How much is the appointment or card? And is it just like a maryland state id?

Initial certification 200 , annnual renewal 135 , MMCC id is 50$ for 3 year which u must have , like state id

Hello The annual renewal is 135. The initial certification is 200. The MMCC takes a 50 fee for registration every 3 years.

The appointment is $135 and it's for your certification. You would still need to go to the mmcc and apply for your medical card. That will be $50. Hope this helps!