Physicians (MD/DO) and, under physician supervision/delegation, RNs and other licensed staff acting under medical orders; neurotoxin and filler administration is treated as the practice of medicine.
Can an RN inject?
RNs may inject only under a valid physician order and supervision/delegation by a physician; they cannot independently prescribe or diagnose. Scope is interpreted by the Board of Medical Examiners and Board of Nursing together, so verify the specific delegation documentation.
Medical director
Practically required: a supervising/collaborating physician must be in place for delegated injectables and NP/PA work; formal medical director structure is expected by many operators and boards.
Good-faith exam
A good-faith exam by a licensed prescriber is required before treating; in-person examination is the conservative standard.
Telehealth exam
Conditional: telehealth exams are not clearly permitted for initial injectable prescribing; verify with the Board of Medical Examiners before relying on telehealth.
Ownership
Physician-owned or physician-controlled; non-physician ownership generally requires a structure where the clinical practice is physician-owned (MSO-style arrangement) — verify with counsel.