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Know Your State’s Laws Around Semaglutide

By: Nextech | April 11th, 2025

Know Your State’s Laws Around Semaglutide Blog Feature

Around 1 in 8 American adults have taken a GLP-1 drug containing semaglutide, more than a third of them for weight loss. With such high demand, med spas are looking to semaglutide injections as a valuable offer to package with aesthetic weight loss treatments. 

What Is Semaglutide? 

Semaglutide is a drug that regulates appetite and blood sugar levels. It was first approved by the FDA in 2017 to treat Type 2 diabetes; a second formulation specifically for weight loss was FDA-approved in 2021. 

Who Qualifies for Semaglutide Injections? 

Semaglutide is only available by prescription, so adding it to a patient’s weight-loss program requires the involvement of a medical clinician. 

Each state has its own requirements for which clinicians can prescribe and administer semaglutide injections, and some have additional requirements.  

For example, Connecticut requires patients on semaglutide to participate in a counseling and wellness program in conjunction with their treatment. 

Jump to your state's requirements

Semaglutide is approved for weight management in adults with a BMI over 30. It can be prescribed to adults with a BMI over 27 if the patient also has a weight-related medical condition. 

 

Nextech’s med spa-specific platform stays up to date on changing regulations, making it easier for your business to stay in compliance. Request a demo. 

 

Offering Semaglutide at Your Med Spa 

If a patient is interested in semaglutide for weight loss, med spas can be the ideal prescriber, since injections can be packaged with aesthetic treatments not available at a primary care doctor’s office. 

You can increase the profitability of your med spa’s semaglutide offering by packaging injections with skin tightening, muscle sculpting, and body sculpting treatments. 

Semaglutide and Skin Tightening 

A well-known side effect of rapid weight loss is loose, sagging skin. This is so common among semaglutide patients, it’s been given an unflattering nickname. 

Ease patients’ concerns about sagging and wrinkles by bundling semaglutide injections with radiofrequency skin tightening to restore firmness. 

Semaglutide and Muscle Sculpting 

Along with losing fat, some semaglutide patients lose muscle tone as their weight rapidly drops. 

Med spas offering a combination of radiofrequency and high-intensity focused electromagnetic (HIFEM) energy treatments can package them with semaglutide injections to tone muscles and increase metabolism, helping patients keep the weight off. 

Semaglutide and Non-Surgical Body Sculpting 

Like any weight-loss program, semaglutide injections do not necessarily cause people to lose weight evenly from their entire body. Patients may still struggle with hard-to-lose fat in areas like the lower abdomen and hips. 

Bundling semaglutide with sculpting treatments like cryolipolysis assures patients they can actually achieve the body they dreamed of. 

 

Nextech’s Med Spa for Wellness and Weight Loss technology increases revenue by an average of 70% per patient encounter. Request a demo. 

 

Semaglutide Laws Changed in 2025 

From the time semaglutide was approved for weight loss in 2021 through the end of 2024, a multitude of vendors popped up offering versions of the drug, not all of them safe and effective. 

In 2022, a semaglutide shortage led the FDA to allow sales of compounded GLP-1s. The market was flooded with compounds using various types and grades of semaglutide. 

In February 2025, the FDA declared the shortage was over. Since April 2025, it has been illegal to prescribe and compound GLP-1 medications that are essentially a copy of FDA-approved drugs. 

Potential exceptions exist when the prescriber can show a patient has a medical need for a formulation significantly different from the commercial product, for example, an allergy to an inactive ingredient in the approved drug. 

Penalties for selling and administering drugs not approved by the FDA can include fines, loss of license, and criminal charges, as well as opening a practice to civil liability claims from patients and their families. 

Who Can Prescribe and Administer Semaglutide Injections? 

In many states, semaglutide drugs can only be prescribed by a physician or nurse practitioner, though some states also grant prescriptive authority to physician assistants and advanced practice registered nurses. 

Can Semaglutide Be Prescribed Online? 

Legally, semaglutide can be prescribed online as long as the provider has prescriptive authority. Some states, like Arkansas, require the initial patient exam be done in person, though they allow telemedicine for follow-up visits. 

Telemedicine laws in most states require online visits meet the same standard of care as in-person visits. So if a test or measurement would be considered during an in-person exam, it should be ordered for the telemedicine exam, too. 

 

Related: Med Spa Laws by State 

 

Semaglutide Laws By State

If your clinic or med spa is considering offering semaglutide for weight loss, be sure to check with your state medical board first. This list of regulations is not exhaustive, and state laws often change. (Note: This blog post is for general informational purposes only and is not legal advice.)  

Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut | Delaware | Florida | Georgia | Hawaii | Idaho | Illinois | Indiana | Iowa | Kansas | Kentucky | Louisiana | Maine | Maryland | Massachusetts | Michigan | Minnesota | Mississippi | Missouri | Montana | Nebraska | Nevada | New Hampshire | New Jersey | New Mexico | New York | North Carolina | North Dakota | Ohio | Oklahoma | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota | Tennessee | Texas | Utah | Vermont | Viriginia | Washington | West Virginia | Wisconsin | Wyoming 

Alabama

Who can prescribe semaglutide?

  • In Alabama, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Alabama, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • Online prescriptions require a valid patient- provider relationship.

Alaska 

Who can prescribe semaglutide?

  • In Alaska, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Alaska, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, APRN, RN, or LPN.

Additional regulations

  • None

Arizona

Who can prescribe semaglutide?

  • In Arizona, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Arizona, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, LPN, or medical assistants (under supervision).

Additional regulations

  • Online prescriptions require a valid patient-provider relationship.

Arkansas

Who can prescribe semaglutide?

  • In Arkansas, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA.

Who can inject semaglutide?

  • In Arkansas, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, LPN.

Additional regulations

  • Initial exam must be completed in person.

California

Who can prescribe semaglutide?

  • In California, semaglutide can be prescribed by professionals with the titles MD; DO; NP; or PA (with a supervising physician).

Who can inject semaglutide?

  • In California, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, licensed vocational nurse, or medical assistant (under supervision).

Additional regulations

  • None

Colorado

Who can prescribe semaglutide?

  • In Colorado, semaglutide can be prescribed by professionals with the titles MD; DO; NP (after a provisional period); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Colorado, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, LPN, or medical assistant (under supervision).

Additional regulations

  • None

Connecticut 

Who can prescribe semaglutide?

  • In Connecticut, semaglutide can be prescribed by professionals with the titles MD; DO; NP (after a collaborative agreement period); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Connecticut, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • Patients must participate in a counseling and wellness program.

Delaware

Who can prescribe semaglutide?

  • In Delaware, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Delaware, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • Initial exam must be completed in person.

Florida

Who can prescribe semaglutide?

  • In Florida, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with supervisory protocols); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Florida, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, LPN, or medical assistant (under supervision).

Additional regulations

  • Though not required, patients are advised to have a follow-up exam every three months.

Georgia

Who can prescribe semaglutide?

  • In Georgia, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with protocol agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Georgia, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • Initial exam must be completed in person.

Hawaii

Who can prescribe semaglutide?

  • In Hawaii, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Hawaii, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, LPN.

Additional regulations

  • None

Idaho

Who can prescribe semaglutide?

  • In Idaho, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Idaho, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, LPN.

Additional regulations

  • Online prescriptions require a valid patient-provider relationship.

Illinois

Who can prescribe semaglutide?

  • In Illinois, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Illinois, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, LPN, or medical assistant (under supervision).

Additional regulations

  • None

Indiana

Who can prescribe semaglutide?

  • In Indiana, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Indiana, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Iowa

Who can prescribe semaglutide?

  • In Iowa, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Iowa, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

Kansas

Who can prescribe semaglutide?

  • In Kansas, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Kansas, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LP.

Additional regulations

  • None

Kentucky

Who can prescribe semaglutide?

  • In Kentucky, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Kentucky, semaglutide can be injected by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Louisiana 

Who can prescribe semaglutide?

  • In Louisiana, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Louisiana, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Maine

Who can prescribe semaglutide?

  • In Maine, semaglutide can be prescribed by professionals with the titles MD; DO; NP (after supervised period); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Maine, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • Online prescriptions require a valid patient-provider relationship.

Maryland

Who can prescribe semaglutide?

  • In Maryland, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Maryland, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • Online prescriptions require a valid patient-provider relationship.

Massachusetts

Who can prescribe semaglutide?

  • In Massachusetts, semaglutide can be prescribed by professionals with the titles MD; DO; NP (after supervised period); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Massachusetts, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

Michigan

Who can prescribe semaglutide?

  • In Michigan, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with delegated authority); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Michigan, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Minnesota

Who can prescribe semaglutide?

  • In Minnesota, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Minnesota, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN. 

Additional regulations

  • None

Mississippi 

Who can prescribe semaglutide?

  • In Mississippi, semaglutide can be prescribed by professionals with the titles MD; DO, NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Mississippi, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN. 

Additional regulations

  • Initial exam must be completed in person.

Missouri

Who can prescribe semaglutide?

  • In Missouri, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Missouri, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Montana 

Who can prescribe semaglutide?

  • In Montana, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Montana, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

Nebraska

Who can prescribe semaglutide?

  • In Nebraska, semaglutide can be prescribed by professionals with the titles MD; DO; NP (after transition-to-practice agreement); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Nebraska, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • Online prescriptions require a valid patient-provider relationship.

Nevada

Who can prescribe semaglutide?

  • In Nevada, semaglutide can be prescribed by professionals with the titles MD; DO; NP (after supervised period); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Nevada, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

New Hampshire

Who can prescribe semaglutide?

  • In New Hampshire, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In New Hampshire, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

New Jersey

Who can prescribe semaglutide?

  • In New Jersey, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with joint protocol); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In New Jersey, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

New Mexico

Who can prescribe semaglutide?

  • In New Mexico, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In New Mexico, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, LPN, pharmacist clinicians.

Additional regulations

  • None 

New York

Who can prescribe semaglutide?

  • In New York, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In New York, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

North Carolina

Who can prescribe semaglutide?

  • In North Carolina, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with supervisory arrangement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In North Carolina, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • Initial exam must be completed in person.

North Dakota

Who can prescribe semaglutide?

  • In North Dakota, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In North Carolina, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

Ohio

Who can prescribe semaglutide?

  • In Ohio, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with standard care arrangement); or PA (with a supervising physician). 

Who can inject semaglutide?

  • In Ohio, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Oklahoma

Who can prescribe semaglutide?

  • In Oklahoma, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with supervisory agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Oklahoma, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Oregon

Who can prescribe semaglutide?

  • In Oregon, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Oregon, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, LPN, or pharmacist (under collaborative practice agreements).

Additional regulations

  • None

Pennsylvania

Who can prescribe semaglutide?

  • In Pennsylvania, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Pennsylvania, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, LPN.

Additional regulations

  • None

Rhode Island

Who can prescribe semaglutide?

  • In Rhode Island, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Rhode Island, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • Initial exam must be completed in person.

South Carolina

Who can prescribe semaglutide?

  • In South Carolina, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with practice agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In South Carolina, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • Online prescriptions require a valid patient-provider relationship.

South Dakota

Who can prescribe semaglutide?

  • In South Dakota, semaglutide can be prescribed by professionals with the titles MD; DO; NP (after collaboration period); APRN; or PA (with a supervising physician). 

Who can inject semaglutide?

  • In South Dakota, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN..

Additional regulations

  • None

Tennessee 

Who can prescribe semaglutide?

  • In Tennessee, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Tennessee, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Texas

Who can prescribe semaglutide?

  • In Texas, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with prescriptive authority agreement); or PA (with a supervising physician). 

Who can inject semaglutide?

  • In Texas, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, licensed vocational nurse, or medical assistant (under supervision).

Additional regulations

  • Initial exam must be completed in person.

Utah

Who can prescribe semaglutide?

  • In Utah, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Utah, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

Vermont

Who can prescribe semaglutide?

  • In Vermont, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Vermont, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

Virginia

Who can prescribe semaglutide?

  • In Virginia, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with practice agreement); APRN; and PA (with a supervising physician).

Who can inject semaglutide?

  • In Virginia, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

Washington

Who can prescribe semaglutide?

  • In Washington, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Washington, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, LPN, or pharmacist (with state board approval).

Additional regulations

  • Online prescriptions require a valid patient-provider relationship.

West Virginia

Who can prescribe semaglutide?

  • In West Virginia, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician). 

Who can inject semaglutide?

  • In West Virginia, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, or LPN.

Additional regulations

  • None

Wisconsin

Who can prescribe semaglutide?

  • In Wisconsin, semaglutide can be prescribed by professionals with the titles MD; DO; NP (with collaborative agreement); or PA (with a supervising physician).

Who can inject semaglutide?

  • In Wisconsin, semaglutide injections can be given by professionals with the titles MD, DO, NP, PA, RN, LPN, or medical assistant (under supervision).

Additional regulations

  • None

Wyoming

Who can prescribe semaglutide?

  • In Wyoming, semaglutide can be prescribed by professionals with the titles MD; DO; NP; APRN; or PA (with a supervising physician).

Who can inject semaglutide?

  • In Wyoming, semaglutide injections can be given by professionals with the titles MD, DO, NP, APRN, PA, RN, or LPN.

Additional regulations

  • None

 

Nextech’s intelligent technology platform was built specifically to help med spas deliver outstanding care, maintain compliance, and grow profitability. Request a demo.

 

Caring for Med Spa Patients on Semaglutide 

Patients on semaglutide drugs need careful monitoring and medical management. It’s important providers make the patient aware of the potential risks of rapid weight loss. 

When adding semaglutide injections to your med spa’s offers, document standard protocols around use of the drug. Establish clear parameters to determine: 

  • Which patients are eligible 
  • How often to administer injections 
  • Whether and when to adjust the dosage 
  • How to handle side effects 

This documentation not only makes successful outcomes more likely, but can protect you from regulatory and legal liability. 

In the initial exam, educate patients about the treatment. Dazzled by success stories they’ve heard from the media and people in their lives, they may not fully understand the potential risks and side effects. 

The exam should be performed by a qualified medical professional and should consider more than BMI. You are treating a person, not a condition. Consider their complete health history, including pre-existing conditions, contraindications, lab results, and lifestyle. 

No weight loss plan is one-and-done. Your patient will need a long-term plan to stay on track and keep the weight off. Schedule regular follow-up visits to track progress, monitor side effects, and adjust dosage. 

An intuitive technology platform like Nextech MedSpa is a valuable tool in these follow-up visits. You can visually track progress at a glance, record a variety of health and lifestyle data points, and get alerted to potential negative outcomes. 

Nextech simplifies referrals to nutritionists, dietitians, and other providers who will play an important role in helping your patients adjust to their healthy new lifestyle. You can find referral partners, send pre-filled referral letters with a click, and securely share patient health data with one another. 

How to Bill for Semaglutide Treatments 

Semaglutide is famously expensive. Out-of-pocket costs are typically in the range of $1,000 a month, and insurance coverage is variable, particularly if weight loss is not treating an urgent medical need. 

Before beginning a treatment plan, prequalify the prescription with the patient’s insurer. Tell the patient in advance what their out-of-pocket costs are likely to be, so they don’t start a plan they can’t afford. 

To ensure quick and complete reimbursement from insurers, make sure your billing team knows and uses the right codes. 

  • The ICD-10 code for obesity and overweight is E66, with extensions for morbid obesity, obesity by cause, and obesity by class 
  • The CPT code for the injection is 96372 

Also make sure the exam and risk factor reduction counseling are coded separately from the injection. A practice management system with built-in coding and billing tools takes the load off your staff and helps make sure claims are coded correctly before they go out. 

Since insurance coverage for semaglutide varies widely, even patients with insurance may have to pick up a hefty tab. Payment installment plans can make treatment more affordable. 

Patients on a manageable payment plan are more likely to make their payments on time, improving your cash flow. 

FAQs 

Is semaglutide legal for weight loss in my state? 

Yes, semaglutide can be prescribed for weight loss anywhere in the U.S. However, some states regulate prescriber supervision, telehealth prescribing, protocols, and scope. 

Do med spas need any special licensing to administer semaglutide injections? 

No, there is no separate license required for semaglutide. Some states have specific rules pertaining to administration in a non-clinical environment like a med spa, such as collaborative agreements or physician oversight. 

What are the rules for compounding semaglutide instead of using the brand-name drugs? 

The FDA has not approved any semaglutide formulations outside of the two brand-name drugs on the market. 

Compounded semaglutide is only permitted under specific conditions, such as an FDA-declared shortage or if a patient has a documented medical need that the approved formulations cannot meet. 

Stay Compliant with an Intelligent Healthcare Platform Specifically Created for Med Spas 

Med spas navigate a thorny maze of rules, regulations, and best practices, not just around semaglutide, but around all the treatments they offer. 

Nextech developed technology specifically for the unique needs of med spas. This technology helps practices manage shifting regulatory requirements, provide outstanding patient care, and operate a lean, profitable business. 

Request a demo today to see what Nextech can offer your practice. 

 

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