Oklahoma’s medical marijuana patient count has fallen to its lowest level in five years, even as product sales remain strong.
As of June 9, the Oklahoma Medical Marijuana Authority reports 329,170 active patients. That’s the lowest figure recorded since July 2020, when there were just over 313,000 patients. The number also reflects a drop of more than 50,000 from the program’s all-time high of 386,913 in May 2022.
This marks the fifth consecutive monthly decline in patient registrations, continuing a downward trend that began in January 2025, when the count stood at 340,258. The total dipped to 339,529 in February, 337,253 in March, and 336,798 in April before falling more sharply in May and early June.
Despite the sustained drop in enrollment, Oklahoma’s medical marijuana market continues to generate substantial revenue. According to state data, patients purchased more than $280 million worth of marijuana products between January and May of this year alone.
While the state still has one of the highest medical marijuana participation rates in the nation, the decline may suggest a maturing market, oversaturation of dispensaries, or shifting patient needs. It may also indicate that the stay has continued to make it more difficult for individuals to join the medical cannabis program as many officials seek to stop its growth. The coming months will reveal whether the downward trend will continue or if the numbers will begin to stabilize.
