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On-demand care for this condition is included with membership

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Convenient prescription refill and renewal requests
View a summary and action items after your visit, and directly message your care team
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EpiPen injected into thigh

Request a same-day EpiPen (epinephrine injection) prescription renewal

Visit with a telehealth provider about renewing your epinephrine auto-injector (EpiPen) prescription
For adults 18-64 & children 2-11

How it works

Start your visit
Get a virtual visit at your convenience 24/7—no appointment needed.
Connect with a licensed provider
Review your health concern or treatment request with a telemedicine provider.
Get telehealth treatment
Receive your personalized care plan. If appropriate, prescriptions are sent to your pharmacy or delivered to your door with Amazon Pharmacy (if eligible).
Smiling One Medical provider delivers telehealth care
Mom does online Epipen prescription renewal visit for her child who needs an epipen on her mobile phone

Who needs an EpiPen?

EpiPens are prescribed to people who are at risk of having a severe and potentially fatal allergic reaction called anaphylaxis.
If you've already experienced anaphylaxis and you might encounter the triggering agent again, then healthcare providers recommend that you keep an epinephrine auto-injector on hand. It could keep you out of the hospital, or even save your life.
If you've already experienced anaphylaxis and you don't know what triggered the allergic reaction, you also need an EpiPen in case you encounter the unknown trigger again.

How are EpiPens prescribed?

Epinephrine, also known as adrenaline, is prescribed to adults as a 2-pack of prefilled pen syringes or auto-injectors. EpiPens will need to be replaced after their expiration date, when the medication begins to break down. You can find the expiration date on the medication box or on the device itself.

Can I request a prescription renewal for my child through Pay-per-visit?

Yes, Pay-per-visit can renew EpiPen prescriptions for children.
Your child must be between the ages of 2 and 11 years old
You are a parent or legal guardian who can manage care for the child
Red-headed child with allergy symptoms embraces her mother

Is Pay-per-visit right for me?

•
You’re 18-64
•
Your child is 2-11

Requirements for prescription renewal

Not seeking first-time EpiPen prescription
At risk of having a severe allergic reaction (anaphylaxis)

Commonly prescribed EpiPens

Your Amazon One Medical provider will determine which (if any) epinephrine auto-injector prescription renewal is medically appropriate for you or your child based on symptoms and health history. If medication is prescribed, pick it up at a pharmacy of your choice. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of any prescribed medication may be covered by health insurance.
EpiPen icon
Epinephrine auto-injectors
• Adrenaclick
• AUVI-q (voice-guided)
• EpiPen
• EpiPen generic
• Symjepi

More care for kids and adults

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Pink eye (conjunctivitis)

Pink eye can be caused by bacteria, allergies, or viruses
Get pink eye treatment ›
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Rash & skin infections

Connect with a provider about eczema and other skin issues
Get skin treatment ›
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Eczema (atopic dermatitis)

Eczema symptoms often appear for the first time in early childhood
Get eczema treatment ›

Frequently asked questions

About Amazon One Medical

What are your telehealth options for EpiPen prescriptions?
Amazon One Medical offers multiple ways to get care from the comfort of your own home.
If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care via the One Medical app at no extra cost, no matter where you live in the United States.
If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers 2 types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available from $49 in all 50 states and D.C. Message-only visits are available from $29 in 36+ states.*
To see your Pay-per-visit options for this condition, start a one-time virtual visit and choose your state.
*State availability varies by condition. Prices subject to change.
Can I use my health insurance for Amazon One Medical Pay-per-visit?
Amazon One Medical doesn't accept health insurance for Pay-per-visit care. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your one-time virtual visit.
If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Amazon One Medical services. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.
What happens if my provider can't diagnose or treat my health issue through Pay-per-visit?
If your provider can’t diagnose or treat your health issue through Pay-per-visit, they may recommend that you see a primary care provider or a specialist for in-person care. If that happens, you won't be charged.
Can I communicate with a provider after I get my Pay-per-visit treatment plan?
Yes. When you use Pay-per-visit, you can message with One Medical providers within your personal dashboard for an additional 2 weeks (14 days) at no extra cost. This complimentary communication window allows you time to:
• Ask follow-up questions about any prescriptions or over-the-counter medications in your treatment plan
• Connect with a provider if you think your treatment needs to be adjusted
• Tell a provider if you're experiencing side effects from your medication
• Tell a provider if there's an issue getting your prescription from the pharmacy
• Let the One Medical care team know that you're feeling better
Your secure, HIPAA-compliant message will be received by the first available provider, who will be able to review your visit’s treatment plan and any follow-up correspondence. If you still need treatment adjustments or have questions after the 14-day communication window, you'll need to start a new visit.
What if I want to refill my medication?
If your provider didn't include refills with a prescription when they sent your treatment plan through Pay-per-visit, you'll need to start a new one-time virtual visit to request another prescription.
There are many reasons why a provider may decide that prescription refills aren't medically appropriate. For example, they may want to assess how well a medication is working and whether or not it needs to be adjusted before you continue with the same treatment.
How does Amazon One Medical protect my health information?
Amazon One Medical protects customers’ protected health information (PHI) with stringent, Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy and security practices to keep information safe and secure.
We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.
Amazon does not sell customers’ personal information, including PHI.

About care for children

What kind of telehealth visits can my child have through Pay-per-visit?
At this time, parents and legal guardians can start telemedicine visits through Amazon One Medical Pay-per-visit for their children aged 2 through 11 years old for the following health conditions:
• Head lice
• Pink eye (conjunctivitis)
• Rash and skin infections
• Eczema
• EpiPen prescription renewals
• Asthma prescription renewals
Do I have to be the parent or guardian of the child seeking care?
Yes. A parent or legal guardian must initiate the child's care and be present during the visit.
What type of healthcare provider will treat my child through Pay-per-visit?
Children are treated by family practice physicians or licensed family nurse practitioners (FNPs). You'll be able to see the credentials of your child's provider during the visit.
Can I get a doctor's note for my child?
Yes. After your child completes their virtual visit, their provider can write excused absence notes, back-to-school notes, and no-play notes for sports or other activities if medically appropriate.
What's the difference between EpiPen and EpiPen Jr.?
Both an EpiPen and EpiPen Jr. deliver the same active ingredient (epinephrine) in the same way, but they contain different doses in each injection. EpiPens deliver 0.3mg of epinephrine per injection while an EpiPen Jr., meant for smaller bodies, delivers 0.15mg.
A healthcare provider will prescribe an EpiPen or an EpiPen Jr. to your child based on their body weight.
What is the weight cut off for EpiPen Jr?
The weight cut off for EpiPen Jr. is typically 66 pounds.

About EpiPens and anaphylaxis

What does an EpiPen do?
Epinephrine, the medication in an EpiPen, is the only effective treatment for anaphylaxis. After epinephrine is injected into the thigh of someone experiencing anaphylactic shock, the medication immediately starts working to reduce their symptoms.
While antihistamines can treat mild allergic reactions, there's no life-saving substitute for epinephrine when multiple organ systems are involved.
How much do EpiPens cost?
The cost of an EpiPen can vary widely depending on insurance coverage, pharmacy discounts, and whether you choose generic or brand-name medication. The U.S. Food and Drug Administration (FDA) approved generic EpiPen options in 2018, which lowered prices for many people at risk of anaphylaxis.
What can trigger anaphylaxis?
The most common triggers of anaphylaxis are medications (like antibiotics or NSAIDs), stinging insects (like bees, wasps, or fire ants), and foods (like shellfish, peanuts, or tree nuts). But in up to 20% of cases, the trigger is unknown.
Anaphylaxis can happen quickly after exposure to the allergen, normally within one to two hours, and sometimes within minutes. It can also reoccur up to 3 days after exposure in what's known as a biphasic reaction, which is why people at high risk should be monitored closely after an initial allergic reaction.
Did you know?
• Up to 51% of anaphylactic reactions happen at home
• 60% of U.S. adults who experience anaphylaxis don’t have epinephrine available
How do you recognize the signs of anaphylactic shock?
Someone with anaphylaxis might have a mild allergic reaction that rapidly gets worse, typically affecting their breathing. Most deaths from anaphylactic shock occur within the first hour. Multi-organ symptoms can include one or a combination of the following:
• Difficulty breathing
• Hives (skin rash with itchy bumps)
• Skin itching or flushing
• Swelling of the tongue, lips, or uvula
• Swelling or tightness in the throat
• Feeling like you have a "lump" in your throat
• Sudden persistent cough or throat clearing
• Wheezing
• Abdominal cramps or vomiting
• Incontinence
• Low blood pressure (systolic BP lower than 90 or at least 30% lower than usual)*
If you’re experiencing symptoms of anaphylactic shock, please call 911 or go to an emergency room (ER) as soon as possible.
*Low blood pressure (hypotension) can sometimes be the sole symptom of anaphylactic shock.
Clinical sources
1. Brown, J. C., Simons, E., & Rudders, S. A. (2020). Epinephrine in the Management of Anaphylaxis. The journal of allergy and clinical immunology. In practice, 8(4), 1186–1195.
2. Pflipsen, M. C., & Vega Colon, K. M. (2020). Anaphylaxis: Recognition and Management. American family physician, 102(6), 355–362.
3. Wood, R. A., Camargo, C. A., Jr, Lieberman, P., Sampson, H. A., Schwartz, L. B., Zitt, M., Collins, C., Tringale, M., Wilkinson, M., Boyle, J., & Simons, F. E. (2014). Anaphylaxis in America: the prevalence and characteristics of anaphylaxis in the United States. The Journal of allergy and clinical immunology, 133(2), 461–467.
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