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Opinion Here’s how to get free Paxlovid as many times as you need it

When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.

Thanks to an innovative agreement between the Biden administration and the drug’s manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people — including pharmacists — are aware of it.

I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars — or even the full list price — to fill their Paxlovid prescription. This shouldn’t be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. “We wanted to make enrollment as easy and as quick as possible,” the representative said.

Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriber’s name and address and select their insurance type.

All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.

But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)

Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.

Pfizer’s representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.

The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.

Several readers have attested that Paxcess’s process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.

Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.

This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, it’s hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.

Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.

Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But that’s not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.

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Unicorn mantis, Vates sp., Vatinae

Photographed in Ecuador by Andreas Kay

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[i got to meet you] i'm glad i exist

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another gravity falls animation! :3 hope yall enjoy!

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the curve

somehow ive found myself in a position where folks come to chuck in times of strife for encouragement. lets get the big part of this conversation out of the way LOVE IS STILL REAL and that is the thing to remember. that north star remains. today there is more to talk about though

existence pushes towards love community and freedom, because CREATION is what we were built to do and creation thrives with these things as fuel. IT GETS BETTER. LOVE IS REAL. however this change comes in up and down waves. its not a straight line and should not be expected to be

some of these waves are short and small, and some of the slopes are years or decades long. there is no mincing words here, we are entering a massive downward wave. the implications are huge and it is okay to mourn that. FEEL THOSE FEELINGS. it is an important part of the ride

the most telling sign post on our slope is this: tromp won the popular vote (or likely will when the votes are done). we can talk POLITICAL STRATEGY all day about electoral college or who should court the center or the left and on and on but ultimately THIS is the real story

to me it signals a TRUE cultural shift. likely conservatives will have presidency, senate, house, and supreme court. WHAT A GIANT SLOPE. HOLD THE HECK ON because we will be riding it for a while, deep into the pit of the void. hold your buds tight, prove love at the local level

but heres the thing, MASSIVE waves have happened before. theyll happen again. mind numbing slopes into the abyss and great soaring leaps into the sky. in fact the inertia almost ALWAYS causes them to happen right after each other. hippies or punks back in the day, buckaroos now

politically we were trapped in a basically fifty fifty trot for a long time, but it was not always like this (just look at old election maps what the heck). to be honest, tromps map looks like one of those old maps right now. and DANG did COUNTER MOVEMENTS blooms from those times

in other words, THERE WILL BE A COUNTER CULTURE MOVEMENT THAT WE HAVE NEVER SEEN BEFORE IN OUR LIFETIMES. you are now a rebel for the resistance and the wave that will swing back towards love will awe us in ways we cannot even imagine yet.

but for now, feel those feelings, mourn, prove love, stay safe. do not let the hope i am espousing feel like a distraction from the very real, even deadly consequences of the terrible pit we are plummeting into. it is a horrible day, and FUTURE HOPE does not diminish that, BUT

get ready because that counter culture wave is coming and YOU are a part of it. if you want to shout HECK OFF DEVILS then shout it LOUD, if you want to cry then cry HARD, if you want to love then love with your WHOLE HEART. thats the start of the movement that we dont know yet

when that movement takes shape we will feel the inertia of the curve and it may make us sick from the rollercoaster turn, and that pressure will be uncomfortable and scary, but THEN buckaroo, we will soar, and ill be so dang glad to be holding on tight with you when we do

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pixel art stamp concepts!~

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I know who could save him

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It’s the season of mushroom🍂

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[link]

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ID: Two beautiful young cats mill about on the floor, orbiting an empty bowl.

"Are you hungry?" asks a human.

Two piteous lamentations rend the air. Jasper, white with dark points, has huge round eyes that look like they have beheld the end of time, where no food exists.

"Jasper?!"

He emits a long howl, his mouth wide, showing little white teeth.

"Whoa! So you're hungry."

He cries again. The other, Junie, a little white cat with gray points, puts her perfect face in front of the camera and emits a sad, soft, weird little sound, like a very very small sheep that is some distance away, or perhaps some sort of strange radio transmisson. She looks worried.

Jasper cries some more.

"Really? Jaspercat?"

Junie meows but it is lost when Jasper rears and shoves his face in the camera and YOWLS, the screen for just a moment totally consumed by his little yelling mouth.

The human gives him a piece of kibble as a treat.

"Good boy." /End

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New York City ballet production of Midsummer Nights Dream

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was looking up some sort of creatures last night while half asleep/in a daze and i legitimately thought i imagined them