State laws
Ivermectin rules in every US state
Short answer
Reviewed November 10, 2026Sources: FDA, State boards of pharmacy
At a glance
Where the pharmacist route applies
Green tiles are the 7 states that let pharmacists dispense ivermectin without an individual prescription. Tap any state for its page.
Dispensing states
States where a pharmacist can dispense it
Each law is a little different. Here's what we know about each one, with a link to the state board where we have a verified address.
- In effect since 2025
Arkansas
ARA 2025 Arkansas law lets licensed pharmacists dispense ivermectin without an individual prescription.
How pharmacists apply it is set by the state; check the board for detail.
- In effect since 2025
Idaho
IDA 2025 Idaho law lets pharmacists dispense ivermectin without an individual prescription.
How pharmacists apply it is set by the state; check the board for detail.
- In effect since July 1, 2026
Iowa
IAAn Iowa law taking effect on 1 July 2026 lets pharmacists dispense ivermectin without an individual prescription.
How pharmacists apply it is set by the state; check the board for detail.
- In effect since 2025
Louisiana
LAA 2025 Louisiana law lets pharmacists dispense ivermectin without an individual prescription.
How pharmacists apply it is set by the state; check the board for detail.
- In effect since August 28, 2026
Missouri
MOA Missouri law taking effect on 28 August 2026 lets pharmacists dispense ivermectin without an individual prescription.
How pharmacists apply it is set by the state; check the board for detail.
- In effect since 2022
Tennessee
TNTennessee has allowed pharmacists to dispense ivermectin without an individual prescription since 2022, under protocols set by state law.
Pharmacists follow a protocol set by state law.
- In effect since 2025
Texas
TXTexas House Bill 25 (2025) lets pharmacists dispense ivermectin without an individual prescription.
Pharmacists may dispense under House Bill 25.
All 50 states + DC
Every state at a glance
Status, when the law took effect, and whether we ship there today. Rules reviewed November 10, 2026.
51 states and DC
| State | Status | Since | We ship? | Guide |
|---|---|---|---|---|
| Alabama | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Alaska | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Arizona | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Arkansas | Pharmacist dispensing | 2025 | Not yet (waitlist) | Guide |
| California | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Colorado | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Connecticut | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Delaware | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| District of Columbia | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Florida | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Georgia | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Hawaii | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Idaho | Pharmacist dispensing | 2025 | Not yet (waitlist) | Guide |
| Illinois | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Indiana | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Iowa | Pharmacist dispensing | July 1, 2026 | Not yet (waitlist) | Guide |
| Kansas | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Kentucky | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Louisiana | Pharmacist dispensing | 2025 | Not yet (waitlist) | Guide |
| Maine | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Maryland | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Massachusetts | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Michigan | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Minnesota | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Mississippi | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Missouri | Pharmacist dispensing | August 28, 2026 | Not yet (waitlist) | Guide |
| Montana | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Nebraska | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Nevada | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| New Hampshire | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| New Jersey | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| New Mexico | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| New York | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| North Carolina | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| North Dakota | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Ohio | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Oklahoma | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Oregon | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Pennsylvania | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Rhode Island | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| South Carolina | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| South Dakota | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Tennessee | Pharmacist dispensing | 2022 | Not yet (waitlist) | Guide |
| Texas | Pharmacist dispensing | 2025 | Not yet (waitlist) | Guide |
| Utah | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Vermont | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Virginia | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Washington | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| West Virginia | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Wisconsin | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
| Wyoming | Pharmacist-reviewed | Rx only | Not yet (waitlist) | Guide |
Watch list
What about bills in other states?
Several legislatures have debated similar bills. A bill being filed or passing one chamber changes nothing until it becomes law and takes effect.
Bills we're following
We track proposals in states such as Florida, Wyoming and Georgia, with dated sources. Until a bill is signed and in effect, residents of those states still need a prescription.
Read the pending-bills watch listWhy a law doesn't mean every store stocks it
These laws say a pharmacist may dispense ivermectin; they don't say a pharmacy must. Each store decides, which is why availability varies even inside a dispensing state. Our OTC guide explains more.
How the state laws work
The FDA decides whether a medicine is prescription-only, and it has kept oral ivermectin on prescription. States license pharmacists, and the newer laws give pharmacists in those states room to dispense ivermectin to adults without a prescription written for that person. How that works differs from state to state (Tennessee, for example, uses a protocol), and pharmacies can choose whether to offer it.
Where you live is what counts. A pharmacy can only ship to a state where it holds a license, and your state's rules apply to you. Our OTC guide goes into more detail. Orders from us need a valid prescription in every state, and the Iverheal 3 page shows packs and prices.
Questions about state rules
How many states allow ivermectin without a prescription?
7 at our last review: Arkansas, Idaho, Iowa, Louisiana, Missouri, Tennessee and Texas. In those states a licensed pharmacist can dispense it without an individual prescription, after screening questions.
Does federal law still apply in those states?
Yes. Oral ivermectin remains a prescription drug under federal law, and the FDA hasn't approved it for over-the-counter sale. The state laws give pharmacists room to dispense it within limits the state sets.
My state isn't on the list. What are my options?
You need a prescription from a doctor, nurse practitioner or licensed telehealth prescriber. Our how to get ivermectin guide walks through each route.
Can I use a dispensing state's law if I'm just visiting?
Plan on your home state's rules applying. Pharmacies decide whom they serve, and a mail order follows the rules of the state it's shipped to.
Can I order from you without a prescription in a dispensing state?
No. The state laws cover FDA-approved ivermectin dispensed by pharmacies in that state. We sell Iverheal, which is made in India and isn't FDA-approved, so every order from us needs a valid prescription, wherever you live.
Do you ship to every state?
No. We only ship to states where the dispensing pharmacy holds a license, and every order needs a valid prescription. The table above shows the current status for each state.
How often is this page updated?
We review the list when state legislative sessions end and when a new law is reported. Last review: November 10, 2026.
Sources
- U.S. Food and Drug Administration: drug approvals and safety communications
- MedlinePlus: Ivermectin drug information (side effects, precautions)
- Idaho Board of Pharmacy: official rules and guidance
- Louisiana Board of Pharmacy: official rules and guidance
- Texas State Board of Pharmacy: official rules and guidance
Reviewed November 10, 2026. State laws change; check with your state board of pharmacy for the current position.
Keep reading
- Iverheal 3 (ivermectin 3mg)From $19.00. No prescription required — pharmacist-reviewed.
- Is ivermectin over the counter?The federal position and how the state laws work.
- How to get ivermectin in the USPharmacist, doctor and telehealth routes, step by step.
- Ivermectin pricesEvery pack, per-tablet cost and shipping.
Check eligibility
Not sure where you stand?
Pick your state to see what its law says and whether we ship there yet. No prescription required — a pharmacist reviews every order.