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Alabama HB 146 permits pharmacists to dispense Ivermectin without an individual prescription via standing order

Original title: Licensed health care providers; to permit the dispensing of ivermectin by pharmacists without an individual prescription

Last action · January 13, 2026: Pending Committee Action in House of OriginSponsor: Phillip Rigsby

Introduced
Committee
Floor Vote
Passed
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What This Bill Would Do

Existing law requires a pharmacist to dispense Ivermectin only with an individual prescription from a licensed physician. HB 146 allows physicians, physician assistants, or certified registered nurse practitioners to issue a permitting pharmacists to dispense Ivermectin to individuals without a prescription, starting October 1, 2026. The bill also protects participating health care providers and pharmacists from licensing board disciplinary actions under specified conditions and prohibits them from accepting incentives to endorse Ivermectin.

Why it matters

Adults aged 19 and older, or minors under 19 with parental consent, can obtain Ivermectin from a pharmacist under a provider's without first visiting a physician for an individual prescription, while participating medical professionals receive protection from licensing board discipline related to dispensing under such orders.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Pharmacists

Pharmacists are granted the legal authority to dispense Ivermectin without an individual prescription under a standing order, and receive protections from disciplinary action under specific conditions.

Directly affected

Physicians, physician assistants, and certified registered nurse practitioners

These health care providers are authorized to issue standing orders for Ivermectin and are protected from disciplinary action based on a pharmacist's dispensing under those orders.

Directly affected

Individuals requesting Ivermectin

Adults and minors with parental consent may obtain Ivermectin from a pharmacist without obtaining an individual prescription from a physician first.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Who is authorized to issue a standing order for Ivermectin under this bill?
A physician licensed by the Medical Licensure Commission, a physician assistant licensed by the State Board of Medical Examiners, or a certified registered nurse practitioner licensed and certified by the Board of Nursing.
Can minors receive Ivermectin under a standing order?
Yes, s under 19 years of age may receive Ivermectin upon the written consent of their parent or legal guardian.
Are pharmacists required to dispense Ivermectin if a standing order exists?
No, the bill explicitly protects a pharmacist from disciplinary action for refusing to dispense Ivermectin upon request, despite the existence of a .

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

2 actions
  1. Jan 13, 2026HouseCommittee
    Pending Committee Action in House of Origin
  2. Jan 13, 2026HouseIntroduced
    Read for the first time and referred to the House Committee on Health

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Alabama Medicaid Agency, State Board of Medical Examiners, Medical Licensure Commission and 2 more
OrganizationAlabama Medicaid Agency“agency whose scope of benefits or services is not limited by this section”Map →
OrganizationState Board of Medical Examiners“licenses physician assistants pursuant to Article 7, Chapter 24 of Title 34, Cod”Map →
OrganizationMedical Licensure Commission“licenses physicians pursuant to Article 8, Chapter 24 of Title 34, Code of Alaba”Map →
OrganizationState Board of Pharmacy“governing licensing board prohibited from taking disciplinary action against pha”Map →
OrganizationBoard of Nursing“licenses and certifies certified registered nurse practitioners pursuant to Arti”Map →

Sources

Open source document

alison.legislature.state.al.us

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy75
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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