Which of the following is a POM-V medication?

• A. Imaverol
• B. Frontline
• C. Metacam
• D. NexGard

Answer: (C)

Understanding why this is a POM-V medicine hinges on how tightly a product’s use is controlled due to safety concerns. POM-V stands for Prescription Only Medicine for veterinary use, meaning it can only be supplied when there is a valid prescription from a veterinarian and the product is used under professional supervision.

Metacam contains meloxicam, an NSAID used to relieve pain and inflammation in animals. NSAIDs carry significant risks, including gastrointestinal ulcers and kidney or liver issues, and their safe use depends on precise dosing, the animal’s species, age, health status, and potential drug interactions. Because of these safety and dosing considerations, meloxicam must be prescribed by a veterinarian who can assess whether it’s appropriate for a specific patient, determine the correct dose, and monitor for adverse effects. That need for veterinary oversight is why Metacam is categorized as a POM-V.

The other options are products that are commonly available through channels that don’t require a veterinary prescription in many markets (or fall under different restricted categories such as POM-VPS or non-prescription veterinary products). They have established labeling and usage for routine care (flea and tick control, antifungal topical treatments, etc.) and do not require the same level of veterinary prescription oversight as Metacam.