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Vermont Medical Marijuana Qualifying Conditions

Vermont's Medical Cannabis Registry under 18 V.S.A. ss 4472(4) recognizes nine named debilitating diseases (cancer, multiple sclerosis, HIV, AIDS, glaucoma, Crohn's disease, Parkinson's disease, PTSD, and ulcerative colitis) when the disease or treatment produces severe, persistent, and intractable symptoms. A separate symptom-based pathway covers any chronic or debilitating disease producing severe, persistent, and intractable cachexia, chronic pain, severe nausea, or seizures.

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By Dr. Kevin Kargman, DOLicensed VT Physician #032.0134179

Audited: January 1, 2026

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Vermont Qualifying Conditions: Detailed Guide

What conditions qualify for medical marijuana in Vermont?

Vermont approves medical marijuana for 13+ qualifying conditions including chronic pain, PTSD, cancer, epilepsy, and any chronic debilitating condition a physician approves. Even with recreational marijuana legal in Vermont, medical patients receive significant benefits including tax savings and higher cultivation limits. MMJ.com offers telehealth evaluations for $149.99 with same-day certification.## What is the complete list of Vermont qualifying conditions?

The Vermont Medical Marijuana Program (VMMP), managed by the Vermont Cannabis Control Board (CCB), recognizes the following qualifying conditions for 2026:

Pain Conditions

  • Severe Chronic Pain (persistent pain unresponsive to standard treatments)
  • Intractable Muscle Spasms

Neurological Conditions

Mental Health Conditions

  • Post-Traumatic Stress Disorder (PTSD)

Cancer and Terminal Illness

  • Cancer (pain, nausea, appetite loss)
  • Terminal Illness (prognosis less than 12 months)
  • Cachexia/Wasting Syndrome

Gastrointestinal Conditions

Infectious Diseases

  • HIV/AIDS

Eye Conditions

Physician Discretion

Any other chronic, debilitating condition causing severe, persistent symptoms that a healthcare provider believes would benefit from medical cannabis.

About the Qualifying Medical Conditions

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

Severe Chronic Pain

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

PTSD

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

Epilepsy and Seizure Disorders

Seizure disorders, including epilepsy, are approved qualifying conditions under Vermont's medical marijuana program. Vermont included these conditions based on clinical trial research examining CBD in patients with treatment-resistant epilepsy.

Cancer and Chemotherapy Side Effects

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

Multiple Sclerosis

MS is an approved qualifying condition under Vermont's medical marijuana program. Vermont included this condition based on clinical research examining cannabinoid use in patients with MS-related spasticity.

Parkinson's Disease

Parkinson's Disease is an approved qualifying condition under Vermont's medical marijuana program. Vermont included this condition based on research examining cannabinoid use among Parkinson's patients.

Crohn's Disease

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

HIV/AIDS

HIV/AIDS is an approved qualifying condition under Vermont's medical marijuana program. Vermont included this condition based on research examining cannabinoid use among HIV/AIDS patients.

Glaucoma

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

Physician Discretion Conditions

Vermont's physician discretion clause allows healthcare providers to recommend medical marijuana for any chronic, debilitating condition they believe would benefit. This is based on Vermont statute and does not require specific research citations for each condition.

Medical Disclaimer

This page provides information about Vermont's qualifying conditions for medical cannabis. The inclusion of a condition in Vermont's program does not constitute medical advice or a guarantee of therapeutic benefit. Individual results vary. Potential side effects may include dizziness, sedation, and cognitive changes. Always consult a healthcare provider before starting treatment.


Reviewed by MMJ.com Medical Advisory Team Last Updated: December 17, 2025

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FAQ

Common Questions About Vermont Qualifying Conditions

What conditions qualify for a Vermont medical cannabis card?

Vermont's Medical Cannabis Registry under 18 V.S.A. ss 4472(4) uses a hybrid framework: (A) 9 named debilitating diseases (cancer, multiple sclerosis, HIV, AIDS, glaucoma, Crohn's disease, Parkinson's disease, PTSD, ulcerative colitis) if the disease or treatment produces severe, persistent, and intractable symptoms; OR (B) any chronic, debilitating disease or its treatment that is producing severe, persistent, and intractable symptoms of cachexia or wasting syndrome, chronic pain, severe nausea, or seizures.

Can I qualify in Vermont if my specific condition isn't on the list?

Yes, via the symptom-based pathway. 18 V.S.A. ss 4472(4)(B) lets a Vermont-licensed practitioner certify a patient with ANY chronic, debilitating disease producing severe, persistent, and intractable cachexia, chronic pain, severe nausea, or seizures. This means patients with fibromyalgia, lupus, endometriosis, migraine, or neuropathy may qualify if their underlying condition produces one of the four named symptoms.

Does chronic pain qualify in Vermont?

Yes, via the symptom-based pathway under 18 V.S.A. ss 4472(4)(B). The pain must be severe, persistent, and intractable AND arise from a chronic or debilitating disease or its treatment. Vermont's chronic-pain qualifier does NOT recognize a freestanding minimum-duration threshold; the certifying practitioner documents the chronic nature, severity, and intractability.

Does anxiety qualify for a Vermont medical cannabis card?

Anxiety is NOT a qualifying condition under 18 V.S.A. ss 4472(4). Vermont's hybrid closed list does not include anxiety, depression, or other primary mood disorders. Patients whose anxiety co-occurs with PTSD (one of the 9 named diseases) may qualify under that diagnosis; documentation of the underlying PTSD diagnosis is required.

Does PTSD qualify in Vermont?

Yes. PTSD is one of the 9 named debilitating diseases under 18 V.S.A. ss 4472(4)(A). The statute requires that the PTSD produce severe, persistent, and intractable symptoms. Documentation from a mental-health provider, primary care physician, or VA medical record (the White River Junction VA Medical Center or any of the Vermont-area community-based outpatient clinics) supports certification.

Does autism qualify in Vermont?

Autism is NOT a qualifying condition under 18 V.S.A. ss 4472(4). Vermont's hybrid closed list does not currently include autism spectrum disorder. Patients with autism who also experience seizures or severe persistent muscle spasms may qualify under the symptom-based pathway in ss 4472(4)(B) if the autism's neurological manifestations produce those qualifying symptoms.

What documentation do I need for Vermont certification?

Vermont-licensed practitioners need medical records that document your diagnosis. For the named-disease pathway, records confirming one of the 9 listed diseases AND its production of severe persistent intractable symptoms are required. For the symptom-based pathway, records confirming a chronic/debilitating disease AND its production of one of the 4 listed symptoms are required. MMJ.com's Vermont-licensed practitioners review uploaded records during the telehealth visit and submit the certification to the Vermont CCB Medical Cannabis Registry.

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Medically reviewed by: Dr. Kevin Kargman, DO·Vermont License #032.0134179·NPI 1407810302

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

Last Updated: December 17, 2025