It is OTC for my family in several countries in South America.....I believe also available OTC in Tennessee. Otherwise go to TSC and make sure paste is appropriate for your weight.,
Not really OTC in Tenn. You still have to get the pharmacist to give it to you. It would be interesting to hear from posters here in that State to see how difficult
https://tnfreedomdoctors.org/ivermectin-in-tn