NP · New Hampshire
Collaborative Drug Therapy Management for Nurse Practitioners in New Hampshire
No. Nurse Practitioners here prescribe and adjust drug therapy on their own authority. New Hampshire does not require one.
RSA 326-B:11 grants APRNs 'plenary authority' to assess, diagnose, and prescribe within their scope, with no supervising-physician or collaborative-agreement requirement — NPs have practiced independently in NH since 1991, with no experience-based transition period, unlike most 'full practice' states.
What the physician relationship must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
No physician relationship of any kind is required to practice full NP scope in NH (RSA 326-B:11).
Supervision ratio
Not codified — no cap on file
Chart review
Not codified
Meeting cadence
Not codified
Prescriptive authority
No agreement needed to prescribe · controlled substances permitted
Individual DEA registration and NH Prescription Drug Monitoring Program (PDMP) rules still apply on top of this statutory grant.
Written agreement
Not required
Unconditional — RSA 326-B:11 never requires a physician agreement for NP practice, regardless of experience.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — New Hampshire has no independent corporate-practice-of-medicine doctrine — an NP may be a direct corporate employee of a non-licensee-owned entity. An NP may alternatively organize as a Professional Corporation under RSA 294-A, in which case ownership is restricted to 'qualified persons' (licensed professionals, RSA 294-A:1, :8).
Secondary sources conflict on how far New Hampshire's permissive stance extends (see the state-level notes); entity structuring needs counsel.
Sources for the supervision rules (3)
What a collaborating physician costs here
Typical monthly cost in New Hampshire
$500 – $600
Estimate for one Nurse Practitioner. Standard-tier state.
About New Hampshire's rules
RSA 326-B:11 gives all APRN categories (NP/CRNA/CNM/CNS) plenary, independent practice authority with no supervising-physician or collaborative-agreement requirement and no experience-based transition period — unlike NC/VA. PA title changes to 'physician associate' effective 1/1/2027 (not yet live). NH has no independent corporate-practice-of-medicine doctrine; secondary sources disagree on how far that extends — verify before relying on any CPOM entry below.
Other clinicians in New Hampshire: see the state overview.