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Outpatient COVID Treatments

Deaconess is administering monoclonal antibody treatments and antiviral therapies
to help prevent hospitalization for COVID-19.  Some of these medications are FDA approved, and others are under emergency use authorization (EUA).

All COVID treatments are available in very limited quantities nationwide.  Our strict criteria for qualifying is based upon reducing hospitalizations from COVID-19, as full hospitals affect all patients who may need care.

Monoclonal Antibodies
Due to the prevalence of the omicron variant in our community, we are administering sotrovimab, as it is the only monoclonal antibody treatment effective against this variant.  This medication is given as an infusion treatment of mild-to-moderate COVID-19 in patients who are at high risk of progressing to severe COVID-19 and/or hospitalization.
 


Paxlovid
This oral medication is available by prescription only, is filled through the Deaconess Family Pharmacy Gateway, and only after a DC live visit and a thorough review of potentially dangerous interacting medications by a Deaconess pharmacist.

Remdesivir
This FDA-approved medication is given as an infusion treatment of mild-to-moderate COVID-19 in patients who are at high risk of progressing to severe COVID-19 and/or hospitalization.

Molnupiravir
This oral medication is available by prescription only, and is only available through certain retail pharmacies (not Deaconess).

Who Qualifies

Due to extremely limited quantities, below are the criteria for these outpatient treatments:

Patients must have had symptoms for less than 5-7 days.

  1. All moderately-to-severely immunocompromised patients regardless of vaccination status (adult and pediatric)

  2. Unvaccinated patients at the hightest risk of severe disease (age ≥75, or age ≥65 with at least one of the risk factors below, or age 55-64 with at least 2 risk factors below)

    Qualifying risk factors:
    1. BMI ≥ 35
    2. Chronic Kidney Disease
    3. Diabetes
    4. Cardiovascular disease
    5. Hypertension
    6. COPD/chronic respiratory disease
  3. Unvaccinated pregnant patients

  4. Unvaccinated with Trisomy 21/Down syndrome or intellectual disability that requires group home status

  5. Unvaccinated with cerebral palsy

  6. Age < 18, unvaccinated with one of the following:

    1. Trisomy 21/Down syndrome or intellectual disability that requires group home status

    2. Cerebral palsy

    3. Type 1 Diabetes Mellitus

    4. BMI in the 95th percentile for age

    5. Sickle Cell disease (not trait)

These treatments are NOT authorized for:
  • Patients who are already seriously ill due to COVID-19 (already hospitalized, on oxygen)
  • Patients with COVID-19 symptom onset > 5-7 days
    • Clinical trial data shows most benefit in patients with symptoms of 5-7 days or less, depending on which treatment is available.
Treatment should be started as early as possible. If you believe you are a candidate for one of these  treatments, schedule an appointment now with a Deaconess Clinic LIVE provider.  They will assess your symptoms and/or risks, and will schedule any needed appointments for treatment. 
 
Costs
Some of these treatments will have out-of-pocket costs for the medication itself, or costs to administer the medication, or both.  To learn what your costs may be based on your specific insurance, call 812-450-COST (2678). 

Monoclonal Antibodies Infographic*Maryland Department of Health. What are Monoclonal Antibodies Infographic, Retrieved 2021, Aug 20, from https://health.maryland.gov/preparedness/Pages/Monoclonal-Antibodies-Treatment-for-COVID-19.aspx
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