State Tracker Updated June 15, 2026

New Hampshire: what the PBM reimbursement law requires

New Hampshire requires PBMs to register, disclose the sources used to calculate reimbursement and MAC pricing, and offer a MAC appeal — but it sets no reimbursement floor. A NADAC bill was not enacted.

Status	Partially enacted
Law	RSA 402-N:3 (SB 226, 2019)
Effective date	January 1, 2020
Reimbursement basis	No reimbursement floor. PBM contracts must disclose the sources used to calculate drug-product reimbursement and the national pricing compendia used for drug-price data, and must include a MAC appeals process. A NADAC point-of-reference bill (HB 1580) was killed in 2022.
Professional dispensing fee	Not specified in statute
Appeal route	Pharmacy has at least 30 business days following the initial claim to file; the carrier or PBM investigates and resolves within 30 business days

New Hampshire’s PBM law (RSA 402-N, effective January 1, 2020) is a registration-and-transparency regime, not a reimbursement floor. PBM contracts must disclose the sources used to calculate drug reimbursement and the pricing compendia behind MAC, and must provide a MAC appeal — at least 30 business days to file and a 30-business-day resolution window.

A bill that would have required NADAC as a pricing point of reference (HB 1580) was found “inexpedient to legislate” in 2022 and never became law. Some summaries still attribute a NADAC requirement to New Hampshire; the codified statute contains none.

Sources

RSA 402-N:3 — Provider Contract Standards (codified) Primary source
RSA 402-N:2 — PBM registration (source bill 2019, eff. Jan 1, 2020) Primary source

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