COVID-19 guide

COVID-19 antiviral treatment online in Virginia and West Virginia

This guide is for higher-risk adults with a positive COVID test and symptoms within the last 5 days — not for trouble breathing, severe illness, or when medications can't safely allow an antiviral.

Start online

Start a $59 online review for COVID-19 antiviral.

COVID-19 antivirals like Paxlovid (nirmatrelvir/ritonavir) can lower the risk of severe illness in higher-risk adults when started within 5 days of symptoms. Because Paxlovid interacts with many common medicines, we review your full medication list and kidney function before prescribing, and use molnupiravir as an alternative when Paxlovid isn't suitable. Trouble breathing, low oxygen, chest pain, or severe illness needs emergency care, not an online visit.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically in Virginia and West Virginia at the time of request
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

A positive COVID-19 test
Cough, sore throat, congestion, or fever
Fatigue, body aches, or headache
Being 50+ or having a condition that raises COVID risk

May fit online care

Adults 18 and older
A positive test with symptoms in the last 5 days
Higher risk of severe COVID (age or a health condition)
No trouble breathing or chest pain
A medication list we can review for interactions

Look for another care setting

Trouble breathing, low oxygen, chest pain, or bluish lips
Symptoms that started more than 5 days ago
Medicines that dangerously interact with Paxlovid and can't be paused
Severe kidney or liver disease, or feeling severely ill

What to have ready

Your positive test result and when symptoms started
Your age and any health conditions that raise COVID risk
A full list of your current medications and supplements
Kidney or liver problems, allergies, and whether you could be pregnant

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Why do you need my full medication list?

Paxlovid contains ritonavir, which interacts with many common medicines — some statins, blood thinners, heart-rhythm drugs, seizure medicines, and transplant/immune drugs. We review everything you take so we can safely hold, adjust, or choose a different antiviral.

What if Paxlovid isn't safe for me?

If interactions or your kidney function make Paxlovid unsuitable, molnupiravir may be an option (though not in pregnancy). If neither is appropriate, we'll advise supportive care and when to seek in-person help.

When is COVID an emergency?

Trouble breathing, a low oxygen reading, chest pain or pressure, bluish lips, confusion, or being unable to stay hydrated are emergencies — go to the ER or call 911.