Context before any decision
No decision rests on a single symptom. Expect questions about the whole picture, from your symptoms and the places you have traveled or been exposed to parasites, to who shares your home and what you have already tried.
Rx · By prescription Image for illustration Antiparasitic Medicine
Ivermectin oral capsules.
Ivermectin is an antiparasitic that people have taken for decades, and it requires a prescription. A board-certified physician holding a license in your state goes through your intake first, and Peoples First Rx makes ivermectin available only if they agree it is appropriate for you. When a prescription is written, it is dispensed as compounded oral capsules by Rush Pharmacy, which holds a state pharmacy license.
- Reviewing physicians are board-certified and hold a license in your state
- Compounded capsules dispensed by Rush Pharmacy, licensed by the state
- Arrives in plain packaging you can track
- Prescription only: it can't be bought without a physician's approval
You need a prescription for ivermectin, and finishing an intake is no guarantee of one: whether treatment is appropriate is decided by a physician licensed in your state.
- Form
- Oral capsules
- Preparation
- Compounded, not FDA-approved
- Class
- Antiparasitic (avermectin)
- Visit type
- Asynchronous telemedicine
The service
What you get, in plain view.
You see every cost before you pay: medication is not charged until a physician prescribes it, each order is a one-time purchase, and there is no membership fee.
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A physician's decision
The physician who reviews your intake, someone board-certified and licensed in your state, makes the call on whether ivermectin is appropriate for you.
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Pharmacy and shipping
If ivermectin is prescribed, your compounded capsules are made in a licensed facility. Before shipping, every order gets a pharmacist's check and a tamper-evident seal, and it travels in a plain outer box with tracking.
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The partners involved
Board-certified physicians from LocumTele review visits, and Rush Pharmacy, a pharmacy holding a state license, dispenses and ships prescriptions, and its name is on your paperwork and label. Both work with Remedora Inc., Peoples First Rx's pharmacy and fulfillment partner and the company we hold our partnership agreement with.
Medicine basics
What ivermectin does, and where it is approved.
An avermectin medicine, ivermectin acts on the glutamate-gated chloride channels that many parasites carry in nerve and muscle tissue, leaving the parasite paralyzed so that the body is able to clear it. People do not have those channels. That difference lets ivermectin work against the parasite while most patients handle it well.
People have been treated with ivermectin since the 1980s. It also appears on the Model List of Essential Medicines, which the World Health Organization publishes. The FDA has approved ivermectin tablets in the United States for two parasitic infections only: strongyloidiasis of the intestinal tract and onchocerciasis, which is also called river blindness. Those approved tablets are not what is dispensed through Peoples First Rx. Here, ivermectin comes as compounded oral capsules, which have no FDA approval, and using it for anything other than those two conditions is off-label. Off-label use for a different parasitic condition is possible too, provided the physician's judgment and the published evidence both back it.
Clinical reasoning
Ivermectin: what your physician considers
When a lab result matters
Some cases need a stool test or blood work before the right medicine is clear. You will be told if yours is one of them, because your physician does not treat on a guess.
Your physician sets the dose
Your weight drives the amount, and the condition being treated drives the schedule. Both are worked out by your physician and printed on your pharmacy label, not published on a website like this one.
Told plainly if it isn't right
Should your physician conclude that ivermectin does not fit your situation, you will hear why, and where they can, they will point you toward a medicine that does fit.
Practical notes
A few things to know first.
Short, not ongoing
Long-term use is uncommon: for most conditions, ivermectin is a short course with a fixed end. Your physician explains two things: what finishing looks like and whether a second dose will follow.
With or without a meal?
Taking ivermectin on an empty stomach or with food changes how much your body absorbs, and the instruction can differ from one condition to another. Your pharmacy label has the direction that applies to you; generic advice online does not.
Your full medicine list
Ivermectin has interactions with several other drugs, and some health conditions alter the safe way to use it. Leave nothing off your intake: a physician can only weigh what you list.
FDA approval: the full answer
The only form of ivermectin dispensed for Peoples First Rx patients is a compounded oral capsule. Compounded drugs are not FDA-approved, which means the FDA does not verify their safety, effectiveness or quality before they are marketed. The version of oral ivermectin that holds FDA approval is a tablet, and its approved uses are strongyloidiasis of the intestinal tract and onchocerciasis. Any other condition is an off-label use: physicians may lawfully prescribe for it using their own judgment, as happens often in medicine, yet the FDA has not reviewed ivermectin for that purpose. No approval exists for ivermectin as prevention or treatment of a viral illness such as COVID-19, and it is never prescribed for that through Peoples First Rx. Never take an ivermectin product intended for animals instead of medicine prescribed for you; it is not a safe substitute.
Safety points
- Some people get itching, a rash, dizziness, nausea or diarrhea while taking it. When treatment clears a large number of parasites from a heavy infection, a temporary inflammatory reaction is to be expected. This is not an allergy, but let your care team know if it happens.
- Are you pregnant, hoping to become pregnant or breastfeeding? Do you have liver disease or a weakened immune system? Have you spent time in parts of West or Central Africa where the Loa loa eye worm is found? If any answer is yes, tell your physician.
- Do not use ivermectin to prevent illness or as a wellness supplement. With no diagnosed or strongly suspected parasitic infection, taking it means accepting risk without an expected benefit.
Everything on this page is general information and none of it is medical advice; if you have a medical emergency, call 911.
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Prescription first
Ivermectin is not for sale on this site, and a physician licensed in your state must approve treatment before any is dispensed. Controlled substances, in any schedule, are not prescribed here.
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Offered in 49 states
Adults 18 and over can request it from every U.S. state except California, and it ships to U.S. addresses only. Check your state
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Side effect reporting
Your care team should hear about any side effect, and you are free to report it to FDA MedWatch yourself at 1-800-FDA-1088. Patient Safety & Complaints
How it goes
Your intake, step by step.
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Answer the intake
Tell us about your health history, the medicines you take now and what you would like treated.
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Your intake is reviewed
Every answer you give is read by a physician licensed in your state, and whether ivermectin is prescribed is entirely their decision.
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Delivery and follow-up
If you are prescribed it, Rush Pharmacy, which is state-licensed, dispenses it and sends it to you with tracking. You won't have to book another appointment to reach your care team afterward, whether about questions, side effects or adjustments.
Patient questions
Asking about ivermectin?
Yes. The review is not optional: before anything is dispensed, a physician licensed in your state must look at your intake and approve treatment, because ivermectin is a prescription medicine in the United States. Peoples First Rx does not sell medication directly, and nothing you pay buys a prescription.
No. Ivermectin has no approval for any viral illness, including COVID-19, and no physician prescribes it for one through Peoples First Rx. For that purpose Peoples First Rx is not the right service, and we would rather say so plainly than charge you any visit fee.
Ivermectin prescribed through Peoples First Rx comes as compounded oral capsules, made in a licensed facility, and Rush Pharmacy dispenses and ships them. The capsules are not FDA-approved; the tablet is the oral form of ivermectin that holds FDA approval. No medication is prepared outside licensed facilities, and those facilities work to regulatory standards or higher. Before anything is dispensed, your physician confirms the form, and both your order paperwork and the prescription label name the pharmacy that dispensed it.
In most cases your intake gets its physician review by the end of one business day. If your physician is missing a detail, they will ask you through the platform before deciding rather than assume.
It is offered in the 49 states we serve (every U.S. state except California), and even there a physician must decide it is right for you. Where you physically are during your visit matters twice: only a physician licensed in that state can review your intake, and medication can only be dispensed into a state where the pharmacy is authorized to dispense. peoplesfirstrx.com/states-we-serve/ names each of those states.
Report it to your care team, either in your patient account or by email to support@peoplesfirstrx.com; your prescribing physician and Rush Pharmacy both receive what you send. Reporting directly to FDA MedWatch at 1-800-FDA-1088 is always open to you, and it does not require us. Severe symptoms such as chest pain, fainting, difficulty breathing or a swollen face, lips or throat mean calling 911 first. Before stopping any medication abruptly, speak with your physician.
Didn't see your question? Ask our support team
Important safety information
Neither ivermectin nor mebendazole can be obtained without a prescription, and through Peoples First Rx they are dispensed only once a board-certified physician holding a license in your state has gone over your intake and decided treatment is appropriate. Some people who complete an intake are not prescribed anything. What is dispensed is a compounded oral capsule in both cases, and no compounded capsule has FDA approval. Ivermectin may cause dizziness, nausea, diarrhea, itching or rash; mebendazole may cause stomach pain, nausea, diarrhea or gas. Your physician needs to know every medicine you take, your health conditions and whether you are pregnant or breastfeeding.
To report a side effect, contact your care team or go straight to FDA MedWatch at 1-800-FDA-1088. Treatment is limited to people 18 or older, and only while they are located in one of the states we serve: every U.S. state except California. This is general information and not medical advice, and it cannot take the place of emergency care. Call 911 in an emergency.
Let a physician weigh in on ivermectin.
A short online intake is where it begins. The board-certified physician who reads it holds a license in your state and will be honest with you about whether ivermectin suits your situation.
Every visit is reviewed by an independent physician licensed in your state, and prescriptions are written only when medically appropriate.
