Health Care Provider referrals to Monoclonal Antibody Infusions Monoclonal antibodies (mAbs) directly neutralize the COVID-19 virus and are intended to prevent the progression of disease mAbs are likely to be most beneficial if given to patients early in symptom progression Product delivered via single IV infusion administration Early evidence suggest promise of mAb products in outpatient settings to reduce hospitalization Adult Process to refer your patients Eligibility Criteria 1. Review patient eligibility criteria At least 1 of the for patients with mild-moderate symptoms. following: Full criteria listed by FDA: 1.Age ≥ 65 years; Bamlanivimab and Etesevimab 2.Age ≥ 55 years AND Casirivimab and Imdevimab have any of the following: 2. Perform a COVID-19 PCR or Point-of-Care Cardiovascular Rapid Antigen Test disease (POC Antigen Tests can be supplied by MDH: Hypertension complete this form if interested). COPD/other chronic respiratory 3. Refer your positive patients to a partnering disease infusion site* ASAP 3.Diabetes; to start treatment within 10 days of onset of symptoms. 4.Immunosuppressive disease; Option 1 (Preferred) OR Option 2 5.Receiving immunosuppressive Send eReferral via the CRISP Complete referral form treatment; Unified Landing Page (link at top) and submit 6.BMI ≥35; OR (Starter guide: pp. 1-7, 25-35) directly to infusion site 7.Chronic kidney disease * (Infusion sites listed on next page) Page 1 Health Care Provider referrals to Monoclonal Antibody Infusions (Link to proceed for all workflows) Sites accepting electronic referrals: *Accepts CRISP eReferral (numbers reflect location on site map below) Adventist–Takoma Park [13]* MedStar Harbor [10]* Atlantic General [21]* MedStar Southern Maryland [15]* Baltimore Convention Center Field Mercy [9]* Hospital [8] Meritus Health [3]* CalvertHealth [17]* Odenton Volunteer Fire Department [11] Charles Regional Medical Center Infusion TidalHealth Peninsula Regional [20]* Clinic (UM CRMC) [16]* UM Capital Region Health-Laurel ACS ChristianaCare Union Hospital [18]* Monoclonal Antibody Infusion Center [12]* City of Praise Family Ministries [14] UMMS Shore Regional [19]* Garrett Regional Medical [1] * UPMC Western Maryland Hospital [2] * Hatzalah of Baltimore [5] Upper Chesapeake Comprehensive Care LifeBridge Health Grace Medical Center [7] Center [4]* Lifebridge Health Sinai Hospital [6] Site Map (as of 4/23/21): COMING SOON (None- check back next week) This document is updated weekly to reflect the most recent locations of mAb treatment in Maryland. Locations can also be found through the HHS website. Please note: this website may not reflect the most recent changes. Page 2.