There are few antibiotics approved for use in small ruminant species in the United States. According to the Animal Medicinal Drug Use Clarification Act (AMDUCA), extralabel drug use may only be employed under the direction of a licensed veterinarian in the context of a valid veterinarian-client-patient relationship. However, with the implementation of FDA Guidance for Industry #263, producers will no longer have access to antibiotics which were previously available over the counter and could have been utilized in an extralabel manner without veterinary oversight. The aim of this discussion is to provide veterinarians with a logical approach to selecting appropriate antibiotics for use in small ruminants.