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Texas medical cannabis (TCUP)

Texas medical cannabis (TCUP) evaluation online

Texas runs the Compassionate Use Program (TCUP) through the Department of Public Safety, and it works without a physical card. A TCUP-registered physician enters your prescription in the Compassionate Use Registry of Texas (CURT), and you fill it at a licensed dispensing organization. HB 46, signed in June 2025, added chronic pain, Crohn's disease and other conditions.

  • $159 new patients
  • $100 renewals
  • Phone or video

State fees are paid to the state, not to us.

Med card
$159evaluation
Licensed U.S. clinician review
Renewal: $100
$159evaluation
$100Renewal
About 5–10 minVisit
Phone or videoFormat

Medical Cannabis (TCUP) evaluations across Texas

Evaluations are by phone or video, so you can book from any Texas city or town.

WacoWacoSan AntonioSan AntonioPlanoMcKinneyLubbockLubbockLaredoLaredoIrvingHoustonHoustonGarlandGarlandFriscoFort WorthFort WorthEl PasoEl PasoDallasCorpus ChristiCorpus ChristiAustinAustinArlingtonAmarilloAmarillo
Major city Also served by phone or video

Texas medical cannabis program facts

Run byTexas Department of Public Safety
How access worksThere's no card to carry; a physician enters your prescription in the Compassionate Use Registry of Texas (CURT)
Adult useRecreational use is illegal; only medical use through TCUP is allowed
State feeTexas charges nothing for the registry and issues no card
ValidityA prescription is valid for one year and can include up to four 90-day refills
TelehealthOnly a physician registered with TCUP can prescribe for you. Pick phone or video when you book, and we will tell you if video is needed.

Texas medical cannabis law highlights

  • HB 46, signed in June 2025, expanded TCUP to include chronic pain, Crohn's disease, traumatic brain injury, terminal illness and hospice care.
  • The old 1% THC cap is gone; the limit is now 10 mg of THC per dose and 1 gram per package.
  • Lotions, patches, suppositories and non-smoked inhalation are allowed, while smokable flower is not.

Conditions that can qualify in Texas

  • Epilepsy and seizure disorders
  • Multiple sclerosis
  • Spasticity
  • ALS
  • Autism
  • Cancer
  • PTSD
  • Incurable neurodegenerative diseases
  • Chronic pain lasting more than 90 days
  • Traumatic brain injury
  • Crohn's disease
  • Terminal illness
  • Hospice care

How to get a medical cannabis (TCUP) in Texas

  1. Schedule a phone or video evaluation of about 5–10 minutes through My IV Doctors

  2. A physician registered with TCUP reviews your condition

  3. The physician enters your prescription in CURT

  4. Pick a licensed Texas dispensing organization

  5. Bring photo ID to fill your prescription

Texas medical cannabis rules

  • Each dose is capped at 10 mg of THC, and each package at 1 gram.
  • Smoking cannabis is not allowed.
  • Having cannabis outside the TCUP program is still illegal in Texas.

Book a phone or video evaluation

Physicians who oversee your care

Dr. Benjamin H. Krasne, M.D.

Dr. Benjamin H. Krasne, M.D.

Board-certified physician

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

Dr. Johnathan Chance Miller, M.D.

Dr. Johnathan Chance Miller, M.D.

Physician

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

Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G.

Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G.

OB-GYN, board certified

An OB-GYN for more than 40 years and a Fellow of ACOG, she leads women's health care, from perimenopause to PCOS.

Medical Cannabis (TCUP) questions for Texas

Booking is free and the consultation takes about 5–10 minutes.

Book by video

How much does the Texas evaluation cost?

Our evaluation is $159 for new patients and $100 for renewals. Texas charges nothing for the registry and issues no card.

Is recreational cannabis legal in Texas?

Recreational use is illegal; only medical use through TCUP is allowed.

How long is a card or certification valid?

A prescription is valid for one year and can include up to four 90-day refills.

Can a caregiver help me?

You can have a legal guardian or designated caregiver listed in the registry so they can fill prescriptions for you.

Can minors qualify?

A minor can qualify when a parent or legal guardian takes part and is listed in the registry.

Does a past conviction matter?

Patients are rarely disqualified over a past conviction, though caregiver applications can involve a background check.

How do renewals work?

A prescription lasts one year with as many as four 90-day refills. Schedule your renewal evaluation before it runs out.

Get your Texas medical cannabis (TCUP) evaluation

Schedule a phone or video evaluation of about 5–10 minutes for $159. If you qualify, we help you with the next steps for the state program; state fees are separate.

Reviewed October 2026. Laws and agency processes change, so confirm details with the relevant state agency. This page is general information, not legal or medical advice.

$159evaluation
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