10 of the 20 Spokane dispensaries in our directory hold a Washington medical endorsement. Registered patients with a DOH recognition card pay no sales tax there, are exempt from the 37% cannabis excise tax on DOH-compliant products, and can buy up to three times the adult-use limits. The Green Nugget Mead has a medical marijuana consultant on staff.
Washington’s medical cannabis program is run by the Department of Health (DOH). You first need an authorization from a qualifying health care provider, then take it to a medically endorsed store, where a certified medical cannabis consultant enters you into the state database and issues a recognition card. Registered patients 18 and older can shop at medically endorsed stores.
What Registered Patients Get
- No state or local sales tax on purchases at medically endorsed stores.
- Exemption from the 37% cannabis excise tax on DOH-compliant products (HB 1453, 2024).
- Purchase limits of up to three times the adult-use amounts.
- Access for patients aged 18 to 20 at medically endorsed stores.
Medically Endorsed Dispensaries in Spokane
The Green Nugget Mead
Has a medical marijuana consultant on staff, per a 2026 reviewer, and The Green Nugget's website offers medical card appointments.
The Green Nugget Spokane
Spokane's most-reviewed shop, with veteran and industry discounts.
Cannabis & Glass North Spokane
Reviewers who use cannabis medically praise its well-informed, supportive staff.
Apex Cannabis Division
A 2026 reviewer says they always get a discount with their medical card.
Sativa Sisters
Known for Dragon Balm, sleep aids and patient budtenders.
Lidz Cannabis South Hill
Budtenders help with pain and sleep; one patient found a balm that truly worked.
Lidz Cannabis North Spokane
Huge inventory and curbside pickup.
Smokane
Open since 2014, with live resin and dab specials.
4:20 Friendly
A small, locally owned shop near the airport.
Wonder Weed
A new North Division shop, opened in 2026.
Recreational-Only Stores
Cannabliss, both Cinder stores, Frosted, Greenhand, Apex Market Street, both Lovely Buds stores, Lucky Leaf Co. and Spokane Green Leaf do not hold a medical endorsement, so medical tax exemptions are not available there.
Medical Marijuana in Spokane FAQ
How many Spokane dispensaries are medically endorsed?
10 of the 20 Spokane dispensaries in our directory hold a Washington medical endorsement, as of October 2026.
How do I get a medical marijuana card in Spokane?
Get an authorization from a qualifying health care provider, then visit a medically endorsed store, where a certified consultant enters you in the DOH database and issues a recognition card.
Do medical patients pay tax on cannabis in Washington?
Registered patients pay no sales tax at medically endorsed stores and are exempt from the 37% excise tax on DOH-compliant products.
How much can medical patients buy in Washington?
Registered patients can buy up to three times the adult-use limits at medically endorsed stores.
Can you buy medical marijuana at 18 in Washington?
Yes. Registered patients aged 18 to 20 with a recognition card can buy at medically endorsed stores.
Store hours, ratings and details were checked against state license records and each store’s Google Business Profile on October 13, 2026. Featured placements, where shown, are paid and labelled. Corrections: contact us.