IV Hydration, Med Spas, and Infusion Support

Helping Wellness and Infusion Businesses Operate Legally, Safely, and Confidently

As the IV hydration and wellness infusion industry continues to grow, so does the legal and regulatory scrutiny around these services. This regulation is important for patient and provider health and safety, but it can also be very overwhelming. Businesses have to be aware of their requirements as medical facilities, and having support to maintain your legal obligations as a practice is crucial.

Whether you’re operating a mobile IV therapy business, a brick-and-mortar med spa, or a full-scale infusion clinic, compliance is critical. This is not just for legal protection; it is also critical for patient safety and business sustainability.

Why Choose Boesen & Snow Law for Your Healthcare Business

We have significant experience in pharmacy and healthcare law, and our team understands the unique risks and regulatory issues that IV therapy and med spa operators face. We can provide you with legal guidance that protects your license, reduces liability, and keeps your business running smoothly. By working proactively, we can address compliance issues before they harm your patients and your business.

At Boesen & Snow Law, we support IV therapy providers, med spas, and infusion centers. We can help you build compliant operations that meet both medical and legal standards. Our team can also navigate complex state and federal regulations, licensing requirements, and pharmacy laws. By allowing us to manage these complex issues for you, you can focus on patient care.

Our Services

Boesen & Snow Law can help your facility or clinic in many different areas, including:

USP <797> Compliance for IV Therapy & Infusion Facilities

IV and infusion services that involve compounding sterile preparations must comply with U.S. Pharmacopeia (USP) <797> standards and applicable state laws. We assist with:

• Determining whether services fall under USP <797>
• Reviewing and drafting compliance protocols and procedures
• Advising on facility design, environmental controls, and staff practices
• Navigating state board of pharmacy oversight and enforcement

General Operational Compliance

We help IV therapy and med spa businesses build solid legal foundations for a successful business by advising on:

• State-specific medical and pharmacy licensure
• Legal structure and business model evaluation
• Policies for medication storage, labeling, and administration
• Compliance with corporate practice of medicine (CPOM) laws

Medical Director Agreements

We draft, review, and negotiate medical director agreements that ensure compliance with:

• Scope of practice and supervision requirements
• Prescriptive authority and standing orders
• Proper delineation of medical and administrative roles
• Practices that avoid fee-splitting or CPOM violations

Cease-and-Desist Letter Response

You could receive a cease-and-desist letter from a competitor, regulatory agency, or state board. In this situation, we can:

• Analyze the basis of the claim
• Draft a strategic response to minimize business disruption
• Negotiate a resolution where possible
• Modify business practices to align with regulatory expectations

Regulatory and Board Compliance

We support ongoing compliance with state boards of medicine, nursing, pharmacy, and health departments, including:

• Responding to inquiries, complaints, or investigations
• Advising on scope of practice for RNs, NPs, and other staff
• Navigating controlled substance handling requirements
• Counseling on patient consent, telemedicine, and documentation

Standard Operating Procedures (SOPs) and Protocols

We can help ensure your team operates consistently and safely with effective SOPs tailored to:

• Medication preparation and administration
• Adverse event and emergency response
• Patient intake, screening, and informed consent
• Recordkeeping and staff training procedures

Staff Credentialing and Supervision

We can verify that your providers are properly credentialed and supervised in accordance with state law by:

• Reviewing licensing and scope of practice requirements for NPs, RNs, PAs, and MDs/DOs
• Advising on appropriate supervision ratios and delegation rules
• Counseling on collaborative agreements and standing orders

It is important that licensure and certification requirements are met. In 2024, there were more than 12,000 adverse actions taken against registered nurses, more than 500 against advanced practice nurses, and nearly 6,000 against practical nurses. There were also more than 5,700 actions against physicians and physician assistants.

Adverse actions were most commonly taken against state licensure and certification. By making sure your staff are complying with the state’s requirements, you can avoid the reputational and financial issues of adverse actions.

Who We Help

Our firm helps numerous types of IV therapy, med spa, and infusion facilities, including:

• IV hydration clinics and mobile therapy providers
• Med spas and wellness centers offering injectable services
• Concierge and integrative medicine practices
• Infusion centers providing biologics and specialty medications
• Functional and anti-aging medicine businesses

FAQs

Q: What License Do You Need for an IV Hydration Business?

A: The license you need for an IV hydration business will depend on the state, but it generally requires a licensed medical provider to run one. This may include a registered nurse, a physician, or a nurse practitioner. The business owner may have to be a medical professional in some states. The business itself may also require a license as a healthcare facility or an outpatient clinic. Some states require additional licensure. Having legal representation to navigate these requirements is important.

Q: Do You Have to Be Certified to Do IV Therapy?

A: Yes, you usually must be certified to do IV therapy; in addition, you generally must be a licensed medical professional. The certification and licensure requirements vary from state to state. Often, certification requires a set number of hours of practice and training. Working with a legal professional who is experienced in healthcare laws and regulations can help you meet the requirements for your state.

Q: Who Regulates IV Therapists?

A: Who regulates IV therapists depends on the state. Often, IV therapists must be a nurse or a physician, so they would be regulated by the state’s board of nursing or medical board. Some states have a board of naturopathic medicine or another board that is specifically applied to the use of IV therapy. When you are managing an IV therapy business, it is crucial that you are aware of the regulations in the state or states you are operating in.

Q: What Is an IV Med Spa?

A: An IV (intravenous) med spa is the practice of providing a medication or fluid into the bloodstream directly. IV therapy can involve specific prescription medications, vitamin and nutrient supplements, hydration, and other treatments. It is frequently used for anti-aging, combating nutrient deficiencies, and recovering from dehydration and fatigue. IV med spas must adhere to many regulatory requirements.

Contact Boesen & Snow Law Today

If you’re launching or growing an IV hydration or infusion business, let us help you do it the right way—compliantly, confidently, and with legal protection built in.

Contact us today to set up a consultation.