My pup is 5 months old now, we have already spent close to a 1,000 on medical bills, food is approx 30.00 a month, heartworm will be approx 45.00 for 6 months supply, and flea and tick, approx same price. But my pups medicals were due to areaI live and him licking, picking up everything around. My two previous Labs were approx 100.00 for 6 months supply of heart worm, 40.00 a month for food and their yearly shots veried.