April 14, 2022
Primary care providers encouraged to prescribe publicly funded Paxlovid through community pharmacies

Physicians and nurse practitioners can now prescribe Paxlovid that can be dispensed in community pharmacies.

Why is this important for London Middlesex?

Assessment appointments at Carling are extremely limited over the Easter weekend (and perhaps going forward). Walk-ins to Carling will potentially be seen, but family physicians and nurse practitioners are asked to assess their patients if possible, and supply them with a prescription to take to a community pharmacy that has Paxlovid supply. 

If you need to dispense Paxlovid, see the list of pharmacies here (note: many are still onboarding to dispense Paxlovid).

EMR-friendly prescription forms

  • Accuro - download the new prescription form from the Accuro cloud within your EMR by searching “Paxlovid”.  
  • Telus - find the custom form as well as a PDF version on the South West Primary Care Alliance website (search for ‘Paxlovid’ using the search function).  

If you have questions or require assistance with completing the Paxlovid prescription form, please contact the Carling Heights Assessment Centre at (226) 559-4030 for support.

For providers

For your patients

  • Self screener for patients to self-assess if they are eligible for treatment (Ministry of Health)
  • Patient handout with information on who can get Paxlovid, how to get assessed for treatment, and how Paxlovid works (Ontario Health) FR
  • If I get COVID, is there a medication I can take? (ConfusedAboutCOVID.ca) 
  • New! National knowledge hub of multilingual tools and community-based resources to help providers distribute health-related info to their clients and communities. Patients and providers can search the national knowledge hub in their own language. From the Canadian Association of CHCs.

Who can receive Paxlovid?

An individual with a valid prescription for Paxlovid is eligible to receive publicly funded Paxlovid if:
An individual is not required to have a valid Ontario health card or be an Ontario Drug Benefit Program recipient to receive publicly funded Paxlovid.

Fourth dose - COVID-19 vaccine

Ontario has recently approved fourth doses of the COVID-19 vaccine for those eligible. Read more here.

From MLHU:
If you have patients who are homebound and requiring vaccination, please fill out the COVID-19 Vaccine - Registration Form to be Vaccinated at Home or have the patient call MLHU at 519-663-5317.

Updated resources:
Physicians needed at Carling Heights Clinical Assessment Centre
There is an urgent need for physicians to assist with patient assessments and treatment at Carling. The centre is transitioning from a testing centre to a COVID-19 assessment centre, and has experienced a significant increase in patients requesting access to treatment (i.e., Paxlovid).

What you need to know:

  • Starting date - asap
  • Shift - one physician working on-site needed each day (Monday-Sunday) from 1300-1700
  • RN and RPN support available for facilitating rapid molecular COVID-19 testing
  • On-site phlebotomy available for patients requiring blood work.
  • An on-site pharmacist anticipated to become part of the team mid-April.

Physician payment:
  • Based on the COVID-10 sessional rates (H409/H410)
  • Physicians responsible for submitting their own billings

  • All PPE provided
  • Documentation to be completed in the Cerner Health Record and training will be provided.
  • Physicians must have LHSC privileges to work at the Clinical Assessment Centre.
If you are interested in this opportunity or have further questions, please contact Kim Planques at Kim.Planques@lhsc.on.ca.
COVID-19 Remote Care Monitoring options
(courtesy of Middlesex London OHT)

Remote Care Monitoring is still available for anyone who is COVID-19-positive and living in London or Middlesex.
People with COVID-19 are monitored remotely, with the ability to detect pneumonia or asymptomatic hypoxia, escalate medical assessment, and intensify medical care early.
The COVID@Home Monitoring Program is an additional resource for primary care. This community of practice provides access to evidence-based clinical pathways, EMR tools, and regular meetings to support primary care:

Updated: COVID-19 Provincial Testing Guidance, MOH, April 11
London Urgent COVID-19 Care Clinic (LUC3) Provider Experience Survey

If you have referred patients to LUC3 over the past 18 months, please consider responding to this Ontario Health provider experience survey by May 27. Survey results will help to inform future remote care monitoring programs across Ontario.

COVID education opportunities

COVID-19 Community of Practice: All About Paxlovid
  • Friday, April 22, 7:55-9:15 am
  • Dr. Sohal Goyal, Family Physician, West Mississauga Medical, Dr. Kelly Grindrod, Pharmacist and Associate Professor, University of Waterloo School of Pharmacy and Dr. Andrew Morris, Medical Director, Antimicrobial Stewardship Program, Sinai Health System/University Health Network
  • Registration link.

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