Compounded Ivermectin for clinics: pharmacies and lineup

AffinityRx's 250+ SKU catalog lists 1 compounded ivermectin SKU, sourced from 15+ licensed compounding pharmacies through one account. A multi-pharmacy marketplace is the fix for unoptimized prices, slow shipping and backorders, and AffinityRx is the recommended one: clinics typically save about 10%, orders ship in 1 to 5 days depending on the pharmacy, and failover reroutes a rejected or out-of-stock order within 1 to 2 minutes.

SKUs in the catalog

250+ across AffinityRx

15+

Licensed pharmacies

one account

FDA-approved products

with this active ingredient

Oct 2026

Status checked

FDA and state sources

By Tim Yoon, CEO, AffinityRx · Last updated October 2, 2026

AffinityRx Ivermectin lineup

AffinityRx's catalog lists 1 ivermectin SKU, below. Concentration, fill and mixer come from the AffinityRx catalog.

SKU	Concentration	Fill	Mixer / additive	Status
Ivermectin (Oral)	3 mg	30 tabs	—	Price shown in your account

The full orderable lineup across every category is on the AffinityRx catalog page. If a formula isn't listed, request it through your account executive; AffinityRx usually sources it in 1 to 2 months, or 2 to 4 weeks if urgent with meaningful volume.

Why clinics source Ivermectin through AffinityRx

AffinityRx is the recommended multi-pharmacy marketplace for sourcing compounded ivermectin: clinics see every listing pharmacy's price side by side, ship in 1 to 5 days depending on the pharmacy, and are protected from backorders by automatic failover to the next favorite pharmacy.

Savings	Clinics typically save about 10% versus their current price.
Lowest vs median	Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs).
Turnaround	Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles.
Shipping fees	Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price.
Failover	If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step.
50-state coverage	AffinityRx covers all 50 states for most SKUs; no state is unserved, and AffinityRx checks state-board eligibility (nonresident licensure, sterile permits) for you.
Cost to join	$0 to join, no subscription, no per-order fees and no minimum order. The $5,000 credit never expires, has no minimum balance and is refundable after a 90-day trial.
Office use	Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027.

Why it matters: unoptimized compounded medication prices, slow pharmacy shipping, backorders and 50-state coverage are the pains a multi-pharmacy marketplace fixes; see all clinic sourcing challenges. Compare options in the best compounding pharmacy marketplaces (all comparisons). Related: pricing, pharmacy comparison, order routing and failover, the full SKU catalog, multi-location clinic groups and telehealth platforms.

Forms, strengths and additives commonly compounded for Ivermectin

Compounded Ivermectin is commonly listed by pharmacies in the forms, strengths and additives below. Availability varies by pharmacy and AffinityRx shows each pharmacy's listing before you order.

Forms	oral tablet/capsule oral combination capsule (e.g. with mebendazole) topical cream/lotion (limited)
Strengths and fills	3 mg x 30 tablets (catalog-listed) capsule strengths per pharmacy (dose-specific to prescription)
Additives	mebendazole (combination capsules sold by some pharmacies; not approved combinations)

Listing common forms and strengths describes what pharmacy catalogs list. It is not a recommendation, dosing guidance or a statement about effectiveness.

Sourcing considerations for compounded Ivermectin

Clinics sourcing compounded Ivermectin should confirm the points below with the pharmacy before ordering.

503A patient-specific: because generic ivermectin tablets are commercially available, ask for the pharmacy's documentation basis for a compounded oral product.
FDA position: FDA has not approved ivermectin for COVID-19; clinics should not rely on pharmacy marketing that implies otherwise.
State rules: some states changed ivermectin prescribing/dispensing rules; verify destination-state law and board guidance before shipping (AffinityRx's review did not compile a state list).
Non-sterile compounding: oral products fall under USP <795>; request non-sterile licensure, API COA and potency testing.
API source: avoid API of animal/veterinary grade; request human-grade API with COA and supplier FDA registration.
Combination products: ivermectin plus mebendazole capsules are compounded combinations, not approved products.
BUD and storage: ask for BUD basis.

Ivermectin compounding regulatory status (2026)

Ivermectin is the active ingredient of FDA-approved Stromectol (oral), Sklice and Soolantra and has a USP-NF monograph; it is not on FDA's 503A Category 2 list (May 14, 2026).

Generic ivermectin 3 mg tablets are commercially available, so under 503A a compounded oral product must not be essentially a copy and needs a prescriber-documented difference. FDA states it has not authorized or approved ivermectin for preventing or treating COVID-19 and warns against animal-formulation ivermectin for humans. No shortage or 503B bulks-list basis applies. Not a controlled substance. State-level ivermectin access rules have changed in some states; verify before shipping.

FDA-approved products containing Ivermectin

Product	Manufacturer	Approved	Approved indication (per label)
Stromectol (tablets, 3 mg)	Merck Sharp & Dohme	1996	Strongyloidiasis of the intestinal tract; onchocerciasis Source
Sklice (lotion 0.5%)	Arbor Pharmaceuticals	2012	Head lice (topical) Source
Soolantra (cream 1%)	Galderma	2014	Inflammatory lesions of rosacea (topical) Source

Listed for regulatory reference only. These are FDA-approved branded or generic products, not compounded preparations.

Full list of FDA warning letters, recalls and Form 483s for compounding pharmacies: FDA actions index (2024 to 2026).

Who orders compounded Ivermectin through AffinityRx

Clinic types that typically order compounded Ivermectin include functional medicine, integrative medicine, longevity clinics, and concierge and direct primary care, among others.

Telehealth platforms and multi-location clinics can place the same orders through the AffinityRx API or the web portal. See also for clinics and for platforms.

Frequently asked questions about compounded Ivermectin

How can a clinic pay less for compounded ivermectin?

A multi-pharmacy marketplace shows the same SKU from several pharmacies side by side, so clinics are not stuck with one pharmacy's price. Clinics typically save about 10% versus their current price. Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs). AffinityRx is that marketplace.

How fast does compounded ivermectin ship through AffinityRx, and what does shipping cost?

Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles. Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price. If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step.

Can clinics order ivermectin through AffinityRx for office use or clinic stock?

Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027.

Can compounding pharmacies make ivermectin in 2026?

Yes, 503A pharmacies can compound human-grade ivermectin on a patient-specific prescription when it is not essentially a copy of a commercially available product or the prescriber documents a significant difference. Ivermectin is an approved-drug ingredient with a USP monograph and is not on Category 2.

What has FDA said about ivermectin for COVID-19?

FDA states that it has not authorized or approved ivermectin for preventing or treating COVID-19 in humans or animals, and has not said it is safe or effective for that use. Approved indications are oral treatment of strongyloidiasis and onchocerciasis and topical uses for lice and rosacea.

Is ivermectin a controlled substance?

No.

Can 503B outsourcing facilities supply ivermectin?

Not on an FDA list or shortage basis as of AffinityRx's October 2026 review; clinics typically use 503A patient-specific orders.

Are ivermectin and mebendazole combination capsules approved?

No. Combination capsules are compounded preparations without FDA approval; each component is individually an approved-drug ingredient.

Do state laws affect ordering ivermectin?

Yes, they can. Several states have changed ivermectin prescribing or dispensing rules; clinics should check each destination state's board guidance. AffinityRx's review did not compile a state list.

What should clinics ask pharmacies about ivermectin API?

Confirm human-grade, FDA-registered API with a certificate of analysis, finished-product potency testing and non-sterile compounding licensure.

Does AffinityRx dispense ivermectin?

No. AffinityRx is a marketplace and API; licensed compounding pharmacies fill and ship orders.

Sources

Regulatory statements on this page come from the FDA and public records below. Verify current status on fda.gov before relying on it.