What is Texas’s Compassionate Use Program (CUP)?
Texas’s Compassionate Use Program (CUP) allows specific doctors to prescribe low-THC cannabis to patients with certain medical conditions.
- Low-THC Definition: Low-THC cannabis in Texas contains no more than 0.5% THC by weight. For comparison, non-intoxicating hemp products have a THC level of .3% or less. That is only a .2% increase.
- Consumption Restrictions: Smoking is not permitted; only oral consumption (like oils or tinctures) is allowed under the program.
Want to learn more about consuming medical cannabis and the intoxicating hemp products in Texas? Try our Free Medical Cannabis Class!
How to Qualify for Medical Marijuana in Texas
To get approved for medical marijuana in Texas, patients must follow these steps:
1. Consult a CUP-Approved Physician:
Only doctors registered with Texas’s Compassionate Use Program (CUP) are allowed to prescribe low-THC cannabis.
2. Determine Eligibility:
The physician will check if the patient has one of the qualifying medical conditions, such as:
- Epilepsy
- Multiple sclerosis
- Spasticity
- Amyotrophic lateral sclerosis (ALS)
- Autism
- Terminal cancer
- Incurable neurodegenerative diseases
- A medical condition for which the patient is currently being treated under an approved research program
3. Parental Consent (if applicable):
Patients under 18 need consent from a parent or guardian to receive a prescription.
4. Prescription Entry into CURT:
Once approved, the physician will enter the prescription into the Compassionate Use Registry of Texas (CURT) system.
5. Dispensary Visit:
The patient or their legal guardian can fill the prescription at any licensed dispensary in Texas. They will need to provide identification, birthdate, and the last five digits of the patient’s Social Security Number for verification.
Does Texas Issue Medical Marijuana Cards?
No, Texas does not issue physical medical marijuana cards. Instead, all patient records are stored in the CUP system (CURT), which licensed dispensaries can access to verify prescriptions. Be cautious of online services claiming to issue “Texas medical marijuana cards” for a fee, as physical cards are not required or recognized in Texas.
Delta 8 and Delta 10 THC: Legal Alternatives to Texas Medical Marijuana
For those who don’t qualify for Texas’s medical marijuana program, Delta 8 THC and Delta 10 THC are legal alternatives that provide similar effects. Derived from hemp, both Delta 8 and Delta 10 THC are allowed under federal and Texas law as long as they contain less than 0.3% Delta 9 THC (the primary psychoactive component in marijuana).
For more information on Delta 8 and Delta 10 THC, check out this blog article.
For more information on Delta 8 and Delta 10 THC, check out this blog article.


