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VIPPS
08/30/2009

As regular readers know, I strongly believe that purchasing medication directly from your veterinarian is the best way to ensure your pet receives the ideal product at the optimum dose.  At each refill, your veterinarian or his staff reviews your pet’s medical record to monitor for any changes in your pet’s needs.   In addition, any medications sold by veterinarians maintain manufacturer guarantees of quality and effectiveness.  Finally, proceeds from medication sales go to enhancing staff and equipment for your pet’s future veterinary needs.

However, some pet owners still choose to order pet medications through the Internet.  Most veterinarians will tell you horror stories about dosing errors, incorrect drugs, and voided manufacturer warranties from even some of the more prominent web pages.  Until now, consumers have had few resources to research the ethics of specific pet medication web sites. 

This year, the National Association of Boards of Pharmacy (NABP) began a veterinary-specific program within its Verified Internet Pharmacy Practice Sites (VIPPS).  According to the NABP, VIPPS was established after a coalition of state and federal regulatory associations, professional associations, and consumer advocacy groups provided their expertise to develop criteria for accredited Internet pharmacies to follow.

Veterinary product web sites accredited through VIPPS have demonstrated to the NABP that they meet certain criteria, “including patient rights to privacy, authentication and security of prescription orders, adherence to a recognized quality assurance policy, and provision of meaningful consultation between clients and pharmacists.”

In Purchasing Pet Drugs Online: Buyer Beware, an article printed in the FDA Consumer, the Food and Drug Administration (FDA) cautioned pet owners about the potential dangers associated with purchasing animal drugs on the Internet.  According to the article, “The FDA has also found companies that sell counterfeit pet products, make fraudulent claims, dispense prescription drugs without requiring a prescription, and sell pet drugs that have expired.  Pet owners who purchase drugs from these companies may think they are saving money, but in reality they may be short-changing their pet's health and putting its life at risk.”After publication of the cautionary article, the FDA issued a press release with the following information and advice:“The problem arises when unsuspecting consumers purchase these drug products online from enterprises that are fronts for unscrupulous businesses.  In these cases, the consumer can end up with products not approved by FDA.  While many of the unapproved products are considerably cheaper, they may also pose a health threat to pets and put their lives in danger.Two of the most commonly used animal prescription drugs that pet owners buy over the Internet are non-steroidal anti-inflammatory drugs (NSAIDs) and heartworm prevention products.  The use of both of these products should be preceded by a blood test and thorough examination of the animal, which cannot be done online.  NSAIDs are prescribed for pain relief in dogs with osteoarthritis or for pain following surgery.  NSAID therapy needs to be monitored by the treating veterinarian.  Manufacturers of heartworm medications do not sell to Internet pharmacies unless the pharmacies are licensed and are owned by a veterinarian.  Nevertheless, a pet owner’s own veterinarian is really the best source for obtaining heartworm medication.  This way, should a cat or dog that is on heartworm medication contract the disease, the manufacturer will work with the veterinarian directly.  At the end of the day, there is no better assurance for your pet’s health than a valid veterinarian-client-patient relationship.”

Many veterinarians hesitate to educate pet owners on this issue for fear of being accused of being motivated by profit.  In reality, it is the veterinarian who dedicates his life to the well-being of his patients, while the internet corporation exists solely for the profit of its shareholders.  I advise pet owners to thoroughly investigate any source of medication that does not have a local front door and smiling face behind the counter. 

The NABP website lists Vet-VIPPS accredited companies at www.nabp.net.  Regarding this program, the Food and Drug Administration has said, “consumers should look for participation in this type of certification program as one method to help minimize the risks of getting bad quality drugs from disreputable sources.”