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Virginia Medical Marijuana Qualifying Conditions

Virginia has no statutory list of qualifying conditions. Under VA Code ss 4.1-1601, a licensed Virginia practitioner (MD, DO, NP, or PA) may issue a written certification for any condition the practitioner determines may benefit from medical cannabis. This pure-discretion framework, enacted by the 2020 HB 1267 / SB 976 reform, is the broadest in the United States and covers chronic pain, anxiety, PTSD, insomnia, migraines, neuropathy, and any other clinically appropriate diagnosis.

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Your Virginia Medical Marijuana Physicians

State-licensed physicians certified for medical marijuana evaluations

Dr. Johnathan Miller

Dr. Johnathan Miller, MD

Virginia License: #0101277587

NPI: 1235623372

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Dr. Carla Antola

Dr. Carla Antola, MD

Virginia License: #0101267591

NPI: 1568654101

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Dr. David Okonkwo

Dr. David Okonkwo, MD

Virginia License: #101278542

NPI: 1457796062

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All evaluations conducted by state-licensed physicians

Virginia Qualifying Conditions: Detailed Guide

What conditions qualify for medical marijuana in Virginia?

Virginia has no specific qualifying conditions list,any condition a licensed healthcare provider believes would benefit from cannabis treatment qualifies. This includes chronic pain, anxiety, PTSD, cancer, migraines, insomnia, and virtually any medical condition. MMJ.com offers telehealth evaluations for $149.99 with same-day certification and immediate dispensary access.## What conditions commonly qualify in Virginia?

While there's no official list, healthcare providers commonly certify patients for:

Chronic Pain Conditions

Mental Health Conditions

Neurological Conditions

Cancer and Terminal Illness

  • Cancer (pain, nausea, appetite loss)
  • Terminal Illness
  • Cachexia/Wasting Syndrome

Gastrointestinal Conditions

Other Conditions

About Common Qualifying Conditions

Below is information about conditions commonly approved and the research that informs Virginia healthcare providers' decisions.

Chronic Pain

Chronic pain is commonly approved under Virginia's physician discretion model. Physicians may consider systematic reviews examining cannabinoid use among patients with chronic pain conditions.

Anxiety and PTSD

Anxiety and PTSD are commonly approved under Virginia's physician discretion model. Physicians may consider research examining cannabinoid use among patients with anxiety disorders and PTSD.

Epilepsy and Seizure Disorders

Seizure disorders are commonly approved under Virginia's physician discretion model. Physicians may consider clinical trial research examining CBD in patients with treatment-resistant epilepsy.

Cancer and Chemotherapy Side Effects

Cancer is commonly approved under Virginia's physician discretion model. Physicians may consider research examining cannabinoid use among cancer patients experiencing treatment-related symptoms.

Multiple Sclerosis and Parkinson's Disease

MS and Parkinson's are commonly approved under Virginia's physician discretion model. Physicians may consider clinical research examining cannabinoid use in patients with neurological conditions.

Physician Discretion

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

Medical Disclaimer

This page provides information about Virginia's medical marijuana program. Approval under Virginia's physician discretion model 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 Virginia Qualifying Conditions

What conditions qualify for a Virginia medical cannabis card?

Virginia operates the broadest medical cannabis framework in the United States. Under VA Code ss 4.1-1601, there is NO statutory list of qualifying conditions. Any licensed Virginia practitioner (physician, physician assistant, or nurse practitioner) can issue a written certification for any condition the practitioner determines may benefit from medical cannabis. This pure-discretion framework was enacted by 2020 HB 1267 / SB 976.

Does Virginia have a list of qualifying medical conditions?

No. Unlike most other states, Virginia does NOT publish a closed list of qualifying conditions. VA Code ss 4.1-1601 places the certification decision entirely in the licensed practitioner's clinical judgment. The practitioner documents the diagnosis and the clinical rationale; no condition is statutorily excluded as long as the practitioner determines benefit.

Does chronic pain qualify for a Virginia medical card?

Yes. A Virginia practitioner can issue a written certification for chronic pain at the practitioner's discretion under VA Code ss 4.1-1601. There is no statutory minimum-duration or intractability requirement; the practitioner exercises clinical judgment based on the patient's history, prior treatment, and impact on daily function.

Does anxiety qualify in Virginia?

Yes. Virginia's pure-discretion framework under VA Code ss 4.1-1601 allows certification for anxiety, depression, sleep disorders, and any other condition the certifying practitioner determines may benefit from medical cannabis. Documentation of the clinical diagnosis and any prior treatment supports the certification.

Does ADHD qualify for a Virginia medical cannabis card?

Virginia does not categorically exclude any condition. A Virginia practitioner may certify a patient with ADHD under the pure-discretion framework of VA Code ss 4.1-1601 if the practitioner determines benefit. That said, ADHD is more commonly certified in Virginia as a co-occurring diagnosis alongside anxiety, sleep disturbance, or chronic pain rather than as a standalone primary diagnosis.

Does PTSD qualify in Virginia?

Yes. Virginia is widely used by service members and veterans certifying for PTSD under VA Code ss 4.1-1601. Common documentation sources include Hunter Holmes McGuire VA Medical Center in Richmond, Hampton VA Medical Center, and Salem VA. The written certification, once issued, is honored same-day by any Virginia-licensed pharmaceutical processor (no state-registry waiting period as of the 2022 reform).

What documentation do I need for a Virginia medical cannabis certification?

Virginia practitioners need to verify a bona fide practitioner-patient relationship and a documented clinical condition. Acceptable documentation includes notes from a primary care physician or specialist, hospital records, imaging reports, pharmacy records, and VA records. MMJ.com's Virginia-licensed practitioners review uploaded records during the telehealth visit and issue the written certification immediately if criteria are met.

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Medically reviewed by: Dr. Kevin Kargman, DO·Virginia License #Pending Verification·NPI 1407810302

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

Last Updated: December 17, 2025