New Hampshire Medical Cannabis Guide

New Hampshire legalised medical cannabis in 2013 (HB 573) and operates four licensed Alternative Treatment Centers (ATCs). Adult-use legalisation bills have passed the state House multiple times but have failed in the Senate. New Hampshire is surrounded by legal states, making its lack of adult-use access conspicuous.

Medical Legal (2013) — No Adult Use Since: 2013 (HB 573) Adult Use: No (multiple attempts failed)

Quick Facts

Legal StatusMedical SinceAdult UseAccess TypeEst. CostInsurance
Medical Legal (2013) — No Adult Use2013 (HB 573)No (multiple attempts failed)Alternative Treatment Centers (ATCs) — 4 licensed statewideUSD 45-85/eighthNo

Legal Timeline

YearDevelopment
2013HB 573 passes — medical cannabis legalised in New Hampshire
2016First ATC (Alternative Treatment Center) opens
2019Four ATCs licensed statewide; patient registration grows
2022Adult-use bill passes House again but stalls in Senate
2024New Hampshire remains the only New England state without adult-use sales

How to Access Cannabis in New Hampshire

  1. Consult a New Hampshire-licensed physician to certify your qualifying condition
  2. Register with the New Hampshire Department of Health and Human Services (DHHS)
  3. Receive your patient registry ID card
  4. Visit one of the four licensed ATCs statewide (Concord, Dover, Lebanon, Nashua)
  5. Patients may possess 2oz of usable cannabis

Qualifying Medical Conditions

Licensed Dispensaries & Providers

ProviderWebsiteNotes
NH DHHS Therapeutic Cannabis Programhealth.nh.govDept. of Health and Human Services — patient registry
Sanctuary ATCsanctuaryatc.comNashua licensed ATC — full product range
Prime ATCprimeatc.comDover ATC — medical cannabis dispensary
Temescal Wellness ATCtemescalwellness.comPortsmouth area ATC

Cost Breakdown

ItemEstimated Cost (USD)Insurance Coverage
Flower — 1/8 oz (3.5g)USD 45-85No insurance coverage
Tincture (30ml)USD 50-90No coverage
Vape cartridge (0.5g)USD 40-75No coverage
Patient card (annual)USD 50Not covered

Frequently Asked Questions

Is medical cannabis legal in New Hampshire?+

Yes — New Hampshire has a medical cannabis programme since 2013. Four licensed Alternative Treatment Centers (ATCs) serve registered patients statewide.

Is recreational cannabis legal in New Hampshire?+

No — adult-use bills have passed the New Hampshire House multiple times but have repeatedly failed in the Senate. New Hampshire is the only New England state without legal adult-use cannabis.

How many dispensaries does New Hampshire have?+

Exactly four — the programme is capped at four ATCs. Locations are in Concord, Dover (or Portsmouth), Lebanon and Nashua. The limited number has been criticised for restricting patient access.

Can I use my out-of-state card in New Hampshire?+

No — New Hampshire does not have reciprocity with other states. Only NH-registered patients may purchase from NH ATCs.

What happens with adult-use cannabis in New Hampshire?+

Adult-use legalisation bills have passed the House but stalled in the Senate. Governor Sununu has expressed varied positions over the years. Neighbouring Maine, Massachusetts and Vermont all have adult-use markets.

What products are available at NH ATCs?+

NH ATCs carry flower, tinctures, capsules, vaporisable products, edibles and topicals. The exact range varies by ATC. Check individual ATC websites for their current product menus.