Merck

Prescription items are NON-RETURNABLE and NON REFUNDABLE Bravecto(R) Chews BRAVECTO(R) (fluralaner) Chews for dogs is the #1 longest-lasting chew* for powerful flea and tick protection. Easy and convenient to administer, just one dose of vet-recommended and FDA-approved BRAVECTO starts killing fleas and ticks within hours, prevents flea infestations, kills ticks (black-legged tick, American dog tick, brown dog tick and Asian longhorned tick) for 12 weeks* and kills lone star ticks for 8 weeks. Product Benefits: Fast-acting, safe and easy treatment BRAVECTO Chews last nearly 3x longer than other monthly chews Up to 12 weeks* of flea and tick protection with just 1 chew! Tasty pork flavored chew Available in five sizes based on your dog's weight Discover BRAVECTO (fluralaner topical solution) for dogs and cats. Available by prescription only. Proudly sourced directly from the manufacturer or their approved distributor. Guaranteed genuine and backed by the manufacturer. Item Specifications: Active Ingredient: Fluralaner Cautions: Make sure to tell your veterinarian what other medication you are giving to your pet. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: BRAVECTO (fluralaner) Chews for Dogs: The most commonly reported adverse reactions include vomiting, lethargy, diarrhea, anorexia and pruritus. In some cases, adverse events have been reported following use in breeding females. BRAVECTO Chews has not been shown to be effective for 12-weeks' duration in puppies less than 6 months of age. BRAVECTO Chews is not effective against lone star ticks beyond 8 weeks of dosing. Fluralaner is a member of the isoxazoline class. This class has been associated with neurologic adverse reactions including tremors, ataxia , and seizures. Seizures have been reported in dogs receiving isoxazoline class drugs, even in dogs without a history of seizures. Use with caution in dogs with a history of seizures or neurologic disorders. Usage: Bravecto should be given orally as directed by your veterinarian. Administer with food. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Bravecto(R) Chews BRAVECTO(R) (fluralaner) Chews for dogs is the #1 longest-lasting chew* for powerful flea and tick protection. Easy and convenient to administer, just one dose of vet-recommen ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE SENTINEL(R) Flavor Tabs(R) (milbemycin oxime/lufenuron) The palatable once-a-month prescription tablet that prevents heartworm disease and flea populations in dogs and puppies, SENTINEL(R) (milbemycin oxime/lufenuron) Flavor Tabs(R) also control flea populations and adult hookworms, and remove and control adult roundworm and whipworm infection in dogs and puppies. These tablets are available in four tablet sizes in color-coded packages for oral administration to dogs and puppies according to their weight. Each tablet is formulated to provide a minimum of 0.23mg/lb. (0.5mg/kg) of milbemycin oxime and 4.55mg/lb. (10mg/kg) body weight of lufenuron. Item Specifications: Indications: Sentinel Flavor Tabs are indicated for use in dogs and puppies, four weeks of age and older, and two pounds body weight or greater. Sentinel Flavor Tabs are also indicated for the prevention of heartworm disease caused by Dirofilaria immitis , for the prevention and control of flea populations, the control of adult Ancylostoma caninum (hookworm), and the removal and control of adult Toxocara canis and Toxocara leonina (roundworm) and Trichuris vulpis (whipworm) infections. Lufenuron controls flea populations by preventing the development of flea eggs and does not kill adult fleas. Concurrent use of adulticide product may be necessary for adequate control of adult fleas. Dosage: Sentinel Flavor Tabs are given orally, once a month, at the recommended minimum dosage of 0.23mg/lb. (0.5mg/kg) milbemycin oxime and 4.55mg/lb. (10mg/kg) lufenuron. Dogs over 100 lb. are provided the appropriate combination of tablets. Precautions: Do not use in puppies less than four weeks of age and less than two pounds of body weight. Prior to administration of Sentinel Flavor Tabs, dogs should be tested for existing heartworm infections. Infected dogs should be treated to remove adult heartworms and microfilariae prior to initiating treatment with Sentinel Flavor Tabs. Mild, transient hypersensitivity reactions manifested as labored respiration, vomiting, salivation and lethargy have been noted in some treated dogs carrying a high number of circulating microfilariae. These reactions are presumably caused by release of protein from dead or dying microfilariae. Sentinel Flavor Tabs immediately break the flea life cycle by inhibiting egg development. However, pre-existing flea populations may continue to develop and emerge after treatment with Sentinel Flavor Tabs has begun. Based on results of clinical studies, this emergence generally occurs during the first 30-60 days. Therefore, noticeable control may not be observed until several weeks after dosing when a pre-existing infestation is present. Cooler geographic areas may have longer lag periods due to a prolonged flea life cycle. If a Sentinel Flavor Tabs-treated dog comes in contact with a flea-infested environment, adult fleas may infest the treated animal. These adult fleas are unable to produce viable offspring. The temporary use of an adulticide product may be necessary to kill these adult fleas. Adverse Reactions: The following adverse reactions have been reported in dogs after giving milbemycin oxime or lufenuron: vomiting, depression/lethargy, pruitus, urticaria, diarrhea, anorexia, skin congestion, ataxia, convulsions, hypersalivation and weakness. Storage Conditions: Store in a dry place at controlled room temperature, between 59º and 77ºF (15-25ºC). Caution: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian. Warnings: Not for human use. Keep this and all drugs out of the reach of children. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE SENTINEL(R) Flavor Tabs(R) (milbemycin oxime/lufenuron) The palatable once-a-month prescription tablet that prevents heartworm disease and flea populations in dogs and puppies, SENTINEL(R) (mil ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Sentinel Spectrum Chewables Sentinel Spectrum is a once-a-month chewable tablet that contains a combination of milbeycin oxime, praziquantel, and lufenuron to prevent and control fleas, heartworm and intestinal worms in dogs. Milbemycin oxime interferes with nerve transmission and helps protect against heartworm, roundworm, hookworm, and whipworm. Praziquantel causes muscle spasms and kills tapeworms. Lufenuron is an insect growth regulator, which is used to control fleas by preventing the development of flea eggs. Item Specifications: Benefits: Sentinel Spectrum is a highly palatable beef-flavored chewable tablet that provides broad spectrum parasite protection. For use: Dogs (at least 6 weeks of age and weighing at least 2 lb.) Strength/Size: X-small (Orange) for dogs 2 to 8 lb. Small (Green) for dogs 8.1 to 25 lb. Medium (Yellow) for dogs 25.1 to 50 lb. Large (Blue) for dogs 50.1 to 100 lb. Active Ingredient(s): Milbeycin oxime, lufenuron, praziquantel Cautions: Dogs should be tested for adult heartworms and treated if necessary before starting Sentinel Spectrum. This product does not treat adult heartworms and can cause a shock-like reaction in heartworm positive dogs. Do not use on dogs under 6 weeks of age and weighing under 2 lbs. The safety of Sentinel Spectrum has not been evaluated in nursing females. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to: swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side Effects: Side effects may include vomiting, depression/lethargy, itching, hives, diarrhea, loss of appetite, clogged pores, loss of muscle coordination, rapid and uncontrollable shaking, salivation, and weakness. Notify your veterinarian if side effects appear and remain troublesome. Other side effects may occur, if you notice anything unusual, contact your veterinarian. Usage: Give either during or immediately after the consumption of a meal and ensure that the entire dose is consumed by your pet. May be given directly or broken into smaller pieces and mixed with food. Merck Animal Health acquired Sentinel Flavor Tabs and Sentinel Spectrum Products, previously Manufactured and marketed in the United States by Virbac. During the transitional period, the manufacturer may still be listed as "Virbac" on product packaging. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Sentinel Spectrum Chewables Sentinel Spectrum is a once-a-month chewable tablet that contains a combination of milbeycin oxime, praziquantel, and lufenuron to prevent and control fleas, heartwo ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE *** CURRENT DATING ON THIS ITEM IS 03/31/2024 *** This prescribed medication is shipped in a cooler with ice packs. Please note the ice packs may be melted by the time you receive your package, but they have done the job of protecting the medications during the shipment. Medications and time-sensitive items will be shipped Monday through Wednesday before 2:00 pm Eastern Time via 2-day service. If next day service is required please advise customer service and will have an extra charge. If the order was received after 2:00 pm Eastern Time on Thursday the order will ship out on Monday. Vetsulin Insulin Vetsulin (porcine insulin zinc suspension) is the only FDA-approved veterinary product for the management of diabetes mellitus in both dogs and cats. Vetsulin is indicated for the reduction of hyperglycemia and hyperglycemia-associated clinical signs in dogs and cats with diabetes mellitus. Benefits: As a lente insulin, Vetsulin is classified as intermediate-acting insulin. It is an aqueous suspension of 40 IU/mL of highly purified porcine insulin, consisting of 35% amorphous and 65% crystalline zinc insulin. Unlike human insulin, porcine insulin has the same amino acid sequence as canine insulin, making it less likely for dogs to develop anti-insulin antibodies. For use: Dogs & cats Strength/Size: U-40 Active ingredient(s): porcine insulin zinc suspension Cautions: Vetsulin should not be used in dogs or cats known to have a systemic allergy to pork or pork products. Make sure to tell your veterinarian what other medication or supplements you are giving your pet. Dietary changes may also affect insulin requirements. Quite often your veterinarian may prescribe two different medications, even if a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely. The following drug interactions that may occur with insulin include Beta-adrenergic blockers, clonidine, risperidone, and digitoxin. Drugs that may increase the hypoglycemic activity of insulin (resulting in low blood sugar) include captopril, enalapril, alcohol, anabolic steroids, beta-adrenergic blockers, MAOI's, guanethidine, phenylbutazone, sulfinpyrazone, sulfonamides, tetracycline, and aspirin, or other salicylates. Drugs that may decrease the hypoglycemic activity of insulin (resulting in high blood sugar) include epinephrine, estrogen/progesterone combinations, furosemide, glucocorticoids, isoniazid, phenothiazine derivatives, thiazide diuretics, and thyroid hormones. Serum potassium levels can fluctuate in combination with digoxin and insulin and additional monitoring may be needed. Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together. Allergic reactions to medications may occur. Be sure to inform your veterinarian if your pet has any known drug sensitivities or allergies. If your pet displays symptoms of an allergic reaction, call your veterinarian immediately or go to a veterinary emergency clinic. Symptoms may include but are not limited to swollen lips, tongue, face, airways; difficulty breathing; agitation; profuse salivation; vomiting; widespread hives and itching. Side effects: Possible side effects of insulin therapy may include hypoglycemia. Signs include hunger, nervousness, vocalization, anxiety, muscle tremors, ataxia, and papillary dilation. If there are signs of hypoglycemia, offer the pet some food or oral dextrose. A positive response should occur within one to two minutes. Prolonged hyperglycemia can result in seizures, coma, and death. Severe hypoglycemic signs require prompt veterinary intervention. Other side effects may occur. If you notice anything unusual, contact your veterinarian. Usage: Vetsulin insulin should be administered as directed by your veterinarian. Your veterinarian will determine the correct dose of insulin need for your pet by means of a blood glucose test. Follow your veterinarian's instructions as doses may vary over time. Injections should be given subcutaneously, just under the skin. Be sure to rotate injection sites to prevent skin problems at the injection site. Pinch a fold in the skin to create a small space for the needle. Insert the needle into the center of the fold as instructed by the veterinarian. Inject the drug by pushing the plunger as far as it will go. Withdraw the needle and be careful to not stick yourself. Dispose of the needle immediately in a proper sharps disposal container. « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE *** CURRENT DATING ON THIS ITEM IS 03/31/2024 *** This prescribed medication is shipped in a cooler with ice packs. Please note the ice packs may be melted by the time you receive your package, ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE This prescribed medication is shipped in a cooler with ice packs. Please note the ice packs may be melted by the time you receive your package, but they have done the job of protecting the medications during the shipment. Medications and time-sensitive items will be shipped Monday through Wednesday before 2:00 pm Eastern Time via 2-day service. If next day service is required please advise customer service and will have an extra charge. If the order was received after 2:00 pm Eastern Time on Thursday the order will ship out on Monday. Vetsulin U-40 Vetpen 2.7ml Cartridge - 10 Pack Vetsulin is injectable insulin for cats and dogs with diabetes. It is the only FDA-approved insulin in the U.S. for veterinary treatment of diabetic dogs and cats. Vetsulin (porcine insulin zinc suspension) is the first and only FDA-approved insulin available in the U.S. for treating diabetic dogs and cats Vetsulin is a sterile aqueous zinc suspension of purified porcine insulin. Vetsulin is indicated for the reduction of hyperglycemia and hyperglycemia-associated clinical signs in dogs and cats with diabetes mellitus. Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian. Reproductive Safety: The safety and effectiveness of vetsulin (R) in breeding, pregnant, and lactating dogs and cats has not been evaluated. Use in puppies and kittens: The safety and effectiveness of vetsulin (R) in puppies and kittens has not been evaluated. Warning: User Safety: For use in animals only. Keep out of the reach of children. Avoid contact with eyes. In case of contact, immediately flush eyes with copious amounts of water for 15 minutes. Accidental injection may cause clinical hypoglycemia. In case of accidental injection, seek medical attention immediately. Exposure to product may induce a local or systemic allergic reaction in sensitized individuals. Animal Safety: Owners should be advised to observe for signs of hypoglycemia. Use of this product, even at established doses, has been associated with hypoglycemia. An animal with signs of hypoglycemia should be treated immediately. Glucose should be given orally or intravenously as dictated by clinical signs. Insulin should be temporarily withheld and, subsequently, the dosage should be adjusted, if indicated. Any change in insulin should be made cautiously and only under a veterinarian's supervision. Changes in insulin strength, manufacturer, type, species (animal, human) or method of manufacture (rDNA versus animal-source insulin) may result in the need for a change in dosage. Appropriate diagnostic tests should be performed to rule out endocrinopathies in pets that are difficult to regulate (e.g., hyperadrenocorticism in dogs and hyperthyroidism in cats). « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE This prescribed medication is shipped in a cooler with ice packs. Please note the ice packs may be melted by the time you receive your package, but they have done the job of protecting the medi ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Gentocin(R) Ophthalmic Solution (gentamicin sulfate) Gentamicin Sulfate Ophthalmic Solution is an antibiotic and is used to treat bacterial infections of the eyes. Gentamicin Sulfate Ophthalmic Solution may also be used for purposes other than those listed. Gentamicin sulfate is a water soluble antibiotic of the aminoglycoside group active against a wide variety of pathogenic gram-negative and gram-positive bacteria. Gentocin Ophthalmic Solution is a sterile aqueous solution buffered to approximately pH 7 for use in the eye. Each mL contains gentamicin sulfate equivalent to 3 mg gentamicin 2.9 mg disodium phosphate 0.1 mg monosodium phosphate 7.4 mg sodium chloride and 0.1 mg benzalkonium chloride as preservative and purified water q.s. Item Specifications: For Use: Dogs and Cats Indications: Gentocin Ophthalmic is indicated for the topical treatment of conjunctivitis caused by susceptible bacteria in dogs and cats. Dosage: Use as Directed by Your Veterinarian Warnings: An overdose of this medication is unlikely. If an overdose is suspected, seek emergency veterinary medical treatment. If the drops are ingested, give plenty of fluids and contact a veterinary emergency center for advice. Do not touch the dropper opening to any surface including eyes or hands. This medication may cause blurred vision. Do not use other eye drops or medications during treatment with Gentamicin Sulfate Ophthalmic Solution unless otherwise directed by your veterinarian. Side Effects: erious side effects are not expected. Commonly, some eye burning, stinging, irritation, itching, redness, blurred vision, eyelid itching or swelling, or sensitivity to light may occur. Continue the medication and talk to your veterinarian about any side effect that seems unusual or bothersome to your pet. Prescription items are NON-RETURNABLE and NON-REFUNDABLE « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Gentocin(R) Ophthalmic Solution (gentamicin sulfate) Gentamicin Sulfate Ophthalmic Solution is an antibiotic and is used to treat bacterial infections of the eyes. Gentamicin Sulfate Ophthalmic ...Read more »

Prescription items are NON-RETURNABLE and NON REFUNDABLE Bravecto Plus for Cats BRAVECTO(R) PLUS (fluralaner and moxidectin topical solution) for Cats offers protection against fleas, ticks and heartworms for 2 months, and treats and controls roundworms, and hookworms. This vet recommended and FDA approved topical solution for cats is the first and only U.S. product that provides protection against the Asian longhorned tick. Product Benefits: Fast-acting, safe and easy treatments BRAVECTO Plus lasts nearly 2x longer than other monthly treatments Up to 2 months of flea & tick protection with just 1 dose! Easy to use non-spill, Twist'n'Use applicator. Do not give orally. Did you know...indoor cats can get fleas and ticks too? BRAVECTO PLUS is a topical treatment for cats available in the following sizes based on your cat's weight: 2.6-6.2, 6.2-13.8 and 13.8-27.5 pounds. Discover BRAVECTO (fluralaner topical solution) for Cats a topical solution that lasts up to 12 weeks.* Available by prescription only. Proudly sourced directly from the manufacturer or their approved distributor. Guaranteed genuine and backed by the manufacturer. Uses Bravecto Plus is indicated for the prevention of heartworm disease caused by Dirofilaria immitis and for the treatment of infections with intestinal roundworm (Toxocara cati; 4th stage larvae, immature adults and adults) and hookworm (Ancylostoma tubaeforme; 4th stage larvae, immature adults and adults). Bravecto Plus kills adult fleas and is indicated for the treatment and prevention of flea infestations (Ctenocephalides felis) and the treatment and control of tick infestations [Ixodes scapularis (black-legged tick) and Dermacentor variabilis (American dog tick) and Asian longhorned tick] for 2 months in cats and kittens 6 months of age and older and weighing 2.6 lb or greater. Possible Side Effects: Vomiting, Alopecia (not at application site), Pruritus, Application site pruritus, Diarrhea, Lethargy, Dry Skin, Elevated alanine aminotransferase (ALT), Hypersalivation, Application site alopecia Important Safety Information: BRAVECTO PLUS (fluralaner and moxidectin topical solution) for Cats: The most commonly reported adverse reactions include vomiting, hair loss, itching, diarrhea, lethargy, dry skin, elevated ALT, and hypersalivation. BRAVECTO PLUS has not been shown to be effective for 2 months in kittens less than 6 months of age. For topical use only. Avoid oral ingestion. The safety of BRAVECTO PLUS has not been established in breeding, pregnant and lactating cats. Fluralaner is a member of the isoxazoline class. This class has been associated with neurologic adverse reactions including tremors, ataxia , and seizures. Neurologic adverse reactions have been reported in cats receiving isoxazoline class drugs, even in cats without a history of neurologic disorders. Use with caution in cats with a history of neurologic disorders. Use with caution in cats that are heartworm positive. The effectiveness of BRAVECTO PLUS to prevent heartworm disease after bathing or water immersion has not be evaluated. Precautions : Human Warnings: Not for human use. Keep this and all drugs out of the reach of children. Do not contact or allow children to contact the application site until 2 hours post application. Avoid contact with skin and eyes. If contact with eyes occurs, then flush eyes slowly and gently with water. Wash hands and contacted skin thoroughly with soap and water immediately after use of the product. If the product accidentally contacts skin and a sticky residue persists after washing, rubbing alcohol (70% isopropyl alcohol) can be applied to the area to remove the residue. The product is highly flammable. Keep away from heat, sparks, open flame or other sources of ignition. Storage Instructions: Do not store above 77°F (25°C). Store in the original package in order to protect from moisture. The pouch should only be opened immediately prior to use. Recommended Dosage: For prevention of heartworm disease, Bravecto Plus should be administered at 2-month intervals. Bravecto Plus may be administered year-round without interruption or at a minimum should be administered at 2-month intervals beginning at the cat's first seasonal exposure to mosquitoes and continuing until the cat's last seasonal exposure to mosquitoes. If a dose is missed and a 2-month interval between doses is exceeded, administer Bravecto Plus immediately and resume the dosing every 2 months. When replacing a monthly heartworm preventative product, the first dose of Bravecto Plus should be given within one month of the last dose of the former medication. Ingredients: 250 mg/tube Fluralaner and 12.5 mg/tube Moxidectin « Read less

Prescription items are NON-RETURNABLE and NON REFUNDABLE Bravecto Plus for Cats BRAVECTO(R) PLUS (fluralaner and moxidectin topical solution) for Cats offers protection against fleas, ticks and heartworms for 2 months, and treats and controls roundwo ...Read more »