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HB1182 • 2026

Ivermectin; authorize pharmacists to provide to adults pursuant to collaborative pharmacy practice agreement.

AN ACT TO AUTHORIZE PHARMACISTS TO PROVIDE IVERMECTIN TO PATIENTS WHO ARE EIGHTEEN YEARS OF AGE OR OLDER PURSUANT TO A VALID COLLABORATIVE PHARMACY PRACTICE AGREEMENT CONTAINING A NON-PATIENT-SPECIFIC PRESCRIPTIVE ORDER AND STANDARDIZED PROCEDURES DEVELOPED AND EXECUTED BY ONE OR MORE AUTHORIZED PRACTITIONERS; TO DIRECT THE BOARD OF PHARMACY TO ADOPT RULES TO ESTABLISH STANDARD PROCEDURES FOR THE PROVISION OF IVERMECTIN BY PHARMACISTS, INCLUDING PROVIDING THE PATIENT WITH A SCREENING RISK ASSESSMENT TOOL, PROVIDING THE PATIENT WITH A STANDARDIZED FACTSHEET, AND EITHER DISPENSING THE IVERMECTIN OR REFERRING THE PATIENT TO A PHARMACY THAT MAY DISPENSE THE MEDICATION AS SOON AS PRACTICAL; TO AUTHORIZE THE CHARGING OF AN ADMINISTRATIVE FEE FOR SERVICES PROVIDED PURSUANT TO THIS ACT IN ADDITION TO COSTS ASSOCIATED WITH THE DISPENSING OF IVERMECTIN AND PAID BY THE PHARMACY BENEFIT; TO PROVIDE THAT A PHARMACIST OR PRACTITIONER ACTING IN GOOD FAITH AND WITH REASONABLE CARE INVOLVED IN THE PROVISION OF IVERMECTIN PURSUANT TO THIS ACT IS IMMUNE FROM DISCIPLINARY OR ADVERSE ADMINISTRATIVE ACTIONS FOR ACTS OR OMISSIONS DURING THE PROVISION OF IVERMECTIN; TO PROVIDE THAT A PHARMACIST OR PRACTITIONER INVOLVED IN THE PROVISION OF IVERMECTIN PURSUANT TO THIS ACT IS IMMUNE FROM CIVIL LIABILITY IN THE ABSENCE OF GROSS NEGLIGENCE OR WILLFUL MISCONDUCT FOR ACTIONS AUTHORIZED BY THIS ACT; AND FOR RELATED PURPOSES.

Labor Taxes
Did Not Pass

The latest official action shows that this bill did not move forward in that session.

Sponsor
Crawford
Last action
2026-02-03
Official status
Dead
Effective date
July 1, 20

Plain English Breakdown

Checked against official source text during the last sync.

Ivermectin for Adults Through Pharmacist Agreements

This bill allows pharmacists to provide Ivermectin to adults over eighteen years old under specific agreements with doctors, and it sets rules about how this should be done safely.

What This Bill Does

  • Allows pharmacists to give Ivermectin to patients who are at least 18 years old if they have a special agreement with a doctor.
  • Requires the Board of Pharmacy to create rules for giving out Ivermectin, including using risk assessment tools and providing information sheets to patients.
  • Permits pharmacists or their employers to charge an extra fee for services related to giving out Ivermectin.
  • Protects pharmacists from being punished if they follow the rules when giving out Ivermectin.

Who It Names or Affects

  • Pharmacists who want to provide Ivermectin under special agreements with doctors.
  • Patients aged eighteen or older who might receive Ivermectin from a pharmacist.
  • The Board of Pharmacy, which must create rules for giving out Ivermectin.

Terms To Know

Collaborative pharmacy practice agreement
A special arrangement between pharmacists and doctors that allows pharmacists to provide certain medications under the doctor's supervision.
Non-patient-specific prescriptive order
An order for a medication that is not specific to one patient but can be used for multiple patients who meet certain criteria.

Limits and Unknowns

  • The bill did not pass and will not become law.
  • It does not specify what happens if the Board of Pharmacy fails to create necessary rules in time.

Bill History

  1. 2026-02-03 Mississippi Legislative Bill Status System

    02/03 (H) Died In Committee

  2. 2026-01-19 Mississippi Legislative Bill Status System

    01/19 (H) Referred To Public Health and Human Services

Official Summary Text

Ivermectin; authorize pharmacists to provide to adults pursuant to collaborative pharmacy practice agreement.

Current Bill Text

Read the full stored bill text 
H. B. No. 1182 *HR26/R1043* ~ OFFICIAL ~ G3/5
26/HR26/R1043
PAGE 1 (RF\KW)

To: Public Health and Human
Services
MISSISSIPPI LEGISLATURE REGULAR SESSION 2026

By: Representative Crawford

HOUSE BILL NO. 1182

AN ACT TO AUTHORIZE PHARMACISTS TO PROVIDE IVERMECTIN TO 1
PATIENTS WHO ARE EIGHTEEN YEARS OF AGE OR OLDER PURSUANT TO A 2
VALID COLLABORATIVE PHARMACY PRACTICE AGREEMENT CONTAINING A 3
NON-PATIENT-SPECIFIC PRESCRIPTIVE ORDER AND STANDARDIZED 4
PROCEDURES DEVELOPED AND EXECUTED BY ONE OR MORE AUTHORIZED 5
PRACTITIONERS; TO DIRECT THE BOARD OF PHARMACY TO ADOPT RULES TO 6
ESTABLISH STANDARD PROCEDURES FOR THE PROVISION OF IVERMECTIN BY 7
PHARMACISTS, INCLUDING PROVIDING THE PATIENT WITH A SCREENING RISK 8
ASSESSMENT TOOL, PROVIDING THE PATIENT WITH A STANDARDIZED 9
FACTSHEET, AND EITHER DISPENSING THE IVERMECTIN OR REFERRING THE 10
PATIENT TO A PHARMACY THAT MAY DISPENSE THE MEDICATION AS SOON AS 11
PRACTICAL; TO AUTHORIZE THE CHARGING OF AN ADMINISTRATIVE FEE FOR 12
SERVICES PROVIDED PURSUANT TO THIS ACT IN ADDITION TO COSTS 13
ASSOCIATED WITH THE DISPENSING OF IVERMECTIN AND PAID BY THE 14
PHARMACY BENEFIT; TO PROVIDE THAT A PHARMACIST OR PRACTITIONER 15
ACTING IN GOOD FAITH AND WITH REASONABLE CARE INVOLVED IN THE 16
PROVISION OF IVERMECTIN PURSUANT TO THIS ACT IS IMMUNE FROM 17
DISCIPLINARY OR ADVERSE ADMINISTRATIVE ACTIONS FOR ACTS OR 18
OMISSIONS DURING THE PROVISION OF IVERMECTIN; TO PROVIDE THAT A 19
PHARMACIST OR PRACTITIONER INVOLVED IN THE PROVISION OF IVERMECTIN 20
PURSUANT TO THIS ACT IS IMMUNE FROM CIVIL LIABILITY IN THE ABSENCE 21
OF GROSS NEGLIGENCE OR WILLFUL MISCONDUCT FOR ACTIONS AUTHORIZED 22
BY THIS ACT; AND FOR RELATED PURPOSES. 23
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI: 24
SECTION 1. (1) A pharmacist, in good faith, may provide 25
ivermectin to a patient who is eighteen (18) years of age or older 26
pursuant to a valid collaborative pharmacy practice agreement 27
containing a non-patient-specific prescriptive order and 28
H. B. No. 1182 *HR26/R1043* ~ OFFICIAL ~
26/HR26/R1043
PAGE 2 (RF\KW)

standardized procedures developed and executed by one (1) or more 29
authorized practitioners. 30
(2) The board shall adopt rules to establish standard 31
procedures for the provision of ivermectin by pharmacists, 32
including: 33
(a) Providing the patient with a screening risk 34
assessment tool; 35
(b) Providing the patient with a standardized factsheet 36
that includes, but is not limited to, the indications and 37
contraindications for use of ivermectin, the appropriate method 38
for using ivermectin, the importance of medical follow-up, and 39
other information deemed appropriate by the board; and 40
(c) Either dispensing the ivermectin or referring the 41
patient to a pharmacy that may dispense the medication as soon as 42
practical. 43
(3) A pharmacist, pharmacist's employer, or pharmacist's 44
agent may charge an administrative fee for services provided 45
pursuant to this section in addition to costs associated with the 46
dispensing of ivermectin and paid by the pharmacy benefit. 47
(4) A pharmacist or practitioner acting in good faith and 48
with reasonable care involved in the provision of ivermectin 49
pursuant to this section is immune from disciplinary or adverse 50
administrative actions under Title 73 of the Mississippi Code of 51
1972 for acts or omissions during the provision of ivermectin. 52
H. B. No. 1182 *HR26/R1043* ~ OFFICIAL ~
26/HR26/R1043
PAGE 3 (RF\KW)
ST: Ivermectin; authorize pharmacists to
provide to adults pursuant to collaborative
pharmacy practice agreement.
(5) A pharmacist or practitioner involved in the provision 53
of ivermectin pursuant to this section is immune from civil 54
liability in the absence of gross negligence or willful misconduct 55
for actions authorized by this section. 56
SECTION 2. Section 1 of this act shall be codified as a new 57
section in Chapter 21, Title 73, Mississippi Code of 1972. 58
SECTION 3. This act shall take effect and be in force from 59
and after July 1, 2026. 60