7 things to know about New Hampshire's medical marijuana program

New Hampshire's Therapeutic Cannabis Program began in 2013 under RSA 126-X and is run by the Department of Health and Human Services. Residents need a written certification from a provider they already have a relationship with. Any New Hampshire-licensed provider who can prescribe may certify, and the first exam must be in person. Patients then mail a paper application with a $50 check and proof of residency. Registered patients buy from seven non-profit Alternative Treatment Center dispensaries. Home growing is not allowed. Since 2024, providers may certify adults 21 and older for any debilitating condition. Visiting patients from other states and Canada can also buy at the dispensaries.

7 things to know

1. New Hampshire has no adult-use cannabis sales, so registered patients buy only at seven non-profit Alternative Treatment Center locations.
2. Applications are on paper and payment is by check or money order only; online payment and cash are not accepted.
3. There is no reduced fee for financial hardship, but the dispensaries run their own discount programs.
4. Providers do not register with the state; any New Hampshire-licensed provider with prescribing authority, including dentists and podiatrists, can certify.
5. Providers in Maine, Massachusetts and Vermont may certify New Hampshire residents if they treat the patient's qualifying condition.
6. Patients and caregivers may not grow cannabis anywhere.
7. There is no fee for caregivers, and a lost card costs $10 to replace.

At a glance

• State fee: $50
• Card lasts: 1 year standard; the provider may set up to 3 years
• Processing: Card mailed within 3 weeks of a complete application; an incomplete-application notice is sent within 10 days
• Patient limit: 2 ounces at any one time (patient and caregiver combined)
• Home grow: Not allowed
• Recreational sales: Not legal
• First visit online: No — in person first

Sources

• Therapeutic Cannabis (NH DHHS)
• Qualifying Medical Conditions (NH DHHS)
• Therapeutic Cannabis Applications and Forms (NH DHHS)
• Program Information for Qualifying Patients, version 10/25 (NH DHHS PDF)

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.