Iowa 470-0192: Medical Cannabis THC Limit Waiver

Iowa limits medical cannabis purchases to 4.5 grams of THC per 90 days unless the patient has a waiver. On this two-page form, the practitioner who certified the patient's current registration card certifies, based on a current exam and history, the grams per 90-day period needed to alleviate the qualifying condition or its symptoms.

Who completes it

The same Iowa MD, DO, PA, ARNP or DPM who certified the current card completes page 2: practitioner information, the purchase limit in numbers and words, and signature. The patient's information goes on page 1.

Submitting and payment

How to submit it
Give the completed form to the patient, who submits it through the program's online upload site after verifying their account; mail is accepted only as a last resort.

Good to know

  • The waiver is available only after the initial certification, and a medical exam after the original certification is required unless the patient was certified for a terminal illness.
  • For terminal illness certifications, the practitioner may specify a higher amount at the time of certification instead of using a separate waiver.
  • Write the gram amount both as a number and spelled out; incomplete or unreadable forms may be denied. The current revision is 04/26.

Get the official form

Download the current version from the source each time; forms change without notice.

Medical Cannabis Waiver to Increase THC Limit

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Can a different provider sign Iowa's THC limit waiver?

No. Form 470-0192 must be completed by the same provider who certified the patient for their current registration card. That practitioner certifies, based on a current examination and the patient's history, the purchase limit in grams per 90-day period that should be approved.

What is Iowa's medical cannabis THC limit without a waiver?

4.5 grams of THC per 90 days. Patients certified for a terminal illness can have a higher amount set at certification; other patients need this waiver from their original certifying practitioner after participating in the program and being examined again.