Happy to hear that Lola got a clean bill of health at the vet. I think I would need to be hospitalized after fainting when I got that bill! 8O I don't know...sounds like a bunch to me. I would have done without the Lyme and Bortadella for sure, but that's because I'm not in a big tick area and I don't board the dog. The K9 Advantix you could probably get a lot cheaper ordering from somewhere or even at Petco. I'm not sure what the 4Dx Heartworm/Lyme/Ehrlychia x 2 $80.00 is either!