Generic ivermectin 3 mg oral tablets are inexpensive relative to most prescription drugs, but the cash price swings widely — roughly $20 to $75 for a typical 10-tablet course, and about $45 to $175 for 20 tablets, depending on the pharmacy and whether you use a discount card. Topical ivermectin products cost far more: GoodRx lists an average retail price above $300 for the branded rosacea cream and about $180 for the non-prescription lice lotion. If you are still deciding where to buy ivermectin legally in the United States, the price you are quoted will depend as much on the channel you use as on the drug itself.
This page breaks down what ivermectin costs by form and strength, what changes with insurance or a coupon, what the three largest chain pharmacies charge, and why animal dewormers containing ivermectin sit at a completely different price point. Prices move constantly; every figure here was checked in September 2026 against GoodRx, SingleCare and Drugs.com, and you should re-check before you fill. If you want to compare local cash prices, a stock check for ivermectin near me is usually faster than calling around.
Key takeaways
- Generic ivermectin 3 mg tablets are the cheapest human form. GoodRx put the average retail price of the most common version at about $36.55 for ten 3 mg tablets, with coupon prices starting near $22.66 (checked September 2026).
- Larger quantities cost much more in absolute terms. SingleCare listed an average cash price of $174.23 for twenty 3 mg tablets, reduced to about $45 with its free card; Drugs.com quoted roughly $77 for the same 20-tablet supply.
- Discount cards and insurance are alternatives, not additions — you cannot stack a GoodRx or SingleCare coupon on top of a claim through your plan.
- Chain pricing for the same 10-tablet fill ranged from about $30 at CVS to roughly $51 at Walmart and $75 at Costco in GoodRx's September 2026 listings, so calling two pharmacies genuinely changes what you pay.
- Ivermectin products sold for horses, cattle and sheep are labeled for animal use only and are not approved for people. Their low price reflects the agricultural market, not equivalence to a human medicine.
Ivermectin price by form and dose
Ivermectin is sold in the US in several distinct products, and they are not interchangeable on price or on use. The oral tablet (generic, formerly branded Stromectol) is the form most people mean when they ask about ivermectin cost. Topical forms treat skin conditions and are priced like dermatology drugs. Animal formulations are a separate regulatory category entirely.
Oral tablets, 3 mg
GoodRx's ivermectin page reported prices starting around $22.66–$22.86 with a free coupon, which it described as roughly 67% off an average retail price near $69.54 for the most common version; its drug-information page gave a narrower comparison of $22.66 against a $36.55 average retail price for ten 3 mg tablets. SingleCare, a competing discount card, listed a higher baseline — an average cash price of $174.23 for twenty 3 mg tablets, falling to $45.13 with its coupon. Drugs.com's price guide quoted about $77 for a 20-tablet supply of the 3 mg tablet for cash-paying customers. The spread across these three sources is not an error; each samples different pharmacies and contracted rates.
Because ivermectin is dosed by body weight, the number of tablets you need — and therefore your total cost — depends on how much you weigh. A prescriber calculates the dose in micrograms or milligrams per kilogram for the specific condition being treated, then rounds to whole 3 mg tablets. That means two adults with the same prescription can pay noticeably different amounts. When people ask how much ivermectin for humans is appropriate, the answer is always weight- and diagnosis-specific and comes from the prescriber and the FDA-approved labeling, not from a price list, as our breakdown of the weight-based dosing charts explains.
Topical ivermectin
Topical ivermectin 1% cream (Soolantra) is used for the inflammatory lesions of rosacea. GoodRx listed it with an average retail price of $328.58 and a discounted price around $92.67, noting there is currently no generic alternative — the single biggest reason the price stays high. GoodRx also maintains a separate listing for non-prescription ivermectin lotion, used for head lice, with prices starting at $50.22 against an average retail price of $180.08.
Price comparison by form
| Form | Typical use per labeling | Average retail (Sept 2026) | With a free discount card |
|---|---|---|---|
| Ivermectin 3 mg tablets, 10 count | Certain parasitic infections | ~$36.55–$69.54 (GoodRx) | From ~$22.66 |
| Ivermectin 3 mg tablets, 20 count | Certain parasitic infections | ~$77 (Drugs.com) to $174.23 (SingleCare) | ~$45–$49 |
| Ivermectin 1% cream (Soolantra) | Rosacea lesions | ~$328.58 (GoodRx) | ~$92.67 |
| Ivermectin lotion, non-prescription | Head lice | ~$180.08 (GoodRx) | From ~$50.22 |
| Animal formulations (paste, pour-on, injectable) | Animal use only — not approved for people | Farm-supply pricing; varies by size and species | Not applicable |
One note on what the price does not tell you: ivermectin's FDA-approved human uses are specific parasitic conditions and, for the topical forms, rosacea and head lice. The FDA has stated publicly that it has not authorized or approved ivermectin for treating or preventing COVID-19, and large randomized trials have not established benefit for that use. A low price is not evidence of effectiveness for anything outside the approved labeling.
With and without insurance (GoodRx and coupons)
Generic ivermectin tablets are covered by many commercial and Medicare Part D plans, but coverage does not automatically make it cheaper. If your plan's generic copay is $10–$25 and the drug is on formulary, insurance usually wins. If you have a high deductible you have not met, the cash-with-coupon price can be lower than what the claim would cost you.
How the discount cards actually work
GoodRx and SingleCare are not insurance. They negotiate prices with pharmacy benefit managers and hand you a coupon the pharmacy processes instead of your insurance. You choose one or the other for a given fill — you cannot run both. SingleCare states its coupons work at chains including CVS, Walmart, Kroger and Walgreens; GoodRx publishes per-pharmacy prices by ZIP code and notes its coupon prices are updated frequently and are subject to change, with sales tax excluded.
GoodRx also markets a paid tier, GoodRx Companion, with plans starting at $9.99 per month billed yearly. Several of the lowest ivermectin prices in its September 2026 pharmacy list — including a $9.00 figure at some pharmacies — were flagged as Companion prices rather than free-coupon prices. If you are filling one short course, the free coupon is the relevant number; the membership price only makes sense if you fill multiple medications regularly.
Practical ways to lower an ivermectin cost
- Price the exact quantity. A 20-tablet fill is not simply twice a 10-tablet fill at every pharmacy.
- Compare at least three pharmacies, including one independent. SingleCare notes the cost of ivermectin varies by pharmacy and recommends checking independent, chain and community pharmacies.
- Ask about alternatives. SingleCare points out that other antiparasitic drugs may cost less, and that your clinician can advise whether one is appropriate for your diagnosis.
- Ask the pharmacy for its own cash price. Some chains beat coupon pricing on generics through in-house discount programs.
- Watch telehealth fees. If you plan to buy ivermectin online through a legitimate US-licensed telehealth service, the consultation fee and shipping are part of your real cost and are often larger than the drug itself.
Cost at Walmart, CVS and Walgreens
These are the prices people ask about most, and they are the ones that move fastest. The figures below come from GoodRx's ivermectin page for a 3 mg, 10-tablet fill, priced for a Texas ZIP code (78155) and last updated in early September 2026. Your quote will differ by ZIP code, and GoodRx flags several of these as Companion membership prices rather than free-coupon prices.
| Pharmacy | Listed price, ivermectin 3 mg × 10 (GoodRx, Sept 2026) | Notes |
|---|---|---|
| Walgreens | $9.00 | Listed as a GoodRx Companion membership price |
| CVS Pharmacy | $30.21 | Listed with Companion; Target (CVS) matched at $30.21 |
| Walmart | $50.92 | Walmart Neighborhood Market matched at $50.92 |
| Sam's Club | $37.41 | Membership warehouse pharmacy |
| Costco | $74.99 | Highest in this sample |
So, how much is ivermectin at Walmart? In this September 2026 sample, about $51 for ten 3 mg tablets — noticeably more than the CVS figure, which is the opposite of the pattern people often assume. That ordering is not stable. It reflects a specific ZIP code on a specific day, and GoodRx states prices can change without notice. Treat the table as a demonstration that shopping around matters, not as a standing quote.
For the 20-tablet quantity, SingleCare's blog reported a coupon price of about $49 at CVS Pharmacy against a $159 average, as of July 2026. Again, the coupon price and the insurance price are separate paths.
A note on state law and availability
Whether you need a prescription at all is now a state-by-state question, and it has been changing. A Pennsylvania Senate co-sponsorship memo from the 2025–2026 session stated that Tennessee had already passed legislation making ivermectin available over the counter and described Louisiana, South Carolina, Arkansas, Missouri and Kansas as considering similar measures. In South Carolina, multiple bills in the 126th session — including H. 4042, which the legislature's records show was introduced in the House in February 2025, taken up in the Senate in May 2026 and amended that month — would authorize over-the-counter sale of ivermectin tablets without a prescription or pharmacist consultation. Bill status can change within weeks. Because legislative language and effective dates vary, confirm current rules with your state board of pharmacy or the pharmacy itself rather than relying on a news summary. Even where a state law permits OTC sale, individual pharmacies decide whether to stock and sell the product, and cash prices in those states are set by the retailer.
Why animal formulations are priced differently
Ivermectin products sold in farm and feed stores — oral pastes for horses, pour-on and injectable solutions for cattle, drenches for sheep — are labeled for animal use only and are not approved for human use. They are frequently far cheaper per milligram of drug than a human prescription tablet, and there are structural reasons for that which have nothing to do with the products being equivalent.
What drives the price gap
- Dose size. A single horse paste syringe is formulated to deworm an animal weighing well over 1,000 pounds. The total drug content dwarfs a human course, so the price per milligram looks trivial by comparison.
- Distribution channel. Animal dewormers move through agricultural retail at commodity margins, with no pharmacist dispensing fee, no prescription claim adjudication and no pharmacy benefit manager in the chain.
- Manufacturing and labeling standards differ. Animal drugs are reviewed for the target species. Excipients, flavoring agents and concentrations are chosen for that species, not for people.
- No human dosing information exists on the label, because the product was never evaluated for human use.
The FDA has warned consumers specifically about people taking ivermectin products intended for animals, citing both concentration and inactive-ingredient differences. The practical risk is dosing error: a paste syringe is graduated for equine body weights, which makes accurate human dosing effectively guesswork, and overdose symptoms can include nausea, vomiting, low blood pressure, neurological effects and hospitalization. If you want to understand what these products are and how they are sold, our reference page on ivermectin at tractor supply covers the formulations and labeling — again, all of them are approved for animals only.
How much ivermectin for dogs
Ivermectin is the active ingredient in several FDA-approved canine heartworm preventives, dosed in micrograms per kilogram — a fraction of the amounts in livestock products. The correct amount for a dog depends on weight, on the specific approved product, and on breed: herding breeds such as collies, Australian shepherds and their mixes can carry an MDR1 gene variant that makes them unusually sensitive to ivermectin, and dosing errors in these dogs can be serious. Dogs should also be tested for existing heartworm infection before a preventive is started. This is a veterinarian's decision, and cost-driven substitution of a livestock product for a licensed canine preventive is where most reported poisonings originate.
Frequently asked questions
How much is ivermectin at Walmart?
In GoodRx's September 2026 listing for a Texas ZIP code, Walmart and Walmart Neighborhood Market were both shown at $50.92 for ten 3 mg tablets. Prices vary by location and change without notice, so get a live quote from your store.
Is there an ivermectin coupon that actually works?
Yes — GoodRx and SingleCare both publish free coupons for generic ivermectin, and SingleCare states its card is accepted at chains including CVS, Walmart, Kroger and Walgreens. They cannot be combined with insurance on the same fill, and neither is insurance.
Does insurance cover ivermectin?
Generic ivermectin tablets are on many commercial and Medicare formularies, but your out-of-pocket amount depends on your plan's generic tier and deductible. Topical ivermectin is treated differently: GoodRx notes the branded rosacea cream is covered by some Medicare and insurance plans and has no generic equivalent, which is why its retail price remains high.
Why do published ivermectin prices differ so much?
Each source samples different pharmacies and different negotiated rates. In September 2026, GoodRx showed an average retail price of roughly $36.55–$69.54 for a 10-tablet fill while SingleCare showed $174.23 for a 20-tablet fill and Drugs.com showed about $77 for the same quantity. None of these is wrong; they are measuring different baskets.
Is cheap ivermectin sold online without a prescription safe?
Where state law requires a prescription, a website that ships ivermectin without one is operating outside US pharmacy rules, and the product's identity, strength and storage history cannot be verified. The FDA has repeatedly warned about unapproved and misbranded drugs sold this way. A low price is not a quality signal.
Can I use a horse paste to save money?
No. Ivermectin paste for horses is labeled for animal use only and is not approved for people, the concentration is designed for an animal weighing over 1,000 pounds, and the inactive ingredients have not been evaluated for human use.
When were these prices last verified?
All prices on this page were checked in September 2026 against GoodRx, SingleCare and Drugs.com listings, and the legislative status notes reflect South Carolina General Assembly records from May 2026. Pharmacy prices, coupon amounts and state OTC rules all change; confirm both before you rely on them.
Sources
- GoodRx — Ivermectin prices, coupons and savings tips
- GoodRx — Ivermectin (Stromectol): uses, side effects, dosage
- GoodRx — Stromectol prices and coupons
- GoodRx — Ivermectin (non-prescription) prices
- GoodRx — Soolantra (topical ivermectin 1%) prices
- SingleCare — Ivermectin coupons and cash prices
- SingleCare — How much does ivermectin cost without insurance?
- Drugs.com — Ivermectin price guide
- South Carolina General Assembly — 2025–2026 Bill 4042 (Ivermectin)
- South Carolina General Assembly — 2025–2026 Bill 650 (Ivermectin deregulation)
- Pennsylvania State Senate — co-sponsorship memorandum on OTC ivermectin
- US Food and Drug Administration — consumer information on ivermectin