Arkansas, Idaho and Louisiana Ivermectin Laws Compared

Arkansas, Idaho and Louisiana each passed a law in 2025 that lets pharmacists dispense ivermectin without an individual prescription. They share a goal but not a design. Louisiana's law is built around a standing order, an adult age limit and a set screening, while the Arkansas and Idaho laws are shorter and leave more to the pharmacist. In all three, oral ivermectin is still a prescription drug under federal law, and a pharmacist can still say no.

This guide puts the three laws side by side, explains what they have in common, and explains how ordering from us works if you live in one of them (short answer: you still need a prescription). We last checked the details on November 10, 2026. Laws and board guidance change, so treat your state board of pharmacy as the final word.

How do the three laws compare?

Here's the short version. The bill numbers and dates come from a July 2025 Pharmacy Times roundup of the new state laws, listed under Sources. Reports disagree on the Arkansas act number, so we've left it out rather than guess.

| | Arkansas | Idaho | Louisiana | |---|---|---|---| | Bill | SB 189 | SB 1211 | SB 19 (Act 464) | | Key 2025 date | Passed March 25 | Passed April 14 | In effect June 20 | | How it works | Lets ivermectin be sold without a prescription | Same general approach as Arkansas | Pharmacist dispenses under a standing order | | Age limit in the law | Not described in reporting | Not described in reporting | Adults (18 and older) | | Set screening steps | Not spelled out; pharmacist's judgment | Not spelled out; pharmacist's judgment | Yes: a risk screening tool and written information | | Who oversees it | Arkansas State Board of Pharmacy | Idaho Board of Pharmacy | Louisiana Board of Pharmacy |

Our state pages keep the current status for each: ivermectin in Arkansas, ivermectin in Idaho and ivermectin in Louisiana.

What do all three laws have in common?

More than the headlines suggest. Each law changes who can make the dispensing decision. None of them changes the drug itself or what it's approved for.

• Federal status is the same. The FDA has not approved any oral ivermectin for over-the-counter sale. A state law changes how a pharmacist in that state may dispense it. It doesn't change the federal label, and it doesn't carry over to a neighboring state.
• Approved uses are the same. FDA-approved ivermectin tablets are labeled for two parasitic infections: strongyloidiasis of the intestinal tract and onchocerciasis (river blindness). A state law doesn't add uses to that list.
• Pharmacists may, not must. The laws allow dispensing. They don't force any pharmacy to stock ivermectin or to hand it to everyone who asks. If the answers to a pharmacist's questions raise a concern, they can decline or refer you to a doctor.
• Your board is the authority. The state board of pharmacy explains how the law is applied, what records pharmacies keep, and any guidance it has issued since.

If you want the bigger picture of how these laws fit with the others, our guide to ivermectin over the counter covers all seven states in one place.

Where do the laws differ?

The real difference is how much the law itself spells out.

Louisiana: a standing order and a set screening

Louisiana's law has the most detail of the three. As reported, it lets a pharmacist dispense ivermectin to adults under a standing order from a licensed prescriber. A standing order works a bit like a prescription written for a group of people who meet set conditions, rather than for one named patient. The pharmacist still decides whether you fit those conditions.

The law also asks the pharmacist to use a screening risk assessment tool and to give you written information about what ivermectin is used for and who shouldn't take it. Pharmacies may charge an administrative fee for the service. If you live in Louisiana, expect a structured set of questions and a printed or emailed information sheet, and don't be surprised by a small fee at a local pharmacy.

Arkansas and Idaho: shorter laws, more left to the pharmacist

The Arkansas and Idaho laws are described in reporting as simpler: they allow ivermectin to be sold without a prescription, without the standing order and screening requirements written into Louisiana's law. Pharmacy Times noted that, like Tennessee's, they lack those pharmacist requirements.

That doesn't mean there are no checks. Pharmacists in both states still work under their state's pharmacy practice rules and their own professional judgment. In practice, most pharmacies that dispense ivermectin under these laws ask a short set of health questions anyway, and the process can look different from one pharmacy to the next.

How do these laws compare with Texas and Tennessee?

Tennessee went first, in 2022, with a protocol-based approach. Our Tennessee ivermectin law explainer covers how it works. Texas followed in 2025 with House Bill 25, explained in our Texas HB 25 guide. Iowa and Missouri passed laws in 2026.

The pattern is similar everywhere: the state lets a pharmacist dispense without an individual prescription, and the details of screening and paperwork vary. These laws cover FDA-approved ivermectin dispensed by pharmacies in that state. They don't apply to what we sell, so every order we take needs a prescription and a pharmacist's review, whatever state you live in. The state-by-state list shows where each of the 50 states and DC stands.

What will the pharmacist ask?

The questions are much the same in all three states, whether the law lists them or not. Expect to be asked about:

• Your age and weight. The pharmacist uses these for their own decision. The dose is set by them or your prescriber, and you follow the label.
• Other medicines you take. The FDA label flags warfarin, for example, so list everything, including supplements.
• Pregnancy or breastfeeding. Ivermectin isn't for use in pregnancy without medical advice.
• Liver disease and allergies. Both can change the pharmacist's decision.
• Where you've lived or traveled. The label warns about serious reactions in people with a heavy Loa loa infection, a parasite found in parts of Africa.
• Why you want it. This helps the pharmacist judge whether a doctor's visit makes more sense.

Answer honestly. A referral isn't a penalty; it means the pharmacist thinks you need a diagnosis first. Our side effects and interactions guide explains what the label says about each of these.

How does ordering from us work in each state?

We sell Iverheal, ivermectin tablets made in India by Healing Pharma in 3mg, 6mg, 12mg and 24mg strengths. Iverheal is not FDA-approved, so none of these state laws apply to it. Every order needs a valid prescription from a licensed US prescriber, in Arkansas, Idaho and Louisiana just as in every other state.

The steps are the same wherever you live:

1. Choose a strength: Iverheal 3, Iverheal 6, Iverheal 12 or Iverheal 24. Current prices are on each product page.
2. Enter your shipping address, upload or send your prescription, and complete the health questionnaire.
3. A pharmacist reviews your order. They may approve it, ask a follow-up question, or decline and suggest you see a doctor.
4. Your card is charged only after approval. Orders ship with USPS tracking. See shipping for options and times.

If you don't have a prescription yet, our guide on how to get ivermectin covers seeing your own doctor or using a telehealth service.

Sources

• Pharmacy Times: Four states pass laws allowing for OTC ivermectin, more states pending legislation (July 11, 2025)
• Idaho Board of Pharmacy
• Louisiana Board of Pharmacy
• Arkansas State Board of Pharmacy (search the board's name for its official site)