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New Hampshire med spa & injectable regulations

What’s changing for med spas and injectors in New Hampshire — GLP-1 compounding, scope-of-practice, and enforcement — plus the federal FDA and Federal Register actions that apply in New Hampshire. MedSpaRadar monitors it all and tells you, in plain language, what changed and what to do.

Opening a med spa in New Hampshire? Start with who may own one, the medical director rules, and who may inject in New Hampshire →

Latest New Hampshire changes

No New Hampshire-specific changes have crossed our radar yet — we’re monitoring the New Hampshire legislature daily. The New Hampshire legislature has adjourned sine die (2026 Regular Session). No further session is listed yet. The federal changes below apply to every New Hampshire practice today.

Federal changes that apply in New Hampshire

FDA and Federal Register actions are nationwide — they govern New Hampshire practices too.

See the full regulatory feed →

What we monitor in New Hampshire

  • New Hampshire legislature — bills on injectables, GLP-1s & scope of practice
  • U.S. FDA — enforcement, warning letters, recalls, shortages
  • Federal Register — new rules on compounding & aesthetics

New Hampshire med spa questions, answered from statute

The same verified record, asked the way operators actually ask it — who may own one, who may inject, what the supervising physician has to do. 19 questions have a cited New Hampshire answer today.

Browse the 19 New Hampshire questions →

New Hampshire med-spa compliance rules

36 rules across 7 topics — physician delegation, the good-faith exam, ownership & corporate practice of medicine, RN/NP scope, med-spa registration, advertising, and enforcement — each linked to its primary source. Reference and monitoring, not legal advice.

Physician supervision & delegation6 cited rules

New Hampshire makes the licensee answerable for who works in their office: employing or ALLOWING an unlicensed person to practice there is itself a disciplinary ground.

Good-faith examination4 cited rules

New Hampshire defines the physician-patient relationship itself: it requires an in-person exam OR an exam using telemedicine.

Ownership & corporate practice of medicine5 cited rules

A New Hampshire professional corporation may be organized only to render professional services within a single profession — subject to the carve-out the statute itself makes at RSA 294-A:2, II, which these claims do not reach.

RN / NP scope for injectables4 cited rules

An advanced practice registered nurse in New Hampshire is a registered nurse currently licensed by the board under RSA 326-B:18, and the statute defines the APRN-patient relationship in medical terms: an in-person or telemedicine exam, a history, a diagnosis, a treatment plan appropriate to the licensee’s…

Med-spa registration & licensing6 cited rules

New Hampshire defines the esthetician simply as any person practicing esthetics, and the definition of esthetics itself — an enumerated list of surface treatments — is set out in the supervision section of this reference. The PRICE of the credential sits in the Office of Professional Licensure and Certification’s fee rule: under Plc 1002.07 a barber, cosmetologist, esthetician, manicurist or master barber personal license is $55 for two years, an instructor license $82, a shop license $110 for two years, a school license $346 and a tanning facility registration $170, each covering initial issuance, renewal or reinstatement. These claims do not address med-spa or medical facility registration. On compounded drugs the Board of Pharmacy’s sterile-compounding rule answers the GLP-1 question three ways: a compounder shall not compound a sterile product of an FDA-approved product when the product is commercially available, and may use bulk ingredients only where no commercial source exists, such as an FDA backorder listing; a compounder preparing more than 50 dosage units of NON-PATIENT-SPECIFIC preparations must be registered with the FDA as a manufacturer or 503B facility, and one supplying fewer than 50 units to a provider for administration must hold a memorandum of understanding for each product and hand the practitioner the lot’s test results; and “compounding” itself includes anticipatory preparation on regularly observed prescribing patterns and preparation on a practitioner’s order that may be sold to the practitioner for office administration to a SPECIFIC patient, in limited quantities, not for resale.

  • Esthetician means any person practicing esthetics.

    N.H. Rev. Stat. §313-A:1, VII

  • The application processing and licensing fees found in Table 1002.7, below, shall apply to the professions regulated by the board of barbering, cosmetology, and esthetics under RSA 313-A: Barber, cosmetologist, esthetician, manicurist, or master barber personal license application processing and licensing: Initial, renewal, or reinstatement after expiration of license 2 years $55; Shop license application processing and licensing: Initial, renewal, or reinstatement after expiration of license 2 years $110; School license application processing and licensing: Initial, renewal, or reinstatement after expiration of license 2 years $346.

    N.H. Code Admin. R. Plc 1002.07 and Table 1002.7 (Application Processing and Licensing Fees — Board of Barbering, Cosmetology, and Esthetics)

  • Barber, cosmetologist, esthetic, manicurist, or master barber instructor license application processing and licensing: Initial, renewal, or reinstatement after expiration of license 2 years $82; Tanning facility registration application processing and licensing: Initial, renewal, or reinstatement after expiration of license 2 years $170.

    N.H. Code Admin. R. Plc 1002.07, Table 1002.7 (instructor license and tanning facility registration fees)

  • New Hampshire bars compounding a sterile copy of a commercially available fda-approved product, which is what a compounded semaglutide or tirzepatide injection is while the approved product is on the market. a compounder shall not compound a sterile product of an FDA-approved product when the product is commercially available. (f) When no commercial source of a sterile product exists, such as being listed on the FDA backorder list, the compounder shall only use USP or other USP recognized grades such as BP, JP, EP, bulk ingredients obtained from a good manufacturing practice compliant supplier.

    N.H. Code Admin. R. Ph 404.04(e)-(f) (Regulatory Requirements for Sterile Compounding)

  • When a compounder prepares more than 50 dosage units for non-patient specific preparations the compounder shall be registered as a drug manufacturer or 503B with the FDA. (c) Compounders supplying limited quantities, less than 50 dosage units, to providers for administration use shall have an MOU with the provider for each compounded product they supply to the provider. When a compounder provides a practitioner a non-patient specific preparation, the compounder shall provide the practitioner a copy of the test result for each lot provided to the practitioner.

    N.H. Code Admin. R. Ph 404.04(b)-(c) (Regulatory Requirements for Sterile Compounding — non-patient-specific supply)

  • “Compounding” means the preparation, mixing, assembling, altering, packaging, and labeling of a drug, drug-delivery device, or device in accordance with a licensed practitioner's order, or initiative based on the practitioner/patient/pharmacist/compounder relationship in the course of professional practice, and includes the following: (1) Preparation of drug dosage forms for both human and animal patients; (2) Preparation of drugs or devices in anticipation of prescription drug orders based on routine, regularly observed prescribing patterns; (5) Preparation of drugs and devices on the order of a practitioner, which may be sold to the practitioner for use in his or her office to administer to a specific patient, in limited quantities, but not for resale.

    N.H. Code Admin. R. Ph 404.02(k) (Definitions — “Compounding”)

Advertising rules3 cited rules

New Hampshire names advertising conduct as a disciplinary ground twice over: including in advertising any statement of a character tending to deceive or mislead the public, or any statement claiming professional superiority, and advertising a drug or medicine of unknown formula or an anesthetic that is unnamed,…

Disciplinary landscape8 cited rules

Practicing medicine in New Hampshire without being licensed — or merely ADVERTISING oneself as doing so, or calling oneself a physician — is unlawful practice, and the board is directed to assess civil penalties for unauthorized practice. Its disciplinary grounds separately reach the operational failures a med spa is most likely to commit: dishonest or unprofessional conduct and gross or repeated negligence in practicing medicine or in activities ANCILLARY to it, inadequate aseptic or radiation safeguards, failing to maintain adequate medical record documentation, and conviction of a felony under the laws of the United States or any state.

  • Whoever, not being licensed or otherwise authorized according to the law of this state, shall advertise oneself as practicing medicine, or shall practice medicine, according to the meaning of RSA 329, or in any way hold oneself out as qualified so to do, or call oneself a physician, or whoever does any such acts after receiving notice that such person’s license has been revoked, is engaged in unlawful practice.

    N.H. Rev. Stat. §329:24, I (Unlawful Practice)

  • The board shall assess civil penalties against persons engaged in the unauthorized practice of medicine or other violations of this chapter.

    N.H. Rev. Stat. §329:2, II(d)

  • The board may take disciplinary action against a licensee who has engaged in dishonest or unprofessional conduct or has been grossly or repeatedly negligent in practicing medicine or in performing activities ancillary to the practice of medicine or any particular aspect or specialty thereof, or has intentionally injured a patient while practicing medicine or performing such ancillary activities.

    N.H. Rev. Stat. §329:17, VI(d)

  • The board may take disciplinary action against a licensee who has failed to provide adequate safeguards in regard to aseptic techniques or radiation techniques.

    N.H. Rev. Stat. §329:17, VI(f)

  • The board may take disciplinary action against a licensee who has failed to maintain adequate medical record documentation on diagnostic and therapeutic treatment provided or has unreasonably delayed medical record transfer.

    N.H. Rev. Stat. §329:17, VI(k)

  • The board may take disciplinary action against a licensee who has been convicted of a felony under the laws of the United States or any state.

    N.H. Rev. Stat. §329:17, VI(j)

  • The board may take disciplinary action against a licensee who has knowingly obtained, attempted to obtain or assisted a person in obtaining or attempting to obtain a prescription for a controlled substance without having formed a valid physician-patient relationship pursuant to RSA 329:1-c.

    N.H. Rev. Stat. §329:17, VI(l)

  • The board is authorized to issue a cease and desist order against any person or entity engaged in unlawful practice, and the cease and desist order is enforceable in superior court; the attorney general, the board, or the prosecuting attorney of any county or municipality where the act of unlawful practice takes place may maintain an action to enjoin any person or entity from continuing to do acts of unlawful practice, and an injunction without bond is available to the board.

    N.H. Rev. Stat. §329:24, IV–V

Current as of Sep 8, 2026. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts.

Who may perform it in New Hampshire?

We hold New Hampshire’s own written limits for injectable (neuromodulator, dermal filler), microneedling / collagen induction, micropigmentation / permanent makeup, mechanical exfoliation (dermaplaning, microdermabrasion) — read at source and cited. Check a licence against a procedure and see the rule it rests on.

Check scope in New Hampshire →

New Hampshire med spa compliance — FAQ

Where do New Hampshire med spa and injectable regulations come from?
New Hampshire med spas and injectors are governed by a mix of state and federal authorities — the New Hampshire legislature, and the state's boards of nursing, medicine, and pharmacy, alongside federal bodies like the FDA and the Federal Register. MedSpaRadar monitors all of them for New Hampshire and flags what changed in plain language.
Does the FDA's GLP-1 compounding guidance apply in New Hampshire?
Yes — federal FDA actions on GLP-1 compounding (semaglutide, tirzepatide) apply nationwide, including in New Hampshire. We track those federal changes alongside any New Hampshire-specific rules so you see the full picture for your practice.
How do I keep up with New Hampshire regulatory changes?
MedSpaRadar sends a free weekly Brief on what changed across New Hampshire, the FDA, and the Federal Register. Members get the exact "what to do" for their states in one daily email. It's regulatory monitoring, not legal advice.

Get New Hampshire changes as they publish

We scan the New Hampshire legislature and licensing boards daily, plus the FDA and the Federal Register. Free weekly Brief — what changed, in plain language, with the source.

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← All states · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director.