How much does ketamine therapy cost in Miami?

In Miami, a single IV ketamine infusion typically runs 500 to 900 dollars, with a full 6 session induction protocol at 3,000 to 5,400. Premium clinics on the higher end, more affordable providers on the lower end. Intramuscular ketamine often costs less, around 250 to 500 per session. Compounded ketamine lozenges via telehealth run 250 to 500 per month. Spravato (esketamine) is frequently covered by insurance for treatment resistant depression; out of pocket list price is roughly 600 to 900 per treatment session, with most patients paying a copay.

Is ketamine FDA approved?

Ketamine is a Schedule III controlled substance and has been FDA approved as an anesthetic since 1970. Spravato (esketamine), a derivative nasal spray, is FDA approved for treatment resistant depression under a REMS program requiring in clinic administration and post dose monitoring. IV, intramuscular, and compounded oral ketamine for depression, PTSD, and chronic pain are used off label with Emerging to Strong evidence depending on indication. Off label prescribing is legal for DEA registered providers but must follow state and federal controlled substance rules.

Who provides ketamine therapy in Miami?

Miami ketamine is delivered by MDs and DOs (typically psychiatrists, anesthesiologists, emergency medicine, or pain specialists) holding a DEA registration and Florida controlled substance authority. Nurse practitioners and physician assistants may prescribe or administer depending on Florida scope of practice and supervisory rules. Spravato requires a REMS certified clinic and certified prescriber. Verify the provider's DEA registration, board certification, and whether a monitoring clinician is present during infusions.

Are there telehealth options for ketamine in Florida?

Yes, with caveats. Mindbloom, Joyous, Innerwell, and similar platforms prescribe compounded ketamine lozenges to Florida residents through telehealth, subject to the Ryan Haight Act and DEA special registration rules currently in effect. These programs pair at home dosing with virtual integration support and cost roughly 250 to 500 per month. In clinic IV and intramuscular ketamine remain the standard for treatment resistant depression and PTSD and cannot be delivered via telehealth. Spravato always requires in clinic REMS administration.

How do I choose a reputable ketamine clinic in Miami?

Verify DEA registration on the DEA Office of Diversion Control registrant lookup and Florida medical board license status. Confirm board certification in psychiatry, anesthesiology, emergency medicine, or pain medicine. Ask about the monitoring protocol during infusion (vitals, continuous clinician presence), integration therapy options, and the clinic's crisis and safety plan. Check whether the clinic is Spravato REMS certified if that is your treatment path. Be cautious of providers who skip screening, push large prepaid packages, or offer take home IV ketamine.

Clinics in Miami, Florida

Ketamine is a DEA Schedule III controlled substance, FDA-approved as a dissociative anesthetic and used off-label for treatment-resistant depression, PTSD, and chronic pain. The FDA approved esketamine (Spravato) in 2019 for treatment-resistant depression under a Risk Evaluation and Mitigation Strategy (REMS) program that requires in-office administration at certified sites. MDMA-assisted therapy remains Schedule I; the FDA issued a Complete Response Letter in August 2024 to Lykos Therapeutics on its MDMA new drug application. Psilocybin is Schedule I and holds FDA Breakthrough Therapy designation through sponsors such as Compass Pathways and Usona, but has not received FDA approval. Oregon Measure 109 (passed 2020, operational 2023) created a state psilocybin service center framework, and Colorado Proposition 122 (2022) authorized regulated healing centers.

Florida Comprehensive Drug Abuse Prevention and Control Act
Mirrors federal scheduling; psilocybin, MDMA, and ibogaine remain Schedule I.
Florida Office-Based Anesthesia Rule (64B8-9.009)
Applies to office-based procedures including ketamine infusions above moderate sedation thresholds, requiring specific registration and protocols.

Florida enforces federal scheduling. The Florida Board of Medicine and Board of Osteopathic Medicine oversee prescriber conduct, with heightened scrutiny on office-based anesthesia and controlled substance prescribing since the state's pain clinic crackdowns. DEA enforcement targets ketamine diversion and compounding. Florida's E-FORCSE PDMP requires controlled substance reporting. Ryan Haight Act applies to telehealth ketamine prescriptions.

Clinics in Miami, Florida

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Ketamine Therapy clinics in Miami

MIAMI MENTAL HEALTH & WELLNESS

Infinity Medical Wellness

A note on Florida's ketamine therapy rules.

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