It appears that your vet is not very experienced with cushing's so I am concerned about Bondo as well as the other two dogs in his care. Marianne gave you a link to some great information on how to save money by splitting the vials of cortrosyn, the stimulating agent. It is cortrosyn that makes the acth stimulation test so darned expensive. I can tell you right now that the stim tests at VCA are expensive which is why I have a general practitioner do the acth stimulation test.

Why don't you print out Dr. Peterson's blog on "How to extend the supply of cortrosyn and lower the cost of an acth stimulation test" and take it to your vet. For Bondo's size, your vet can easily get five acth stimulation tests out of one vial of cortrosyn. This is a huge savings. One member was able to drop the cost of acth stim tests by $100. I pay $169 as opposed to the almost $300 at VCA. If you like your vet, it may be worth your while to educate him on proper treatment monitoring and how he can save himself and his clients a lot of money.

I just had a conversation with a vet here in Ontario who told me that he loves internal medicine but apparently he doesn't do much continuing education because he was not aware of how to save cortrosyn. He said he's good at following directions and uses the entire vial with each stim test. I told him that was fine with dogs over 40 pounds but he could save pet owners with small dogs a lot of money if he would split the vials. I already liked this guy for his approach to vaccines, his gregarious bedside manner and his amazing gentleness with the dogs.....and I liked him even more when he told me he would split the cortrosyn for my dog. That's huge because I'm about to restart treatment for Lulu again so multiple stim tests will be necessary until we get her stabilized. I'm hoping to beat the $169 I'm currently paying.