoia, and the unrelenting craving for a hot fudge sundae. But what does being on cannabis really feel like?

     

    When you feel cannabis’ psychoactive effects you might mildly hallucinate, although strong hallucinations aren’t common. Colors might seem brighter or faces might appear weird, yet a more noticeable change is your state of mind. People tend to experience their surrounding environment in a more enhanced way. It’s also common to become very introspective or want to spend time creating art or music.

     

    It’s a good idea to do something enjoyable while taking cannabis and surround yourself with friends and family – especially when getting used to your regimen. Also, be prepared with munchies and plenty of refreshing, non-alcoholic beverages as hunger and thirst are nearly universal symptoms of being “high.” This is why cannabis is used so often to treat anorexia.

     

    Other most common effects of cannabis are:

    • Relaxation
    • A changed perception of time
    • Loss of concentration
    • Temporary memory loss
    • Giggles
    • Happiness
    • Increased energy
    • Decreased energy, colloquially called “the couch lock”

     

    Marijuana Leaf

     

    What to Do If Your Dose Is Too Strong

     

    One effect of cannabis new users need to watch carefully for is anxiety. This can happen if you take too much THC for your tolerance level. Everyone is different, and what might be the perfect dose for your friend can be too much for you.

     

    Some people find that they become slightly paranoid and experience palpitations and panic instead of calm and euphoria. If this is you, remember to stay calm; no one has ever overdosed on cannabis. Call your doctor as soon as you can so he or she can adjust your dosage, method of administration and THC:CBD ratio.

     

    Meanwhile, first things first: eat something and drink plenty of fluids. Eating helps to slow down THC absorption rates in your digestive tract (if you took an edible form) and tends to curb the effects of the high. Drinking fluids will help to flush the extra THC from your system as well.

     

    Eating can also occupy your mind, which leads to our next point – find something fun to do. Some people find a panic attack can be turned around by watching a stand up comedian, playing cards with friends, and even reading a good book in a quiet room. And try to find someone pleasant to spend your time with. If you ingest a little too much THC, remember it’ll eventually wear off – even if it seems like forever. However, if you start to experience any abnormal symptoms like vomiting, call 911 or head to the nearest emergency room.*

     

    *A Note About Cannabis Hyperemesis Syndrome

    Unlike a well-known disease for which we know the cause, we call a set of symptoms with uncertain causes a syndrome. No one knows exactly what causes cannabis hyperemesis syndrome, but it’s thought to be a result of using highly potent cannabis. It also appears to come in three stages:

     

    • Prodromal: Can last for months to years and consists of feeling abdominal pain and nausea. Often, the patient increases their cannabis use to provide temporary relief from the symptoms.

     

    • Hyperemetic: At this point, patients begin vomiting profusely. They’ll also decrease their food intake and can become dehydrated in severe cases. Many find that the only relief is from the nausea is a hot shower. This is when the patient usually begins to seek help.

     

    • Recovery: Typically won’t start until the cannabis intake stops. Once it does, most patients begin to experience relief within days, but it could take months. If they use cannabis again, symptoms will likely return.

     

    No one knows why some develop this condition after using cannabis for years, and some don’t. It’s also confusing to hear that cannabis can actually cause nausea and vomiting after heavy use as it’s usually used to treat nausea and vomiting. As cannabis potency strengthens and legalization reduces conversational barriers between patients and physicians, it’s becoming more common for people to seek treatment for CHS.

     

    While this condition is very rare, it’s important to make sure new users understand that there are risks associated with heavy cannabis intake. Discuss these risks with your doctor and ensure that you follow up if you experience any unexpected nausea or vomiting.

     

    Trial and Error

    Sometimes it takes a little while to find the perfect dose. Often, a patient can become impatient with microdosing, especially if their doctor starts them on doses as low as 5mg. Lots of new patients find that tracking their symptoms helps monitor and find this perfect balance. Try saving your reactions to your doctor’s recommended administration methods and formulations in a journal or chart. 

     

    How to Stay Out of Trouble in New York

     

    None of the information in this section or article constitutes legal advice. We’ve provided the non-comprehensive list of potential violations below so you understand it’s still possible to get into legal trouble for cannabis possession, even with a valid medical marijuana card. You should not consider this the full summary of all regulations that apply to you as a patient. Always seek the advice of an attorney for legal questions about your medical cannabis use and possession. There are still tens of thousands of cannabis-related arrests in New York every year. Don’t put yourself in the position to be one of them.

     

    New York has decriminalized possession of small amounts of cannabis – 25 grams or less. However, you must keep your medical cannabis out of plain sight, not consume it in public, and definitely not possess more than the legal limit.

     

    Even if you’re a registered MMJ patient, keep your cannabis out of sight or face possible criminal penalties. Having any amount in public view, smoking or otherwise consuming in public could result in a misdemeanor and 90 days in jail. This includes using your legally authorized vape pen. And remember, vaping is the only legally approved way of inhaling cannabis. Keep in mind that your medical cannabis recommendation is for your use only – sharing your medical cannabis with others can also get you in trouble.

     

    The first couple of times you’re caught publicly possessing small amounts of unauthorized cannabis, you’ll be subject to a $100 or $200 fine (similar to a traffic ticket). If you’re caught more than twice, you could incur criminal penalties and even time in jail.

     

    Possessing less than a quarter ounce of concentrates without state authorization is a misdemeanor that carries up to a year in jail. Possession of more than a quarter ounce of concentrates is a felony that results in a minimum seven years in prison.

     

    Private New York cultivation remains illegal and will result in a misdemeanor and one year in jail. Possession charges for the amount grown can also result in a potential felony with several years in jail.

     

    Unauthorized possession of any paraphernalia, such as cannabis scales, bongs or pipes, is a misdemeanor as well, punishable by up to a year in jail. Be aware of these additional charges:

    • Giving away a joint can land you up to 3 months in jail
    • Selling any amount can cost you 7 years in jail
    • Trafficking will give you 15-25 years
    • Driving while high will result in criminal charges
    • Felony offenses can and likely will result in asset forfeiture

     

    As you can see, non-medical cannabis is anything but legal in New York, and there are still plenty of ways to get into trouble with authorized cannabis. This makes it all the more important to obtain and maintain your status as registered cannabis patient. There are far more protections for legal patients than for recreational users.

     

    Medical Marijuana Plant in the outdoors

     

    Frequently Asked Questions About Medical Cannabis in New York

     

    How much does cannabis cost in New York?

    Believe it or not, the Health Commissioner has the final say over New York cannabis prices. Dispensaries submit the cost of growing and manufacturing cannabis products and their proposed prices. Then the commissioner decides if it’s reasonable and approves or denies the cost.

     

    Can I get a card if I’m not a New York resident?

    Your doctor can register you as a temporary resident if you’re staying in NY for treatment. Your certification will only be valid for the length of your stay, and you’ll be required to provide proof of temporary residency.

     

    What if I don’t have a New York state ID?

    Your doctor can verify your identity using other methods if necessary. According to the alternative patient verification instructions:

    “The patient will upload a photo as a form of identification during the Patient Registration process. If your patient uploads a photo, you will receive an email from the Medical Marijuana Program to the email address printed on the patient’s certification asking you to validate that the photo received is a true likeness of your patient’s actual appearance. This validation must be performed before the New York State Department of Health can approve the patient’s registration.”

     

    If I become a registered patient, will that excuse me from drug testing at work?

    No. The state doesn’t provide protections for employees who use medical cannabis. If you’re concerned that your job doesn’t allow cannabis use outside of work, consider the potential consequences before making a final decision.

     

    Can cannabis use affect parental rights?

    Yes; there are no protections in New York for parents who are cannabis patients. The state does have a process, however, for parents to administer cannabis to their sick children in need.

     

    Are patients allowed to re-register before their old card expires?

    Yes. In fact, you’re expected to schedule your re-approval before your current registration expires.

     

    Need Help? Here’s Where to Go

     

    Our cannabis concierge team answers more than 300 questions each day through a live chat. Although these cannabis experts bend over backwards to solve any problem you have, even we admit there are some problems we can’t solve. The New York laws just aren’t perfect – yet.

     

    The list below contains contacts and links for some of the more active cannabis advocacy organizations in the state. If you know of any other organizations we could add to this list, we’d love to hear from you.

     

    The way we see it, the legalization fight is an ongoing battle that can only be won when no one has to worry about jail time for using this healing herb again and every prisoner of the cannabis drug war is free.  

     

    Please join us and the vast number of Americans who are now the marijuana majority in advocating for full legalization and an end to the war on drugs. We hope you now feel empowered to help make a change but, above all, you help change your own life with the medicine necessary to achieve the quality of life you deserve. 

     

    Additional Resources

     

    Government:

     

    Legislators:

     

    Activist Organizations:

    • Marijuana Policy Product
    • Drug Policy Alliance
    • Norml
    • High NY
    • Cannabis Society of New York
    • New York Cannabis Alliance
    • NYCannaBar

     

    Medical Cannabis Products Available in New York

     

    Medical Marijuana Products are available in New York

     

    Columbia Care

    Columbia Care has three different THC to CBD ratios for their product line:

    • High THC / Low CBD: This traditional formulation is commonly used to treat symptoms including severe pain, nausea, vomiting, appetite stimulation, and difficulty sleeping.
    • Equal THC / CBD: This balanced formulation is commonly used to treat symptoms including moderate pain, neuropathic pain, nausea, vomiting, appetite stimulation, inflammation, anxiety, and muscle spasms.
    • Low THC / High CBD: This specialty formulation is commonly used to treat symptoms including neuropathic pain, inflammation, anxiety, seizures/epilepsy, and muscle spasms.

     

    Each of these formulations come in four different, easy-to-use consumption methods:

    • Sublingual tinctures
    • Vaporization oil
    • Hard-pressed tablets
    • Oral capsules

     

    You can find out more about Columbia Care’s line of products here.

     

    MedMen

    MedMen has five different formulations of THC to CBD for their line of products:

    • Wellness: A pure CBD ratio that optimizes health benefits and provides body relaxation with minimal cognitive side effects. Recommended for: patients with epilepsy, Parkinson’s disease and Huntington’s disease.
      • 0:1 (THC:CBD)
      • THC 0.00 mg*
      • CBD 200.00 mg*

    *THC below the limit of detection; <0.1mg/dose

    • Harmony: A perfect balance of THC and CBD that promotes well-being with subtle euphoric effects and mild cognitive side effects. Recommended for: patients with neuropathies, multiple sclerosis, cancer, IBS and chronic pain conditions.
      • 1:1 (THC:CBD)
      • THC 100.00 mg*
      • CBD 100.00 mg*

    No Additives or Fillers

    *Total content per package.

    • Awake: A 20:1 THC to CBD ratio appropriate for daytime treatment that provides a euphoric, uplifting effect with moderate cognitive side effects. Recommended for: Treatment of moderate to severe pain, multiple sclerosis, ALS, HIV/AIDS and IBS.
      • 20:1 (THC:CBD)
      • THC 190.48 mg*
      • CBD 9.52 mg*

    No Additives or Fillers

    *Total content per package.

    • Calm: A 50:1 THC to CBD ratio with subtle euphoric effects and notable cognitive side effects to help manage more severe symptoms. Recommended for: more severe symptoms associated with multiple sclerosis, ALS, HIV/AIDS, cancer and other chronic pain conditions.
      • 50:1 (THC:CBD)
      • THC 196.08 mg*
      • CBD 3.92 mg*

    No Additives or Fillers

    *Total content per package.

    • Sleep: A 100:1 THC to CBD ratio that provides a relaxing and sedative effect with higher cognitive side effects and better suited for nighttime use. Recommended for: Treatment of pain conditions and patients with multiple sclerosis, ALS, HIV/AIDS and cancer.
      • 100:1 (THC:CBD)
      • THC 198.02 mg*
      • CBD 1.98 mg*

    No Additives or Fillers

    *Total content per package.

     

    Each of these five formulations come in two different consumption methods:

    1.) Vape pens for inhaled administration

    2.) Drops for oral administration.

    Find out more about MedMen and their product offerings here.

     

    Etain

    Etain offers four different THC to CBD ratios for their product line:

    • Dolce: A high-CBD medical marijuana product. Dolce is formulated to provide a subtle euphoric effect in patients while concentrating on the calming effects of CBD. Dolce is formulated primarily from CBD with trace amounts of THC, and is intended for use by patients suffering from symptoms related to epilepsy, Huntington’s disease, or Parkinson’s disease.

         Dolce is available at their dispensaries as:

      • Capsules (pills) for oral use
      • Tinctures (oil) for sublingual (under the tongue) use
      • Oral spray formulated with a fresh mint taste
      • Vaporizers for inhaled use
    • Mezzo: A 2 CBD to 1 THC medical marijuana product. It’s formulated to lessen THC’s euphoric effects with CBD’s calming effects. Mezzo is intended for patients suffering from symptoms related to multiple sclerosis (MS), cancer, irritable bowel syndrome (IBS), neuropathies, spinal cord damage, epilepsy, Huntington’s disease, or Parkinson’s disease.

         Mezzo is available at their dispensaries as:

      • Capsules (pills) for oral use
      • Tinctures (oil) for sublingual (under the tongue) use
    • Balance: An equal THC:CBD product. Balance provides a moderate euphoric effect accompanied by the calming effects of CBD. Balance is intended for patients suffering from symptoms related to Multiple Sclerosis, Cancer, Irritable Bowel Syndrome (IBS), Neuropathies, Spinal Cord Damage, Epilepsy, Huntington’s Disease, or Parkinson’s Disease.

         Balance is available at their dispensaries as:

      • Capsules (pills) for oral use
      • Tinctures (oil) for sublingual (under the tongue) use
      • Oral spray formulated with a fresh mint taste
      • Vaporizers for inhaled use
    • Forte: This high-THC product provides a strong euphoric effect in patients. Forte is formulated primarily from THC with trace amounts of CBD and is intended for patients suffering from symptoms related to ALS, HIV/AIDS, Parkinson’s, neuropathies, spinal cord damage, and cancer. Recommended for those with experience taking cannabis.

         Forte is available at their dispensaries as:

      • Capsules (pills) for oral use
      • Tinctures (oil) for sublingual (under the tongue) use
      • Oral spray formulated with a fresh mint taste
      • Vaporizers for inhaled use

    Discover more about Etain’s line of cannabis products here.

     

    Vireo

    Vireo’s products come in five different general formulations of THC to CBD, with slightly different precise ratios for each administration method.

    Blue: Vireo Blue products are predominantly CBD, with a small component of THC.

    • Blue Oral Solution, 25mL Bottle

    THC: 7 mg/mL

    CBD : 42 mg/mL

    • Blue Oral Solution, 12.5mL Bottle

    THC: 7 mg/mL

    CBD : 42 mg/mL

    • Blue Capsules, 30 Capsules

    THC: 0.7 mg/capsule

    CBD : 4.3 mg/capsule

    • Blue Prefilled Vaporizer Cartridge, 0.5mL Cartridge

    THC: 36 mg/mL

    CBD : 214 mg/mL

    • Blue Bulk Oil for Vaporization, 1mL Vial

    THC: 72 mg/mL

    CBD : 428 mg/mL

    Green: Vireo Green products are balanced, with equal amounts of THC and CBD.

    • Green Oral Solution, 25mL Bottle

    THC: 25 mg/mL

    CBD : 25 mg/mL

    • Green Oral Solution, 12.5mL Bottle

    THC: 25 mg/mL

    CBD : 25 mg/mL

    • Green Capsules, 30 Capsules

    THC: 2.5 mg/capsule

    CBD : 2.5 mg/capsule

    • Green Prefilled Vaporizer Cartridge, 0.5mL Cartridge

    THC: 125 mg/cartridge

    CBD: 125 mg/cartridge

    • Green Bulk Oil for Vaporization, 1mL Vial

    THC: 250 mg/mL

    CBD : 250 mg/mL

    Indigo: Vireo Indigo products are predominantly CBD, with a small component of THC.

    • Indigo Oral Solution, 25mL Bottle

    THC: 2.5 mg/mL

    CBD :  47.5 mg/mL

    • Indigo Oral Solution, 12.5mL Bottle

    THC: 2.5 mg/mL

    CBD :  47.5 mg/mL

    • Indigo Capsules, 30 Capsules

    THC: 2.5 mg/capsule

    CBD :  47.5 mg/capsule

    Red: Vireo Red products are predominantly THC, with a small component of CBD.

    • Red Oral Solution, 25mL Bottle

    THC: 23.75 mg/mL

    CBD : 1.25 mg/mL

    • Red Oral Solution, 12.5mL Bottle

    THC: 23.75 mg/mL

    CBD : 1.25 mg/mL

    • Red Capsules, 30 Capsules

    THC: 4.75 mg/capsule

    CBD : 0.25 mg/capsule

    • Red Prefilled Vaporizer Cartridge, 0.5mL Cartridge

    THC: 237.5 mg/cartridge

    CBD : 12.5 mg/cartridge

    • Red Bulk Oil for Vaporization, 1mL Vial

    THC: 475 mg/mL

    CBD : 25 mg/mL

    Yellow: Vireo Yellow products are predominantly THC, with a small component of CBD. With all

    • Yellow Oral Solution, 25mL Bottle

    THC: 24 mg/mL

    CBD : 4 mg/mL

    • Yellow Oral Solution, 12.5mL Bottle

    THC: 24 mg/mL

    CBD : 4 mg/mL

    • Yellow Capsules, 30 Capsules

    THC: 4.3 mg/capsule

    CBD : 0.7 mg/capsule

    • Yellow Prefilled Vaporizer Cartridge, 0.5mL Cartridge

    THC: 214 mg/cartridge

    CBD : 36 mg/cartridge

    • Yellow Bulk Oil for Vaporization, 1mL Vial

    THC: 428 mg/mL

    CBD : 72 mg/mL

    Vaporizer Starter Pack: The vaporizer starter pack contains vaporizer cartridges from 3 different formulations, Green, Yellow and Red. Each formulation may have a different effect on your condition:

    • Vireo Green products are balanced, with equal amounts of THC and CBD.

    THC: 50 mg/cartridge

    CBD: 50 mg/cartridge

    • Vireo Yellow products are predominantly THC, with a small component of CBD.

    THC: 85.6 mg/cartridge

    CBD : 14.4 mg/cartridge

    • Vireo Red products are predominantly THC, with a small component of CBD.

    THC: 95 mg/cartridge

    CBD : 5 mg/cartridge

    Special discounts are offered to patients that require financial assistance. Listed prices are prior to any discount and subject to change. You can learn more about Vireo’s line of products here.

     

    Curaleaf

    Aqua Vaporizer (2:1) Oil

    UNIT: 1 ml

    Ingredients: Polyethylene Glycol 400 (75%), THC 167.5mg, CBD 82.5mg

    Aqua Tincture (2:1) Tincture

    UNIT: 30 ml

    Ingredients: Ethanol, Propylene Glycol, Citric Acid,THC 8mg per 2 ml, CBD 4mg per 2 ml

    Blue Vaporizer (20:1) Indica Oil

    UNIT: 1 ml

    Ingredients: Polyethylene Glycol 400 (75%), THC 250mg

    Blue Vaporizer (20:1) Sativa Oil

    UNIT: 1 ml

    Ingredients: Polyethylene Glycol 400 (75%), THC 250mg

    Blue Vaporizer (20:1) Hybrid Oil

    UNIT: 1 ml

    Ingredients: Polyethylene Glycol 400 (75%), THC 250mg

    Blue Tincture (20:1) Tincture

    UNIT: 30 ml

    Ingredients: Ethanol, Propylene Glycol, Citric Acid, THC 5mg per ml

    Blue Capsule (20:1) Extra Strength

    UNIT: 60 per bottle

    Ingredients: Proprietary, THC 9.5mg per capsule

    Blue Capsule (20:1) Standard Strength

    UNIT: 60 per bottle

    Ingredients: Proprietary, THC 5mg per capsule

    Green Vaporizer (1:1) Oil

    UNIT: 1 ml

    Ingredients: Polyethylene Glycol 400 (65%), THC 200mg, CBD 200mg

    Green Tincture (1:1) Tincture

    UNIT: 30 ml

    Ingredients: Ethanol, Propylene Glycol, Citric Acid, THC 5mg per 2 ml, CBD 5mg per 2 ml

    Lime Vaporizer (1:4) Oil

    UNIT: 1 ml

    Ingredients: Polyethylene Glycol 400 (75%), THC 50mg, CBD 200mg

    Lime Tincture (1:4) Tincture

    UNIT: 30 ml

    Ingredients: Ethanol, Propylene Glycol, Citric Acid, THC 2mg per 2 ml, CBD 8mg per 2 ml

    Yellow Vaporizer (1:20) Oil

    UNIT: 1 ml

    Ingredients: Polyethylene Glycol 400 (75%), CBD 250mg

    Yellow Tincture (1:20) Tincture

    UNIT: 30 ml

    Ingredients: Caprylic/Capric Triglyceride, Alphatocopherpol acetate, Ascorbyl palmitate, Peppermint Oil, CBD 9.5mg per 2 ml

    You can find out more about Curaleaf’s line of cannabis products here.

     

     

  2. How Do You Buy Marijuana in California Now That It’s Legal?

    42 Comments

     

    On November 8, 2016, Proposition 64 was approved by California voters, making recreational marijuana legal for adults age 21 and over. The new law, dubbed the Adult Use of Marijuana Act (AUMA for short), designates state agencies to license and regulate cannabis, imposes taxes at both the cultivation and retail level, and allows for local regulation and taxation of cannabis, among other things.

     

    But now that recreational pot is legal in California, can you just buy marijuana from any dispensary, or do you still need a medical marijuana card in CA to actually make purchases?

     

    If you’re under 21, then you still need a medical card, but if you’re over 21, you can buy marijuana in California with nothing more than a valid, government-issued ID. Recreational shops have been serving Californians since January 2018, and so far it’s been going pretty well–with one small fly in the ointment. Well, maybe it’s more flies than ointment at that.

     

    As it turns out, most municipalities in California have decided to ban recreational marijuana. So, if you live half an hour, an hour or even further from the nearest dispensary, getting a medical card may still be more practical than buying medical cannabis from the recreational market. Furthermore, if you take the added step of getting your state-issued MMIC, you’ll be exempt from the state sales tax on your medical cannabis purchases!

     

    This brings up A LOT of questions for medical marijuana patients and recreational users alike. We’ve updated this info for California’s 2019 cannabis regulations.

     

    Many of us are brimming with questions, though (ironically) correct answers are hard to come by. But fear not; this post will arm you with all the answers you need going into 2019. A few uncertainties we’ll clarify include: 

    1. How do you buy recreational marijuana in California now that it’s legalized?
    2. What if you’re a medical cannabis patient in California? Is your patient-status affected?
    3. Do you still need a medical marijuana card in 2019?
    4. Do you need to renew your MMJ card, and, if so, will the process change or stay the same?

     

     

    Do I Still Need a Medical Marijuana Card in California If Cannabis Is Legal?

     

    Medical Marijuana Card California

     

    In some cases, yes, but it’s actually a lot easier to get your med card than you might think by simply visiting NuggMD (we would know).

     

    Click here to get your medical marijuana card online in about 15 minutes for just $39. You’ll speak with a friendly doctor, and you’re only billed if approved. Plus get $20 off your first cannabis delivery!

    Now that Proposition 64 has passed, or the Adult Use of Marijuana Act (AUMA) as dubbed by its supporters, you might think that you’ll be able to walk into the nearest 7-Eleven and get a pack of joints.

     

    Unfortunately, this isn’t the case. A recreational dispensary in California can serve anyone who is 21 and over and possesses a valid, government-issued ID. But there just aren’t that many recreational dispensaries yet.

     

    In fact, at the moment of this update (Jan. 2019), only 18% of California’s 540 municipalities allow recreational sales. But having a medical marijuana recommendation will give you access to far more dispensaries and products since more municipalities allow for medical cannabis.

     

    Getting a medical weed card easily allows you to:

    • obtain cannabis at 18 years old
    • access more licensed California medical cannabis dispensaries
    • save on marijuana taxes with the addition of an MMIC
    • purchase and possess larger amounts of cannabis
    • cultivate more for medical use in many municipalities (check your local laws)
    • protect yourself from police harassment and arrest for possessing, growing or transporting medical cannabis for personal use.

     

    How Do I Get a Medical Marijuana Card After Legalization?

     

    Do You Still Need A Doctor’s Recommendation

     

    In many ways, getting a cannabis card is easier today than it used to be, but we’ll get to that soon. First, some history on how MMJ recommendations originated.

     

    Thanks to the passing of Proposition 215, otherwise known as the Compassionate Use Act, California has legally allowed marijuana for medical uses since 1996, as long as a patient has a physician’s recommendation.

     

    And special credit goes to the writers of Prop 215, who crafted the measure to state that medical cannabis can be used to treat “any condition for which marijuana provides relief.”

     

    This quite literally means that anyone who can claim marijuana helps improve their physical or mental well-being qualifies to become a marijuana patient in California. And contrary to popular opinion, you actually do NOT need a California ID to become a patient in the state. 

     

    All you need is a valid driver’s license or state ID from ANY state, and any condition for which medical marijuana provides you relief.

     

    One of the co-authors for Prop 215, Dennis Peron, is considered the “father of the legalization movement” and said himself that the measure was intended to allow “literally everyone in the state the opportunity to legally access and cultivate as much cannabis as they need to feel good.”

     

    And while California does have its own cannabis ID card program, you are not required to possess a state-issued ID to be considered a legal patient. All you need is a doctor’s recommendation. (You’ll need an MMIC for the state tax exemption though.)

     

    So great! Having a marijuana recommendation increases your access and provides added protection! Now, how do you get one? We saved the best for last, so skip there if you just can’t wait to become a legal patient.

     

    Ask your primary doctor

    Recreational Marijuana Legal in California

    The first (and admittedly the most intimidating) option you have to get an MMJ recommendation is to ask your primary physician. If he or she can at least have an honest discussion about how cannabis might be beneficial for your condition, you’re on the right track.

     

    But, unfortunately, even with Prop 64’s passage and medical marijuana’s long establishment in California, the majority of traditional doctors still won’t write you a recommendation for marijuana. Some people have stories of completely severed relationships with their doctor just because they posed the question.

     

    So, before you muster up the courage to ask your doctor directly, and risk potential consequence, understand that you have two other options.

     

    Visit a medical marijuana doctor evaluation center

    How Do You Buy Recreational Marijuana in CA

    The sad reality is that most American physicians won’t write patients weed recommendations, so a new type of specialized doctor has emerged, a “cannabis specialist” if you will.

     

    These medical marijuana doctors go by many names — 420 doctors, pot doctors, weed doctors, mmj doctors, green doctors, prop 215 doctors — the list goes on and on. And while some are noticeably more legitimate than others, they all cater to the massive California population that wants to legally use cannabis with a med card.

     

    You can google “medical marijuana evaluations near me,” which brings up a few local listings on Yelp or Weedmaps. Then you scroll through these options, check out the reviews (some of which seem fake), prices, distances, and ultimately end up choosing the most convenient one.

     

    When you finally visit the nearest cannabis doc, it feels similar to a typical doctor’s office. They’ll ask for your ID, if you’re a new patient or getting a renewal (recs are only valid for a year), then you’ll sit down to fill out a series of forms describing your condition and medical history.

     

    Once finished, you’ll need to wait your turn to see the doctor. Depending on which evaluation center you visit (there are many scattered across major CA cities like San Jose, San Diego, San Francisco, and Los Angeles), wait times average anywhere from 30 to 120 minutes.

     

    You’ll then sit down face-to-face with the doctor to determine if cannabis is right for you. If that’s indeed the case, you’ll be approved and issued your recommendation. But if you’re not approved, don’t be surprised if you’re charged a hefty fee anyway.

     

    Unfortunately, just like with people asking their primary physician, there’s no shortage of horror stories from patients waiting hours for their mmj evaluation. They often encountered rude and uncompassionate doctors, were sold extras they didn’t need, and even were overcharged when getting their recommendation. The “bait-and-switch” is an all-too-common scam at evaluation centers. 

     

    Needless to say, the in-person experience can leave much to be desired.

     

    See a medical marijuana doctor online

    Do I Need to Renew My Doctor’s Recommendation

    We’re talking of course about the emergence of online evaluation services, ones that allow patients and doctors to connect virtually (either by video or phone call). This allows doctors to conduct a good-faith examination and patients to get approved for medical cannabis — all without driving to an office and spending hours in a waiting room with bad magazines!

     

    The entire process is quick, affordable, easy, and 100% legal thanks to California’s telemedicine health laws.

     

    Typically, it goes like this: sign up online, provide basic personal and medical information then have a quick consultation with a pro-cannabis doctor to get approved. Then you’ll receive an instant electronic recommendation for same-day use (you must print it out) while your official paper copy (along with your NuggMD ID Card, if you opted for it) comes in the mail a few days later.

     

    Yup, it’s THAT easy.

     

    Now, there are several online mmj doctor services, but you’ll find the most value from NuggMD. The service started in 2015 and has since helped tens of thousands of patients get their medical marijuana card online and access cannabis delivery from quality dispensaries through their online marketplace platform, Nugg.

     

    When stacked up against the competition, NuggMD just can’t be beat. Here’s what they offer:

    • The lowest online price for a recommendation, just $39.
    • An optional hard, plastic ID card (only $20 extra).
    • On-demand consultations, which means no appointment needed.
    • An instant electronic (PDF) recommendation that can be used immediately to order delivery online through Nugg-partnered cannabis dispensaries.
    • An official signed paper copy of your doctor’s recommendation with a raised, embossed seal that all CA dispensaries require (and many online med card services don’t provide).
    • $20 credit to order from ANY Nugg dispensary partner using the blog promo code BLOG20; you can literally get your MMJ card and cannabis delivered in the same hour.

     

    Why Put Up with Recreational’s Limitations?

     

    Medical Marijuana Card Requirements CA 2017

     

    The Adult Use of Marijuana Act is bringing many changes, and challenges, to the legal cannabis industry in California. From a consumer perspective, there are still a lot of great reasons to get or renew your cannabis card. Once you reap the benefits of California’s legal medical marijuana market and feel its long-term value, you won’t want the hassle of being a recreational user anymore.