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Look for pharmacies that are LegitScript or Vet-VIPPS (Veterinary-Verified Internet Pharmacy Practice Sites) accredited.

Avoid sites that claim "no prescription required" for U.S. customers. Buying from unverified sources carries significant risks: How to Avoid the Disasters of Counterfeit Pet Prescriptions

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A veterinarian must confirm your pet's current heartworm status via a blood test before starting or renewing a prescription.

According to reviewers from The Spruce Pets , the following are top-rated for reliability and service: Look for pharmacies that are LegitScript or Vet-VIPPS

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