COVID-19 treatment

Frequently asked questions

Is this visit right for me?

This visit may be right for you if:

• Your symptoms started within the past 5 days and you've since tested positive for COVID-19 with a rapid, at-home test or a lab (PCR) test

• You have underlying risk factors that make you more vulnerable to severe illness

• You’re experiencing mild-to-moderate symptoms, like coughing or a fever under 102°F

• You don’t have elevated liver enzymes, liver cirrhosis, or severe kidney impairment (eGFR < 30mL/min)

If you have cold or flu symptoms and test negative for COVID-19, you can start a visit from Amazon Clinic's Cough, cold, and flu treatment page.

Who can take Paxlovid?

The FDA has authorized the emergency use of nirmatrelvir-ritonavir (Paxlovid) for people who aren't seriously ill with COVID-19, but who have a higher risk of becoming seriously ill after getting the virus. The CDC identifies numerous risk factors that make someone eligible for Paxlovid treatment, including the following:

• Age 65 or over (if you're vaccinated against COVID-19)

• Age 50 or over (if you're not vaccinated against COVID-19)

• BMI 25 or higher (overweight or obese)

• Physical inactivity (sedentary lifestyle)

• Current use or former regular use of tobacco products

• Pregnancy or recent pregnancy (in the last 6 weeks)

• Asthma

• Cancer, HIV, or a weakened immune system

• Chronic kidney disease (with eGFR above 30mL/min)

• Chronic liver disease

• Chronic lung disease

• Cystic fibrosis

• Dementia or Alzheimer’s

• Diabetes

• Disabilities such as learning, intellectual, and developmental disabilities, spinal cord injuries, cerebral palsy, attention deficit/hyperactivity disorder (ADHD), and limitations with self-care or activities of daily living

• Heart condition like heart failure, coronary artery disease, or arrhythmia

• Mental health condition like depression or schizophrenia

• Sickle cell disease or thalassemia

• A history of stroke, TIA, or cerebrovascular disease

• Substance use disorder (drugs or alcohol)

• Tuberculosis

Is it safe to take Paxlovid with my other medications?

Paxlovid is an antiviral medication that can interact with many different types of prescription drugs and over-the-counter supplements, including the following:

• Antidepressants like buproprion (Wellbutrin) and trazodone

• Antiviral medications that treat HIV

• Birth control*

• Blood thinners like warfarin (Coumadin) or rivaroxaban (Xarelto)

• Cholesterol medications like atorvastatin (Lipitor) or simvastatin (Zocor, FloLipid)

• Erectile dysfunction (ED) medications like sildenafil (Viagra)

• Heart or blood pressure medications

• Migraine medications like ergotamine

• Seizure medications like carbamezapine or phenytoin

• St. John's wort

Your clinician will review your health information and let you know if you'll need to pause or adjust other therapies before you take Paxlovid.

*Paxlovid may affect how well birth control pills work. If you take hormonal birth control pills, your clinician may recommend using an additional barrier method (like a condom) until after you complete a full menstrual cycle following the 5 days of Paxlovid treatment.

How much does Paxlovid cost?

If your clinician prescribes Paxlovid and you have health insurance, the cost of your 5-day treatment will likely be covered.

If you don't have health insurance, please note that Paxlovid's out-of-pocket cost could be higher than $1,000. Patient assistance programs may be available to help pay for the medication.

Can I get a doctor's note through Amazon Clinic?

Doctors' notes are available at your clinician’s discretion if you choose HelloAlpha or Wheel as your provider. Other online clinics don’t offer doctors' notes at this time.

What types of visit can I have?

Video visits are available in all 50 states and D.C. Message-only visits are available in 34 states. To see your visit options, first choose your state.

Can I use my health insurance to pay for a visit and/or medication?

Amazon Clinic doesn't accept health insurance for visits at this time. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through Amazon Clinic. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.

How does Amazon Clinic protect my health information?

Amazon Clinic protects your health information by strictly following the requirements of the Health Insurance Portability and Accountability Act (HIPAA). HIPAA governs what Amazon Clinic and your healthcare providers can do with your medical information, as well as your contact and payment information. Amazon Clinic doesn’t and will never sell your personal information. Learn more on our privacy page.

Sources

1. CDC. (2020, February 11). Healthcare Workers. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/outpatient-treatment-overview.html

2. Pfizer. (2023). Paxlovid: Highlights of prescribing information. labeling.pfizer.com/ShowLabeling.aspx?id=19599

COVID-19 treatment - Online visit

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COVID-19 treatment

How it works

Frequently asked questions