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Nexgard and nexgard combo are available only by prescription from a licensed veterinarian because professional expertise is required to monitor for and respond to potential adverse reactions. Buyers and isn't typically supplied through standard u.s Nexgard® chews (afoxolaner) have been authorized by fda under an emergency use authorization for the treatment of infestations caused by new world screwworm larvae in dogs and puppies.
NexGard® Chewable Tablets for Dogs | Tick & Flea Protection
The reason some flea/tick topical preventatives are in this category is that they aren't absorbed into your pet's body the same way a prescription medication is Nexgard spectra (flea, tick + heartworm/intestinal worms) is commonly treated as an international product for u.s Hence, no prescription is required.
Bypassing veterinary consultation carries significant risks including improper dosing and exposure to counterfeit drugs.
Consulting with a vet ensures the safety and correct dosage
