Pennsylvania Medical Cannabis Program Dropped 1,300+ Patients Last Year   

The number of medical cannabis patients in Pennsylvania declined more than 1,300 from 2024 to 2025, according to state data outlined by Axios. As of November 1, 2025, the state counted 439,400 registered medical cannabis patients; meanwhile, medical cannabis sales were up 4% during the first three quarters of last year, totaling $1.3 billion.  

The number of dispensaries also remained steady from 2024 to 2025, with 195 in operation by year’s end – just one less than the previous year. There are also 30 licensed cultivators and processors currently operating in the state, according to the data. 

The price-per-gram for flower is also at its lowest point since the launch of the medical cannabis program in January 2021, at $2.98 per wholesale gram and $7.59 per retail gram. 

Last year, Gov. Josh Shapiro (D) included adult-use cannabis legalization in his 2025-2026 budget proposal which he estimated would yield $250 million annually in additional tax revenue for the commonwealth and generate $1.3 billion over the first five years as the market gets up and running. The reforms were not adopted in the final state budget. 

An adult-use legalization bill passed the Pennsylvania House last year but was rejected by the Senate.