2. Medical Cannabis Implementation Update
September 2016

3. Implementation Timeline
Office of Compassionate Use Established: July 1, 2014
Florida Administrative Code Chapter 64-4 Promulgated, Final Rule Upheld: May 28, 2015
Dispensing Organization Applications Accepted: July 8, 2015
Five Approved Dispensing Organizations Announced: Nov. 23, 2015
All Five Initial Dispensing Organizations Request Cultivation Authorization: Feb. 5, 2016
Governor Scott signs HB 307 (Chapter , Laws of Florida) into Law: Mar 25, 2016
The Green Solution (San Felasco Nursery) Approved: Apr 6, 2016

4. 6 Approved Dispensing Organizations
Northwest Region: Trulieve (Gadsden)
Northeast Region: CHT Medical (Alachua)
The Green Solution (Alachua)
Central Region: Knox Medical (Orange)
Southwest Region: Surterra Therapeutics (Hillsborough & Leon)
Southeast Region: Modern Health Concepts (Miami-Dade)

5. Implementation Timeline
Dispensing Organizations Granted Cultivation Authorization:
Surterra Therapeutics (Alpha Foliage) Feb 11, 2016
Trulieve (Hackney Nursery) Feb 29, 2016
Modern Health Concepts (Costa Nursery Farms) Mar 14, 2016
Knox Medical (Knox Nursery) May 13, 2016
CHT Medical (Chestnut Hill Tree Farm) May 22, 2016
The Green Solution (San Felasco Nurseries) July, 09, 2016
Dispensing Organizations Granted Dispensing Authorizations:
Trulieve (Hackney Nursery) July 20, 2016
Surterra Therapeutics (Alpha Foliage) July 27, 2016
Modern Health Concepts (Costa) September 9, 2016
First Dispensing Organization Began Dispensing: July 23, 2016

6. What is a Dispensing Organization?
The only entities in Florida that can grow, process, or sell cannabis.
Vertically integrated: Dispensing organizations are vertically integrated businesses meaning they must cultivate, process, and dispense the low-THC and medical cannabis.
Statewide dispensing: Dispensing organizations who have been granted dispensing authorization may dispense statewide.

7. Projected Dispensing Locations
Northwest Region:
Central Region:
- Panama City - Pensacola - Quincy - Tallahassee
- Daytona - Orlando - Palm Bay
Southeast Region:
- Miami-metro - Port St. Lucie - Fort Lauderdale - West Palm Beach
Northeast Region:
Southwest Region:
- Gainesville - Jacksonville - Ocala - Orange Park
Cape Coral
Sarasota
St. Petersburg
Tampa

8. Who Qualifies? Patient Requirements: Low-THC Cannabis:
Must be diagnosed with a qualifying condition (outlined below)
Must be a Florida resident
Must be a patient of the ordering physician for the immediately preceding 3 months
Low-THC Cannabis:
Cancer
Epilepsy
Chronic seizures
Chronic muscle spasms
Medical Cannabis:
Terminal Conditions
* Two physicians must certify that a patient’s condition will be fatal within one year, if it runs its normal course.

9. Who Can Order Cannabis?
Only qualifying physicians may order low-THC and medical cannabis for patients
Qualifying physicians must:
Have an active, unrestricted license under Chapters 458 or 459, Florida Statutes
Complete an 8 hour course and examination provided by the Florida Medical Association and Florida Osteopathic Medical Association
Treat a patient for at least 3 months before patients registration in the registry
Obtain voluntary, written informed consent from the patient/legal representative
Maintain a patient treatment plan for each patient and submit the plan quarterly to the University of Florida School of Pharmacy
Order no more than a 45-day supply for patients
Medical Directors employed by a Dispensing Organization may not order cannabis for patients

10. How Does It Work?
Step 1: A physician diagnoses a patient with a qualifying condition.
Step 2: After treating a patient for at least 3 months, and obtaining voluntary, written informed consent, a physician enters an order for no more than a 45 day supply of low-THC, medical cannabis, or a cannabis delivery device into the Compassionate Use Registry.
Step 3: The ordering physician must submit a patient treatment plan quarterly to the University of Florida School of Pharmacy. The patient treatment plan must be updated in the Compassionate and submitted to the UF School of Pharmacy within 7 days of any change.
Step 4: A patient may fill his or her order at any dispensary operated by one of Florida’s six approved dispensing organizations.

11. Illegal Activity What is not authorized “medical use”
Smoking cannabis (but vaporizer is allowed)
Cannabis ordered by anyone other than a qualified physician, through the Compassionate Use Registry
Cannabis dispensed by anyone other than one of the six approved dispensing organizations
Transfer to anyone other than the qualified patient or their legal representative
Use or administration of a low-THC or medical cannabis product on public transportation, in public, in place of employment, in correctional institutions, on the grounds of a school, on a school bus, or in a vehicle, aircraft or motorboat.
Home Grows

12. Compassionate Use Registry
All law enforcement organizations may request access to the Compassionate Use Patient Registry
Law enforcement organizations may designate a “master user” that has the ability to create and manage users for their organization
Law enforcement users may search for patients (and legal representatives) in the Compassionate Use Registry
To perform a search, you must supply the first and last names of the person you wish to search for, and also their Date of Birth
The patient results page will show you whether or not the person you searched for is authorized to possess cannabis, and a cannabis delivery devices

13. Potential Anticipated Violations
“Dispensing” from any organization that is not one of the 6 approved organizations
Physicians “ordering” outside of the confines of the Compassionate Use Registry
Physicians “ordering” for patients not registered in the Compassionate Use Registry
Physicians ordering more than a 45-day supply
Medical Directors of the approved dispensing organizations may be subject to discipline for some or all violations committed by the dispensing organizations or their employees