My dog has had valley fever for about 1.5 yrs now. His titers have been up and down and we tried to take him off of his fluconazole a few months back when his symptoms shortly began creeping back. It was recommended to try Medmetric because they have the ability to formulate my puppy's dose so that we do not have to use a pill cutter and worry about splitting the pills precisely to give him his daily BID accurate dose, which isn't always so accurate using the pill cutter! I am thrilled to say little Simon has been on his new formulated dose of fluconazole for 3 weeks now and has recently started improving drastically. Not only am I saving time and and increasing accuracy, the pharmacy was kind enough to deliver the medication to Scottsdale! I would highly recommend Medmetric :)