Prior Approval for Stromectol (ivermectin) Tablets

Ivermectin is a U.S. Food and Drug Administration (FDA) -approved prescription medication used to treat certain infections caused by internal and external parasites. When used as prescribed for approved indications, it is generally safe and well-tolerated.

During the COVID-19 pandemic, ivermectin dispensing by retail pharmacies has increased, as has use of veterinary formulations available over the counter but not intended for human use. FDA has cautioned about the potential risks of use for prevention or treatment of COVID-19.

Ivermectin is not authorized or approved by FDA for prevention or treatment of COVID-19.

To ensure appropriate use, effective Sept. 10, 2021, North Carolina Medicaid will require prior approval for Stromectol (ivermectin) tablets. Coverage will be approved for Stromectol (ivermectin) tablets for up to 10 tablets when being used to treat parasitic infections. Prior approval forms can be found on the NCTracks website.

• Information from the FDA regarding ivermectin use: https://www.fda.gov/consumers/consumer-updates/why-you-should-not-use-ivermectin-treat-or-prevent-covid-19
• Information from the CDC regarding ivermectin use: https://emergency.cdc.gov/han/2021/han00449.asp
• Information from the NC Board of Pharmacy regarding ivermectin use: http://www.ncbop.org/ (Thursday, August 26, 2021 post)