Frequently asked questions How much does a Puerto Rico medical marijuana card cost? $159 for residents; $99 for tourists. Those with a valid medical marijuana recommendation & card from another US state may use a dispensary in Puerto Rico. However, you must still obtain a recommendation letter from the Puerto Rico Health Department in order to visit a dispensary – you must have the same qualifying condition for both states. Application fee does not include the cost of physician’s consultation, which is $125.