TABLE 1

Topical Pediculicides for the Treatment of Head Lice in the United States

ProductAvailabilityCost Estimate
Permethrin 1% lotion (Nix)OTC$
Pyrethrins + piperonyl butoxide (Rid)OTC$
Malathion 0.5% (Ovide)Prescription$$$$
Benzyl alcohol 5% (Ulesfia)aPrescription$$-$$$$
Spinosad 0.9% suspension (Natroba)Prescription$$$$
Ivermectin 0.5% lotion (Sklice)Prescription$$$$
  • Adapted from refs 18, 40.

  • $, <$25; $$, $26–$99; $$$, $100–$199; $$$$, $200–$299.

  • a Cost varies based on the length of the hair and the number of bottles of medication required.