The
The announcement comes as COVID-19 cases, hospitalizations and deaths are rising again, though they remain near their lowest levels since the coronavirus outbreak began in 2020.
Biden administration officials have expressed frustration that several hundred Americans continue to die of COVID-19 daily, despite the availability of vaccines and treatments.
Administration officials have been working for months to increase access to Paxlovid, opening thousands of sites where patients who test positive can fill a prescription for Paxlovid. The FDA change will make thousands more pharmacies eligible to quickly prescribe and dispense the pill, which must be used early to be effective.
“Since Paxlovid must be taken within five days after symptoms begin, authorizing state-licensed pharmacists to prescribe Paxlovid could expand access to timely treatment," FDA drug center director
Still, use could be limited by paperwork requirements. Patients are expected to bring their recent health records— including blood tests — and a list of their current medications so pharmacists can check for health conditions and medications that can negatively interact with Paxlovid. As an alternative, pharmacists can consult with the patient's doctor.
Paxlovid is intended for people with COVID-19 who are more likely to become seriously ill. That includes older people and those with other health issues like heart disease, obesity, cancer or diabetes that make them more vulnerable. It isn’t recommended for patients with severe kidney or liver problems. A course of treatment is three pills twice a day for five days.
The FDA authorized Paxlovid last December for ages 12 and up based on results showing it reduced hospitalizations and deaths by nearly 90% among unvaccinated patients most likely to get severe disease. The drug has shown less impressive results in patients who already have vaccine protection and some physicians have reported cases of COVID-19 symptoms returning after treatment with the drug.
Expanding the test-to-treat program to include pharmacists could add thousands of additional options for patients. The two biggest
There also are nearly 19,400 independent pharmacies not tied to a big chain, according to the
Pharmacist
Belcher said she worries that some people may have a hard time getting a doctor’s appointment for a prescription during the narrow window to start the pill.
Belcher, owner of the independent
Her pharmacy routinely checks for potentially harmful interactions with other drugs a patient may be taking, she said.
“Pharmacists are the drug experts,” she said. “That’s something we do every day, all day, make sure there are no interactions with any medications.”
Murphy reported from
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