House Bill 146 Alabama 2026 Session

Summary

Primary Sponsor

Phillip RigsbyRepresentative

Republican

Session

2026 Regular Session

Title

Licensed health care providers; to permit the dispensing of ivermectin by pharmacists without an individual prescription

Summary

HB146 would allow pharmacists to dispense ivermectin under standing orders issued by physicians, physician assistants, or certified registered nurse practitioners without an individual prescription.

What This Bill Does

If enacted, pharmacists could dispense ivermectin without an individual prescription to eligible individuals (19+ or under 19 with parental consent) under a standing order signed by a health care provider. The standing order must include a risk assessment protocol, a standardized information sheet about ivermectin, and a form to record the dosage dispensed. It would prohibit programs or benefits that encourage ivermectin use and would shield signers of standing orders and pharmacists from disciplinary action for dispensing under the order. It becomes effective October 1, 2026 and does not create new medical or pharmacy practice standards.

Who It Affects

• Patients who request ivermectin (eligible adults and minors with parental consent) who could receive it without an individual prescription under the standing order.
• Licensed health care providers (physicians, physician assistants, and certified registered nurse practitioners) who sign standing orders, and pharmacists who dispense ivermectin under those orders, with immunity from certain disciplinary actions.

Key Provisions

• Authorizes dispensing of ivermectin by a pharmacist without an individual prescription under a standing order signed by a physician, physician assistant, or certified registered nurse practitioner.
• Requires the standing order to include a risk assessment protocol, a standardized information sheet (indications/contraindications, instructions, follow-up/referral info), and a dosage recording form.
• Prohibits health care providers and pharmacists from participating in programs or accepting benefits intended to encourage ivermectin use; and provides immunity from disciplinary action for those dispensing under the standing order.
• Clarifies that the measure does not establish new medical or pharmacy practice standards and preserves existing licensure and liability frameworks, with an effective date of October 1, 2026.

AI-generated summary using openai/gpt-5-nano on Feb 11, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health