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.
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).
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
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