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Texas Law Allowing Ivermectin to Be Sold Over the Counter Goes Into Effect

The law is seen as a victory for medical freedom advocates in the state.
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Texas Law Allowing Ivermectin to Be Sold Over the Counter Goes Into Effect
Ivermectin tablets and packaging are displayed in this file photo. Nanette Holt/The Epoch Times
Darlene McCormick Sanchez
Darlene McCormick Sanchez
Senior Reporter
12/4/2025|Updated: 12/4/2025
0:00

A Texas law allowing ivermectin to be sold over the counter went into effect Dec. 4, but rollout appears slow as pharmacies wrestle with how to proceed.

House Bill 25, signed into law by Gov. Greg Abbott in August, allows pharmacies to sell the antiviral drug without a prescription.

Ivermectin gained popularity for off-label use during the COVID-19 pandemic, which influenced support and criticism of the measure. The drug was discovered in the 1970s and developed to treat parasites in humans and animals, and has been studied for its cancer-fighting properties.

Medical freedom advocates supported the bill, but others, such as the Texas Medical Association, worried about health risks to patients.

“Removing clinical involvement is a risk to patient safety,” the group said on its website.

The law indicates a pharmacy may dispense the drug “in accordance with any written standardized procedures or protocols issued by the Texas State Board of Pharmacy, including, if required, providing the person with instructions on the proper use of ivermectin.”

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Tyler RX Pharmacy indicated it would eventually dispense ivermectin without a prescription, but said the protocols for doing so haven’t been finalized yet.

“The law states to follow the state Board of Pharmacy guidelines, but there are no guidelines in place yet,” the store’s pharmacist, Katelin Nuon, told The Epoch Times.

At Cody Pharmacy in Sulfur Springs, Texas, the store manager said they didn’t have ivermectin available yet because the law just went into effect, but advised checking back next week.

However, Republican state Sen. Bob Hall, who sponsored a companion bill in the Texas Senate, told The Epoch Times that pharmacies could sell ivermectin even if the pharmacy guidelines were not in place.

“There is nothing in the bill that requires the pharmacy board to do anything,” he said. “We’re checking with the pharmacy board to see if there is something buried in their rules that preempts this changeover.”

The Texas State Board of Pharmacy did not immediately respond to The Epoch Times’ request for comment.

Hall said he has received calls from constituents complaining that their local pharmacies claim they can’t sell ivermectin.

Despite this, Hall believes that independent pharmacies will take the lead in offering the drug to the public. He noted that some outlets have told him they intend to mail it to consumers if needed.

Hall said he has not received information that large retail pharmacies intend to sell the drug over the counter.

Texas is one of five states to legalize the sale of the drug without a prescription. The others are Arkansas, Idaho, Louisiana, and Tennessee.
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Darlene McCormick Sanchez
Darlene McCormick Sanchez
Senior Reporter
Darlene McCormick Sanchez is an Epoch Times reporter who covers border security and immigration, election integrity, and Texas politics. Ms. McCormick Sanchez has 20 years of experience in media and has worked for outlets including Waco Tribune Herald, Tampa Tribune, and Waterbury Republican-American. She was a finalist for a Pulitzer prize for investigative reporting.
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