Medicare AdvantageAdministrativeMedium impact
Paxlovid for Medicare Members - Reminder
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
We identified it
Jun 19, 2026
Summary
Medicare Advantage patients prescribed Paxlovid must enroll in Pfizer's patient assistance program to pay $0. Without enrollment, patients face substantial out-of-pocket costs that the practice cannot prevent.
Action Required
Immediately: All providers must educate Medicare Advantage patients about enrolling in Pfizer's patient assistance program (1-877-219-7225 or paxlovid.com/paxcess) BEFORE filling Paxlovid prescriptions. Front desk staff should add this to checkout procedures for COVID-19 patients. Failure to inform patients will result in unexpected substantial costs to patients.