The Aloha State is rewriting the playbook for medical cannabis with a groundbreaking move. Hawaii’s medical marijuana operators are now island-hopping to sell and deliver wholesale flower and other cannabis products, a first for the state and a rare route in the United States. Island transportation is a way of life in this Pacific archipelago, covering over 6,000 miles of land, and now the medical marijuana industry is using this to expand its product offerings. While the logistics of transporting products between islands remain a guarded secret due to potential legal issues, recent legislation and state approval have paved the way for this historic shift. This inter-island cannabis commerce not only sets a precedent but also addresses product shortages that have plagued Hawaii’s medical cannabis market for six years. Companies like Big Island Grown are leading the way, demonstrating a patient need for various cannabis products. It’s a remarkable step forward for Hawaii’s cannabis industry, offering patients more options and potentially boosting business for licensed operators. Island-hopping planes, helicopters, and boats are now playing a vital role in this flourishing trade.