Paxlovid Cost with Insurance: All You Need to Know

Medical expenses can be overwhelming especially for a disease as debilitating as COVID-19. The cost of medication and care for the virus can be steep, leaving many with limited options. This is why Paxlovid, a miracle drug for COVID-19, has been a welcome relief to many. However, the question remains, how much does Paxlovid cost with insurance?

What is Paxlovid?

Paxlovid is an oral antiviral drug used to treat mild to moderate COVID-19 in adults and children over the age of 12 years old weighing at least 40 kg. The medication comes in the form of tablets that are recommended to be taken with food. Paxlovid contains two active ingredients, nirmatrelvir and ritonavir, that work together to stop the virus from multiplying in the body.

How much does Paxlovid cost without Insurance?

The cost of Paxlovid without insurance ranges from $529 to $708 for a five-day treatment course. This price is likely to vary from one pharmacy to another. It is essential to check with your pharmacist about the cost of the medication before purchasing it.

Does Insurance Cover Paxlovid?

Yes, insurance covers Paxlovid. The medication is covered under the COVID Coverage Assistance Fund which provides hospital insurance coverage and reimbursement for COVID-19 related expenses. The fund covers expenses such as medication, hospitalization, quarantine, and home isolation expenses.

How Much Does Paxlovid Cost with Insurance?

The cost of Paxlovid with insurance coverage is likely to be lower. Typically, the amount you pay for the medication will depend on your insurance policy, the amount covered, and the deductible. Therefore, it is essential to check with your insurance provider about the cost of the medication before purchasing it.

What Should You Do If Your Insurance Does Not Cover Paxlovid

If your insurance company does not cover Paxlovid, you can still access the medication through the Paxlovid Patient Assistance Program. The program provides medication at no cost for eligible patients who are uninsured or underinsured. You may be eligible for the program if you have a household income of less than $100,000 and do not have insurance coverage for the medication.

What Are the Possible Side Effects of Paxlovid?

Like any other medication, Paxlovid has possible side effects. However, not all patients experience these side effects. The side effects may include:

• Nausea and vomiting
• Diarrhea
• Headache
• Fatigue
• Dizziness

If you experience any of these side effects, it is essential to contact your healthcare provider immediately.

Conclusion

Paxlovid is a welcome relief for COVID-19 patients. The medication is covered by insurance companies under the COVID Coverage Assistance Fund. However, the cost of medication may vary from one insurance company to another. It is essential to check with your insurance provider about the cost of the medication before purchasing it. If your insurance company does not cover Paxlovid, you can access the medication through the Paxlovid Patient Assistance Program. In any case, it is essential to consult with your healthcare provider before starting medication. Finally, remember to report any side effects to your healthcare provider immediately.