But other attempts to bar patients could be problematic, she said, especially because in some parts of the state — including western Maryland — there aren’t other places for would-be customers to go.

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“If any dispensaries establish a practice of banning compliant patients, who are registered and certified with the Commission, from receiving medical cannabis treatment in accordance with the requirements of our program, the Commission will be obligated to perform a thorough investigation into that practice and take appropriate enforcement action,” Strand said in an emailed statement.

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Sajal Roy, owner of Allegany Medical Marijuana Dispensary in Cumberland, Md., said he has banned four patients for spreading what he deemed to be false or misleading information online, and another who was acting disruptive inside the dispensary. He said he feels justified because those patients can buy cannabis elsewhere, even though the closest dispensaries to his are in Frederick, about 90 miles away.

“There’s plenty of other dispensaries, and access is not a question,” Roy said. “I think on some level in today’s society we baby everyone and we coddle everyone. There are repercussions for what you do.”

Two patients he put on a do-not-serve list in January and February were allowed back into the dispensary after apologizing for their critical posts. Roy said the patient who was disruptive also has been allowed back in, but two others remained on the banned list as of March.

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Kelly Robertson, founder of the Western Maryland Medicinal Marijuana Patients Alliance, said banning patients is wrong because it limits access to medication and creates a particular burden for those with low incomes who may not have the resources to travel across the state.

“It really sets the tone with the entire relationship with patients and the dispensary — that they are the authority and they say what goes and if you step out of line, you risk being banned,” Robertson said.

Neil Weigman, 35, uses cannabis to help treat post-traumatic stress disorder, rheumatoid arthritis and chronic pain. He emailed Roy at the end of January to discuss delivery options, and the conversation turned to pricing. At one point, according to copies of the emails shared with The Washington Post, Roy said cannabis prices were higher in Colorado than in Maryland, which is generally not true.

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Weigman then posted on a private Facebook page that is focused on Maryland’s medical marijuana program, accusing Roy of being a liar and saying he was charging too much. Roy later emailed Weigman to say he’d received complaints about the post, and would no longer welcome Weigman at his store.

Weigman apologized to Roy and deleted his Facebook post. “I kind of just figured, ‘Well, it’s not worth it.’ Getting my medicine is more important to me right now,” he said.

He said he submitted a complaint to the state cannabis commission. Spokeswoman Jennifer White said the commission received several complaints about the dispensary, leading to an investigation by its Bureau of Enforcement and Compliance.

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The investigation was closed in April, after the dispensary agreed to a request from the commission to “revise patient complaint procedures and how the public is notified of the Patient Bill of Rights,” Strand said in a letter. No disciplinary action was taken.

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Dianna Bennett, a resident of Allegany County, said she also was banned after posting on the dispensary’s Facebook page that she thought its prices were too high. She visited the dispensary when it first opened in December and bought an eighth of an ounce of Ace of Spades cannabis for $84.

“I didn’t say anything about [Roy] personally. I just said $84 was too much for an eighth [of an ounce],” said Bennett, who suffers from lupus and receives a monthly $1,200 disability check.

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When Bennett went back to the dispensary, she said, an employee told her she had been banned. Bennett then called Roy.

“He never gave me a straight answer. He asked me if I caused a disruption in the dispensary or if I spread false information,” she said, adding that Roy later said he would remove her from the banned list. She has since been able to purchase cannabis there.

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Roy said he could not provide details about the other two people he said were banned, except to say they also had posted negative “online harassment.”

Robertson, the marijuana advocate from western Maryland, recently arranged a meeting at Allegany Medical dispensary with customers and co-owner Greg Pappas, who blamed high prices for cannabis products that are in heavy demand and limited supply. As of March, prices had eased somewhat; an eighth of an ounce of cannabis now costs $60, according to the dispensary’s Facebook page.

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“As more and more growers are bringing product to the marketplace, we’ll be in a better position to negotiate,” Pappas told customers at the meeting. He also said that the dispensary plans to take a look at how they decide whether to ban patients.