COVID-19 Infusion Information for Providers

Updated April 8, 2021

Check back often for updates to this page.

Urgent Monoclonal Antibody Update

Beginning Monday, December 21: If a patient arrives for a monoclonal antibody treatment and confirmed SPO2 is <94, he or she will be referred back to the referring provider without receiving infusion. 94% saturation is the cut off for differentiating between moderate and severe in the NIH Guidelines for severity of disease in COVID-19.

This information is for health care providers who are interested in referring a COVID-19 patient for bamlanivimab or casirivimab/imdevimab (monoclonal antibody treatment).

The FDA has issued an Emergency Use Authorization (EUA) for bamlanivimab and casirivimab/imdevimab for treatment of mild to moderate COVID-19.

Criteria

See adult and pediatric order forms for inclusion and exclusion criteria.

    Locations

    These treatments are currently being given in four locations:

    • NMMC-Tupelo, 612 Brunson Drive, Tupelo
    • NMMC-Iuka, 1777 Curtis Drive, Iuka
    • NMMC Gilmore-Amory, 1105 Earl Frye Blvd., Amory
    • NMMC-West Point, 977 Emergency Dr., West Point
    • North Mississippi Medical Center-Hamilton, 1256 Military Street South, Hamilton, AL
    • NMMC-Eupora, 70 Medical Plaza, Eupora

    Referral Information (EPIC)

    Providers with EPIC access: Your referrals must be made in EPIC, and a therapy plan is also required.

    EPIC referral tip sheet

    SCM referral tip sheet

    Non-EPIC Referrals

    Bamlanivimab and Etesevimab

    Referral Form to Fax (Tupelo)

    Referral Form to Fax (Iuka)

    Referral Form to Fax (Amory)

    Referral Form to Fax (West Point)

    Referral Form to Fax (Hamilton)

    Referral Form to Fax (Eupora)

    Non-EPIC Referrals (Pediatrics)

    Bamlanivimab and Etesevimab

    Referral Form to Fax (Tupelo)

    Referral Form to Fax (Iuka)

    Referral Form to Fax (Amory)

    Referral Form to Fax (West Point)

    Referral Form to Fax (Hamilton)

    Referral phone numbers

    Tupelo: (662) 377-2430

    Iuka: (662) 423-4060

    Amory: (662) 256-6061

    West Point: (662) 494-5232, then select option 8

    Hamilton: (205) 921-6305

    Eupora: (662) 258-9244

    Resources for Providers

    Criteria and important info to print (Tupelo)

    Criteria and important info to print (Amory)

    Criteria and important info to print (Iuka)

    Criteria and important info to print (West Point)

    Criteria and important info to print (Hamilton)

    Criteria and important info to print (Eupora)

    Bamlanivimab FDA Fact Sheet for Providers

    Bamlanivimab/Etesevimab FDA Fact Sheet for Providers

    Casirivimab/Imdevimab FDA Fact Sheet for Providers

    Resources for Patients

    Info sheet to print and give to patients (Tupelo)

    Info sheet to print and give patients (Amory)

    Info sheet to print and give patients (Iuka)

    Info sheet to print and give patients (West Point)

    Info sheet to print and give patients (Hamilton)

    Info sheet to print and give patients (Eupora)

    Bamlanivimab FDA Fact Sheet for Patients

    Casirivimab/Imdevimab FDA Fact Sheet for Patients