Covid-19 & Flu
Virtual Care

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

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.

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.

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

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)

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