Pharmacists Can Prescribe Paxlovid: FDA
FDA has revised the emergency use authorization (EUA) for Pfizer’s Paxlovid (nirmatrelvir and ritonavir) to authorize state-licensed pharmacists to prescribe the Covid-19 treatment to eligible patients with certain limitations to ensure appropriate patient assessment and prescribing. An agency statement says that allowing pharmacists to prescribe Paxlovid could improve access to the drug for some patients who are at high risk for severe Covid-19.
The statement says that under the limitations outlined in the revised EUA, state-licensed pharmacists should refer patients for clinical evaluation with a doctor, advanced practice registered nurse, or physician assistant if any of four specified conditions apply.
Meanwhile, Endpoints News reports the agency said it would not permit pharmacists to prescribe Merck’s Covid-19 antiviral Lagevrio (molnupiravir). The newsletter says FDA informed it the decision was based on several factors, including the drug’s side effects profile and the need for provider-patient consultation before prescribing Lagevrio.
The decision to allow state-licensed pharmacists to prescribe Paxlovid was criticized by the American Medical Association, which said that Paxlovid is not appropriate for every patient and prescribing it requires a knowledge of the patient’s medical history and follow-up care to determine whether the patient is improving. Association president Jack Resneck said in a statement that such care involves “requirements far beyond a pharmacist’s scope and training.”