Inside the Mind of a Medical Cannabis Pharmacist in Utah

Inside the Mind of a Medical Cannabis Pharmacist in Utah

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In Utah, dispensaries are referred to as pharmacies, and the method of which patients must apply for and obtain cannabis medicine differs. While the state of Utah is home to over three million people, only 15 pharmacies and eight cultivators are allowed to legally operate there.

Pharmacists are essential to the structure of Utah’s medical cannabis program, as they are legally the only way that medical cannabis patients can obtain cannabis products. Beehive Farmacy’s Pharmacist in Charge, Mindy Madeo, has been a pharmacist for over 20 years, but found a new calling to enter the cannabis industry after the state of Utah legalized medical cannabis. Madeo attended the University of Maryland School of Pharmacy’s cannabis program, which she will soon be graduating with a Masters of Science in Medical Cannabis Science and Therapeutics. It’s currently the only pharmacy school in the U.S. to offer such a degree, and furthermore, Madeo is one of the only people in Utah to have earned such a distinction.

Madeo took time to chat with High Times about what sets Utah apart from other states’ medical cannabis programs, the influence of the Church of Jesus Christ of Latter-day Saints (LDS), and what the future holds for patients.

Courtesy of Mindy Madeo

The Essential Pharmacist

When Madeo began her entrance into the cannabis industry, she helped one of the pharmacies, called Wholesome, open up shop. While that pharmacy was a bit more business-focused, Madeo then moved on to Beehive Farmacy where she currently works as Pharmacist in Charge. Beehive Farmacy has two locations out of the total 15 that are allowed statewide, one in Salt Lake City and another in Brigham City. “It’s been really amazing,” Madeo said of her role. “The work I do every day is really like my dream. I’ve been doing it for two years and I still say I would do it even if I wasn’t getting paid.”

Madeo explained how Utah’s medical cannabis program works for patients. Similarly to other states, patients must go to a doctor and obtain a recommendation for a cannabis card—but new patients can’t just go to a pharmacy to pick up their medicine right away. “It is required by law that every single patient that’s new to the cannabis program, has to sit down and have a consultation with the pharmacist. And that’s the unique thing. That’s the thing that no other state does,” Madeo explained. “And it’s expensive to run as a business to do that, but the results are just phenomenal.”

These consultations only take an average of 30 minutes, during which pharmacists like Madeo will ask their patient which medications they currently take. “I’ve noticed as I was doing this that it’s not just the pain pills,” she shared. “It’s stimulants, like the Adderall and Ritalin in the morning that people can come off of. It’s the sleeping pills at night. It’s the antidepressants. It’s the stomach meds. I’ve even had I’ve even had quite a few patients come off of blood pressure medications.” After identifying their patient’s needs, pharmacists recommend various cannabinoid combination products, or different cultivars or terpene profiles, to use as a treatment.

Madeo also notes the importance of teaching new patients how to control their dosage, what to do if they consumed a bit too much, and for regular consumers, how to reset tolerance or reassess their current medication. “So I think giving patients control of their pain, control of their health, where they’re able to increase or decrease or try different products is very empowering for people. And I wish more medicine would be like that.”

The LDS Church

Aside from regular curious customers, Madeo has also witnessed the shift in perspective by the Church of Jesus Christ of Latter-day Saints (LDS) and its members. “In Utah, it’s amazing because the LDS church, at first was not on board. There was a lot of controversy,” she said of the church’s initial stance on cannabis. “And then they changed some policy saying like ‘You can’t have cannabis.’ And then they changed it again and saying ‘It’s fine if it’s with a doctor.’ So currently, it’s 100% fine as long as the doctor recommends it. And I am seeing so many old people, so many people that come in [and] you can tell [that] they’re Mormon, they’re wearing CTR rings. Their minds are changing. And to me, that in itself is just an amazing thing to watch.”

Expanding Legislation in Utah

Utah initially passed its medical cannabis legislation when former Gov. Gary Hubert signed House Bill 195 into law in March 2018, which allows patients the “right to try” cannabis as a treatment if they are terminally ill. Later in November 2018, Utah voters approved Proposition 2, which created the foundation for the state’s current medical cannabis program. The state’s program launched in March 2020, and now there are an estimated 41,000 medical cannabis patients in the state, as of January 2022.

Cannabis isn’t the only medical treatment that legislators are contemplating when it comes to access. In the 2022 legislative session, Utah legislators passed House Bill 167, also called the Mental Illness Psychotherapy Drug Task Force, which will review studies about psychedelic substances being used as a treatment for medical patients. Substances such as psilocybin therapy, or even the use of MDMA, are being used to treat certain medical conditions.

Ultimately, Madeo sees a bright future for the medical patients of Utah, and those who aren’t currently patients but are becoming curious about how cannabis can help. However, there are still many hurdles to overcome. “In Utah, and probably in the whole country is, right now we sit and we differentiate between medical use and recreation[al] use, right? That word ‘recreation’ is a terrible word. We should be calling it ‘adult-use.’ But we still use “rec.” To me, that’s such a judgment call, and I don’t think there’s much of a difference between the two.”

Madeo commented on the judgmental attitude of laws in Utah, from limitations on advertisements or restriction on anything that is Rastafarian inspired, such as colors or designs. “To me, they’re trying to whitewash the plant that we’ve been using forever,” she said.

But this judgement also extends to consumers as well. “We’re somehow like targeting this culture that we think we’re judging them and we’re saying, ‘You have dreadlocks, you are using concentrate … you’re using too high of a dose, so you’re a rec patient.’ That person could have anxiety, they could have cancer. Give me five minutes with someone who you say is rec and I’ll find a medical reason why they’re using it.”

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What is a Cannabis Pop-Up Store? Does It Need a License? Does It Sell Good Weed?

What is a Cannabis Pop-Up Store? Does It Need a License? Does It Sell Good Weed?

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cannabis pop up stores

If you reside in a megacity or a small town where cannabis laws have been actively revised, there’s a higher chance you must have seen a cannabis pop-up store. These stores come in various sizes and shapes, be it a stand or a truck, all having logos in bright shades of greens. It seems cannabis pop-ups are now re-emerging with a sense of reprisal two years after the covid pandemic. These cannabis pop-ups have now invented new ways and strategies to appeal to and allure new customers to their stands.

 

Nearly legal

A large percentage of these cannabis pop-ups are emerging in cities and locations where cannabis has been legalized. Places like adult retail shops and medical dispensaries are common areas for cannabis pop-ups. In cities such as New York where sales of cannabis are unregulated, a lot of these pop-ups are still present.

 

To have a better understanding of pop-ups, the MJ Business Daily interviewed various people across the cannabis industry. The interview focused on the significance of these pop-ups in the cannabis industry and their marking strategy. The interviewee discussed how the pop-ups creatively advertised to allure prospective and new customers.

 

According to Jushi Holdings’ chief creative director, Andreas Neumann, he explained that each pop-up is a small event that tells people’s stories. This is why many pop-ups are very creative so that their audience can relate to the story they paint.

 

With pop-ups, sellers are given the space and flexibility to inventively allow for a creative marketing outcome. For instance Tasteology, a cannabis brand capitalized on Gen Z’s obsession with astrology, using it as a marketing tool. The Tasteligy brand offers Tarot readings in various dispensaries across the country. Another good example is the Luchador brand which tags itself as the Heavyweight Champion of Cannabis, capitalizing on wrestling. The brand organizes free shows on Mexican wrestling to promote people to give THC drops and gummies a trial.

 

Dealing with the law

As regards cannabis pop-ups, many of which have emerged in New York City are quite dubious. Presently, sellers have taken advantage of the current legal cannabis situation in the state, and law enforcers are not happy about the current events.

 

According to reports from Gothamist, the Office of Cannabis Management in New York City has tried to regulate these establishments.  The agency is trying to get things under control even when the consequences of these establishments’ actions remain vague. According to the cease memo published, the agency made it clear to the establishments that continuing such activities puts their business at risk of obtaining a license in the legal marijuana market. The memo went on to warn that unlicensed cannabis sale is criminal and may subject the business to likely criminal penalties and significant fines.

 

While the consequences of owning an unlawful pop-up store are still unknown, enforcement agencies and lawmakers are trying their best to navigate the confusing times. While decriminalization of cannabis is becoming a major focus in New York, the cannabis industry is looking to grow massively. As much as several agencies want to control and regulate the situation, arresting these cannabis sellers might send a bad signal.

 

 

New York’s Dilemma

For more than one year now, New Yorkers have remained in legal cannabis anguish. As it stands, the use and possession of cannabis have been revised to be legal in the state. However, there are no state-licensed dispensaries in the state which means cannabis sales are currently illegal.

 

The legal cannabis bill was enacted into law in March of 2021 by the ex-Governor of the state Andrew Cuomo. The bill makes it legal for adults 21 years and above to use and possess marijuana. The cannabis possession limit is restricted to 24 grams of cannabis concentrate and 3 ounces it cannabis flower. However, the government is yet to issue licenses to any potential dispensary.

 

To fill up this gap, underground cannabis firms have taken advantage of the situation, selling cannabis at unlicensed shops. Many of these stores are now being found across the city of New York.

 

The gray area

Several cannabis businesses are taking advantage of the loopholes in New York’s legal cannabis laws. Many of these businesses run privately on social media platforms and websites such as Craigslist. Some, on the other hand, operate with so much confidence in the open, running their business in storefronts or on food trucks on the Big Apple streets.

 

For instance Street Lawyer Services owned by Lonny Bramzon which offers cannabis-themed digital content and clothing, also offers cannabis to its customers. The store which is located at the lower east end of New York offers cannabis as a gift to its customers who purchase hoodies, t-shirts, and other paraphernalia.

 

According to Bramson, his establishment is heavy on cannabis content and also a safe place for the community.  The establishment is truly a beautiful thing Bramzon affirmed during his interview with New York Post.

 

Another cannabis firm in New York is the Empire Cannabis Club. The firm claims to be the state’s first dispensary and a nonprofit organization. Managing two different stores across the city, the firm provides membership services for individuals to consume and purchase cannabis. The company also markers cannabis delivery on its website.

 

Empire, on its official website, noted that the legislature has granted them the go-ahead to distribute cannabis without profit. Not just that, the company also has a membership service established enabling the firm to acquire marijuana for its members.

 

Conclusion

Empire Cannabis and Street Lawyer are just two out of multitudes of pop-up cannabis stores across New York City. However, enforcement agents have claimed they all operate on grey areas and that won’t last for long. With more than 50 cease-and-desist memos published in the previous month, the Office of Cannabis Management has criticized the cannabis stores. The OCM via the department spokesperson claims these stores are illegal. To put it simply, this is an exciting time for cannabis enthusiasts but a rambling one for enforcement agents and those looking to just venture into the industry.

 

ILLEGAL CANNABIS IN NEW YORK, READ MORE…

ILLEGAL CANNABIS MARKET IN NEW YORK

NEW YORK’S ILLEGAL CANNABIS MARKET GOES MOBILE AND POP-UP!

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Dr. Oz exits reality with epic anti-weed rant 

Dr. Oz exits reality with epic anti-weed rant 

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Imagine having the chance to endorse a policy that 58% of all voters in your state want, and only 26% oppose. 

Imagine getting behind a policy so bipartisan and appealing that it can sway Trump voters to support your opponent, a full-on leftie

Imagine the opportunity to advocate for an economic boom that can create countless jobs in your state, and stop it from hemorrhaging millions of dollars to your neighbors.

Then imagine going on TV and saying, nahhh, fuck all of that.

That’s precisely the course of action that Dr. Mehmet Oz—the reality TV quack turned MAGA Pennsylvania Senate hopeful—took yesterday, May 19, when he hopped on Newsmax to deride and mock cannabis consumers and the cannabis industry writ large. 

The rant commenced when host Greg Kelly launched into a brief tirade about Lt. Governor John Fetterman, the Democratic nominee for Pennsylvania’s open seat in the US Senate. The Democrat, Kelly noted, aghast, wears “hoodies.” He also wears shorts! Aaaand he supports legal marijuana!!

Dr. Oz shook his head in disgust before winding up…and delivering the pitch, transcribed here in its full glory:

“There are not enough Pennsylvanians to work in Pennsylvania. So, giving them pot so they stay home I don’t think is an ideal move. Also, I don’t want to breed addiction to marijuana. It’s not physical addiction, it’s emotional addiction. 

But I don’t want young people to think they have to smoke a joint to get out of the house in the morning. We need to get Pennsylvanians back at work, got to give them their mojo, and I don’t want marijuana to be a hindrance to that. 

I also don’t want people operating heavy machinery and driving by me when they’re taking their fourth joint of the day.”

Folks, I got too much to do today to break down every instance of inaccuracy, condescension, and obliviousness in this breathtaking monologue. But I know that you—like me—have family members and friends who gobble up this kind of rhetoric like it’s Vicodin, and at some point, you might have to actually talk to them about it. 

So, let’s go over a few points:

  • Since when does “giving” pot (wait, it’s free now?) to people make them stay home? Folks, pot has been shown to help people focus. Insanely successful athletes use it. Entrepreneurs, visionaries, activists…they all smoke pot!
  • What is this emotional addiction you speak of, doc? Pot has been shown to help folks deal with stress. There’s a lot of stress out there. You want to make them less stressed? I dunno, make a plan to address things like climate change, income inequality, chronic loneliness, or homelessness.
  • When you say mojo, do you mean…? Yes, ladies and gents, it does make people frisky.
  • Yeah, so…states with legal weed don’t allow you to operate heavy machinery when you’re high. Or impaired on any substance. If you can trust your employees to not get shitfaced and go buckwild with a forklift, you can expect them to act accordingly if they have access to legal weed. Cannabis is now legal for all adults in 18 states. We have yet to experience an outbreak of stoners joyriding in front loaders. 
  • Lastly…find me someone that “takes” joints, and I’ll run a full-length story on them. Scout’s honor.

For the moment, it remains to be seen whether Dr. Oz will even prevail in the GOP Senate primary. He’s currently in a dead-heat with his Republican rival.  

But if he does in fact face off against Fetterman, expect this topic to come up again—and again, and again. And expect Fetterman, one of the loudest pro-legalization voices in politics, to run with it. 

Because—as Fetterman realizes, and Oz clearly does not—talking about legalization isn’t about just speaking to a left-wing base. It’s about speaking to an enormous swath of American voters. And it might even win an election.

Max Savage Levenson's Bio Image

Max Savage Levenson

Max Savage Levenson likely has the lowest cannabis tolerance of any writer on the cannabis beat. He also writes about music for Pitchfork, Bandcamp and other bespectacled folk. He co-hosts The Hash podcast. His dream interview is Tyler the Creator.

View Max Savage Levenson’s articles



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Brazilian Presidential Candidates Duck and Cover on Recreational Cannabis Reform

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Brazil is moving forward on medical cannabis reform. At the beginning of the month, the National Health Surveillance Agency approved two new medical products. This will bring the number of approved medical cannabis products to 18. The majority of those available are still only CBD—ten out of the total are extracts made from cannabidiol. All of them must be bought in pharmacies and drug stores.

That is the state of cannabis reform du jour in Brazil, a place where even this victory has been hard fought. Indeed, the current (right wing) leader, President Jair Bolsonaro, has repeatedly quashed attempts at any forward steps, despite whole cities defying him.

Enter the 2022 Brazilian Presidential elections.

Tragically, there are a lot of fence-sitters. Then again, given the current political climate, even one step forward represents progress—even of the tortoise variety.

The Political Can to be Kicked Down the Road

CNN questioned all of the pre-candidates about their stance on reform. Here are some of the broader takeaways from the seven men in the ring.

Two candidates, plus the sitting president, Bolsonaro, did not answer. However, nobody needs him to. Bolsonaro’s track record on legalization is very clear. He even publicly mocked the last legislative effort to regulate the industry.

The other four all spoke in favor of medical use—but none support recreational reform.

Will Canada Remain the Only Recreational Reform Country in The American Hemisphere?

The U.S. has sadly had a great deal of influence in both Central and South America when it comes to the topic of drug policy. This is clearly showing up in Brazil right now. This includes any and all threats to access the American banking system (which were used to slow down dispensation in places like Uruguay).

Given the struggle that is going on at the federal level in the U.S. at this point, sticking to the medical side of the equation is a safe political bet.

Brazil is not the only country facing its Prohibition past and trying to figure out the next steps forward.

The positive news, of course, is that this is a serious question at the national level—and so is full reform.

The Great Medical vs. Recreational Divide

The scenario playing out in Brazil is by now a familiar one, especially to the global industry but the issues involved in this debate have not really hit the United States so far outside of California. Namely, how far should a federal government go when beginning to legalize a recreational market?

In the U.S., the issue of states’ rights has clouded the topic in a way unseen in Europe or other countries.

There are several models so far. The first is Holland, which has allowed an illicit market to survive based on the grey exceptions in the law. Spain is similar. In both countries right now, there are attempts to formalize both markets and figure out how the two should work together (or if there should be any overlap).

Then there is Canada, which allowed patient groups and collectives to be the starting point for a commercial medical and then recreational market. Funky financing and certification issues notwithstanding, this has been the model that has also forwarded, in its own strange way, reform elsewhere. Namely being the first country outside of the Netherlands to provide Germany with product for its medical market that started in 2017.

Finally, there is Germany which is now on track to pass some kind of recreational reform by the end of 2022. The transition here is likely to be bumpy too, but for different reasons. Namely, it is highly likely that the first movers in this market will be required to have EU-GMP certification.

This will mean that the first products in the recreational market will have to have a much higher bar to cross to hit the market, even if the transition to a less stringent standard is inevitable.

Regardless, there will be plenty of fireworks and drama if the cultivation and distribution bids were anything to go by—starting with challenging the inherent unfairness of the status quo. That said, it is hard to expect anything different since the Health Minister is the go-to guy on crafting the new recreational reform legislation per the actions of the Bundestag.

Legalization is not easy anywhere.

Just ask Joe Biden.

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Can You Name the States Where Weed Is Still Totally Illegal?

Can You Name the States Where Weed Is Still Totally Illegal?

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no legal weed states

Since the beginning of 2021, there has probably not been an industry that has produced more excitement than cannabis. And it is to see why, as some estimates suggest that yearly weed sales in the United States could experience a three-fold increase between 2019 and 2025, reaching over forty-one billion dollars.

 

Thirty-seven states gave the green light on medical cannabis during the November election. 19 (plus Guam) out of the 37 also permit the retail sale and consumption of adult-use cannabis. One could correctly suggest that the United States is going green at a highly rapid pace.

 

Less than seven million of the 335 million people who live in the United States live in areas where cannabis has been legalized to some extent. Those left have three degrees of legalization. There are eleven states with third-degree legalization that have severely limited-access (SLA) programs and have a population of just over 90 million people.

 

Furthermore, there are twenty more states and two territories (the United States Virgin Islands and Puerto Rico) that are purely second-degree medical purposes regimes and have a total population of close to 118 million residents. Lastly, in the 20 first-degree states and territories, which have all allowed recreational marijuana use while simultaneously allowing medicinal use (second-degree), there is a population of almost 150 million people.

 

Cannabis is Still Illegal in Over a Dozen States in the US

Even though Gallup’s yearly survey recorded an all-time high of 68% of respondents supporting the nationwide legalization of marijuana, there are still over a dozen states who are yet to make weed legal.

 

In no particular order, these are the states where cannabis is still entirely illegal:

 

  • Georgia

  • Indiana

  • Kentucky

  • Iowa

  • Texas

  • Idaho

  • Wyoming

  • Nebraska

  • Wisconsin

  • South Carolina

  • North Carolina

  • Tennessee

  • Kansas

 

The annual Gallup cannabis poll reveals widespread support for legalization.

All age groups, all genders, all attained levels of education, and all household earning levels are in support of its legalization. The holdouts are the people who identify as Republicans: Only 48% of Republicans want marijuana legalized nationwide, compared to 83 percent of Democrats and 72 percent of independents. These states are all presently governed by Republicans or have frequently tilted towards that direction in previous elections.

 

Additionally, just three (Wyoming, Idaho, and Nebraska) of these states make use of the initiative and referendum processes, meaning that the state’s inhabitants have the choice of initiating a ballot measure, collecting signatures, and perhaps having the measure submitted to a general election vote. The remaining states depend wholly on their various Republican Party-led legislatures to bring about a change on the marijuana front.

 

Will President Biden Stir Up the Marijuana Landscape?

 Will something be done regarding the holdout states? Since the start of the year, cannabis stocks have been on a tear. President Joe Biden entered office last week, and on January 5, both Democratic Party Senate candidates in Georgia won their respective runoff elections. This means that Democrats now have a tight grip on the legislative arm of the federal government. This makes the chance of federal legalization much more plausible on paper than if Republicans had maintained their small Senate majority.

 

The thing that is most especially worthy of note about the shift is that Republican Mitch McConnell, the Senate Majority Leader, is severely against marijuana legalization measures and has nearly globally prevented bills or riders with cannabis legislation from getting to the Senate floor for a vote. With the current House Majority Leader, Chuck Schumer, a Democrat, cannabis legislation is more likely to make to make progress in the House and with the President. The Senate is still not running in favor of legalization.

 

However, this does not guarantee that we are going to witness major differences in marijuana policy at the federal level. Washington’s lawmakers are not sure if they will vote along party lines. What is more crucial to note is that President Biden has not given his support for total legalization. During his campaign trail, President Biden advocated for rescheduling and decriminalizing cannabis, which is a long way from legalization.

 

Regardless of What Occurs, United States Weed Stocks Have a Bright Future Down the Road

Still, if there is a green light at the end of the tunnel, it belongs to marijuana stock investors. At this juncture, marijuana companies are in perfect condition regardless of whether the federal government makes a move or not. So long as the Department of Justice keeps a hands-off approach, which seems to be what will happen under this new administration, weed stocks will be able to freely operate in the thirty-six states where it has been legalized.  Repealing the 280E tax code may be more important for publically traded companies than full Federal legalization.

 

For instance, the investing community will possibly experience history being made this year by Curaleaf Holdings (CURLF -0.93%), the biggest unadulterated cannabis stock in the United States. Curaleaf is on course to become the first marijuana stock to reach $1 billion in annual sales this year after acquiring the famous Select brand and purchasing privately held multistate operator (MSO) Grassroots. The deal with Grassroots expanded Curaleaf’s presence to 23 states as well, which is almost two-thirds of the present legalized market.

 

Innovative Industrial Properties (IIPR 3.24 percent), a cannabis-focused real estate investment trust (REIT), is an ancillary player with a good chance of succeeding if Biden simply reschedules cannabis. Innovative Industrial Properties depends on its sale-leaseback program to grow its enterprise. With the program, IIP purchases processing and cultivation facilities from MSOs that need cash and immediately leases the properties back to the sellers. The MSO gained the cash that was desperately needed, while the IIP secured a long-time renter.

 

The argument is that even huge states like Texas may remain cannabis-free in 2022 and beyond without jeopardizing marijuana companies’ development prospects.

 

Bottom Line

Even with the massive popularity of cannabis in the United States and worldwide, there are still states with no intention of following the trends. Though the Democrats seemingly have the power now to make legalization a nationwide event, there is no urgency or need to do it, as the nation’s cannabis stocks and revenues are otherwise indifferent to the decisions of these states.

 

STATES TO LEGALIZE NEXT, READ THIS…

STATES TO LEGALIZE CANANBIS NEXT

WHAT STATES WILL LEGALIZE CANNABIS NEXT? READ OUR PREDICTION!

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