Get a Xofluza Prescription Online
Xofluza is a flu antiviral taken as a single dose. Request a prescription by video, and your doctor can prescribe it if it's medically appropriate.
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Doctors available 24/7, so you can be seen inside the 48-hour treatment window
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Insurance accepted, typical copay $0 to $30, or $129 self-pay.
Available in 50 states. Insurance accepted.
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*Having a visit does not guarantee a medication will be ordered or refilled. It is the physician's professional decision following a clinical evaluation. If your clinician prescribes an eligible medication, you may be able to choose delivery from a licensed partner pharmacy. You may also skip delivery and send your prescription to any pharmacy for pickup. Your care is not affected by this choice. Prescription delivery is available in select cities. Delivery times may vary based on local pharmacy hours. Pharmacy delivery orders processed through the DrHouse Platform are not available to Users who are enrolled in, covered by, or are beneficiaries of any federal or state government health care program, including Medicare, Medicaid, CHIP, TRICARE, or CHAMPVA.
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About Xofluza
What is Xofluza?
Xofluza is the brand name for baloxavir marboxil, a prescription flu antiviral taken as a single dose by mouth. Genentech makes it, and the FDA first approved it in 2018. It treats influenza A and B in people 5 and older who have had symptoms for 48 hours or less, and it can prevent flu after contact with someone who has it.
Xofluza works only on influenza. It won’t help a cold, COVID-19, RSV or a bacterial infection.
How does Xofluza work?
Xofluza stops the flu virus from copying itself. Baloxavir blocks an enzyme called PA endonuclease, which flu viruses need to multiply inside your cells, and CDC notes it quickly lowers the amount of virus in the upper airways.
Tamiflu, Relenza and Rapivab work differently, by blocking an enzyme called neuraminidase. Because the targets differ, CDC says flu strains that resist oseltamivir should still respond to baloxavir.
Who can take Xofluza?
Xofluza is FDA-approved for people 5 and older, whether they’re otherwise healthy or at higher risk of flu complications. For treatment, symptoms must have started no more than 48 hours earlier. For prevention, the dose is taken within 48 hours of contact with someone who has the flu.
The higher-risk trial mostly enrolled adults 65 and older and people with asthma or chronic lung disease, diabetes, heart disease or severe obesity. Xofluza isn’t approved for children under 5, partly because the flu virus developed resistance to it more often in that age group during trials.
Xofluza dosage
Xofluza is one dose, chosen by body weight, and the same dose is used for treatment and for prevention. People who weigh 20 kg to under 80 kg (about 44 to 176 pounds) take one 40 mg tablet. People who weigh 80 kg (about 176 pounds) or more take one 80 mg tablet.
The label also lists a liquid form for children under 20 kg and anyone who can’t swallow tablets, but CDC reports it isn’t currently available in the United States. For now, that generally limits Xofluza to people who weigh at least 20 kg and can swallow a tablet. Your doctor and pharmacist will confirm the right dose.
How do you take Xofluza?
Take Xofluza once, as soon as possible after flu symptoms start or after you’ve been exposed, with or without food. Don’t take it with dairy products, calcium-fortified drinks, antacids, some laxatives, or supplements that contain calcium, iron, magnesium, selenium or zinc. These bind to baloxavir and can make it work less well.
The prescribing information doesn’t cover crushing or splitting the tablet. If swallowing it is a problem, ask your pharmacist before changing how you take it, or ask your doctor about an alternative.
How long does Xofluza take to work?
In clinical trials, Xofluza eased flu symptoms about a day sooner than a placebo. Otherwise healthy people ages 12 to 64 felt better in a median of 54 hours, compared with 80 hours on placebo. In people at higher risk of complications it was 73 hours versus 102, and in adults 65 and older, 70 hours versus 88.
You may still feel sick for a couple of days after the dose. Starting as early as possible matters most.
How long does Xofluza stay in your system?
Baloxavir stays in the body for days after a single dose: its half-life is about 79 hours, according to the prescribing information. A related timing rule comes from CDC, which advises against getting the nasal spray flu vaccine within 17 days after a dose of baloxavir, because antivirals can make that live vaccine less effective.
Are you still contagious after taking Xofluza?
Assume you can still spread the flu after taking Xofluza. It isn’t FDA-approved to keep you from passing flu to others, even though CDC notes it quickly lowers virus levels in the upper airways. Do what you would with any flu: stay home while you’re sick and keep your distance from people at higher risk.
Can you take Xofluza more than once?
Each Xofluza prescription is a single dose for one illness or one exposure. If you get sick again or have a new exposure later in the season, a doctor can evaluate you again and decide whether another dose makes sense.
Is there a generic Xofluza?
Yes. On June 17, 2026, the FDA approved the first generic of Xofluza, baloxavir marboxil tablets from Norwich Pharmaceuticals, for the same uses as the brand. Your pharmacy may stock either version.
Is Xofluza available over the counter?
No. Xofluza and generic baloxavir need a prescription in the U.S., and CDC notes that flu antivirals aren’t sold over the counter. A DrHouse doctor can prescribe Xofluza after a video visit if it’s medically appropriate.
Does Xofluza replace the flu vaccine?
No. CDC calls a yearly flu vaccine the best way to prevent flu. Xofluza treats flu once you have it, or lowers your chance of getting sick after a specific exposure. If you plan to get the nasal spray vaccine, tell your doctor about the 17-day timing above.
What are the side effects of Xofluza?
Side effects in Xofluza’s clinical trials were uncommon, and CDC notes none were more common than with a placebo. The ones reported most often in adults and teens were diarrhea (3%), bronchitis (3%), nausea (2%), sinusitis (2%) and headache (1%). In children 5 to 11, vomiting and diarrhea (5% each) were the most common.
Reports since approval also include rash, bloody stools, colitis, and changes in behavior such as confusion or hallucinations. It isn’t known how often these happen or whether Xofluza caused them. Call your doctor if a side effect is severe or doesn’t go away.
When is a reaction to Xofluza an emergency?
A serious allergic reaction to Xofluza is rare but needs emergency care right away. Call 911 if you have trouble breathing, swelling of the face, eyelids, lips or tongue, or a widespread rash or hives after taking it.
Who should not take Xofluza?
Don’t take Xofluza if you’ve had an allergic reaction to baloxavir marboxil or any of its ingredients, and it isn’t approved for children under 5. CDC doesn’t recommend it during pregnancy or breastfeeding, since there’s no safety data yet. CDC also doesn’t recommend baloxavir for people who are severely immunocompromised or hospitalized, or whose flu is complicated or getting worse.
Can you take Xofluza while pregnant or breastfeeding?
CDC doesn’t recommend it. There are no adequate studies of baloxavir in pregnancy and no data on whether it passes into breast milk, so CDC names oral oseltamivir (Tamiflu) the preferred antiviral during pregnancy. Flu can be more serious when you’re pregnant, so tell your doctor right away if you have symptoms.
What should you not take with Xofluza?
Avoid taking Xofluza with dairy products, calcium-fortified drinks, antacids, some laxatives, and supplements containing calcium, iron, magnesium, selenium or zinc. Beyond those, the label’s drug-interaction studies found no meaningful effect between baloxavir and medicines such as digoxin, rosuvastatin, midazolam, itraconazole, probenecid or oseltamivir. Tell your doctor about everything you take, including vitamins.
Is flu resistance to Xofluza a concern?
CDC says resistance to baloxavir among circulating flu viruses is currently very low. Resistance can develop during treatment, though, and in trials it happened more often in children, which is one reason Xofluza isn’t approved under age 5. Doctors also consider which flu strains are going around when they choose an antiviral.
Which flu symptoms need emergency care?
Xofluza is for uncomplicated flu. CDC’s emergency warning signs in adults include trouble breathing or shortness of breath, ongoing pain or pressure in the chest or belly, and ongoing dizziness, confusion or trouble waking. They also include seizures, not urinating, severe muscle pain or weakness, a fever or cough that improves and then comes back worse, and a chronic condition getting worse.
In children, CDC adds fast or labored breathing, bluish lips or face, ribs pulling in with each breath, and dehydration. Not being alert when awake and a fever above 104°F that medicine doesn’t bring down are warning signs too. If you see any of these, call 911 or go to the ER instead of starting a video visit.
Xofluza vs. Tamiflu: which is better?
Neither is better for everyone, and CDC describes the two as comparable for shortening flu symptoms. In a trial of more than 1,400 otherwise healthy people ages 12 to 64, symptoms eased in a median of 54 hours with Xofluza versus 80 hours with a placebo. The adults who took Tamiflu in that trial also improved in 54 hours.
The differences are practical. Xofluza is one dose, while Tamiflu is taken twice a day for five days. For prevention, Xofluza is a single dose within 48 hours of contact, and Tamiflu is usually taken once a day for 7 days after the last exposure.
Xofluza is approved for treatment from age 5 and comes as tablets in the U.S. Tamiflu is approved from 2 weeks old and comes as capsules and a liquid. During pregnancy, CDC prefers Tamiflu and doesn’t recommend Xofluza. Both now have generic versions: Tamiflu for years, and Xofluza since June 2026.
Is Xofluza easier to tolerate than Tamiflu?
In the children’s trial that compared them, vomiting was reported in 5% of kids who took Xofluza and 18% of those who took Tamiflu. In adult trials, CDC notes no side effect was more common with Xofluza than with a placebo, while CDC lists nausea, vomiting and headache as Tamiflu’s main side effects.
Can you take Xofluza and Tamiflu together?
Doctors don’t usually combine them for uncomplicated flu. The label’s studies found no meaningful drug interaction between the two, but CDC notes a trial in hospitalized patients where adding baloxavir to a neuraminidase inhibitor such as oseltamivir didn’t speed recovery. Your doctor will choose one.
What other flu antivirals are there?
Besides Xofluza and Tamiflu, two other antivirals are FDA-approved for flu. Relenza (zanamivir) is an inhaled powder taken twice a day for five days from age 7, and it isn’t recommended for people with asthma or COPD. Rapivab (peramivir) is a single IV infusion approved from 6 months old, so it’s given in a clinic or hospital rather than by video visit.
When an antiviral isn’t the answer
If it’s been more than a couple of days, or your doctor thinks something other than flu is going on, the plan may be symptom care instead: rest, fluids, and fever and pain relief that’s safe for you. Your doctor will tell you what to take and which warning signs mean you should be seen in person.
Xofluza & DrHouse
How to request a Xofluza prescription online
Patients can start a virtual visit through the DrHouse mobile app. The general process works like this:
- Download the DrHouse app from the Apple App Store or Google Play and create an account.
- Enter the reason for the visit and select insurance or self-pay.
- Choose a physician based on availability, specialty, ratings, and language.
- Book the next available appointment or schedule one for later.
- Complete the intake form with health history, current medications, allergies, and any relevant lab results.
- Join the secure video visit at the scheduled time.
- Speak with a licensed U.S. MD or DO physician about symptoms, history, and treatment goals.
- If the physician determines that Xofluza is medically appropriate, the prescription is sent electronically to a chosen pharmacy or, in supported locations, made available for same-day delivery.
DrHouse is available 24/7 in all 50 U.S. states.
What will your DrHouse doctor ask?
Have a few answers ready, because they decide whether Xofluza fits and which dose you need. Your doctor will ask when your symptoms started or when you were exposed, and what you weigh. They’ll also ask about health conditions such as asthma, diabetes, heart disease or a weakened immune system.
Tell them every medicine and supplement you take, especially antacids, laxatives, calcium, iron, magnesium or zinc. Mention it if you’re pregnant or breastfeeding, and if you’ve ever had an allergic reaction to a medicine.
Do you need a flu test first?
Not always. CDC tells clinicians not to wait for lab results before starting treatment when flu is suspected, and says early treatment can be based on clinical judgment, including without an office visit. Your DrHouse doctor will weigh your symptoms and how much flu is going around, and can refer you to a Labcorp location if testing would help.
Why the 48-hour window matters
Xofluza is approved for people who’ve had symptoms for 48 hours or less, and CDC says flu antivirals work best when started early, ideally within two days after symptoms begin. Flu rarely keeps office hours. DrHouse doctors are available 24/7, including nights, weekends and holidays, so a fever that starts at midnight doesn’t have to cost you a day.
Pharmacy pickup or same-day delivery
Prescriptions usually reach your pharmacy within 15 to 45 minutes after the visit, and you can choose almost any retail or mail-order pharmacy. Stock can change quickly in flu season, so it’s worth calling ahead. If your pharmacy is out, it can usually transfer the prescription to another location.
In select areas, you can choose same-day delivery through our partner pharmacies instead, sometimes in as little as an hour, with a photo ID check at the door.*
Insurance and your Xofluza visit
DrHouse accepts many major plans, including Medicare, Blue Cross Blue Shield, UnitedHealthcare, Aetna, Humana and Elevance Health (formerly Anthem) plans. With insurance, the typical copay for your video visit is $0 to $30, depending on your plan’s copay, deductible and coinsurance. Without insurance, the visit is $129, and HSA and FSA cards work where your plan allows.
When will your doctor suggest something else?
Xofluza isn’t right for everyone. Your doctor may recommend a different antiviral, such as oseltamivir (Tamiflu), or no antiviral at all. That can happen if you’re pregnant, if your symptoms started more than two days ago, or if the patient is under 5 or can’t swallow a tablet. If your symptoms need an exam, imaging or urgent attention, your doctor will tell you where to go.
Xofluza for kids at DrHouse
Xofluza is approved for children 5 and older, and for now it’s generally limited to kids who weigh at least 20 kg and can swallow a tablet. For any patient under 18, a parent or legal guardian must be present during the video visit. Add your child to your account so they have their own medical record, and start a separate visit for each child.
A doctor’s note for the flu
If the flu keeps you home from work or school, your DrHouse doctor can write a signed doctor’s note when medically appropriate. It’s usually emailed within about an hour and comes with your visit. Whether it’s accepted is up to your employer or school.
Who you’ll see
Every DrHouse visit is with a licensed U.S. physician, an MD or DO, and our doctors average 20 years of experience.
Privacy and security
DrHouse is HIPAA-compliant, and visits run over an encrypted connection. We also hold LegitScript Healthcare Merchant Certification, which verifies that telemedicine services that prescribe medication online meet healthcare and regulatory standards.
Not sure it’s the flu?
Considering Tamiflu instead? Request a Tamiflu prescription online. Not sure it’s the flu at all? See a doctor for cold and flu treatment.
FAQs
Is Xofluza better than Tamiflu?
Neither is better for everyone. CDC describes the two as comparable for shortening flu symptoms, and in the trial that compared them in adults, both eased symptoms in a median of about 54 hours. The differences are practical: Xofluza is one dose for ages 5 and up, while Tamiflu is taken twice a day for five days, is approved from 2 weeks old, and is CDC’s preferred choice in pregnancy.
How fast does Xofluza work?
In clinical trials, Xofluza eased flu symptoms about a day sooner than a placebo. Otherwise healthy people ages 12 to 64 felt better in a median of 54 hours, compared with 80 hours on placebo, and people at higher risk of complications improved in 73 hours versus 102. You may still feel sick for a couple of days after the dose, so starting early matters most.
Is there a generic version of Xofluza?
Yes. On June 17, 2026, the FDA approved the first generic of Xofluza, baloxavir marboxil tablets from Norwich Pharmaceuticals, for the same uses as the brand. Your pharmacy may stock either version, so ask which one it has. The 48-hour treatment window applies to both, and your DrHouse doctor decides whether baloxavir is right for you.
Are you still contagious after taking Xofluza?
Assume you can still spread the flu. Xofluza isn’t FDA-approved to keep you from passing flu to others, even though CDC notes it quickly lowers the amount of virus in the upper airways. Keep doing what you would with any flu: stay home while you’re sick, cover coughs and sneezes, and keep your distance from people at higher risk, such as babies, older adults and anyone who’s pregnant.
What happens if you take Xofluza after 48 hours?
Xofluza is approved for people who’ve had symptoms for 48 hours or less, and CDC notes there’s no data on starting it later in people who aren’t hospitalized. If you’re past that window, it’s still worth talking to a doctor, especially if you’re at higher risk of complications or getting worse. They can tell you whether another treatment makes sense or whether you should be seen in person.
Can Xofluza prevent the flu?
Yes, after an exposure. For people 5 and older, one dose taken within 48 hours of contact with someone who has the flu is FDA-approved for prevention. In the household study behind that approval, 2% of people who took Xofluza got the flu, compared with 13% of those on a placebo. It doesn’t replace your yearly flu vaccine, which CDC calls the best way to prevent flu.
Is Xofluza available over the counter?
No. Xofluza and generic baloxavir need a prescription in the U.S., like every flu antiviral. You don’t need an office visit to get one, though. A DrHouse doctor can see you by video at any hour and prescribe Xofluza if it’s medically appropriate, and then you choose pickup at a pharmacy near you or same-day delivery in select areas.*
Can kids take Xofluza?
Xofluza is FDA-approved for children 5 and older. Because the liquid form isn’t currently available in the U.S., it’s generally limited to kids who weigh at least 20 kg (about 44 lb) and can swallow a tablet. For younger or smaller children, oseltamivir (Tamiflu) liquid is the usual alternative. On DrHouse, a parent or legal guardian must join the video visit for any patient under 18.
Can I take Xofluza while pregnant or breastfeeding?
CDC doesn’t recommend it. There aren’t adequate studies of baloxavir in pregnancy and no data on whether it passes into breast milk, so CDC names oral oseltamivir (Tamiflu) the preferred antiviral during pregnancy. Flu can be more serious when you’re pregnant, so if you have symptoms, see a doctor right away and mention that you’re pregnant or breastfeeding.
Do I need a flu test before taking Xofluza?
Not always. CDC tells clinicians not to wait for test results before starting treatment when flu is suspected, and says early treatment can be based on clinical judgment, including without an office visit. Your DrHouse doctor weighs your symptoms and how much flu is going around, and can refer you to a Labcorp location if a test would help.
What are the side effects of Xofluza?
Side effects were uncommon in clinical trials. In adults and teens, the most common were diarrhea (3%), bronchitis (3%), nausea (2%), sinusitis (2%) and headache (1%), and in children 5 to 11, vomiting and diarrhea (5% each). A serious allergic reaction is rare, but trouble breathing, swelling of the face or lips, or widespread hives after a dose means calling 911.
What should you avoid when taking Xofluza?
Don’t take Xofluza with dairy products, calcium-fortified drinks, antacids, some laxatives, or supplements containing calcium, iron, magnesium, selenium or zinc, because they bind to baloxavir and can make it work less well. If you plan to get the nasal spray flu vaccine, CDC advises waiting 17 days after a dose. Tell your doctor about every medicine and supplement you take.
Can you crush Xofluza?
The prescribing information doesn’t say whether Xofluza tablets can be crushed or split, so ask your pharmacist before changing how you take it. If swallowing a tablet is hard for you or your child, mention it during the visit. Your doctor may suggest a different antiviral, such as oseltamivir, which comes as a liquid as well as capsules.
Can I get Xofluza delivered?
In select areas, yes. If your doctor prescribes Xofluza, you can choose same-day delivery through our partner pharmacies, sometimes in as little as an hour.* You’ll need a photo ID at the door. You can also pick it up at a pharmacy near you instead, where prescriptions usually arrive within 15 to 45 minutes after your visit.
Resources & Sources
- Genentech, Inc. “XOFLUZA (baloxavir marboxil) tablets, for oral use; XOFLUZA (baloxavir marboxil) for oral suspension: full prescribing information.” https://www.gene.com/download/pdf/xofluza_prescribing.pdf.
- Centers for Disease Control and Prevention, Influenza (Flu). “Influenza Antiviral Drug Baloxavir Marboxil.” https://www.cdc.gov/flu/treatment/baloxavir-marboxil.html.
- Centers for Disease Control and Prevention, Influenza (Flu). “Influenza Antiviral Medications: Summary for Clinicians.” https://www.cdc.gov/flu/hcp/antivirals/summary-clinicians.html.
- Centers for Disease Control and Prevention, Influenza (Flu). “Recommendations for Obstetric Health Care Providers Related to Use of Antiviral Medications for the Treatment and Prevention of Influenza.” https://www.cdc.gov/flu/hcp/antivirals/treatment_obstetric.html.
- Centers for Disease Control and Prevention, Influenza (Flu). “Treatment of Flu.” https://www.cdc.gov/flu/treatment/index.html.
- Centers for Disease Control and Prevention, Influenza (Flu). “Signs and Symptoms of Flu.” https://www.cdc.gov/flu/signs-symptoms/index.html.
- U.S. Food and Drug Administration, FDA News Release. “FDA Approves First Single-Dose Generic Treatment for Influenza.” https://www.fda.gov/news-events/press-announcements/fda-approves-first-single-dose-generic-treatment-influenza.
- American Academy of Pediatrics, HealthyChildren.org. “AAP (Influenza) Flu Prevention & Treatment Recommendations for 2026-27.” https://www.healthychildren.org/English/news/Pages/aap-(influenza)-flu-prevention-recommendations-for-2026-27.aspx.
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