Antiparasitic (avermectin)
Ivermectin
An antiparasitic with decades of use in people. No one gets it here without a physician first reviewing their intake.
- Form
- Oral capsules
- Preparation
- Compounded, not FDA-approved
Antiparasitic Medicine
Each is a prescription medicine for parasitic infections. After you complete an online intake, a physician who is board-certified and licensed in your state reviews it, explains what to expect and answers your questions before anything is dispensed. If the physician approves treatment, Rush Pharmacy, a state-licensed pharmacy, dispenses it as compounded oral capsules and ships it in plain packaging.
Ivermectin
Mebendazole Pictures are illustrative; the packaging in them shows no company name or logo.
Either needs a physician's review
Ivermectin and mebendazole follow identical steps: your physician holds a license in your state, the same state-licensed pharmacy dispenses either one and shipping is discreet. Only the medicine and its uses differ.
Antiparasitic (avermectin)
An antiparasitic with decades of use in people. No one gets it here without a physician first reviewing their intake.
Anthelmintic (benzimidazole)
For common intestinal worm infections, and available only if a physician approves it after reviewing your intake.
Side by side
Only facts belong in this table. Your physician sets the dose and schedule, and your pharmacy label spells both out.
Swipe the table sideways for Mebendazole.
| Detail | Ivermectin | Mebendazole |
|---|---|---|
| Class of medicine | Antiparasitic (avermectin) | Anthelmintic (benzimidazole) |
| Form you receive | Compounded oral capsules | Compounded oral capsules |
| FDA status of these capsules | Not FDA-approved (compounded) | Not FDA-approved (compounded) |
| FDA-approved version | Tablets | Chewable tablets |
| What that version is approved for | Intestinal strongyloidiasis and onchocerciasis | Pinworm, whipworm, common roundworm and hookworm |
| Prescription needed | Yes | Yes |
| Controlled substance | No | No |
| Visit format | Asynchronous telemedicine | Asynchronous telemedicine |
| Who can use it | 18 and over, 49 states | 18 and over, 49 states |
The two medicines act on parasites by different mechanisms, and the FDA approved their tablet versions for different infections. So your physician looks at your symptoms, any travel, exposure within your household, the other medicines you take and your health history before deciding whether one of them is appropriate for you.
No physician here prescribes ivermectin for COVID-19 or any other viral illness. Neither medicine is offered as a cleanse or for prevention. And a product made for animals can never replace a prescription written in your name.
Choosing Peoples First Rx
Treatment is approved only when a physician who is board-certified and licensed in your state has read your history and current medicines and finds it appropriate for you.
Rush Pharmacy dispenses your prescription under a state pharmacy license, and its name is printed on your label and paperwork. Remedora Inc., our pharmacy and fulfillment partner, is the company that sends each prescription there.
Orders ship in plain outer packaging with tracking, and your health information is handled by physicians and pharmacies that are HIPAA-covered entities.
The dispensing pharmacy holds a license from its state board of pharmacy.
No prescription is written until a licensed physician has gone through your intake.
The label lists your name, your directions, the prescriber and the pharmacy.
Each order passes a pharmacist's check before tamper-evident sealing.
Ahead of your intake
No prescription medicine is free of risk. Its side effects, the way it interacts with anything else you take and your health history all bear on whether it is safe for you. The intake is detailed for exactly that reason: weighing those risks is your physician's job.
Either medicine would reach you as a compounded oral capsule, and compounded drugs do not have FDA approval. Some of the ways these medicines are used are also off-label. Each medication's page goes into the details. Expect your physician to confirm them with you before you decide anything.
This page cannot stand in for medical advice or promise you a prescription; treat it as general information. If you have a medical emergency, do not use this site: call 911.
You cannot buy any medication here directly. A physician's review and a prescription come first, every time, and controlled substances are never prescribed or dispensed.
That means every U.S. state except California, and your location is confirmed during the intake. Orders never ship to an address abroad. Look up your state
Visits are reviewed by board-certified physicians from LocumTele. Your prescription is dispensed and shipped by Rush Pharmacy, which is licensed by its state. Both companies work with Remedora Inc., which handles pharmacy and fulfillment under our partnership agreement. How the three connect
Your care team should hear about it. You can also call FDA MedWatch directly at 1-800-FDA-1088. Patient Safety & Complaints
Step by step
Answer an online questionnaire about your health, the medicines you already take and what you would like help with.
It goes to a physician who is board-certified and licensed where you are, and they decide whether treatment is appropriate.
With a prescription in place, the state-licensed pharmacy dispenses your medicine and sends it to you with tracking.
Patient questions
Our service area covers 49 states (every U.S. state except California), and peoplesfirstrx.com/states-we-serve/ names each one; it does not include Washington, D.C., Puerto Rico or any other U.S. territory, and orders never ship to addresses abroad. Where you are matters because your visit can only be completed by a physician whose license covers your physical location at that time. That is why the intake confirms your location first, before you pay for any medication.
No. You cannot put medication in a cart and buy it anywhere on this site. Each medication described here requires a prescription, which means nothing is dispensed unless a licensed physician first reviews your intake and decides to prescribe. Your payment is for that review, and for the medication too if a prescription is issued. No amount of money buys a prescription.
No, and we set it up that way deliberately. A prescription happens only if the physician reviewing your file concludes it is medically appropriate for you; if they conclude otherwise, they explain why and, where they can, recommend a better next step. What your visit buys is time and professional judgment from a licensed physician, never a prescription, a certain medication, a certain dose or a certain outcome. Promising someone a prescription ahead of any physician review is not the practice of medicine, which is why no one should guarantee you one.
The reviewer is always board-certified and comes from the LocumTele network, and their license for the state you are in has to be active, with no restrictions on it. Licensure checks, both at the start and on an ongoing basis, are handled by LocumTele within the compliance infrastructure it provides. You can read how licenses are verified, and see the licensure details certain states make us publish, at peoplesfirstrx.com/providers/. You will never have a nurse practitioner or physician assistant write your prescription: physicians write every one.
Yes. Our services are limited to adults, 18 or older, who are physically in a state we serve, and we never knowingly serve or collect information from someone younger than 18.
No. Each prescription for ivermectin or mebendazole written through Peoples First Rx is filled with compounded oral capsules. As the FDA puts it, compounded drugs are not FDA-approved, which means the FDA does not verify their safety, effectiveness or quality before they are marketed. Both medicines do exist as FDA-approved products, just not in this form: ivermectin tablets and mebendazole chewable tablets are approved for specific parasitic infections, and using either medicine for another purpose is off-label. Ivermectin is never prescribed here for COVID-19 or any other viral illness. Both medication pages state it plainly, and you will hear it from your physician as well before deciding anything.
A medication is compounded when a licensed pharmacy prepares it for a specific individual, usually because nothing commercially manufactured is suitable for that person or available in the form required. Such a preparation is not FDA-approved, which leaves its safety, effectiveness and quality unverified by the FDA ahead of sale. The compounding pharmacy does hold a license, though, and answers to the board of pharmacy in its state and, where applicable, to the FDA. That is exactly the kind of preparation you receive when ivermectin or mebendazole is prescribed here: a compounded oral capsule.
Yes, all of them. List every prescription and over-the-counter medicine, supplement and herbal product you use, plus any illness or condition you've been treated for in the past, even if it looks unrelated. Most of the time, when a physician says no to prescribing or alters a plan, the reason is a drug interaction or a condition that makes a medicine unsafe, and a physician can weigh only what you have disclosed. If your intake is missing information, the advice you get may not be safe.
Have a question not listed? Browse the full FAQ
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.
Whether ivermectin, mebendazole or neither is appropriate for you is a medical decision. Fill in a brief intake online and a board-certified physician licensed for your state will tell you plainly. Not sure where to start? Ask patient support for a first step; if Peoples First Rx cannot help with your situation, they will tell you so.
Not every completed intake leads to a prescription. Your physician writes one only when it is medically appropriate.
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