Wife took kittens to get vaccinated. They took it upon themselves to put flea and tick medicine on the cats. Did not want or ask for because we had already bought and had at home. Way overcharged my wife for flea and tick medicine that she didn't ask for in the first place. 23plus dollars a tube. (3tube pack at rural king. 9 bucks) that we had gotten to do on our own after the vaccines were done.