Tick-borne disease exposure
Deer ticks, American dog ticks, and lone star ticks attach to dogs during walks and outdoor play — NexGard kills them before disease transmission occurs.
Online Prescription
Get NexGard Online — Same-Day Prescription
NexGard is a monthly beef-flavored chewable that kills fleas and ticks in dogs. Get your dog's same-day prescription from a licensed online vet.
Licensed Vets
$65 Flat Fee
Same-Day Rx
24/7 Access
Prescription NexGard online
Get NexGard from a licensed online vet
Licensed vet assessment before NexGard is prescribed
Same-day video consultations — most seen within 1–3 hours
FDA-approved afoxolaner dispensed through our pharmacy
$65 flat consultation fee — no hidden charges
Next-business-day delivery to your door
Monthly prevention reminders and refill coordination
Ticks transmit Lyme disease, Rocky Mountain spotted fever, and ehrlichiosis — NexGard kills ticks before they can pass these pathogens. Monthly dosing keeps protection consistent and easy to remember.
If your dog needs reliable flea and tick prevention, a TelaVets veterinarian can assess your pet on video and prescribe NexGard same-day with next-business-day delivery.
What is NexGard?
NexGard (afoxolaner) is a monthly isoxazoline chewable that kills fleas and multiple tick species before they can transmit disease. Its soft chew format makes monthly dosing easy for most dogs.
What does NexGard treat?
Flea infestations, tick infestations including deer ticks and lone star ticks, and prevention of flea-borne diseases in dogs.
When a vet may prescribe NexGard
- Monthly flea and tick prevention for dogs with outdoor access
- Treatment of active flea infestations
- Tick prevention in Lyme disease endemic regions
- Dogs that swim frequently — NexGard is not affected by bathing
- Puppies meeting minimum age and weight requirements
- Year-round prevention in warm climates
- Replacement for topical preventatives when skin reactions occur
Possible side effects of NexGard
Know what to watch for — your TelaVets vet will review risks and benefits during your consultation.
- Vomiting or diarrhea — usually mild and self-limiting
- Lethargy or decreased appetite
- Itching or skin irritation — rare
- Neurologic signs — tremors or ataxia in rare cases
Why pets need NexGard
Dogs need NexGard when flea and tick exposure creates health risks from parasites and vector-borne diseases. Monthly prevention is the most effective strategy.
Flea lifecycle in the home
A single flea can lay hundreds of eggs — monthly NexGard breaks the lifecycle by killing adult fleas before they reproduce.
Seasonal and geographic risk
Warmer climates and wooded areas increase parasite exposure — consistent monthly prevention eliminates seasonal gaps.
How our vets determine if NexGard is right
NexGard requires a veterinary prescription to ensure correct weight-based dosing. TelaVets vets confirm your dog's eligibility and prescribe the appropriate chewable strength.
- Assessment of current flea or tick burden on video
- Review of geographic location and outdoor activity patterns
- Discussion of prior prevention products and compliance
- Evaluation of skin reactions to topical alternatives
- Guidance on tick-borne disease testing if exposure is suspected
NexGard administration & dosing
Monthly NexGard dosing is simple — most dogs accept the beef-flavored chew readily. Your TelaVets vet prescribes the correct size based on your dog's current weight.
Give one chewable monthly — can be offered as a treat or with food
Choose the correct weight range — do not split chews between dogs
Administer year-round in most climates for continuous protection
Safe to use alongside most heartworm preventatives
If a dose is missed, give immediately and resume monthly schedule
Store at room temperature in original packaging
Treat all dogs in the household to prevent flea transmission
Always follow your prescribing veterinarian's instructions. Dosages are tailored to your pet's weight, age, and health status.
Using NexGard safely for your dog
For dogs only — not approved for cats
Use with caution in dogs with history of seizures or neurologic disease
Inform your vet of all medications your dog is currently taking
Contact your vet if neurologic signs develop after dosing
Not a substitute for heartworm prevention — discuss combination products with your vet
Why pet parents choose TelaVets for prescriptions
Licensed DVMs Only
Every consultation is with a licensed Doctor of Veterinary Medicine — not a chatbot or technician.
$65 Flat Fee
One transparent price covers your full video consultation and treatment plan. No facility fees or surprise charges.
Same-Day Appointments
Most pet parents are connected with a vet within 1–3 hours of booking, 7 days a week.
Next-Day Prescriptions
When medication is appropriate, prescriptions are issued same-day and delivered to your door next business day.
Stress-Free Home Visits
Your pet is assessed in their calm home environment, which often makes symptoms easier to evaluate on video.
Secure & Private
Encrypted video calls and HIPAA-compliant records keep your pet's health information protected.
How to get NexGard online
Book your consultation
Pick a same-day or upcoming slot — appointments available 7 days a week.
Connect with a licensed vet
Your vet assesses your pet via secure video, asks detailed questions, and reviews their history.
Get your treatment plan
Receive a diagnosis, personalised care plan, and same-day prescriptions delivered next-day.
What Our Pet Parents Say
Join thousands of happy pet parents who trust TelaVets for their furry family members care
"Fantastic service! My dog gets extremely anxious at the vet, so having a virtual appointment from home was a game-changer. The vet was kind and helpful, and getting his medication delivered the next day made the whole process stress-free and more affordable than going to the clinic."
DL
David Long
Verified Pet Parent
"The vet I spoke with Dr. Ricksaw was very knowledgeable and nice. He took the time to go through all of my options and ideas with me. Reassured me that all we were doing for my dog's anxiety was good and gave me a couple of new ideas as well."
CH
Courtney Hughes
Verified Pet Parent
"I would definitely use them again. I'm cat sitting for 2 weeks and needed to see a vet. I was so worried about the kitten. I used Televets the cat got his prescription and all is good. Excellent service!"
M
Maria
Verified Pet Parent
"Dr Corey was amazing, helpful, compassionate and well versed. I would highly recommend using this. It is so much easier than trying to get a 3 legged cat into a carrier, take him to a doctor's office and stress him out, love it!!!"
JG
Jackie Gardner
Verified Pet Parent
"I had a TelaVets Zoom appointment and couldn't be more impressed. They spent a lot of time with me, walking through every option to help my cat recover from her skin issues. I've also reached out about getting her medication through Chewy.com, and they've been extremely helpful every step of the way."
LD
Lara Durand
Verified Pet Parent
"Dr. Moppin is a dedicated professional who truly cares about his furry patients and their humans, too! It's such a relief that Dr. Cole took the time to listen and address my concerns thoughtfully. Thank you for taking care of our cats 🐈"
WW
Wanida Walker
Verified Pet Parent
"This service was amazing! My dog ran out of his medication before we were able to get in with a new vet and they were able to help get him a short term supply quickly. I would definitely use them again!"
AT
Amanda Tobias
Verified Pet Parent
"Knowledgeable, professional caring provider! Needed urgent Vet care on a weekend and TeleVet kept me from having to miss a day of work, as well as half the price of local weekend options. Thank you!"
JH
Jana Humble
Verified Pet Parent
"Dr. McGinnis was very knowledgeable and listened to my cat's issues. She addressed the problem and may have come up with an answer after 5 years of trying with local vet practices."
MK
Marilyn Kerr
Verified Pet Parent
"Fantastic service! My dog gets extremely anxious at the vet, so having a virtual appointment from home was a game-changer. The vet was kind and helpful, and getting his medication delivered the next day made the whole process stress-free and more affordable than going to the clinic."
DL
David Long
Verified Pet Parent
"The vet I spoke with Dr. Ricksaw was very knowledgeable and nice. He took the time to go through all of my options and ideas with me. Reassured me that all we were doing for my dog's anxiety was good and gave me a couple of new ideas as well."
CH
Courtney Hughes
Verified Pet Parent
"I would definitely use them again. I'm cat sitting for 2 weeks and needed to see a vet. I was so worried about the kitten. I used Televets the cat got his prescription and all is good. Excellent service!"
M
Maria
Verified Pet Parent
"Dr Corey was amazing, helpful, compassionate and well versed. I would highly recommend using this. It is so much easier than trying to get a 3 legged cat into a carrier, take him to a doctor's office and stress him out, love it!!!"
JG
Jackie Gardner
Verified Pet Parent
"I had a TelaVets Zoom appointment and couldn't be more impressed. They spent a lot of time with me, walking through every option to help my cat recover from her skin issues. I've also reached out about getting her medication through Chewy.com, and they've been extremely helpful every step of the way."
LD
Lara Durand
Verified Pet Parent
"Dr. Moppin is a dedicated professional who truly cares about his furry patients and their humans, too! It's such a relief that Dr. Cole took the time to listen and address my concerns thoughtfully. Thank you for taking care of our cats 🐈"
WW
Wanida Walker
Verified Pet Parent
"This service was amazing! My dog ran out of his medication before we were able to get in with a new vet and they were able to help get him a short term supply quickly. I would definitely use them again!"
AT
Amanda Tobias
Verified Pet Parent
"Knowledgeable, professional caring provider! Needed urgent Vet care on a weekend and TeleVet kept me from having to miss a day of work, as well as half the price of local weekend options. Thank you!"
JH
Jana Humble
Verified Pet Parent
"Dr. McGinnis was very knowledgeable and listened to my cat's issues. She addressed the problem and may have come up with an answer after 5 years of trying with local vet practices."
MK
Marilyn Kerr
Verified Pet Parent
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Frequently asked questions about NexGard
NexGard is dosed monthly while Bravecto lasts 3 months per dose. Both are isoxazoline-class preventatives with similar efficacy — your vet helps choose based on your preference.
Yes, NexGard is commonly paired with separate heartworm preventatives or combination products. Your TelaVets vet can recommend a complete parasite prevention plan.
Yes, unlike topical products, NexGard is an oral chewable unaffected by bathing or swimming — ideal for water-loving dogs.
NexGard is approved for puppies meeting the minimum age and weight on the product label. Your vet confirms your puppy is old enough and heavy enough to start.
A TelaVets consultation is $65 — including the full video exam and same-day NexGard prescription when clinically appropriate.
Get your NexGard prescription today
Same-day prescription — $65 consultation — next-day delivery