Molnupiravir
Please access the survey link below to choose your preferred COVID-19 treatment option.
LTCF COVID-19 Treatment Order Survey Link
(Please Note–The survey link above is only for Nursing Home and Assisted Living Residents)
Background Information
Order Forms and Fact Sheets
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COVID-19 Treatment, Molnupiravir
Molnupiravir Treatment Order Form
Order form template that can be used to check for treatment eligibility of symptomatic patients and document ordering the drug in your medical records-
COVID-19 Treatment, Molnupiravir
Molnupiravir Medical Director Standing Order Template
Standing order template that can be used by facility Medical Directors-
COVID-19 Treatment, Molnupiravir
Molnupiravir Fact Sheet for Patients and Caregivers
Patient fact sheet that must be printed and given to the patient or caregiver prior to or at the time of oral administration-
COVID-19 Treatment, Molnupiravir
Molnupiravir Fact Sheet for Healthcare Providers
Fact sheet aimed at providers that contains drug information and answers to other commonly asked questionsCONTACT INFORMATION
For any questions regarding monoclonal antibodies, Paxlovid, Molnupiravir or the request process, please contact Danny Schroeder at dschroeder@nebraskamed.com or Mounica Soma at msoma@nebraskamed.com
