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Massachusetts Medical Cannabis Sales Drop 40% Since 2021 Peak | How to buy Skittles Moonrock online

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Editor’s note: This article includes the Massachusetts segment of Cannabis Business Times’ special report on the downfall of medical cannabis in 17 adult-use markets that was published on Aug. 26, 2025.

After Massachusetts voters legalized medical cannabis in the November 2012 election, the first medical cannabis dispensary opened for business 2 1/2 years later in June 2015 in Salem.

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Active patient numbers peaked at more than 100,000 patients in February 2021 and have only declined slightly since—to 91,758 as of July 2024—according to the CCC.

Still, Massachusetts’ medical cannabis sales have dipped 40% since a COVID-related peak, from $270 million in 2021 sales to $162 million in 2024 sales, according to the CCC. This is likely attributed to falling sales prices and shrinking basket sizes.

Mass Sales Au v med Cbt

In 2025, medical cannabis sales have somewhat stabilized: As of August, medical retail sales are projected to finish the year at roughly $158.5 million.

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