Medical Marijuana Authorization Form Update

The WANP is re-posting this update from the Washington Department of Health.

Dear Healthcare Practitioners,

Mid-November 2017, communication efforts began to implement new medical marijuana authorization form (authorization) requirements. These requirements were rolled out in phases to assist with the transition.

  • New medical marijuana authorization form – effective January 1, 2018: All authorizations issued on or after January 1, 2018 are required to be completed on the new medical marijuana authorization form (DOH 630-123 July 2017).
  • New medical marijuana authorization tamper-resistant paper – effective July 1, 2018: All authorizations issued on or after July 1, 2018 are required to be printed on the new medical marijuana authorization tamper-resistant paper (paper) containing the new authorization logo that references RCW 69.51A.030 – see attached example.

Please note: Authorizations printed on prescription tamper-resistant paper are still valid if issued before July 1, 2018.

For additional details or form instructions, please visit the Medical marijuana authorization form website.

Where can I find authorization tamper-resistant paper?

Healthcare practitioners can order Medical Marijuana Authorization tamper-resistant paper from the same vendor they order prescription tamper-resistant paper. Under current law, tamper-resistant paper must be approved by the Pharmacy Commission. If your vendor is currently producing prescription tamper-resistant paper that has been approved by the Pharmacy Commission, and they need printing specifications for the authorization logo, please have them contact the Medical Marijuana program at medicalmarijuana@doh.wa.gov or call 360-236-4819, option 1.  I want to learn more…

Training and Resources

Thank you,

Shelly Rowden, Operational Manager

Medical Marijuana Program

WA State Department of Health

PO Box 47852, Olympia, WA 98504-7852

Web: www.doh.wa.gov/medicalmarijuana

PUBLIC HEALTHAlways Working for a Safer and Healthier Washington

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