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Answers
Short answer
Oral ivermectin is a prescription drug under federal law. Arkansas, Idaho, Iowa, Louisiana, Missouri, Tennessee and Texas let licensed pharmacists dispense it without an individual prescription; everywhere else you need one. Below are 65 short answers on state rules, prices, shipping and safety, each linked to the page with the detail.
Reviewed Nov 10, 2026Sources: FDA, MedlinePlus, State law
Not under federal law. Oral ivermectin is a prescription drug and the FDA has not approved any oral ivermectin for over-the-counter sale, but a few states let pharmacists dispense it without an individual prescription.
Arkansas, Idaho, Iowa, Louisiana, Missouri, Tennessee and Texas have laws that allow it (Iowa since July 1, 2026 and Missouri since August 28, 2026). Each law works a little differently, so the state board of pharmacy has the exact rules.
No. You still get it from a licensed pharmacist, who asks health questions and can decline. It won't be on an open shelf next to the pain relievers.
The FDA approved it as a prescription drug, and moving any medicine to over-the-counter status takes a separate FDA approval that oral ivermectin hasn't had. State laws change who can dispense it, not its federal status.
Yes. These laws say a pharmacist may dispense it, not that they must, so each pharmacy and pharmacist decides. Calling ahead saves a wasted trip.
Not without a prescription. The no-prescription route only covers patients in a state whose law allows it, and the pharmacy must also hold a license to ship into that state.
You need a valid prescription from a licensed prescriber, either your own doctor or a telehealth clinician licensed in your state.
Bills have been introduced in several other states. Until one passes and takes effect, a prescription is still needed there, and we update our state pages when that changes.
State law lets an in-state licensed pharmacist dispense FDA-approved ivermectin without an individual prescription (since 2025). A 2025 Arkansas law lets licensed pharmacists dispense ivermectin without an individual prescription. The Arkansas State Board of Pharmacy sets the details. Our Iverheal orders still need a valid prescription in Arkansas, as in every state.
More: Ivermectin in Arkansas
State law lets an in-state licensed pharmacist dispense FDA-approved ivermectin without an individual prescription (since 2025). A 2025 Idaho law lets pharmacists dispense ivermectin without an individual prescription. The Idaho Board of Pharmacy sets the details. Our Iverheal orders still need a valid prescription in Idaho, as in every state.
More: Ivermectin in Idaho
State law lets an in-state licensed pharmacist dispense FDA-approved ivermectin without an individual prescription (since July 1, 2026). An Iowa law taking effect on 1 July 2026 lets pharmacists dispense ivermectin without an individual prescription. The Iowa Board of Pharmacy sets the details. Our Iverheal orders still need a valid prescription in Iowa, as in every state.
More: Ivermectin in Iowa
State law lets an in-state licensed pharmacist dispense FDA-approved ivermectin without an individual prescription (since 2025). A 2025 Louisiana law lets pharmacists dispense ivermectin without an individual prescription. The Louisiana Board of Pharmacy sets the details. Our Iverheal orders still need a valid prescription in Louisiana, as in every state.
More: Ivermectin in Louisiana
State law lets an in-state licensed pharmacist dispense FDA-approved ivermectin without an individual prescription (since August 28, 2026). A Missouri law taking effect on 28 August 2026 lets pharmacists dispense ivermectin without an individual prescription. The Missouri Board of Pharmacy sets the details. Our Iverheal orders still need a valid prescription in Missouri, as in every state.
More: Ivermectin in Missouri
State law lets an in-state licensed pharmacist dispense FDA-approved ivermectin without an individual prescription (since 2022). Tennessee has allowed pharmacists to dispense ivermectin without an individual prescription since 2022, under protocols set by state law. The Tennessee Board of Pharmacy sets the details. Our Iverheal orders still need a valid prescription in Tennessee, as in every state.
More: Ivermectin in Tennessee
State law lets an in-state licensed pharmacist dispense FDA-approved ivermectin without an individual prescription (since 2025). Texas House Bill 25 (2025) lets pharmacists dispense ivermectin without an individual prescription. The Texas State Board of Pharmacy sets the details. Our Iverheal orders still need a valid prescription in Texas, as in every state.
More: Ivermectin in Texas
Yes. California has no pharmacist-dispensing law for ivermectin, so federal rules apply and you need a valid prescription from a prescriber licensed in California.
More: Ivermectin in California
Yes. Florida has no pharmacist-dispensing law for ivermectin, so federal rules apply and you need a valid prescription from a prescriber licensed in Florida.
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Yes. Georgia has no pharmacist-dispensing law for ivermectin, so federal rules apply and you need a valid prescription from a prescriber licensed in Georgia.
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Yes. Arizona has no pharmacist-dispensing law for ivermectin, so federal rules apply and you need a valid prescription from a prescriber licensed in Arizona.
More: Ivermectin in Arizona
Ask your own doctor, or book a telehealth visit with a clinician licensed in your state. They decide whether it suits you and send the prescription to a pharmacy.
Telehealth clinicians can prescribe it if they're licensed in your state and think it's appropriate after the consultation. They can also say no.
No. It isn't on the DEA's controlled substance schedules, but it is still a prescription drug under federal law.
No. We don't prescribe. Every order needs a valid prescription from a licensed US prescriber, and a pharmacist reviews each one.
More: About us
Yes. The state laws cover FDA-approved ivermectin dispensed by in-state pharmacies. Iverheal is made in India and isn't FDA-approved, so we only supply it against a valid prescription, in every state.
No. Iverheal is made in India by Healing Pharma and is not FDA-approved in the US. The FDA-approved oral form is the 3mg tablet sold as Stromectol and its US generics.
More: Iverheal 3
Here, Iverheal packs start at $19.00 for 10 Iverheal 3 tablets, and the larger packs work out to as little as $1.49 a tablet. Every order needs a prescription. Prices elsewhere vary with the pharmacy, the pack size and any coupon.
More: Ivermectin price guide
10 for $19.00, 20 for $34.00, 50 for $79.00 and 100 for $149.00, with a valid prescription. Prices are in US dollars and shipping is extra unless the order qualifies for FREESHIP.
More: Iverheal 3
10 for $24.00, 20 for $44.00, 50 for $99.00 and 100 for $189.00, with a valid prescription. Prices are in US dollars and shipping is extra unless the order qualifies for FREESHIP.
More: Iverheal 6
10 for $29.00, 20 for $54.00, 50 for $119.00 and 100 for $229.00, with a valid prescription. Prices are in US dollars and shipping is extra unless the order qualifies for FREESHIP.
More: Iverheal 12
10 for $39.00, 20 for $74.00, 50 for $169.00 and 100 for $319.00, with a valid prescription. Prices are in US dollars and shipping is extra unless the order qualifies for FREESHIP.
More: Iverheal 24
10 for $130.00, 30 for $340.00, 50 for $520.00 and 100 for $950.00, with a valid prescription. Prices are in US dollars and shipping is extra unless the order qualifies for FREESHIP.
More: Covilife 40
Some plans cover prescription ivermectin; it depends on your plan. We don't bill insurance, so orders here are self-pay.
More: Ivermectin price guide
Many people can, where their plan allows it for this purchase. Check with your plan administrator before you order.
More: Ivermectin FAQ
Credit / debit card. Your card is charged only after the pharmacist approves the order.
More: Terms of sale
Only after the pharmacist approves the order. Nothing is taken at checkout; once approved, we email a secure card payment link. If the order is declined, you aren't charged.
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Choose a product and pack, tell us your state, answer a short health questionnaire and upload your prescription. A pharmacist reviews it, and approved orders are charged and shipped by tracked USPS.
Not yet. Shipping hasn't opened in any state. You can join the waitlist from the state checker.
More: Home page state checker
Standard shipping costs $20.00 and usually takes 2–5 business days; priority shipping costs $10.00 and usually takes 1–3 business days. Both are tracked USPS services, counted from pharmacist approval.
More: Shipping and delivery
Yes. Enter FREESHIP at checkout when your products total $200.00 or more. It isn't applied automatically.
More: Shipping and delivery
Yes. Every approved order ships with USPS tracking, and you can also check its status on our order tracking page.
More: Track your order
No. We only ship to US addresses in the states listed on our shipping page.
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You aren't charged. The pharmacist may tell you why, for example a medicine interaction or a health answer that needs a doctor's input.
More: Ivermectin FAQ
You can cancel any time before it ships for a full refund. Dispensed medicine can't be returned, but damaged, wrong or missing items are replaced or refunded.
Yes. You must be 18 or over and answer the health questionnaire truthfully.
More: Terms of sale
An antiparasitic medicine. FDA-approved oral tablets treat certain worm infections, and topical forms treat head lice and rosacea.
More: Read the guide
Oral tablets are approved for strongyloidiasis of the intestinal tract and onchocerciasis. Topical forms are approved for head lice (Sklice lotion) and rosacea (Soolantra cream).
More: Read the guide
We sell Iverheal (3mg, 6mg, 12mg, 24mg and 40mg), made by Healing Pharma (India). It is not FDA-approved in the US and we supply it only against a valid prescription.
More: Iverheal 3
FDA-approved generics contain the same active ingredient at the same strength as Stromectol and must meet the FDA's standards for equivalence. The inactive ingredients and the price can differ.
More: Read the guide
Not as an FDA-approved product. The 3mg tablet is the only FDA-approved oral strength. Iverheal 6, 12 and 24 are made in India, aren't FDA-approved, and we supply them only with a prescription.
More: Read the guide
No. Veterinary pastes, drenches and injectables are far more concentrated and contain ingredients not tested in people, and the FDA warns people not to take them. We sell human products only.
More: Read the guide
No. Farm and feed stores sell animal products, which aren't made or labeled for people.
More: Read the guide
Marketplace listings aren't licensed pharmacies. Human oral ivermectin should come from a state-licensed pharmacy, with a prescription or under your state's law.
Yes. Sklice, an ivermectin lotion for head lice, was switched to non-prescription sale by the FDA in 2020. Oral ivermectin tablets were not.
No, oral ivermectin isn't FDA-approved for scabies, though CDC guidance describes it as an option a doctor may prescribe. Your doctor decides which treatment suits you.
Yes. Every pack carries an expiration date, and you shouldn't use it after that date. Store it as the label says, away from children.
More: Ivermectin FAQ
We can't give dosing advice. Your prescriber or pharmacist sets the dose, which depends on your body weight and the condition being treated, so follow the label they give you.
More: Ivermectin FAQ
The FDA label and MedlinePlus list dizziness, itching, nausea, diarrhea, tiredness and loss of appetite among the most common. Tell your doctor or pharmacist about anything that worries you.
More: Read the guide
Call Poison Control at 1-800-222-1222 right away. If the person has collapsed, has a seizure or has trouble breathing, call 911.
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Ivermectin has been reported to raise INR in people taking warfarin. Tell your doctor and pharmacist before using it; they may want to monitor you.
More: Read the guide
Its safety in pregnancy hasn't been established, and it passes into breast milk in small amounts. Speak to your doctor first if you are pregnant, could be pregnant or are breastfeeding.
More: Ivermectin FAQ
Its safety hasn't been established in children who weigh less than 15 kg (about 33 lb). A doctor decides whether it suits an older child.
More: Ivermectin FAQ
Anyone who is pregnant or breastfeeding, takes warfarin or other blood thinners, has liver disease, or has lived in parts of Central or West Africa where Loa loa infection occurs.
More: Ivermectin FAQ
Ask your pharmacist. Tell them about your alcohol use and every other medicine or supplement you take when they review your order.
More: Ivermectin FAQ
Tell your doctor or pharmacist, and you can report it to FDA MedWatch online or at 1-800-FDA-1088.
More: Read the guide
Look up its license on your state board of pharmacy site and check it against the FDA's BeSafeRx tips. Red flags include no prescription check, no health questions and no way to reach a pharmacist.
More: About us
Our support team answers questions about orders, states and prescriptions. Clinical questions go to the pharmacist during review. Nothing on this page is medical advice.
Last updated by the IvermectinForSale editorial team. In an emergency call 911, or Poison Control at 1-800-222-1222.
Message our support team. A pharmacist answers clinical questions during review.