Who can inject
MD, DO only; NP/PA/RN cannot inject
Registered nurses (RNs)
No; RNs cannot inject neurotoxins or fillers in Pennsylvania
Nurse practitioners & physician assistants
NP/PA cannot inject; physician collaboration required but does not permit independent injectable authority
The exam that makes it legal
Required; in-person exam 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 MD/DO licensure.
What to verify in Pennsylvania
Ensure a licensed MD or DO owns or controls the medical spa and is present for all injectable procedures; verify CPOM compliance with Pennsylvania Medical Board counsel.
Primary source: Pennsylvania Medical Board
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.