New Hampshire requires an in-person exam at least annually to continue prescribing controlled substances via telehealth
Summary
In New Hampshire, a clinician prescribing Schedule II-IV controlled substances by telehealth must conduct an in-person exam at intervals appropriate to the patient, but no less than annually. This in-person requirement limits fully remote controlled-substance prescribing.
New Hampshire allows prescribing Schedule II-IV drugs via telemedicine after establishing a relationship, but a subsequent in-person exam must be performed at intervals appropriate for the patient and medication, and not less than annually. This in-person requirement constrains ongoing telehealth-only controlled-substance care, affecting patients on long-term controlled-substance therapy and the clinicians treating them remotely.
Source: Center for Connected Health Policy (CCHP), New Hampshire state telehealth page (2026).
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