Missouri Adult-Use Cannabis Sales Totaled $1.26B in 2024
Adult-use cannabis sales in Missouri topped $1.26 billion in 2024, while medical cannabis sales totaled $182 million, according to the state’s Department of Health and Human Services Medical and Adult-Use Cannabis Annual Report. State tax revenues derived from medical cannabis sales resulted in $7.4 million for the state’s Veterans’ Health and Care Fund (MVC) while tax revenues from adult-use sales resulted in $72.3 million for the state’s Veterans, Health and Community Reinvestment Fund.
From the Reinvestment Fund, another $10.5 million each was sent to the MVC, and another $10.5 million was sent to both the health department’s Substance Use Disorder grants program and the Missouri State Public Defender System.
New medical cannabis patient registrations were down sharply from 2023 to 2024, with 14,575 new patients enrolled last year, compared to 40,173 the year prior. Patient renewals fell precipitously from 65,440 in 2023 to just 1,040 in 2024. New patient registrations to cultivate cannabis dropped from 4,505 in 2023 to 1,587 last year, with patient cultivation renewals falling from 11,994 in 2023 to just 183 last year. New caregiver ID card registrations were also down from 1,100 in 2023 to 470 last year, while caregiver renewals fell from 789 to just six.
Despite the downtick in new and renewed medical cannabis ID cards, the number of active patient ID cards rose from 109,812 in 2023 to 118,892 last year; patient cultivation cards were up more than 1,000 from 17,143 in 2023 to 18,491 last year; and active caregiver ID cards increased from 1,878 in 2023 to 2,254 last year.
In 2024, the state issued 33 microbusiness wholesale licenses – the most of any type – followed by microbusiness dispensary licenses (25), dispensary (7), transportation (4), manufacturing (1), and cultivation (1). No new licenses were issued for seed-to-sale, testing, or warehouse.
There are currently 20,909 registered agent ID cards in the state, issued to employees, contractors, owners, and volunteers who have access to a licensed facility. The state opened 50 investigations into registered agent cardholders in 2024, the majority (23) for theft, 10 for security, eight for distribution, six for compliance, and three for plant counts.
Throughout 2024, Missouri opened 65 investigations into diversion and/or inversion by licensed facilities, 63 for security, 38 for compliance, 19 for unlicensed operation, 16 into products, nine for sales, three for legal matters, and two for theft. The report does not indicate the results of any investigation into registered agents or facilities.