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Dr. Matthew Hill, founder of Hill Family Cannabis in Austin, shares how medical cannabis can safely and effectively support patients with qualifying conditions under Texas law.

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Medical Marijuana Dispensary in Texas: How to Fill Your Prescription

Last reviewed: October 2026.

Once a physician prescribes low-THC cannabis through the Texas Compassionate Use Program (TCUP), the next step is filling that prescription. In Texas, that happens at a state-licensed dispensing organization, which is what most people mean by a "medical marijuana dispensary in Texas." This guide explains how the dispensing system works in 2026, how ordering, pickup and delivery generally work, and what to bring.

A quick note about us: Hill Family Cannabis is a physician practice, not a dispensary. Dr. Matthew Hill evaluates patients and writes prescriptions; licensed dispensing organizations fill them.

How Texas Licenses Dispensaries

The Texas Department of Public Safety (DPS) licenses the organizations that grow, process and dispense low-THC cannabis. Under House Bill 46, in effect since September 1, 2025, the state may license up to 15 dispensing organizations, and each may open DPS-approved satellite locations to reach more of the state.

  • As of early 2026, three organizations were fully licensed and operating, including Texas Original and Goodblend.
  • DPS conditionally awarded nine new licenses in December 2025 and three more on April 1, 2026. Conditional licensees can't sell until they receive final approval, and they have up to 24 months to begin operating.

Because this list is changing, check the DPS Compassionate Use Program page for the current list of licensed organizations before choosing one.

Do You Need a Medical Marijuana Card?

No. Texas does not issue medical marijuana cards. Your physician enters your prescription in the Compassionate Use Registry of Texas (CURT), and the dispensing organization looks it up there. Read more in our guide to the medical marijuana card in Texas.

Who Can Fill a Prescription

You must be a permanent Texas resident with a qualifying condition, such as epilepsy or a seizure disorder, multiple sclerosis, spasticity, ALS, autism, cancer, an incurable neurodegenerative disease, PTSD, a condition that causes chronic pain, traumatic brain injury, Crohn's disease or other inflammatory bowel disease, or a terminal illness or hospice or palliative care. A CURT-registered physician must evaluate you and decide that low-THC cannabis is appropriate. See the full list on our qualifying conditions page.

How Ordering Usually Works

  1. Get a prescription. A registered physician evaluates you and enters the prescription in CURT.
  2. Choose a dispensing organization. Compare which ones serve your area, their product options and whether they offer pickup or delivery near you.
  3. Create a patient account. Most organizations ask you to register online with the same name and date of birth used in CURT so they can match your prescription.
  4. Place your order. You can only buy products and amounts that match your prescription.
  5. Pick up or receive delivery. Bring a valid government-issued photo ID. A registered legal guardian may be able to pick up for a minor or a patient who needs help.

Pickup Locations and Delivery

Dispensing organizations run their own pickup locations and, in some cases, deliver to patients in parts of the state. Delivery areas, schedules, minimum orders and fees vary by organization and change often, so check each organization's website. Cannabis can't be shipped by mail, and products can't be taken out of Texas.

As satellite locations open under HB 46, more patients outside the big metro areas should have a pickup option closer to home. For local help, see our dispensaries page.

What Products Are Available

Texas dispensing organizations offer low-THC products with no more than 10 mg of THC per dose, such as tinctures, capsules, gummies and lozenges. Smoking and dry flower are not allowed. Vaporized products may be dispensed only if your physician has documented a medical necessity for inhalation. Your physician, not the dispensary, decides the product type and dose.

Costs, Discounts and Insurance

Health insurance does not cover TCUP products, so you pay the dispensing organization directly. Some organizations offer discounts, for example for veterans, first responders or new patients, but programs vary and change; ask the organization directly. Your physician visit is billed separately (see our pricing).

Frequently Asked Questions

Can I walk into a Texas dispensary without a prescription?

No. You need an active prescription in CURT before a dispensing organization can fill an order.

Are hemp or CBD stores the same as dispensaries?

No. Smoke shops and CBD stores sell hemp products outside the medical program. Those products aren't prescribed or regulated as medicine, and many are being restricted: delta-8 THC is now treated as a Schedule I substance in Texas, and a federal change in December 2026 will ban most intoxicating hemp products.

How do refills work?

A prescription can cover a 90-day supply with up to four 90-day refills. Follow up with your physician to adjust or renew it.

Are there side effects?

Yes. THC can cause drowsiness, dizziness, anxiety, a fast heart rate and impaired coordination, and it may interact with other medications. Tell your physician about everything you take, and don't drive if you feel impaired.

Get Your Prescription First

Dr. Hill sees patients across Texas by telemedicine and can enter your prescription in CURT if low-THC cannabis is right for you. Learn how to get a prescription or book a visit.

This article is for general information and isn't medical or legal advice. Talk with a physician about your situation.

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