If scab is definite then yes 2nd injection is needed,7 differant ivermectin injectables out there.If lice then you need totaly differant products.I have seen scab on 4 occasions in 20 years and only skin scrapings can give adefinative answer.Tried to remember,only a few out of maybe 1000 sheep in total with wool lose and scabs most itching biteing and very dirty wool lots of pulled pieces same symptoms lice /keds. All sheep affected to differant degres and any sheep in next field if net fence.