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

Yes, under physician delegation; RN must inject under standing orders or protocols from a supervising physician. NP/PA may inject under physician supervision; independent practice for injectables not permitted.

Ohio · Moderate

Can RNs and Nurse Practitioners Inject Botox in Ohio?

Nurses do most of the injecting in this industry — but Ohio 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 physician delegation; RN must inject under standing orders or protocols from a supervising physician.

Nurse practitioners & physician assistants

NP/PA may inject under physician supervision; independent practice for injectables not permitted.

Supervision & the medical director

Required; physician must supervise all injectable procedures and oversee protocols.

The exam requirement

Required; in-person exam mandatory before injectable treatment.

What to verify in Ohio

Establish a formal physician medical director agreement and ensure all injectable protocols are documented and approved by the medical director before operations begin.

Primary source: State Medical Board of Ohio; Ohio Board of Nursing.

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

See the full Ohio 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.