New Hampshire DPC Guide¶
Quick Summary: New Hampshire has DPC-enabling legislation (RSA 420-O) and permits medication dispensing. No state income tax, business-friendly environment, with opportunities throughout the state.
[!CAUTION] Verify Current Law: Always confirm current regulations with the New Hampshire Board of Medicine and review RSA 420-O for the most current statutory language.
At a Glance¶
| Category | Status |
|---|---|
| DPC Legislation | Yes — RSA 420-O |
| Medication Dispensing | Permitted — Registration required |
| Medicare Opt-Out | Standard federal process |
| Tier | 3 (May warrant reclassification to Tier 2) |
DPC Law Status¶
Legislation¶
Statute: New Hampshire Revised Statutes Annotated Chapter 420-O
Statute URL: RSA 420-O
New Hampshire has DPC-enabling legislation exempting DPC agreements from insurance regulation.
Key provisions: - DPC agreements not considered insurance - Primary care services defined - Written agreement required
What This Means¶
- DPC practices have legal clarity
- Standard business regulations apply
- Supportive regulatory environment
Medication Dispensing¶
Regulatory Status¶
New Hampshire permits physician dispensing with registration.
Requirements¶
- DEA Registration: Required for controlled substances
- State Registration: Register with New Hampshire Board of Pharmacy
- Pharmacy Board: oplc.nh.gov/board-pharmacy
- PDMP: Check New Hampshire Prescription Drug Monitoring Program
- Record Keeping: Maintain dispensing records
Licensing and Registration¶
Medical License¶
Board: New Hampshire Board of Medicine
Website: oplc.nh.gov/board-medicine
Business Registration¶
Entity Registration: New Hampshire Secretary of State
Website: sos.nh.gov
DEA Registration¶
Website: deadiversion.usdoj.gov
Medicare Considerations¶
MAC for New Hampshire: National Government Services (J14 jurisdiction)
See Medicare Opt-Out Guide for detailed process.
Key Resources¶
State Agencies¶
| Agency | Purpose | Website |
|---|---|---|
| New Hampshire Board of Medicine | Physician licensing | oplc.nh.gov |
| New Hampshire Board of Pharmacy | Dispensing regulations | oplc.nh.gov |
| New Hampshire Secretary of State | Business registration | sos.nh.gov |
Professional Organizations¶
| Organization | Website |
|---|---|
| New Hampshire Medical Society | nhms.org |
State-Specific Considerations¶
No State Income Tax¶
- New Hampshire has no state income tax on wages
- Business-friendly environment
- "Live Free or Die" ethos
Proximity to Boston¶
- Southern NH is Boston suburb
- Commuter population
- Higher incomes in southern tier
Rural Northern NH¶
- Primary care shortage
- Seasonal population (tourists, second homes)
- Telehealth valuable
No Sales Tax¶
- No general sales tax
- Simplifies pricing
Checklist for Starting DPC in New Hampshire¶
- Obtain or verify New Hampshire medical license
- Register business entity with Secretary of State
- Obtain EIN from IRS
- Register with DEA (if prescribing controlled substances)
- Register with Board of Pharmacy (if dispensing)
- Secure malpractice insurance
- Develop membership agreement
- File Medicare opt-out affidavit (if applicable)