5% permethrin cream is the first line treatment your doctor will prescribe you, if he thinks you have scabies. But, it is not technically an over the counter treatment, because, while it is available at most stores, you will need a prescription to get the permethrin cream. However, you do not need a prescription to buy permethrin in liquid form. You can easily order 10% permethrin liquid online, and mix it into a cream yourself. If you have any kind of lotion that you regularly use on your skin, you can mix the liquid permethrin 50/50 with the lotion, and you’ve got unlimited 5% permethrin cream, without needing a prescription.