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UK dog flea, tick and worm treatment — full price comparison

Bravecto, NexGard, Advocate, Milbemax, Seresto and more compared. The CMA's top-10 most-sold products are dramatically cheaper online.

Parasiticide · 14 medications

Parasiticides are the single biggest source of vet practice mark-up flagged by the CMA. Every UK practice stocks them, dispenses them at standard intervals, and applies a substantial dispensing margin to every dose. The CMA's 2026 Final Report singled them out by name.

For a typical medium dog on monthly flea/tick + monthly all-in-one wormer + tick collar, the annual cost at a vet practice runs to £350-£500. The same products from a VMD-approved online pharmacy come to £150-£250. The CMA's own number for typical owner overspend is £200 a year — that figure is mostly parasiticides.

Notable savings include generic spot-ons (Moxiclear instead of branded Advocate at roughly half the price), monthly chewables (Credelio, Simparica, NexGard all 35-50% cheaper online) and 8-month tick collars (Seresto at around £28-£32 online versus £40-£55 in clinic).

Because most parasiticides are sold without a written prescription, you do not even need to navigate the CMA's prescription rules. Just buy the same product from the cheaper pharmacy.

Every parasiticide medication in our index

14 products listed. Click any to see the per-weight calculator and online price comparison.

Parasiticide
Bravecto Chewable
Fleas and ticks for up to 12 weeks per chewable.
Vet price
£12.00£18.00/mo
From online
£20.24
Parasiticide
NexGard
Monthly flea and tick chewable.
Vet price
£14.00£22.00/mo
From online
£5.52
Parasiticide
NexGard Spectra
Fleas, ticks, intestinal worms and lungworm in one monthly chewable.
Vet price
£16.00£26.00/mo
From online
£7.97
Parasiticide
Simparica
Monthly chewable for fleas and ticks.
Vet price
£14.00£22.00/mo
From online
£6.75
Parasiticide
Simparica Trio
Fleas, ticks, heartworm, roundworm, hookworm in one monthly chew.
Vet price
£18.00£28.00/mo
From online
£8.59
Parasiticide
Advocate (dog)
Monthly spot-on for fleas, mites, lungworm, roundworm and hookworm.
Vet price
£12.00£20.00/mo
From online
£5.52
Parasiticide
Frontline Spot On
Fleas and ticks (no worm cover).
Vet price
£9.00£16.00/mo
From online
£4.29
Parasiticide
Milbemax
Wormer for roundworms, tapeworms and lungworm.
Vet price
£8.00£16.00/mo
From online
£4.60
Parasiticide
Drontal Plus
Broad-spectrum wormer for roundworms, tapeworms and hookworms.
Vet price
£6.00£14.00/mo
From online
£2.15
Parasiticide
Seresto Collar
Up to 8 months of flea and tick protection in a single collar.
Vet price
£5.00£8.00/mo
From online
£25.76
Parasiticide
Credelio
Monthly flea and tick chewable. Fast knockdown - fleas typically die within 4 hours.
Vet price
£16.00£24.00/mo
From online
£3.98
Parasiticide
Credelio Plus
Monthly all-in-one chewable for fleas, ticks, roundworms, hookworms and lungworm in dogs.
Vet price
£21.00£31.00/mo
From online
£4.98
Parasiticide
Stronghold
Spot-on parasiticide covering fleas, ear mites, sarcoptic mange and certain worms. Alternative to Advocate.
Vet price
£18.00£26.00/mo
From online
£4.32
Parasiticide
Moxiclear
Generic equivalent of Advocate - same active combination at substantially lower cost. Monthly spot-on for fleas, mites, lungworm and intestinal worms.
Vet price
£13.00£19.00/mo
From online
£2.98

Frequently asked questions

Do I need a prescription for Bravecto or NexGard?
Most UK online pharmacies require a prescription for isoxazoline-class oral parasiticides (Bravecto, NexGard, Credelio, Simparica) because they are POM-V. Some sell to existing customers under the SQP (suitably qualified person) route. Ask your vet for a written prescription or buy through a pharmacy that has an in-house SQP.
Is Moxiclear really the same as Advocate?
Yes. Moxiclear is generic imidacloprid + moxidectin (Norbrook). Same active ingredients, same coverage, generic pricing. It is fully VMD-approved.
Why does my vet keep recommending the most expensive parasiticide?
Practice protocols often default to one preferred brand for stocking efficiency. From 23 September 2026 the CMA Order requires practices to tell clients that medication is often cheaper online and to disclose cheaper alternatives. Ask your vet to write the prescription generically wherever possible.

Get an alert when parasiticide medication prices drop

We track prices monthly across every VMD-approved UK online pharmacy. Be the first to know when parasiticide medication gets cheaper.

Indicative monthly cost across all 14 products in this category (cheapest online pack-equivalents summed): £107.65. Always verify the current price on the pharmacy site before purchase. Not medical advice.