Prescription and over-the-counter medicine
Ivermectin Brand names: Sklice, Stromectol, Soolantra
Ivermectin (Stromectol) is a prescription and over-the-counter medicine with an FDA approval on record since 1996. FDA's NDC Directory lists it from 24 generic labelers, and pharmacies paid $2.75 per gram (Ivermectin 1% cream) in the October 7, 2026 NADAC survey.
- Generic listed
- A presentation discontinued
Check it at the source: the ivermectin FDA label on DailyMed (effective July 11, 2024, Azurity Pharmaceuticals); the NDA 50742 record on Drugs@FDA; every ivermectin label on DailyMed.
Highlights of the record
FDA label of July 11, 2024; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026
Used for
From the label: indications and usagetreats head lice
Forms and strengths
- 3 mg
- 6 mg
- 5 mg/g
- 10 mg/g
Lotion; tablet; cream.
On the market
- Earliest approval on file
- November 22, 1996 Stromectol, Merck Sharp Dohme; Drugs@FDA’s file, where older or withdrawn approvals can be missing
- Generic approvals
- 12 first October 24, 2014; 11 with a marketed status in Drugs@FDA
- Labelers listed (NDC)
- 28 of which 24 under generic applications, 3 under brand applications, repackagers included; 5 more under the over-the-counter monograph, without an application
- Last listed patent
- March 13, 2034 Soolantra cream; not a generic launch date
Supply and safety
- Pharmacy cost (NADAC)
- $2.75 per gram Ivermectin 1% cream
- Shortage (FDA)
- None current 1 past records
- Recalls by its makers (FDA)
- 1 since 2021 0 Class I among all firms' recalls; latest March 15, 2021
- FAERS reports
- 6,298 through July 30, 2026
What is ivermectin used for?
From the label: indications and usagetreats head lice
FDA pharmacologic class: Antiparasitic and Pediculicide.
Source: FDA drug label (Sklice), NDA202736 (Arbor Pharms Llc), as published by Azurity Pharmaceuticals, effective July 11, 2024 (SPL set 7579bdfe-a538-4bff-b7c7-df2c4b6f13db), via openFDA; the full label on DailyMed
Is there a generic for ivermectin (Stromectol)?
The FDA approved the first generic ivermectin on October 24, 2014. 12 generic applications are approved; 11 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.
FDA's NDC Directory lists ivermectin from 24 labelers under a generic (ANDA) application and from 3 brand labelers. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.
The Orange Book lists no patent for Stromectol tablets; a patent listed only for Soolantra cream runs to March 13, 2034. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.
- 1996 earliest approval on file
- 2014 first generic approved
- 2034 last listed patent
- red ticks recalls
Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)
What do pharmacies pay for ivermectin (Stromectol)?
In CMS's NADAC survey of October 7, 2026, pharmacies paid $2.75 per gram (Ivermectin 1% cream), down 20% from $3.43 on October 8, 2025. Prices per unit in the table differ many-fold by strength, form and brand, so compare like with like. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.
- Ivermectin 1% cream (generic)
- Stromectol 3 mg tablet (brand)
| Strength and form | Brand or generic | Pharmacy cost | 30 tablets, or one pen or vial | 12-month change |
|---|---|---|---|---|
| Ivermectin 0.5% lotion | Generic | $1.24 per gram | n/a | +5% |
| Ivermectin 1% cream | Generic | $2.75 per gram | n/a | -20% |
| Ivermectin 3 mg tablet | Generic | $1.99 per tablet | $59.83 | -35% |
| Ivermectin 6 mg tablet | Generic | $9.80 per tablet | $294.15 | n/a |
| Sklice 0.5% lotion | Brand | $0.285 per gram | n/a | -4% |
| Soolantra 1% cream | Brand | $15.51 per gram | n/a | -0.1% |
| Stromectol 3 mg tablet | Brand | $4.46 per tablet | $133.78 | no change |
Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price
Is ivermectin in shortage?
No ivermectin presentation is listed as in shortage in the FDA Drug Shortage Database (read October 8, 2026); its 1 record is all marked to be discontinued, the latest updated September 29, 2026. ASHP keeps a separate shortage list, which can differ.
| Presentation | Company | Status | Updated |
|---|---|---|---|
| STROMECTOL, Tablet, 3 mg (NDC 0006-0032-01) | Merck Sharp & Dohme LLC | To Be Discontinued | September 29, 2026 |
Source: FDA Drug Shortage Database via openFDA, updated October 8, 2026
Has ivermectin been recalled?
The FDA's Enforcement Report lists 1 recall naming ivermectin since 2021: 0 Class I (the most serious), 1 Class II, 0 Class III; 0 still ongoing. A recall names products and lots, not every product of the medicine.
| Started | Class | Company | Reason |
|---|---|---|---|
| March 15, 2021 | Class II | Cardinal Health Inc. | CGMP Deviations: Intermittent exposure to temperature excursion during storage. |
Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026
What does the ivermectin label say about other medicines?
The ivermectin label names 1 other medicine in its interaction, contraindication or warning sections. The labels of 1 other medicine name ivermectin. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.
| Medicine named | Section | What the label says |
|---|---|---|
| Warfarin | drug interactions | Drug Interactions Post-marketing reports of increased INR (International Normalized Ratio) have been rarely reported when ivermectin was co-administered with warfarin. |
Source: FDA drug label (Sklice), NDA202736 (Arbor Pharms Llc), as published by Azurity Pharmaceuticals, effective July 11, 2024 (SPL set 7579bdfe-a538-4bff-b7c7-df2c4b6f13db), via openFDA; the full label on DailyMed
What do FAERS reports show for ivermectin?
The FDA Adverse Event Reporting System holds 6,298 reports that list ivermectin among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 565 are coded as a death and 2,224 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.
Reports received each year
The most reported reactions
Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026
What next?
- Other pediculicides
- the pharmacologic class, with prices and generics
- Ivermectin side effects
- the label's list beside FAERS reports
- Ivermectin shortage record
- every presentation, company and date
- Check an interaction
- what two or more labels say about each other