A statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense ivermectin

Texas House Bill 3175 (HB3175) proposed that the state's health commissioner issue a statewide order allowing pharmacists to dispense ivermectin without a prescription. The bill outlined procedures for pharmacists to follow, required them to provide usage instructions to patients, and offered legal protections for pharmacists acting in good faith. Additionally, pharmacists would need to report annually on the number of ivermectin doses dispensed under this order. The bill was introduced on February 21, 2025, and referred to the House Public Health Committee on March 20, 2025, but did not progress further.

Supporters of HB3175 argued that increasing access to ivermectin could provide Texans with more treatment options, especially during public health emergencies. They believed that empowering pharmacists to dispense the medication without a prescription would reduce barriers to care and allow individuals to make informed decisions about their health. Proponents also highlighted the bill's provisions for standardized procedures and patient education, ensuring safe and appropriate use of ivermectin.

Critics of HB3175 raised concerns about the safety and efficacy of ivermectin for treating certain conditions, noting that its use for COVID-19 and other off-label purposes lacked robust scientific support. They cautioned that allowing pharmacists to dispense the drug without a prescription could lead to misuse and potential health risks. Opponents also emphasized the importance of maintaining the traditional role of healthcare providers in prescribing medications and ensuring that treatments are based on evidence-based guidelines.