My Vet has called around for me and found a compounding pharmacy who will compound it in capsules for almost half the price of the one I got it from last week . That is a huge difference, and I can't believe the one pharmacy has charged me almost double. My little rescue is on two heart medications for the rest of his life, so I have a large pharmacy bill every month. I am thankful that there are medications that give them both a better quality of life, and they are happy and healthy otherwise. No sign of SM in my 6 year old rescue, maybe he missed the curve based on his age, who knows??? He was heart clear at 4 when I got him, and now he has MVD. Just wish my pet insurance paid for medication .