Who is Legally Allowed to Buy Botox?

I have seen on this site that so many types of medical practitioners can inject Botox...dentists, psychiatrists, etc. I also know many women who go to Botox parties at someone's home with an RN or someone with even less medical injecting.

Who does the manufacturer of Botox actually sell to? Do they have to be a doctor?

Doctor Answers 16

Who is LEGALLY Allowed to Buy Botox?

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The purchase of Botox directly from the manufacturer Allergan is legally permitted by any licensed physician/doctor (MD, DO, DMD). Allergan does not guarantee the safety or authenticity of Botox that is not purchased from the company.

Depending on your state medical board,  you may be able to inject Botox as a physician's assistant, nurse or nurse practitioner, under the supervision of a physician. No state board, allows Aestheticians, Medical Assistants or Nursing Assistants to inject Botox.



Buyer Beware when having Botox Injections

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 Any MD can purchase Botox and can even sponsor Botox events where RN's inject patients.  The old saying "buyer beware" applies as does "you get what you pay for".  Having a complication from Botox is more costly in the long run than having an experienced MD do the Botox treatment from the beginning.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Who is allowed to purchase Botox

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While any physician can purchase Botox, more importantly, the question is who is the best trained to inject Botox and provide the best results and safety, who understands anatomy, beauty, proper proportions, and skin the best. And if there were a problem, who would be the best person to try and fix it.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon

Who is Qualified to Inject Botox?

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Botox can be purchased in the United States by any licensed MD, DO or DDS.  This is not isolated to this particular drug but really any pharmaceutical.  The real question, however is not really who can purchase it but who is qualified to inject Botox? Why would you trust your face to anyone but an expert?  There are three physician specialties that provide extensive training in ALL aspects of Botox injections:  Facial Plastic Surgery, Dermatology and General Plastic Surgery.  If your face is worth the best, then choose the best.  Should you elect to have someone other than one of these three specialists for your injection, ensure that they are directly supervised by one of them.  Should you get a poor result, you will want to have access to an expert to fix the side effect.

Joseph Campanelli, MD
Portland Facial Plastic Surgeon


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According to the compant" Allergan" only doctors can buy Botox. Many pharmacies can carry it too, but only by prescription to and by doctors.

There are lots of fake Botox on the market that one can buy on the internet. Fake Botox can be hazardous to your health, as well as Botox parties.

Samir Shureih, MD
Baltimore Plastic Surgeon


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Any licensed physician can purchase Botox.  What's important is who is injecting Botox, and it should be an experienced physician.

Anatoli Freiman, MD
Toronto Dermatologist

Botox and doctors

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Allergan will only sell Botox to doctors.  There are companies that try to sell non-medical grade botox but that is illegal for use.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Only physicians can buy Botox

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Allergan, the manufacturer of Botox, will only sell it to licensed physicians. Anything you see online that will sell directly to the public is not authentic Botox and can be extremely dangerous. Caveat emptor!

Psychiatrists are licensed medical doctors and are eligible to purchase BOTOX should they choose.

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Dentists are also licensed to purchase and use BOTOX although many state dental boards restrict this practice.  There are not states in the United States that permit nurses to purchase and administer BOTOX.  How do spas with only nurses offering services get these products?  Often they have an illegal arrangement with a licensed physician.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Botox Sourcing

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Botox must legally be purchased in the US from the manufacturer (Allergan) under a state issued physician's (MD, DO, etc) license. However, like any product, this can be sourced via the web from other countries at substantial savings. What you give up when purchasing medical products this way is FDA regulation of the manufacturing, transport, and storage of the product. In many cases, it is the exact identical drug, made by Allergan or a subsidiary.  Did it sit in a warehouse or ship hull for weeks at 100F? Who knows? Will it work? Probably...but it's not guaranteed Safe AND Effective by any means. You will pay more for US manufactured and distributed product. You will pay more for injectors with advanced medical degrees (MD > NP/PA > RN > LVN) in the same way that you pay more for other professionals services. I strongly advise only receiving injection therapy in a clinic setting either directly from a physician, or where a physician is immediately available. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.