Oklahoma’s medical marijuana patient count has declined for the fourth consecutive month, continuing a trend that began at the start of 2025.
According to new data from the Oklahoma Medical Marijuana Authority, there are 336,798 active patients as of April 2, down slightly from 337,253 in March. That figure was already lower than February’s total of 339,529 and January’s 340,258. In December 2024, there were 340,425 patients.
The drop marks a continued cooldown from the state’s 2022 peak, when monthly totals consistently hovered around or above 380,000. For comparison, Oklahoma had 386,561 patients in January 2022—nearly 50,000 more than the most recent count.
The numbers also show a shift from last year’s patterns. In April 2024, Oklahoma reported 347,156 patients, more than 10,000 higher than in April 2025. Throughout most of 2023 and 2022, patient counts remained relatively stable above the 360,000 mark, only beginning to dip steadily in 2024.
Oklahoma still maintains one of the highest medical marijuana enrollment rates per capita in the country, but the continued drop in patients could signal a maturing or oversaturated market. Factors like dispensary overgrowth, patient attrition, and changes in public perception could all be contributing to the decline.
Despite the downtrend, Oklahoma’s medical marijuana program remains one of the most accessible in the U.S., with low barriers to entry for patients and businesses. Whether the numbers continue falling or begin to level off in the coming months remains to be seen.
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