Arizona Medical Marijuana Program 2016 Fiscal Year-End Report In November 2010, Arizona voters passed the Arizona Medical Marijuana Act (AMMA), A.R.S. §36-2801 et seq. The AMMA went into effect on April 14, 2011, making Arizona the fourteenth state to adopt a medical marijuana law. The AMMA designates the Arizona Department of Health Services (ADHS) as the licensing and issuing authority for the Arizona Medical Marijuana Program. The AMMA Fiscal Year-End Report highlights the most current program statistics. This includes data on active medical marijuana cardholders and transaction data from the sale of medical marijuana at non-profit medical marijuana dispensaries. Tables 1 through 6 and Figures 1 through 3 reflect data that are point in time. Table 7 and Figure 4 are data from the month of June, 2016. The Fiscal Year 2016 section that follows shows cumulative applications and approvals for the 2016 State Fiscal Year (July 1, 2015 - June 30, 2016). For additional information and statistics, please reference the Arizona Medical Marijuana Annual Report or Monthly Reports. Table 1. Arizona Medical Marijuana Active Qualifying Patients, Designated Caregivers and Dispensary Agents Profile for June, 2016. Active Cardholder’s Profile June 2016 Totals June 2016 Percent Total 1. Qualifying Patients (QPs) 2. Caregivers (CGs) 3. Dispensary Agents (DA) Total 102,040 860 2,752 105,652 96.58% 0.81% 2.60% 100.00% *Note: For caregivers and dispensary agents, these data reflect unique individuals, not the number of cards. Table 2. Arizona Medical Marijuana Active Qualifying Patients Profile for June, 2016. Application profile of qualifying patients 1. New Applications 2. Renewal Applications 3. Changed Demographics 4. Added Caregivers 5. Change Duplicates 6. Replaced Caregivers 7. Removed Caregivers Total June 2016 Totals June 2016 Percent Total 67,592 30,349 1,797 212 2,047 37 6 102,040 66.24% 29.74% 1.76% 0.21% 2.01% 0.04% 0.01% 100.00% Approximately 12 percent (n = 12,612) of the active cardholders were determined to be SNAP eligible. Of the 12,612 that were determined to be eligible, 5,698 (~45%) were females and 6,923 (~55%) were males. 1 Table 3. Arizona Medical Marijuana Active Qualifying Patient Characteristics for June, 2016 Characteristics of Active Cardholders who are Qualified Patients (N=102,040) Patient Age-groups Less than 18 years 18 to 30 years 31 to 40 years 41 to 50 years 51 to 60 years 61 to 70 years 71 to 80 years 81 and older Patient Gender Male Female June 2016 Totals June 2016 Percent Total 164 25,264 20,902 16,089 18,685 16,341 3,812 783 0.16% 24.76% 20.48% 15.77% 18.31% 16.01% 3.74% 0.77% 65,762 36,278 64.45% 35.55% Figure 1. Arizona Medical Marijuana Active Qualifying Patients Characteristics by Gender and Age for June, 2016 (N = 102,040) Females (N=36,278) Males (N=65,762) 100% 30% 0.54 0.46 0.59 0.41 0.44 0.37 0.32 40% 0.29 50% 0.38 60% 0.37 0.56 0.63 0.62 70% 0.68 0.71 80% 0.63 90% 20% 10% 0% <18 18-30 31-40 41-50 2 51-60 61-70 71-80 81+ Table 4. Arizona Medical Marijuana Active Qualifying Patients Medical Condition Profile for June, 2016 Patient Medical Condition Profile of Active Cardholders¶ Alzheimer’s Cachexia Cancer Chronic Pain Crohn's Disease Glaucoma Hepatitis C HIV/AIDS Muscle Spasms Nausea Post-Traumatic Stress Disorder (PTSD) Sclerosis Seizures Two Or More Conditions TOTAL ¶ June 2016 Totals June 2016 Percent total 47 93 2,793 82,772 426 722 836 464 668 661 1,226 27 879 10,426 102,040 0.05% 0.09% 2.74% 81.12% 0.42% 0.71% 0.82% 0.45% 0.65% 0.65% 1.20% 0.03% 0.86% 10.22% 100.00% Unique debilitating conditions Figure 2. Arizona Medical Marijuana Active Designated Caregiver Characteristics by Gender and Age for June, 2016 (N = 873) Females (N=325) Males (N=548) 100% 0.81 90% 0.65 0.67 0.33 71-80 0.46 0.54 0.35 50% 0.52 0.48 60% 0.19 40% 20% 61-70 0.65 70% 30% 0.35 80% 10% 0% 18-30 31-40 41-50 3 51-60 Table 5. Arizona Medical Marijuana Active Qualifying Patients and Designated Caregivers Authorized for Cultivation for June, 2016 Active Cardholders Cultivation Status June 2016 Totals June 2016 Percent Total 1,394 437 1.37% 50.81% Qualifying Patients (n = 102,040) Caregivers (n = 1,083) Table 6. Frequency and Percent of Total Frequency of Qualifying Patients per County of Residence for June, 2016. Qualifying Dispensary County Caregivers Patients Agents Apache County Cochise County Coconino County Gila County Graham County Greenlee County La Paz County Maricopa County Mohave County Navajo County Pima County Pinal County Santa Cruz County Yavapai County Yuma County TOTAL 756 1,515 2,619 1,128 358 127 259 63,588 3,878 1,436 13,661 5,403 328 5,757 1,226 102,040 Count under 20 Count under 20 36 Count under 20 Count under 20 Count under 20 Count under 20 542 Count under 20 26 90 43 Count under 20 62 Count under 20 860 Count under 20 21 115 30 Count under 20 Count under 20 Count under 20 1696 105 69 310 100 34 202 Count under 20 2,724 *Note: 29 active patients have not been assigned to counties due to spatial precision of their residence address Table 7. Type and Amount of Transactions at Medical Marijuana Dispensaries in June, 2016 † Type of Transaction† Ounces (oz.) Pounds Marijuana Marijuana Edible Marijuana Other Total Marijuana Sold 67,912.01 4,482.13 1,676.32 74,070.46 4,244.50 280.13 104.77 4,629.40 Amounts have been rounded and may not add to exact column totals 4 0 5 6/29/2016 6/27/2016 6/25/2016 6/23/2016 6/21/2016 250 200 12000 150 10000 100 8000 6000 50 4000 2000 0 Total # of Transactions Total Sales (in Pounds) 6/19/2016 6/17/2016 6/15/2016 6/13/2016 6/11/2016 6/9/2016 6/7/2016 6/5/2016 6/3/2016 6/1/2016 Amount of Marijuana Sold (in Pounds) Figure 3. Daily Transactions and Amount of Marijuana Sold in June, 2016 June 2016 Transactions 18000 16000 14000 Medical Marijuana Summary for State Fiscal Year 2016 (FY16) Information contained in the tables below represents information for State Fiscal Year 2016 (July 1, 2015 – June 30, 2016). Table 1a. Arizona Medical Marijuana Applications Received for Qualifying Patients, Caregivers, and Dispensary Agents in FY16 Applications Received Profile FY 16 Totals Percent Total Qualifying Patients (QPs) Caregivers (CGs) Dispensary Agents (DA) Total 109,109 2,200 4,056 115,365 94.58% 1.91% 3.52% 100.00% *Note: For caregivers and dispensary agents, these data reflect unique individuals, not the number of cards. Table 1b. Arizona Medical Marijuana Licensed Qualifying Patients, Designated Caregivers and Dispensary Agents in FY16 Applications Approved Cardholder Profile FY 16 Totals Percent Total Qualifying Patients (QPs) Caregivers (CGs) Dispensary Agents (DA) Total 108,883 2,166 3,959 115,008 94.67% 1.88% 3.44% 100.00% *Note: For caregivers and dispensary agents, these data reflect unique individuals, not the number of cards. Table 2. Arizona Medical Marijuana Licensed Qualifying Patient Profile in FY16 Applications Received for Qualifying Patients FY 16 Totals Percent Total New Applications Renewal Applications Changed Demographics Added Caregivers Change Duplicates Replaced Caregivers Removed Caregivers Total 70,183 32,206 2,632 411 3,358 57 36 108,883 64.46% 29.58% 2.42% 0.38% 3.08% 0.05% 0.03% 100.00% 6 Table 3a. Arizona Medical Marijuana Applications Received - Qualifying Patient Characteristics in FY16 Characteristics of Applications Received who are Qualified Patients Patient Age-groups Less than 18 years 18 to 30 years 31 to 40 years 41 to 50 years 51 to 60 years 61 to 70 years 71 to 80 years 81 and older Patient Gender Male Female FY 16 Totals Percent Total 192 29,004 22,187 16,869 19,948 16,461 3,691 757 0.18% 26.58% 20.33% 15.46% 18.28% 15.09% 3.38% 0.69% 70,650 38,459 64.75% 35.25% (N = 109,109) Table 3b. Arizona Medical Marijuana Licensed Qualifying Patient Characteristics in FY16 Characteristics of Approved Applications who are Qualified Patients Patient Age-groups Less than 18 years 18 to 30 years 31 to 40 years 41 to 50 years 51 to 60 years 61 to 70 years 71 to 80 years 81 and older Patient Gender Male Female 7 FY 16 Totals Percent Total 190 28,943 22,141 16,838 19,908 16,425 3,685 753 0.17% 26.58% 20.33% 15.46% 18.28% 15.08% 3.38% 0.69% 70,506 38,377 64.75% 35.25% (N=108,883) Figure 1a. Gender and Age Characteristics of Qualifying Patient (QP) Applications Received in FY16 (N =109,109) Females (N=38,459) Males (N=70,650) 50% 45% 40% 41-50 51-60 61-70 15% 0.00 0.00 5% 0.04 0.03 10% 0.01 0.00 0.16 0.15 31-40 0.16 18-30 20% 0.16 0.15 0.18 0.21 25% 0.21 30% 0.23 0.29 35% 0% <18 71-80 81+ Figure 1b. Gender and Age Characteristics of Licensed Qualifying Patients in FY16 (N =108,883) Females (N=38,377) Males (N=70,506) 50% 45% 40% 41-50 51-60 61-70 15% 0.00 0.00 5% 0.04 0.03 10% 0.01 0.00 0.16 0.15 31-40 0.16 18-30 20% 0.16 0.15 0.18 0.21 25% 0.21 30% 0.23 0.29 35% 0% <18 8 71-80 81+ Figure 2a. Gender and Age Characteristics of Caregiver Applications Received in FY16 (N = 2,200) Females (N=556) 50% Males (N=1,644) 45% 0.00 0.01 5% 0.02 0.04 10% 0.08 0.09 15% 0.12 20% 0.10 0.20 25% 0.18 0.24 30% 0.32 35% 0.29 0.32 40% 0% 18-30 31-40 41-50 51-60 61-70 71-80 81+ Figure 2b. Gender and Age Characteristics of Licensed Care Caregivers in FY16 (N = 2,166) Females (N=546) Males (N=1,619) 50% 45% 0.00 0.01 0.02 5% 0.04 0.08 10% 0.10 0.09 15% 0.12 20% 0.18 25% 0.20 0.24 30% 0.32 35% 0.29 0.32 40% 0% 18-30 31-40 41-50 51-60 9 61-70 71-80 81+ Table 4a. Patient Medical Conditions Profile for Arizona Medical Marijuana Applications Received in FY16 Patient Medical Condition Profile of Applications Received FY 16 Totals Percent Total Alzheimer’s Cachexia Cancer Chronic Pain Crohn's Disease Glaucoma Hepatitis C HIV/AIDS Muscle Spasms Nausea Post-Traumatic Stress Disorder (PTSD) Sclerosis Seizures Two Or More Conditions TOTAL 47 96 2,919 88,568 445 765 875 499 698 698 1,319 27 945 11,208 109,109 0.04% 0.09% 2.68% 81.17% 0.41% 0.70% 0.80% 0.46% 0.64% 0.64% 1.21% 0.02% 0.87% 10.27% 100.00% ¶ Unique debilitating conditions Table 4b. Licensed Qualifying Patients Medical Conditions Profile in FY16 Patient Medical Condition Profile of Applications Approved¶ FY 16 Totals Percent Total Alzheimer’s Cachexia Cancer Chronic Pain Crohn's Disease Glaucoma Hepatitis C HIV/AIDS Muscle Spasms Nausea Post-Traumatic Stress Disorder (PTSD) Sclerosis Seizures Two Or More Conditions TOTAL 47 96 2,909 88,414 445 763 873 497 695 698 1,312 27 939 11,168 108,883 0.04% 0.09% 2.67% 81.20% 0.41% 0.70% 0.80% 0.46% 0.64% 0.64% 1.20% 0.02% 0.86% 10.26% 100.00% ¶ Unique debilitating conditions 10 Table 5a. Arizona Medical Marijuana Applications Received for Applicants Seeking Authorization to Cultivate in FY16 Applications Received for Cardholders with Cultivation Status FY 16 Totals Percent Total Qualifying Patients (n = 109,109) Caregivers (n = 2,200) 1,668 0 1.53% 0.00% Table 5b. Arizona Medical Marijuana Licensed Qualifying Patients and Designated Caregivers Authorized for Cultivation in FY16 Approved Cardholders Cultivation Status FY16 Totals Percent Total Qualifying Patients (n = 108,883) Caregivers (n = 2,166) 1,620 0 1.47% 0.00% Table 7a. Types and Amounts of Transactions at Medical Marijuana Dispensaries in FY16 † Type of Transaction† Ounces (oz.) Pounds Marijuana Marijuana Edible Marijuana Other Total Marijuana Sold 712,858.66 52,931.54 16,430.00 782,220.20 44,553.67 3,308.22 1,026.87 48,888.76 Amounts have been rounded and may not added to exact totals 11 12 June-2016 May-2016 April-2016 March-2016 February-2016 January-2016 December-2015 November-2015 October-2015 September-2015 August-2015 July-2015 Amount of Marijuana Sold (in Pounds) 5000 400000 4500 350000 4000 3500 3000 250000 2500 200000 2000 150000 1500 1000 100000 500 50000 0 0 Total # of Transactions Figure 5. Transactions and Amounts of Medical Marijuana Sold in FY16 by Month Total Sales (in Pounds) 300000 Arizona Medical Marijuana Year-End Comparison Information contained in the summary tables below represents a comparison of information for the last month of FY 15 (June 2015) and FY 16 (June 2016). Table 8: Arizona Medical Marijuana Active Qualifying Patients, Designated Caregivers and Dispensary Agents Profile Summary Comparison Active Cardholder Profile June 2015 Totals June 2016 Totals n(% Change) 1. Qualifying Patients (QPs) 2. Caregivers (CGs) 3. Dispensary Agents (DA) Total 76,698 695 1,898 79,291 102,040 860 2,752 105,652 25,342 (24.84%) 165 (19.19%) 854 (31.03%) 26,361 (24.95%) Totals Table 9: Arizona Medical Marijuana SNAP Eligible Active Cardholders Comparison Active Cardholders who are SNAP Eligible June 2015 Totals June 2016 Totals n(% Change) 5,563 4,377 9,940 6,923 5,698 12,612 1,360 (19.64%) 1,321 (23.18%) 2,672 (21.19%) 1. Male 2. Female Total Totals Table 9. Arizona Medical Marijuana Active Qualifying Patient Demographics Comparison June 2015 Totals Characteristics of Active Cardholders who are Qualified Patients Patient Age-groups Less than 18 years 18 to 30 years 31 to 40 years 41 to 50 years 51 to 60 years 61 to 70 years 71 to 80 years 81 and older Patient Gender Male Female 13 (N=76,697) June 2016 Totals (N=102,040) n(% Change) 109 18,605 15,372 12,095 15,148 12,177 2,606 585 164 25,264 20,902 16,089 18,685 16,341 3,812 783 55(33.54%) 6,659(26.36%) 5,530(26.46%) 3,994(24.82%) 3,537(18.93%) 4,164(25.48%) 1,206(31.64%) 198(25.29%) 50,977 25,720 65,762 36,278 14,785(22.48%) 10,558(29.10%) Totals Table 10. Arizona Medical Marijuana Licensed Qualifying Patients Medical Conditions Profile Comparison Active Cardholder Patient Medical Condition Profile ¶ Alzheimer’s Cachexia Cancer Chronic Pain Crohn's Disease Glaucoma Hepatitis C HIV/AIDS Muscle Spasms Nausea Post-Traumatic Stress Disorder (PTSD) Sclerosis Seizures Two Or More Conditions TOTAL June 2015 Totals June 2016 Totals n(% Change) Totals 34 57 2,052 56,699 372 578 802 371 702 558 517 34 684 13,237 76,797 47 93 2,793 82,772 426 722 836 464 668 661 1,226 27 879 10,426 102,040 13(27.66%) 36(38.71%) 741(26.53%) 26,073(31.50%) 54(12.68%) 144(19.94%) 34(4.07%) 93(20.04%) -34(-5.09%) 103(15.58%) 709(57.83%) -7(-25.93%) 195(22.18%) -2,811(-26.96%) 25,243(24.74%) ¶Unique debilitating conditions Table 11. Arizona Medical Marijuana Licensed Qualifying Patients and Designated Caregivers Authorized for Cultivation Comparison June 2015 Totals Active Cardholder Cultivation Status Qualifying Patients Caregivers 14 June 2016 Totals n(% Change) Totals -32(-2.30%) 1,426 1,394 (n=70,189) (n=102,040) (n=31,851) 399 437 38(8.70%) (n=657) (n=1,083) (n=426)