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Adult Intravenous Remdesivir Infusion Therapy Order Form

Ministry of Health only provides coverage for a maximum of three doses for an eligible patient. Determining and providing proof of patient eligibility for IV Remdesivir therapy is the Prescriber’s responsibility, namely: The individual does not require hospitalization; AND the individual cannot take Paxlovid (nirmatrelvir and ritonavir), e.g., due to a drug interaction or contraindication;AND the individual has a positive COVID-19 test result (molecular or rapid antigen) and has had symptoms for fewerthan 8 days at the time treatment is initiated (dose 1).

File Type: pdf
Categories: Forms
Tags: South West

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