The civic record
Read. Follow. Verify.North Carolina directs State Health Director to issue standing order allowing pharmacists to dispense ivermectin without prescription
Last action · May 7, 2025: Ref To Com On Rules and Operations of the Senate (Senate action)Sponsors: Jonathan Almond and 26 others
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What This Bill Would Do
North Carolina House Bill 618 requires the State Health Director to issue a statewide by October 1, 2025, enabling licensed pharmacists to dispense human-use ivermectin without a prescription or healthcare consultation, while granting civil and criminal immunity to participating health officials and pharmacists.
Changes medication access rules by letting residents obtain ivermectin directly from pharmacies without visiting a doctor for an individual prescription, while protecting dispensing pharmacists and the State Health Director from civil or criminal liability.
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.
State Health Director
Must issue a statewide standing order for ivermectin dispensing by October 1, 2025, and receives civil and criminal immunity for authorized actions.
Pharmacists
Gain the legal authorization to dispense human-use ivermectin without a prescription and receive immunity from civil and criminal liability when acting under the standing order.
Patients seeking ivermectin
Can obtain human-use ivermectin directly from a pharmacist without obtaining a separate written prescription or healthcare professional consultation.
Key Facts
- The State Health Director must issue a statewide standing order for human-use ivermectin by October 1, 2025.
- Licensed pharmacists are authorized to dispense ivermectin without a written prescription or consultation with a healthcare professional.
- The State Health Director and any pharmacist dispensing ivermectin under the standing order receive immunity from civil and criminal liability.
- The new provisions are codified under a new Part 2A of Article 6 of Chapter 130A of the General Statutes.
Frequently Asked Questions
Do I need a doctor's prescription to get ivermectin under this bill?
When does the State Health Director have to issue the standing order?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently passed chamber. The next step in the legislative lifecycle is Law.
Procedural history
18 actions- May 7, 2025SenateRef To Com On Rules and Operations of the Senate
- May 7, 2025SenatePassed 1st Reading
- May 7, 2025SenateSpecial Message Received From House
- May 7, 2025HouseSpecial Message Sent To Senate
- May 7, 2025HousePassed 3rd Reading
- May 7, 2025HousePassed 2nd Reading
Show 12 earlier actions
- May 7, 2025HouseAmend Failed A1
- May 6, 2025HousePlaced On Cal For 05/07/2025
- May 6, 2025HouseCal Pursuant Rule 36(b)
- May 6, 2025HouseReptd Fav
- May 6, 2025HouseRe-ref Com On Rules, Calendar, and Operations of the House
- May 6, 2025HouseReptd Fav
- Apr 29, 2025HouseRe-ref to the Com on Judiciary 3, if favorable, Rules, Calendar, and Operations of the House
- Apr 29, 2025HouseWithdrawn From Com
- Apr 14, 2025HouseSerial Referral To Judiciary 1 Stricken
- Apr 1, 2025HouseRef to the Com on Health, if favorable, Judiciary 1, if favorable, Rules, Calendar, and Operations of the House
- Apr 1, 2025HousePassed 1st Reading
- Mar 31, 2025HouseIntroducedFiled
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 →Voting Record
Second Reading
Total
115
- Yes
- 64
- No
- 45
- Present
- 0
- Not voting
- 6
- Abstain
- 0
How they voted (115)
91 more members
Show 1 earlier roll call
A1 Clark Second Reading
Total
115
- Yes
- 41
- No
- 66
- Present
- 0
- Not voting
- 8
- Abstain
- 0
How they voted (115)
91 more members
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
Show 22 more sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Removal of Prescription Requirement for Specific Medication
The legislation establishes a mechanism to bypass individual prescription requirements for human-use ivermectin through a statewide health directive.
Connected Entities
Sources
www.ncleg.gov
Analysis Score
0–100- Significance60How much this matters to a regular citizen
- Controversy75Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz55Current news / social attention level
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