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Iowa Bill Advances that Would Allow Ivermectin over-the-Counter Access

The bill mandates pharmacists dispense these drugs without prescriptions, stirring debate over safety and professional judgment in Iowa's rural and underserved areas.

  • On Jan. 22, 2026, an Iowa House subcommittee advanced House File 2056 requiring pharmacists to dispense ivermectin and hydroxychloroquine OTC to any adult, moving the bill forward with an amendment.
  • Proponents including Rep. Eddie Andrews said the bill would expand patient choice and access, citing OTC precedents like Tylenol, while Lindsay Maher said, `Many people in rural and underserved communities would have greater access if this was something they could purchase over the counter`.
  • Medical groups and pharmacists warned both drugs can cause serious side effects like arrhythmias and kidney injury, while the Iowa Pharmacy Association, Iowa Medical Society, and pharmacist-lawmakers opposed the bill on safety and clinical judgment grounds.
  • Votes split as subcommittee chair Eddie Andrews voted yes, Rep. Austin Baeth opposed it as dangerous, and Rep. Brett Barker raised concerns but moved the bill forward.
  • The bill must still clear committee, the House and the Senate; Wes Pilkington warned it grants pharmacists legal immunity but not relief from moral and professional duties.
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Sioux City Journal broke the news in on Thursday, January 22, 2026.
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