Flea, tick and worm treatment
Vets charge more than double for flea and worm treatment
The same product, the same form, the same size of pet, costs 122% more from the vet than from the cheapest online pharmacy we checked. That is across 47 products and 421 practice prices compared like for like. For a dog on a monthly chew, the difference over a year is real money.
One treatment is one pipette, tablet or chew. Online packs hold several, so the pack price is divided by the number in it. We only compare a vet's price with an online one when the brand, the form (tablet, spot-on, injection) and the weight band all match, because a twelve-month injection is not a twelve-week chew. Prescription-only products need a written prescription from your vet, capped at £21 from 2027.
Product by product
Products three or more vets publish a price for.
| Product | For | Treats | Vets | From the vet | Online | Difference |
|---|---|---|---|---|---|---|
| Bravectotablet | Dogs | flea, tick | 9 (57 prices) | £40.36 | £15.73 | £25 above online |
| NexGardtablet | Dogs | flea, tick | 11 (56 prices) | £20.33 | £6.42 | £14 above online |
| Prinovoxspot-on | Dogs | flea, worm, mite | 13 (48 prices) | £11.44 | £5.72 | £6 above online |
| Simparicatablet | Dogs | flea, tick, mite | 8 (34 prices) | £22.16 | £5.08 | £17 above online |
| Milbemaxtablet | Dogs | worm, lungworm | 12 (29 prices) | £7.79 | £1.64 | £6 above online |
| Bravectospot-on | Cats | flea, tick | 5 (26 prices) | £43.08 | £27.49 | £16 above online |
| Stronghold Plus | Cats | 8 (24 prices) | £12.58 | – | ||
| Bravectotablet | Cats and dogs | flea, tick | 3 (23 prices) | £48.26 | £15.73 | £33 above online |
| Milbemaxtablet | Cats | worm, lungworm | 12 (22 prices) | £7.82 | £1.86 | £6 above online |
| Bravectospot-on | Dogs | flea, tick | 4 (20 prices) | £50.38 | £17.24 | £33 above online |
| Milpro | Dogs | 9 (18 prices) | £6.67 | – | ||
| Milpro | Cats | 9 (18 prices) | £6.38 | – | ||
| Bravectospot-on | Cats and dogs | flea, tick | 3 (18 prices) | £48.29 | £17.24 | £31 above online |
| Profender | Cats | 8 (16 prices) | £11.56 | – | ||
| Prinovoxspot-on | Cats | flea, worm, mite | 8 (16 prices) | £8.75 | £4.75 | £4 above online |
| Panacurpaste | Cats and dogs | worm | 6 (14 prices) | £7.37 | – | |
| Bravectotablet | Cats | flea, tick | 5 (14 prices) | £44.91 | £25.49 | £19 above online |
| Felpreve | Cats | 4 (12 prices) | £51.49 | – | ||
| Profenderspot-on | Cats | 4 (12 prices) | £11.17 | £5.22 | £6 above online | |
| Effipro sprayspray | Cats and dogs | 4 (12 prices) | £68.10 | – | ||
| Bravectoinjection | Dogs | flea, tick | 2 (11 prices) | £137.27 | – | |
| Drontaltablet | Dogs | worm | 4 (10 prices) | £18.75 | £7.24 | £12 above online |
| Profender | Cats and dogs | 3 (9 prices) | £11.09 | – | ||
| Droncitspot-on | Cats and dogs | 1 (9 prices) | £8.40 | £3.37 | £5 above online | |
| Credeliotablet | Cats | flea, tick | 5 (8 prices) | £9.96 | £4.25 | £6 above online |
| Drontaltablet | Cats | worm | 4 (8 prices) | £6.79 | £2.51 | £4 above online |
| Stronghold / Stronghold Plusspot-on | Cats and dogs | flea, worm, mite, tick | 7 (7 prices) | £11.57 | £5.35 | £6 above online |
| Droncit | Cats and dogs | 6 (6 prices) | £5.15 | – | ||
| Stronghold Plus | Cats and dogs | 2 (6 prices) | £10.79 | – | ||
| Drontalpaste | Dogs | worm | 3 (6 prices) | £47.93 | – | |
| Credeliotablet | Dogs | flea, tick | 1 (5 prices) | £7.77 | – | |
| Milprotablet | Cats and dogs | 1 (5 prices) | £6.85 | £1.76 | £5 above online | |
| Felprevaspot-on | Cats | flea, tick, worm | 5 (5 prices) | £40.30 | £32 | £8 above online |
| Panacurspot-on | Cats and dogs | worm | 4 (4 prices) | £52.20 | – | |
| Prinovoxspot-on | Cats and dogs | flea, worm, mite | 1 (4 prices) | £14.05 | £4.75 | £9 above online |
| Panacurpaste | rabbit | worm | 4 (4 prices) | £14.45 | – | |
| Droncittablet | Cats and dogs | 4 (4 prices) | £4.51 | – | ||
| Stronghold Plusspot-on | Cats and dogs | 1 (4 prices) | £30.38 | £3.83 | £27 above online | |
| NexGardtablet | Cats | flea, tick | 2 (4 prices) | £26.51 | – | |
| Credeliotablet | Cats and dogs | flea, tick | 3 (4 prices) | £23 | £4.25 | £19 above online |
| Milprazontablet | Dogs | 2 (4 prices) | £4.54 | £2.50 | £2 above online | |
| Stronghold / Stronghold Plusspot-on | Cats | flea, worm, mite, tick | 3 (3 prices) | £8.89 | £4.16 | £5 above online |
| Lungworm tabletstablet | Cats and dogs | 1 (3 prices) | £18 | – | ||
| NexGardspot-on | Cats | flea, tick | 2 (3 prices) | £15.08 | £9 | £6 above online |
| Advocatespot-on | Dogs | flea, worm, lungworm, mite | 1 (3 prices) | £6.17 | £4.46 | £2 above online |
| Prazemo | Cats | 1 (3 prices) | £11.28 | – | ||
| Milprazontablet | Cats | 2 (3 prices) | £5.47 | £2.63 | £3 above online |
"From the vet" is the average of the practices' own published prices for one treatment. "Online" is the cheapest price per treatment we found at Pet Drugs Online on the date in the sources below. Pack sizes and weight bands vary, so check the pack before you buy.
The biggest gaps
Where a practice's own published price is furthest above the online price for the same product.
| Vet | Town | Product | This vet charges | Online | Difference |
|---|---|---|---|---|---|
| Coquet Vets | Morpeth | Stronghold Plus 2.5 - 5 kg | £37.06 | £3.83 | £33 above online |
| Coquet Vets | Morpeth | Stronghold Plus 5 - 10 kg | £38.25 | £4 | £34 above online |
| Coquet Vets | Morpeth | Credelio < 2 kg (6-pack) | £35.67 | £4.25 | £31 above online |
| Coquet Vets | Morpeth | Credelio 2 - 8 kg (6-pack) | £35.67 | £4.25 | £31 above online |
| Coquet Vets | Morpeth | Simparica 5 - 10kg, 3-pack | £43.27 | £5.59 | £38 above online |
| Coquet Vets | Morpeth | Simparica 10 - 20 kg, 3-pack | £46.08 | £5.99 | £40 above online |
| Coquet Vets | Morpeth | Simparica 2.5 - 5kg, 3-pack | £39.04 | £5.16 | £34 above online |
| Coquet Vets | Morpeth | Simparica 20 kg - 40 kg, 3-pack | £53.04 | £7.32 | £46 above online |
| Coquet Vets | Morpeth | Simparica > 40 kg, 3-pack | £60.01 | £8.33 | £52 above online |
| Coquet Vets | Morpeth | Stronghold Plus < 2.5 kg | £35.86 | £5.35 | £31 above online |
| Coquet Vets | Morpeth | Simparica 1.3 - 2.5 kg, 3-pack | £31.50 | £5.08 | £26 above online |
| Builth Wells Veterinary Practice | Builth Wells | NexGard <2.5kg (box of 3) | £39.77 | £6.42 | £33 above online |
| Coquet Vets | Morpeth | Droncit 7.5 - 10 kg (1 tablet per 2.5kg) | £20.28 | £3.37 | £17 above online |
| Two Counties Vets | Doncaster | Milbemax cat | £9.72 | £1.86 | £8 above online |
| Rutland & Kings Veterinary Centre Syston | Leicester | Milbemax Dog 5-25kg | £12.26 | £2.43 | £10 above online |
| Rutland & Kings Veterinary Centre Uppingham | Uppingham | Milbemax 5-25kg dog | £12.26 | £2.43 | £10 above online |
| Rutland & Kings Veterinary Centre Market Harborough | Market Harborough | Milbemax Dog 5-25kg | £12.26 | £2.43 | £10 above online |
| Rutland & Kings Veterinary Centre Melton | Melton Mowbray | Milbemax Dog 5-25kg | £12.26 | £2.43 | £10 above online |
| Rutland & Kings Veterinary Centre Oakham | Barleythorpe | Milbemax Dog 5-25kg | £12.26 | £2.43 | £10 above online |
| Rutland & Kings Veterinary Centre Priors Hall | Weldon | Milbemax Dog 5-25kg | £12.26 | £2.43 | £10 above online |
| Coquet Vets | Morpeth | Milpro > 2 kg | £8.39 | £1.76 | £7 above online |
| Animal Angels (AA Dog Rescue) | Chelmsford | Milbemax Cats/kittens, per tablet | £8.80 | £1.86 | £7 above online |
| Rutland & Kings Veterinary Centre Oakham | Barleythorpe | Milbemax Cat 2-8kg | £11.31 | £2.43 | £9 above online |
| Rutland & Kings Veterinary Centre Melton | Melton Mowbray | Milbemax Cat 2-8kg | £11.31 | £2.43 | £9 above online |
| Rutland & Kings Veterinary Centre Priors Hall | Weldon | Milbemax Cat 2-8kg | £11.31 | £2.43 | £9 above online |
How to use this
Ask your vet for a written prescription for the product your pet already uses, then buy it from a registered online pharmacy. The practice can charge for the prescription, and from 2027 that fee is capped at £21 for the first product and £12.50 for each extra one on the same prescription. On a dear product for a big dog, a year's supply bought online can save more than the prescription costs several times over. On a cheap product for a cat, it may not be worth the bother.
Two things to check. First, that the online pharmacy is registered with the Veterinary Medicines Directorate; the registered ones show the VMD logo. Second, that you are buying the same product for the same weight band, because the cheapest listing is sometimes a different size.
None of this is a reason to skip the vet. Which product your pet needs, and whether it needs one at all, is a clinical question. The rules only say that once that decision is made, you can buy the product wherever you like.
Common questions
Is it cheaper to buy flea treatment online than from the vet?
Usually, yes. Across the 47 products we can compare, one treatment costs a typical 122% more from the vet than from the cheapest online pharmacy selling the same thing: £17.04 against £7.24. The gap is widest on Credelio, at 739%. For prescription-only products you need a written prescription from your vet, which costs at most £21 from 2027, so the saving is worth having on a dear product for a big dog and often not on a cheap one for a cat.
Why do vets charge more for the same box?
A practice buys in smaller quantities than a national pharmacy, and the price pays for having it on the shelf when you are already there, along with the check that the product suits your pet. The regulator's complaint was not the mark-up itself. It was that owners were not told it existed, could not see the price before they arrived, and were not told they could ask for a prescription and buy elsewhere. Practices now have to publish these prices, and this page is what that looks like.
Do I have to buy the flea treatment my vet sells?
No. Ask for a written prescription and buy the same product from a registered online pharmacy, or from another vet. Your practice can charge a prescription fee, which is capped at £21 from 2027 and has to be on its published price list. Products sold without a prescription, such as some worming tablets, collars and sprays, can be bought anywhere without asking.
About these prices: each figure is as published on the practice's own website on the date shown, VAT included where the practice says so, for the size of pet and the inclusions stated. Practices now have to publish a standard price list and keep it current (the rules), but the price you pay depends on your pet, so confirm with the practice before you book. Spotted a mistake? Tell us and we will re-check the source within two working days.
Practice prices come from each practice's own published flea, tick and worm price list, which the rules now require. Online prices are read from Pet Drugs Online's public product pages. This page is not veterinary advice: which product your pet needs is a question for your vet.