Ivermectin in Texas

What the Texas law says

Texas House Bill 25 (2025) lets pharmacists dispense ivermectin without an individual prescription. Before it, a Texas pharmacist needed a prescription written for you before dispensing ivermectin, the same as in most of the country.

The law gives pharmacists the authority to dispense it without that individual prescription. It doesn't change federal law, which still classes oral ivermectin as a prescription drug, and it doesn't oblige any pharmacy to carry it.

The Texas State Board of Pharmacy is the authority on how the law is applied, and it's the place to check if rules are clarified after the law passed.

What "without a prescription" means in Texas

In practice the pharmacist does the screening a prescriber would otherwise do. You answer health questions, the pharmacist checks them against the label and your other medicines, and then decides. If your answers raise a concern, they can decline and suggest you see a doctor.

It isn't a shelf product. You won't find ivermectin next to the pain relievers; it stays behind the pharmacy counter.

What the pharmacist will ask

Expect questions along these lines, whether you ask at a counter or order from us:

• Your age, and your weight (the pharmacist uses it when setting the dose).
• Every medicine and supplement you take. Blood thinners such as warfarin are the main one to flag.
• Allergies, and whether you're pregnant, trying to conceive or breastfeeding.
• Any liver problems or other long-term conditions.
• Whether you've lived in parts of Central or West Africa, where a parasite called Loa loa can cause serious reactions to ivermectin.
• What you need it for, so they can check the medicine fits the problem.

Livestock ivermectin is common in Texas ranch country, so expect to be asked to confirm that you're using human tablets only.

How to order from us in Texas

1. Step 01Choose your strengthIverheal comes in 3mg, 6mg, 12mg, 24mg and 40mg tablets (Iverheal 3 from $19.00). No prescription required.
2. Step 02Answer health questionsComplete a short health questionnaire at checkout so the pharmacist can review your order.
3. Step 03Pharmacist reviews, then shipsA pharmacist checks your answers before anything ships.

We aren't shipping to Texas yet. The dispensing pharmacy has to be licensed in a state before we can send anything there. Join the waitlist at checkout and we'll email you when that changes.

Buying locally in Texas

Since the law took effect, some independent pharmacies in Texas have chosen to offer ivermectin and some chains have made their own policies. Call ahead and ask whether the pharmacist dispenses it under HB 25, what they need from you, and the cash price.

We can't tell you which stores have it in stock, and stock changes week to week.

What isn't covered in Texas

These laws cover FDA-approved ivermectin dispensed by pharmacies in the state. Iverheal, the ivermectin we sell, is made in India by Healing Pharma and isn't FDA-approved. A pharmacist reviews every order from us regardless. That applies to every strength we sell (3mg, 6mg, 12mg, 24mg and 40mg), in Texas as everywhere else. Ivermectin cream and lotion also remain prescription products.

What ivermectin is approved for

FDA-approved ivermectin tablets are labeled for two parasitic infections: strongyloidiasis of the intestinal tract (a roundworm infection) and onchocerciasis (river blindness). Doctors sometimes prescribe it for other parasitic conditions based on their own judgment. HB 25 changes who can dispense it in Texas, not what it is approved for.

If you aren't sure what's causing your symptoms, a diagnosis from a doctor or clinic is worth more than any tablet. Parasitic infections can look like other conditions, and the right medicine depends on the cause.

Pharmacist route or prescription route?

• Pharmacist route: at a Texas pharmacy that offers it. No appointment, a screening, a cash price, and the pharmacist can decline.
• Prescription route: a doctor or licensed telehealth clinician assesses you, and insurance may cover it. It's also the route you need to order Iverheal from us.
• Either way, the pharmacist checks your other medicines before anything is dispensed.

Safety

Common side effects on the FDA label include dizziness, itching, nausea and diarrhea. Tell the pharmacist about blood thinners such as warfarin. Never use veterinary ivermectin made for livestock or pets. MedlinePlus has a plain-English summary.

Nearby states

• OklahomaPharmacist-reviewed
• LouisianaIn effect since 2025
• New MexicoPharmacist-reviewed
• ArkansasIn effect since 2025

A neighbor's law doesn't travel with you. What counts is the state you live in and where the medicine is shipped, so a Texas address follows Texas's rules. See every state's rules for the full picture.