Last updated: October 1, 2026

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

A Kailua resident applying for a 329 card in 2026 should generally consider two separate expenses: the fee for medical cannabis certification and the registration charge paid to Hawaiʻi.

Medical Cannabis Certification: Before completing state registration, Kailua patients must receive medical certification from an eligible physician or APRN. Hawaiʻi limits medical cannabis certification fees to a maximum of $105 for a one-year certification, including the evaluation and issuance of the certification. Patients considering a three-year certification should verify the applicable fee with their medical provider or the Department of Health.

Hawaiʻi 329 Registration Fee: First-time Kailua patients pay $38.50 for a one-year registration. After their medical provider submits the required certification, applicants can register through the Hawaiʻi Medical Cannabis Registry. Qualifying renewal patients may be eligible for an extended three-year registration period.

For a new one-year Kailua patient, the $38.50 registration charge plus the maximum allowable $105 certification fee means these two components can total no more than $143.50. A provider is permitted to charge less than the maximum certification amount.

Potential Ways for Kailua Patients to Lower Their Costs

The $105 certification limit is a maximum rather than a required provider price. Kailua patients may find physicians or APRNs who charge less, so asking about certification pricing before scheduling the appointment can help clarify the total expense.

Kailua patients who meet the updated renewal requirements may qualify for a three-year registration. The extended period allows eligible patients to maintain their registration for three years before their next renewal is due.