The Virginia legislature established a regulatory board in 2017 to oversee the production of medical marijuana extraction-based products by five different dispensary companies. The regulatory board assigned one dispensary per Health Service Area in the state. Each of these five dispensaries will be responsible for the cultivation, extraction, distribution, and delivery of these marijuana extracts in their assigned Health Service Area. Dispensaries in Virginia are referred to as "pharmaceutical processors" in the state law. They are required to be a fully vertically-integrated company. This means that the entire cannabis production/distribution process must be handled by the dispensary on one site, from the cultivation to the ultimate delivery of the product.
But the Virginia legislature has expanded the MMJ law in 2020. They have since allowed these dispensaries to open additional "dispensing facilities" in the Health Service Area they have been assigned.