Last updated: October 1, 2026

How Much Does a 329 Medical Cannabis Card Cost in East Honolulu in 2026?

East Honolulu residents applying for a 329 card in 2026 should generally account for two separate costs: the medical-provider certification and Hawaiʻi’s state registration charge.

Medical Cannabis Certification: A physician or APRN who meets Hawaiʻi requirements must certify the patient before registration. Hawaiʻi limits medical cannabis certification fees to a maximum of $105 for a one-year certification. This cap covers the medical evaluation and issuance of the certification. Patients seeking a longer certification period should confirm the applicable fee with their provider or the Hawaiʻi Department of Health.

Hawaiʻi 329 Registration Fee: A new one-year patient pays $38.50 when registering through the Hawaiʻi Medical Cannabis Registry. The amount includes the state registration and administrative charges. Under the updated process, eligible renewal patients may qualify for a three-year registration period.

For a new one-year applicant, the state registration fee combined with the maximum permitted certification charge totals no more than $143.50 for those two expenses. A medical provider may choose to charge less than the statutory maximum.

Options That May Reduce Patient Expenses

The $105 one-year certification amount is a ceiling rather than a mandatory provider charge. East Honolulu patients may therefore find physicians or APRNs who charge less and can ask about the certification price before arranging the appointment.

Qualifying renewal patients may be eligible for a three-year registration period under Hawaiʻi’s updated medical cannabis process. This longer registration period allows eligible patients to remain registered for more time before another renewal is required.