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Arkansas Medical Marijuana Qualifying Conditions

Arkansas Amendment 98, codified at Ark. Code ss 20-56-407, recognizes 18 qualifying conditions: cancer, glaucoma, HIV/AIDS, hepatitis C, ALS, Tourette syndrome, Crohn's disease, ulcerative colitis, PTSD, severe arthritis, fibromyalgia, Alzheimer's disease, cachexia or wasting syndrome, peripheral neuropathy, intractable pain (pain unresponsive to ordinary treatment for more than six months), severe nausea, seizures including epilepsy, and severe and persistent muscle spasms.

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Dr. Johnathan Miller

Dr. Johnathan Miller, MD

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Arkansas Qualifying Conditions: Detailed Guide

About the Qualifying Medical Conditions

Below is information about each qualifying condition and the research that informed Arkansas's decision to include it in the state program.

Chronic and Severe Pain (Intractable Pain)

Intractable pain is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on systematic reviews examining cannabinoid use among patients with chronic pain conditions.

Fibromyalgia

Fibromyalgia is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research surveying cannabis use among fibromyalgia patients.

Severe Arthritis

Severe Arthritis is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining cannabinoid use in patients with arthritis-related symptoms.

Severe or Persistent Muscle Spasms (Including MS)

Severe or persistent muscle spasms, including those characteristic of multiple sclerosis, are an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on clinical research examining cannabinoid use in patients with MS-related spasticity.

Seizures (Including Epilepsy)

Seizures, including those characteristic of epilepsy, are an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on clinical trial research examining CBD in patients with treatment-resistant epilepsy.

Severe Nausea

Severe Nausea is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining cannabinoid use among patients experiencing nausea, including chemotherapy-induced nausea.

Cachexia or Wasting Syndrome

Cachexia or Wasting Syndrome is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining dronabinol (synthetic THC) use in patients experiencing appetite and weight loss concerns.

Cancer

Cancer is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining cannabinoid use among cancer patients experiencing treatment-related symptoms.

HIV/AIDS

HIV/AIDS is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining cannabinoid use among HIV/AIDS patients experiencing appetite and weight-related concerns.

Hepatitis C

Hepatitis C is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining cannabis use among patients undergoing antiviral treatment regimens.

Amyotrophic Lateral Sclerosis (ALS)

ALS is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research surveying ALS patients about symptom management approaches.

Glaucoma

Glaucoma is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on early research examining the relationship between cannabinoids and intraocular pressure.

PTSD

PTSD is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining cannabinoid use among patients with PTSD.

Alzheimer's Disease

Alzheimer's Disease is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining cannabinoid use among Alzheimer's patients experiencing behavioral symptoms.

Tourette's Syndrome

Tourette's Syndrome is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on clinical research examining THC use in patients with Tourette's Syndrome.

Crohn's Disease

Crohn's Disease is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on clinical research examining cannabis use in patients with Crohn's Disease.

Ulcerative Colitis

Ulcerative Colitis is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on clinical research examining cannabinoid use in patients with ulcerative colitis.

Peripheral Neuropathy

Peripheral Neuropathy is an approved qualifying condition under Arkansas's medical marijuana program. Arkansas included this condition based on research examining vaporized cannabis in patients with neuropathic pain.

Petition Process for New Qualifying Conditions

  • Submitting a Petition: Arkansas residents can petition the Arkansas Department of Health (ADH) to add new medical conditions. Each petition must include medical documentation, treatment histories, and supporting statements from healthcare providers.
  • Review Timeline: The ADH typically reviews and decides on petitions within 120 days.
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FAQ

Common Questions About Arkansas Qualifying Conditions

What conditions qualify for an Arkansas medical marijuana card?

Arkansas's Medical Marijuana Amendment of 2016 (Amendment 98), codified at Ark. Code ss 20-56-407, lists 18 qualifying conditions: cancer, glaucoma, HIV/AIDS, hepatitis C, ALS, Tourette syndrome, Crohn's disease, ulcerative colitis, PTSD, severe arthritis, fibromyalgia, Alzheimer's disease, cachexia or wasting syndrome, peripheral neuropathy, intractable pain (pain that has not responded to ordinary medications, treatment, or surgical measures for more than 6 months), severe nausea, seizures (including epilepsy), and severe and persistent muscle spasms (including those characteristic of multiple sclerosis).

Why does Arkansas require an in-person initial evaluation?

Arkansas Medical Board Rule 38 requires that the initial certifying evaluation for an Arkansas medical marijuana card be conducted IN PERSON by an Arkansas-licensed physician. Telehealth is permitted ONLY for renewal certifications, not for new patients. This makes Arkansas one of two telehealth-restricted states (along with Florida). MMJ.com's Arkansas-licensed physicians provide RENEWAL telehealth certifications only; new patients must seek in-person initial evaluation.

Does intractable pain qualify in Arkansas?

Yes, with a strict statutory definition. Ark. Code ss 20-56-407 defines intractable pain as 'pain that has not responded to ordinary medications, treatment, or surgical measures for more than six (6) months.' Both the 6-month duration AND the failure of ordinary treatment must be documented. This is one of the strictest pain-qualifier standards in the country.

Does anxiety qualify for an Arkansas medical marijuana card?

Anxiety is NOT a qualifying condition under Ark. Code ss 20-56-407. Arkansas's closed list does not include anxiety, depression, or other primary mood disorders. Patients whose anxiety co-occurs with PTSD (a listed condition) may qualify under that diagnosis; documentation of the underlying PTSD diagnosis is required.

Does PTSD qualify in Arkansas?

Yes. PTSD is one of the 18 enumerated qualifying conditions under Ark. Code ss 20-56-407. Documentation from a mental-health provider, primary care physician, or VA medical record (the John L. McClellan Memorial Veterans Hospital in Little Rock, the Eugene J. Towbin Healthcare Center in North Little Rock, or the Fayetteville VA Medical Center) supports certification. Note that initial certification must be in-person per Rule 38.

Does fibromyalgia qualify in Arkansas?

Yes. Fibromyalgia is one of the 18 enumerated qualifying conditions under Ark. Code ss 20-56-407 (added directly by Amendment 98 in 2016). Documentation from a primary care physician or rheumatologist supports certification. Patients should note that the intractable-pain qualifier in Arkansas has a stricter 6-month statutory threshold than fibromyalgia's separate listing.

What documentation do I need for Arkansas certification?

Arkansas-licensed physicians need medical records that document your diagnosis of one of the 18 listed qualifying conditions. Acceptable records include notes from a primary care physician or specialist, hospital records, pharmacy records, and VA records. Critically, the INITIAL certification must be conducted in person under Arkansas Medical Board Rule 38; renewals can be done via telehealth. MMJ.com's Arkansas-licensed physicians provide renewal telehealth certifications only.

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Editorial oversight by: John Progar, CEO & FounderLast Verified: May 2026

Last Updated: January 31, 2024