Permethrin Generic

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  1. Medication
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  2. Permethrin
    Generic for Elimite
    60g tube of creams $16.43 USD
    Save $103.56
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Do you need a prescription for permethrin?

Yes, permethrin is only available with a valid physician Rx.

How much is permethrin without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase permethrin, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for permethrin in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a permethrin savings card?

Yes. Save up to 90% on your permethrin with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a permethrin coupon provider in the US?

No. Now Patient does not provide permethrin coupons or FREE permethrin samples.

Do you accept commercial, Medicare or Medicaid coverage for permethrin in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much permethrin?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using permethrin. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much permethrin. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic permethrin?

Generic permethrin refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive pesticide.

FDA approval of permethrin

Permethrin is approved by the U.S. Food and Drug Administration (FDA) for the treatment of scabies and head lice infestations.

Active ingredient of permethrin

The active ingredient of permethrin is permethrin.

US brand name of permethrin and manufacturer

Permethrin is available in the US under various brand names, including Nix and Elimite. The manufacturers may vary depending on the brand names. Permethrin is classed as a “restricted use” substance by the US Environmental Protection Agency (EPA)

UK brand name of permethrin and manufacturer

In the UK, permethrin is available under various brand names, including Lyclear and Hedrin. The manufacturer may vary depending on the brand name.

Prescription requirement for permethrin

A prescription (Rx) is required for Permethrin in the US.  In the UK, it is available over the counter.

Availability of permethrin in the UK with NHS prescription

Permethrin is available in the UK with or without an NHS prescription.

Conditions treated by permethrin

Permethrin is an insecticide. It is a man-made version of the Chrysanthemum flower’s natural insect repellent pyrethrin. Permethrin is primarily used for the treatment of scabies and head lice infestations. It works by killing the mites or lice that cause these conditions. It is effective against ticks carrying Lyme disease and Rocky Mountain Spotted Fever.

The CDC allows permethrin be used in public health mosquito control programs, on food and crops, ornamental lawns, livestock, pets, structures, buildings, and on clothing.

How does permethrin work?

Permethrin belongs to a class of medications called pyrethroid insecticides. It works by paralyzing and killing the mites or lice, thereby eliminating the infestation.

Forms of permethrin available

Permethrin is available in various forms, including topical permethrin creams, lotions, aerosol solutions, permethrin sprays, shampoos, and permethrin treated clothing.

Directions for permethrin use

Use permethrin as directed by the healthcare provider or as instructed on the product label. The specific instructions may include the application method, duration of treatment, and any necessary precautions.

Warnings and precautions for permethrin

  • Permethrin is for external use only and should not be ingested
  • It is important to avoid contact with the eyes, nose, mouth, and open wounds when applying permethrin
  • Permethrin should not be used in individuals who are hypersensitive or allergic to the medication or its ingredients

Possible side effects of permethrin

Common side effects of permethrin may include skin irritation, redness, itching, or mild burning sensation at the application site. If these adverse effects persist or worsen, it is important to contact a healthcare provider.

Is it safe to use permethrin while breastfeeding?

Speak to your doctor if you are pregnant, or are planning to become pregnant, or are breast-feeding if you are using permethrin.

Similar drugs to permethrin

Other medications with similar actions, such as malathion and ivermectin, may be used as alternatives to permethrin for the treatment of scabies and head lice infestations.
Other products available to spray on clothing to repel mosquitoes, fleas and ticks contain DEET,  permethrin or picaridin. Read and follow the directions you use on these products.



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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