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COVID-19 Status Update for 12/02/2022

Marin County COVID-19 Status Update for December 2, 2022 includes:  Protecting Shelter Residents; "Triple-demic" Update; CDC Transmission Level Change; and updated local COVID-19 data.

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Therapeutics: Test-to-Treat


What is therapeutic treatment? 

If you have COVID-19 and are high risk of getting very sick, you can get medicines that treat covid-19 to help keep you out of the hospital.

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.

More information about COVID-19 treatment: 

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. 

Preventatives: If you cannot receive a COVID-19 vaccine for medical reasons, or your immune system is not strong enough to mount a response to the vaccine, talk to your doctor. You may be eligible for a long-lasting monoclonal antibody medicine called Evusheld.

Find out if you can get treated

You may qualify for treatment if you are symptomatic or have a high risk of serious illness* from COVID-19. Treatment will be determined at the advice of a medical provider. Individuals that may qualify include:

  • People 65 & older
  • People 50 & older with symptoms
  • People 18 & older with certain medical conditions, such as:
    • Cancer
    • Disabilities
    • Dementia Diabetes (type 1 or type 2)
    • Chronic kidney, liver, or lung disease
    • Weakened immune system including
    • HIV infection or organ transplant
    • Obesity or inactivity
    • Pregnancy
    • Blood diseases
    • Smoking
    • 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.

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 several ways to get outpatient COVID-19 treatments:

  • Your doctor can write a prescription. 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.

  • You can use a Test to Treat program. If you don't have a healthcare provider, you can be prescribed a treatment regimen from a Test-to-Treat location that offers COVID-19 testing and treatment to take home. 

  • You can contact a telehealth provider. If a telehealth provider determines that you should receive prescription medication for COVID-19 treatment, they can send a prescription to your local pharmacy or help you get a prescription filled through the mail. Find out how to connect with a provider.

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

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. Each of these locations offer Paxlovid. 

Appointments are required. Call (888) 634-1123 or book an appointment online.

Current Optum Serve/LHI testing sites in Marin County:

  • Marin Health & Wellness 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)

 Additional options for people without health insurance:

The below locations are also offering Paxlovid for a fee:

Testing Sites:
Healthcare Providers:

Health insurance or proof of identification required for these sites. Visit our Testing page to learn about testing providers that offer COVID-19 treatment.


Treatment options

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.

Current Marin County pharmacies carrying Paxlovid:

  • Golden Gate Pharmacy 
  • CVS
  • Rite Aid

Note: Candidates need a referral for a healthcare provider. 

Additional pharmacies will furnish being furnishing therapeutics as supply increases. The COVID-19 therapeutics locator will display the most current locations.

For providers

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.

MCHHS Public Health Advisory (5.24.22) informs about CDC alert on the potential for recurrence of COVID-19.

ASPR Therapeutics Locator website:

COVID-19 Therapeutics Locator (