Site icon USA Data Hub

Botox Laws by State

Botox Laws by State

Botox Laws by State and Regulations

Botox, a popular cosmetic treatment, is subject to specific laws and regulations across the United States. From who can administer it to how it’s regulated, understanding these aspects is crucial. In this article, we provide comprehensive answers to common questions regarding Botox laws, training, certification, and administration.

1. Botox Laws by State:

Each state has its own regulations regarding who can administer Botox injections. Here’s an overview:

New YorkLimited to licensed healthcare professionals
CaliforniaPermissible for physicians and registered nurses
TexasRequires supervision by a licensed physician
FloridaCan be administered by certain healthcare providers
IllinoisMust be administered by a licensed physician
OhioOnly physicians can administer Botox

2. Cosmetic Nurse:

A cosmetic nurse is a registered nurse (RN) who specializes in providing cosmetic treatments, including Botox injections. They receive specialized training in cosmetic procedures.

3. States Allowing Dental Hygienists to Administer Botox:

As of our research, some states allow dental hygienists to administer Botox injections, including California, Florida, and New York. However, regulations may vary, and hygienists should check with their state dental boards.

4.Botox Training and Certification:

Individuals interested in administering Botox injections must undergo specialized training and obtain certification. Common requirements include:

  • Completion of an accredited Botox training program.
  • Possession of relevant healthcare credentials or a valid medical license.
  • Demonstrated proficiency in administering Botox injections safely and effectively.

The FDA approved indications for Botox are:

  1. Chronic Migraine
  2. Upper Limb Spasticity
  3. Cervical Dystonia
  4. Primary Axillary Hyperhidrosis
  5. Blepharospasm and Strabismus
  6. Preparation and Dilution Technique
  7. Chronic Migraine
  8. Upper Limb Spasticity

5. Degree Requirements for Botox Injections:

There is no specific degree required to administer Botox injections. However, individuals typically have a medical degree (MD), nursing degree (RN), or other relevant healthcare qualifications.

6. Botox Certification:

Certification in Botox administration typically involves completing a recognized training program and passing an exam to demonstrate competency in administering injections.

7. Is Botox Legal in the US?

Yes, Botox is legal in the United States for both medical and cosmetic purposes when administered by licensed healthcare professionals.

8. How is Botox Regulated:

Botox is regulated by the Food and Drug Administration (FDA) to ensure its safety and efficacy for cosmetic and medical use.

9. Who Can Inject Botox in New York:

In New York, only licensed healthcare professionals, such as physicians, nurse practitioners, and registered nurses, are permitted to administer Botox injections.

10. Is Botox Regulated by the FDA:

Yes, Botox is regulated by the FDA to ensure its safety and effectiveness for cosmetic and medical use.

11. Who Can Inject Botox in the USA:

Licensed healthcare professionals, including physicians, nurse practitioners, registered nurses, and physician assistants, can administer Botox injections in the United States.

12. Who Can Inject Botox in Texas:

In Texas, Botox injections must be administered under the supervision of a licensed physician, such as a dermatologist or plastic surgeon.

13. Who Can Perform Botox and Fillers in the USA:

Licensed healthcare professionals, including physicians, nurse practitioners, registered nurses, and physician assistants, can perform Botox and filler injections in the United States.

Serial NumberStatePermitted Practitioners
1AlabamaLicensed Physicians
2AlaskaAesthetic nurses or nurse injectors
3ArizonaRegistered nurses with supervision of a doctor
4ArkansasAdvanced Practiced Registered Nurse and Registered Nurses
5CaliforniaOral Surgeons
6ColoradoMedical Aestheticians and Registered nurses
7ConnecticutLicensed health care provider within his/her scope
8DelawareRegistered Nurses and Licensed Practical Nurses
10GeorgiaGeneral Dentists
11HawaiiLicensed Physicians, physician assistants
12IdahoLicensed Physicians
13IllinoisRegistered Nurses
14IndianaAny Licensed Physician or Nurse Practitioner
15IowaLicensed Physicians
16KansasMedical practitioners with specific degrees
17KentuckyLicensed estheticians with supervision of a Physician
18LouisianaLicensed practical nurses
19MaineLicensed physicians, physician assistants, and nurses
20MarylandTrained Licensed Physicians
21MassachusettsLicensed medical professionals
22MichiganLicensed Physicians
23MinnesotaLicensed Physicians
24MississippiPAs, RNs, NPs, or electrologists with supervision
25MissouriMedical practitioners with specific degrees
26MontanaLicensed Physicians
27NebraskaLicensed Physicians
28NevadaLicensed Physicians, PAs, properly trained dentists, RNs, ARNPs, and podiatric physicians
29New HampshirePAs, RNs, and NPs
30New JerseyLicensed Physicians
31New MexicoUnregulated
32New YorkLicensed medical professionals with higher education training
33North CarolinaLicensed Physicians, PAs, NPs, and Nurses
34North DakotaLicensed Physicians
35OhioPAs, RNs, and NPs
36OklahomaLicensed Physicians
37OregonNo specialized background required
38PennsylvaniaLicensed medical professionals with higher education training
39Rhode IslandRNs, PAs, LPNs, and Dentists
40South CarolinaLicensed Physicians
41South DakotaPA, NP, and RN with supervision of a Physician
42TennesseeQualified medical professional in sanitary conditions
43TexasLicensed medical professionals
44UtahLicensed Physicians
45VermontLicensed medical professionals
46VirginiaLicensed Physicians and practitioners
47WashingtonLicensed Physicians
48West VirginiaLicensed Physicians
49WisconsinAny Licensed Physicians and nurse practitioners
50WyomingAny Licensed Physicians and nurse practitioners
51District of ColumbiaLicensed Physicians

Frequently Asked Questions (FAQ) about Botox:

  1. Is botulinum toxin regulated?

    • Yes, botulinum neurotoxin producing species of Clostridium are regulated, and the toxin itself is subject to regulations. If the material containing the toxin is retained past 30 days, it will be subject to regulations, including inventory requirements.
  2. What is Botox licensed use?

    • Botox is licensed for:
      • Hand and wrist disability due to upper limb spasticity associated with stroke (specialist use only)
      • Foot and ankle disability due to lower limb spasticity associated with stroke (specialist use only)
      • Blepharospasm (specialist use only)
      • Hemifacial spasm (specialist use only)
      • Spasmodic torticollis (specialist use only)
  3. What is Botox not FDA approved for?

    • Botox is not FDA approved for the treatment of other upper limb muscle groups, lower limb spasticity, or spasticity in pediatric patients under age 18 years.
  4. Which Botox is FDA-approved?

    • Dysport®, Botox®, and Xeomin® are FDA-approved botulinum-A products with both cosmetic and medical packaged options available in different packaging and size volumes.


  1. Regulation of Botulinum Toxin:

  2. Licensed Uses of Botox:

  3. FDA Approval Information:

  4. Information on Dysport® and Xeomin®:

Exit mobile version