Effective November 11, 2023, Premium Health has stopped providing COVID-19 testing services due to changes in regulations.
Please note that Premium Health is no longer affiliated with Premium Health OC Inc. For any questions related to COVID-19 services received from Premium Health OC Inc. prior to November 11, 2023, please contact (949) 408-1000.

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Covid-19 & Flu
Virtual Care

Get FDA-Authorized
Paxlovid & More!

 

Get care from the comfort of your home seven days a week

See a medical provider within minutes

Pick-up your prescription at your preferred pharmacy in 1-2 hours

No appointments needed

Why Virtual Care

No appointments needed

On demand healthcare available

Insurance advantage

All insurance plans accepted

Prescription ease

Prescriptions ordered directly to your pharmacy of choice

Live video consultation

Talk about your symptoms with a caring medical provider

Convenient hours

Open seven days a week, 8 am- 6 pm

No travel necessary

Avoid the trip to urgent care and save time

Why Virtual Care

No appointments needed

On demand healthcare available

Insurance advantage

All insurance plans accepted

Prescription ease

Prescriptions ordered directly to your pharmacy of choice

Live video consultation

Talk about your symptoms with a caring medical provider

Convenient hours

Open seven days a week, 8 am- 6 pm

No travel necessary

Avoid the trip to urgent care and save time

What We Prescribe For COVID Positive Patients

Paxlovid consists of nirmatrelvir, which inhibits a SARS-CoV-2 protein to stop the virus from replicating, and ritonavir, which slows down nirmatrelvir’s breakdown to help it remain in the body for a longer period at higher concentrations.

 

Indicated for patients with positive results of direct SARS-CoV-2 testing 

It can be used in adults and pediatric patients (12 years of age and older weighing at least 88 pounds)

Recommend for symptomatic patients who have mild to moderate COVID-19 and risk factors for progression to severe disease

 

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Frequently Asked Questions

Who qualifies for Covid-19 treatments?

Paxlovid and Molnupiravir are at-home treatments for high-risk patients experiencing mild to moderate Covid-19 symptoms. You may be eligible for a prescription consultation if you:

  • Have experienced Covid-19 symptoms for 5 days or less
  • Have a positive Covid-19 PCR or at-home antigen test
  • Are 12 or older
  • Are a high-risk patient with one of the following conditions:

    • Asthma
    • Cancer
    • Cerebrovascular disease
    • Chronic lung diseases limited to:
      • Interstitial lung disease
      • Pulmonary embolism
      • Pulmonary hypertension
      • Bronchiectasis
      • COPD (chronic obstructive pulmonary disease)
    • Cystic fibrosis
    • Diabetes, type 1 and type 2
    • Disabilities
      • Attention-Deficit/Hyperactivity Disorder (ADHD)
      • Cerebral Palsy
      • Congenital malformations (birth defects)
      • Limitations with self-care or activities of daily living
      • Intellectual and developmental disabilities
      • Learning Disabilities
      • Spinal Cord Injuries
    • Heart conditions (such as heart failure, coronary artery disease, or cardiomyopathies)
    • HIV (human immunodeficiency virus)
    • Neurologic conditions limited to dementia
    • Mental health disorders limited to:
      • Mood disorders, including depression
      • Schizophrenia spectrum disorders
    • Obesity (BMI ≥25 kg/m2)
    • Primary Immunodeficiencies
    • Recent pregnancy
    • Physical inactivity
    • Smoking, current and former
    • Solid organ or hematopoietic cell transplantation
    • Tuberculosis
    • Use of corticosteroids or other immunosuppressive medications
    • Unvaccinated or more than 6 months without a booster
How much do Covid-19 treatments cost?

Consultation: The cost of the doctor consultation is covered by all major U.S. insurance plans. For those without insurance there is a $49 fee.

Medication: As of January 2023, the U.S. government is providing these treatments for free at pharmacies across the country. The drug will be free of charge for as long as Covid-19 remains a public health emergency.

How does Paxlovid work against the Covid-19 virus?

As an antiviral treatment, Paxlovid fights off Covid-19 with a combination of two different medications. Within the three-pill dose, two of the pills are Nirmatrelvir, which prevents the Covid-19 protein from replicating, while the other is Ritonavir, a medication that boosts Nirmatrelvir’s effectiveness by slowing its metabolization by the liver, giving it more time to fight the infection

What is Paxlovid rebound?

According to the CDC, a small percentage of patients may experience “Paxlovid rebound” where Covid-19 symptoms briefly return 2-8 days after initial recovery. Researchers are still trying to understand why this is and whether it’s tied to Paxlovid or other factors. However the medication continues to be recommended as the most effective treatment for early-stage treatment of mild to moderate Covid-19 among high risk patients.

For those that do experience rebound Covid-19, the symptoms are usually milder and there are no reports of progression to severe disease or a need for additional treatment. That being said, patients may still be contagious and will need to continue isolating to avoid passing the virus to others.

We will continue to update this information as new data and guidance becomes available.

Who shouldn’t take Paxlovid?

Paxlovid has negative interactions with many drugs. If you are taking any of the following medications, Paxlovid is not the right treatment for you and you’ll want to follow up with your primary care provider to discuss alternate options.

  • Alpha1 adrenoreceptor antagonist: Alfuzosin (Uroxatral)
  • Analgesics: Pethidine (Meperidine, Demerol), Piroxicam (Feldene), Propoxyphene
  • Antianginal: Ranolazine (Ranexa)
  • Antiarrhythmics: Amiodarone, Dronedarone (Multaq), Flecainide (Tambocor), Propafenone (Rythmol), Quinidine
  • Anticancer: Apalutamide (Erleada)
  • Anticonvulsant: Carbamazepine (Tegretol), Phenobarbital (Luminal), Phenytoin (Dilantin)
  • Anti-gout: Colchicine
  • Antimycobacterials: Rifampin
  • Antipsychotics: Lurasidone (Latuda), Pimozide (Orap), Clozapine (Clozaril)
  • Endothelin receptor antagonists: Bosentan
  • Ergot derivatives: Dihydroergotamine (DHE), Ergotamine (Ergomar), Methylergonovine (Methergine)
  • Hepatitis C direct acting antivirals: Glecaprevir/Pibrentasvir (Mavyret, Maviret)
  • Long-acting beta-adrenoceptor agonist: Salmeterol (Serevent Diskus)
  • Narcotic analgesics: Fentanyl, Methadone (Diskets)
  • PDE5 inhibitor: Sildenafil when used for pulmonary arterial hypertension (PAH) or erectile disorder (Viagra, Revatio)
  • Sedative/hypnotics: Triazolam (Halcion), Oral Midazolam (Versed)
  • Statins: Atorvastatin (Lipitor), Fluvastatin (Lescol XL), Lovastatin (Altoprev), Pitavastatin (Livalo, Zypitamag), Pravastatin (Pravachol), Rosuvastatin (Crestor, Ezallor), Simvastatin (Zocor, Vytorin)
  • St. John’s Wort
Can Paxlovid be taken with other drugs?

The following medications can be taken with Paxlovid, but may cause side effects. Paxlovid should only be taken with these medications if you are under the in-person supervision of your primary care doctor. (We’ve included examples of popular drugs in each category, but there may be other brands or generics not listed here.)

  • Anticancer: Abemaciclib, Ceritinib, Dasatinib, Ibrutinib, Neratinib, Nilotinib, Venetoclax
  • Antidepressants: Bupropion (Wellbutrin), Trazodone
  • Antifungals: Ketoconazole (Nizoral, Xolegel, Extina), Isavuconazonium Sulfate (Cresemba), Itraconazole (Sporanox)
  • Antiviral for treatment of Hepatitis C: Elbasvir, Grazoprevir, Ombitasvir, Paritaprevir, Dasabuvir, Sofosbuvir, Velpatasvir, Voxilaprevir
  • HIV treatment: Amprenavir, Atazanavir, Darunavir, Fosamprenavir, Indinavir, Nelfinavir, Saquinavir, Tipranavir
  • Calcium channel blockers: Amlodipine (Norvasc) Diltiazem (Cardizem, Cartia, Dilacor XR, Diltia XT, Tiamate)
  • Cyclosporine (Cyclosporine, Restasis)
  • Digoxin (Digox, Lanoxin Pediatric, Lanoxin)
  • Ethinyl estradiol (present in many birth control pills)
  • Felodipine (Plendil)
  • Isradipine (Dynacirc)
  • Nicardipine (Cardene IV)
  • Nifedipine (Adalat, Procardia, Procardia XL)
  • Nisoldipine (Sular)
  • Verapamil (Calan, Covera-HS, Isoptin, Verelan)
  • Methadone (Diskets, Methadone Intensol, Methadose)
  • Oral steroids (Prednisone, Methylprednisone, Dexamethasone, Hydrocortisone, Betamethasone)
  • Quetiapine (Seroquel)
  • Rivaroxaban (Xarelto)
  • Sirolimus (Rapamune)
  • Tacrolimus (Protopic, Envarsus XR, Astagraf XL)
  • Warfarin (Jantoven, Coumadin)
Does Paxlovid have side effects?

Paxlovid is typically well-tolerated. Any side effects are generally mild, and include the following:

  • Altered or impaired sense of taste
  • Diarrhea
  • Increased blood pressure
  • Muscle aches

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