A Community Pharmacist’s Guide to Oral COVID-19 Antivirals

Tyler C. Melton

UTHSC College of Pharmacy

Brandon K. Hawkins

University of Tennessee Health Science Center College of Pharmacy

DOI: https://doi.org/10.24926/iip.v13i3.4961

Keywords: Community pharmacists, COVID-19, Paxlovid, Lagevrio, oral antivirals


Abstract

The recent approval of novel, oral antivirals for the treatment of COVID-19 has significantly altered the outpatient management of patients diagnosed with COVID-19.  From a community pharmacy perspective, the two treatment options for mild to moderate COVID-19 are Paxlovid™ (nirmatrelvir/ritonavir) and Lagevrio™ (molnupiravir).  While the availability of these antivirals has expanded community pharmacists’ capability to provide care for patients diagnosed with COVID-19, many community pharmacists may struggle to effectively operationalize these agents in practice.  This commentary provides a review of Paxlovid™ and Lagevrio™ clarifying the differences between each medication and their respective places in therapy, as well as suggestions and best-practices to operationalize the provision of these services in community pharmacies.  These considerations are necessary to support and inform community pharmacy practice when providing oral COVID-19 antiviral therapy. 

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