Texas medical cannabis program facts
| Run by | Texas Department of Public Safety |
|---|---|
| How access works | There's no card to carry; a physician enters your prescription in the Compassionate Use Registry of Texas (CURT) |
| Adult use | Recreational use is illegal; only medical use through TCUP is allowed |
| State fee | Texas charges nothing for the registry and issues no card |
| Validity | A prescription is valid for one year and can include up to four 90-day refills |
| Telehealth | Only 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
Schedule a phone or video evaluation of about 5–10 minutes through My IV Doctors
A physician registered with TCUP reviews your condition
The physician enters your prescription in CURT
Pick a licensed Texas dispensing organization
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.



