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Clinics & med-spas in United States

What’s changing for clinics & med-spas in United States, and what each change does to your numbers.

2026-09-22
The 100 percent drug tariff starts on 29 September. Most of what you inject is not in it
If you have seen "100 percent tariff on drugs from 29 September" and wondered what it does to your toxin cost, the honest answer is: probably much less than the headline, and possibly nothing. The rate is not one number. It runs 0, 15, 20 or 100 percent depending on who made the product and where. AbbVie, which owns Botox Cosmetic and Juvederm, is one of thirteen companies the order names as already holding an agreement with Washington, and for that group the order sets the rate at zero until January 2029. Fillers are not drugs at all, so this measure does not reach them, though a separate tariff already has. Below is how to work out your own number in about ten minutes, and the invoice line you should refuse to pay.
2026-07-28
There is no national med spa law. Indiana wrote one, and it starts charging you before the register even opens.
Straight answer first: there is no federal med spa law in the United States, so the rules that decide who has to stand in your treatment room, where you are allowed to inject, and what you can put in a syringe are set by your state. Indiana just became the first state with a dedicated med spa register. Two of its three real costs already applied from 1 July 2026, before the register itself exists, and one of them can quietly delete a revenue line you are running this month.

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