No, this is not the case. The local pharmacy is very small and is not a chain. Not only does this pharmacy do a lot for humans but also for animals. Yesterday when I called them the person told me they charge $50 for 5 vials of the chemo I need. When I explained the situation to her, she knew the vet office because they had just ordered the chemo - of course for me. I am sure if I can get it directly from this small local pharmacy for $50, then my vet office is getting it at a lower price from this pharmacy. As stated having my vet office mark the price up to a reasonable profit is one thing but almost triple is to me downright gouging!!