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This page explains how each legal route actually works, what telehealth can and cannot do, how to tell a licensed pharmacy from an unlicensed website, and what ivermectin costs with and without a coupon Oral ivermectin remains a prescription-only medication under federal law nationwide, and the FDA has not approved it for over-the-counter sale (FDA-approved Stromectol drug label, accessdata fda gov) Five states allow over-the-counter ivermectin as of 2026: Tennessee, Arkansas, Idaho, Louisiana, and Texas See each law, pending states, and how to order legally elsewhere No Oral ivermectin and ivermectin 1% cream are both prescription-only in the US Veterinary ivermectin is sold over the counter at farm supply stores but is not intended for and should not be used by people Sep 18, 2026 · An updated, evidence-based guide to ivermectin's federal and state legal status, how to obtain a prescription, which states allow pharmacist-dispensed or OTC access, and a directory of pharmacies that fill ivermectin prescriptions in the US Sep 18, 2026 · Quick Answer Ivermectin is still classified federally as a prescription-only drug for human use It has not been reclassified as OTC by the FDA However, five states — Arkansas, Idaho, Louisiana, Tennessee, and Texas — have passed laws letting pharmacists dispense it without a doctor's prescription, and roughly half a dozen more have active More on Yahoo ShoppingJul 9, 2025 · A handful of states have passed legislation allowing ivermectin to be sold and purchased over-the-counter (OTC) -- and other state legislatures have their sights set on doing the same