Complete an online health assessment; a licensed provider reviews it, requires a live visit in some states, and prescribes only if clinically appropriate.
You get an ivermectin prescription online by completing a written health assessment, having an independent licensed provider review it — in some states that review includes a live phone or video visit — and, if that provider determines treatment is clinically appropriate, receiving a prescription that is filled by a partner compounding pharmacy and shipped to you. No prescription is guaranteed at any point. The provider makes the decision, not the platform, and not you.
## The step-by-step process on Get It Prescribed
### Step 1: Create an account and complete the assessment
You fill out a structured questionnaire covering your symptoms or goals, your medical history, every medication and supplement you currently take, and any known allergies. It usually takes about 5-10 minutes. Because there is no in-person physical exam, the provider's decision rests entirely on what you report, so accuracy matters more here than speed. The [how it works](/how-it-works) page walks through the same flow visually.
### Step 2: Review your estimate and pay the consultation fee
Before your assessment reaches a provider, you review a personalized cost estimate and pay the one-time $50 provider consultation fee. That single fee covers the provider's evaluation whether you are requesting [ivermectin](/medications/ivermectin), mebendazole, or both.
### Step 3: Independent provider review
A provider licensed in your state reviews your assessment and makes an independent clinical decision. In some states, or at the provider's discretion, a live phone or video visit is required before anything can be prescribed; otherwise the review is asynchronous and happens on the provider's own schedule. The provider may also message you with follow-up questions, so check your email during this stage. What providers weigh is described on the [eligibility and provider review](/eligibility-and-provider-review) page.
### Step 4: Outcome and fulfillment
If a prescription is issued, it goes to a PCAB-accredited compounding pharmacy, is prepared, and is shipped to you with tracking. If the provider determines treatment is not appropriate, no prescription is issued and your medication charge is refunded; the consultation fee covers the provider's time either way. See [what happens after your consultation](/learn/telehealth-process/what-happens-after-consultation) for the fulfillment detail.
## What to have ready before you start
Have your current medication and supplement list, your allergy history, relevant past diagnoses and surgeries, your height and weight, and a valid shipping address in a state where the service operates. A full checklist is in [what information do I need for my consultation](/learn/telehealth-process/what-information-needed). Incomplete answers are the most common reason a review stalls.
## What ivermectin is indicated for
The FDA-approved prescribing information for the reference listed drug STROMECTOL (ivermectin) tablets, labeled by Merck Sharp & Dohme LLC, recognizes two indications:
1. Intestinal (nondisseminated) strongyloidiasis caused by *Strongyloides stercoralis*. 2. Onchocerciasis caused by *Onchocerca volvulus*.
Those are the indications on that manufacturer's label. Onchocerciasis, described by the World Health Organization, is principally a concern in parts of sub-Saharan Africa and Latin America and is rare in the United States. Whether ivermectin is appropriate for you is a judgment only a licensed provider can make after reviewing your history.
## Important regulatory distinction
The 24 mg scored ivermectin tablet provided through Get It Prescribed is a compounded preparation, filled by a PCAB-accredited compounding pharmacy pursuant to a valid prescription written for an individual patient. Compounded preparations are not FDA-approved drug products, and the FDA does not review them for safety, effectiveness, or manufacturing quality. Compounded ivermectin is not a generic of, substitute for, or therapeutic equivalent to any branded product. The FDA publishes a plain-language overview of what compounding is and how it is regulated.
## How long it takes
Most reviews are completed within 24-48 hours of submission, with the outcome communicated the same day the review finishes. If a live visit is required in your state, the timeline depends on scheduling that visit. Once a prescription is filled, shipping generally takes about 3-7 business days. The full breakdown is in [how quickly can I get a prescription](/learn/telehealth-process/how-quickly-get-prescription).
## What it costs
| Item | Cost | | --- | --- | | Provider consultation | $50, one time (covers one or both medications) | | Ivermectin E4M 24 mg tablet | $3.00 each |
Quantity is determined by the prescribing provider, so no total can be quoted in advance. There is no membership or subscription charge, and the service does not bill insurance. Full details are on the [pricing](/pricing) page, and the direct-pay picture is covered in [how much does ivermectin cost without insurance](/learn/insurance-pricing/ivermectin-cost-without-insurance).
## Dosing is the prescriber's decision
We do not publish dosing figures or course lengths. The strength, quantity, and schedule are set by the prescribing provider for each patient, and you should follow the directions on your own prescription label rather than anything you read online.
## Where the service is available
Get It Prescribed operates in all 50 states and the District of Columbia. Requirements differ by state: some require a live, synchronous phone or video visit with the provider, while others allow the provider to review your written assessment asynchronously. The [state availability](/availability) page lists each state and which type of review applies.
## Who should not take ivermectin
Tell your provider if you are pregnant or breastfeeding, have liver problems, have a compromised immune system, have recently traveled to or lived in a region where certain parasitic infections are endemic, or take any medication that could interact. Ivermectin is not appropriate for everyone, and the provider may decline to prescribe it. Read [who should not take these medications](/learn/safety-efficacy/who-should-not-take) before starting, and seek in-person or emergency care for anything urgent — an online review is not designed for emergencies.
## Related questions
### Can I buy ivermectin online without a prescription? No. Oral ivermectin is a prescription-only medication in the United States. A licensed provider must evaluate you before it can be prescribed and dispensed, which is exactly what the online assessment is for.
### Do I need a video call to get an ivermectin prescription? Sometimes. In some states, and at the provider's discretion in others, a live phone or video visit is required before a prescription can be issued. Otherwise the provider reviews your written assessment asynchronously. Check [state availability](/availability) for your state.
### Is a prescription guaranteed if I pay the consultation fee? No. The $50 fee pays for the provider's clinical evaluation, not for a specific outcome. If the provider determines treatment is not appropriate, no prescription is issued and your medication charge is refunded.
### How do I start? Complete the online assessment described on the [ivermectin](/medications/ivermectin) page, or read [how do I get started](/learn/common-questions/how-to-get-started) first if you would like the broader overview.
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STROMECTOL® is a registered trademark of Merck Sharp & Dohme LLC. Get It Prescribed is not affiliated with, endorsed by, or sponsored by Merck Sharp & Dohme LLC.
## Sources - [DailyMed: STROMECTOL (ivermectin) tablet label](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=681888c9-af79-4b7d-ae80-c3f4f6f1effd) — FDA-approved prescribing information from Merck Sharp & Dohme LLC, including the labeled indications. - [MedlinePlus: Ivermectin](https://medlineplus.gov/druginfo/meds/a607069.html) — consumer drug information from the National Library of Medicine. - [FDA: Compounding and the FDA — Questions and Answers](https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers) — what compounded preparations are and how they are regulated. - [WHO: Onchocerciasis fact sheet](https://www.who.int/news-room/fact-sheets/detail/onchocerciasis) — background on one of the labeled indications.