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.
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Reviewed by Dr. Sarah Chen, PharmD- Licensed Pharmacy
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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.
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.
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.
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.
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.
Interceptor Plus Chewable — 6 Month Supply
Sentinel Spectrum Chewable — 6 Month Supply
Simparica Trio Chewable — 3 Month Supply
ProHeart 12 Injection
Revolution Plus Topical — 3 Month Supply
Advantage Multi Topical — 6 Month Supply
Iverhart Max Chewable — 6 Month Supply
Tri-Heart Plus Chewable — 6 Month Supply
ProHeart 6 Injection
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.
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.
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.
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.