Among small-tier medical-only markets, West Virginia stands out for the severity of its price decline—down more than 21% year over year—while unit movement continues to climb. Two-year sales growth is nearly flat at negative 0.3%, and the 65-dispensary footprint has expanded only modestly. The state's compressed pricing trajectory more closely resembles mature recreational markets than the typical medical program, suggesting competitive pressure is intensifying even within a limited-license framework.

24-Month Trend

State	Sales	YoY

Top performing dispensaries in West Virginia.

Store	City	Est. Sales
#1 Country Grown - Dunbar	Dunbar	$250-500K
#2

Flower now commands nearly 60% of West Virginia's category mix after climbing 26.7% year over year, reclaiming share from vapes, which fell 17.1% to about 31% of the market. Concentrates collapsed by 59.5%, dropping to just 7.1% of sales, while oral products—edibles and tinctures—exploded 166.7% off a small base to reach 1.8%. ALTSOL is among the brands capitalizing on the flower-heavy shift. The concentration of spending in flower and the steep decline in concentrates suggest West Virginia patients are gravitating toward familiar, lower-cost formats as prices fall across the board.