North Dakota Administrative Code
Title 50 - North Dakota Board of Medicine
Article 50-06 - Naturopathic Licensure
Chapter 50-06-02 - Authority Of Naturopaths
Section 50-06-02-05 - Intradermal, intramuscular, intravenous, and subcutaneous administration

1. A naturopath may not perform any intra-articular injection or intraspinal injection.

2. A naturopath may prepare and administer for immediate use vitamins, minerals, amino acids, and homeopathic remedies in accordance with naturopathic medical training through intradermal, intramuscular, or subcutaneous injection, or, if the naturopath holds the required endorsement, through intravenous therapy. Any injectable therapies must be prepared in accordance with USP 797 standards for immediate use. Substances administered by injection or intravenous therapy must be manufactured and supplied by a manufacturer or outsourcing facility required to register with the United States food and drug administration or compounded pursuant to a prescription by a pharmacy licensed by the board of pharmacy.

3. A naturopath may use intravenous therapy only after the naturopath has obtained an endorsement from the board to perform intravenous therapy by submitting a completed application with an attestation of training to the board. The training must be at least sixteen hours of instruction. At least eight hours of instruction must be from a graduate-level course through an approved naturopathic medical school. Instruction must include:

4. A naturopath shall retain documentation of intravenous training for at least five years from attestation date.

5. Intravenous chelation therapy is limited to use for heavy metal toxicity.

6. A naturopath who uses injection or intravenous therapy shall have a plan to manage adverse events, including sensitivity, allergy, overdose, or other unintended reactions.