Collaborative Practice Agreement · PharmD
New Hampshire Collaborative Pharmacy Practice Agreement for Pharmacists
Required. The Collaborative Pharmacy Practice Agreement is the written instrument New Hampshire law names for a Pharmacist working with a physician. Below: the board that governs it, what it must contain, and the terms it has to carry.
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 a New Hampshire Collaborative Pharmacy Practice Agreement must contain
Governed by the New Hampshire Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
The Pharmacist ("Pharmacist") may participate in a collaborative pharmacy practice agreement with the Physician and the patient, who must provide informed consent, for the purpose of medication therapy management, as authorized by N.H. Rev. Stat. Ann. § 318:16-a. To participate, the Pharmacist shall hold an unrestricted, current New Hampshire pharmacist license and maintain at least one million dollars ($1,000,000) of professional liability insurance coverage.
Source: N.H. Rev. Stat. Ann. § 318:16-a
Each protocol developed under the collaborative pharmacy practice agreement shall contain detailed direction concerning the services the Pharmacist may perform for the patient, and any service so authorized must remain within the Physician's own current scope of practice.
- The Collaborative Pharmacy Practice Agreement on file also carries 1 scope, 1 education, 1 registration, 1 authority clauses, generated in the document itself.
Statutes and rules cited
- N.H. Rev. Stat. Ann. § 326-B:11statute
Authorizes Advanced Practice Registered Nurse independent diagnosis, prescribing, and dispensing under the nurse's own license.
- N.H. Rev. Stat. Ann. § 328-D:3-bstatute
Physician Assistant collaboration agreement requirement, the 8,000-hour experience threshold, and the Board of Medicine waiver process (which itself sunsets January 1, 2027).
- N.H. Rev. Stat. Ann. § 318:16-astatute
Standards for collaborative pharmacy practice agreements between a pharmacist, an attending practitioner, and a consenting patient.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.
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.
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.