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CVS® pharmacists can now prescribe Paxlovid to treat COVID-19

CVS pharmacists can now prescribe and fill Paxlovid, a COVID-19 antiviral medication, for those who are eligible for treatment.1 Take our digital eligibility screener to see if you qualify.

Take our digital screener

A CVS Pharmacist listens to questions from a patient.

More about Paxlovid

Paxlovid is an antiviral medication used to treat mild to moderate COVID-19.

View the Food and Drug Administration (FDA) fact sheet on Paxlovid.

A CVS Pharmacist provides a consultation over the phone to a patient.
Step one Step one

First, we need to get some information to make sure Paxlovid is a potential treatment option for you and that you qualify for the clinical assessment. Find out if you’re eligible by completing our digital eligibility screener. Read below about how we determine eligibility.

Take our digital screener

Step two Step two

If you’re eligible, you’ll schedule time to talk with your CVS pharmacist to review your health information and ensure there are no concerns.2

There is no cost for Paxlovid, but the consultation with your pharmacist will cost $60. Check your insurance to see if this cost would be covered. Read below about costs and payment information.

Depending on the clinical assessment, the pharmacist may not be able to prescribe Paxlovid to you but will refer you to a primary care provider (PCP) or MinuteClinic®.

Step three Step three

If you're eligible, your pharmacist will prescribe Paxlovid3 and provide an after-visit summary. Depending on timing and availability, you can have your prescription delivered the same day,4 picked up at a CVS drive-thru or picked up by a caregiver. 

Once you have your medication, be sure to start it on the same day. If your symptoms get worse, please seek medical attention. If you have any questions or concerns, your pharmacist can discuss them with you.

How we determine eligibility

Your pharmacist will work with you to determine if prescribing Paxlovid is a good option for you. To be eligible for this service, you should:

  • Have tested positive for COVID-19 and are within five days of symptom onset.
  • Have not yet been admitted to the hospital.
  • Have one or more risk factors for developing severe COVID-19. View the Centers for Disease Control and Prevention (CDC) guidance on risk factors.
  • Be at least 12 years old and weigh at least 88 pounds.
  • Have had blood work completed within the last 12 months (including blood work that looks at your liver and kidney function).
  • Not have kidney or liver disease.

Due to federal regulations, pharmacists cannot provide this service to Medicare or Medicaid members5 at this time.

Take our digital screener

Costs and payment information

While there is no cost for the Paxlovid medication if prescribed, you may be charged up to $60 dollars for the clinical assessment fee. The $60 fee will be charged even if you are deemed ineligible for Paxlovid. The $60 fee can be paid by cash or health savings account (HSA) or flexible spending account (FSA) card. You may also check your insurance to see if this cost would be covered.

Due to federal regulations, pharmacists cannot provide this service to Medicare or Medicaid members at this time. There are other options for treatment if you do not meet all the necessary criteria for the clinical assessment and the prescribing of Paxlovid.

Please refer to MinuteClinic or your primary care provider for care. Contact your insurance provider if you do not have a PCP or to see if you qualify for low-cost primary care. Find a nearby health center through HRSA.gov.

Schedule a MinuteClinic visit

Frequently asked questions

Patients experiencing COVID-19 symptoms who have already tested positive can schedule an over-the-phone assessment with a CVS® pharmacist by visiting CVS.com® or using the CVS Pharmacy® app. Based on Food and Drug Administration (FDA) guidelines, our digital screener will determine patient eligibility for clinical assessment and potential prescribing by a pharmacist. If for any reason a patient is deemed ineligible for a pharmacist consultation, they may be referred to a MinuteClinic® medical clinic or to a primary care provider. Eligible patients who receive a pharmacist assessment and prescription for Paxlovid may have the prescription filled at the CVS Pharmacy location or another pharmacy of their choice. Patients must meet all eligibility requirements as defined by the FDA, and not all pharmacist assessments will result in a prescription. The cost for patients who are seeking assessment and treatment by a CVS pharmacist is $60, which is collected via credit/debit card at the time of scheduling. Patients may also use health savings account (HSA) or flexible spending account (FSA) funds to pay for the assessment. There is no cost to the patient for the oral antiviral medication Paxlovid, if prescribed.

Eligible patients who are symptomatic and have tested positive for COVID-19 may seek a prescription from a pharmacist by first completing the digital eligibility screener on CVS.com or via the CVS Pharmacy app. Patients will be asked screening questions to determine eligibility and must attest to having tested positive for COVID-19. Patients must have had certain bloodwork performed in the past 12 months and must provide supporting documentation or electronic records. Pharmacists are required to review patient kidney and liver blood test values before prescribing Paxlovid.

Patients are encouraged to use our digital eligibility screener on CVS.com and via the CVS Pharmacy app to make an appointment for an over-the-phone consultation. If a COVID-19 positive patient seeks an assessment within a retail pharmacy location, they will be sent a text message with a link to the digital eligibility form and asked to complete it outside of the building.

Under the FDA’s emergency use authorization, only patients with an increased risk of developing severe COVID-19 side effects are eligible for Paxlovid. This includes people who have tested positive for COVID-19; who have not yet been admitted to the hospital; are at high risk for developing severe COVID-19 symptoms; are age 12 or older (and weigh at least 88 pounds) and, for pharmacist prescribing, have certain bloodwork dated within the last 12 months available for review either by uploading to the digital screener or via the patient's electronic health record.

Patients who receive a positive result on an at-home COVID-19 rapid antigen diagnostic test can schedule an appointment to speak to a pharmacist to determine if they are eligible for a prescription.

Patients who meet the eligibility criteria of the digital screener and who opt to seek clinical assessment and treatment for COVID-19 from a CVS pharmacist are responsible for an upfront payment of $60, which is collected via credit/debit card at the time of scheduling. Patients may also use HSA or FSA funds to pay for the assessment. We’re working to add payer partners for this pharmacist-provided care. Patients are encouraged to check with their health insurance plan to determine coverage. There is no cost to the patient for the oral antiviral medication Paxlovid, if prescribed. Payment is for the clinical assessment from a pharmacist, and not all assessments may result in a prescription depending on clinical eligibility. 

Unfortunately, patient care services provided by pharmacists are not covered by Medicare or certain state Medicaid plans, and we are unable to bill for these services. Patients who seek COVID-19 assessment and treatment by a CVS pharmacist will be provided with links to providers that can provide the service to the patient. Therefore, patients seeking COVID-19 assessment and treatment by a CVS pharmacist will have to pay for this service out of pocket. The fee, like those charged for other medical visits, covers the time spent reviewing the patient’s medical record, consulting with the patient and the patient’s health care team (if needed), and documenting the visit information in the patient’s medical chart. We are working with health insurers and third-party payers to determine if they will cover this service as we expand the offering to additional CVS Pharmacy locations. 

In recent years, pharmacists’ clinical ability has been recognized, leading states to increase patient access to care through pharmacy services. For example, in certain states, CVS pharmacists may evaluate patients and prescribe hormonal contraceptives for a fee. Ultimately, the FDA’s decision to allow pharmacists to prescribe Paxlovid gives pharmacies the ability to increase access to high-quality and affordable COVID-19 care, giving pharmacists the opportunity to further practice at the top of their training and education and to be reimbursed for this important clinical work.

This assessment fee is similar to the fee charged for other medical visits. This fee covers the clinical time spent reviewing the patient’s medical record, consulting with the patient’s health care team (if needed), and documenting visit information in the patient’s medical chart. CVS Health® is committed to providing safe, high-quality care that meets clinical prescribing guidelines. Prescriptions are not guaranteed and are only provided if clinically appropriate. Assessment fees are eligible for HSA and/or FSA funds. At this time, CVS Health is working to expand health plan coverage for pharmacist-provided care.

  • 1 FOR TREATMENT ELIGIBILITY: Patients must meet all eligibility requirements as defined by the Food and Drug Administration (FDA), and not all pharmacist assessments will result in a prescription. For more information, visit https://www.fda.gov/media/155052/download.. If ineligible, you will be referred to your primary care physician or can visit a local MinuteClinic® location for further evaluation.

  • 2 FOR PHARMACIST ASSESSMENT: Depending on coverage, cost for the pharmacist assessment may vary. You may check your insurance to confirm coverage. Payment information will be collected at the time of scheduling. Patients may choose to use flexible spending account (FSA) or health savings account (HSA) funds. There is no cost for Paxlovid medication.

  • 3 FOR PAXLOVID PRESCRIPTION BY PHARMACIST: Available at all CVS Pharmacy® locations, except those in New Hampshire. Prescriptions can also be sent to other pharmacies for fulfillment. Any licensed pharmacist can prescribe and dispense Paxlovid, so you have the option to visit other pharmacies for treatment.

  • 4 FOR SAME-DAY DELIVERY: Same-day delivery fee applies.

  • 5 FOR MEDICARE AND MEDICAID MEMBERS: Medicare and Medicaid beneficiaries currently are not eligible for CVS® pharmacist assessment. Medicare and Medicaid beneficiaries should visit their primary care physician or participating provider.