Enroll in the Co-Pay Savings Program

The program can help people save on their PAXLOVID prescription. See if you qualify below.

Complete the enrollment form below to see if you are eligible for the Co-Pay Savings Program and to download a co-pay card.

Enter your personal information and be sure that it is accurate.
If you are eligible, download your co‑pay card.
That’s it! Simply present your card to the pharmacist when you pick up your PAXLOVID prescription.

Did you receive a physical co-pay card from your healthcare provider? Activate it here Activate Co-Pay Card or over the phone by calling 1-877-C19-PACK (1-877-219-7225).

Activate Co-Pay Card

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Please confirm if any of the following statements are true for the person enrolling:

  • I have insurance from any federal healthcare program (including Medicare, Medicaid, TRICARE, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program)
  • My partner and I are both over 65 years of age and retired
  • I receive Social Security Disability Insurance (SSDI) or any other Social Security Administration (SSA) benefit
  • I receive insurance from the military

We’re sorry, you are not eligible for the Co-Pay Savings Program.

You may still qualify for PAXLOVID at no charge,* or you may qualify for other programs.† Please visit PAXCESSpatientportal.com for more information or reach out to 1-877-C19-PACK (1-877-219-7225) to see what options may be available for you.

*Other administrative fees may apply.

†With a focus on ensuring access for patients, the U.S. Government Patient Assistance Program (USG PAP) operated by Pfizer will continue to provide patients on Medicare, Medicaid, TRICARE, VA Community Care Network, and those who are uninsured access to PAXLOVID for free through December 31, 2024. PAXLOVID through USG PAP is not available to patients who have commercial prescription drug health insurance. The USG PAP operated by Pfizer is an independent program with separate eligibility requirements offered by the United States Department of Health and Human Services and is not owned by Pfizer. Terms and conditions apply. Full terms and conditions for the USG PAP may be found here.

All fields are required unless otherwise noted.

Pfizer Privacy Statement

Pfizer understands that your personal and health information is private and will only use your information in accordance with our Privacy Policy. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested as well as other helpful product and/or related product information, disease state information, offers, and services.

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