NHTHC City Guides

New Hampshire Cannabis Guide: Dispensaries, Delivery & Deals

New Hampshireβ€”the "Live Free or Die" stateβ€”ironically remains New England's last holdout against recreational cannabis. While Massachusetts, Maine, Vermont, Connecticut, and Rhode Island have all...

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THC City Guides β€’ New Hampshire (NH)

New Hampshire THC Delivery, Weed Deals & Cannabis Guides

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Overview

New Hampshireβ€”the "Live Free or Die" stateβ€”ironically remains New England's last holdout against recreational cannabis. While Massachusetts, Maine, Vermont, Connecticut, and Rhode Island have all legalized adult-use sales, New Hampshire only permits medical cannabis through its Therapeutic Cannabis Program (TCP), established in 2013 with first sales in 2016.

As of January 2026, approximately 15,000 patients are registered with the TCP. The program operates through just 7 Alternative Treatment Center (ATC) dispensary locations run by three non-profit operators: GraniteLeaf Cannabis (Merrimack, Chichester), Sanctuary ATC (Plymouth, Conway), and Temescal Wellness (Dover, Keene, Lebanon).

The limited number of dispensaries means some patients must travel over an hour to access their medicine. Many patients cross into Maine (which accepts out-of-state cards) or Massachusetts/Vermont (which have recreational sales) for better selection and pricing.

In 2024, the program expanded significantly when HB 1278 allowed any "debilitating condition or symptom" to qualify for medical cannabis, dramatically broadening access beyond the original condition list. Generalized Anxiety Disorder was also added as a specific qualifying condition.

Recreational cannabis is decriminalized (possession of ΒΎ oz or less is a $100 fine) but remains illegal. Governor Kelly Ayotte (R), elected in 2024, has vowed to veto any legalization bill. Without a ballot initiative process, legalization depends entirely on legislative action.

Home cultivation is NOT permitted, even for medical patients. Dispensaries must operate as non-profits, which advocates say increases costs for patients.

Legal Snapshot

CategoryStatus
Medical StatusLegal (first sales 2016)
Recreational StatusIllegal (decriminalized)
Registered Patients~15,000
Dispensaries7 ATC locations (3 operators)
Possession Limit (Medical)2 oz at any time
Purchase Limit2 oz per 10-day period
Medical Card Cost$50 annually
Home CultivationNOT permitted
DecriminalizationΒΎ oz or less = $100 fine
Out-of-State CardsAccepted with conditions

What People Actually Pay

New Hampshire medical cannabis pricing (January 2026):

Flower: $300-400 per ounce ($40-50 per eighth)
Vapes: $50-80 for cartridges
Edibles: $25-50 per package
Concentrates: $50-80 per gram
Tinctures: $40-70
Topicals: $30-60

NO SALES TAX on medical cannabis in New Hampshire.

Medical card costs:
- Doctor consultation: $150+ for initial certification, $75+ for follow-ups
- State registration fee: $50 annually (reduced fees available for Medicaid/SSI recipients)

Why NH is expensive: Non-profit requirement for ATCs increases operating costs. Limited competition (only 3 operators). Vertical integration (ATCs must grow their own). Costs passed to patients.

Cost-saving options: Patient assistance programs at some ATCs. Many NH patients shop in Maine (accepts out-of-state medical cards) or make recreational purchases in MA/VT/ME where prices are lower.

How Access & Delivery Work

Some New Hampshire ATCs may offer delivery services to registered patients. Contact individual dispensaries to confirm delivery availability and service areas.

With only 7 dispensary locations statewide, many patients travel significant distances. Online ordering for in-store pickup is available at most ATCs to streamline visits.

Payment is typically cash or debit (processed through CanPay or POB Systems). Credit cards are generally not accepted due to federal banking restrictions. ATMs are available on-site at dispensaries.

There is NO sales tax on medical cannabis in New Hampshire.

Product Guides

flower:

All three New Hampshire ATC operators cultivate their own cannabis. GraniteLeaf Cannabis has production facilities in Peterborough, Sanctuary ATC in Rochester, and Temescal Wellness in Manchester. Flower prices average $300-400 per ounce for quality cannabis. Products are tested for safety, potency, and contaminants. Indica, sativa, and hybrid varieties available.

vapes:

Vape cartridges and devices available at all NH ATCs. 510-thread cartridges standard. Options include distillate and live resin varieties. Convenient for discreet medicating.

edibles:

Edibles available including gummies, chocolates, and other infused products. Start with low doses (5-10mg) and wait 90+ minutes before consuming more. Keep in original packaging.

concentrates:

Concentrates including wax, shatter, and extracts available. Possession of less than 5 grams of hashish is decriminalized ($100 fine) even without a medical card.

tinctures:

Tinctures and oils provide precise sublingual dosing. Popular among medical patients for consistent medication. Various THC:CBD ratios available.

topicals:

Transdermal patches, topical creams, balms, and lotions for localized relief without psychoactive effects. GraniteLeaf is known for topical options.

pre_rolls:

Pre-rolled joints available at NH dispensaries for convenience.

Recommended Brands

New Hampshire's three ATC operators:

GraniteLeaf Cannabis (formerly Prime ATC): Dispensaries in Merrimack and Chichester. Production facility in Peterborough. Known for patient education, wide product range including transdermal patches, topicals, vapes, and edibles. Drive-thru available at Chichester location.

Sanctuary ATC: Dispensaries in Plymouth and Conway. Cultivation in Rochester. Strong focus on patient education with medical director available on-site. Known for high-quality, tested flower.

Temescal Wellness: Dispensaries in Dover, Keene, and Lebanon. Cultivation in Manchester. Multi-state operator with experience in other medical markets. Patient assistance programs available.

Current Trends (2026)

New Hampshire cannabis trends (January 2026):

Political Stalemate: Governor Kelly Ayotte (R) vows to veto any legalization bill. No ballot initiative process in NH. Constitutional amendment proposal (CACR 9) would need 60% in both chambers plus 2/3 voter approvalβ€”unlikely path.

2024 Program Expansion: HB 1278 allowed "any debilitating condition" to qualify, dramatically expanding access. Generalized Anxiety Disorder added. Any licensed prescriber can now certify patients.

Non-Profit Conversion Push: Bills to allow ATCs to convert from non-profit to for-profit have repeatedly passed the House but been vetoed or stalled. Advocates say this would reduce costs.

Home Grow Defeated: HB 53 to allow patient home cultivation was tabled in Senate.

Possession Limits: HB 190 to increase possession limits also failed.

Patient Exodus: Many registered patients shop in Maine or make recreational purchases in MA/VT due to higher NH prices and limited selection.

Revenue Loss: NH loses significant tax revenue to neighboring states' recreational markets. Economic arguments continue to drive debate.

Last in New England: NH remains the only New England state without legal recreational cannabisβ€”an increasingly isolated position.

Frequently Asked Questions

Is recreational marijuana legal in New Hampshire?

No. NH is the only New England state without legal recreational cannabis. Small amounts are decriminalized (fine only), but possession remains illegal.

Is medical marijuana legal in New Hampshire?

Yes. The Therapeutic Cannabis Program has operated since 2016 for patients with qualifying conditions.

How much does a NH medical card cost?

$50 annual state fee plus doctor consultation ($150+ initial, $75+ renewals). Reduced fees for Medicaid/SSI recipients.

How many dispensaries are in New Hampshire?

7 Alternative Treatment Center locations operated by 3 companies: GraniteLeaf (2), Sanctuary ATC (2), Temescal Wellness (3).

What conditions qualify for medical marijuana in NH?

As of 2024, ANY debilitating condition can qualify if your provider believes benefits outweigh risks. Specific conditions include chronic pain, PTSD, cancer, anxiety, and many more.

Can I grow cannabis at home in New Hampshire?

No. Home cultivation is not permitted, even for medical patients.

Does NH accept out-of-state medical cards?

Yes. Visiting patients with valid cards from other states or Canada can purchase at NH ATCs, with some restrictions.

What is decriminalized in NH?

Possession of ΒΎ oz or less is a $100 civil fine (not criminal). Larger amounts, sales, and cultivation remain criminal offenses.

Can I buy recreational cannabis in a neighboring state?

Yes. MA, ME, VT, and RI all have recreational sales. However, transporting cannabis back to NH is illegal.

How much cannabis can medical patients possess?

2 ounces at any time, with purchases limited to 2 oz per 10-day period.

Why is NH cannabis more expensive than neighboring states?

ATCs must operate as non-profits, there are only 3 operators, and they must vertically integrate (grow their own). Limited competition increases costs.

Can any doctor certify me for medical cannabis?

Yes. As of 2024, any NH-licensed MD, DO, APRN, or PA can certify patients. Providers from MA, ME, or VT can also certify if they actively treat you.

Will New Hampshire legalize recreational cannabis?

Unclear. Governor Ayotte opposes legalization. Without a ballot initiative process, change requires legislative action and gubernatorial approval.

Is there a cannabis tax in NH?

No. Medical cannabis is not subject to sales tax in New Hampshire.

What is the open container law for cannabis?

As of 2025, unsealed cannabis must be stored in trunk or least accessible area ($150 fine). Medical patients are exempt.

Safety Note

Purchase medical cannabis only from licensed New Hampshire ATCs. All products are tested for potency and contaminants before sale.

Keep your Registry ID Card with you whenever possessing cannabis outside your home. Medical patients are exempt from the open container law, but having your card prevents misunderstandings with law enforcement.

Store cannabis in original ATC packaging when transporting. Keep in a locked container or trunk when possible.

Start low with edibles and wait 90+ minutes before consuming more.

Never drive impaired. New Hampshire has drugged driving lawsβ€”detectable cannabis levels can result in DUI charges.

Do not share your medical cannabis with non-cardholders. Providing cannabis to someone without a valid card is illegal and can result in felony charges and loss of your patient status.

Federal restrictions still apply: Medical cannabis patients may face issues with federal employment, commercial driver's licenses, firearm purchases (ATF prohibits sales to cannabis users), federal housing, and immigration.

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Last updated: January 2026