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In Iowa, Botox and collagen injections are considered medical procedure and must be administered by a physician. Any trained licensed or accredited non-physician with the education, training, experience, and ability to competently and safely conduct the injection procedure may be delegated by the physician. The practitioner must also ensure that the Botox injection is administered within the physician's and non-scope physicians of practice. Any person who is not licensed to practice medicine but is licensed or accredited by another licensing board in Iowa and qualified to provide medical aesthetic services under the supervision of a qualified physician is considered a licensed or certified non-physician in this context.

Nurse practitioners (NPs) in Iowa are independent practitioners, which mean they can inject Botox if it falls within their field of practice and they have the necessary training. Furthermore, NPs will be able to delegate this procedure to an RN or LPN if [1] it falls within the NP's scope of practice, [2] it is performed in compliance with nursing delegation laws, and [3] the RN and LPN have the requisite education, expertise, and training to conduct the procedure safely and competently.