Can a med spa in Alabama offer compounded semaglutide or tirzepatide?

The rest of what Alabama says on this

Every other rule we have verified under med-spa registration & licensing, each linked to its primary source.

• ⛔ ALABAMA PUBLISHES ACTUAL AMOUNTS RATHER THAN A CEILING, SO THIS IS THE PRICE AND NOT A CAP. Fees shall be the following: (a) Written Examination or Reexamination $75 (b) Practical Examination or Reexamination $130 (c) Original License $50 (d) Personal Renewal $100 (e) New Shop $200 (f) Shop Renewal $150 Opening a shop costs $200 and renewing it $150, while the individual practitioner pays $50 to be licensed and $100 to renew — premises and practitioner billed separately, as in most states.

  Ala. Admin. Code r. 250-X-2-.01 (⛔ what it costs to open — the Board’s own fee schedule, in dollars) · verified Sep 6, 2026

• The schedule continues past the shop, which matters to an operator buying an existing business rather than opening one. (i) New School $300 (j) School Renewal $200 and a shop name change or owner change is $25, with only one $25 fee charged if both happen at once.

  Ala. Admin. Code r. 250-X-2-.01 (school and change-of-ownership fees) · verified Sep 6, 2026

• The rule sets the structure as well as the numbers. Business licenses may be issued to shops or schools as determined by the Board. (3) Personal licenses may be issued to any appropriate category of licensure as determined by the Board, and an appropriate fee shall be established for each license.

  Ala. Admin. Code r. 250-X-2-.01(2)-(3) (the Board decides which licenses exist, and prices each) · verified Sep 6, 2026

• (1) Every physician who proposes to perform any LLBD procedure in Alabama under these rules shall register with the Board prior to performing any procedure. (2) Registration shall be accomplished on a form provided by the Board. (3) After initially registering, it shall be the obligation of the registrant to notify the Board in writing of any change or addition of facility location where LLBD procedures occur or are offered for use.

  Ala. Admin. Code r. 540-X-11-.13(1)-(3) (Registration of physicians using lasers) · verified Sep 4, 2026

• (4) Beginning January 2024, annual registration as a provider of LLBD procedures shall be required and shall be accomplished by electronic means. (5) Annual registration as an LLBD provider shall be due by January 31 of each year.

  Ala. Admin. Code r. 540-X-11-.13(4)-(5) (Registration of physicians using lasers) · verified Sep 4, 2026

• Every physician who performs or supervises the performance of a procedure covered under these rules shall report to the Board within three (3) business days the occurrence of all events related to a procedure that resulted in an emergency transfer of a patient to a hospital, unscheduled hospitalization related to the procedure, third-degree dermal injury, or death.

  Ala. Admin. Code r. 540-X-11-.14 (Reporting requirement for adverse events) · verified Sep 4, 2026

• OUTSOURCING FACILITY. A facility at one geographic location or address that is engaged in the compounding of sterile drugs, which has elected to register with the federal Food and Drug Administration as an outsourcing facility and complies with the requirements of Section 503B(d)(4)(A) of the federal Food, Drug, and Cosmetic Act.

  Ala. Code § 34-23-1(16) (definition of “Outsourcing facility” — the 503B route for STERILE compounded drugs) · verified Sep 7, 2026

• An annual permit must be obtained from the Alabama State Board of Pharmacy by any drug manufacturer, wholesale distributor, private label distributor, repackager, third party logistics provider, outsourcing facility, or reverse distributor of drugs, chemicals, or poisons for medicinal purposes.

  Ala. Admin. Code r. 680-X-2-.23(11)(a) (an outsourcing facility supplying Alabama needs an Alabama permit) · verified Sep 7, 2026

• PRESCRIPTION. Any order for drug or medical supplies, written or signed or transmitted by word of mouth, telephone, telegraph, closed circuit television, or other means of communication by a legally competent practitioner, licensed by law to prescribe and administer such drugs and medical supplies intended to be filled, compounded, or dispensed by a pharmacist.

  Ala. Code § 34-23-1(25) (definition of “Prescription” — the pharmacy route is patient-specific on its face) · verified Sep 7, 2026

• PHARMACY. A place licensed by the board in which prescriptions, drugs, medicines, medical devices, chemicals, and poisons are sold, offered for sale, compounded, or dispensed, and shall include all places whose title may imply the sale, offering for sale, compounding, or dispensing of prescriptions, drugs, medicines, chemicals, or poisons.

  Ala. Code § 34-23-1(21) (definition of “Pharmacy” — compounding for others happens in a LICENSED PLACE) · verified Sep 7, 2026

• All pharmacies that engage in the compounding of drugs or drug products shall comply with all applicable and current regulations of United States Pharmacopeia–National Formulary (USP)-NF.

  Ala. Admin. Code r. 680-X-2-.43 (Requirements for compounding — Alabama adopts USP by reference rather than writing its own standard) · verified Sep 7, 2026

• This definition shall not apply to a physician licensed to practice medicine who as a part of his or her professional practice dispenses, administers, sells, or otherwise distributes any drug to a patient.

  Ala. Code § 34-23-1(28) (definition of “Repackager” — and the carve-out for a physician’s own practice) · verified Sep 7, 2026

How other states answer this

• Alaska
• Arizona
• Arkansas
• California
• Colorado
• Connecticut
• Delaware
• District of Columbia
• Florida
• Georgia
• Hawaii
• Idaho
• Illinois
• Indiana
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Mississippi
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wisconsin
• Wyoming

Related Alabama questions

• Is an exam required before a patient can be treated in Alabama?
• Can the pre-treatment exam be done by telehealth in Alabama?
• Must someone be on site while a patient is treated in Alabama?