New bill from Phillip Rigsby would allow pharmacists to dispense ivermectin without individual prescriptions

A bill introduced in the Alabama House would significantly change how ivermectin is dispensed in the state, allowing pharmacists to provide the drug without an individual prescription under a standing order from certain licensed health care providers.

HB146, sponsored by North Alabama State Rep. Phillip Rigsby (R-Huntsville), was introduced during the 2026 Regular Session and referred to the House Health Committee. The legislation would permit pharmacists to dispense ivermectin pursuant to a standing order signed by a licensed physician, physician assistant or certified registered nurse practitioner, rather than requiring a patient-specific prescription.

Rigsby, a pharmacist in Huntsville, said the bill is focused on access while maintaining safety requirements…

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