The Best Pet Meds Without Vet Prescription: A Pros and Cons List (2024)

Many medicines are available over-the-counter, from flea and tick preventives, vitamins, and eyewashes to CBD oil, probiotics, and joint supplements. In this article, we will talk about pet meds without vet prescription.

OTC medications for pets do not require a prescription from a licensed veterinarian and can be conveniently ordered from a reputable online pet pharmacy. Plus, they are often budget-friendly.

However, not every over-the-counter medication is safe and efficient for pets. From counterfeit products to illegal online pharmacies, the world of OTC pet meds can be tricky. Keep reading to learn what meds are safe to buy and from where.

Table of Contents

Do All Pet Meds Require a Prescription?

The Best Pet Meds Without Vet Prescription: A Pros and Cons List (1)

No, not all pet meds require a veterinary prescription. Basically, all pet medications can be classified into two groups:

  • Over-the-counter medications – pet medications that do not require prescriptions are often not as potent as most prescription drugs. This usually includes pet care products, dewormers and parasite preventives, supplements, and meds with low potency.
  • Prescription pet medications – stronger medications like antibiotics, potent analgesics, and sedatives that can have adverse side effects (like sedation, tachycardia, and respiratory depression) and should not be used in conjunction with other drugs.

Types of Over-the-Counter Pet Meds

Many over-the-counter meds are safe for pets, including home remedies and even certain human drugs. However, just because something is sold over-the-counter does not mean it is safe for pet consumption.

For example, Tylenol (Acetaminophen) is an OTC drug that must never be used in pets, while Pepto Bismol is safe for dogs but not for cats. To ensure your pet’s safety, we will briefly go through the safe over-the-counter pet meds.

Heartworm Medications. Among the most commonly bought pet products are the heartworm preventives like Heartgard and Revolution. Some of these preventives protect strictly from heartworms, while others feature various active ingredients and have broader efficiency (they also kill certain intestinal worms).

Get it on Chewy

Flea and Tick Treatments. Another popular OTC product is flea and tick preventives. There are dozens of brands offering products for protection against external parasites. While many are available over-the-counter (Frontline and Advantix), others like Trifexis and Comfortis are FDA regulated, meaning they require vet prescription.

Get it on Chewy

Vitamins and Minerals. Pet foods are made to be nutritionally balanced and rich in vitamins and minerals. However, certain dogs and medical conditions require higher levels of these nutrients. Usually found in the form of supplements, vitamins, and minerals for dogs are sold over-the-counter and available in online stores and veterinary clinics.

Ear and Eye Wash. Pets are prone to ear and eye problems and could benefit from regular cleaning and maintaining superior ear and eye hygiene. Eye and ear wash solutions are OTC pet care products every pet owner must use. Vets Preferred offers a great line of ear and eye washes.

Prescription-Required Medication

Only a licensed vet is allowed to prescribe certain classes of pet medications. These include antibiotics, pain medications, anti-seizure drugs, heart and blood pressure meds, antidepressants, sedatives, blood thinning, or clotting agents.

In such cases, in addition to providing pet prescriptions, the veterinarian will give instructions on how to use the medications and carefully monitor your pet’s response to the new drugs.

Keep in mind that you can purchase your pet’s prescription medicines online – you just need a valid prescription and a reputable online pet pharmacy.

How to Safely Buy Your Pet’s Medications Online

The Best Pet Meds Without Vet Prescription: A Pros and Cons List (2)

Purchasing your pet’s medications online is simple, time-saving, and convenient. On the other hand, it is not uncommon for illegal online pharmacies to be selling falsely marketed pet meds or counterfeit products.

So, is it possible to enjoy the straightforwardness of online shopping without risking your pet’s health and wellbeing (and your personal information)? Luckily, it is – just follow the tips below.

Choose a Pharmacy Approved by the National Association of Boards of Pharmacy. Since 1999 there is a Verified Internet Pharmacy Practice Sites accreditation program working under the National Association of Boards of Pharmacy (NABP). The program ensures the prescription meds are responsibly sourced and dispensed. For online pet pharmacies, the accreditation program is called Vet-VIPPS (Veterinary-Verified Internet Pharmacy Practice Sites).

Ensure that the Online Pharmacy is Located Within the United States. Always check whether the online pharmacy is located in the US (has a street address somewhere within the United States) and licensed by your state board of pharmacy. The state licensing is essential as it guarantees the pharmacy obeys federal laws (and sometimes even international laws) of safety and quality.

Choose a Pharmacy that Requires Authorization From Your Veterinarian for Medications. Under the Federal Food Drug and Cosmetic Act, online pet pharmacies cannot sell veterinary prescription medications without a valid prescription from a licensed vet. Therefore, when an online pet pharmacy sells non-over-the-counter products without a prescription, the too-good-to-be-true offer could be a scam. Never purchase from such sites.

If your pet experiences issues with an online purchased medication, contact the manufacturer. Alternatively, if you encounter irregularities while online shopping for pet meds, please report the problem to the Food and Drug Administration (FDA) Center for Veterinary Medicine (CVM).

The Best Online Pet Meds Stores

Ready to visit an online pet med store? Well, there are lots of internet sites you can check out for convenience and lower prices. Let’s take a closer look at the best online pet pharmacies.

PetCareRx. PetCareRx is all about happier and healthier pets. This trustworthy online pet pharmacy is convenient and for easy navigation separates pet meds into two main categories – prescription medications and over-the-counter products The site also offers a well-researched section with pet advice and detailed pet medication guides.

Walmart Pet Rx. Walmart is more than a leading retailer, it is also one of the best places for online pet meds shopping. Described as an “easy, convenient, and affordable resource”, this online pharmacy is easily navigated and offers thorough descriptions and usage instructions for every medication. Walmart Pet Rx offers generic and name brands.

1-800-PetMeds. This is a reputable and respected online pet pharmacy offering prescription medications for dogs, cats, and horses. The site contacts your vet’s office to confirm the prescription or you can have its copy shipped. Conveniently, 1-800-PetMeds offers a 100 percent product guarantee, price match, and free shipping for orders over $49.

Petco. Petco’s online pharmacy allows fast and convenient filtering based on pet (dog or cat), type of medication, brand, and price range. Plus, it offers a price match guarantee and practices discounts and budget-friendly deals.

Chewy. In addition to offering a wide range of pet products, Chewy has a pet pharmacy that is easy to use and navigate. The Chewy online pharmacy is also budget friendly as it has generic options for many medications. However, you still need your vet’s prescription. Chewy offers online services but it cannot issue prescriptions.

Holistic Alternatives and Natural Supplement Options

Holistic and natural supplements (also known as nutraceuticals) are available over-the-counter as they are generally considered safe and rarely cause any side effects. Here is a short review of the most popular and health-boosting holistic alternatives and natural supplement options for pets.

Hip and Joint Supplements. Arthritis products for dogs are one of the most frequently bought supplements for pets. They can be used both for preventing and managing hip and joint issues. We advise trying the Honest Paws Mobility Powder. The supplement contains several joint-friendly ingredients such as Green Lipped Mussels, fish oil, hyaluronic acid, chondroitin sulfate, glucosamine HCL, Boswellia serrata, MSM, manganese gluconate, and vitamin C.

CBD Oil. Full-spectrum cannabidiol products are used by pet owners worldwide to manage an array of issues – from supporting general health and preventing arthritis pain to combating allergies and providing relief for cancer patients. Today, there are pet CBD oils, CBD treats, and CBD edibles. We recommend the Honest Paws CBD products – they are human-grade, organic, hemp-sourced, and conditions-specific.

Probiotics. Available over-the-counter and with various health benefits, probiotics are increasingly popular among pet owners. Pet probiotics support gut health, boost the immune system, help with allergies, and improve mood. Plus, they come in different forms (pills, powders, liquids) and pet-friendly flavors (chicken, beef, fish). We suggest using the Honest Paws Pre + Probiotic Supplement, which contains several probiotic strains and prebiotics.

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Turkey Tail Mushroom. Antioxidants strengthen the immune system and support efficient and natural detoxification. Turkey Tail Mushrooms are an amazing source of antioxidants and come with additional health benefits. We consider the Honest Paws Turkey Tail Mushroom Blend to be of superior quality as it contains four different healthy and organic mushrooms – Turkey Tails, Reishi, Shiitake, and Maitake.

Our Final Thoughts on Pet Meds Without Vet Prescription

The Best Pet Meds Without Vet Prescription: A Pros and Cons List (4)

We understand that vet bills are high, and most pet meds come with hefty price tags. Luckily, there are a few pet medications you can purchase without a veterinary prescription and at lower prices.

While we do not suggest you should always take OTC drugs over prescription medications, it is comforting to know that there are suitable alternatives for certain situations. Since this article is purely informative, please consult with your veterinarian before using an OTC product for your pet.

The Best Pet Meds Without Vet Prescription: A Pros and Cons List (2024)

FAQs

Why do vets charge so much more for prescriptions? ›

Any medicine you get from a vet will have multiple markups applied from the wholesaler and at the vet surgery. This is implemented to cover the costs of stocking and supplying the medication.

Can I get antibiotics for my dog without seeing a vet? ›

Can I get antibiotics for my dog without seeing a vet? Yes, there are antibiotics that you can get without a vet prescription. Can you get antibiotics at a pet store? Many pet stores, including online pet stores, carry antibiotics that are safe to use for dogs.

Can I get a prescription without seeing a vet? ›

How do I get a prescription? You will need to ask your vet. The law changed in 2005 requiring vets to allow their clients to buy medicines from the supplier of their choice. Your vet will be familiar with this procedure and will provide a signed prescription on request.

Why do I need a veterinary prescription? ›

Q: Why do I need a prescription? A: When you are given a prescription for a medication for your pet, it means that your veterinarian has made a decision that the medication is recommended or necessary to treat your pet's health problem.

Are pet health plans worth it? ›

Is it worth the money? If you take advantage of all the benefits of a Pet Health Plan, they can work out very good value and save you money. In comparison to if you were paying individually for vaccinations and veterinary licensed flea and worming treatments.

How long does a vet prescription last? ›

How long does a prescription last? A standard veterinary prescription is valid for up to 6 months from the date signed on the prescription. A vet may specify a shorter expiry date; however, this should be for clinical reasons only.

What is a natural antibiotic for a dog? ›

The top natural antibiotics for effectively treating a dog's bacterial infection include manuka honey, turmeric, coconut oil, and apple cider vinegar. If you want an extremely easy way to treat your best pal's bacterial infection, consider giving it turmeric supplements.

What over the counter antibiotics are safe for dogs? ›

Neosporin® is a common topical antibiotic used on minor cuts and scrapes. This ointment is pretty safe in dogs and should be in every first aid kit.

Is human amoxicillin the same as dog amoxicillin? ›

Human Amoxicillin Not the Same as Pet Amoxicillin

Mahaney, veterinary-specific medicines are the best option. The dangers of giving your dog human-grade amoxicillin, he says, include the potential to expose your dog to components of the drug that are “inappropriate” or “potentially toxic.”

Can I get an online prescription for my dog? ›

Yes, virtual vets can prescribe medicine online. This is known as vet telemedicine, which is a remote way of connecting a pet with a vet who can reach a diagnosis, write prescriptions, administer treatment, and provide ongoing care.

Does Baytril require prescription? ›

Baytril is a prescription broad-spectrum antibiotic in the quinolone class used in cats and dogs to treat bacterial infections of the urinary tract, skin, and other organs.

What does gabapentin do to dogs? ›

Gabapentin is a medicine given to dogs to control and treat seizures, help with pain, and assist with treating anxiety. Different doses of gabapentin can be administered according to the pet's needs. Some adverse effects of gabapentin include lethargy, diarrhea, and anxiety.

Is pet gabapentin the same as human gabapentin? ›

Although gabapentin functions pretty much the same in humans and dogs, we still shouldn't give medication prescribed for one to the other. This is always a good rule of thumb. If your dog has been prescribed gabapentin, it's because they need it.

Can a vet write a prescription for their own pet? ›

A: The AVMA's Principles of Veterinary Medical Ethics require a veterinarian-client-patient relationship (VCPR) before a veterinarian can write a prescription for an animal patient. In addition, most states have laws that specifically require a VCPR for a veterinarian to be able to write a prescription.

Is trazodone for dogs the same as for humans? ›

Trazodone for dogs is the same as the drug used by people. It was developed and designed for humans but is prescribed off-label for dogs. Veterinarians often prescribe Trazodone to help with severe behavioral issues like fear, aggression, and anxiety. It's usually only used when all other options have been exhausted.

Is it worth insuring an old dog? ›

If you signed up for lifetime pet insurance when your dog was relatively young and healthy it is almost certainly worth renewing that policy each year now that your dog is old, because this type of policy should cover the vet's bills for most of your pet's medical conditions.

Do Vets for pets do a payment plan? ›

We've been with CarefreeCredit for over a year. It's great for the veterinary team as we can now offer a payment plan to help our uninsured clients and allow their pets to receive the care they need without exposing the practice to the risk of non-payment.

Is PetPlan insurance expensive? ›

PetPlan aren't cheap. In fact, they're among the most expensive pet insurers. How much you'll pay depends on; Your pets breeds.

How can I save money on my pet prescription? ›

There is a Way to Save Money on Pet Prescriptions

If your pet is prescribed medication, ask your veterinarian if the drug is also indicated for humans. If so, you may be able to purchase the medication at a retail pharmacy, using a prescription drug coupon to save up to 80%.

What does Om mean on a prescription? ›

o. m. = omni mane (every morning) o. n. = omni nocte (every night) p. c. = post cibum (after food) p. r. n. = pro re nata (when required) q. d. s. = quater die sumendum (to be taken four times daily)

How many items can a vet put on a prescription? ›

There is nothing to prevent more than one medication (or animal) being included on a written prescription. However, where multiple medicines and animals are noted on one prescription it must be explicit which medicine is for which animal.

How can I fight my dog's infection naturally? ›

Natural Alternatives For Pharmaceutical Antibiotics
  1. Oil Of Oregano. Oregano oil has earned media attention for its use in chicken feed. ...
  2. Manuka Honey. Manuka honey hails from New Zealand and Australia. ...
  3. Olive Leaf. ...
  4. Essential Oils. ...
  5. Garlic. ...
  6. Plantain. ...
  7. Goldenseal. ...
  8. Yarrow.
10 Dec 2021

Is apple cider vinegar good for dogs? ›

Apple cider vinegar is made from just apples and water, making it completely safe for dogs. It is slightly acidic, with a pH of 3.1 to 5, which gives it properties that can soothe a dog's overly alkalized digestive tract.

Is honey a good antibiotic for dogs? ›

Raw Honey Reduces Gastrointestinal Upset in Dogs

Some veterinarians suggest honey for dogs to help control minor stomach ulcers, since honey's natural antibacterial properties can help destroy bacteria that may be causing the ulcer.

What is a natural antibiotic? ›

Ginger. The scientific community also recognizes ginger as a natural antibiotic. Several studies, including one published in 2017 , have demonstrated ginger's ability to fight many strains of bacteria. Researchers are also exploring ginger's power to combat seasickness and nausea and to lower blood sugar levels.

What can you give a dog for pain relief at home? ›

Natural Pain Relief for Dogs
  • Hot and Cold Therapy.
  • ​Ginger.
  • Turmeric.
  • Boswellia.
  • Devil's Claw.
  • CBD Oil.
  • Acupuncture.
  • Fish Oil.

Is coconut oil a natural antibiotic for dogs? ›

Coconut oil is considered to have natural antibacterial, antiviral, and antifungal properties,8 so if your dog has cracked pads or other minor cuts or bruises, it can be safely used as a natural topical antibiotic to help heal and soothe those wounds.

What human antibiotics can I give my dog? ›

Dog antibiotics and human antibiotics are, often, one in the same drug. But not always.
...
That said, the following antibiotics are safe for both humans and dogs:
  • Amoxicillin.
  • Cephalexin.
  • Ciprofloxacin.
  • Clavamox.
  • Otomax.
  • Penicillin.
  • Tetracycline.

Can you give dogs human amoxicillin for infection? ›

Amoxicillin 500mg dosage used in humans can be fatal in pets. In dogs and cats, the typical dose of amoxicillin ranges from 5 to 12 mg per pound (10 to 25 mg / kg), two or three times a day.

Can humans take amoxicillin for animals? ›

Absolutely. Dogs, cats, horses, and sheep regularly take the same medicines as wounded bipedals. Many, and perhaps most, antibiotics are approved for use in humans and animals.

Can I buy amoxicillin for my dog? ›

Amoxicillin is a broad-spectrum penicillin antibiotic used to treat various infections caused by susceptible strains of bacteria. Amoxicillin is sold per capsule or per tablet and requires a prescription from your veterinarian.

Can I use Benadryl instead of Apoquel? ›

To recap: Apoquel may work better for long-term solutions to pruritus, but Benadryl will be fine in a pinch until you can get something better.

Can I buy veterinary medicine online? ›

1-800-PetMeds is one of the best-known online pet pharmacies, offering prescription medication for dogs, cats, and horses.

Can Baytril cause kidney failure in dogs? ›

The most likely side effects seen in some ani- mals given enrofloxacin are stomach upset, vom- iting, and a lack of appetite. Seizures and kidney damage can occur in ani- mals that are dehydrated.

How much does Baytril cost? ›

This drug is supplied as an oral, chewable tablet. 0.15, 100GM of Powder of Enrofloxacin costs about $42.89 but you can use a Enrofloxacin coupon from SingleCare and pay $220.09 instead. Our coupons are easily accessible on our websites and can be used for multiple refills.

What are side effects of Baytril in dogs? ›

Enrofloxacin (Baytril) is an antibiotic used to treat difficult bacterial infections in pets.
...
Enrofloxacin may result in these side effects:
  • Loss of appetite.
  • Vomiting.
  • Diarrhea.
  • Lethargy.
  • Convulsions.
  • Seizures in pets with CNS disorders.
  • Cataracts if given long-term.
7 Nov 2012

What can I give my dog instead of gabapentin? ›

Lyrica. Lyrica is similar to gabapentin in that it blocks the release of neurotransmitters. Two potential benefits of Lyrica are improved bioavailability (the amount of the drug that enters the bloodstream) and a longer half-life. That means your dog can take it twice a day if recommended by your veterinarian.

What does flagyl treat in dogs? ›

Metronidazole (brand name Flagyl®) is an antibacterial and antiprotozoal agent used in the treatment of certain anaerobic bacterial and protozoal infections, such as those caused by Giardia and Trichomonas. It is often used to treat diarrhea and other intestinal problems.

Can I give my dog human gabapentin? ›

Never give a dog the commercially available liquid form of gabapentin made for humans. This preparation contains xylitol, the sweetener that's commonly used to sweeten sugar-free gum. Xylitol is extremely toxic, even deadly, for dogs.

Is tramadol for dogs the same as humans? ›

humans: is it the same? Tramadol is one of the few medications that can be used for humans and dogs while still having similar effects. In most cases, it's the same drug with different amounts for people and animals. That said, you should never give your dog “human tramadol” if you have it.

Can gabapentin cause hind leg weakness in dogs? ›

As pets age, their efficiency at metabolizing gabapentin can wane and side effects may reappear again, especially hind leg weakness.

Is gabapentin a strong painkiller? ›

by Drugs.com

Gabapentin is commonly used to treat some types of nerve pain but is classified as an anticonvulsant medicine, not as an opioid or painkiller.

Why do vets charge so much for prescriptions? ›

Any medicine you get from a vet will have multiple markups applied from the wholesaler and at the vet surgery. This is implemented to cover the costs of stocking and supplying the medication.

Why do vets charge for prescriptions? ›

As the veterinary market is quite small, veterinary drugs are often expensive. Drug research and development often costs millions and manufacturers need to recoup this cost. The veterinary market is an eighth of the size of the human medicine market, so prices are set relatively high to make a profit.

Why do pet medications require a prescription? ›

Q: Why do I need a prescription? A: Many prescription drugs are only effective for specific problems and may be harmful to your pet if used without a veterinary examination and diagnosis.

How bad is trazodone for dogs? ›

Trazodone is considered to be quite safe to use in dogs, causing only mild and rare side effects. In the majority of cases, the dog will become more sedated or lethargic than expected. In some dogs, the drug may cause mild excitation or anxiety, and quite rarely this anxiety might result in aggressive behavior.

How does trazodone make dogs feel? ›

Trazodone can be an effective way to help your dog feel more relaxed and calm. As trazodone in dogs has sedation and anxiolytic effects, it can be a good option for dogs that are fearful when coming to the vet or during thunderstorms and fireworks.

What are the long term side effects of trazodone? ›

Trazodone Long Term Side Effects
  • Decreased serum sodium levels (hyponatremia) and associated symptoms (headache, concentration problems, memory problems, confusion, weakness, unsteadiness, increased fall risk).
  • Serotonin syndrome.
  • Confusion.
  • Angle-closure glaucoma.
  • Blurred vision.
  • Hypotension.
  • Fainting.
6 Jul 2022

How much do UK vets charge for a prescription? ›

Prescription only Medicines

A prescription may not be appropriate if your animal is an in-patient or immediate treatment is necessary. As from January 2022, the charges for issuing a written prescription are as follows: £25.50 (inc VAT) for the first item. £19.30 (inc VAT) for each and every subsequent item.

Why do vets charge for scripts? ›

You will be charged a prescription fee to prepare the script, which includes the veterinarian accessing records, determining whether the script is appropriate and the record keeping that is required.

Can you take a vet prescription to a chemist UK? ›

Providing a vet prescription meets all legal requirements, a supply of drugs from the pharmacy can be made. A vet prescription is treated in the pharmacy the same as a private prescription.

Why have vets become so expensive UK? ›

Lots of new diagnostic and imaging equipment is being used, and new treatments introduced, says Sean Wensley, president of the British Veterinary Association. "These advances are expensive and there is no NHS for animals. And most veterinary surgeries are small to medium-sized businesses that can't absorb these costs."

Do all vets charge the same price? ›

Two vets may be charging around the same amount for any given treatment. But pet owners have to rely on their vets being honest about what treatments are actually required. An unscrupulous vet could recommend all sorts of expensive procedures and tests.

Can I get vet prescription online? ›

If you visit an in-person vet, you can often ask them to send a prescription to an online pet pharmacy such as Chewy.com or 1-800-Pet-Meds to have it filled and delivered to your door. This can sometimes be cheaper than buying directly through your local veterinarian's office.

Can a vet write a prescription for their own pet? ›

A: The AVMA's Principles of Veterinary Medical Ethics require a veterinarian-client-patient relationship (VCPR) before a veterinarian can write a prescription for an animal patient. In addition, most states have laws that specifically require a VCPR for a veterinarian to be able to write a prescription.

What is Ava pad? ›

AVA PetPEP is the Australian Veterinary Association's Pets and People Education Program, an education initiative that teaches children about responsible pet ownership and safety around animals.

What is required on a veterinary prescription label? ›

The veterinarian's name, the patient's name and species, and the client's last name. The date of the prescription and the expiration date of the medication. The total amount (or quantity) of medication being dispensed If any refills are authorized. The name of the medication (active ingredient) and its strength.

What letters come after a vet's name? ›

DVM – This degree stands for doctor of veterinary medicine. Veterinarians with DVM degrees have graduated from United States veterinary schools and earned a doctorate, which is required to practice veterinary medicine. According the AAHA, most veterinarians in the United States are DVMs.

How do I get a vet prescription online uk? ›

Prescriptions
  1. Visit your vet and ask them to write a prescription. You can download a Vetscriptions prescription form here.
  2. Order your medication and upload your veterinary prescription. You can also email or post your prescription.
  3. Our Vet Will Check Your Prescription And Post Your Medication Out To You.

Does Asda do pet prescriptions? ›

Asda Pharmacy said today that it will provide over 1,000 varieties of pet medication across more than 200 of its UK stores, including flea treatments, heart disease and arthritis drugs. Customers simply have to obtain a prescription from their vet and present it at their local Asda Pharmacy, inside Asda stores.

Can a pharmacist dispense veterinary drugs? ›

The Veterinary Medicine Directorate has extremely specific requirements for the prescribing and supplying of veterinary medicines by pharmacists. It states that: Pharmacists can only dispense medicines that have been prescribed by a Veterinary Surgeon (POM-V), this is something SQPs can not do.

Why do vets cost so much? ›

Vet care costs have increased because of the rising prices for drug and pharmaceutical products, while new technologies and the latest medical equipment are more expensive, explained Mark Rosati, assistant director of media relations for the American Veterinary Medical Association,over email.

Do vets get commission? ›

Associates may be paid either an annual straight salary, a combination of a salary plus a commission, or they may be paid on a straight commission basis. In the USA, almost 75% of veterinarians working as associates are paid on some form of commission basis.

Do you have to pay vet bills up front UK? ›

Most vets expect full payment from the pet owner at the time of treatment. This is true even if there is a pet insurance policy in place to cover the vet bills. The exception would be if it has been agreed that pet insurance will be paying the vet directly and pre-approval has been sought and received from the insurer.

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