Texas HB 25 and Ivermectin: What the Law Means for You

In 2025 Texas joined the small group of states that let pharmacists dispense ivermectin without a prescription from a doctor. If you live in Texas, that changes how you can get it. It doesn't change what ivermectin is approved for, or the fact that a pharmacist still has to be satisfied it's appropriate for you. Here's a plain explanation.

What House Bill 25 did

Texas House Bill 25 lets licensed pharmacists in Texas dispense ivermectin to patients without an individual prescription from a prescriber. In practice, pharmacies acting under the law ask you to complete a health screening, and the pharmacist decides whether to dispense.

The exact conditions, such as age limits, forms covered and any record-keeping, are set by the law and the Texas State Board of Pharmacy. For the official wording and any updates, go to the Texas State Board of Pharmacy. Our summary page for the state is ivermectin in Texas.

What it didn't change

• Federal status. Under federal law, oral ivermectin is still a prescription drug, and the FDA hasn't approved any oral ivermectin for over-the-counter sale. State law covers what Texas pharmacists may do within Texas.
• Approved uses. The FDA-approved human uses are still intestinal strongyloidiasis and river blindness. It isn't approved for COVID-19, and large NIH-funded trials didn't show a benefit. See ivermectin uses.
• Products that aren't FDA-approved. The law is about FDA-approved ivermectin. The Iverheal tablets we sell, including 6mg and 12mg, aren't FDA-approved and always need a prescription.
• Other states. The law only applies to dispensing by pharmacists in Texas.

"Over the counter" isn't quite the right phrase

You'll see Texas described as an "OTC ivermectin" state. That's a reasonable shorthand, but it's not like buying aspirin off a shelf. The pharmacist is still involved, still asks about your health and medicines, and can say no. Think of it as "no doctor's prescription needed," not "no questions asked." Our ivermectin OTC guide compares how the states with similar laws handle it.

Ordering from us in Texas

HB 25 covers FDA-approved ivermectin dispensed by a Texas-licensed pharmacist. The Iverheal tablets we sell are made in India by Healing Pharma and are not FDA-approved, so HB 25 doesn't apply to them. Every order from us needs a valid prescription in Texas too.

1. Prescription. You give your prescription or your prescriber's details at checkout.
2. Health questions. You answer questions about your age, weight, health conditions, pregnancy or breastfeeding, allergies and every medicine you take.
3. Pharmacist review and shipping. A pharmacist reviews the order and your card is charged only after it's approved. Then it ships by USPS with tracking.

Shipping is $9.95 for Ground Advantage (usually 2–5 business days after verification) or $19.95 for Priority (usually 1–3), free with FREESHIP on $99 or more of products. See shipping for the details. Checkout tells you whether we can ship to your address yet.

Safety still matters

A pharmacist screening is there for a reason. Ivermectin can interact with warfarin, and certain groups, including people who are pregnant or have liver disease, should involve a doctor. Our side effects and interactions guide covers this, as does the National Library of Medicine's MedlinePlus page.

Not in Texas?

If you live outside Texas, check your state on the state-by-state guide. Tennessee, Arkansas, Idaho, Louisiana, Iowa and Missouri have laws of their own; our Tennessee guide explains the longest-running one. Everywhere else, how to get ivermectin explains the prescription route.

Costs

Current pack prices are on the ivermectin price guide. Orders from us need a prescription in Texas, so if you don't already have one, allow for the cost of a prescriber visit on top of the medicine and shipping.

Common questions from Texans

Do I need to see a doctor first? At a Texas pharmacy dispensing FDA-approved ivermectin under HB 25, no doctor's prescription is needed, but the pharmacist's screening still applies. For an order from us, yes: you need a prescription from a licensed prescriber.

Can I buy ivermectin for someone else? The screening is about the person who'll take the medicine. Each person should complete their own questionnaire, because weight, health conditions and other medicines all affect whether it's appropriate.

Can I use insurance? Pharmacist-dispensed orders without a prescription usually can't be billed to insurance. Prices on the price guide are cash prices.

Does the law cover ivermectin lotion or cream? The topical products (for head lice and rosacea) are separate prescription products; check the board's guidance if you're unsure.

Picking up locally vs shipping

Some Texas pharmacies dispense ivermectin in store. Ordering from us works differently: you need a prescription, a pharmacist reviews the order, and the tablets ship by tracked USPS mail once it's approved. Shipping times are counted from approval, so complete the questionnaire carefully to avoid back-and-forth.

What to watch for after you start

Most people have no problems or only mild ones. If you notice a rash with fever or blisters, yellowing of the skin or eyes, confusion or severe dizziness, stop and get medical help. You can report side effects to the FDA through MedWatch. Our frequently asked questions cover what to do if something goes wrong with an order, and our questions page covers the rules in more depth.

Keeping records

Keep the pharmacy label, the leaflet and your receipt together, along with a note of when you took the tablets. If you see a doctor later or need another course, that record shows what you've already had, and the lot number on the pack identifies the exact batch if you ever need to report a side effect. The leaflet lists the warnings in full and is the first thing to check if something you've read online doesn't match what you were told by the pharmacist.

If you split your time between Texas and another state, keep in mind that HB 25 covers dispensing by Texas pharmacists in Texas. For orders from us it makes no difference which state you live in: every order needs a prescription, wherever it ships.

The takeaway

HB 25 makes ivermectin easier to get in Texas by putting the decision with a pharmacist rather than requiring a prescription. It doesn't widen the approved uses, cover products that aren't FDA-approved (such as the Iverheal tablets we sell), or apply outside the state. Check the board's guidance, answer the screening honestly, and let the pharmacist do their job.