Guidance recommending that all SNF residents with symptomatic COVID-19 be evaluated by a prescribing clinician to be considered for oral COVID-19 therapeutics. SNFs should evaluate all residents for any drug-drug interaction risk, and/or renal and hepatic impairment in advance of a COVID-19 diagnosis and indicate such information in charts to facilitate access to appropriate therapeutics when a COVID-19 diagnosis is made.

Also provides information regarding available guidance and resources for evaluating, prescribing, and obtaining COVID-19 therapeutics for SNF residents and recommends SNFs provide information on appropriate therapeutics to their HCP who have symptomatic COVID-19. Includes the latest authorized COVID-19 treatments, with the recommended timing for effectiveness.

SNF residents continue to be at high risk for severe illness, hospitalization and death from COVID-19. COVID-19 therapeutics can substantially reduce these risks. All SNF residents should be considered eligible to receive treatment for mild-to-moderate COVID-19 and should be evaluated by a prescribing healthcare provider for consideration of COVID-19 therapeutics. For treatment to be effective, it must be started within the timeframes in the table below. The products currently approved or authorized for treating mild-to-moderately ill COVID-19 patients include the following:

The decision to not prescribe COVID-19 treatment should be reserved for situations in which the risk of prescribing clearly outweighs the benefits of treatment in preventing hospitalization, death, and the potential for reduced risk of long COVID.

Additional information and resources for healthcare providers and SNFs can be found in CDPH COVID-19 Treatments Resources for Providers webpage and the SNF Surge Readiness Fact Sheet.

SNFs should provide information for their HCP who test positive for COVID-19 to obtain treatment with appropriate therapeutics. SNF HCP may seek care from their regular healthcare provider or visit the California for All COVID-19 Treatment webpage if they have trouble connecting with their healthcare provider for COVID-19 treatment evaluation.

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