We learned that Tiki, had anal sac carcinoma on January 31, 2011. We couldn't afford surgery. We would not have been able to obtain the $1200/month Palladia drug Tiki needed without VPI's. It's because VPI never held back on reimbursements for the Palladia, we were able to keep Tiki free of discomfort and pain until Oct. 30, 2011. Thank you, VPI for giving us 9 beautiful months with Tiki. We recommend VIP for all pet owners.