Reviewed by Dr. Tiffany Delacruz, DVM
Flea & Tick Prevention Online
Protect your pet year-round. A licensed vet can prescribe the right flea and tick prevention during a quick video visit — delivered to your door. Starting at $64.99.
Why Flea & Tick Prevention Matters
Fleas and ticks are more than a nuisance — they carry diseases that can seriously harm your pet. Fleas cause intense itching, allergic reactions (flea allergy dermatitis), and can transmit tapeworms. Ticks carry Lyme disease, ehrlichiosis, anaplasmosis, and Rocky Mountain spotted fever.
Year-round prevention is the standard of care recommended by veterinarians. Prescription-strength preventatives are more effective than over-the-counter products and protect against a wider range of parasites.
Prescription vs Over-the-Counter
| Factor | Prescription (Vet-Prescribed) | Over-the-Counter |
|---|---|---|
| Effectiveness | 95-100% kill rate within 24 hours | Variable, often 70-85% |
| Duration | 1-3 months per dose | Requires frequent reapplication |
| Parasites covered | Fleas, ticks, heartworm, intestinal worms | Usually fleas only |
| Safety profile | Vet-matched to your pet's weight and health | One-size-fits-all, risk of misuse |
| Application | Oral chew (easy) or topical | Mostly topical (messy) |
| Vet oversight | Prescribed with dosage guidance | No professional guidance |
Popular Prescription Preventatives
| Product | Type | Covers | Duration | For |
|---|---|---|---|---|
| Simparica Trio | Oral chew | Fleas, ticks, heartworm, roundworms, hookworms | Monthly | Dogs |
| NexGard | Oral chew | Fleas and ticks | Monthly | Dogs |
| Bravecto | Oral chew or topical | Fleas and ticks | 3 months | Dogs & Cats |
| Revolution Plus | Topical | Fleas, ticks, ear mites, roundworms, hookworms | Monthly | Cats |
| Credelio | Oral chew | Fleas and ticks | Monthly | Dogs & Cats |
Your vet will recommend the best option based on your pet's species, weight, age, health history, and lifestyle. All prescriptions require a veterinary consultation.
How It Works
Book a Video Visit
Schedule a consultation with a licensed vet — available 24/7. Tell them you need flea and tick prevention.
Get Your Prescription
Your vet recommends the best preventative for your pet and writes the prescription during the same visit.
Medication Delivered
Prescription filled through RexVetRx with delivery to your door, or sent to your local pharmacy for pickup.
Signs Your Pet Has Fleas or Ticks
Flea Signs
- • Excessive scratching, especially at the tail base
- • Small dark specks in fur (flea dirt)
- • Red, irritated skin or hot spots
- • Hair loss around tail and lower back
- • Visible tiny brown insects moving in fur
- • Restlessness and discomfort
Tick Signs
- • Small bump on skin (embedded tick)
- • Redness or swelling around a bite
- • Fever, lethargy, loss of appetite
- • Joint stiffness or limping (Lyme disease)
- • Head shaking (ticks in ears)
- • Check after walks in tall grass or wooded areas
See any of these signs? A vet can assess your pet via video and prescribe treatment immediately. If your pet already has fleas or ticks, treatment and prevention can start the same day.
Flea & Tick Prevention FAQs
Can an online vet prescribe flea and tick prevention?
Yes. Licensed veterinarians can prescribe prescription-strength flea and tick preventatives like Simparica Trio, NexGard, Bravecto, and others during a video consultation in Florida, New York, and Virginia.
Do I need a prescription for flea medication?
The most effective flea and tick products (like Simparica Trio, NexGard, and Bravecto) require a veterinary prescription. Over-the-counter products exist but are less effective and protect against fewer parasites.
How often should my pet get flea and tick prevention?
Most vets recommend year-round monthly prevention. Some products like Bravecto last 3 months per dose. Your vet will recommend the right schedule based on your pet's risk factors and location.
My indoor cat — does it need flea prevention?
Yes. Indoor cats can still get fleas from other pets, visitors, or fleas that enter on clothing and shoes. Indoor cats are also less likely to have built up any resistance, making infestations worse when they occur.
What's the difference between prescription and store-bought flea medication?
Prescription products typically kill 95-100% of fleas and ticks within 24 hours and protect against more parasites (including heartworm in some products). Store-bought products often have lower efficacy and cover only fleas.
Related Resources
Dog Anxiety Treatment Online
Medication and behavioral therapy for anxious dogs
Dog Allergy Treatment Online
Itching, rashes, and ear infections treated by video vet
Dog Skin Allergies Guide
Complete guide to symptoms, causes, and treatment
View Pricing Plans
Single visits from $64.99 or Family Plan $120/year
Emergency Vet Guide
When to go to the ER vs when an online vet can help
Senior Dog Care
Age-related changes and when to talk to a vet
Protect Your Pet — Get Prevention Today
One video visit. Year-round protection. Delivered to your door.
Book a Vet Visit — $64.99Reviewed by Dr. Tiffany Delacruz, DVM

