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Top 5 Automatic Refill Heartworm Preventives in Canada (2025) — Vet-Approved Subscription Options for Reliable, Year‑Round Protection and Never-Miss Doses

Published on Thursday, August 21, 2025

Scheduled subscription delivery of vet-approved heartworm preventives for dogs, including monthly tablets and extended-release options. These automatic refill programs ensure timely dosing, prescription verification, and flexible delivery intervals to improve adherence and protect pets year-round. In Canada, pet owners choose automatic refills for convenience, consistent protection against heartworm and other parasites, simplified prescription renewals, and predictable costs. Consumers also value the ability to pair preventive medications with veterinary oversight, choose products that match their dog's lifestyle (oral vs topical, multi-parasite coverage), and adjust deliveries to match region-specific risk windows driven by mosquito activity and travel.

Quick Menu

1. Best Budget Auto-Ship

2. Best Broad-Spectrum Subscription

3. Best Flea + Intestinal Auto-Delivery

4. Best Topical Auto-Refill

5. Best Premium Triple-Action Subscription

1
BEST BUDGET AUTO-SHIP

Heartgard Plus Auto-Ship

Heartgard Plus Auto-Ship

Heartgard Plus Auto-Ship remains a market leader for automatic heartworm prevention because of its long clinical track record, low per-dose cost and a simple monthly chewable formulation that minimizes missed doses through scheduled auto-ship. Compared with broader-spectrum subscriptions in this list, it is the most economical choice for owners focused primarily on heartworm and common intestinal roundworms, though it lacks the flea and tick coverage found in multi-parasite products like Simparica Trio or Revolution Plus.

4.6
★★★★☆
  • Monthly peace-of-mind

  • Beef-flavored treat

  • Monthly peace-of-mind

  • Beef-flavored treat

Review Summary

90%

"Longtime users praise Heartgard Plus Auto-Ship for reliable monthly heartworm protection and the convenience of automatic deliveries, with occasional complaints about subscription billing and price. Most report no noticeable side effects and high trust in its effectiveness."

  • Auto-ship ease

  • Monthly chewable focused on reliable heartworm prevention.

  • Auto-ship ease

  • Monthly chewable focused on reliable heartworm prevention.

Increased Safety & Security

Time-Saving Convenience

Heartgard Plus Auto-Ship remains a market leader for automatic heartworm prevention because of its long clinical track record, low per-dose cost and a simple monthly chewable formulation that minimizes missed doses through scheduled auto-ship. Compared with broader-spectrum subscriptions in this list, it is the most economical choice for owners focused primarily on heartworm and common intestinal roundworms, though it lacks the flea and tick coverage found in multi-parasite products like Simparica Trio or Revolution Plus.

  • Monthly peace-of-mind

  • Beef-flavored treat

  • Auto-ship ease

  • Monthly chewable focused on reliable heartworm prevention.

  • Also treats common intestinal round and hook worms.

  • Monthly peace-of-mind

  • Beef-flavored treat

  • Auto-ship ease

  • Monthly chewable focused on reliable heartworm prevention.

  • Also treats common intestinal round and hook worms.

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$180-300 CAD

2
BEST BROAD-SPECTRUM SUBSCRIPTION

Interceptor Plus Subscription

Interceptor Plus Subscription

Interceptor Plus Subscription holds a strong position by combining heartworm prevention with broad intestinal parasite and tapeworm control in a single monthly tablet, making the subscription financially attractive for owners who want consolidated deworming. Versus Heartgard Auto-Ship it delivers wider GI parasite coverage at comparable subscription convenience, but it does not include adult flea or tick control offered by products such as Simparica Trio or Revolution Plus, so some owners may still need an additional ectoparasite product.

4.5
★★★★☆
  • Broad parasite shield

  • Tapeworm tango

  • Broad parasite shield

  • Tapeworm tango

Review Summary

88%

"Interceptor Plus Subscription is commonly rated effective against heartworms and intestinal parasites, and buyers value the auto-delivery convenience; some note occasional gastrointestinal side effects or higher cost. Overall users find it dependable for multi-parasite control."

  • Never miss dose

  • Protects against heartworm and multiple intestinal parasites, including tapeworm.

  • Never miss dose

  • Protects against heartworm and multiple intestinal parasites, including tapeworm.

Increased Safety & Security

Time-Saving Convenience

Interceptor Plus Subscription holds a strong position by combining heartworm prevention with broad intestinal parasite and tapeworm control in a single monthly tablet, making the subscription financially attractive for owners who want consolidated deworming. Versus Heartgard Auto-Ship it delivers wider GI parasite coverage at comparable subscription convenience, but it does not include adult flea or tick control offered by products such as Simparica Trio or Revolution Plus, so some owners may still need an additional ectoparasite product.

  • Broad parasite shield

  • Tapeworm tango

  • Never miss dose

  • Protects against heartworm and multiple intestinal parasites, including tapeworm.

  • Palatable chewable with broad-spectrum parasite control.

  • Broad parasite shield

  • Tapeworm tango

  • Never miss dose

  • Protects against heartworm and multiple intestinal parasites, including tapeworm.

  • Palatable chewable with broad-spectrum parasite control.

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$200-320 CAD

3
BEST FLEA + INTESTINAL AUTO-DELIVERY

Sentinel Spectrum Auto-Delivery

Sentinel Spectrum Auto-Delivery

Sentinel Spectrum Auto-Delivery is best-in-class for owners seeking a broad intestinal parasite and flea-lifecycle solution paired with heartworm prevention, and its auto-delivery reduces lapses while often replacing multiple individual purchases. Financially it can be a cost-effective alternative to buying separate dewormers and a flea control product, but technically it differs from tick-killing options like Simparica Trio and Revolution Plus because its flea protection targets the life cycle rather than rapidly killing adult fleas and ticks.

4.4
★★★★☆
  • Flea-egg zapper

  • Worms and pests covered

  • Flea-egg zapper

  • Worms and pests covered

Review Summary

85%

"Sentinel Spectrum Auto-Delivery is appreciated for broad-spectrum parasite protection and the ease of scheduled shipments, though some pet owners mention tablet size, price, or occasional minor adverse reactions. Reviews generally reflect satisfaction with its comprehensive coverage."

  • Auto-delivery calm

  • Combines heartworm prevention with flea control and intestinal parasite protection.

  • Auto-delivery calm

  • Combines heartworm prevention with flea control and intestinal parasite protection.

Increased Safety & Security

Time-Saving Convenience

Sentinel Spectrum Auto-Delivery is best-in-class for owners seeking a broad intestinal parasite and flea-lifecycle solution paired with heartworm prevention, and its auto-delivery reduces lapses while often replacing multiple individual purchases. Financially it can be a cost-effective alternative to buying separate dewormers and a flea control product, but technically it differs from tick-killing options like Simparica Trio and Revolution Plus because its flea protection targets the life cycle rather than rapidly killing adult fleas and ticks.

  • Flea-egg zapper

  • Worms and pests covered

  • Auto-delivery calm

  • Combines heartworm prevention with flea control and intestinal parasite protection.

  • Contains lufenuron to inhibit flea egg development for longer-term control.

  • Flea-egg zapper

  • Worms and pests covered

  • Auto-delivery calm

  • Combines heartworm prevention with flea control and intestinal parasite protection.

  • Contains lufenuron to inhibit flea egg development for longer-term control.

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$220-360 CAD

4
BEST TOPICAL AUTO-REFILL

Revolution Plus Auto-Refill

Revolution Plus Auto-Refill

Revolution Plus Auto-Refill ranks as a market leader for comprehensive automatic protection by pairing heartworm prevention with broad-spectrum external parasite control (including fleas and many tick species) and coverage for several internal parasites, which simplifies care into one monthly dose. Although typically priced higher than heartworm-only subscriptions, its auto-refill program can be more cost-efficient overall by eliminating the need for separate spot-on or oral flea/tick products that would otherwise be purchased alongside items like Heartgard or Interceptor.

4.5
★★★★☆
  • Topical power-up

  • Mite-fighting ally

  • Topical power-up

  • Mite-fighting ally

Review Summary

87%

"Revolution Plus Auto-Refill earns positive marks for combining topical convenience with wide parasite protection and the simplicity of automatic refills; a minority report skin reactions or shipping/subscription hiccups. Most users find it effective and easy to use."

  • Refill on autopilot

  • Topical monthly treatment that covers heartworm, fleas, ticks and ear mites.

  • Refill on autopilot

  • Topical monthly treatment that covers heartworm, fleas, ticks and ear mites.

Increased Safety & Security

Time-Saving Convenience

Revolution Plus Auto-Refill ranks as a market leader for comprehensive automatic protection by pairing heartworm prevention with broad-spectrum external parasite control (including fleas and many tick species) and coverage for several internal parasites, which simplifies care into one monthly dose. Although typically priced higher than heartworm-only subscriptions, its auto-refill program can be more cost-efficient overall by eliminating the need for separate spot-on or oral flea/tick products that would otherwise be purchased alongside items like Heartgard or Interceptor.

  • Topical power-up

  • Mite-fighting ally

  • Refill on autopilot

  • Topical monthly treatment that covers heartworm, fleas, ticks and ear mites.

  • Includes an active ingredient for enhanced tick and flea efficacy.

  • Topical power-up

  • Mite-fighting ally

  • Refill on autopilot

  • Topical monthly treatment that covers heartworm, fleas, ticks and ear mites.

  • Includes an active ingredient for enhanced tick and flea efficacy.

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$240-420 CAD

5
BEST PREMIUM TRIPLE-ACTION SUBSCRIPTION

Simparica Trio Subscription

Simparica Trio Subscription

Simparica Trio Subscription is a market leader among automatic refill heartworm preventives for pet owners wanting the broadest single-tablet protection, combining heartworm prevention with fast-acting flea and tick control plus intestinal parasite treatment in a monthly chewable. Compared with Sentinel Spectrum it offers adult flea and tick killing and thus may replace the need for additional topical products, though that expanded coverage is reflected in a higher subscription price relative to narrow-spectrum options like Heartgard.

4.7
★★★★☆
  • Fast flea killer

  • Triple-threat chew

  • Fast flea killer

  • Triple-threat chew

Review Summary

92%

"Simparica Trio Subscription is frequently praised for high efficacy against fleas, ticks, heartworm and intestinal parasites and for palatable chewables, with rare reports of vomiting or lethargy. Overall reviewers rate it very highly for broad protection and subscription convenience."

  • Subscription serenity

  • Oral chewable combining flea, tick and heartworm protection in one dose.

  • Subscription serenity

  • Oral chewable combining flea, tick and heartworm protection in one dose.

Increased Safety & Security

Time-Saving Convenience

Simparica Trio Subscription is a market leader among automatic refill heartworm preventives for pet owners wanting the broadest single-tablet protection, combining heartworm prevention with fast-acting flea and tick control plus intestinal parasite treatment in a monthly chewable. Compared with Sentinel Spectrum it offers adult flea and tick killing and thus may replace the need for additional topical products, though that expanded coverage is reflected in a higher subscription price relative to narrow-spectrum options like Heartgard.

  • Fast flea killer

  • Triple-threat chew

  • Subscription serenity

  • Oral chewable combining flea, tick and heartworm protection in one dose.

  • Offers broad-spectrum efficacy including intestinal worms and multiple tick species.

  • Fast flea killer

  • Triple-threat chew

  • Subscription serenity

  • Oral chewable combining flea, tick and heartworm protection in one dose.

  • Offers broad-spectrum efficacy including intestinal worms and multiple tick species.

Order Now

$300-480 CAD

What the Research and Veterinary Guidance Say

Clinical guidance and multiple peer-reviewed studies support the core benefits of regular, correctly timed heartworm prevention: consistent dosing reduces infection risk, wider-spectrum products can address multiple parasites in one regimen, and automated delivery programs improve adherence compared with ad-hoc purchasing. Veterinary organizations recommend combining preventive medication with regular testing and veterinary review; prescription verification in subscription services helps maintain that standard of care. Emerging regional data in Canada also indicate shifting mosquito activity windows in some provinces, making predictable, year-round protection an increasingly sensible choice for many dogs.

Adherence matters: Studies and clinical guidance show pets that receive continuous, on-schedule prophylaxis have significantly lower heartworm infection rates than those with gaps in dosing.

Combination products simplify care: Formulations that protect against heartworm, intestinal parasites, fleas and/or ticks can reduce the number of separate products and dosing errors.

Automated delivery improves consistency: Real-world pharmacy and clinic data indicate subscription programs raise on-time refill rates and reduce missed doses.

Veterinary oversight reduces risk: Prescription verification and regular check-ins align preventive therapy with testing and health updates, improving safety and effectiveness.

Regional risk is changing: Surveillance and veterinary reports in Canada show mosquito season and travel-related exposures are influencing recommendations toward year-round or extended-season prevention in many areas.

In Canada, automatic refill options make it easier to keep dogs protected without last-minute runs to the clinic. The five main products featured here — Heartgard Plus Auto-Ship, Interceptor Plus Subscription, Sentinel Spectrum Auto-Delivery, Revolution Plus Auto-Refill, and Simparica Trio Subscription — each offer different combinations of parasite protection, delivery formats, and veterinary support. For many households seeking the broadest single-product coverage with strong adherence potential, Simparica Trio Subscription is a top choice because it combines heartworm prevention with flea, tick and intestinal parasite control in a monthly oral tablet. That said, Heartgard Plus Auto-Ship, Interceptor Plus Subscription, Sentinel Spectrum Auto-Delivery and Revolution Plus Auto-Refill each have clear advantages depending on your dog’s needs and your veterinarian’s guidance. We hope you found what you were looking for — you can refine or expand your search using the site search to compare formulations, dosing schedules, price, and veterinary requirements.

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