What is the name of a specialist who treats lice?

Understanding Head Lice

What are Head Lice?

Life Cycle of Lice

Lice are obligate ectoparasites that complete their development on a host. Their life cycle consists of three distinct stages: egg, nymph, and adult.

Egg (nit) – Females embed each egg under hair shafts close to the scalp. The shell protects the embryo for 7‑10 days, after which the nit hatches.
Nymph – The newly emerged nymph resembles an adult but is smaller and lacks full reproductive capacity. It undergoes three molts over approximately 9‑12 days. Each molt is a discrete event; no intermediate forms appear.
Adult – Mature lice are capable of reproduction within 24 hours of the final molt. Females lay 6‑10 eggs per day for up to three weeks. Adult lice survive 30‑40 days on a host, feeding every 20‑30 minutes.

The entire cycle from egg to reproducing adult spans roughly 2‑3 weeks under optimal temperature (28‑32 °C) and humidity (70‑80 %). Deviations in environmental conditions extend developmental periods and reduce survival rates.

Understanding the timing of each stage informs control strategies employed by the professional who manages lice infestations. Interventions targeting the egg stage, such as ovicidal treatments, must be applied before hatching. Repeated applications at 7‑day intervals disrupt nymph development and prevent the emergence of new adults. Effective management relies on precise knowledge of the life cycle duration and the host‑dependent nature of lice.

Common Misconceptions about Lice

Lice are parasitic insects that infest the scalp, body, or clothing. Treatment is typically administered by a medical professional trained in dermatology or a certified pest‑control specialist who focuses on ectoparasites.

Common misconceptions:

Lice transmit serious diseases.
Over‑the‑counter shampoos eradicate lice instantly.
Frequent hair washing prevents infestation.
Only children can be infested.
Pets are a source of human head lice.

These beliefs lack scientific support. Lice do not act as vectors for systemic illnesses; they feed exclusively on blood without transmitting pathogens. Most retail products require repeated application and proper combing to remove live insects and eggs. Hair washing reduces surface debris but does not affect lice attached to follicles. Adults, especially those in close‑contact environments, experience infestations as often as children. Human head lice are species‑specific and cannot survive on animals, which host different lice types.

Effective control involves accurate diagnosis, prescription‑strength topical agents, meticulous nit combing, and environmental decontamination of personal items. Consulting a qualified dermatologist or certified lice‑control professional ensures proper regimen selection and reduces recurrence risk.

Symptoms and Diagnosis

Identifying an Infestation

Identifying a lice infestation requires close examination of the scalp and hair. Presence of live insects, eggs (nits) attached to hair shafts, and excessive scratching are primary indicators.

Key signs include:

Live lice moving quickly on the scalp surface
Opaque, oval-shaped nits firmly glued within ¼ inch of the scalp
Small red bumps or sores caused by bites
Persistent itching, especially after hair washing

Inspection should be performed on a well‑lit surface using a fine‑tooth comb. Separate hair into small sections, pull each strand taut, and run the comb from the scalp outward. Examine the comb after each pass for captured insects or nits. Repeat the process on the entire head, paying particular attention to the behind‑ear area and the nape of the neck.

A professional who treats lice—often a licensed medical practitioner such as a pediatric dermatologist, a school health nurse, or a certified lice control specialist—confirms the diagnosis. These experts employ magnification tools and standardized checklists to differentiate true infestations from other scalp conditions, ensuring accurate treatment recommendations.

When to Seek Professional Help

A professional who eliminates lice—often a licensed dermatologist, a certified lice technician, or a pest‑control specialist—provides treatments beyond over‑the‑counter options.

Seek expert assistance when any of the following conditions occur:

Persistent infestation after two complete treatment cycles.
Presence of nits attached to hair shafts within one centimeter of the scalp.
Recurrent outbreaks within a month despite proper hygiene measures.
Signs of secondary infection, such as redness, swelling, or pus.
Involvement of multiple family members or close contacts.

Professional intervention offers precise identification of live lice versus empty shells, prescription‑strength topical agents, and comprehensive decontamination of clothing and bedding. Prompt consultation reduces spread, accelerates resolution, and prevents complications.

The Specialists Who Treat Lice

Medical Professionals

Dermatologists

Dermatologists are physicians who specialize in disorders of the skin, hair, and nails. Their training includes extensive study of parasitic infestations, allowing them to identify and manage lice infections accurately.

Typical responsibilities in lice treatment include:

Clinical examination to confirm the presence of live lice and nits.
Prescription of topical or oral pediculicides based on resistance patterns.
Guidance on mechanical removal techniques, such as fine-tooth combing.
Counseling on environmental decontamination and prevention of re‑infestation.

Dermatology residency programs require at least three years of postgraduate training, after which physicians obtain board certification. This credential confirms competence in diagnosing and treating a wide range of dermatologic conditions, including ectoparasites.

While primary‑care providers can prescribe lice medication, dermatologists offer specialized knowledge of parasite life cycles, resistance trends, and advanced therapeutic options, ensuring effective and evidence‑based care.

Pediatricians

Pediatricians are physicians specialized in the health care of infants, children, and adolescents. Their training includes diagnosis and management of common pediatric conditions, preventive care, and guidance for families.

Lice infestations frequently affect school‑age children. Pediatricians assess the severity of the infestation, confirm the diagnosis through visual examination, and prescribe appropriate therapeutic agents. They also educate caregivers about hygiene practices that reduce reinfestation risk.

Typical interventions prescribed by pediatricians include:

Topical pediculicides (e.g., permethrin 1% lotion) applied to the scalp for the recommended duration.
Oral ivermectin for cases resistant to topical treatment or where topical use is contraindicated.
Mechanical removal using fine‑toothed combs to extract nits after chemical treatment.
Environmental measures such as washing bedding and clothing at high temperatures or sealing items in plastic bags for two weeks.

Pediatricians coordinate follow‑up visits to verify treatment success and address any adverse reactions. Their expertise ensures safe and effective resolution of lice problems in children.

General Practitioners

General practitioners (GPs) are primary‑care physicians qualified to diagnose and manage common parasitic infestations, including head‑lice (Pediculus humanus capitis). Their medical education covers dermatology, infectious diseases, and pediatric care, providing the competence to recognize lice symptoms, confirm infestation through visual inspection, and prescribe appropriate therapy.

Typical actions performed by a GP in cases of lice include:

Selecting a first‑line pediculicide (e.g., permethrin 1 % lotion) and providing dosage instructions.
Advising on mechanical removal methods, such as fine‑tooth combing, to eliminate nits.
Recommending environmental measures, including washing bedding at ≥ 60 °C and isolating personal items.
Scheduling a follow‑up examination 7–10 days after treatment to verify eradication.
Referring to a dermatologist or infectious‑disease specialist if treatment fails or if secondary skin infection develops.

GPs also educate patients and caregivers on preventive strategies, such as avoiding head‑to‑head contact in crowded settings and regular screening in schools. Their role ensures timely intervention, reduces transmission risk, and limits the need for specialist referral.

Specialized Lice Treatment Services

Lice Removal Clinics

Lice treatment specialists—often titled lice removal technicians, lice control specialists, or, in medical settings, dermatologists—focus on diagnosing and eradicating head‑lice infestations. Their expertise includes identifying live nits, selecting appropriate pediculicides, and advising clients on preventive measures.

Lice removal clinics provide dedicated environments for these specialists. Services typically include:

Comprehensive scalp examination to confirm infestation.
Manual nit removal using fine‑toothed combs under magnification.
Application of FDA‑approved topical agents or heat‑based treatments.
Post‑treatment follow‑up appointments to ensure eradication.
Education on hygiene practices and environmental decontamination.

Clinics employ staff trained in lice biology and certified in the safe handling of chemical treatments. Facilities maintain strict sanitation protocols, such as disposable combs and sanitized treatment rooms, to prevent cross‑contamination. Pricing structures vary by region but generally cover initial assessment, treatment, and at least one verification visit. Regulatory bodies may require licensure for practitioners and compliance with health‑safety standards.

Professional Lice Removers

Professional lice removers are commonly referred to as pediculists or lice control specialists. These experts possess training in the identification, treatment, and prevention of pediculosis, the infestation of head lice. Certification often requires completion of courses approved by health agencies and practical experience in applying approved insecticidal or mechanical removal methods.

Key responsibilities include:

Inspecting hair and scalp to confirm the presence of live lice and nits.
Selecting and applying appropriate treatment protocols, such as prescription shampoos, topical lotions, or manual nit removal.
Educating clients on hygiene practices and environmental measures that reduce reinfestation risk.
Documenting cases and following up to ensure treatment efficacy.

Clients typically seek pediculists for reliable eradication of lice, especially when over‑the‑counter products have failed or when infestation is severe. The specialist’s expertise minimizes the likelihood of resistance development and ensures safe, effective outcomes.

Other Relevant Healthcare Providers

School Nurses

School nurses serve as the primary health professionals responsible for managing head‑lice infestations in educational settings. They assess affected students, confirm the presence of Pediculus humanus capitis, and initiate appropriate treatment protocols.

Their duties include:

Conducting visual examinations and documenting cases.
Providing guidance on over‑the‑counter or prescription pediculicides.
Coordinating with parents to ensure adherence to treatment regimens.
Implementing classroom‑wide preventive measures, such as education on personal hygiene and regular screening schedules.
Maintaining records for public health reporting and follow‑up evaluations.

By integrating clinical expertise with school policies, these healthcare providers ensure timely resolution of lice outbreaks and reduce the risk of recurrence.

Pharmacists

Pharmacists are qualified to provide the medications required for managing lice infestations. They possess detailed knowledge of over‑the‑counter and prescription products, including pediculicides, shampoos, and lotions, and understand the pharmacodynamics, safety profiles, and contraindications of each formulation.

Their responsibilities include:

Verifying the suitability of a lice treatment based on patient age, health status, and allergy history.
Supplying appropriate dosage instructions, application intervals, and retreatment guidelines.
Advising on complementary measures such as combing techniques, environmental decontamination, and prevention of re‑infestation.
Monitoring for adverse reactions and recommending alternative therapies when necessary.

By ensuring correct product selection and providing clear usage counsel, pharmacists contribute directly to effective eradication of head‑lice populations and support overall public health outcomes.

Treatment Approaches for Lice

Over-the-Counter Treatments

Pyrethrins and Permethrin

Pyrethrins are organic compounds extracted from Chrysanthemum cinerariifolium flowers. They act on the nervous system of insects by delaying the closure of sodium channels, causing paralysis and death. Their rapid knock‑down effect makes them effective against adult head lice and nymphs, but they degrade quickly in light and heat, limiting residual activity.

Permethrin is a synthetic pyrethroid derived from pyrethrins. It shares the same target—voltage‑gated sodium channels—but exhibits greater photostability and longer residual action. Formulated at 1 % concentration for topical use, permethrin penetrates the louse exoskeleton, immobilizes the parasite, and prevents egg hatching.

Both agents are approved for over‑the‑counter lice treatment. Application involves thorough combing of wet hair with a fine‑toothed lice comb after the prescribed exposure period (usually 10 minutes for permethrin, 30 minutes for pyrethrin‑based products). Re‑treatment after seven days eliminates newly emerged nymphs that survived the initial dose.

Medical professionals who manage pediculosis—typically dermatologists or pediatricians—select the appropriate formulation, advise on correct application, and monitor for adverse reactions such as scalp irritation or rare allergic responses. Their expertise ensures effective eradication while minimizing resistance development.

Key distinctions

Source: natural extraction vs. synthetic analogue.
Stability: short‑lived vs. photostable.
Recommended concentration: 0.5 % (pyrethrins) vs. 1 % (permethrin).
Resistance profile: lower for permethrin, higher for pyrethrins.

Dimethicone and Other Non-Pesticide Options

The professional who manages head‑lice infestations is commonly referred to as a pediculist, a specialist trained in diagnosing and treating pediculosis. Pediculists may work within dermatology, pediatrics, or public‑health settings and prescribe evidence‑based therapies.

Dimethicone, a silicone‑based polymer, acts by coating lice and nits, impairing their ability to breathe and move. It does not rely on neurotoxic mechanisms, reducing the risk of resistance. Formulations typically contain 4–10 % dimethicone and are applied to dry hair, left for a prescribed period, then rinsed. The product remains on the scalp, providing continuous coverage that eliminates newly hatched lice for up to 24 hours.

Other non‑pesticide treatments include:

Physical removal devices: metal combs with fine teeth that mechanically dislodge lice and nits.
Heat‑based methods: devices that raise hair temperature to 50 °C, killing lice without chemicals.
Oil‑based solutions: mineral oil or specialized lice‑removal oils that suffocate insects.
Enzyme preparations: products containing proteases that degrade the chitinous shell of nits.

These options are recommended by pediculists when resistance to conventional insecticides is documented or when clients prefer chemical‑free interventions.

Prescription Medications

Ivermectin Lotion

Ivermectin lotion is a topical antiparasitic formulation applied to the scalp to eradicate head‑lice infestations. The medication works by binding to glutamate‑gated chloride channels in the parasite’s nervous system, causing paralysis and death of both adult lice and nymphs.

A clinician who manages lice problems—typically a dermatologist or a pediatrician with expertise in parasitic skin conditions—may prescribe ivermectin lotion when conventional pediculicides are ineffective or contraindicated. The prescription regimen usually involves a single application, left on the scalp for a specified period (commonly 10 minutes), followed by thorough rinsing and removal of nits with a fine‑tooth comb.

Key considerations for ivermectin lotion use:

Efficacy: Demonstrated 90 %+ eradication rate in clinical trials for resistant lice strains.
Safety: Minimal systemic absorption; well‑tolerated in children over 12 months and adults.
Contraindications: Not recommended for individuals with known hypersensitivity to ivermectin or related compounds.
Adjunct measures: Mechanical removal of eggs and environmental decontamination remain essential to prevent re‑infestation.

When a patient presents with persistent lice, the specialist evaluates medical history, resistance patterns, and potential side effects before selecting ivermectin lotion as part of an integrated treatment plan.

Malathion Lotion

Malathion Lotion is a topical pediculicide containing 0.5 % malathion, an organophosphate insecticide approved by the FDA for the treatment of head‑lice infestations. The formulation is a clear, oily lotion applied directly to the scalp and hair, where it penetrates the cuticle and disrupts the nervous system of the lice, leading to rapid mortality.

The medication is typically prescribed by clinicians who specialize in managing parasitic skin conditions. Dermatologists, pediatricians, family physicians, and health‑care providers trained specifically in lice control all have the authority to recommend Malathion Lotion. These professionals evaluate the severity of the infestation, assess patient age and health status, and determine whether Malathion is appropriate compared with alternative agents.

Usage guidelines:

Apply the lotion to dry, unwashed hair, ensuring coverage from scalp to the tips of the hair shafts.
Leave the product in place for 8–12 hours, usually overnight.
Rinse thoroughly with warm water, then comb the hair with a fine‑toothed lice comb to remove dead insects and nits.
Repeat the treatment after 7 days if live lice are observed.

Safety considerations include avoidance in children under six months, pregnant or lactating women, and individuals with known hypersensitivity to organophosphates. Malathion may cause mild scalp irritation; severe reactions require discontinuation and medical review. Resistance to other pediculicides has increased reliance on Malathion, but proper application and follow‑up remain essential for successful eradication.

Non-Chemical Methods

Wet Combing

Wet combing is a mechanical technique used to eliminate head‑lice infestations by removing live insects and nits from wet hair. The method relies on a fine‑toothed metal comb applied to hair that has been saturated with a conditioning agent, allowing the comb to glide through strands without breaking.

Apply a generous amount of conditioner or a specialized wet‑combing solution to damp hair.
Divide hair into sections of manageable size.
Starting at the scalp, pull the comb slowly toward the hair tip, rinsing the comb after each pass.
Repeat the process on each section until the entire head has been treated.
Inspect the comb and hair for remaining nits; repeat the cycle after 7–10 days to capture any newly hatched lice.

Clinical observations indicate that wet combing, when performed correctly and repeated at appropriate intervals, reduces live lice counts by 90 % or more within a single treatment session. The technique avoids chemical exposure and can be combined with other control measures such as environmental cleaning.

The professional who administers wet combing is commonly referred to as a lice removal specialist, also known as a pediculist. This practitioner possesses training in identification of lice stages, proper combing techniques, and client education on prevention. A pediculist may operate independently or within dermatology or pediatric practices, providing a non‑chemical alternative for infestation management.

Heat Treatments

Heat treatments eliminate head‑lice by exposing insects and their eggs to temperatures that exceed their survival threshold. The process relies on precise control of heat to ensure mortality without damaging the scalp or hair.

Common heat‑based methods include:

Hot‑air devices that circulate air at 130 °F (54 °C) for a prescribed duration.
Steam applicators that deliver moist heat directly to the hair shaft.
Electrically heated combs calibrated to maintain a constant temperature while combing.

Research indicates that temperatures above 125 °F (52 °C) for at least five minutes achieve complete eradication of live lice and most nits. Heat eliminates the need for chemical insecticides, reduces the risk of resistance, and avoids residue on hair. Limitations involve the requirement for consistent temperature maintenance and the potential for scalp irritation if protocols are not followed.

The professional who administers these procedures is typically a dermatologist or a certified lice‑removal technician. Training covers device operation, temperature monitoring, and client safety. Certification ensures adherence to industry standards and proper infection‑control practices.

Safety measures mandate:

Pre‑treatment assessment of scalp health.
Use of calibrated thermometers to verify target temperature.
Protective barriers for the skin surrounding the treatment area.
Post‑treatment cooling period to prevent burns.

Preventing Reinfestation

Environmental Cleaning

Environmental cleaning directly influences the effectiveness of lice management. The practitioner who treats lice recommends removing viable habitats and limiting reinfestation sources. Thorough cleaning reduces the number of viable eggs and adult insects that can survive on personal items and surroundings.

Key actions for a comprehensive approach:

Wash clothing, bedding, and towels in water ≥ 60 °C; dry on high heat for at least 30 minutes.
Vacuum carpets, upholstered furniture, and floor surfaces repeatedly, discarding vacuum bags or emptying canisters immediately.
Seal non‑washable items (e.g., stuffed toys) in airtight bags for a minimum of two weeks to interrupt the life cycle.
Clean hair‑care tools (combs, brushes) by soaking in hot water (≥ 50 °C) for 10 minutes, then drying.
Apply disinfectant sprays approved for household use to surfaces that may contact hair or scalp.

The specialist overseeing lice treatment evaluates the cleanliness of the environment as part of the diagnostic process. Evidence of inadequate sanitation often prompts a recommendation for intensified cleaning protocols before or alongside pharmacological therapy. By eliminating residual insects and eggs, environmental cleaning enhances treatment success and lowers the probability of recurrence.

Education and Awareness

Education about the professional who manages head‑lice infestations reduces delays in treatment and limits spread. Schools, parents, and community health centers should provide clear information on how to identify a qualified provider, such as a dermatologist, pediatrician, or parasitologist experienced in lice control. Accurate guidance helps families choose appropriate care without resorting to ineffective over‑the‑counter remedies.

Key awareness points:

Certified medical practitioners diagnose infestations, prescribe medicated shampoos, and advise on environmental decontamination.
Licensed specialists follow evidence‑based protocols, reducing resistance and recurrence.
Contact information for local providers is often listed on public health websites and school newsletters.

Regular outreach campaigns, including pamphlets and short videos, reinforce these facts. By familiarizing the public with the correct specialist, communities achieve faster resolution of infestations and lower overall prevalence.

Choosing the Right Specialist

Factors to Consider

Severity of Infestation

Lice infestations vary in intensity, influencing the choice of therapeutic approach and the involvement of a qualified lice‑control professional.

Mild infestations involve a limited number of adult insects and nits, typically confined to a single region of the scalp. Detection requires a brief visual inspection and a few combing passes. Over‑the‑counter preparations often suffice, and the specialist may advise basic hygiene measures and a single treatment cycle.

Moderate infestations present a greater number of live lice and widespread nits across the entire scalp. Multiple combing sessions, possibly combined with prescription‑strength pediculicides, become necessary. The professional may recommend a structured treatment schedule, repeat applications, and thorough cleaning of personal items to prevent re‑infestation.

Severe infestations are characterized by dense populations of lice, extensive nit coverage, and frequent reinfestation despite prior attempts. Symptoms can include intense itching, scalp irritation, and secondary skin infections. Management typically involves a combination of prescription medications, systematic nit removal, and close follow‑up by the lice‑treatment specialist to monitor progress and adjust therapy.

Severity classification

Mild: few lice, localized nits, single‑application treatment.
Moderate: numerous lice, full‑scalp nit presence, multi‑step regimen.
Severe: heavy lice load, extensive nits, combined pharmacologic and mechanical interventions with ongoing specialist supervision.

Age of the Affected Individual

Lice infestations occur most frequently among pre‑school and school‑age children, typically between ages 3 and 12. This demographic accounts for the majority of reported cases because close contact during play and limited personal hygiene practices facilitate transmission.

Adults can also be affected, especially in crowded living conditions or when caring for infested children. Infestations in infants under three months are rare but possible; treatment in this group requires careful selection of a clinician experienced in pediatric care.

The choice of professional for diagnosis and treatment varies with age:

Children (3‑12 years): Pediatrician or family physician, often the first point of contact, provides age‑appropriate medication and guidance for parents.
Adolescents and adults: Dermatologist or primary‑care physician, capable of prescribing stronger topical agents and addressing secondary skin irritation.
Infants and very young children: Pediatric dermatologist or pediatrician with expertise in safe, low‑dose treatments.

Understanding the age of the affected individual informs both the selection of the appropriate specialist and the therapeutic regimen, ensuring effective eradication while minimizing adverse effects.

Underlying Health Conditions

Underlying health conditions can alter the presentation, severity, and therapeutic response of a head‑lice infestation. When a patient presents with an infestation, the clinician responsible for eradication must assess comorbidities that may impact the safety and efficacy of standard treatments.

Relevant medical factors include:

Dermatologic disorders (eczema, psoriasis) that compromise scalp integrity and increase susceptibility to secondary infection.
Immunodeficiency states (HIV infection, chemotherapy, organ transplantation) that may prolong colonization and reduce response to topical pediculicides.
Allergic sensitivities to common insecticide ingredients, necessitating alternative formulations or non‑chemical approaches.
Neurological or developmental conditions (autism spectrum disorder, ADHD) that affect a patient’s ability to comply with treatment protocols and thorough combing.

The specialist tasked with eliminating lice must adjust the management plan accordingly: select pediculicides compatible with skin conditions, consider prescription‑strength agents for immunocompromised individuals, and employ integrated methods such as wet combing or manual removal when chemical tolerance is limited. Documentation of the patient’s health background ensures optimal outcomes and minimizes adverse events.

Questions to Ask a Specialist

Treatment Options and Efficacy

The professional who manages lice infestations typically holds a medical or pest‑control qualification, such as a dermatologist, pediatrician, or certified lice‑removal technician. Effective management relies on a combination of chemical, mechanical, and environmental strategies.

Topical pediculicides: permethrin 1 % and pyrethrins + piperonyl butoxide achieve 80‑90 % cure rates after a single application; a second treatment 7‑10 days later raises success to above 95 %. Malathion 0.5 % offers similar efficacy but may cause skin irritation. Ivermectin lotion yields 70‑85 % eradication, useful when resistance to permethrin is documented.
Oral ivermectin: single dose of 200 µg/kg reaches 70‑80 % effectiveness; a repeat dose after one week improves outcomes to 90 %+.
Mechanical removal: fine‑toothed nit combs eliminate nits with 60‑70 % success; when paired with a pediculicide, overall cure rates exceed 95 %.
Environmental control: laundering clothing and bedding at ≥ 60 °C, vacuuming furniture, and sealing non‑washable items for two weeks reduce reinfestation risk.

Efficacy depends on correct dosing, adherence to repeat‑treatment intervals, and thorough removal of nits. Resistance to pyrethroid‑based products has lowered their performance in some regions, prompting clinicians to favor ivermectin or combination regimens. Integrated approaches—chemical treatment followed by nit combing and environmental decontamination—consistently achieve the highest eradication rates.

Follow-up Care

Follow‑up care after a lice‑infestation treatment by a qualified professional ensures that the problem does not recur and that the patient’s comfort is restored. The specialist typically schedules a post‑treatment visit within 7–10 days to verify the absence of live lice and nits.

Key elements of follow‑up care include:

Visual inspection of the scalp and hair to confirm eradication.
Application of a second‑generation pediculicide if live lice are detected.
Cleaning of personal items (comb, hats, pillowcases) by washing at ≥60 °C or sealing in plastic bags for two weeks.
Guidance on avoiding re‑infestation: limiting head‑to‑head contact, regular comb checks, and informing close contacts.

The specialist documents findings, adjusts the treatment plan if necessary, and provides written instructions for continued monitoring. Successful follow‑up reduces the likelihood of secondary infestations and supports long‑term health.

Cost and Insurance Coverage

A medical professional who diagnoses and eliminates head‑lice infestations is commonly a dermatologist or a pediatrician with expertise in parasitic skin conditions. The fee for a single consultation ranges from $100 to $250, depending on geographic location and practice setting. Prescription treatments, such as topical ivermectin or oral lincosamide, add $20–$80 per course. Non‑prescription options, including medicated shampoos, typically cost $10–$30.

Insurance plans usually cover the office visit when a diagnostic code for pediculosis is submitted. Prescription medications are reimbursed under the pharmacy benefit, often after a co‑pay of $5–$20. Over‑the‑counter products are not covered by most policies. Some plans require prior authorization for oral agents; failure to obtain approval results in the patient bearing the full medication cost. High‑deductible health plans may leave the entire expense to the patient until the deductible is met.

Key cost elements

Consultation fee: $100–$250
Prescription medication: $20–$80 per regimen
Over‑the‑counter product: $10–$30 (uncovered)
Typical co‑pay for prescription: $5–$20

Patients should verify coverage details with their insurer, confirm required codes, and inquire about any out‑of‑pocket limits before treatment.