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Dog & Cat Health

Flea and Worm Treatment Subscriptions UK

Five UK subscriptions compared on monthly price, what is in the box, tick and lungworm cover and how to cancel, plus what the same treatment costs bought one-off.

📅 Last reviewed: October 2026Our review process →
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Quick answer

  • ✓Subscriptions cost about £8.50 to £12.50 a month for a dog and £6.99 to £10.00 for a cat, depending on size and provider.
  • ✓All five send non-prescription treatments, mostly the same active ingredients as Frontline Plus.
  • ✓None claims lungworm protection. That needs a prescription product from your vet.
  • ✓Buying the same type of treatment one-off costs about the same; the subscription mainly buys convenience.

The subscriptions compared

Prices are each provider's published monthly price for flea (and, where stated, tick) treatment; wormers are usually added every three months. Most show the exact price for your pet's weight after a short quiz.

  • Itch
    Itch Flea spot-on; wormer add-on
    Best for: A free first month of flea treatment
    £9.00–£10.50/monthchecked 21 Oct 2026
    Monthly price by pet
    Dogs £9.00 (2–10 kg) to £10.50 (40 kg+); cats £8.50 (flea only)
    Ticks
    Yes
    Lungworm
    Not claimed
    Introductory offer
    First month's flea treatment free; £3.49 postage on the first box
    Cancelling
    By phone or email; a box already dispatched is charged
  • VetBox
    Fipronil spot-on; Anthelmin wormers
    Best for: Choosing monthly, quarterly or one-off items
    £9.50–£12.50/monthchecked 21 Oct 2026
    Monthly price by pet
    Dogs £9.50 (small) to £12.50 (XL); cats £9.50–£10.00 (help-centre prices; the homepage shows different examples)
    Ticks
    Yes
    Lungworm
    Not claimed
    Introductory offer
    30% off the first 3 months with a published code
    Cancelling
    Online, before that month's payment
  • ManyPets plan
    Run by VetBox; spot-on plus wormer
    Best for: ManyPets insurance customers (2 months free)
    From £8.55/monthchecked 21 Oct 2026
    Monthly price by pet
    From £8.55 for a small dog with a 10% multi-pet discount; other sizes after the quiz
    Ticks
    Yes
    Lungworm
    No (stated)
    Introductory offer
    2 months free for ManyPets insurance customers
    Cancelling
    In 'Manage my plan'
  • tails.com add-on
    Fipronil spot-on; Anthelmin wormer
    Best for: Existing tails.com food customers
    £8.50–£9.50/monthchecked 21 Oct 2026
    Monthly price by pet
    Dogs £8.50 (small) to £9.50 (large and XL); cat pricing not listed
    Ticks
    Yes
    Lungworm
    No (stated)
    Introductory offer
    None found
    Cancelling
    Not confirmed; only sold with tails.com deliveries
  • Protect My Pet
    Frontline Plus, Advantage or equivalents
    Best for: Choosing between named brands
    From £6.99/monthchecked 21 Oct 2026
    Monthly price by pet
    Dog packs from £7.49 (fleas) to £11.99 (fleas, ticks, worms); cat packs from £6.99; exact price after the quiz
    Ticks
    Frontline packs only
    Lungworm
    Not claimed
    Introductory offer
    None found
    Cancelling
    Online, by midnight before the billing date

Prices and terms from each provider's own website, checked on 21 October 2026. VetBox's homepage and help centre showed different prices; the table uses the help-centre figures.

What is actually in the box

Itch, VetBox, ManyPets and tails.com all send a spot-on containing fipronil and (S)-methoprene, the same active ingredients as Frontline Plus, which treats fleas and ticks and stops flea eggs developing. Protect My Pet sends branded Frontline Plus or Advantage, or equivalent products. The dog wormers sent contain praziquantel, pyrantel and febantel, which treat roundworm and tapeworm.

Every product these services name is either AVM-GSL (sold anywhere) or NFA-VPS(supplied by a vet, pharmacist or qualified person, known as an SQP) on the Veterinary Medicines Directorate's database. None sends a prescription-only medicine.

Lungworm: the gap in every subscription

Lungworm is spread by slugs and snails and can be serious in dogs. None of these subscriptions claims to cover it, and ManyPets and tails.com state that theirs does not. The products licensed against lungworm, including Advocate, NexGard Spectra and Milbemax, are prescription-only (POM-V), so they can only come from your vet or with a vet's prescription. If your dog eats slugs, snails or grass, ask your vet whether you need one.

Subscription or buy it yourself?

On 21 October 2026, VioVet listed Frontline Plus in packs of three at £24.99 for small dogs (2–10 kg), £25.89 for medium dogs (10–20 kg), £26.99 for large dogs (20–40 kg) and £17.99 for cats: £8.33, £8.63, £9.00 and £6.00 a dose. Those were promotional prices ending 27 October 2026 (VioVet listing). That puts one-off buying within a pound or two a month of the subscriptions. A subscription is worth it if reminders and letterbox delivery mean you treat on time every month.

Vet practice health plans

Health plans from vet practices bundle parasite treatment with vaccinations and check-ups. Published examples cost £16.99 to £25.99 a month: Vets4Pets Complete Care is £16.99 for a cat, £19.99 for a dog under 25 kg and £23.99 over 25 kg, with a 12-month minimum term and a £60 fee for cancelling within it (Vets4Pets). Plans can include vet-prescribed products, such as lungworm cover, that subscriptions cannot send.

How to choose

Check the weight band your pet falls into, because prices step up with size. Look at what triggers a charge: Itch charges for a box already dispatched when you cancel, and VetBox and Protect My Pet need you to cancel before that month's payment. If you already buy tails.com food, its add-on arrives with your deliveries; it cannot be bought on its own. For wider health costs, see our average vet bill guide, and for routine care, our dog health hub.

What we did, and what we did not do

We did: compared each provider's published prices, products, introductory offers, delivery and cancellation terms on its own website, and checked the legal category of every named product on the Veterinary Medicines Directorate's Product Information Database.

We did not: use these services ourselves or test the products. Itch, tails.com and VioVet blocked our automated page checks, so we read their pages through a text reader; verify prices on their sites before buying. We could not confirm Itch's wormer prices by size or which of VetBox's two price lists is current, and we found no trading Flerm service.

Prices and terms checked on 21 October 2026. They change; confirm on the retailer's page before you buy.

❓ Frequently Asked Questions

Do flea subscriptions protect against lungworm?

None of the five subscriptions we compared claims lungworm protection, and ManyPets and tails.com say plainly that theirs does not. Products licensed against lungworm, such as Advocate, NexGard Spectra or Milbemax, are prescription-only, so ask your vet if lungworm is a risk where you live.

Are flea subscriptions cheaper than buying treatment yourself?

Not by much. On 21 October 2026 VioVet listed Frontline Plus, which has the same active ingredients as the Itch, VetBox and tails.com spot-ons, at £8.33 to £9.00 a pipette for dogs and £6.00 for cats in packs of three, on a promotion. Subscriptions cost from about £8.50 to £12.50 a month for dogs. You pay mainly for convenience and reminders.

Do I need a prescription for a flea subscription?

No. The products these services name are either AVM-GSL, which can be sold anywhere, or NFA-VPS, which must be supplied by a vet, pharmacist or suitably qualified person (SQP). The services employ SQPs for that. Prescription-only treatments need your vet.

How is a vet health plan different?

Vet practice health plans bundle parasite treatment with vaccinations, check-ups and discounts. Published examples cost £16.99 to £25.99 a month, and Vets4Pets Complete Care has a 12-month minimum term with a £60 fee if you cancel early. They can include vet-prescribed products that subscriptions cannot send.

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UK pet guides

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