Ketamine Providers in North Dakota
1 provider across 1 city
North Dakota has 1 ketamine therapy providers across 1 cities. The most common provider types are wellness & integrative center. Providers in North Dakota commonly treat depression, ptsd, chronic pain. Top cities include Minot.
Ketamine Therapy in North Dakota
North Dakota patients seeking relief from treatment-resistant depression, PTSD, and chronic pain can access ketamine therapy through providers in Bismarck, Fargo, and Grand Forks. The state's telemedicine rules explicitly permit Schedule III controlled substance prescribing via telehealth, and North Dakota Medicaid's broad telehealth coverage makes remote ketamine consultations more viable than in many states.
North Dakota ranks 46th nationally with 1 ketamine therapy provider, averaging 1 provider per city. The largest provider category is wellness & integrative center (100% of providers). Minot leads the state with 1 provider.
State Regulations
North Dakota follows federal DEA Schedule III rules for ketamine. The North Dakota Board of Medicine governs prescribing. Notably, North Dakota's telemedicine rules explicitly restrict opioid prescribing via telemedicine but ketamine (Schedule III, non-opioid) is not subject to this restriction and may be prescribed via telemedicine under DEA flexibilities. All prescribers must participate in the North Dakota PDMP.
Insurance & Medicaid Coverage
North Dakota Medicaid covers Spravato with prior authorization. Blue Cross Blue Shield of North Dakota (BCBSND), which administers Medicaid expansion plans, has a formal medical policy (ME-I-212) for esketamine covering TRD and MDD with acute suicidal ideation for members 18+, requiring REMS certification and 2-hour post-dose monitoring.
Telehealth Options
North Dakota has a well-developed telehealth framework. ND Admin Code explicitly permits telemedicine prescribing of controlled substances, with the only restriction being that opioids are limited to MAT for OUD — ketamine is not an opioid and is not subject to this restriction. North Dakota Medicaid covers live video, store-and-forward, remote patient monitoring, and audio-only telehealth.
Cost of Ketamine Therapy
IV ketamine infusions in North Dakota typically cost $350–$550 per session. North Dakota pricing aligns with Midwest/rural norms ($350-$550/session). Bismarck and Fargo are the primary markets, with pricing consistent with Midwest averages. A standard initial series of 6 infusions runs $2100–$3300. Spravato (esketamine) may be partially or fully covered by insurance.
Mental Health Access
North Dakota has 34.87% of mental health needs met as of December 2025 (HRSA data), requiring only 18 additional practitioners — one of the smallest absolute provider gaps among all 50 states, though rural coverage remains a significant issue across a sparsely populated state. North Dakota has approximately 0.26 ketamine providers per 100,000 residents.
Frequently Asked Questions
- Yes. North Dakota's telemedicine rules allow controlled substance prescribing via telemedicine, with the only restriction being that opioids are limited to MAT for OUD. Ketamine (Schedule III, non-opioid) is not subject to this restriction. Under DEA flexibilities through December 2026, prescribers may initiate ketamine prescriptions via telehealth without prior in-person visits.
- Yes. BCBSND's medical policy covers esketamine (Spravato) for TRD and MDD with acute suicidal ideation for members 18+ in a REMS-certified setting with 2-hour monitoring. IV ketamine for depression is not covered by North Dakota Medicaid.
- North Dakota pricing follows Midwest/rural norms: approximately $350-$550 per IV infusion session, with a standard six-session series costing $2,100-$3,300. Most IV ketamine is self-pay; Spravato may be covered by Medicaid or commercial insurance with prior authorization.