Scabies & lice guide

Scabies and lice treatment online in Virginia and West Virginia

This guide is for classic scabies or lice in an otherwise-well adult — not for thick crusted disease, signs of skin infection, immunocompromise, or a young child.

Start online

Start a $59 online review for Scabies and lice.

Scabies and lice are common, treatable infestations. Scabies causes intense itching that is worse at night, often with a bumpy rash in the finger webs, wrists, and waistline; lice cause an itchy scalp with visible lice or nits. Classic cases in otherwise-well adults are often a good online condition, treated with permethrin plus household measures. Thick crusted disease, signs of skin infection, or a weakened immune system need in-person care.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically in Virginia and West Virginia at the time of request
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Intense itching, worse at night (scabies)
A bumpy rash in finger webs, wrists, or waistline
Itchy scalp with visible lice or nits
Other household members itching too

May fit online care

Adults 18 and older
Classic scabies or lice symptoms
Otherwise feeling well
No thick crusted or widespread skin changes
Able to send a clear photo

Look for another care setting

Thick, crusted, scaly skin over large areas
Signs of skin infection (pus, spreading redness, fever)
A weakened immune system
A young child (pediatric dosing differs)

What to have ready

A clear, well-lit photo of the rash or scalp
Where the itch/rash is and how long
Whether household members are affected
Medication allergies, current medications, and whether you could be pregnant

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Do I have to treat my whole household?

Yes — scabies and lice spread easily, so everyone in the household (and close contacts) should be treated at the same time, even if they aren't itchy yet, and bedding/clothing should be laundered or bagged.

Why do I still itch after treatment?

Itching from scabies can last 2-4 weeks after the mites are gone because your skin is still reacting. That alone doesn't mean treatment failed, but see a clinician if a new rash or clear re-infestation appears.

When does this need in-person care?

Thick, crusted skin over large areas (crusted scabies), signs of a skin infection from scratching, a weakened immune system, or an infestation in a young child need in-person evaluation.