Medical Cannabis in New Mexico Has Gone From 44 Percent of Sales to 21 Percent

When adult-use sales started in April 2022, medical cannabis was 44 percent of everything sold in New Mexico.

In July 2026 it was 21 percent.

The decline has been remarkably steady. Not a cliff, not a shock, just a percentage point or two eroding every few months for four years straight, visible in almost every monthly filing.

What is actually happening

Medical sales have not collapsed in absolute terms so much as failed to grow while the adult-use market absorbed everything. For a patient with a straightforward condition, the calculation changed: adult-use requires no card, no renewal, no doctor, and no paperwork.

The patients who remain in the program tend to be the ones for whom it still pays: higher purchase limits, and no excise tax.

Where medical still holds on

The medical share varies enormously by city, and the pattern is geographic in a way that is not subtle. In Sunland Park, on the Texas border, medical is about 4 percent of sales. In Albuquerque it is around 30 percent.

The explanation is straightforward. You cannot hold a New Mexico medical card if you do not live in New Mexico. The lower the medical share in a border town, the more of its business is coming from across the state line. We wrote about that pattern here.

Data: CCD monthly Market Sales by City files, April 2022 to July 2026, published at [crop.rld.nm.gov](https://crop.rld.nm.gov/data-catalog.html).