Physician duties · PharmD · New Hampshire
Signing for a Pharmacist in New Hampshire: what the physician takes on
The agreement is mandatory for the clinician, which makes its duties mandatory for you. New Hampshire calls the instrument a Collaborative Pharmacy Practice Agreement.
Represents NH's Collaborative Pharmacy Practice Agreement (CPA) tier under RSA 318:16-a, not ordinary pharmacist licensure — base dispensing needs no practitioner agreement and is out of scope here. The CPA tier is permanently agreement-based, with no independence pathway. Requires ≥$1,000,000 professional liability insurance; additional credentials may be required depending on service complexity.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Not codified — left to the agreement
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
As needed
RSA 318:16-a requires the CPA protocol to specify the conditions and events on which the pharmacist must notify the collaborating practitioner and the manner/timeframe of that notification — this is agreement-driven, event-triggered notification, not a fixed recurring meeting cadence like NC's or VA's monthly/biannual rules.
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Whether/how far controlled-substance schedules are limited for CPA-based prescribing was not confirmed in this research pass — NH's CPA statute focuses on protocol content (drug list, monitoring, notification triggers) rather than a stated schedule ceiling; treat as unconfirmed rather than assuming an unlimited grant.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — RSA 318:38 lets the Board of Pharmacy issue a pharmacy permit to 'persons, firms, or corporations' it deems qualified — not restricted to pharmacist-owners. A licensed pharmacist-in-charge (requiring ≥$1,000,000 liability insurance) must hold operational/professional control over dispensing regardless of who owns the permit.
Materially more permissive than the medical/APRN entity questions flagged above. Whether any additional restriction applies specifically to CPA-authorized practice (versus ordinary dispensing) was not separately confirmed in this research pass.
What physicians charge for this role
Typical monthly compensation in New Hampshire
$500 – $600
Estimate for one Pharmacist. 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.