Dr. Tiffany Delacruz, DVM • Chief Executive Officer, RexVet • 2026-07-04 • 6 min read
Get Apoquel Prescription Online — $64.99 FL, NY & VA Licensed Vets | RexVet
Get an Apoquel prescription online in Florida, New York, or Virginia. Licensed DVMs prescribe by $64.99 video visit. Book now — Rx sent to your pharmacy.
Medically reviewed by Dr. Tiffany Delacruz, DVM
Book your $64.99 online vet visit now
RexVet is a 501(c)(3) non-profit telehealth service. Our video visits with licensed DVMs in Florida, New York and Virginia are priced at $64.99 — a fraction of the average $150-$300 in-person vet exam. Apoquel prescriptions can be approved during a single visit for qualifying dogs. Book now to get your dog's itch under control.
What Apoquel does
Apoquel (oclacitinib maleate) is an oral tablet approved by the FDA for control of chronic itch (pruritus) and control of allergic dermatitis in dogs at least 12 months old. It works by selectively blocking the JAK1 enzyme pathway that drives itch signaling. Onset is fast — most dogs show significant relief within 4 to 24 hours of the first dose. It does not have the immunosuppressive breadth of steroids, and long-term use is safer than long-term prednisone.
What conditions RexVet vets prescribe Apoquel for
- Atopic dermatitis (environmental allergies) — the #1 use
- Flea allergy dermatitis — in conjunction with parasite prevention
- Food allergy dermatitis — during or after a diet trial
- Chronic pruritus of unknown origin
- Adjunct to allergy testing and immunotherapy
- Bridging therapy while starting Cytopoint at in-person clinic (not prescribed by us — mentioned only for context)
What to have ready for your video visit
- Your dog's weight
- Current medications and supplements
- Flea/tick prevention product and dose date
- History of itch — when it started, seasonal or year-round, body areas affected
- Prior response to Apoquel, steroids, or Cytopoint if any
- Recent bloodwork if you have it (within 12 months)
- Photos or short video of the itch pattern and affected skin
Common dosing (for reference — your vet decides)
- Standard: 0.4 to 0.6 mg/kg twice daily for 14 days (loading phase), then once daily for maintenance
- Tablet sizes: 3.6 mg, 5.4 mg, 16 mg
- Small dog (10-20 lbs): typically 3.6 mg tablets
- Medium dog (20-45 lbs): typically 5.4 mg tablets
- Large dog (45-90 lbs): typically 16 mg tablets, half or whole
- Never adjust doses without vet guidance — dose is precise to weight
Side effects and safety
- Most common: vomiting, diarrhea, decreased appetite (usually mild, transient)
- Uncommon: lethargy, elevated liver enzymes
- Bloodwork monitoring — every 6 to 12 months recommended for long-term use
- NOT for dogs with active serious infection, immunosuppression, or history of malignancy
- Safe for long-term use in most dogs with intermittent monitoring
Cost transparency
$64.99 for the RexVet video visit. Apoquel medication itself is filled by your chosen pharmacy (Chewy PetHealth, Costco Pet Pharmacy, local retail vet pharmacy). Medication cost varies by tablet strength and quantity — typically $80-$180 per month depending on your dog's weight and dose. GoodRx and Chewy often have the best pricing.
About Dr. Tiffany Delacruz — Chief Executive Officer
Our video visits are led by Dr. Tiffany Delacruz, DVM, and our licensed DVM team. Dr. Tiffany is licensed to practice veterinary medicine in Florida, New York and Virginia. She has prescribed Apoquel for hundreds of dogs across allergy management, chronic itch, and atopic dermatitis cases.
Emergency signals
When to contact a veterinarian
- Any red flags before or during Apoquel therapy: severe vomiting or diarrhea, extreme lethargy, sudden lumps or bumps, new fever, or infected skin lesions
- Cough, lethargy, or weight loss during Apoquel use — needs in-person evaluation
- Puppy under 12 months — Apoquel is not approved; other options need discussion
Frequently asked questions
Can an online vet prescribe Apoquel?
Yes — RexVet's licensed DVMs in Florida, New York and Virginia can prescribe Apoquel (oclacitinib) for qualifying dogs during a $64.99 video visit. A valid veterinarian-client-patient relationship is established during the visit, which meets FDA and state requirements for prescription authority.
How much does Apoquel cost?
The RexVet video visit is $64.99. Apoquel medication itself is filled by your pharmacy (Chewy, Costco, or local vet pharmacy) and typically costs $80-$180 per month depending on your dog's weight and dose. Total first-month cost typically $150-$250.
How fast does Apoquel work?
Apoquel is one of the fastest-acting allergy medications for dogs. Most dogs show significant itch relief within 4 to 24 hours of the first dose. The loading phase is twice daily for 14 days, then once daily for maintenance.
Is Apoquel safe for long-term use?
Yes — Apoquel is FDA-approved for long-term maintenance in adult dogs. Most dogs stay on it for years without complications. We recommend bloodwork monitoring every 6 to 12 months. Apoquel is NOT for dogs under 12 months, dogs with active serious infection, or dogs with a history of malignancy.
Do I need a prior vet exam to get Apoquel online?
For a first-time prescription, our vets need to establish a valid vet-client-patient relationship during the video visit. This includes a history, weight, photos or video of the affected skin, and any recent bloodwork. For refills of an existing Apoquel prescription, the process is faster.
Which states can RexVet prescribe Apoquel in?
Florida, New York, and Virginia — where our vets are licensed. If you're outside these three states, our vets cannot legally prescribe. We're actively expanding state coverage.
What if my dog doesn't tolerate Apoquel?
Some dogs need dose adjustment or alternative therapy. RexVet vets can coach diet trials, discuss Apoquel alternatives that can be taken orally, and coordinate with your local vet for in-clinic treatments like Cytopoint (which is administered by injection at a clinic — RexVet does not prescribe injectable medications).
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About the author
Dr. Tiffany Delacruz, DVM
Chief Executive Officer, RexVet
Licensed veterinarian and CEO of RexVet (Rex Vets Inc.). Practicing across Florida, New York, and Virginia via licensed telehealth. Reviews every clinical article on RexVet before publication.