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

Kahului residents applying for a 329 card in 2026 should generally plan for two principal expenses: the medical cannabis certification and the Hawaiʻi registration payment.

Medical Cannabis Certification: An eligible physician or APRN must evaluate and certify the patient before state registration. Hawaiʻi limits medical cannabis certification fees to no more than $105 for a one-year certification. This maximum amount includes the evaluation and issuance of the certification. Patients seeking a three-year certification should confirm the applicable fee with their medical provider.

Hawaiʻi 329 Registration Fee: A first-time patient pays $36.05 for a one-year registration. Eligible renewal patients may obtain a three-year registration for $108.15 when the requirements for the extended period are satisfied.

For a new Kahului patient, the $36.05 state registration charge plus the maximum $105 one-year certification fee means those two components together may total no more than $141.05. The medical provider may charge less than the certification cap.

Potential Ways Kahului Patients Can Lower Their Costs

Hawaiʻi’s $105 certification amount is a maximum rather than a required provider price. A physician or APRN may charge less, so Kahului patients can ask about the certification fee before arranging an evaluation.

Eligible renewal patients may also qualify for a three-year registration when their medical provider determines that they meet Hawaiʻi’s requirements for the extended period. This option costs $108.15 for state registration and allows qualifying patients to remain registered for three years before another renewal is required.