Federal update: DOJ partially rescheduled medical cannabis to Schedule III (April 28, 2026 final order). State-licensed medical operators may apply for expedited DEA registration through June 27, 2026; DEA hearing on full rescheduling set for June 29, 2026.

WV-Based Cannabis Operators — Mountaineer Holding, Healing Center, New Leaf

Alongside the major out-of-state MSOs (Trulieve, Verano, Holistic, Curaleaf, Cannabist), West Virginia’s medical-cannabis market includes a tier of WV-based operators with cultivation, processing, and retail footprints concentrated inside the Mountain State. Mountaineer Holding LLC (cultivator at Belle, eastern Kanawha County; dispensaries Charleston / Vienna). Mountaineer Integrated Care Inc. (cultivator at Fort Ashby, Mineral County). Tariff Labs LLC (cultivator at Left Hand, Roane County). The Healing Center WV LLC (Weirton, Fairmont, Westover, Triadelphia, Parkersburg). New Leaf WV LLC (Berkeley Springs, Martinsburg, Kearneysville, two Morgantown locations — Martinsburg opened June 17, 2022, the last region to receive a dispensary). Mountaineer Releaf LLC; Buckhannon Grow LLC; Armory Pharmaceutical Inc. (Buckhannon); V3 WV GP LLC (Maxwelton, Greenbrier County, processor only); Curative Growth (Fairmont).

Last verified: May 2026

The WV-Based Tier

The West Virginia medical-cannabis statute permits vertical integration: a single entity may hold grower, processor, and dispensary licenses simultaneously (subject to the 10-permit ceiling on dispensaries per operator). The WV-based operator tier exploits this to operate cultivation, processing, and retail in the Mountain State without the multi-state operating overhead of the major MSOs. The economic argument: WV dollars stay in WV, jobs stay in WV, profits stay in WV. The reform-coalition argument adds: WV-based operators have stronger interest in expanding the WV program (more patients, more product forms, more revenue retention) than out-of-state MSOs that arbitrage state-by-state regulatory differentials.

Mountaineer Holding LLC — Belle / Charleston

Mountaineer Holding LLC operates the eastern-Kanawha-County cultivation footprint of WV-based cannabis: a grow facility in Belle, just outside Charleston (the Mountain State’s capital). Mountaineer Holding also operates a dispensary in Charleston proper and a second dispensary in Vienna (Wood County, just north of Parkersburg on I-77). The Charleston-Belle footprint puts Mountaineer Holding closest to the West Virginia Capitol Complex and the Office of Medical Cannabis (350 Capitol Street, Room 523) of any operator. Belle’s eastern Kanawha location is part of the Chemical Valley industrial corridor that historically housed Dow, Chemours, and other Charleston-area heavy industry. See Charleston page.

Mountaineer Integrated Care Inc. — Fort Ashby

Mountaineer Integrated Care Inc. operates a cultivation facility at Fort Ashby, Mineral County — in the Eastern Panhandle’s western edge, between Cumberland, Maryland and Keyser, West Virginia. Mineral County is a small, rural county on the Maryland line. The Fort Ashby cultivation is one of two WV grow operations in or near the Eastern Panhandle (Cannabist’s Falling Waters / Berkeley County is the other). The Fort Ashby location supplies dispensaries across the Eastern Panhandle and into north-central West Virginia.

Tariff Labs LLC — Left Hand / Roane County

Tariff Labs LLC operates a cultivation facility at Left Hand, Roane County — in central West Virginia, equidistant from Charleston, Parkersburg, and Morgantown along the I-79 / I-77 corridor. Roane County is small (~14,000 population) and rural; the Left Hand grow is one of the few WV-based cannabis operations west of I-79. The location reflects the OMC’s 2020 grower-permit selection, which produced grows distributed across most regions of the state rather than concentrated in any one cluster.

The Healing Center WV LLC

The Healing Center WV LLC is one of the largest dispensary-only operators in the Mountain State by store count. The Healing Center brand operates dispensaries in:

  • Weirton (Hancock / Brooke County, Northern Panhandle, Pittsburgh metro)
  • Fairmont (Marion County, north-central WV)
  • Westover (Mon County, Morgantown metro)
  • Triadelphia (Ohio County, Wheeling metro)
  • Parkersburg (Wood County, Mid-Ohio Valley)

The Healing Center’s footprint is concentrated in the northern half of the state — the Northern Panhandle, Mid-Ohio Valley, and Mon-County metro. The Triadelphia Wheeling location and the Weirton location both sit in the Pittsburgh statistical area. See Wheeling page.

New Leaf WV LLC — Five Permits

New Leaf WV LLC holds five dispensary permits, the second-most of any operator after Trulieve. New Leaf locations:

  • Berkeley Springs (Morgan County, far Eastern Panhandle)
  • Martinsburg (Berkeley County) — opened June 17, 2022; the last region in West Virginia to receive a dispensary, eight months after Trulieve Morgantown opened on November 12, 2021
  • Kearneysville (Jefferson County, Eastern Panhandle)
  • Two Morgantown locations (Mon County)

New Leaf Martinsburg is historically significant: the eight-month gap between WV’s first dispensary (Trulieve Morgantown, November 12, 2021) and the Eastern Panhandle’s first dispensary (New Leaf Martinsburg, June 17, 2022) is the most concrete evidence of how the OMC permit-issuance sequencing produced uneven regional access. The Eastern Panhandle — the same region that subsequently became most exposed to Maryland adult-use cross-border flow — was the last region to receive in-state legal cannabis access. See Martinsburg / Eastern Panhandle page.

Mountaineer Releaf LLC

Mountaineer Releaf LLC is a homegrown West Virginia cannabis operator with dispensary operations in the Mountain State. The "Mountaineer Releaf" branding aligns with the state nickname (the Mountain State, motto "Montani semper liberi" — "Mountaineers are always free") and identifies the operator as WV-based to consumers.

Buckhannon Grow LLC & Armory Pharmaceutical Inc. — Buckhannon

The town of Buckhannon (Upshur County, central West Virginia) hosts an unusually concentrated WV-based cannabis cluster:

  • Buckhannon Grow LLC — cultivation
  • Armory Pharmaceutical Inc. — grower + processor (in original 2020 permit issuance)
  • Verano Zen Leaf Buckhannon — retail (out-of-state MSO)

The Buckhannon cluster represents one of the more visible WV-based cannabis economic-development stories — a small Appalachian town hosting both grower and processor operations.

V3 WV GP LLC — Maxwelton, Greenbrier County (Processor Only)

V3 WV GP LLC holds a processor-only permit and operates at Maxwelton in Greenbrier County, in the southeastern Mountain State near White Sulphur Springs and the Greenbrier resort. V3 is the only operator in the original 2020 permit issuance that was processor-only (no companion grower or dispensary license). The Maxwelton location supplies processing capacity to growers in the southern half of the state.

Curative Growth — Fairmont

Curative Growth operates a dispensary in Fairmont (Marion County), north-central West Virginia. Marion County is the same county that produced retired Sen. Mike Caputo, the long-time recreational-legalization sponsor. Curative Growth’s Fairmont location serves the Marion-Harrison-Monongalia north-central market alongside Verano Clarksburg, Healing Center Westover, and the Mon-County dispensary cluster.

The WV-Based Operator Political Voice

Notably, the largest WV-based vertical operator — Harvest Care Medical / Country Grown Cannabis — is profiled separately on the Country Grown page. Harvest Care has been one of the most public WV operator voices on cross-border-flow concerns and the no-edibles restriction. As Harvest Care told Mountain State Spotlight in November 2025: "If they can go across the border and obtain a wider selection of products, why would they pay to get their medical cannabis card in West Virginia?" The WV-based operator tier broadly aligns with Harvest Care’s framing — the political case for expanding product forms (HB 5260 edibles, future home-grow if dispensary diversion can be addressed) is strongest among operators whose entire economic interest is the WV program. See HB 5260 edibles page.

The Application-Cost Backstory

The original WV grower-permit competition in 2019–2020 was substantial. One Mid-Ohio Valley applicant told the Weirton Daily Times that he had spent $250,000 or more on application costs and consultants before being denied a license, illustrating the scale of capital required to compete for the limited grower / processor slots. The same dynamics produced the WV-based operator tier above, but also closed out many smaller in-state entrepreneurs whose capital fell short of the required regulatory and consultant costs. See WV growers / processors page.