Last updated: October 1, 2026

How Much Does a 329 Medical Cannabis Card Cost in Honolulu in 2026?

Honolulu residents seeking a Hawaiʻi 329 card in 2026 should generally consider two principal expenses: the medical certification charge and the state registration fee.

Medical Cannabis Certification: A qualifying patient must be certified by an eligible physician or APRN. Hawaiʻi limits medical cannabis certification fees for a one-year certification to no more than $105. These limits include the evaluation and the issuance of the medical cannabis certification. Patients eligible for a three-year certification should confirm the applicable fee with their provider or the Hawaiʻi Department of Health.

Hawaiʻi 329 Registration Fee: A new one-year registration costs $38.50. Under the updated process, the patient must first obtain medical certification from an eligible provider before registering through the Hawaiʻi Medical Cannabis Registry and paying the applicable state and administrative fees. Eligible renewal patients may qualify for a three-year registration.

For a new one-year patient, the combined state registration charge and the maximum allowable medical certification fee would therefore be no more than $143.50 for those two components, although a provider may charge less than the permitted maximum.

Potential Ways to Lower Patient Costs

Hawaiʻi’s certification fee is a maximum rather than a required provider price, so a physician or APRN may charge less than $105 for a one-year certification. Patients can ask the medical provider about the certification charge before scheduling the evaluation.

Eligible renewal patients may qualify for a three-year 329 registration under Hawaiʻi’s updated process. A longer registration period allows qualifying patients to remain registered for a longer period before another renewal is required.