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I found this interesting and would like to know your thoughts....
Recently the grocery store chain Kroger announced that they will stockand sell veterinary prescription drugs including heartworm prevention,flea control medications, and antibiotics. Online pharmacies advertiselow-priced prescription veterinary medications almost every time I turnon the television. 

How do vets feel about this? 

Before I go any further, let me introduce myself for those of you thatdon't know me. I'm the Irreverent Veterinarian. I speak my mind andgive you my honest opinion. I won't sweet-talk you or sugarcoat thetruth. I tell it like it is to everyone– you, the drug companies, the petproduct manufacturers, professional breeders ,and pet owners. Some might say that I'm truthful to a fault, and some people who read mycolumns get really angry. It is hard hearing the truth. 

To be honest, the online pharmacy and grocery store pharmacies issue is a tough one. Personally I'm torn. This iswhy. 

Contrary to what many people think, veterinarians don't have huge margins on their services. It's extremely expensiveto run a veterinary hospital or emergency vet clinic and the doctors certainly aren't making millions once the bills arepaid. Do veterinarians make money on medications? Yes, they do. Do they make a lot? No, they don't. But every bithelps. 

Price is usually the reason that owners choose to buy pet medications at discount chains. I can see how pet owner would want to get the lowest price possible on their pets medications. However, if you check with many vet clinics their prices are often very close to the online pharmacies. Many vets will even match the price. Getting the lowest price can be important – especially in this economy. 

One thing that you're getting when you buy medications from a vet is the knowledge that the medications have been properly sourced and stored. One thing I like about getting prescriptions from a vet is that the quality and safety is generally guaranteed unless something goes really wrong. The products come directly from the manufacturer or a legitimate distributor who can assure the quality of their product. They also are stored appropriately. I've seen inappropriately stored drugs (such as those in wet or high heat environments) actually inactivate and ruin the product. Unless you know how the medications should be stored it can be easy to ruin them. 

In general, I prefer for medications to come from a vet rather than the online pharmacies. There is a lot of controversy on the quality and quality control of online meds. I've read several reports of people ordering medications online and finding they are counterfeit. 

In fact –the FDA began an investigation into stopping sales of numerous counterfeit pet pesticides. The investigation covered many products from discount stores and online companies and included products such as Advantage and Frontline (two common flea control products). The report documented over 44,000 cases of harm to pets due to toxicity levels or inappropriate use of products sold over the counter rather than obtained from veterinary clinics. 

The packaging of counterfeit products can look nearly identical to the real thing– and it's generally printed with text and logos to appear as if it were an FDA approved product. Many of these products are made in India and China in facilities not under the same regulations as those in the US. This includes medications promoted as Canadian. 

In researching this topic I found out that 85% of "Canadian" drugs come from 27 countries around the world that have little or no regulation. China and India account for 70% of global pharmaceutical ingredient production and their safety and regulatory stands are described as "extremely poor." In 2011, Interpol collaborated with enforcement from almost 80 countries and identified a significant number of fake pharmacy websites as part of organized crime organizations. Wow – I personally had no idea. 

In summary , unless you know exactly where the medication is coming from, these products potentially pose a significant health risk to pets. 

According to the National Association of Boards of Pharmacy, 96% of web site pharmacies are illegal or in violation of FDA regulations. The drugs may be past their expiration dates, counterfeit, mislabeled, adulterated or contaminated. I actually talked to a man that worked at a company that relabels expired drugs – yes ,repackaging them with new expiration dates. This practice is highly illegal, dishonest, and honestly scary. 

My Final Thoughts on Online and Grocery Store Pharmacies

As a professional, I want the best for pets. Most vets carry the medications that are guaranteed to be safe and effective. Vets also ensure that you get the correct dose for the age and weight of your pet-especially important for senior, young, or small-breed pets. 

Many vets understand financial pressures and will frequently price-match their medications. Even if they don't, I really think the small premium you pay through your vet is worth it to ensure the quality and safety of a product. Remember: your pet's life could be at stake. 

Disclaimer

The Irreverent Vet is a columnist that regularly contributes to PetPlace.com. The goal is to add a balanced and alternative view of some controversial pet issues. As happens with all of us, veterinarians can't always say what they really think without offending some clients. This commentary allows vets to say what they think and give you, the pet owner, the opportunity to consider another point of view. All opinions are those of the Irreverent Vet and not the views of PetPlace.com and are not endorsed by PetPlace.com.


References:
http://www.fda.gov/Drugs/DrugSafety/ucm170594.htm 

http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedic...

http://today.msnbc.msn.com/id/44717398/ns/today-today_health/t/more...

http://www.foxnews.com/health/2011/09/29/pfizer-pharmacy-group-warn... 

http://www.guardian.co.uk/business/2011/sep/29/fake-drugs-seized-op... 

http://mobile.nation.co.ke/News/Experts+warn+of+rise+in+fake+medici... 

t-especially important for senior, young, or small-breed pets. 

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The best part is that our town offers free hazardous waste disposal containers for no charge, for people who give shots themselves at home. When the container is full, you bring it in and they give you a new one. So I now bring that with me every time JD gets a shot at the regular vet's office, lol.

My DD worked at a dental office some years back, and the total monthly charge for hazardous waste pickup was $50. Think how many shots are given at vet's offices. Many people never go there except to get a vaccination. At $9 per injection, I think the vet's kids can go to veterinary school.

That is all interesting. I like the free hazardous waste idea in your town.

I agree with F here.  My preference would be to buy all meds, pet or human from a pharmacy whether that is a large or small one.   I don't like the idea of buying meds from a prescribing Doctor or vet.  My Doctor doesn't sell me medicine and neither should the vets.  A prescription is what I need.   How do I know they are not selling particular drugs because they can make more profit from them. 

I was just thinking about ordering Daisy's Heartguard on line somewhere - wouldn't it be wonderful if the Vet would write me a prescription and I walked into the local Pharmacy and had it filled....why can't that happen?

I wonder what would happen if you asked.  Since your new Vet is a drive away what's to stop the vet sending you a script for the Heartguard or do they need to do an examination first?

they need the examination (blood test), which she had on Saturday....currently I have two more doses left so that would be ideal.

My vet will fax prescriptions for Heartgard to Foster & Smith. But I wonder if human pharmacies even carry it.

I know that the Pharmacies here can order any drugs in and have them within a day.

Karen, do you actually do this, order from Foster and Smith?

I was, but I had a very bad experience with them. I got a shipment of Heartgard that was not a sealed box, but rather several different bits and pieces from several different packages, all with different expiration dates and lot numbers, like they sent me some leftovers from opened boxes they were trying to get rid of before the expiration dates ran out. Some of the pieces would have expired before i could use them. I sent it all back and started buying through my vet. If you figure out the savings per month, it just isn't worth a couple of dollars to take a chance with that.

I have had good experiences with 1-800 petmeds and I do order from them. Nothing like Karen has mentioned and the prices are good.

Because it is not a human medication. Humans do not get heartworms.

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