What Is the Cost of a Medical Marijuana Card in North Carolina in 2026?

North Carolina does not issue medical marijuana cards at the state level. Medical cannabis access is available only through the Eastern Band of Cherokee Indians (EBCI) medical cannabis program on tribal lands. For patients applying through EBCI, there are two primary costs to consider.

Medical Documentation or Physician Attestation: Patients must provide medical documentation confirming they meet one of the EBCI-approved health conditions. Costs for obtaining this documentation vary depending on the healthcare provider or online evaluation service used.

EBCI Medical Cannabis Card Fee:

The EBCI medical cannabis patient card costs $100 to renew for North Carolina residents and $25 for enrolled Eastern Band of Cherokee Indians (EBCI) members. These fees are paid directly through the EBCI system and do not include any medical evaluation costs or cannabis purchases.

Some EBCI dispensaries or third-party providers may occasionally offer promotions or reduced-cost services. Patients are encouraged to confirm current pricing directly through official EBCI channels and authorized providers.