Tennessee Pharmacies Dispense High-Dose Ivermectin Under Standing Order Law
Since Tennessee enacted the nation's first law in 2021 allowing pharmacies to sell ivermectin without patient-specific prescriptions, dozens of pharmacies now dispense highly concentrated ivermectin pills under standing orders, many facilitated by a single anti-vaccine physician. The law permits pharmacies to dispense prescription drugs through protocol agreements with physicians rather than individual patient prescriptions. This arrangement allows pharmacies to sell potent formulations of ivermectin directly to consumers under medical standing orders, bypassing traditional prescribing requirements.
Medicaid MCOs in Tennessee must manage pharmacy benefit exposure and utilization management protocols for ivermectin dispensed under standing orders, which may increase inappropriate utilization and pharmacy spending outside normal prior authorization controls.
Pharmacy · Managed Care
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