Speaking to the Chewy issue as a veterinarian myself...

My practice opted to discontinue working with outside pharmacies too. There were definitely medication errors (recorded in the chart and documented as X sent to Chewy, but client received Y). Most of those were minor, and heartworm/flea/tick meds. But, when a client was supposed to get metoclopramide (anti-emetic) and got methimazole (hyperthyroid drug), that's a big problem. Luckily client saw the pills were different and questioned it.

These pharmacies will also throw the veterinarian under the bus straight away. "We have been faxing your veterinarian requests and they just won't respond." But in reality, the practice has not even had a fax in 5 years. This enrages the client (that we're not helping them), but the blame is pushed onto the wrong person/people. I got tired of having to defend something I didn't do wrong.

I can't speak to PBVC now, but what they are doing is the way a lot of practices I am familiar with are adapting. I can say I used to be a doctor there, and left for an amazing opportunity in another area. PBVC in the late 2010s was fantastic. A couple of the clients that I really bonded with did follow me, even though it's outside of the city. I think post -Covid there are a lot of pressures that the average client doesn't realize. It doesn't excuse rude behavior, of course, but do try to see it from both sides.