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Ketamine and Spravato

Ketamine and Spravato providers: official registers and how to verify one

We list ketamine and Spravato providers only from an official register. On 26 Oct 2026 no US state published one. Texas and Georgia are setting registers up, and we check both every week. Until then, this page shows how to verify a provider yourself.

No clinic pays to appear here, and none ever will: Peyote.com takes no commission, featured fee or referral payment from any US clinic (why).

State registers: coming, not yet published

Texas: Texas Medical Board

A proposed rule would require every practice giving ketamine by injection or infusion (parenteral ketamine therapy) to register with the Texas Medical Board through its medical director, renewed every two years, with 180 days to comply after adoption. Hospitals, medical schools, state and federal facilities and hospice are exempt. (Texas Medical Board, rule changes (proposed Chapter 173, Subchapter B, Parenteral Ketamine Therapy Standards); Texas Register, 10 July 2026, proposed rules, 22 TAC Chapter 173)

Status: Proposed, not adopted. First proposed in January 2026, adopted and then rescinded in spring 2026, and re-proposed in the Texas Register of 10 July 2026; the Board says a public hearing will be held at a later date. No register exists yet, and the proposal does not say whether the list of registered practices will be public.

Register expected: 180 days after the Board adopts the rule, if it does

Georgia: Georgia Composite Medical Board

HB 717 (2026) added O.C.G.A. 43-34-49: from 1 July 2027 every clinic offering psychedelic-assisted treatment, including intravenous ketamine, must hold a licence from the Georgia Composite Medical Board, renewed every two years, one per location; running an unlicensed clinic is a felony. The Board must adopt rules by 31 December 2026. The law excludes hospital-affiliated clinics and FDA-approved drugs used on label, so Spravato given on label may fall outside it. (Georgia General Assembly, HB 717 (2025-2026 session), as passed; Georgia Composite Medical Board, licence verification)

Status: Law in force since 1 July 2026; licensing starts 1 July 2027. No rules or list published yet.

Register expected: 1 July 2027

Spravato: checking a certified setting

Spravato (esketamine) nasal spray can only be given in a healthcare setting certified under its REMS, the FDA's restricted programme, with monitoring for at least two hours after each dose. (FDA, approved REMS: Spravato (esketamine), NDA 211243) The REMS publishes no list or search of certified settings. To check one, call the Spravato REMS on 1-855-382-6022 and ask whether the setting is certified. (Spravato REMS (the programme's own site))

The manufacturer runs a treatment centre locator. It is the manufacturer's tool, not a regulator's, and its terms allow personal, non-commercial use only, so we link to it rather than copy it.

FDA approvals (NDA 211243): Treatment-resistant depression in adults, with an oral antidepressant, 5 Mar 2019 (approval letter); Depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behaviour, 31 Jul 2020 (approval letter); Treatment-resistant depression in adults, on its own (monotherapy), 17 Jan 2025 (approval letter).

Veterans: Spravato in the VA

43 of the Veterans Health Administration's 170 medical centres offered esketamine therapy, according to a VA facility story of 16 December 2025. The VA publishes no list of those sites; ask your VA mental health team, or community care under VA criteria that require REMS certification. (VA Columbia (Missouri) Health Care, Truman VA completes 1,500 esketamine treatments, 16 Dec 2025; VHA Clinical Determination and Indication CDI-00029, intranasal esketamine for TRD)

Checking the prescriber's licence, by state

Ketamine is prescribed off label by a licensed clinician. Ask who the prescribing physician is, then look them up on the state board's own site: the licence should be active, in the state where you are treated, with any discipline shown. DocInfo, run by the Federation of State Medical Boards, searches every state at once.

Twenty state boards and the national search; links checked 26 Oct 2026. For any other state, use DocInfo or search for that state's medical board.

The dispatch

Laws change. Centres change. Know before you book.

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