Can a med spa in Hawaii offer compounded semaglutide or tirzepatide?
Intake · part of The Practice Perimeter
Short answer
Not directly — compounding is the practice of pharmacy, so the med spa can't compound the drug itself; it must come from a board-permitted compounder and be given on a prescription from a practitioner licensed to prescribe.
"Practice of pharmacy" means: (1) The interpretation and evaluation of prescription orders; the compounding, dispensing, and labeling of drugs and devices (except labeling by a manufacturer, packer, or distributor of nonprescription drugs and commercially legend drugs and devices); the participation in drug selection and drug utilization reviews; the proper and safe storage of drugs and devices and the maintenance of proper records therefor;
Haw. Rev. Stat. § 461-1 ("Practice of pharmacy" (1)) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Hawaii rules
"Practitioner" means an individual licensed by the State or authorized by the laws of the State to prescribe prescription drugs within the scope of the person's practice. "Prescription" means an order or formula issued by a practitioner licensed by the State or authorized by the laws of the State to prescribe prescription drugs within the scope of the practitioner's practice, for the compounding or dispensing of drugs or an order or formula issued by an out-of-state practitioner in compliance with chapter 328.
Haw. Rev. Stat. § 461-1 ("Practitioner"; "Prescription") · verified Sep 8, 2026
A physician-patient relationship may be established via a telehealth interaction; provided that the physician has a license to practice medicine in the State. (f) Once a physician-patient relationship is established, a patient or physician licensed in this State may use telehealth for any authorized purpose, including consultation with a medical provider licensed in another state, authorized by this section or as otherwise provided by law.
Haw. Rev. Stat. § 453-1.3(e)-(f) · verified Sep 8, 2026
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Related Hawaii questions
- Is an exam required before a patient can be treated in Hawaii?
- Can the pre-treatment exam be done by telehealth in Hawaii?
- Must someone be on site while a patient is treated in Hawaii?
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← All Hawaii rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).