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National survey study of nirmatrelvir-ritonavir prescribing processes and access barriers during the severe acute respiratory coronavirus virus 2 (SARS-CoV-2) omicron surge of the coronavirus disease 2019 (COVID-19) pandemic

Published online by Cambridge University Press:  20 April 2023

Rebecca Wang*
Section of Infectious Diseases and International Health, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
Michael S. Calderwood
Section of Infectious Diseases and International Health, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
Craig P. Worby
Department of Pharmacy, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
Jose R. Mercado
Section of Hospital Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
Justin J. Kim
Section of Infectious Diseases and International Health, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
Author for correspondence: Rebecca Wang, E-mail:


In this national survey, we found that individual patient assessments by pharmacists were more common at facilities using centralized prescribing for nirmetralvir-ritonavir (Paxlovid) than decentralized prescribing. Provider discomfort was initially less with centralized prescribing, but later, there was no difference in provider discomfort based on prescribing mechanism.

Concise Communication
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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