Overview

Sales in North Carolina have surged more than 2,284% over the past two years, making it one of the fastest-accelerating cannabis markets in the country from a near-standing start. As of April 2026, year-over-year sales climbed 24.6% while unit volume grew just 7.4%, meaning prices are expanding rather than compressing—a 16.1% increase in average price year over year that signals early-market dynamics where demand still outpaces supply. The state remains a small-tier market operating with a single dispensary, and the brand FIRST FIRE has established an early foothold. Flower and vapes together account for nearly 68% of all sales, with both categories posting above-30% annual growth. North Carolina legalized medicinal marijuana and launched its first licensed retail sales in recent years, placing it among the newest entrants on the East Coast and one to watch as additional dispensary licenses could reshape the competitive landscape.

• Top Brand: Great Smoky Cannabis
• Top Category: Vapes (34%)