A medspa cannot prescribe semaglutide unless it employs or contracts a licensed prescriber—a physician, nurse practitioner, or physician assistant with prescriptive authority under state law. The medspa itself, as a business entity, has no prescribing power. The prescriber must establish a bona fide doctor-patient relationship, including a good-faith exam, before writing any prescription. This is non-negotiable under federal law and state medical boards.

Who Can Legally Prescribe