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Four years after Tennessee became the first state in the country to let adults purchase ivermectin from a pharmacy without first seeing a doctor, the antiparasitic drug has turned into a retail category unto itself — sold at roadside shops and strip-mall locations with minimal regulatory oversight.
Highway billboards across the state advertise it as available without a prescription, and dozens of pharmacies are now selling formulations at concentrations running as high as 10 or 20 times the potency of a standard tablet, according to reporting on the state's market.
The Blanket Prescription Mechanism The legal architecture behind this market is a pre-written blanket prescription that allows pharmacies to dispense ivermectin to virtually any adult who requests it, bypassing the conventional requirement for a patient-specific physician order.
Tennessee designed this pathway first; no other state had moved the same way at the time.
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