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In Montana, Botox injections are considered medical practice and must be performed by physicians, independent practice nurse practitioners if the procedure falls within their scope of practice and they are working within their position and population focus, nurse practitioners (NP) under a collaborative practice agreement with a physician, or a physician assistant under written supervision. In Montana, Botox injections are considered medical practice and must be performed by physicians, independent practice nurse practitioners if the procedure falls within their scope of practice and they are working within their position and population focus, nurse practitioners (NP) under a collaborative practice agreement with a physician, or a physician assistant under written supervision.

Similarly, an individual practice NP may delegate Botox injections to an RN, LPN, or medical assistant (i.e. unlicensed personnel) if [1] the procedure falls within the NP's scope of practice and population emphasis, [2] the nursing delegation rules apply, and [3] the RN, LPN, and medical assistant have the experience, expertise, and training to safely and competently conduct the procedure.