The Alabama Medical Cannabis Commission, at its meeting on December 11, 2025, voted to award four dispensary licenses. Three of those four licenses issued on January 8, 2026, which authorizes those licensees to open their dispensing sites. The fourth dispensary license was temporarily stayed by the Commission and the Commission will meet on January 26, 2026, to consider the status of the stay.

Based on the dispensary licenses issued to date, dispensing sites will be located in the municipalities listed below.

• Athens (Limestone County)
• Attalla (Etowah County)
• Birmingham (Jefferson County)
• Cullman (Cullman County)
• Daphne (Baldwin County)
• Mobile (Mobile County)
• Montgomery (Montgomery County)
• Oxford (Calhoun County)
• Talladega (Talladega County)

Note: One Dispensary license awarded by the Commission on December 11, 2025, has been stayed. An additional three (3) retail dispensing sites may be added with the issuance of an additional Dispensary license. Administrative hearings are currently being conducted in the Integrated Facility license category. The Commission may issue up to five (5) Integrated Facility licenses and each licensee may operate up to five (5) dispensing sites. Therefore, up to 25 additional retail dispensing sites may be added with the issuance of Integrated Facility licenses.

To receive a medical cannabis card, you must satisfy the following requirements:

• Be a resident of Alabama;
• Be at least 19 years of age, or have your parent or legal guardian serve as your registered caregiver;
• Have a qualifying medical condition;
• Receive a recommendation from an Alabama physician certified by the Alabama Board of Medical Examiners to make medical cannabis recommendations; and
• Be registered on the AMCC’s patient registry system (see AMCC Portal Instructions above).

To be placed on the patient registry system, you must receive diagnosis of a qualifying medical condition from a registered certifying physician. If the physician recommends the use of medical cannabis, then the physician will enter the patient’s information and recommendation on the patient registry system. The patient is then eligible to complete a patient registration and apply for a medical cannabis card (see AMCC Portal Instructions above). If the patient is required to have or chooses to have a caregiver, then the caregiver must complete a separate application on the registry system. The patient and caregiver registration must have a corresponding record completed first by a registered certified physician.

Physicians must be certified by the Alabama Board of Medical Examiners (ALBME) to recommend medical cannabis treatment. ALBME requires physicians to complete a medical cannabis training course and be certified. Additional information is available on the ALBME website at https://www.albme.gov/licensing/md-do/registrations/medical-cannabis. Once available, a current list of physicians certified to recommend medical cannabis treatment will be made available to prospective patients.

• Autism Spectrum Disorder
• Cancer related cachexia, nausea or vomiting, weight loss, chronic pain
• Crohn’s Disease
• Depression
• Epilepsy or a condition causing seizures
• HIV/AIDS – related nausea or weight loss
• Panic Disorder
• Parkinson’s Disease
• Persistent nausea
• Post-Traumatic Stress Disorder (PTSD)
• Sickle Cell Anemia
• Spasticity associated with Multiple Sclerosis or spinal cord injury
• A terminal illness
• Tourette’s Syndrome
• Condition causing chronic or intractable pain

A qualified patient who is under the age of 19 must have a registered qualified caregiver who is the patient’s parent or legal guardian. A qualified patient who is 19 years of age or older may designate as caregiver the patient’s parent, legal guardian, grandparent, spouse, or individual with a valid power of attorney for healthcare of the patient.

The following types of products are allowed in Alabama:

• Non-sugar-coated gelatinous cubes or cuboids
• Lozenges
• Tablets
• Capsules
• Tinctures
• Gels, oils, and creams for topical use
• Suppositories
• Transdermal patches
• Nebulizers
• Liquids or oils for use in an inhaler

The following types of products are prohibited in Alabama:

• Raw plant material
• Products that could be smoked or vaped
• Food products such as cookies or candies