Page 26 - WCMS1Q22

Michigan Department of Health and Human Services Interim Instructions on Prescribing Paxlovid and Molnupiravir for COVID-19
Paxlovid and molnupiravir are oral antiviral medications that are available through select Meijer and Michigan pharmacies under an emergency use authorization issued by the FDA. E-prescribing is the preferred way of prescribing these medications, but until e-prescribing is widely available, the following process should be used to prescribe these medications using a printed and faxed prescription. Providers should follow prescribing criteria found on the FDA Fact Sheets for Healthcare Providers on Paxlovid and molnupiravir.
Instructions
1. Prescriber determines if medication is currently available in the area.
a. The list of pharmacies carrying oral antivirals can be found at Meijer COVID-19 Therapeutics Website
b. Molnupiravir should only be prescribed when timely access to other authorized therapies (e.g., monoclonal antibodies) is delayed.
2. Determine if patient meets EUA criteria for medication including review of patient’s current medications for interactions (with Paxlovid).
3. Prescriber discusses risk and benefits with patient and provides a copy of the FDA Fact Sheet for Patients and Care Givers for either Paxlovid or molnupiravir.
4. Prescriber determines closest pharmacy to patient that has desired medication.
5. Complete applicable prescription either via e-prescribing, fillable PDF form or print to paper to complete.
a. All requested information must be provided, or prescription will not be filled.
b. Prescriber must sign prescription.
c. Include fax number of pharmacy (lower right corner of prescription) to facilitate faxing
d. Phone prescriptions will not be accepted.
6. Providers may provide a paper copy to patient.
7. Patient should avoid entering the store for prescription pick up if drive through or curbside delivery is available.
8. Advise patient that:
a. Medication should be be picked up and started within 5 days of symptom onset.
b. The medication is provided at no cost. Pharmacies will request insurance information, if available, for dispensing costs. There should not be out of pocket charges to patient.
c. Patients should use the drive-through window to pick-up prescription, as available.
d. If patient has barriers to transportation that would delay picking up the medication, free home delivery may be arranged by having patient contact Meijer. Delivery will be made a priority but will likely result in a delay over pharmacy pick-up. Delivery may not always be available, especially in more distant areas.
Updated 2-23-22
26
Washtenaw County Medical Society BULLETIN SPRING 2022