
Dr. Benjamin H. Krasne, M.D.
Board-certified physicianBoard-certified in anesthesiology, he reads medications and metabolism with a pharmacologist's eye, which shapes how he doses weight loss and longevity care.
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Medical card evaluations by video
Meet a physician by video or phone call. If cannabis is a reasonable option for your condition under your state's rules, you'll leave with a physician certification and the next steps for your state program.
Start with your state
Pick your state to see local rules, pricing and booking.
Licensed U.S. cliniciansPrivate and HIPAA secureFree to book
Ready now? Book by video or Book by phone. Choose video or phone. The evaluation takes about 5–10 minutes.
Meet a physician by phone or video in most states with medical programs, without sitting in a waiting room or taking time off work.
The physician reviews your condition, medications and possible interactions, and only issues a certification when cannabis is reasonable under your state's rules.
If you qualify, you get clear guidance for your state's application, so you know which forms, fees and documents come next.
Most certifications last about a year. We remind you when it's time to renew, so your access doesn't lapse unexpectedly.
Select your state, pick a time and answer a few questions about your health. Booking is free.
On a 5–10 minute video or phone call, the physician reviews your condition, medications and any records you have.
If you qualify under your state's rules, the physician issues your certification or recommendation and submits it where the state requires.
Where required, apply to your state program, pay the state fee and wait for your card or registry approval before shopping at a licensed medical dispensary.
Most certifications and cards last about a year. Book a new evaluation before yours expires to avoid a gap.
You generally need to live in the state where you apply and show proof of residency. Most programs are for adults 18 and older.
Chronic pain, cancer, PTSD, epilepsy and seizures, multiple sclerosis, severe nausea, glaucoma and Crohn's disease appear on many lists. Some states also allow conditions like insomnia, anxiety or migraine, and a few let the physician decide.
Even where adult-use cannabis is legal, a medical card may mean lower taxes, higher limits or access for adults under 21, depending on the state.
Kentucky requires the initial exam to happen in person. Telehealth may be used for follow-up care after that first visit.
Cannabis is generally not recommended during pregnancy or breastfeeding, with a personal or family history of psychosis, or alongside some heart conditions. People who need to keep firearm rights or who work in drug-tested, safety-sensitive jobs should think it through first.
| Feature | Physician certification | State medical card | Adult-use purchase |
|---|---|---|---|
| Who provides it | A physician after your evaluation | Your state program after you apply | — |
| Cost | From $49 in California, up to $199 | State fee varies; some states charge nothing | — |
| How long it lasts | Usually about a year | Usually about a year | — |
| Age | Depends on the state | Depends on the state | 21 and older |
| Possible perks | Needed before applying in most states | Lower taxes or higher limits in some states | — |
There is no national medical marijuana card. Each state that allows medical cannabis runs its own program, with its own list of qualifying conditions, fees, possession limits and paperwork. What almost every program has in common is the first step: a qualified practitioner evaluates you and, if you meet the state's criteria, issues a written certification or recommendation.
That certification is what My IV Doctors helps with. You meet a physician who participates in your state's program over a video or phone call. The physician reviews your symptoms, history and current medications, decides whether you qualify and explains what happens next. In most states, the next step is a state application: you apply to the state program, pay any state fee and receive a patient card or registry entry. In a few states, such as California, the physician's recommendation can be used on its own and the state ID card is optional.
Evaluation prices depend on the state, from $49 in California up to $199. The state's own fee, if there is one, is separate and paid directly to the state. Pick your state's page for its exact price, conditions and steps.
Budget for the physician evaluation and, in most states, a state fee. The evaluation through My IV Doctors starts at $49 in California and goes up to $199 depending on the state program. State fees range widely, and some states charge nothing. Insurance doesn't cover medical cannabis evaluations, and the card itself doesn't cover cannabis purchases, which happen at licensed dispensaries.
Processing times differ too. Some states approve applications electronically within a day, while others take a few weeks. Your state page explains what to expect.
A state medical card protects you under that state's law. Cannabis is still a federally controlled substance, and federal rules have been changing, so the card doesn't change how federal law treats possession on federal property, across state lines or in federally regulated jobs.
The FDA hasn't approved the cannabis plant for any medical use, though it has approved some cannabinoid-based drugs. Research supports benefit for some conditions and is limited for others, so the physician will discuss what's known for yours.
Independently licensed U.S. physicians supervise every treatment we offer.

Board-certified in anesthesiology, he reads medications and metabolism with a pharmacologist's eye, which shapes how he doses weight loss and longevity care.

Trained at Columbia and Washington University, he pairs prescriptions with practical habits around food, training and sleep.

An OB-GYN for more than 40 years and a Fellow of ACOG, she leads women's health care, from perimenopause to PCOS.
Evaluation prices differ by state, and state fees are separate. Highlighted states are the ones we serve.
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Still deciding? The first consultation is free and takes about 5–10 minutes.
Book by videoThe physician evaluation costs from $49 in California up to $199, depending on your state. Most states also charge their own fee to issue a card, which you pay directly to the state program.
In most states with medical programs, yes: the evaluation can be done by video or phone call. Kentucky is an exception and requires the first exam in person, and a few states have other rules, which your state page explains.
Each state sets its own list. Chronic pain, cancer, PTSD, epilepsy, multiple sclerosis, severe nausea and glaucoma are common, and some states let the physician decide based on your situation.
The certification or recommendation comes from the physician after your evaluation. The card, or registry entry, comes from the state after you apply. In most states you need both before buying from a dispensary.
The physician's decision comes at the end of your evaluation. State processing then takes anywhere from the same day to several weeks, depending on the program.
They help, and some states require them. If you don't have records, the physician will tell you what your state expects and whether the evaluation can go ahead without them.
Most certifications and state cards last about a year, though some states use shorter or longer periods. Renewal usually means a new physician evaluation and a new state application.
Usually not. A small number of states accept out-of-state patients, but most don't, and carrying cannabis across state lines is illegal under federal law.
It can. Federal law restricts firearm purchases and possession by people who use cannabis, and a state card doesn't override that. If firearms matter to you, get legal advice before applying.
State patient records are confidential, and the physician visit is private. Workplace protections still vary, and some employers can test for cannabis or prohibit use regardless of a card.
You don't need one to buy at an adult-use store if you're 21 or older. A medical card may still help with lower taxes, higher purchase limits or access for adults 18 to 20, depending on the state.
Some states allow minors with serious conditions to qualify, usually with a parent or guardian acting as caregiver and extra documentation. The details depend on the state.
The physician will explain why and won't issue a certification. They may also point you toward other treatment options for your symptoms.
Schedule a phone or video evaluation of about 5–10 minutes starting at $49. If you qualify, you'll leave with a certification and clear next steps for your state program.
Medically reviewed October 2026. This page is general information and not a substitute for advice from your own clinician. Read our editorial policy.