Yeah, it's OTC. I get the generic as a prescription from my doc as its cheaper. GERD is often a years long, if not a lifetime thing and requires either diet change or meds. Often diet change alone doesn't help or leads to a very bland diet, so meds are usually the way to handle it. Some meds work better for others or at higher/lower doses.Yikes i can't imagine going thru with this for 10 years, i have been taking Nexium but it hasn't been working. Doctor told me it's gerd and just put me on that and now he's off for vacation until Jan. Gonna hop on some Pepcid ac and see if that helps . Ugh, is Prilo otc ?