Formulary Approval
Every drip on your menu approved by name — Core Blends, NAD+, methylene blue and ketamine included — with additives, limits and required pre-treatment screening specified.
IV Drips & Hydration
Find a Medical Director for IV Therapy
Clinic, mobile and event-based IV therapy all count as medical treatment — and the catalog runs wider than a Myers’ Cocktail. NAD+, methylene blue and ketamine each carry their own screening and administration rules on top of the general delegation question.
Medical Director Oversight
What a Director Actually Signs Off for IV Drips & Hydration
Each of these is a decision your director owns, in writing, before it happens in your clinic.
Delegation
Who may place a line and administer, defined against your state’s rules.
Off-Site Rules
Mobile and event work covered explicitly, including what has to travel with the team.
Emergency Response
Reaction protocols and escalation, trained and documented per provider.
What We Set Up
Everything Behind a Compliant IV Therapy Program
IV programs need formulary control, delegation that matches your staffing, and rules for treating outside the clinic walls — with extra screening wherever the drip is not a straightforward electrolyte bag.
Standing orders per drip formula and additive, including Core Blends, NAD+ and methylene blue
Delegation terms for RNs and other staff
Clearance screening policy, including telehealth where permitted
NAD+ titration protocol — infusion and subcutaneous, dosed to tolerance rather than a fixed ladder
Methylene blue screening for serotonergic medication use and G6PD deficiency before administration
Ketamine confined to in-clinic, physician-administered dosing, with no telehealth initiation or take-home pathway
Mobile and event protocols, including emergency response
Sterility, compounding and storage handling rules
Consent and adverse-reaction documentation
Supply
Where the Product Comes From
FAQ
Questions About IV Drips & Hydration
Still not sure? Twenty minutes on the phone answers what a page can't.
Do Mobile IV Services Need a Director?
Yes — the treatment is medical wherever it happens. Off-site work usually needs additional protocol language, which we draft.
Can an RN Run Drips Without a Physician on Site?
Often, under standing orders and supervision terms permitted by your state. Presence requirements vary and we confirm yours.
Is a Telehealth Clearance Screening Acceptable?
In some states, for some services. Your protocols encode the answer for the state you treat in.
Is Ketamine Part of the IV Program?
Where your protocols include it, yes — but only in-clinic, physician-administered, with no telehealth initiation and no take-home pathway. That boundary does not move by location or state.
Who Is Allowed to Own a IV Therapy Business?
Can a non-physician own an IV therapy business? The storefront, the van and the brand, yes — the entity that orders and administers the infusion, generally no. IV therapy is medical treatment wherever it is delivered.
That is what the corporate practice of medicine doctrine decides — and it is the single rule that shapes how your business is built. Most states hold that medical judgment belongs to licensed clinicians, so a non-physician or a general corporation may not own or control an entity that practices medicine. The MSO model is the answer the industry settled on.
The Rule
CPOM — Corporate Practice of Medicine
A doctrine in state law, not a company or a service. The professional entity — the PC — must be owned by a licensed physician, and control counts as much as ownership: who hires the clinicians, who sets the fees, who decides what gets treated.
Only a licensed physician may own the professional entity in most states
Control counts too — hiring clinicians, setting fees, directing treatment
Fee-splitting rules limit how the MSO can be paid
Enforcement is by medical boards, attorneys general, insurers and acquirers
The Structure
MSO — Management Services Organization
The company that provides everything a IV Therapy clinic needs that is not the practice of medicine, under a written management services agreement with the PC. You can own the MSO outright, whatever your license.
Owned by you, whatever your license — no physician equity required
Holds the brand, lease, staff, systems, supply and marketing
Paid a fair-market management fee, never a cut of clinical revenue
Takes no part in diagnosis, treatment or any clinical decision
How the two meet: a physician-owned PC employs the clinical team and holds the medical decisions; your MSO holds the brand, the lease, the staff, the systems and the supply; a fair-market management fee moves between them; and the line is drawn in writing where your state says it must be. Mobile and event-based operations do not change the answer; if anything they widen the exposure.
Watch
Where the Money Actually Goes
What This Covers
How money actually moves through a PC/MSO structure — patient revenue landing in the PC, the fixed management transfer to the MSO, MedGrid's retainer, and physician compensation — the same CPOM flow of funds covered on this page, walked through step by step.
This isn't just how we recommend running the accounts. In a state that enforces corporate practice of medicine, this exact flow is required to keep a PC structure compliant: revenue lands in the PC first, the MSO is paid a fixed, fair-market amount rather than a share of medical revenue, MedGrid is paid a fixed retainer by the MSO, and the accounts stay separate.
It's also why MedGrid only builds on a PC — never a PLLC — in every state we work in. A PLLC lets revenue flow straight into a member's account with no equivalent separation, which is exactly the structure this flow of funds is built to avoid. Why that distinction matters.
Getting It WrongMistake 01 Mistake 02 Mistake 03 Mistake 04
Four Ways IV Therapy Clinics Get Structured Badly
These are the arrangements we most often find in place when a clinic comes to us, usually built in good faith, on advice from someone who had not read the state's rules.
An LLC That Should Be a PC
The clinical entity was formed as a plain LLC owned by a non-physician. In a strict state that is the whole problem, and it usually surfaces at diligence or renewal.
A Director on a Handshake
A physician agreed to "be the medical director" with no management agreement, no delegation document and no standing orders. There is nothing to show a board.
A Fee That Looks Like a Split
The MSO takes a percentage of clinical revenue. Many states read that as fee-splitting regardless of what the contract calls it.
Protocols From a Course
Treatment protocols copied from a training weekend, never adapted to this state or signed by the director who is supposed to own them.
General information about how these structures work, not legal advice for your clinic. Your director and your counsel confirm the specifics before you treat.
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Adding IV Therapy to Your Menu?
Twenty minutes tells you what direction costs in your state, what has to be on file before the first patient, and how fast you can start.