Vet-Recommended · Rx & OTC

Heartworm prevention, delivered with care.

Heartworm prevention protects your pet from a mosquito-borne parasite that can be fatal if untreated. PetMeds carries 10 vet-recommended products — monthly chewables like Heartgard Plus, Interceptor Plus, and Sentinel Spectrum for dogs, topicals like Revolution Plus for cats, and the 12-month ProHeart 12 injection. Prescription options are verified by a licensed PharmD before shipping. Save 15% with AutoShip.

10Vet-recommended products
50States shipped to
15%AutoShip savings
2.3MFamilies served
A happy golden retriever outdoors — heartworm prevention delivered with care

Every prescription verified by a licensed PharmD

Reviewed by Dr. Sarah Chen, PharmD
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Quick Answer

What is the best heartworm prevention for dogs and cats?

The best heartworm prevention depends on your pet's species, weight, lifestyle, and whether you prefer a monthly chewable, topical, or a long-acting injection. For dogs, vet-recommended options include Heartgard Plus, Interceptor Plus, Sentinel Spectrum, and ProHeart 12. For cats, Revolution Plus and Advantage Multi are the vet standard. Never use a dog heartworm product on a cat.

Reviewed by Dr. Sarah Chen, PharmD Licensed pharmacist · University of Florida College of Pharmacy · Last reviewed October 9, 2026
Signature Interactive

How do I find the right heartworm preventive for my pet?

Answer three questions about your pet — species, size, and any known concerns — and the PetMeds heartworm finder will match you to the products that fit your pet's profile, ranked by vet recommendation and value.

Step 1 of 3 — What kind of pet?

Step 2 of 3 — What's their size?

Step 3 of 3 — Anything we should know?

Here's what we recommend.

Based on your pet's profile, these products match best.

How It Spreads

What is the heartworm life cycle?

The heartworm life cycle has four stages — mosquito, larvae, adult worm, and heart. A mosquito bites an infected animal and picks up microscopic heartworm larvae, which incubate inside the mosquito for 10–14 days. When that mosquito bites your pet, it deposits the larvae, which migrate through tissue for 1–3 months before maturing into adult worms 6–12 inches long. Adult heartworms live 5–7 years in the pulmonary arteries and heart. Monthly prevention kills the larvae before they reach the heart — which is why consistent dosing matters.

Seasonal Risk

When is heartworm season?

Heartworm is transmitted by mosquitoes, so risk tracks mosquito activity. In warm climates like the Gulf Coast and Southeast, mosquitoes are active year-round — heartworm risk never drops to zero. In cooler regions, mosquito season runs roughly April through October, but mosquitoes can survive indoors all winter. The American Heartworm Society recommends year-round prevention in all 50 states.

Tap any month to see heartworm risk and mosquito activity. In the Gulf Coast and Southeast, risk stays elevated year-round. In cooler regions, mosquito activity peaks June–August — but year-round prevention is still the vet standard because mosquitoes survive indoors.
Shop Heartworm

What heartworm prevention products does PetMeds carry?

PetMeds carries 10 vet-recommended heartworm prevention products for dogs and cats. For dogs: Heartgard Plus, Interceptor Plus, Sentinel Spectrum, Simparica Trio, ProHeart 12, ProHeart 6, Iverhart Max, and Tri-Heart Plus. For cats: Revolution Plus and Advantage Multi. Prescription options are verified by a licensed PharmD. AutoShip saves 15% on every recurring order.

Rx · #1 Best Seller Heartgard Plus Chewable for dogs
Heartworm · Dogs

Heartgard Plus Chewable — 3 Month Supply

Monthly oral chewable · Beef flavor · Prevents heartworm, treats roundworms & hookworms

4.9 · 9,120 reviews
$54.99 $74.99
AutoShip $46.74
Rx Interceptor Plus Chewable for dogs
Heartworm · Dogs

Interceptor Plus Chewable — 6 Month Supply

Monthly oral chewable · Prevents heartworm, treats 5 species of intestinal worms

4.8 · 6,890 reviews
$69.99 $89.99
AutoShip $59.49
Rx · Broad Sentinel Spectrum Chewable for dogs
Heartworm · Dogs

Sentinel Spectrum Chewable — 6 Month Supply

Monthly oral chewable · Heartworm + flea eggs + 5 intestinal worms

4.8 · 4,180 reviews
$89.99 $119.99
AutoShip $76.49
Rx · Combo Simparica Trio Chewable for dogs
Heartworm + Flea + Tick · Dogs

Simparica Trio Chewable — 3 Month Supply

Flea, tick, and heartworm in one monthly chew

4.9 · 4,180 reviews
$109.99
AutoShip $93.49
Rx · Vet Only ProHeart 12 Injection for dogs
Heartworm · Dogs

ProHeart 12 Injection

Single veterinary-administered injection · 12 months of heartworm protection

4.9 · 2,640 reviews
$199.99 $249.99
AutoShip $169.99
Rx · Cat #1 Revolution Plus Topical for cats
Heartworm + Flea + Tick · Cats

Revolution Plus Topical — 3 Month Supply

Monthly topical · Heartworm, fleas, ticks, ear mites & intestinal worms

4.9 · 5,180 reviews
$59.99 $79.99
AutoShip $50.99
Rx Advantage Multi Topical for cats
Heartworm + Flea · Cats

Advantage Multi Topical — 6 Month Supply

Monthly topical · Heartworm, fleas, ear mites & intestinal worms

4.8 · 3,540 reviews
$69.99
AutoShip $59.49
Rx · Value Iverhart Max Chewable for dogs
Heartworm · Dogs

Iverhart Max Chewable — 6 Month Supply

Monthly oral chewable · Affordable heartworm + 3 intestinal worms

4.7 · 2,890 reviews
$44.99 $59.99
AutoShip $38.24
Rx Tri-Heart Plus Chewable for dogs
Heartworm · Dogs

Tri-Heart Plus Chewable — 6 Month Supply

Monthly oral chewable · Heartgard alternative · Same active ingredients

4.7 · 2,140 reviews
$39.99 $54.99
AutoShip $33.99
Rx · Vet Only ProHeart 6 Injection for dogs
Heartworm · Dogs

ProHeart 6 Injection

Single veterinary-administered injection · 6 months of heartworm protection

4.8 · 1,720 reviews
$119.99
AutoShip $101.99
Signature Interactive

How much does heartworm prevention cost over my pet's lifetime?

Heartworm prevention costs $40–$200 per dose depending on the product and your pet's weight tier. Over a pet's lifetime, AutoShip saves 15% on every order. Adjust the sliders below to see what AutoShip saves versus one-off purchases.

AutoShip Lifetime Savings
$1,275
over 5 years of protection
Monthly cost (AutoShip)$54
Without AutoShip$1,500
AutoShip price$1,275
Safety First

What should I check before giving my pet heartworm prevention?

Heartworm prevention is safe when matched correctly to your pet. These five checks prevent the most common errors — and every PetMeds pharmacist is available at 1-800-738-6337 if you have a question.

Never use a dog heartworm product on a cat. Some active ingredients in dog heartworm preventives are toxic to cats. Always use cat-specific products like Revolution Plus or Advantage Multi.
Dogs over 7 months need a heartworm test first. Before starting prevention, dogs over 7 months should have a negative heartworm test. Giving a preventive to an infected dog can cause a dangerous reaction. Puppies under 7 months can typically start without a test.
Match dose to weight, not age. Heartworm dosing is based on your pet's current weight. If your puppy or kitten is between size thresholds, ask your vet before choosing.
Check for known conditions. Some heartworm preventives interact with medications or are not recommended for pets with liver, kidney, or seizure conditions. Every PetMeds prescription is reviewed by a licensed PharmD before shipping.
Consistency beats catching up. Heartworm preventives work retroactively — they kill larvae from the last 30 days. Miss a dose and there's a gap. AutoShip ensures the next dose ships before you run out.
Quick Answers

Quick answers about heartworm prevention

Short, direct answers to the questions pet parents ask most.

How often should I give my dog heartworm prevention?
Heartworm prevention should be given monthly, year-round, for the life of your dog. Even in cold climates, year-round prevention is recommended because mosquitoes can survive indoors. Missing doses creates risk gaps that can allow infection to develop. ProHeart 12 is the exception — it provides 12 months of protection in a single veterinary-administered injection.
Can cats get heartworms?
Yes. Cats can get heartworms, and the disease is often more severe in cats than in dogs. There is no approved treatment for adult heartworms in cats, so prevention is essential. Monthly topical preventives like Revolution Plus are the vet standard for cats.
What happens if my dog misses a heartworm dose?
If you miss a dose, give it as soon as you remember and restart the monthly schedule. If more than two months have passed, contact your veterinarian before restarting prevention, since a heartworm test may be required to rule out infection.
Do indoor pets need heartworm prevention?
Yes. Indoor pets can still be infected because mosquitoes enter homes. Indoor-only dogs and cats are still at risk, and heartworm prevention is recommended year-round regardless of lifestyle.
What's the difference between Heartgard Plus and Interceptor Plus?
Heartgard Plus prevents heartworm and treats roundworms and hookworms. Interceptor Plus prevents heartworm and treats roundworms, hookworms, whipworms, and tapeworms. Interceptor Plus covers more intestinal parasites.
How young can puppies start heartworm prevention?
Most heartworm preventives can be started in puppies as young as 6 to 8 weeks old. Talk to your veterinarian about the right preventive and starting age for your puppy. Puppies born to infected mothers require special protocols.
How is heartworm transmitted?
Heartworm is transmitted exclusively by mosquitoes. When a mosquito bites an infected animal, it picks up microscopic heartworm larvae. When that mosquito bites your pet, it deposits the larvae, which migrate through tissue and mature into adult worms in the pulmonary arteries and heart over about 6 months.
Which U.S. states have the highest heartworm risk?
The highest heartworm prevalence in the U.S. runs along the Mississippi River valley and Gulf Coast — Louisiana, Mississippi, Arkansas, Texas, and Florida consistently report the most cases. But heartworm has been diagnosed in all 50 states, so year-round prevention is the vet standard nationwide.
Is there a heartworm treatment for cats?
No. There is no approved treatment for adult heartworms in cats. This is why prevention is the only option for cats — and why year-round prevention is essential even for indoor-only cats. If a cat is diagnosed with heartworm, veterinary care focuses on managing symptoms and complications.
How does AutoShip work for heartworm prevention?
AutoShip is PetMeds' subscription program. Choose how often you want each product delivered — every 30, 60, or 90 days — and we handle the rest. You save 15% on every AutoShip order, shipping is always free on heartworm preventives, and you can skip, delay, change, or cancel any shipment from your account with one click.
More Questions, Answered

What else should I know about heartworm prevention?

Consistency beats catching up. Heartworm preventives work retroactively — they kill larvae from the last 30 days. Miss a dose and you create a risk gap. Test dogs over 7 months before starting. Never use a dog product on a cat. AutoShip ships every 30 days so you never miss a dose. Call 1-800-738-6337 to speak with a pharmacist about your pet.

Breakthrough infections are rare but possible. Most occur when a dose is missed, given late, or when a pet is infected before starting prevention. This is why testing before starting and staying consistent with monthly doses matter so much.

No. Mosquitoes survive indoors year-round, and heartworm has been diagnosed in all 50 states. The American Heartworm Society recommends year-round prevention in every region. Skipping winter doses is the #1 cause of spring infections.

Some preventives are safe for pregnant and breeding pets, others are not. Speak with your vet before giving any heartworm preventive to a pregnant or breeding pet. Call 1-800-738-6337 to speak with a PetMeds pharmacist about specific products.

Some heartworm preventives interact with other medications or are not recommended for pets with specific conditions. When you order through PetMeds, every prescription is reviewed by a licensed PharmD before it ships — that's how we catch interactions before they happen.

ProHeart 12 is a veterinarian-administered injection that provides 12 months of heartworm protection in a single dose — no monthly pills. Monthly chewables like Heartgard Plus are given by the pet parent every 30 days. ProHeart 12 eliminates the risk of missed doses, but requires a vet visit. Both are highly effective when used correctly.
Built on Real Systems

What systems power PetMeds heartworm orders?

Six core systems power every PetMeds order: the OMS order pipeline, Ordergroove for AutoShip subscriptions, the Vet Portal for prescription verification, Iterable for customer messaging, Salesforce Service Cloud for support cases, and the PIM for product data. Prescription heartworm products like Heartgard Plus and ProHeart 12 are verified by a licensed PharmD before shipping.

OMSOrder hub
OrdergrooveSubscription engine
Vet PortalRx verification
MiddlewareEvent routing
SFSCCustomer service
IterableRetention
Reviewed by Dr. Sarah Chen, PharmD Licensed pharmacist specializing in veterinary pharmacy · Last reviewed October 9, 2026

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