Who can inject
MD, DO only; RN/NP/PA may not inject injectables
Registered nurses (RNs)
No; RNs cannot inject neurotoxins or fillers in Pennsylvania
Nurse practitioners & physician assistants
NP/PA cannot inject injectables; physician-only practice for neurotoxins/fillers
The exam that makes it legal
Required; in-person examination mandatory before treatment A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure; manufacturer training expected.
What to verify in Pennsylvania
Ensure the medical spa is owned and operated by a licensed MD or DO; non-physician ownership is not permitted under Pennsylvania law.
Primary source: Pennsylvania Medical Board; Pennsylvania Board of Nursing
General business information for Pennsylvania medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Pennsylvania board (and your own counsel) before you act.