Pay-per-visit
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One Medical Pay-per-visit
Best for one-off telehealth visits from $29 (varies by state)
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Your account has an Amazon One Medical Membership

On-demand care for this condition is included with membership

With your membership you can:

Get 24/7 on-demand care via Video Chat or Treat Me Now
Convenient prescription refill and renewal requests
View a summary and action items after your visit, and directly message your care team
Go to One Medical
Continue without membership
Woman’s hand holds bare big toe

Visit with a provider for same-day gout attack treatment

/message visit/video visit

How it works

Start a visit
Get a virtual visit at your convenience 24/7—no appointment needed.
Meet with a trusted provider
A licensed provider will assess your concerns and recommend treatment.
Get treatment
Treatment for common conditions. If needed, prescriptions are sent to your pharmacy or delivered to your door with Amazon Pharmacy.
Stay connected
Receive personalized care plan, and get continued support from providers.
Smiling One Medical provider delivers telehealth care
Male healthcare provider examines patient’s elbow during clinical visit

What relieves a gout attack?

Clinical research has shown that the gout medication colchicine, which is derived from a plant that humans have used to treat joint swelling for thousands of years, can help relieve gout pain within 24 to 36 hours. Colchicine can also be used for longer-term management of chronic gouty arthritis.
In addition to colchicine (Colcrys, Mitigare), providers often prescribe NSAIDs for gout pain relief. If a gout patient can't take colchicine or NSAIDs, they may benefit from oral corticosteroid gout treatment.*
*Gout steroids like prednisone aren't prescribed through Amazon One Medical Pay-per-visit.

Is Pay-per-visit right for me?

You're 18-64
You have a prior diagnosis of gouty arthritis (gout)
You’re having gout attack symptoms like sudden joint pain and swelling
Your symptoms are on your big toe, elbow, or finger
You don't have signs of infection, like a fever or red streaks from your joint
You're not pregnant

Commonly prescribed gout attack treatments

Your Amazon One Medical provider will determine which (if any) gout treatment is medically appropriate for you based on your symptoms and health history. If you're prescribed gout medication, pick it up at a pharmacy of your choice. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of your prescribed medication may be covered by health insurance.
Oral steroids like methylprednisolone (Medrol Dosepak) and uric acid-lowering gout medications like allopurinol (Zyloprim) and febuxostat (Uloric) aren't available through Pay-per-visit.
Pill bottle icon
Anti-gout agents
Reduce inflammation
• Colchicine (Colcrys, Mitigare)
Pill bottle icon
NSAIDs
Treat pain and inflammation
• Ibuprofen
• Indomethacin
• Naproxen
Online doctor smiles at telehealth patient from mobile phone

Not sure where to start?

For a one-time fee of $59, a Pay-per-visit telemedicine provider can diagnose and treat common health complaints, renew prescriptions, and answer your questions in real time. Restrictions apply.
Get urgent virtual care ›

Frequently asked questions

About Amazon One Medical

What are your telehealth options for gout attack treatment?
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 with Treat Me Now or Urgent Video Chat 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 gout

What causes gout attacks?
Gout is a kind of arthritis caused by high levels of uric acid in the bloodstream (hyperuricemia). When your body produces too much uric acid or—more likely—doesn't excrete enough uric acid in your urine, crystals can form in your joints. These uric acid crystals, called monosodium urate (MSU), lead to gout attack symptoms like pain and inflammation.
What causes hyperuricemia? Diets high in alcohol, fruit sugar (fructose), and purine-rich meat (like organ meat and seafood) can contribute to high uric acid levels in the body, but research shows that genetics and obesity tend to be the biggest risk factors.
How long does a gout attack last?
A gout attack, also known as a gout flare or a gouty arthritis flare, can last from a few hours to a few weeks if left untreated. Symptoms usually come on suddenly, with the most severe pain occurring within the first 24 hours. Joint discomfort can last much longer.
Is gout curable?
Gout isn't curable, but the monosodium urate crystals that cause gout can dissolve when the body's concentration of uric acid drops below a certain level.
You can talk to a primary care provider about taking preventive gout medicine to lower your urate levels. These uric acid-lowering medications include allopurinol (Zyloprim) and febuxostat (Uloric).
How can I prevent gout flares naturally?
The American College of Rheumatology recommends the following diet and lifestyle guidelines to help prevent gout flares:
1. If you're obese, start a weight loss program
2. Limit your consumption of beverages sweetened with high fructose corn syrup, like sodas and fruit juices
3. Limit your consumption of alcohol, especially beer
4. Limit your consumption of purines, which tend to be highest in shellfish and organ meats
What does having gout mean for my overall health?
Gout often overlaps with other health conditions, particularly high blood pressure (hypertension), chronic kidney disease (CKD), obesity, and cardiovascular disease (CVD). Recent research has also shown that there's a higher risk of having a stroke or heart attack in the 120 days after a gout flare.
Your Amazon One Medical provider will consider all overlapping health conditions when prescribing gout treatment.
Clinical sources
1. Cipolletta, E., Tata, L. J., Nakafero, G., Avery, A. J., Mamas, M. A., & Abhishek, A. (2022). Association Between Gout Flare and Subsequent Cardiovascular Events Among Patients With Gout. JAMA, 328(5), 440–450. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9346550/
2. FitzGerald, J. D., Dalbeth, N., Mikuls, T., Brignardello-Petersen, R., Guyatt, G., Abeles, A. M., Gelber, A. C., Harrold, L. R., Khanna, D., King, C., Levy, G., Libbey, C., Mount, D., Pillinger, M. H., Rosenthal, A., Singh, J. A., Sims, J. E., Smith, B. J., Wenger, N. S., Bae, S. S., … Neogi, T. (2020). 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis care & research, 72(6), 744–760. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10563586/
3. McKenzie, B. J., Wechalekar, M. D., Johnston, R. V., Schlesinger, N., & Buchbinder, R. (2021). Colchicine for acute gout. The Cochrane database of systematic reviews, 8(8), CD006190. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407279/
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