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HB 5591 (West Virginia) allows pharmacists to dispense ivermectin to patients without a prescription, provided they follow standardized protocols established by the state pharmacy board. It protects pharmacists from criminal, civil, or professional disciplinary action when dispensing under these protocols. The bill directly affects pharmacists and patients seeking ivermectin for human use, removing the current prescription requirement. The pharmacy board may create specific rules for implementation through the legislative process.