Last updated: October 1, 2026

How Much Does a Hawaiʻi 329 Card Cost for Pearl City Patients in 2026?

Pearl City residents considering a 329 card in 2026 should generally budget for two distinct expenses: medical certification and state registration.

Medical Provider Certification: A qualifying physician or APRN must evaluate the patient and provide the required medical certification before registration. Hawaiʻi limits medical cannabis certification fees to no more than $105 for a one-year certification. The maximum covers both the evaluation and issuance of the certification. Patients seeking a longer certification period should confirm the applicable charge with their provider or the Hawaiʻi Department of Health.

Hawaiʻi Registration Charge: A new patient pays $38.50 for a one-year registration through the Hawaiʻi Medical Cannabis Registry after the required medical certification has been submitted. Eligible renewal patients may qualify for a three-year registration period under the updated program.

For a new one-year Pearl City patient, the $38.50 state registration fee combined with the maximum $105 certification charge means those two costs together would not exceed $143.50. Providers are permitted to charge less than the maximum.

Ways Pearl City Patients May Reduce Their Costs

The certification limit is a maximum rather than a fixed price. A physician or APRN may charge less than $105 for a one-year certification, so patients can ask about pricing before scheduling an appointment.

Some qualifying renewal patients may be eligible for a three-year registration period under Hawaiʻi’s updated process. This longer registration period reduces how often eligible patients need to complete the state renewal process.