Pet parents once had only two options when a pup scratched all night or a cat wheezed at 2 a.m.: wait for the clinic to open or rush to an emergency hospital. Today, a third path exists—licensed veterinarians who can legally diagnose, treat, and even prescribe prescription medications after a video call.

This guide compares seven of the best platforms so you know exactly what kind of care (and cost) to expect.

Why Virtual Prescriptions Matter in 2025

Veterinary access is in short supply. About 129 million Americans—one-third of the country—live in so-called “vet care deserts.” And even if you do have a clinic nearby, routine visits can run $1,450 per pet each year.

No surprise, then, that 52% of U.S. owners skipped or declined recommended care in the past 12 months.

Telehealth isn’t just convenient—it’s often the only financially practical way to keep animals healthy between in-person exams. Most common dermatology, behavior, and GI issues can be handled without hands-on procedures, and the vet can still write a legitimate prescription that ships to your door.

How We Chose the Services

1.Legal authority to establish a veterinarian–client–patient relationship (VCPR) online in at least part of the U.S.

2.Nationwide or multi-state pharmacy fulfillment for prescription meds and refills.

3.Transparent pricing—no hidden exam or dispensing fees.

4.Appointment availability within 24 hours.

5.Positive customer reviews and independent vet oversight.

Each company below meets those criteria. Word counts are roughly equal, so you can compare apples to apples.

The 7 Best Online Vets for Remote Prescriptions
 

1. Dutch

Estimated cost: memberships from $11/month

Dutch offers a flat-fee subscription that covers unlimited follow-ups and behavioral consults, and gives members access to prescription services—medications themselves are billed separately.

Licensed vets create a treatment plan during a video visit; meds are then shipped to more than 30 states, often arriving in 48 hours.

The platform shines for allergy, anxiety, and skin flare-ups—conditions that usually don’t need lab work.

A real-world example: a French bulldog with chronic ear infections uploads close-up photos, gets an online diagnosis of allergic otitis, and receives medicated drops without stepping paw in the clinic.

Because Dutch allows unlimited chat, the pet parent can check dosing or side-effect questions at any time.

Why we like it:

• Members can text a vet 24/7, and video appointments are available seven days a week—including nights and weekends.
• Transparent medication pricing; no “SURPRISE!” pharmacy fees.
• One membership covers up to five pets, making it cost-effective for multi-pet households.

Potential drawbacks: no emergency triage and physical exams are still required for vaccinations, so keep a brick-and-mortar relationship for annual wellness.

2. Vetster

Estimated cost: $50–$75 per consult

Think of Vetster as an Airbnb-style marketplace for veterinarians. You pick a doctor licensed in your state, filter by species expertise, and book 24/7 availability. During the visit, the vet can send prescriptions to VetsterRx (its internal pharmacy) or any Preferred Partner pharmacy in your region, ensuring compliance with state VCPR laws.

What stands out is choice: if you prefer holistic care, exotic experience, or fear-free handling advice, you’ll likely find a vet who ticks those boxes. Record-keeping is frictionless, too—your visit summary and future refill buttons live in the same dashboard.

A smart feature many miss: Pet sitters can be added as temporary caregivers, so medication adjustments continue even while you travel.

3. Pawp

Estimated cost: $24/month for whole-family coverage

Pawp’s roots are in emergency triage; the membership includes a once-per-year $3,000 emergency fund if their vets validate that an urgent ER visit is needed. Prescription authority, however, is expanding quickly as more states permit virtual VCPRs.

During a typical consult, you’ll upload photos, answer a symptom questionnaire, and, if warranted, receive an e-script routed to the Pawp Pharmacy or to a local partner for same-day pickup.

The killer advantage is speed. Wait times average under two minutes for chat, ideal when your cat suddenly develops hives. And because every family pet is covered under one plan, multi-pet households pay far less than per-animal services.

Limitations? Pawp focuses on triage and short-term scripts; chronic-care follow-ups may still need your primary vet.

4. Airvet

Estimated cost: $30–$55 per consult (or employer-sponsored)

Airvet partners with thousands of brick-and-mortar clinics, so the platform can loop your in-person veterinarian into the call when appropriate. If you don’t have a clinic, Airvet assigns one of its telehealth doctors licensed in your state.

Once a prescription is written, fulfillment happens through Vetsource, a national pharmacy network that ships directly to your door or allows clinic pickup.

A unique perk is employer benefits. Many Fortune 500 companies now include Airvet in wellness packages, giving staffers free 24/7 access. The app also automatically generates medical records that sync with most practice-management systems, reducing paperwork when you finally do see the vet in person.

Because it straddles telehealth and traditional practice, Airvet is excellent for post-op rechecks: video the incision, answer pain-assessment questions, and refill meds without another stressful car ride.

5. Chewy Connect With a Vet

Estimated cost: free chat for Autoship customers; $19.99 video consult

Chewy’s vet service is an add-on to its giant retail footprint, so medication integration is seamless. During video exams,

Chewy veterinarians can prescribe FDA-approved drugs that ship via Chewy Pharmacy, often overnight. Because the platform links to your pet’s Chewy profile, you can place refills with one click.

The experience feels retail-centric—perfect if you’re already using Autoship for food or preventives. Note, however, that only customers with an active Autoship benefit from free chat, and consult hours are 8 a.m.–8 p.m. ET. Still, for non-emergency dermatology or GI flares, the service offers big-box speed with genuine medical oversight.

6. FirstVet

Estimated cost: $35–$55 per visit

Born in Sweden, FirstVet entered the U.S. market with feline medicine as a major focus—a boon for cat guardians who struggle to find cat-savvy vets locally. The platform offers same-day video appointments, detailed medication instructions and scheduled follow-ups included in the initial fee.

Prescriptions are transmitted to partner pharmacies that work in tandem with USPS or UPS, and you receive tracking alerts inside the app. For common conditions like cystitis or chronic pancreatitis, having a cat-centric vet who understands nuance can mean fewer stressful clinic trips.

International travelers appreciate that the FirstVet app works across borders, so you can still reach an English-speaking vet while abroad (regulations permitting). Just remember that U.S. prescriptions can only be filled within U.S. borders.

7. AskVet

Estimated cost: $29/month wellness membership

AskVet blends coaching and medicine. Each pet gets a personalized “30-Day Plan” that might include diet tweaks, exercise goals, and, when necessary, prescription medications that ship through partner pharmacies. Unlimited chat, behavior coaching, and even virtual training sessions are bundled into the price.

The holistic framework shines for chronic conditions like obesity or anxiety. For instance, a Golden retriever on a weight-loss plan can receive diet advice, follow-up weigh-ins via photo and prescription appetite suppressants—all without clinic stress.

AskVet also runs live group Q&A sessions led by licensed vets, which help owners learn from each other’s cases. If your pet needs in-person diagnostics, the company emails a detailed handoff letter you can share with your local practice.

What Telehealth Can’t Replace

Virtual care handles about 90% of non-emergency issues, but it’s not a silver bullet. Sudden collapse, seizure, uncontrolled bleeding or anything requiring imaging still warrants an ER visit.

Many states also mandate an in-person exam before core vaccines. To deepen your bond during tough moments, read Elephant Journal’s advice on holding space for your sick pet—it applies whether you’re in a clinic lobby or on a webcam.

Final Thoughts & Next Steps

Telehealth is no longer experimental; it’s fast becoming the backbone of everyday pet parenting. Analysts project the global veterinary telehealth market will hit $921.4 million by 2030, growing 20.3% annually. That growth means better tech, broader prescription authority, and, hopefully, lower costs.

Before your next midnight symptom spiral, download one of the platforms above, preload medical records, and double-check your state’s VCPR rules. When urgency strikes, you’ll be ready.