As a prescribing healthcare practitioner, you must communicate to the patient, parent and caregiver information consistent with the FACT SHEET FOR PATIENTS, PARENTS OR CAREGIVERS and provide them with a copy of this Fact Sheet prior to administration of EVUSHELD. WSHA is also prioritizing consolidating multilingual therapeutics resources for providers to use to inform themselves or their patients. More information can be found in this For patients with cardiac risk factors or a history of cardiac disease: EVUSHELD se utiliza para prevenir la infeccin por COVID-19 en . . Evusheld. More information: Fact Sheet: Evusheld for COVID-19 Prevention. Evusheld Patient Fact Sheet (Spanish) bebtelovimab Patient Fact Sheet (Spanish) N/A . Patient Portal; Online Bill Pay; Call Today: 360.613.1335. People who get Evusheld may need to receive additional doses for ongoing protection if new variants emerge. The FDA based its EUA on the review of data from the PROVENT clinical trial (NCT04625725), a phase III, randomized, double-blind (neither the patient nor provider know if Evusheld is only available as a brand drug. It may be covered by your Medicare or insurance plan, but some pharmacy coupons or cash prices could help offset the cost. Compare monoclonal antibodies. You can only add a maximum of 25 drugs to MyRx. Patients wishing to receive Evusheld are required to receive the FDA's Fact Sheet for Patients and Caregivers prior to receiving the medication. The FDA Letter of Authorization is available for reference, as well as the Fact Sheet for Patients, Parents And Caregivers. Evusheld Fact Sheet Updated April 1, 2022, the FDA updated theEvusheld (tixagevimabco-packaged with cilgavimab)fact sheetand frequently asked questionswith updated dosing FDA ; Patient/Caregiver Fact Sheet (Spanish) NIH Guidelines. Unopened vialsshould be stored in a Review the Antiviral Resistance information in Section 15 of the Fact Sheet for each monoclonal antibody therapy authorized under an emergency use according to the FDA approval and Evusheld Fact Sheet Evusheld is a long-acting monoclonal antibody combination that has received Food and Drug Administration (FDA) Emergency Use Authorization (EUA) for the pre I am currently being treated at Stanford and they state that Evusheld is being prioritized for "solid organ and hematopoietic stem cell/CAR-T recipients" by the state of CA. Do not shake. Fact Sheet: Evusheld for COVID-19 Prevention . Evusheld. UpdatesVaccines FDA approved Moderna COVID-19 vaccinefor individuals 18+ years For people with moderate/severe immunocompromise: Clarified EVUSHELD is not authorized for post-exposure prophylaxis for prevention of COVID-19. I have discussed the EUA requirements and reviewed the fact sheet for the patients, parents or caregiver. EVUSHELD is used to 9927 Mickelberry Rd, Suite 121 | Silverdale, WA 98383-7849 . SARS-CoV-2 Viral Variant There is a potential Evusheld is authorized for adult and pediatric individuals (12 years of age and older weighing at least 40 kg) who are not currently infected or recently exposed to SARS-CoV-2 and have EVUSHELD, consisting of 2 separate injections (tixagevimab and cilgavimab). EMS Week in Virginia, May 15-21, 2022. The medicine can only be obtained with a to patients, parents, and caregivers, respectively, through appropriate means, prior to administration of Evusheld. The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for the emergency use of the unapproved product Evusheld (tixagevimab co-packaged with cilgavimab) for the pre-exposure prophylaxis of coronavirus disease 2019 Dosing Evusheld is given as two injections of 150 mg tixagevimab and 150 mg cilgavimab at different sites, preferably in the gluteal muscles. For patients who have received a COVID-19 vaccine, Evusheld should be administered at least 2 weeks after Evusheld therapy is made up of 1 injection of tixagevimab and 1 injection of cilgavimab, given separately into your muscle, one More information: Fact Sheet: Evusheld for COVID-19 Prevention. Paxlovid Patient Fact Sheet (Spanish) Lagevrio Patient Fact Sheet (Spanish) Mechanism of Evusheld due to expiration until further notice, which should Unopened vialsshould be stored in a refrigerator(at 2C to 8C),inthe original carton to protect from light. The medicine can only be obtained with a prescription and should be given under conditions that allow patients to be adequately monitored and managed in case they develop severe allergic reactions, including anaphylaxis. is not limited. EVUSHELD has been authorized by FDA for the emergency use based on available data indicating that a higher dose of Evusheld may be more likely to prevent infection by the COVID-19 Omicron subvariants BA.1 and BA.1.1 than the We are committed to making this an equitable process for patient who will benefit from this drug. El suministro de . Pleasealso provide a copy of this form to AstraZenecaby Fax at 1-866-742-7984or call1-800-236-9933. ATTENTION: Some patients may require a 2nd dose of Evusheld. Please refer to the updated Evusheld Fact Sheet for Healthcare Providers for more details. electronic copy of the fact sheet to the patient or caregiver. Requirements (6.4) See PATIENT AND PARENTS/CAREGIVER FACT SHEET . Per the EUA, eligible patients for EVUSHELD must have: No history of recent exposure to an individual diagnosed with COVID-19 conditions or treatments can be found in the fact sheet for health care providers); OR a history of severe adverse reactions to a COVID-19 vaccine and/or component(s) of those sotrovimab . Providers can order this treatment for their patients through Epic or using the online form button below. SARS-CoV-2 Viral Variant There is a potential Evusheld Patient, Parents and Caregiver Fact Sheet Evusheld Patient, Parents and Caregiver Fact Sheet (Spanish) CDER Scientific Review Documents Supporting EUA Additional Side effects include: Most common treatment-emergent adverse events occurring in 3% of individuals (median duration of follow-up of 83 days): Headache (6%), fatigue (4%), and cough (3%). In certain types of emergencies, the HHS Secretary may issue a determination and declaration under the Federal Food, Drug, and Cosmetic Act that permits the U.S. Food and EVUSHELD may only be prescribed for an individual patient by physicians, advanced practice registered nurses, and physician assistants that are licensed or authorized under state law to prescribe drugs in the therapeutic class to which EVUSHELD belongs (i.e., anti-infectives). AstraZeneca's Evusheld (tixagevimab co-packaged with cilgavimab) is authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) and is the first antibody EVUSHELD will be given to you in a healthcare facility and the healthcare professionals caring for you will be responsible for storing this medicine. Warnings for months about vaccines and the immune-compromised. Handal and other patients want to know why the government contracted for only up to 700,000 doses of Evusheld when it has I had to DIY it. Kidney transplant recipient finds a loophole. Cancer patient finds another loophole. A Christmas miracle. to patients, parents, and caregivers, respectively, through appropriate means, prior to administration of Evusheld. 2 | Page. 2 inyecciones en el msculo, le pondrn una inyeccin en cada nalga. determinadas personas mayores de 12 aos. If you have a patient 12 years old or older (and at least 40 kg) who has a compromised immune system and is at high risk for COVID-19, even after vaccination, there is a preventative treatment that can help protect that patient. Fact Sheets Provide a copy of the Fact Sheet for Patients, Parents, and Caregivers for EVUSHELD and explain risks, benefits, and alternatives to the patient, emphasizing that this therapy is not FDA approved but is under Emergency Use Authorization (EUA). Quick Checklist for mAb patients. etesevimab and casirivimab plus imdevimab to prevent patients with mild to moderate COVID-19 who are at high risk for progression to severe disease. At this time, the only monoclonal Supply of . no est limitado. Evusheld (long-acting monoclonal antibodies tixagevimab with cilgavimab) is authorized as pre-exposure prophylaxis for COVID-19. In certain types of emergencies, the HHS Secretary may issue a determination and declaration under the Federal Food, Drug, and Cosmetic Act that permits the U.S. Food and Drug Administration (FDA) to issue Emergency Use Authorizations (EUA) to facilitate access to medical countermeasures (drugs, biologics, vaccines, and devices) that can be used to diagnose, treat, and tixagevimab and cilgavimab (Evusheld) EUA Fact Sheet for Healthcare Providers Logistics and supplies arelimited, so locate the nearest Sutter Health site offering Evusheld and contact them to confirm drug availability. Evusheld is authorized for pre-exposure prophylaxis against COVID-19 only. Bebtelovimab (Lilly) An emergency use authorization (EUA) was issued from the U.S. Food and Drug Administration (FDA) on Feb. 11, 2022, for the COVID-19 Data supporting any expiration date extensions of Evusheld will . Prescription Orders Required for COVID-19 Treatments. These pills may only be prescribed for an individual patient by physicians, advanced practice registered nurses, and physician assistants. EVUSHELD(1) by submitting FDA Form 3500 online, (2) by downloadingthis form and then submitting by mail or fax, or (3) contacting theFDA at 1-800-FDA-1088 to request this form. Are not currently infected with COVID-19Who cannot receive the COVID-19 vaccine due to severe allergic reactions to vaccine componentsAre taking immunosuppressive medications for a medical condition and cannot generate an adequate immune response even after receiving all doses of the COVID-19 vaccineMore items HEALTHCARE PROVIDER INFORMATION: EVUSHELD Eligibility: 12 years of age and older weighing at least 40 kilograms (about . for the treatment of coronavirus disease 2019 (COVID-19). Fact Sheets Provide a copy of the Fact Sheet for Patients, Parents, and Caregivers for EVUSHELD and explain risks, benefits, and alternatives to the patient, emphasizing that this Consider the risks and benefits prior to initiating Evusheld in individuals at high risk for cardiovascular events (see section 6.1 of the Evusheld Fact Sheet for Healthcare Providers). SARS-CoV-2. The dosage of Evusheld for emergency use is 150 mg of tixagevimab and 150 mg of cilgavimab administered as two FDA patient fact sheet given to the patient electronically The FDA Letter of Authorization is available for reference, as well as the Fact Sheet for Patients, Parents And Caregivers. As the patients healthcare provider, I have communicated to the patient or parent/caregiver listed above, as age appropriate, the information consistent with the Fact Sheet for Patients, EVUSHELD. They are usually, given one after the other, 1 into each of your buttocks. will be given to you by your healthcare provider as . Complete Required State and Federal Reporting All healthcare systems must complete, in a timely manner, all On Dec. 8, 2021, the U.S. Food and Drug Administration issued an Emergency Use Authorization for AstraZenecas Evusheld, a prevention therapy for certain high-risk individuals that can help protect them from COVID-19 before they are exposed to the virus. EVUSHELD. Evusheld Patient Fact Sheet . Prepared by System Pharmacy/FMCP 1-14-2022 . To access the most recent EVUSHELD Fact Sheets, please scan the QR code provided below. 2 injections in the muscle. Tixagevimab-cilgavimab (Evusheld) appears less effective against the omicron variant of SARS-CoV-2 in patients with hematologic cancer, according to research published Evusheld is not a substitute for COVID-19 vaccination. Evusheld is given as two injections of 150 mg tixagevimab and 150 mg cilgavimab at different sites, preferably in the gluteal muscles. at 1-866-742-7984 or call 1-800-236-9933. Evusheld is the first pre-exposure prophylaxis product for COVID-19 apart from vaccines. The page currently contains It is an additional tool to fight COVID that is designed for a specific patient population. Prescription Orders Required for COVID-19 Treatments. That risk reduction was maintained for the Evusheld patients through six months. FULL FACT SHEET FOR HEALTHCARE PROVIDERS EMERGENCY USE AUTHORIZATION. AstraZenecaby Fax . This if the fact sheet for Unclassified/For Public UseUnclassified 2 Clinical Implementation Guide Overview COVID-19 outpatient therapeutics can be used to prevent or treat eligible non-hospitalized The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) to make EVUSHELD available during the COVID-19 pandemic The FDA has authorized the emergency use of EVUSHELD for pre-exposure prophylaxis for prevention of COVID-19 under an Emergency Use Authorization. Evusheld (tixagevimab) injection; (cilgavimab) injection, co-packaged for intramuscular use. EVUSHELD EVUSHELD 12 CO VID-19 EVUSHELD EVUSHELD EVUSHELDtixagevimab cilgavimab EVUSHELD COVID-19 be placed in the order to receive Evusheld. Please see the Fact Sheet for Patients, Parents and Caregivers for more information. EVUSHELD will be given to you by your healthcare provider as . NIH Summary Recommendations for Prevention of FDA Fact Sheets: EVUSHELD Fact Sheet for Providers (PDF) EVUSHELD Fact Sheet for Patients, Parents and Caregivers (PDF) Evusheld Prescriber Checklist (PDF) Clinical Do not discard . In Ohio, a patient must have a prescription order to receive COVID-19 therapeutics. be reviewed by the FDA for consideration. Additional information about Evusheld is provided on their Fact Sheet for Patients, Parents and Caregivers (PDF). Bebtelovimab (Lilly) An emergency use authorization (EUA) was issued from the U.S. Food and Drug Administration (FDA) on Feb. 11, 2022, for the COVID-19 monoclonal antibody therapeutic bebtelovimab. Se necesita una receta mdica para obtener EVUSHELD. Evusheld is the only non-vaccine with emergency use authorization (EUA) from the FDA to prevent infection from COVID-19 before you're exposed to the virus. Patient Consent for Emergency Use Authorization (EUA): Confirm that patient has received the EUA Fact Sheet for Patients and Caregivers. Identify your immunocompromised patients at greatest need for Evusheld and inform them of this PrEP option. Please also provide a copy of this form to . Call the providers closest to you and ask if they are giving Evusheld to non-patients with a doctors referral or if you can be added to their waitlist, if In Ohio, a patient must have a prescription order to receive COVID At this time, Evusheld supply is adequate to meet demand at Michigan Medicine. Fact Sheets Provide a copy of the Fact Sheet for Patients, Parents, and Caregivers for EVUSHELD and explain risks, benefits and alternatives to the patient, emphasizing that this 88 pounds) Not currently infected with the . EVUSHELD will be given to you by your healthcare provider as . One dose of Evusheld, administered as two separate gluteal 3 mL injections consecutively (one 300- mg injection per monoclonal antibody), likely provides FDA Fact Sheet for Patient, Parents, and Caregivers. Pfizers Paxlovid. EVUSHELD (1) by submitting FDA Form 3500 online, (2) by downloading this form and then submitting by mail or fax, or (3) contacting the FDA at 1-800-FDA-1088 to request this form. 2. injections in the muscle. Evusheld is a long-acting monoclonal antibody (mAb) therapy used for prevention, also known as pre-exposure prophylaxis (PrEP) of COVID-19 in adults and children >12 years and weighing at least 40kg (88 lbs), with certain high-risk, immunocompromised conditions. This Fact Sheet contains information to help you understand the potential risks and potential benefits of taking EVUSHELD, which you have received or may receive. Fact Sheet for Patients, Parents and Caregivers (PDF) | Spanish; Evusheld. AstraZenecas EVUSHELD TM EVUSHELD is used to prevent a COVID-19 infection. EVUSHELD EVUSHELD 12 CO VID-19 EVUSHELD EVUSHELD The 3,441 people getting Evusheld saw a 77% lower risk of developing COVID-19 compared with the 1,731 patients who got a placebo, according to the FDA. Emergency Use Authorization (EUA) of Sotrovimab for the Treatment of Coronavirus Disease 2019 (COVID-19) You are being given a medicine called . Patients who received an initial dose of 150mg of tixagevimab and 150mg of cilgavimab should receive an additional dose of 150mg of each to raise their monoclonal antibody levels to those expected for patients receiving the higher dose. in certain . EVUSHELD is used to prevent a COVID-19 infection in certain . The EVUSHELD will be given to you in a healthcare facility and the healthcare professionals caring for you will be responsible for storing this medicine. To order in Epic search LAAB Injection in the preference list or database. If you require a 2nd dose, please click the REGISTER NOW button below and go through the process of registration as Virginians rely on Emergency Medical Services (EMS) personnel to respond to the call for help and to provide quality prehospital care Evusheld requires 60 min observation time following administration; All patients must abide by current Covid Screening and Visitor policies; Ordering Evusheld. individuals ages 12 and older. There are specific conditions people need to meet in order to receive the medication. EVUSHELD. EVUSHELD has been authorized for preventive COVID-19 treatment for specific immunocompromised groups. Oral Antiviral Medication. Patient has not received COVID-19 vaccine Consider the risks and benefits prior to initiating Evusheld The best timing for additional doses, if needed, is not yet Title: EVUSHELD Fact Sheet Author: DPH Preparedness Keywords: DAEyQ4H6je0,BACldsawVBw Created Date: 12/21/2021 8:54:22 PM EVUSHELD (Tixagevimab/ Cilgavimab) Authorized use(s) Treatment of mild to moderate symptoms Prevention: post-exposure prophylaxis (PEP)* state of Minnesota is working to ensure that any location that gives antibody treatments is considered in network and covered by insurance. However, if you are treated at a health care facility outside of That was by day 183 of the trial. Evusheld is authorized for adult and pediatric individuals (12 years of age and older weighing at least 40 kg) who are not currently infected or recently exposed to SARS-CoV-2 and have moderate to severe immune compromise or for whom vaccination with any available COVID-19 vaccine is not recommended due to a history of severe adverse reaction (e.g., severe allergic 2 injections in the muscle. Evusheld is not an alternative to vaccine for the average person. They are usually, given one after the other, 1 into each of your buttocks. Fact Sheet for Patients, Parents And Caregivers Emergency Use Authorization (EUA) of EVUSHELD (tixagevimab co-packaged with cilgavimab) for Coronavirus Disease 2019 See Full Fact Sheet for Healthcare Providers for the justification for emergency use of drugs during the COVID-19 pandemic, information on available alternatives, and additional Patient Contact and Counseling Once patients are selected, they should be contacted by a qualified healthcare provider and counseled on the ser administrado por un profesional sanitario con . Providers are responsible for screening patients for eligibility, reviewing the FDA fact sheet If hard copy cannot be provided it will be provided at the infusion site but please check box below to Fact Sheet for Patients, Parents and Caregivers Emergency Use Authorization (EUA) of Bamlanivimab and Etesevimab for Coronavirus Disease 2019 (COVID-19) You or your child FACT SHEET FOR PATIENTS, PARENTS, AND CAREGIVERS . (6.4) See PATIENT AND PARENTS/CAREGIVER FACT SHEET. EVUSHELD. In vitro data on new emerging Omicron variants consistent with EVUSHELDs neutralization activity against previous variants of concern. Do not freeze. Dartmouth Health will contact all qualifying patients as soon as possible so there is no need to follow up again with your provider. Home; About Us; Our Surgeons. EVUSHELD est vigente durante la declaracin de COVID-19 que justifica el uso de EVUSHELD Recipient Fact Sheet - Feb 22 - Spanish Update English Asset: US-62006 into Spanish Asset: US-62055 V2 25FEB2022 Page 1 of 4 Patient Consent for Treatment Form NAME OF DRUGS: EVUSHELD (tixagevimab co-packaged with cilgavimab) SITE OF TREATMENT: Central EvusheldBA.4BA.5 Type: Oral antiviral. Minimum Order Requirement: 20 Courses. They are usually, given one after the other, 1 into each of your buttocks. Evusheld COVID-19 OHA 4029F Evusheld Patient Fact Sheet Simplified Chinese Author: Rolin Karen L Keywords: OHA 4029F Evusheld Patient EUA Fact sheet for patients, parents, caregivers (English) EUA of Bebtelovimab (PDF) EUA of Evusheld (tixagevimab co-packaged with cilgavimab) (PDF) For patients individuals ages 12 and older. Target Population: COVID-19 patients 12 years of age and older with mild-moderate Overall safety profile of tixagevimab and cilgavimab at a median duration of follow-up of 6.5 months was similar. One dose of Evusheld, administered as two separate gluteal 3 mL injections consecutively (one 300- mg injection per monoclonal antibody), likely provides FDA Fact Sheet for Patient, Evusheld Patient Fact Sheet .