15 of the 17 Vancouver 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. High End Market Place downtown advertises 50% off for medical cardholders.
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.
Good Choices for Medical Patients in Vancouver
High End Market Place
Advertises 50% off for medical cardholders and lets patients book card appointments online.
Craft Cannabis Andresen
Patient budtenders, including one a reviewer describes as medically certified.
High 5 Cannabis
Google's review summary highlights a medical card discount.
Main Street Marijuana Orchards
A 2026 reviewer says someone is on site for medical questions.
Fire & Frost Cannabis
Medically endorsed, but call ahead to check that a certified consultant is working.
All Medically Endorsed Vancouver Dispensaries
Craft Cannabis Mill Plain and Andresen, Fire & Frost, High 5, High End Market Place, all four Main Street Marijuana stores, Sticky’s and all five Herbery stores hold a Washington medical endorsement, as of October 2026.
Recreational-Only Stores
Orchards Cannabis Market and Pot Zone do not hold a medical endorsement, so medical tax exemptions are not available there.
Medical Marijuana in Vancouver FAQ
How many Vancouver dispensaries are medically endorsed?
15 of the 17 Vancouver dispensaries in our directory hold a Washington medical endorsement, as of October 2026.
Which Vancouver dispensary has the best medical discount?
High End Market Place advertises 50% off cannabis for medical cardholders, as of October 2026.
How do I get a medical marijuana card in Vancouver, WA?
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.
Can I use my Washington medical card in Oregon?
No. Oregon's medical program is separate, so a Washington recognition card does not give you medical pricing in Portland.
How much can medical patients buy in Washington?
Registered patients can buy up to three times the adult-use limits 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.