Ohio medical cannabis sales peak as adult-use market launch remains stalled

Just Released! Get realistic market forecasts, state-by-state insights and benchmarks with the new 2024 MJBiz Factbook member program, now with quarterly updates. Make informed decisions.


Sales of medical cannabis in Ohio’s tightly restricted market appear to have peaked, as lawmakers continue to stall the launch of the state’s recently legalized adult-use marketplace.

Licensed retailers reported selling $484 million of medical cannabis in 2023, according to state sales figures first reported in Crain’s Cleveland Business.

That total is below initial MJBizDaily projections and represents growth of only 1% from 2022 to 2023,  Crain’s reported.

It also underscores Republican Gov. Mike DeWine’s recent push for Ohio lawmakers to take quicker action and launch a recreational marijuana marketplace.

Observers say the Ohio MMJ slowdown is at least partially attributable to strict rules that limit patient access in the state – as well as recreational cannabis available in nearby Michigan.

The state has only 175,484 patients with both an active recommendation from a physician as well as an active registration in a state database, according to Ohio Department of Commerce figures.

That’s considered low for a state with Ohio’s relatively high population, especially when compared to nearby Pennsylvania.

With a population of nearly 13 million, Pennsylvania has 433,638 registered patients, according to state data.

Sales in that state were on track to approach $1.5 billion in 2023.

Operators of Michigan adult-use cannabis dispensaries near the Ohio border say as many as half of their customers live in Ohio.

More than 55% of voters approved Issue 2 in November, making Ohio the 24th state to legalize adult-use marijuana.

But the state still has no clear path to initiating sales, even though possession and cultivation became legal in December.

That all amounts to a “goofy situation” that is “not what people intended,” DeWine, who opposed Issue 2, told The Intelligencer.

“All this is doing is fostering a bigger Black market because people think they can buy it legally and advertising is being done.”

DeWine called on take quicker action “to take action and fix that.”