Can registered nurses and nurse practitioners inject Botox and fillers in Montana?

Yes, under NP/PA or physician delegation; limited independent authority May practice independently or with physician collaboration; broad scope

Montana · Lenient

Can RNs and Nurse Practitioners Inject Botox in Montana?

Nurses do most of the injecting in this industry — but Montana draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under NP/PA or physician delegation; limited independent authority

Nurse practitioners & physician assistants

May practice independently or with physician collaboration; broad scope

Supervision & the medical director

Not required if NP/PA or MD/DO operates independently; required if RNs inject

The exam requirement

Required; in-person or telehealth allowed

What to verify in Montana

Clarify whether your NP/PA will practice independently or under physician collaboration, and document scope of practice and delegation clearly.

Primary source: Montana Board of Nursing and Montana Medical Board

General business information for Montana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Montana board (and your own counsel) before you act.

See the full Montana regulation profile →

Stay ahead of the rules that change your business.

Regulatory shifts, FDA recalls, and the moves that matter — twice a week — with Inside MedSpa Pro.

Go Pro · $20/mo

By the time it's news, it's too late.

The rebate cut, the scope-of-practice bill, the competitor opening down the street — it hits your business before the trade press ever covers it. Pro gets you there first: what happened, why it touches your margins, and exactly what to do — at 6 AM, in two minutes.

Go Pro · $20/mo

Never miss a recall or a rule change. Cancel anytime.