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On-demand care for this condition is included with membership

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Girl with lice symptoms scratches head to get rid of lice and eggs

Get head lice treatment online

For adults 18-64 & children 2-11
Connect with licensed providers for personalized treatment of head lice
Start treatment with FDA-approved medications like permethrin (Nix) or ivermectin lotion (Sklice)

How it works

Start your visit
Get a virtual visit at your convenience 24/7—no appointment needed.
Connect with a licensed provider
Review your health concern or treatment request with a telemedicine provider.
Get telehealth treatment
Receive your personalized care plan. If appropriate, prescriptions are sent to your pharmacy or delivered to your door with Amazon Pharmacy (if eligible).
Smiling One Medical provider delivers telehealth care
Mom does online lice treatment visit for her child with head lice symptoms on her mobile phone

What are head lice?

Head lice (pediculosis capitis) are parasitic insects that feed on blood from the human scalp. The adult louse lays eggs (nits) along the hair shaft, within an inch of the scalp. These nits are sticky and hard to get rid of. After they hatch, they grow into adult lice and lay their own eggs (up to 10 per day) in a lifecycle that lasts about a month altogether.

How do you get rid of hair lice?

Head lice can be killed in a number of different ways:
•
Medication
•
Manual removal with a lice comb
•
Home remedies and alternative treatments (not FDA-approved)
•
Professional lice removal with a heated-air device
Because head lice are stubborn and occasionally resistant to treatment, you may need to try multiple methods, or a combination of methods, before you get rid of lice for good.

Can I get head lice treatment for a child through Pay-per-visit?

Yes, Pay-per-visit offers head lice care to children.
Your child must be between the ages of 2 and 11 years old
You are a parent or legal guardian who can manage care for the child
Red-headed child with head lice symptoms embraces her mother

Is online lice treatment right for me?

•
You’re 18-64
•
Your child is 2-11
You've found head lice on your or your child's head, or on the head of a household member

Common head lice treatments

Your or your child's Amazon One Medical provider will determine which (if any) head lice treatment is medically appropriate based on symptoms and health history. Pick up any prescribed medications at a pharmacy of your choice. The cost of any prescribed medication may be covered by health insurance.
shampoo bottle icon icon
Permethrin and pyrethrins
Kill lice in two applications
• Permethrin 1% lotion (Nix)
• Pyrethrins + piperonyl butoxide shampoo (RID Lice Killing Shampoo)
Lotion bottle
Antiparasitics
Kill eggs and lice in one application
• Ivermectin 0.5% lotion (Sklice)

More care for kids and adults

Woman applies antibiotic eye drops for pink eye symptoms

Pink eye (conjunctivitis)

Pink eye can be caused by bacteria, allergies, or viruses
Get pink eye treatment ›
Woman scratches at an itchy rash on her neck on teal background

Rash & skin infections

Connect with a provider about eczema and other skin issues
Get skin treatment ›
Woman applies eczema cream to her skin on teal background

Eczema (atopic dermatitis)

Eczema symptoms often appear for the first time in early childhood
Get eczema treatment ›

Frequently asked questions

About Amazon One Medical

What are your telehealth options for head lice treatment?
Amazon One Medical offers multiple ways to get care from the comfort of your own home.
If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care via the One Medical app at no extra cost, no matter where you live in the United States.
If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers 2 types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available for $49 in all 50 states and D.C. Message-only visits are available for $29 in 36+ states.*
To see your Pay-per-visit options for this condition, start a one-time virtual visit and choose your state.
*State availability varies by condition. Prices subject to change.
Can I use my health insurance for Amazon One Medical Pay-per-visit?
Amazon One Medical doesn't accept health insurance for Pay-per-visit care. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your one-time virtual visit.
If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Amazon One Medical services. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.
What happens if my provider can't diagnose or treat my health issue through Pay-per-visit?
If your provider can’t diagnose or treat your health issue through Pay-per-visit, they may recommend that you see a primary care provider or a specialist for in-person care. If that happens, you won't be charged.
Can I communicate with a provider after I get my Pay-per-visit treatment plan?
Yes. When you use Pay-per-visit, you can message with One Medical providers within your personal dashboard for an additional 2 weeks (14 days) at no extra cost. This complimentary communication window allows you time to:
• Ask follow-up questions about any prescriptions or over-the-counter medications in your treatment plan
• Connect with a provider if you think your treatment needs to be adjusted
• Tell a provider if you're experiencing side effects from your medication
• Tell a provider if there's an issue getting your prescription from the pharmacy
• Let the One Medical care team know that you're feeling better
Your secure, HIPAA-compliant message will be received by the first available provider, who will be able to review your visit’s treatment plan and any follow-up correspondence. If you still need treatment adjustments or have questions after the 14-day communication window, you'll need to start a new visit.
How does Amazon One Medical protect my health information?
Amazon One Medical protects customers’ protected health information (PHI) with stringent, Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy and security practices to keep information safe and secure.
We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.
Amazon does not sell customers’ personal information, including PHI.

About care for children

What kind of telehealth visits can my child have through Pay-per-visit?
At this time, parents and legal guardians can start telemedicine visits through Amazon One Medical Pay-per-visit for their children aged 2 through 11 years old for the following health conditions:
• Head lice
• Pink eye (conjunctivitis)
• Rash and skin infections
• Eczema
• EpiPen prescription renewals
• Asthma prescription renewals
Do I have to be the parent or guardian of the child seeking care?
Yes. A parent or legal guardian must initiate the child's care and be present during the visit.
What type of healthcare provider will treat my child through Pay-per-visit?
Children are treated by family practice physicians or licensed family nurse practitioners (FNPs). You'll be able to see the credentials of your child's provider during the visit.
Can I get a doctor's note for my child?
Yes. After your child completes their virtual visit, their provider can write excused absence notes, back-to-school notes, and no-play notes for sports or other activities if medically appropriate.
How can I tell if my child has head lice?
Head lice commonly make the head itch. (This is caused by the skin reacting to insect saliva.) But lice may be present for 4 to 6 weeks before the skin starts reacting, so you may not notice symptoms of lice. The best way to determine if your child has head lice is to give them a thorough check.
Sit them down in a well-lit spot and examine their hair, section by section, paying close attention to the hair roots.
You're looking for the following:
Live adult louse or lice
Adult lice are visible to the naked eye. They're about the size of a sesame seed, have 6 legs, and are tan to grayish-white in color. You can often spot them crawling near the base of the hair shaft. When exposed to light, they can move fast. An infected scalp may only have about 10 live lice on it, so it's important to check thoroughly.
Nits (lice eggs)
About the size of a pinhead, nits are firmly attached to base of hair shaft (within about a centimeter of the scalp), and often the same color as your child's hair. They may be easiest to spot at the nape of the neck or behind the ears.
Empty nits
When nits hatch, they leave white, sticky egg casings that can resemble dandruff.
Nymph(s)
Young lice that are smaller than adult lice.
What do I do if I find lice in my child's hair?
First, don't panic. Head lice infestations are extremely common and they don't have anything to do with personal hygiene or socioeconomic status. They're just a fact of life these days, especially when you have school-age children.
Treating lice successfully requires a few steps:
• Stopping the spread
• Killing the lice and eggs through medication and/or manual removal
• Preventing reinfection
How do lice spread?
Head lice usually spread by prolonged head to head contact, like when people sleep next to each other. Lice can't jump from person to person - they can only crawl.
Less commonly, head lice may spread in indirect ways, like by sharing hats or hairbrushes.
A louse cannot survive off the scalp for more than 48 hours, and nits can't hatch at a temperature lower than they find on the scalp.
How do I stop lice from spreading?
If you find lice on someone in your household, experts recommend that everyone in the household should be checked thoroughly for lice. In addition, anyone who shares a bed with someone with lice can be treated, even if lice aren't found on their head.
You should wash and dry any linens or other items (like stuffed animals and blankets) that have come into contact with the person's head within 2 days before lice treatment. Drying is the critical part: lice and nits die after 5 minutes in a hot (130°F+) dryer. Anything that can't be washed or dried can be sealed in plastic bags for 2 weeks.
Hairbrushes should be soaked in hot water for 10 minutes.
If applicable, you can vacuum your furniture, rugs, and car, but you don't need to treat household surfaces with any special disinfectant sprays.
How do I manually remove lice from my child's hair?
To remove lice and nits from your child's hair, many healthcare providers recommend the "wet comb method." This method requires hair conditioner, a roll of paper towels, a fine-toothed lice comb (available at most pharmacies), and a trash bag. Here are the steps:
1. Seat your child in a well-lit place and get mentally prepared to stay for a while. You can treat this as parent-child bonding time, or give the child something to look at (like a book or a tablet) while you work.
2. Generously apply conditioner to your child's scalp and to the full length of their dry hair.
3. After their hair is thoroughly coated in conditioner, detangle with a brush or wide-toothed comb as necessary.
4. Divide your child's hair into sections so you can keep track of your progress. Hair clips may be helpful to divide longer hair.
5. Use your fine-toothed lice comb to carefully comb from your child's scalp to the ends of their hair, section by section.
6. After each stroke, wipe the comb on a white paper towel and check it carefully for nits or lice. You'll be able to see live lice (if any) wiggling on the paper towel. Put used paper towels into the trash bag as you go.
7. Comb each section of hair at least 5 times.
8. Wash the hair normally when finished.
You'll need to repeat this method every 2 to 3 days until you don't see any lice or nits in your child's hair for at least 10 days. This is because nits can take that long to hatch.
Can I get rid of lice naturally?
If you don't want to use a pediculicide treatment like Nix to kill lice, there are alternative treatments and lice removal methods you can try:
• Manually combing out lice and nits using the "wet comb method" (see FAQ)
• Paying a professional lice remover to treat lice with a heated-air device (AirAllé)
• Treating hair with dessicants like Vamousse; occlusive agents like mayonnaise, dimethicone lotion, or Cetaphil cleanser; or essential oils*
*These products aren't FDA-approved or recommended and their efficacy can't be guaranteed.
When can my child return to school or daycare after getting treated for head lice?
The American Association of Pediatrics recommends that kids return to school as soon as they've been treated for lice.
Can I get a doctor's note for my child?
Yes. After your child completes their virtual visit, their provider can write excused absence notes, back-to-school notes, and no-play notes for sports or other activities if medically appropriate.

About head lice & lice treatment

Can I get treated for pubic lice?
No. If you have pubic lice, you'll need to see a primary care provider for an in-person evaluation and additional STI screening if necessary.
Can my pets get lice?
No. Head lice only spreads from human to human.
What's the life cycle of lice?
The full life cycle of a head louse is about 28 days:
• Louse lays an egg on the hair shaft
• Egg hatches in 6-9 days
• Hatchling (nymph) becomes adult within 7 days
• Adult lays eggs, and the cycle starts over
Clinical sources
1. Nolt, D., Moore, S., Yan, A. C., Melnick, L., & COMMITTEE ON INFECTIOUS DISEASES, COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE, SECTION ON DERMATOLOGY (2022). Head Lice. Pediatrics, 150(4), e2022059282.
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