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NexGard Spectra (afoxolaner + milbemycin oxime) costs $119.01–$209.88 for 6 chews at Canadian pharmacies, before the dispensing fee.

Pharmacy Price Comparison

Size and quantityCostcoVetMedsPets Drug MartVetScriptBEAM PharmacyThe Pet Pharmacist
Dispensing fee once per Rx+$4.49+$8.99+$7.99+$9.99+$7.99+$4.99
9.4 mg + 1.9 mg [2-3.7 kg band]6 chewsDIN 02473364$119.01$134.33$151.26$139.00$139.02$135.66
18.8 mg + 3.8 mg [3.7-7.5 kg band]6 chewsDIN 02473372$121.00$136.60$153.78$147.00$146.76$137.94
37.5 mg + 7.5 mg [7.5-15 kg band]6 chewsDIN 02473380$141.97$160.26$180.42$166.00$165.84$161.88
75 mg + 15 mg [15-30 kg band]6 chewsDIN 02473399$151.12$179.78$204.30$188.00$187.74$183.24
150 mg + 30 mg [30-60 kg band]6 chewsDIN 02473402$165.13$184.72$209.88$193.00$192.90$188.22

Medication only, before tax. Add the dispensing fee above; shipping and a veterinary consultation are extra. Not a Telepets quote — the pharmacy sets the final price. A dash means the pharmacy does not list that size; “Not carried” means it does not stock the product. A ‡ marks a price worked out from the pharmacy’s own listed prices rather than from a box it sells at this quantity. Last checked 2026-09-08.

Drug Information

Brand Name
NexGard Spectra
Generic Name
afoxolaner + milbemycin oxime
Route
Oral chewable
Species
Dog
Price Range
$119.01–$209.88

Where these prices come from

Online pharmacy prices are listed on the pharmacy's own website. Pickup pharmacy prices come from telephone surveys of Ontario pharmacies, so they can differ by store and by province. Each price is for the medication only, before the dispensing fee, shipping and tax, so it matches what you would see on the pharmacy's own page. It is not a Telepets quote.

Read the full pricing methodology · Last updated 2026-09-08

Disclaimer

This site lists medication names, quantities and prices. It does not say what any medication is for, and it is not veterinary advice. Speak to a veterinarian about treatment.