Help center
Ivermectin FAQ
Short answer
The quick version: oral ivermectin is prescription-only under federal law. In 7 states, a licensed pharmacist can dispense it without an individual prescription; everywhere else you need one. Orders from us need a valid prescription in every state. A pharmacist reviews every order, your card is charged only after approval, and orders ship by tracked USPS.
Reviewed Nov 10, 2026Sources: MedlinePlus, FDA, State laws
Ordering
Who can order?
Adults 18 and over with a valid prescription who live in a state we ship to. You also answer a short health questionnaire, and a pharmacist reviews it before anything is dispensed.
How does ordering work?
Pick a strength and pack, add your prescriber's details at checkout and answer the health questionnaire. Your card isn't charged at that point. A pharmacist reviews the order, and once it's approved we charge your card and the pharmacy ships it.
Who fills my order?
A US pharmacy we work with. A pharmacist reviews your prescription and your questionnaire before anything ships. We'll publish the pharmacy's name and license details on our about page before we start shipping.
Can the pharmacist say no?
Yes, and that's the point of the review. The pharmacist can ask you questions, contact your prescriber, or decline if ivermectin doesn't look right for you or your state's law doesn't allow the order. A declined order isn't charged.
Can I buy a few tablets instead of a whole pack?
No. We sell whole packs only, in the sizes shown on each product page. If your prescription calls for a different quantity, message us before you order.
I'm moving to another state. What happens to my order?
Tell us before it ships. We can only send it if we ship to your new state, and your prescription has to be valid there.
States & prescriptions
Can I buy ivermectin without a prescription?
Not from us. Federal law treats oral ivermectin as a prescription drug. Arkansas, Idaho, Iowa, Louisiana, Missouri, Tennessee and Texas have laws letting local pharmacists dispense FDA-approved ivermectin without a prescription written for you (Iowa's law has applied since July 1, 2026 and Missouri's law has applied since August 28, 2026). Iverheal, which we sell, isn't FDA-approved, so every order from us needs a valid prescription. See the state-by-state guide.
Is ivermectin over the counter?
No oral ivermectin is FDA-approved for over-the-counter sale. The state laws let pharmacists dispense it, so you still go through a pharmacist. Our ivermectin OTC guide explains the difference.
Why don't you ship to my state?
The dispensing pharmacy has to hold a license in your state before we can send anything there. If it doesn't yet, you can join the waitlist at checkout.
Why won't my local pharmacy give it to me?
These state laws say a pharmacist may dispense ivermectin without an individual prescription. They don't say a pharmacist must. Each pharmacy and chain decides for itself, so many still ask for a prescription.
How do I get a prescription?
From your own doctor or a telehealth clinician licensed in your state. Our guide to getting ivermectin walks through each route. Every strength we sell (3mg, 6mg, 12mg, 24mg and 40mg) needs one.
How do you check my prescription?
The pharmacist verifies it with your prescriber before dispensing. Add your prescriber's details at checkout so the pharmacy can reach them.
What does "Rx only" mean?
It's the federal marking for a prescription drug. Oral ivermectin is prescription-only under federal law, and every order from us needs a valid prescription.
Price & payment
How much does ivermectin cost?
Iverheal 3 starts at $19.00 for 10 tablets, and bigger packs drop to $1.49 a tablet. The other strengths: Iverheal 6 from $24.00, Iverheal 12 from $29.00, Iverheal 24 from $39.00 and Covilife 40 from $130.00. Every pack is listed on our ivermectin price page.
When will I be charged?
Only after the pharmacist approves your order. If it's declined, you aren't charged.
How can I pay?
Credit / debit card: Visa, Mastercard, Amex or Discover on a secure payment page.
Do you take insurance?
No. We don't bill insurance, so every order is self-pay. Some HSA and FSA plans cover prescription medicines bought this way; check with your plan administrator before you use that card.
Why is your price different from my local pharmacy?
Pharmacies set their own cash prices, and insurance prices are different again. Ours include the pharmacist review. Shipping is added at checkout unless your order qualifies for free shipping.
Do you have discount codes?
One: FREESHIP gives free shipping when your products total $200.00 or more. Larger packs also cost less per tablet.
Shipping
How long does shipping take?
USPS Ground Advantage costs $20.00 and usually takes 2–5 business days after approval; USPS Priority Mail costs $10.00 and usually takes 1–3 business days. Both are tracked. Full details are on the shipping page.
Do you offer free shipping?
Yes. Enter FREESHIP at checkout when your products total $200.00 or more.
When does my order ship?
After the pharmacist approves it and your payment goes through.
Which states can you ship to?
Only states where the dispensing pharmacy holds a license, and only with a valid prescription. Check your state on the homepage checker or the states page.
How do I track my order?
We email your USPS tracking number when it ships. You can also check it on the track order page.
Do you ship outside the US?
No. We only ship to US addresses in states where we're licensed.
Safety
What is ivermectin approved for?
In the US, FDA-approved oral ivermectin tablets (such as Stromectol) are labeled for two parasitic infections: strongyloidiasis of the intestinal tract and onchocerciasis. Iverheal, the brand we sell, isn't FDA-approved in the US. Any use is a decision for your prescriber.
How much should I take?
Your pharmacist or prescriber sets the dose. Follow the label on your pack and ask the pharmacist if anything is unclear. We don't give dosing advice.
Who should talk to a doctor first?
Anyone who is pregnant or breastfeeding, takes warfarin or another blood thinner, has liver disease, has lived in parts of Central or West Africa where Loa loa infection occurs, or is ordering for a child. Tell the pharmacist about all of these in the questionnaire.
What are the common side effects?
The FDA label lists dizziness, itching, nausea and diarrhea among them. MedlinePlus has the full list and warnings. Ask your pharmacist about anything that worries you.
Can I take veterinary ivermectin instead?
No. The FDA warns people not to take animal products. They are far more concentrated and contain ingredients that haven't been tested in people. We only sell human ivermectin.
What if someone takes too much?
Call Poison Control at 1-800-222-1222. Call 911 if the person has collapsed, has a seizure or is struggling to breathe.
Returns
Can I cancel my order?
Yes, any time before it ships, with a full refund of anything charged. Message or email us with your order number. Details are in our refund policy.
Can I return medicine I don't need?
No. Under pharmacy rules, dispensed medicine can't be returned or resold once it has shipped, so we can't take returns for a change of mind.
My order arrived damaged, wrong or incomplete.
Contact us within 14 days of delivery. We'll send a replacement or refund you at no cost.
What if the pharmacist declines my order?
You aren't charged. We only send a payment link after the pharmacist approves an order.
How long do refunds take?
Refunds go back to the card you paid with, normally within 5 business days of approval. Your bank may take a few more days to show it.
Didn't find your answer?
Message our support team. Clinical questions go to the pharmacist who reviews your order.