Multiple COVID-19 treatment options are available. Should you become ill, a health care provider may determine you are eligible for a COVID-19 treatment if you are at high risk of developing serious illness from COVID-19, and recently tested positive and have mild or moderate symptoms. Do not delay in seeking treatment for COVID-19, as these drugs must be used soon after your symptoms start.
Additionally, if you are immunocompromised or cannot get a COVID-19 vaccine due to a prior severe adverse reaction to the vaccine, you may be eligible for a preventative treatment that will reduce your chances of becoming infected with COVID-19.
Who is eligible
People age 65 and older, OR people any age upon advice from a provider are eligible.
Individuals with the following conditions may qualify for treatment:*
- Dementia Diabetes (type 1 or type 2)
- Chronic kidney, liver, or lung disease
- Weakened immune system including
- HIV infection or organ transplant
- Blood diseases
- Heart conditions or stroke/cerebrovascular disease
- Current or former substance use disorders
*This list does not include all possible conditions. Speak with your provider if you think you might be at high risk.
Where to find Test-to-Treat in Marin County
Test-to-Treat locations are being added weekly. Check the Test-to-Treat Locator for the latest offerings around Marin and the Bay Area.
No health insurance?
Currently, treatment is available onsite, including for people without health insurance, at community COVID-19 testing sites operated by Optum Serve/LHI.
Appointments are required. Call (888) 634-1123 or book an appointment online.
Current Optum Serve/LHI testing sites in Marin County:
- Kerner Campus - 3260 Kerner Blvd, San Rafael
(open Tuesday - Saturday, 8am to 3pm)
- St. Andrew Presbyterian Church Parking Lot - 101 Donahue Street, Marin City
(open Fridays, 11am to 7pm)
- West America Bank Parking Lot - 1177 E. Francisco Blvd, San Rafael
(open Tuesday – Thursday & Saturday, 11am to 7pm)
Also, if you do not have health insurance, federally qualified health centers (FQHC) across Marin are equipped to serve you. Current FQHC locations include Marin Community Clinics (San Rafael and Novato), Marin City Health and Wellness Center (Marin City), Ritter Center (San Rafael), and Coastal Health Alliance (Point Reyes Station).
Vaccines versus treatments
Vaccines: Usually shots, they're given before an infection happens. They train your body to fight against infection and help prevent severe illness.
Treatments: Pills or shots given after infection, as a back-up to vaccinations to keep those at highest risk out of the hospital.
How to know if treatment is right for you
Treatments can cause side effects and interact with other medications you are taking. It must be prescribed by a medical provider after a thorough review of your health conditions and medication list. Your provider can describe the risks and benefits of treatment to guide your decision.
How to access treatment
There are two ways to get outpatient COVID-19 treatments:
If you test positive, talk to your health care provider to determine if you should be offered a prescription for treatment. Bring a list of all medications you are taking.
If you don't have a healthcare provider, you can find a Test-to-Treat location that offers COVID-19 testing and treatment to take home, if needed, at one location.
Your health care provider might recommend medication that does not require a prescription to relieve symptoms and support your body's natural defenses. The CDC has information on over-the-counter treatments.
Current types of treatments administered to prevent and treat COVID-19 fall under the following categories:
Antivirals prevent viruses from making more of themselves or "multiplying" in the body
Monoclonal antibodies bind to virus and assist the body in getting rid of it
Anti-inflammatories calm an overactive immune response
COVID-19 treatments are not a substitute for the vaccine. Getting vaccinated helps prevent severe outcomes should you become ill with COVID-19. Marin County Public Health recommends everyone to get vaccinated and boosted as soon as they are eligible.
Pharmacies carrying therapeutics
(by prescription only)
MCDPH is working to add pharmacies to the list of locations that receive and can provide PAXLOVID to outpatients in need of treatment and to establish additional Test-to-Treat locations.
As supplies continue to increase, additional pharmacies will furnish Paxlovid, including national chain pharmacies. The COVID-19 therapeutics locator will display the most current locations.
MCHHS Public Health Advisory (4.20.22) contains prescribing protocol and clinical criteria for Paxlovid.
MCHHS Public Health Advisory (5.18.22) contains Test-to-Treat site protocols and actions requested of providers.
ASPR Therapeutics Locator website: