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In the United States, heartworm prevention medications for —whether in pill, topical, or injectable form—are and regulated by the FDA . You must obtain a prescription from a licensed veterinarian, which typically requires an annual negative heartworm test to ensure the medication is safe to administer. Where to Buy Heartworm Pills

Once you have a valid prescription, you can purchase the medication through several channels: where can i buy heartworm pills for my dog