Frequently asked questions

47 states are served by P First. We do not serve California, South Carolina, or New Jersey.

Rush Pharmacy — https://rushpharmacy.com/

LocumTele — https://locumtele.org/

No. Ivermectin / Mebendazole 25/250mg is a prescription-only medication. P First does not sell, ship, or facilitate the sale of prescription medication without a valid prescription issued by a licensed provider following a clinical evaluation. What you pay for is the provider evaluation and, if a prescription is issued, pharmacy dispensing — it is not an over-the-counter purchase, and completing an intake does not guarantee a prescription. See our Regulatory & Compliance Disclosures.

To be eligible you must:

• Be 18 years of age or older.
• Be physically located in one of the 47 states we serve — not California, South Carolina, or New Jersey.
• Be requesting treatment for yourself, not for someone else.
• Provide accurate, complete medical history and current medications.

The consultation request takes four steps:

1. Start the intake and confirm your state, age, and contact details.
2. Complete the medical questionnaire (symptoms, history, medications, allergies).
3. Read and accept the Telehealth Informed Consent.
4. Submit your intake and pay the consultation fee so a licensed provider can review it.

A licensed clinician in the LocumTele network reviews your intake, typically within 1–2 business days. One of three things happens:

• Approved — a prescription is sent electronically to Rush Pharmacy, which dispenses and ships it. You receive tracking by email, and most packages arrive in 3–5 business days in discreet packaging.
• More information needed — the provider messages you with follow-up questions, or may request a brief phone or video visit, before making a decision.
• Declined — if treatment is not clinically appropriate, the provider will not prescribe and will explain why or suggest next steps. Consultation fees are not refunded based on the outcome once review has begun; see our Return & Refund Policy.

You are notified by email at each stage, and you can seek in-person care at any time.

You complete a short online medical intake. A licensed clinician in the LocumTele provider network reviews your responses, may follow up for more information, and issues a prescription only if it is clinically appropriate. Prescriptions are then dispensed by Rush Pharmacy.

Most orders arrive within 3–5 business days after your prescription is approved and processed by Rush Pharmacy. All packages ship discreetly without external mention of the medication.

Consultation fees are non-refundable once a provider has begun reviewing your intake. Orders that have not yet shipped can be canceled and refunded. Under federal law, dispensed prescription medications cannot be returned or resold. See our Return & Refund Policy for details.

Only a licensed provider can determine whether this treatment is appropriate for you. Complete the intake and a LocumTele clinician will evaluate your history, current medications, and conditions before making any prescribing decision.

Reported side effects can include nausea, dizziness, headache, abdominal discomfort, and rash. This is not a complete list. Discuss all potential risks with your reviewing provider and report any unusual reactions immediately. In a medical emergency, call 911.

Email suport@milomed.com and we'll get back to you during business hours. For clinical questions about an active prescription, reply to your provider's message so the LocumTele care team is looped in.