Medically reviewed by Dr. Chance Miller, MD, CURT registered physician
Last updated: April 2026
TEXAS MEDICAL MARIJUANA — ONLINE PRESCRIPTIONS
Get Your Texas Medical Marijuana Card Online — Same Day
See a CURT-registered Texas physician via secure video call — from home, same day. Now accepting chronic pain patients under HB 46. If your physician doesn’t approve you, you pay nothing.
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Texas Law Update (September 2025): HB 46 expanded the Texas Compassionate Use Program to include chronic pain, traumatic brain injury, IBD, and more. See what changed →
The Process
How to Get a Medical Marijuana Prescription in Texas
Sign Up Online
See A Doctor
Get Approved
Shop At Dispensaries
As a CURT-registered clinic, PrestoDoctor uploads your prescription directly to the Texas Department of Public Safety (DPS) database instantly.
What Changed in 2025: House Bill 46 & the Expanded Texas CUP
Texas Governor Greg Abbott signed House Bill 46 (HB 46) on June 21, 2025. The law took effect September 1, 2025 and represents the most significant expansion of the Texas Compassionate Use Program (CUP) since the program launched in 2015.
🗓 EFFECTIVE SEPTEMBER 1, 2025
What HB 46 Added to the Texas CUP
- Chronic pain — severe pain lasting 90+ days (no prior opioid use required)
- Traumatic brain injury (TBI) — including sports injuries, accidents, and military blast injuries
- Inflammatory bowel disease (IBD) — including Crohn's disease and ulcerative colitis
- Hospice and palliative care — all terminal patients receiving end-of-life care qualify automatically
- Veterans expansion — physicians may prescribe for any debilitating condition in a U.S. veteran, even if not on the standard list
- New THC limits — the 1% by-weight cap replaced with 10mg per dose / 1,000mg per package
- New delivery methods — patches, lotions, suppositories, and approved pulmonary inhalation devices (vaporizers, inhalers, nebulizers) now permitted
- Dispensary expansion — DPS directed to license up to 12 new dispensing organizations (increasing from 3 to 15 statewide)
- 90-day supply — physicians may now prescribe up to a 90-day supply in a single visit
Source: Texas Legislature, HB 46 (89th Legislature) · Texas DPS Compassionate Use Program
These changes make Texas’s program significantly more accessible. If you were previously told you didn’t qualify — or if you stopped trying after an earlier denial — it’s worth checking your eligibility again under the expanded rules.
Texas Medical Marijuana Updates:
2025 vs. 2026 Rules
Qualifying Conditions
Texas Medical Marijuana Qualifying Conditions
The following conditions qualify for a medical cannabis prescription under the Texas Compassionate Use Program. The list was significantly expanded by HB 46, effective September 1, 2025.
To Qualify, You Must:
- Be a permanent Texas resident (out-of-state patients are not eligible)
- Be 18 or older — or under 18 with a parent/guardian and second physician concurrence
- Have a qualifying medical condition (listed below) diagnosed or confirmed by a physician
Qualifying Conditions Under the Texas Compassionate Use program:
- Amyotrophic lateral sclerosis (ALS)
- Autism spectrum disorder
- Cancer (all types)
- Chronic Pain (+90 days) NEW 2025
- Crohn’s disease
- Degenerative disc disease
- Epilepsy
- Glaucoma
- Hospice/palliative care NEW 2025
- Inflammatory bowel disease (IBD) NEW 2025
- An incurable neurodegenerative disease
- Multiple sclerosis (MS)
- PTSD
- Seizure disorders
- Spasticity
- Terminal illnesses
- Traumatic brain injury (TBI) NEW 2025
NOTE: Veterans may qualify for additional conditions beyond this list. See the Veterans note in the HB 46 section above.
Chronic Pain and Opioid Alternatives in Texas
Chronic pain is now the most commonly searched qualifying condition in Texas since HB 46 passed. If you’ve been living with severe, ongoing pain—including peripheral neuropathy, nerve damage, sciatica, or fibromyalgia—the law now provides a pathway to relief. Under the 2026 guidelines, medical cannabis is recognized as a safe, clinical alternative for patients looking to reduce or replace prescription opioids for managing long-term pain.
✓ You Qualify If:
- 90-Day Rule & Neuropathy: Your pain has been severe and lasted more than 90 days—continuously or intermittently. This includes nerve damage, peripheral neuropathy, sciatica, and fibromyalgia.
✗ Common Misconceptions:
- No Opioid Requirement: You do not need to have tried opioids first. Many patients use medical cannabis as a safe alternative to prescription opioids for chronic pain.
Nearly 50 million American adults live with chronic pain (CDC). If you’ve been suffering, you may now legally access medical cannabis treatment in Texas — speak with a PrestoDoctor physician to find out if you qualify.
Texas Eligibility Quiz
Not sure if you qualify?
Take our free 60-second eligibility quiz — no signup required.
What Is the Compassionate Use Registry of Texas (CURT)?
CURT — the Compassionate Use Registry of Texas — is the secure digital database managed by the Texas Department of Public Safety (DPS). It is the backbone of the entire Texas medical cannabis program. Here’s what you need to know about it:
Texas does not issue physical medical marijuana cards. CURT is your prescription.
Understanding Low-THC Cannabis in Texas
Texas’s medical cannabis program is a low-THC program — meaning the products available at Texas dispensaries contain significantly less THC. This is by design: the program focuses on therapeutic benefit while limiting psychoactive effects.
THC Limits Under HB 46 (Updated September 2025)
Regulatory data updated for the 2025–2026 expansion.
Your physician will recommend the product type and dosing approach best suited to your condition. Texas dispensaries carry a variety of products — availability may vary by location.
A Decade of Texas Medical Cannabis: How the Program Has Grown
Texas’s medical marijuana program has expanded steadily since 2015. Understanding the history helps you see what’s possible today — and where the law may go next.
Texas Medical Marijuana & Your License to Carry (LTC)
One of the most common concerns we hear from Texans — especially in rural areas and among veterans — is whether enrolling in the Compassionate Use Program could affect their firearm rights or Texas License to Carry. Here’s a clear answer.
What you need to apply
Application Requirements
🪪 Proof of Identity
A government-issued photo ID showing Texas residency — a Texas driver's license, Texas state ID card, or U.S. passport with proof of Texas address. The last five digits of your Social Security number are also required for CURT registration.
🩺 Medical History (Optional)
Medical documentation of your qualifying condition is encouraged but not required. Your physician will make the final determination. If you have records — diagnosis letters, prior treatment notes, prescription history — bring them to your appointment.
🎖️ Veterans — Additional Access
U.S. military veterans may qualify for conditions beyond the standard list. Under HB 46, a CURT-registered physician can prescribe medical cannabis to a veteran for any debilitating condition they believe would benefit from treatment.
Testimonials & Reviews
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Benefits
What Are The Benefits Of Getting A Medical Marijuana Prescription in Texas?
Without your medical prescription, you won't be able to shop at dispensaries or purchase medical cannabis products.
Possession
Possession of low-THC cannabis products is legal for Texas medical patients only. Without a prescription, it can land you in legal trouble.
Use
To use and consume low-THC cannabis products legally, you must have a medical marijuana prescription in Texas.
PRICE
How Much Does A Texas Medical Marijuana Prescription Cost?
✓ Texas state application fee: $0 ✓ No hidden fees
✓ Money-back guarantee: No charge if not approved
New Patients
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Full telemedicine evaluation with a licensed Texas physician. Pay only if approved.
Renewal Patients
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Full telemedicine evaluation with a licensed Texas physician. Pay only if approved.
⚠️ Veterans Discount Available: Use code VETERAN10 for 10% off!
PrestoDoctor Physicians
Our Texas-Licensed Physicians
Every PrestoDoctor physician serving Texas patients is licensed by the Texas Medical Board, registered with the Texas Compassionate Use Program (CURT), and experienced in evaluating patients for medical cannabis treatment.
Medical Reviewer: Dr. Chance Miller, CURT-Registered Physician
Dr. Chance Miller is a Columbia University-educated physician with over 4 years of clinical experience in cannabinoid medicine. He completed his medical degree at the Columbia University Vagelos College of Physicians and Surgeons and underwent residency training at the Washington University School of Medicine in St. Louis. Dr. Miller is a CURT-registered physician dedicated to the therapeutic application of medical cannabis for complex conditions.
Our medical content is reviewed by CURT-registered physicians and updated whenever Texas law changes.
Same-Day Texas Appointments — 7 Days a Week
Why Telemedicine?
Texas-Wide Telemedicine: Serving Houston, Dallas, Austin & Beyond
You don’t need to visit a physical clinic to get your prescription. PrestoDoctor provides 100% online evaluations for residents across the state, including:
- Houston & Harris County: Skip the traffic; get approved from home.
- Dallas & Ft. Worth: Convenient same-day appointments for the entire DFW Metroplex.
- Austin & San Antonio: Fast CURT access for Central Texas and Alamo City residents.
- El Paso & The Panhandle: Specialized medical cannabis care for West Texas.
FAQs
Here are the most frequently asked questions about Texas' Medical Program.
Yes. Under the 2025 HB 46 expansion, neuropathy and other nerve-related pains lasting 90+ days are qualifying conditions for a medical cannabis prescription.
No. Texas uses the CURT system. Your prescription is digital, and dispensaries only need your state ID to verify your status in the registry.
Yes. Texas law now allows medical cannabis as a safe, non-addictive alternative for patients managing 90+ days of chronic pain, often reducing or replacing the need for prescription opioids.
Texas law does not currently provide employment protections for medical cannabis patients. Texas employers may enforce drug-free workplace policies and can take adverse employment action based on a positive drug test — even if you hold a valid CUP prescription. If your employer conducts drug testing, we recommend consulting your HR department or an employment attorney before enrolling in the program.
According to the Texas Department of Public Safety, participation in the CUP does not, by itself, disqualify you from obtaining or maintaining a Texas License to Carry a Handgun. Texas does not report CURT patient data to federal firearms background check systems. However, cannabis remains a federally controlled substance, and federal laws may apply in certain circumstances. If you have specific concerns, consult a licensed attorney.
Yes — as of September 1, 2025. Under HB 46, chronic pain is now a standalone qualifying condition. Specifically, continuous or intermittent severe pain lasting more than 90 days qualifies. You do not need to have tried opioids first, and your pain does not need to be constant. Your physician will evaluate severity based on how the pain impacts your daily functioning. If you've been living with chronic pain for more than 3 months, you may qualify — book an evaluation to find out.
Once you are approved, your doctor will register you with CURT, the Compassionate Use Registry of Texas. The state will process your application and make your prescription available to dispensaries so that they can dispense your prescription.
We recommend calling the dispensary before visiting to ensure that your prescription is visible and you are able to get your medication.
No. Cultivation of marijuana is prohibited in Texas.
Patients must be 18 years or older to get a Texas state prescription from PrestoDoctor. If you are under 18, you must apply with a caregiver.
The cost for your doctor appointment with PrestoDoctor is $149.99 for new patients and $129 for renewals. You’ll only be billed if you are approved. If your physician does not approve you, there is no charge — we offer a 100% money-back guarantee. Texas has no state application fee.
No, dispensaries are only accessible for medical marijuana patients with a registered prescription. You must be a resident to become a Texas medical marijuana patient
Medical documentation is encouraged, however it is not required. It is up to your physician to decide if you have a qualifying medical condition.
No. Marijuana is strictly for medical patients at medical dispensaries. Recreational use in Texas is illegal, so there are no recreational adult-use dispensaries.
Texas is a Low-THC state, meaning all cannabis products have to have 1% of less THC content.
There are no defined possession limits for medical patients as long as the cannabis falls within the 1% THC content.
Texas does not issue cards, but instead your doctor will upload your prescription to CURT, where dispensaries may view it and dispense medication.
Your prescription should be viewable by dispensaries in 24 hours or less.
Texas medical marijuana prescriptions are valid for up to one year from the date it is issued.
Once it's time to renew your Texas medical marijuana prescription, you can do it easily online with PrestoDoctor!
Yes — Delta-9 THC is legal in Texas only when it is hemp-derived and contains no more than 0.3% THC by dry weight, as allowed under the 2018 Farm Bill and Texas state law. However, marijuana-derived Delta-9 THC (with higher concentrations) is illegal unless prescribed through the state's medical cannabis program. Always check labels and lab results to ensure compliance.
Yes, medical marijuana is legal in Texas for patients who qualify under the Texas Compassionate Use Program (CUP). The law allows licensed physicians to prescribe low-THC cannabis (less than 1% THC) for specific medical conditions. Texas has expanded eligibility over the years, and legal access continues to grow through telemedicine and dispensaries.
You will need a medical marijuana prescription certified by a licensed Texas doctor to buy MMJ in Texas.
However, Texas does not issue physical medical marijuana cards. Instead, once a licensed physician approves you, your information is entered into the Compassionate Use Registry of Texas (CURT). You can then purchase medical cannabis from a licensed Texas dispensary using a valid government-issued ID.
Patients may qualify for a Texas medical marijuana prescription if they are diagnosed with one or more of the following conditions:
Epilepsy and seizure disorders
Multiple sclerosis (MS)
Autism
Terminal cancer or all forms of cancer
Post-traumatic stress disorder (PTSD)
Spasticity and muscle spasms
Neuropathy
Parkinson’s disease
Alzheimer’s and other neurodegenerative diseases
Chronic pain (in specific cases under HB 1535 and HB 46 updates)
A certified physician must determine that the benefits outweigh the risks for cannabis use.
Read more about the new qualifying conditions and more about HB 46: Qualifying Conditions for Medical Marijuana Texas (2025 Update)
CURT stands for the Compassionate Use Registry of Texas, a secure online system managed by the Texas Department of Public Safety (DPS). Here's how it works:
A licensed physician evaluates your condition.
If you qualify, the doctor enters your details and treatment plan into CURT.
Dispensaries in Texas can then verify your prescription in CURT and dispense your medication.
No physical card is needed — your government-issued ID is used to match your CURT record.
CURT ensures medical cannabis is tracked, secure, and compliant with state law.
For more information, Texas CURT Registry Explained
Learn about Texas Medical Marijuana
More Information
Texas' Medical Marijuana Program
After Approval
Once you’ve been approved for the Texas Low THC program by a PrestoDoctor physician, your doctor will upload a form into the state registry. You do not need to do anything!
After they’ve uploaded your prescription, it will be available for dispensaries so that they can dispense your medication. You’ll need to bring a valid ID to the dispensary so they can verify that you’re a valid patient in CURT.
Your information and medical marijuana status is stored in the Compassionate Use Registry of Texas (CURT). This is how dispensaries will be able to look you up so that you can purchase Texas marijuana products.
Renew Your Texas Medical Marijuana Prescription
Texas medical marijuana prescriptions are valid for up to one year from the date issued. Renewal is easy — the process mirrors your initial evaluation.
Log In
Log into your PrestoDoctor account, or sign up as a renewal patient if it's your first time with us.
See a Doctor
Talk to a Texas-licensed doctor online and get approved for your renewed prescription.
CURT Updated
Your doctor uploads your renewed details to CURT. Your prescription will be active within 24 hours.
Shop Again
Return to any licensed Texas dispensary with your valid photo ID to fill your renewed prescription.
⚠️ Switching from a different physician? If you were previously prescribed by a different doctor (through another service), your previous physician must first terminate the patient relationship in CURT before your new PrestoDoctor physician can enter your prescription. Contact your previous provider to request this before your appointment.
Texas Medical Marijuana Laws
Texas has a conservative but evolving medical marijuana program under the Texas Compassionate Use Act, originally passed in 2015. The law allows patients with qualifying conditions to access low-THC cannabis (no more than 1% THC by weight) through a licensed physician and the Compassionate Use Registry of Texas (CURT).
Originally, the approved conditions included epilepsy, ALS, MS, cancer, PTSD, autism, seizure disorders, spasticity, terminal illness, and incurable neurological diseases.
HB 46, signed June 21st, 2025, expands eligibility effective September 1st, 2025 to include:
Chronic pain (90+ days)
Crohn’s & inflammatory bowel diseases
Traumatic brain injury
Terminal illnesses & hospice care
New in 2025: Texas medical marijuana laws have changed with the passage of HB 46. Learn exactly what’s changed and how to qualify in our Complete 2025 Texas Medical Marijuana Guide.
No Physical Card Issued
Texas does not issue physical medical marijuana cards. Instead, qualified patients are registered in the CURT system by a licensed physician. Dispensaries can verify your patient status and prescription using your valid Texas ID to check if you are registered in CURT.
Recreational Use Is Illegal
Cannabis for recreational use remains prohibited in Texas. Possession of even small amounts (under 2 ounces) is considered a misdemeanor, which may carry up to 180 days in jail, a $2,000 fine, and a driver’s license suspension.
No Home Cultivation
Even medical patients are not allowed to grow marijuana at home. All medical cannabis must be purchased through state-licensed dispensaries.
Smokable Products Not Allowed
Texas law prohibits inhalation methods, meaning smoking or vaping cannabis is not allowed. Approved forms of medical marijuana include: tinctures, oils, capsules, & lozenges.
Approved inhalation devices (vaporizers, inhalers, nebulizers) are now permitted as of September 1, 2025, thanks to new legislation (HB 46).
THC cap becomes 10 mg per dose, 1,000 mg per package.
Adds delivery methods like pulmonary inhalation (e.g., prescribed vapes)
CBD & Delta-8 in Texas
CBD products with less than 0.3% THC are legal and available without a prescription.
Delta-8 THC is currently legal but exists in a legal gray area. Its status may change depending on upcoming legislative decisions.
As Delta-8 laws are currently changing in Texas, learn more about recent updates regarding if Delta-8 is legal in Texas.
Texas Medical Marijuana Caregiver
Patients who need a legal guardian or caregiver to use medicinal cannabis can also have their medical marijuana prescriptions picked up. There is no formal application for caregivers in Texas.
Once the caregiver/legal guardian is going to pick up the prescription for medical marijuana, they will need to provide:
- Drivers License/ID
- Patient’s Last Name
- Patients DOB
- Last 5 digits of the patient’s social security number
Can I use my medical card from another state in Texas?
Texas does not currently have any reciprocity program. Only Texas residents who have qualified for the medical marijuana program can purchase low-THC marijuana products at Texas dispensaries.
Dispensary Locations
Texas Medical Marijuana Dispensaries
Austin, TX, 78758
Fort Worth, TX, 76107
Houston, TX, 77055
Nacogdoches, TX, 75961
Plano, TX, 75024
San Antonio, TX, 78258
Austin, TX, 78741
Ready to sign up?
Our team is ready to help you get your Medical Marijuana Card today!
DISCLAIMER: PrestoDoctor physicians are CURT-registered and follow all Texas Department of Public Safety (DPS) regulations under the Texas Compassionate Use Act (TCUA) and HB 46. Recommendations are for clinical low-THC cannabis use only. We do not provide services for recreational use.