COVID-19 – REMDESIVIR MEDICATION - SUPPLY STATUS & REQUEST FORM
SURVEY FOR RECEIVING HOSPITALS

INSTRUCTIONS: This form should be used by hospital facilities that have received, or are anticipating receiving allocations of Remdesivir (RDV) medications for the treatment of their COVID-confirmed patients.

This form is used to inform Alameda County’s decisions on hospital RDV ethical allocations. Allocation decisions will be based on: 1) hospitalized COVID+ confirmed patients from the state reported CDPH data; 2) COVID clinical trial participation; and 3) available numbers of unused RDV vials

This form is to be filled out completely at least once per week as requested and more often if needed as instructed by Alameda County. For any questions about Alameda County’s allocation and disbursement process for RDV, please contact Cynthia Frankel at cynthia.frankel@acgov.org

RDV supplies remain scarce across the country. Alameda County will strive to provide hospitals with adequate amounts of RDV, but limited RDV supplies should be anticipated.
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