Activate your co‑pay card If you received your co-pay card via email, text, or download, it is already active. If you received a physical copy of the co-pay card, follow the instructions below to activate it today.

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.

^†Eligible government insured and uninsured patients can access PAXLOVID for free through December 31, 2026. 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.

By checking this box, I confirm that I am eligible to participate in this program and agree to the Terms and Conditions specified here. Please agree to the Terms and Conditions before proceeding.

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.