Utah’s medical cannabis program experienced continued expansion in November, according to a report released today by the Department of Health & Human Services.
The state ended November with 106,422 active medical cannabis cardholders, reflecting a sustained rise in enrollment that has climbed steadily since the program launched in 2020. Adults between 31 and 50 make up nearly half of all patients, while individuals over 65 represent just over 11% of cardholders.
Pain remains overwhelmingly the top qualifying condition, with more than 91,000 patients listing persistent pain as their primary reason for participation. PTSD is the next most common condition, followed by nausea, multiple sclerosis and epilepsy.
Sales data for November show a diversified and active marketplace. Vape cartridges and pens continue to dominate monthly spending, totaling $7.37 million. Flower was the second-highest category at $4.94 million, followed by infused edibles at $2.71 million. Topical and other non-edible infused products accounted for just over $113,000 in sales, while non-medicated accessories brought in roughly $125,000. The total $15.28 million in sales brings the year-to-date total to above $160 million.
Patient purchasing activity remained robust. Nearly 60,000 patients made at least one purchase in the last 30 days, and more than 20,000 made three or more. Within a 90-day window, 80,971 patients made at least one transaction, underscoring consistent program engagement.
The state’s delivery and pickup systems also played a major role this month. Delivery services were active across nearly every region of Utah, with companies providing rural and urban delivery options. A heat-map of November deliveries shows the highest activity concentrated in Salt Lake, Davis and Utah counties—the state’s population centers. Pickup orders followed a similar pattern, with the same counties showing the highest volume of online orders retrieved in person.
Cultivation and processing operations saw significant throughput. Licensed growers harvested more than 9.7 million grams of cannabis biomass across 273 planting batches during November. The largest single-day harvest occurred on November 19, when more than 2.1 million grams were processed from 2,395 plants. Processors supplied pharmacies with 164,311 cartridges and pens, 89,083 units of flower, 90,126 edible products and nearly 4,000 topicals.
Medical providers also remain deeply involved in the program, with 1,006 recommending medical providers registered electronically and an additional 214 operating on paper-only systems. Salt Lake County leads the state with 474 registered medical providers.
Program oversight remained active as well. Inspectors completed multiple audits across cultivation, processing, pharmacy and courier operations, identifying several labeling, security and inventory-control violations that will require corrective action.
Overall, the November report reflects a mature medical cannabis system that continues to expand in patient access, commercial production and product diversity. With monthly sales sustained at high levels and cardholder growth still climbing, Utah’s medical cannabis program remains among the nation’s more rapidly developing regulated markets.
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