Botox Laws by State 2025

Who Can Administer Botox

Dentists/Oral Surgeons

Licensed Medical Professionals

Licensed Physicians

Licensed Physicians & Professionals with supervision

Licensed Physicians or NPs

Medical Practitioners w/ Supervision

Multi-Prof Licensed

Nurses & Physicians

State	Who Can Administer Botox↓	Certifcations Required	Additional Botox Legal Details
Delaware	Nurses & Physicians	No additional qualifications required beyond a professional license.	It is within scope of practice for licensed nurses (RN and LPN) to perform cosmetic/aesthetic dermatological procedures as prescribed/ordered by a licensed physician, nurse practitioner, physician assistant, or other licensed health care practitioner with prescriptive authority acting within her/his legal scope of practice, provided all criteria required in this statement are met.
Illinois	Nurses & Physicians	No additional qualifications required beyond a professional license.	RNs may administer Botox in Illinois as long as certain regulatory requirements are met. Any use of botox must be provided in accordance with Board of Medicine and Board of Nursing requirements. Because these are considered medical treatments, they require an initial good-faith medical exam by either an MD or an APRN with full practice authority.
Louisiana	Nurses & Physicians	No additional qualifications required beyond a professional license.	LPNs, RNs, physicians, and NPs can perform procedures. Perform "head to toe" physical assessments. The administration of botox, for cosmetic purposes only, is within the scope of practice of licensed practical nurses in the state of Louisiana when certain conditions are met.
Maine	Multi-Prof Licensed	No additional qualifications required beyond a professional license.	Licensed Physicians, PAs or Nurses
Nevada	Multi-Prof Licensed	Dentists must go through additional training in Nevada.	Licensed physicians, dentists, podiatrists, PAs, NPs, and RNs
New Hampshire	Multi-Prof Licensed	No additional qualifications required beyond a professional license.	Licensed Physicians, NPs, RNs, and PAs
New Mexico	Multi-Prof Licensed	In New Mexico, qualified medical professionals must complete 16 hours of training specific to dermal fillers and injectable neuromodulators.	Licensed physicians, dentists, podiatrists, PAs, NPs, and RNs
North Carolina	Multi-Prof Licensed	No additional qualifications required beyond a professional license.	Licensed Physicians, NPs, RNs, and PAs
Ohio	Multi-Prof Licensed	No additional qualifications required beyond a professional license.	Licensed Physicians, dentists, tNPs, RNs, and PAs
Rhode Island	Multi-Prof Licensed	No additional qualifications required beyond a professional license.	Licensed physicians, dentists, podiatrists, PAs, NPs, and RNs
Wisconsin	Multi-Prof Licensed	No additional qualifications required beyond a professional license.	Licensed Physicians, PAs, and APRNs
Wyoming	Multi-Prof Licensed	No additional qualifications required beyond a professional license.	Licensed Physicians, PAs or Nurses
Alaska	Medical Practitioners w/ Supervision	Other medical professionals need aesthetic training.	Aesthetic nurses, or nurse injectors, administer BOTOX and cosmetic filler injections to their patients, with physician supervision.
Florida	Medical Practitioners w/ Supervision	No additional qualifications required beyond a professional license.	NPs or PAs can perform injectable neuromodulators and fillers, under the supervision of a physician.
Kansas	Medical Practitioners w/ Supervision	No additional qualifications required beyond a professional license.	Only medical practitioners who hold an MD, DO, DDS, DMD, NP, and nurses under the supervision of a Licensed Physicians
Kentucky	Medical Practitioners w/ Supervision	Any licensed medical professional can perform injectable neuromodulators and fillers when under the supervision of a physician	Licensed estheticians may only administer BOTOX under a physician's "immediate supervision."
Mississippi	Medical Practitioners w/ Supervision	No additional qualifications required beyond a professional license.	Licensed physicians can perform injectable neuromodulators and fillers in Mississippi. RNs, NPs, PAs, and electrologists may as well, with the supervision of a licensed physician.
Indiana	Licensed Physicians or NPs	There are no additional qualifications, though physicians or nurse practitioners must prove they have the necessary expertise and education before performing these procedures in Indiana.
Arizona	Licensed Physicians & Professionals with supervision	No additional qualifications required beyond a professional license.	Registered Nurse may inject Botox as long as they have a medical director. As a Registered Nurse does not have authority to prescribe, they need a Nurse Practitioner or Doctor to prescribe the medication and oversee their treatment plan. Estheticians may not inject Botox.
Colorado	Licensed Physicians & Professionals with supervision	No additional qualifications required beyond a professional license.	NPs, PAs, and licensed physicians can perform injectable neuromodulators and fillers in Colorado. Nurses and estheticians can as well, with physician supervision.
Michigan	Licensed Physicians & Professionals with supervision	There are no additional qualifications for licensed physicians in Michigan. Other professionals need to demonstrate the necessary education and expertise to perform these procedures.
South Dakota	Licensed Physicians & Professionals with supervision	No additional qualifications required beyond a professional license.	APRNs, PAs, and RNs can also perform these procedures, under the supervision of a licensed practitioner.
Virginia	Licensed Physicians & Professionals with supervision	No additional qualifications required beyond a professional license.	Licensed Physicians & PAs
Alabama	Licensed Physicians	No additional qualifications required beyond a professional license.
Arkansas	Licensed Physicians	No additional qualifications required beyond a professional license.	Registered nurses (RNs) and nurse practitioners (NPs) may perform these injections if the procedure is part of a treatment plan prescribed by a physician.
Hawaii	Licensed Physicians	No additional qualifications required beyond a professional license.	According to the Hawaii Board of Medical Examiners, both physicians and physician assistants can perform laser hair removal, intense pulse light treatments, Botox injections, chemical peels, and filler injections.
Idaho	Licensed Physicians	No additional qualifications required beyond a professional license.	Under Idaho law any doctor can do cosmetic services in his/her primary care practice; no specialized background in dermatology or plastic surgery is required. A PA can order and perform injections as long as it is in their practice agreement with a licensed physician.
Iowa	Licensed Physicians	No additional qualifications required beyond a professional license.	In Iowa, medical aesthetic services are generally provided in medical spas, overseen by medical directors. In this setting, medical directors may delegate provision of these services to non-physicians, under certain circumstances.
Maryland	Licensed Physicians	Physicians must have additional training from a higher education institution in these procedures before performing them in Maryland.	Many cosmetic procedures, including Botox filler, are now recognized as a practice of medicine and can only be performed, in most cases, by a trained physician. That training must be approved by the American Medical Association. In addition, only licensed doctors and physicians can prescribe botulinum toxin.
Minnesota	Licensed Physicians	There are no additional qualifications for licensed physicians in Michigan. Other professionals need to demonstrate the necessary education and expertise to perform these procedures.	Botox is not an over-the-counter medication. It can only be ordered by a physician with a DEA license.
Missouri	Licensed Physicians	Medical practitioners who hold an MD, DO, DDS, DMD, NP	RNs can perform these services with physician supervision.
Montana	Licensed Physicians	There are no additional qualifications required, though Montana law states physicians must have the education and experience to perform these procedures.
Nebraska	Licensed Physicians	No additional qualifications required beyond a professional license.
New Jersey	Licensed Physicians	No additional qualifications required beyond a professional license.
North Dakota	Licensed Physicians	No additional qualifications required beyond a professional license.	Cosmetic procedures like Botox, dermal fillers, and lasers should also only be done by a licensed physician. There are exemptions for injectables where a PA, NP, and RN can perform the treatment under physician supervision.
Oklahoma	Licensed Physicians	No additional qualifications required beyond a professional license.
South Carolina	Licensed Physicians	Licensed physicians in South Carolina need to have continuing education credits in aesthetic procedures to perform these services.
Utah	Licensed Physicians	No additional qualifications required beyond a professional license.
Washington	Licensed Physicians	In Washington, physicians must be trained in nonsurgical aesthetic procedures before performing injectable neuromodulators or fillers.
West Virginia	Licensed Physicians	Physicians need appropriate aesthetic training to perform these services in West Virginia, but there is no formal training or qualifications specified.
Connecticut	Licensed Medical Professionals	No additional qualifications, though someone must prove a procedure is within their medical scope of practice.	By law, cosmetic procedures, including botox administration, must be performed (1) in a medical spa or licensed health care facility and (2) by a Connecticut-licensed health care provider within his or her scope of practice.
Massachusetts	Licensed Medical Professionals	No additional qualifications required beyond a professional license.	Licensed medical professionals can perform injectable neuromodulators and fillers. This includes LPNs, RNs, NPs, PAs, dentists, and physicians.
New York	Licensed Medical Professionals	No additional qualifications required beyond a professional license.	It’s a must that all individuals performing the procedures should have an active state license and have completed training from a higher education institution.
Oregon	Licensed Medical Professionals	No additional qualifications required beyond a professional license.
Pennsylvania	Licensed Medical Professionals	There are no additional qualifications required beyond an active license and medical training from a higher education institution in Pennsylvania.
Tennessee	Licensed Medical Professionals	No additional qualifications required beyond a professional license.	Qualified healthcare or allied health professionals can perform injectable neuromodulators and fillers in Tennessee
Texas	Licensed Medical Professionals	No additional qualifications required beyond a professional license.	Some licensed professionals can only do so under physician supervision.
Vermont	Licensed Medical Professionals	In Vermont, a special license may be required for certain aesthetic procedures, and certain medical professionals may need aesthetics training before performing injectable neuromodulators or fillers.
California	Dentists/Oral Surgeons	Oral surgeons must hold an elective facial cosmetic surgery permit to perform these services.	Dentists licensed in California may not administer Botox or dermal fillers for purely cosmetic purposes unless they hold the specific elective permit and the treatment is part of a dental plan.
Georgia	Dentists/Oral Surgeons	No additional qualifications required beyond a professional license.	The American Academy of Facial Esthetics (AAFE) Level I course is the first board approved courses in injectable pharmacologics that will allow general dentists to perform Botulinum Toxin and dermal filler procedures in Georgia.

In every U.S. state, Botox and other injectable cosmetic procedures require informed consent from the patient and malpractice insurance coverage for the provider, with only minor variations in the exact consent language and insurance details.

Botox (botulinum toxin) is a popular injection for both cosmetic and medical procedures. Because Botox temporarily weakens or paralyzes muscles or blocks certain nerves, it can smooth facial wrinkles, help with chronic migraines, and fix severer underarm sweating, among other uses. Its usage is controversial, but when used by trained professionals, it can treat various health issues and make a difference in people’s lives.

Federal Laws Regarding Botox

Many laws vary from state to state regarding who can administer Botox injections and what are allowable injection sites. For example, Botox is an FDA-approved method of injection that serves different purposes. While it has been romanticized and idealized by the media as a cosmetic approach to fuller features, such as dimples and chin, Botox injections can also medically help some patients with their quality of life.

Laws regarding Botox on a federal level limit who can administer them so that only medical professionals can conduct this procedure. This means that licensed aestheticians usually cannot perform Botox injections, even if the purpose is purely cosmetic.

At a state level, Botox is usually regulated for such issues as dermal fillers. Each state has a different approach from its dental board regarding injecting dental botox. Arkansas, Alabama, and Maryland have the most guidance on the laws regarding Botox injections.

Arkansas

A prescription is required to obtain Botox and fillers because significant complications can occur with their injections. The performance of aesthetic procedures is within the scope of practice of a trained advanced practice registered nurse (APRN) or registered nurse (RN) as part of a medically prescribed plan of care for the treatment of various dermatological conditions or as a part of a health maintenance and health promotion regime.

Alabama

The Alabama Board of Medical Examiners issued an opinion stating that procedures involving Botox, Restylane, Collagen, and Mesotherapy are be the practice of medicine and, as such, each procedure must be performed by a licensed physician.

Maryland

Many cosmetic procedures, including Botox filler, are now recognized as a practice of medicine and can only be performed, in most cases, by a trained physician. That training must be approved by the American Medical Association. In addition, only licensed doctors and physicians can prescribe botulinum toxin.

Botox Laws by State 2025

Federal Laws Regarding Botox

Arkansas

Alabama

Maryland

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