A Novel Approach to Distributing COVID-19 Oral Antivirals During a Public Health Emergency in New York City, 2022.

Kyaw, Nang Thu Thu; Diago-Navarro, Elizabeth; Silverstein, Matthew; Shanmugarajah, Niroshan; Eddy, Meredith; Lall, Ramona; Amiel, Pierre J; Kennedy, Joseph et al. · Am J Public Health · 2026

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Abstract

We evaluated a COVID-19 oral antiviral Pharmacy Home Delivery Program using a single online pharmacy in New York City during 2022. Among 48 159 prescriptions delivered (22% of total deliveries in the city), median delivery time was 17 hours (interquartile range = 6-24); 92% were delivered within 24 hours. Delivery reached all neighborhoods, with increasing distributions to higher-need neighborhoods over time. Among recipients, 32% were aged 65 years or older. This program provided timely, equitable access and served as a model for future public health emergencies. (<i>Am J Public Health</i>. Published online ahead of print September 10, 2026:e1-e7. https://doi.org/10.2105/AJPH.2026.308690).