There is no cost associated with this if you fill this form. To best assist you, fill this form to the best of your knowledge. This form makes it easier for the pharmacist to review your profile and our team to provide you the appropriate medications.
Alternatively, you may schedule a virtual appointment with our clinical pharmacist for a $30 consult fee. Go under the SCHEDULE A VACCINE button on www.midrx.com, Select PAXLOVID REQUEST APPOINTMENT. Then select any appropriate time slot and the pharmacist will call you at the number you requested. Alternately, you can call 817-605-3500 at that time.