PanaKare Plus is used to encourage a healthy appetite in dogs and cats when digestion of proteins, carbohydrates, and fats is inadequate due to exocrine pancreatic insufficiency (EPI). EPI occurs when the pancreas becomes damaged, resulting in malnutrition even when diet and intake is normal.**We directly source prescription medications from manufacturers and wholesale distributors registered with the FDA and licensed by applicable state boards. Guaranteed genuine, and where applicable, backed by the manufacturer.**