Dog Rx Combo Products

Due to organ sensitivity to the parasite, a heartworm test, to check for parasites, must be taken and found negative before starting heartworm preventative in any dog 7 months or older. Then a Heartworm test will be required annually for all dogs.

Dogs must be seen by a 1st Care veterinarian at one of our clinics for a $25 Basic Rx Exam* (find out below how to get the exam for FREE) once a year to pick up prescription heartworm control, unless you wish to obtain a refill for the same prescription product already obtained at a 1st Care clinic within a year. For prescription refills you must bring your original yellow 1st Care certificate (NOT the product box or envelope) to the scheduled clinic and proof of being current on Heartworm preventative and have a current negative Heartworm test. Authorized prescription refills can also be purchased at our Administration office on Thursdays and Fridays with proof of pet’s previous prescription at 1st Care clinic within a year, as long as pet has not lapsed with their monthly preventative and an annual Heartworm test has been performed. Please call us ahead to arrange for this refill service. Click on Contact Us for more information.

*$25 Basic Rx Exam

Required once a year for all Rx products. The Basic Rx Exam is FREE if purchasing a minimum of 6-mths supply on same-day visit or for puppies that are still in the middle of growing.

What 1st Care offers:

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Trifexis (Flea , Heartworm, and Intestinal Worm Control)


Trifexis is a monthly chewable tablet for dogs that kills fleas, prevents heartworm disease and treats and controls adult hookworm, roundworm and whipworm infections. Trifexis combines two trusted active ingredients to provide protection for your dog against three kinds of dangerous parasites. And Trifexis is beef-flavored, so you can offer it as a treat. Must be given with a meal.

And, because Trifexis is given orally, you don’t have to isolate your dog from other pets or children, or hold off on that much needed bath.

Minimum age: 8 weeks   Minimun Weight: 5 lbs

Product Image
(6 dose display)
1 month supply
(single dose)
6 month supply
(6 doses)
Dog Size
 5-10lbsTrifexis $21.50 $112.50 5-10 lbs.
 10-20lbsTrifexis $22.00 $115.00 10.1-20 lbs.
 20-40lbsTrifexis $22.50 $117.50 20.1-40 lbs.
 40-60lbsTrifexis $23.00 $120.00 40.1-60 lbs.
 60-120lbsTrifexis $23.50 $122.50 60.1-120 lbs.

We do not charge tax to our customer, all prices listed are final price.

 ***$25 Elanco rebate offer for 12-mth purchase and $10 Elanco rebate offer for 6-mth purchase has been extended through 12/31/16***

 

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HeartGard Plus (Heartworm Prevention and Intestinal Worm Control)

HeartGard Plus is a monthly chewable tablet for dogs that prevents heartworm disease, treats and controls adult hookworm and adult roundworm infections. HeartGard Plus is a yummy all beef chew, so you won’t have a problem giving it along with your monthly flea control product to have complete protection for your dog or puppy.  Can be given with or without a meal.

Minimum age: 6weeks   No Minimum Weight

Product Image
(6 dose display)
1 month supply*
(single dose)
6 month supply
(6 doses)
Dog Size
 1-25lbsHeartgard Not Available $38.00 0-25lbs.
 25-50lbsHeartgard Not Available $48.00 25.1-50 lbs.
 50-100lbsHeartgard Not Available $58.00 50.1-100 lbs.

We do not charge tax to our customer, all prices listed are final price.

If you purchase 2  6-mth boxes of HeartGard plus a 6-mth box of NexGard on the same visit for the same dog/puppy you are eligible for a $25 rebate back from Merial!

In addition, with the above mentioned purchase1st Care will give you two free doses of NexGard for the same puppy/dog!

This rebate and special offer has been extended through 12/31/16.