How to Get a Delaware Medical Cannabis Card

Last verified: March 2026

Step-by-Step Application Process

Delaware's medical cannabis card application is managed by the Office of the Marijuana Commissioner (OMC) and processed through the BioTrack patient portal. Here's the full process:

Step 1: Obtain a Practitioner Certification

Visit a Delaware-licensed MD, DO, APRN, or PA to obtain a medical cannabis certification. Since HB 285 (effective July 1, 2024), practitioners have discretion to certify patients with any diagnosed medical condition. Telemedicine consultations are permitted.

Doctor consultation fees typically range from $45 to $200 depending on the provider. These fees are separate from the OMC application fee.

Exception: Patients aged 65 and older can self-certify and skip this step entirely.

Step 2: Create a Patient Account

Register at the OMC patient portal: delaware.biotrackthc.net/patients/actions/. You will need an email address and will create login credentials.

Step 3: Complete the Application

You can complete the application online through the BioTrack portal, or download a PDF application from omc.delaware.gov/medical/ and submit it by mail or in person.

Step 4: Upload Required Documents

• Delaware driver's license or state-issued ID — must show current Delaware address
• Practitioner certification — signed by your certifying provider (not required for 65+ self-certification)

Step 5: Pay the Application Fee

The multi-year options offer meaningful savings for long-term patients. A 3-year card costs $100 total versus $150 for three consecutive 1-year cards.

Step 6: Wait for Processing

The OMC processes applications within 45 calendar days. Many applications are approved sooner, but plan for the full window. You will receive notification through the BioTrack portal when your card is approved.

Total Cost Breakdown

For patients 65+ who self-certify, the total cost is simply the card fee — as low as $50.

Renewal

Renewal follows the same process as the initial application. You will need a new practitioner certification (unless 65+ self-certifying) and must pay the applicable fee. The OMC sends renewal reminders through the BioTrack portal, but it is your responsibility to renew before your card expires.

Consider a 2-year or 3-year card at renewal to reduce future hassle and save on fees.

Telemedicine

Delaware permits telemedicine consultations for medical cannabis certifications. Multiple telehealth platforms serve Delaware patients, often with same-day appointments and fees at the lower end of the $45–$200 range. Telemedicine makes access particularly convenient for patients in Sussex County and other areas far from the major population centers along I-95.