Pennsylvania's medical cannabis patient count dropped to 439,400, but sales increased 4% to $1.3 billion, with retail flower prices hitting a low of $7.59 per gram; however, efforts to legalize adult-use cannabis, which Gov. Shapiro estimated would yield $250 million annually, were rejected by the Senate and not adopted into the state budget.

Pennsylvania Medical Cannabis Program Dropped 1,300+ Patients Last Year

Jan 13, 2026

TG Branfalt

Ganjapreneur

The number of medical cannabis patients in Pennsylvania declined more than
1,300 from 2024 to 2025, according to state data outlined by Axios. As of
November 1, 2025, the state counted 439,400 registered medical cannabis
patients; meanwhile, medical cannabis sales were up 4% during the first
three quarters of last year, totaling $1.3 billion.

The number of dispensaries also remained steady from 2024 to 2025, with 195
in operation by year’s end – just one less than the previous year. There
are also 30 licensed cultivators and processors currently operating in the
state, according to the data.

The price-per-gram for flower is also at its lowest point since the launch
of the medical cannabis program in January 2021, at $2.98 per
wholesale gram and $7.59 per retail gram.

Last year, Gov. Josh Shapiro (D) included adult-use cannabis legalization
in his 2025-2026 budget proposal which he estimated would yield $250
million annually in additional tax revenue for the commonwealth and
generate $1.3 billion over the first five years as the market gets up and
running. The reforms were not adopted in the final state budget.

An adult-use legalization bill passed the Pennsylvania House last year but
was rejected by the Senate.