People who test positive for COVID-19 and are at higher risk of becoming very sick may benefit available COVID-19 therapeutics(medications). These treatments can help prevent severe illness, hospitalization, and death from COVID-19. Talk to your health care provider right away if you test positive and are at higher risk as treatments need to be started early to work best. Your health care provider will help determine which COVID-19 medication option is best for you.
- Our COVID-19 Therapies Quick Guide (PDF) provides an overview of the treatments available.
COVID-19 treatments/medications are not a substitute for prevention. It is still recommended that everyone who is eligible get vaccinated and take other steps to prevent the spread of COVID-19.
What Are Monoclonal Antibody Treatments?
Antibodies are proteins that people's bodies make to fight viruses, such as the virus that causes COVID-19. Antibodies made in a laboratory act a lot like natural antibodies to limit the amount of virus in your body. They are called monoclonal antibodies. If you are at risk for severe COVID-19 illness and you have tested positive for COVID-19 or have been in close contact with someone who has tested positive, you may want to consider a monoclonal antibody (mAb) treatment. You may qualify for a mAb treatment (bebtelovimab) to treat COVID-19 depending on your age, health history, and how long you have had symptoms.
- More information: What Are Monoclonal Antibody Treatments information sheet (PDF) | Available in additional languages
What Is a Pre-Exposure Prophylaxis for COVID-19?
Pre-Exposure Prophylaxis (PrEP) is medication designed to block a virus from attachment and entering human cells. Unlike other currently available monoclonal antibodies, Evusheld is a long-acting antibody that has been authorized for use only to prevent or protect someone before they are exposed to COVID-19. Evusheld is not for the treatment of symptoms due to COVID-19 and is not given following an exposure to someone with COVID-19; it is given to prevent infection before an exposure.
- More information: Pre-Exposure Prophylaxis information sheet (PDF) | Available in additional languages
What are Oral Antivirals?
Oral antiviral treatment help your body fight COVID-19 by stopping the SARS-CoV-2 virus (the virus that causes COVID-19) from multiplying in your body, lowering the amount of the virus within your body, or helping your immune system. By getting treatment, you could have less serious symptoms and may lower the chances of your illness getting worse and needing care in the hospital. Antiviral treatments for COVID-19 are available for patients with mild to moderate symptoms, who are not in the hospital, who have had symptoms for five days or less, and who are at high risk for severe illness
- More information: What Are Oral Antivirals information sheet (PDF) | Available in additional languages
What are Intravenous Antivirals?
Remdesivir is an established antiviral drug that is FDA approved and is not currently distributed by WADOH. It works by blocking the virus from making copies of itself (replicating). Remdesivir is given through a needle in the vein (intravenously) over time, which is called an IV infusion.
Remdesivir is approved for the treatment of non-hospitalized adults and children who are at high risk for severe COVID-19. On April 25, 2022, the FDA expanded this approval to include children at least 28 days old who weigh at least 3 kg (about 6.6 pounds) and who are at risk for developing severe disease, making remdesivir the first FDA-approved treatment for children under age 12.
Remdesivir should be started as soon as possible, and within seven days of when symptoms began, so it's important for people at high risk to connect with their health care provider if they have symptoms and test positive for COVID-19. The treatment is given as a series of three IV infusions, given once a day for three consecutive days.
Not all health care facilities can offer outpatient remdesivir treatment – patients should speak to their health care provider to see if it may be a potential treatment option.
Remdesivir is also used to treat patients who are hospitalized with more severe illness due to COVID-19. If you are hospitalized due to COVID-19, your health care providers will decide if remdesivir or other treatments are needed.
Frequently Asked Questions
- How do mAbs help people with COVID-19?
MAb treatments authorized by the U.S. Food and Drug Administration (FDA) for emergency use may help people who are at high risk for serious symptoms of the disease to:
- Reduce the likelihood of being hospitalized
- Recover faster from COVID-19
- Who can receive mAb treatment?
MAbs are designed for people who:
- Have tested positive for COVID-19
- Have mild to moderate symptoms of the disease for 10 days or less
- Are at high risk of becoming seriously ill
- Can I get a COVID vaccine after receiving monoclonal antibody treatment?
If you received passive antibody treatment (monoclonal antibody therapy or convalescent plasma) after a COVID-19 infection, you can receive a COVID-19 vaccine at any time interval after completing treatment. Individuals are no longer required to wait 90 days after their end of passive antibody treatment.
For questions regarding eligibility for passive antibody treatment, consult with your provider.
- How can I show that I have received monoclonal antibody treatment?
The medical provider that administered mAb treatment can provide you documentation that indicates when you received the treatment.
- Who is eligible to receive oral antivirals?
Paxlovid: Adults and pediatric patients (12 years of age and older weighing at least 88 pounds/40 kg) at high risk for progressing to severe COVID-19, including hospitalization or death.
Monulpiravir: Adults at high risk for progressing to severe COVID-19, including hospitalization or death, and for whom alternative COVID-19 treatment options authorized by FDA are not accessible or clinically appropriate.
- Is treatment covered by Medicaid/Children's Health Insurance Program (CHIP)?
Yes. Medicaid/CHIP is covering the administration fee for mAbs treatments. The administration fee is the fee a health care provider charges to give you the treatment. For most mAbs, the cost of the product itself is covered by the federal government.
- If I am uninsured, can I still receive treatment for COVID-19?
COVID-19 therapeutics that are purchased by the federal government are provided at no cost for patients. However, providers can have dispensing, treatment and administration fees that can are covered by insurance, patients or federal programs. To know what type of coverage is available when seeking therapeutics, please consult with your provider.
- Can undocumented individuals receive treatment for COVID-19?
Undocumented individuals can receive coverage from the Alien Emergency Medical Program for:
- Qualifying emergencies to include the assessment and treatment of COVID-19.
- The testing and treatment settings to include office, clinic, or over telehealth.
- Approved services. Individuals who test positive for COVID-19 may have medications and respiratory services covered. Potential positive COVID-19 results may have follow-up visits and medications covered
How to Apply to AEM
Adults age 19 through 64:
- Online: visit Washington Healthplanfinder
- Mobile app: Download the WAPlanfinder app
- Paper: Application for Health Care Coverage (18-001P)
- Phone: 1-855-923-4633
Adults age 65 or older, blind, disabled, or in need of long-term services:
- Online: Washington Connection
- Paper: Application for aged, blind, disabled/long-term care coverage (18-005)
- Phone: 1-877-501-2233
Test to Treat Program
The Test to Treat program can provide faster, easier access to lifesaving COVID-19 treatments. If you test positive, you can see a health care provider, and if eligible, get a prescription for an oral COVID-19 treatment and have that prescription filled—all at one location.
Visit the Test to Treat locator or call 1-800-232-0233 (TTY 1-888-720-7489) to get help in English, Spanish, and more than 150 other languages. The call center is open from 8am to midnight ET, 7 days a week, and will assist you in finding a location near you.
Resources for Uninsured Individuals
Uninsured individuals who need COVID-19 therapeutics or other health care coverage can access:
- Medicaid enrollment
- Healthcare marketplace enrollment
- Free COVID-19 Tests at COVIDtests.gov
- Free COVID-19 Test at Say Yes! COVID TEST
Uninsured individuals can also seek services in many of the clinics that are part of the following Federally Qualified Health Centers (FQHCs):
- Community Health Association of Spokane, Spokane
- Sea Mar Community Health Center, Seattle
- Columbia Basin Health Association, Othello
- International Community Health Services, Seattle
- Moses Lake Community Health Center, Moses Lake
- Neighborcare Health, Seattle
- Family Health Centers, Okanogan
- Downtown Public Health Center, Seattle
- Yakima Neighborhood Health Services, Yakima
- Yakima Valley Farm Workers Clinic, Toppenish
- Healthpoint, Auburn
Need help finding a place to get medication? Call 1-800-232-0233 (TTY 888-720-7489) to find a Test to Treat site.
The state's COVID-19 hotline is available to answer additional questions. Hotline information is on the Contact Us page.
For more about COVID-19 therapeutics, visit the Centers for Disease Control and Prevention's COVID-19 Therapeutics page.