Ollie just came back from his annual and I asked the vet about it . He said that they don't give it unless the dog spends it's winters in FLA . Through Purdue they learned early on that Rabies and DHPP needs to be given every 3 years . However they are now recommending the Leptospira Vaccine . A pricey visit , but worth it for once a year . Breakdown : Annual Exam - $46./Heartworm test - 28.40 / Parasite analysis - 28.32 / disposal 2.40 / Bordatella - 24.80 / Leptospira - 32. / Throid check 53.40 / Bath,ear check,nails - 35.00 . discount 25....total 225.29 ----- peace of mind - priceless !!! In 4 years Ollie has never been a patient .