Tixagevimab and cilgavimab (Evusheld™) is a pre-exposure prophylactic medication available to prevent COVID-19. Evusheld™ is now available in selected community and hospital pharmacies for prescribing by GPs and Non-GP specialists and will be dispensed free of charge to patients. Evusheld™ is available until 31 December 2022, for both first and second doses.
Prescriber Guide
The prescriber guide was designed to step clinicians through the process of assessing eligibility for Evusheld™, accessing, administering and other considerations. It includes links to all key forms and documents which may be required when considering Evusheld™ for a patient.
GP and non-GP specialists Evusheld™ prescriber guide:
Request to Access Form
This form must be completed and provided to the patient with the prescription in order for them to be dispensed Evusheld™ from participating community and hospital pharmacies.
Evusheld™ can be administered by nursing staff at Supercare Pharmacies, or patients can return to the doctor’s clinic for administration. Supercare nursing staff work 6-10pm 7 days a week. This form can also be used to enable patients to access this service. Hospital pharmacies are only offering a dispensing service not administration.
Participating pharmacies
Evusheld™will be available at the following community and hospital pharmacies across metro and regional Victoria. Patient will require both the request to access form and a prescription to have Evusheld™ dispensed. Supercare nursing services are available at the community pharmacies only, not hospital pharmacies.
Metropolitan Melbourne
| Suburb | Pharmacy | Contact details | Nurse available for Evusheld™ injection |
|---|---|---|---|
| Ascot Vale | Ascot Vale Pharmacy | 67-69 Union Road, 3032 | Yes |
| Balwyn | Balwyn Day and Night Pharmacy | 310-314 Whitehorse Road, 3103 | Yes |
| Coburg | Coburg Pharmacy 4 Less | 1 Louisa Street, 3058 | Yes |
| Craigieburn | Chemist Discount Centre | 2A/340 Craigieburn Road, 3064 | Yes |
| Cranbourne North | Cranbourne North Chemist Warehouse | 180S William Thwaites Boulevard, 3977 | Yes |
| Hoppers Crossing | Hoppers Crossing Chemist Warehouse | Shop 24-25, 428 Old Geelong Rd, 3029 | Yes |
| Keilor East | Keilor East Chemist Warehouse, 3033 | Lot 3 Milleara Road, 3033 | Yes |
| Keysborough | Parkmore Pharmacy 4 Less | Shop J01, 317 Cheltenham, 3131 | Yes |
| Melbourne | HealthSmart Pharmacy Victorian Comprehensive Cancer Centre | 311 Grattan Street, 3000 | Yes |
| Melton | Melton Chemist Warehouse | Unit 4 Melton Gateway, 66-84 High Street 3337 | Yes |
| Reservoir | Reservoir Pharmacy 4 Less | Summerhill Shopping Centre, 13/850 Plenty Road, 3073 | Yes |
| Ringwood | Ringwood Chemist Warehouse | 131-133 Maroondah Highway, 3134 | Yes |
| Wantirna South | Pharmacy@Knox | Shop 2081 Westfield Knox, 425 Burwood Highway 3152 | Yes |
| Yarraville | Carnovale Pharmacy | 149 Somerville Road, Yarraville 3013 | Yes |
Regional Victoria
| Suburb | Pharmacy | Contact details | Nurse available for Evusheld™ injection |
|---|---|---|---|
| Albury | Albury Wodonga Health | 201 Borella Road, 2640 | No |
| Ararat | Ararat Base Hospital | Lot 5B Girdlestone Street, 3377 | No |
| Bairnsdale | Bairnsdale Regional Health Service | 122 Day Street, 3875 | No |
| Ballarat | UFS Dispensaries | 717 Sturt Street, 3350 | Yes |
| Bendigo | Bendigo UFS Pharmacy | Corner View and Barnard Streets, 3530 | Yes |
| Curlewis | Curlewis Pharmacy 4 Less | 10-11/90 Centennial Boulevard, 3222 | Yes |
| Echuca | Echuca Regional Hospital | 226 Service Street, 3564 | No |
| Hamilton | Hamilton Base Hospital | 20 Foster Street, 3300 | No |
| Horsham | Wimmera Healthcare Group | 83 Baillie Street, 3400 | No |
| Kyneton | Kyneton Base Hospital | 7-25 Caroline Chisholm Drive, 3444 | No |
| Mildura | Mildura Chemist Warehouse | 114A-118 Langtree Avenue, 3500 | Yes |
| Portland | Portland District Health | 141-151 Bentinck Street, 3305 | No |
| Sale | Central Gippsland Health | 155 Guthridge Parade, 3850 | No |
| Shepparton | Shepparton Chemist Warehouse | 425 Wyndham Street, 3630 | Yes |
| Swan Hill | Swan Hill District Health | 48 Splatt Street, 3585 | No |
| Traralgon | Traralgon Chemist Warehouse | 92 Franklin Street, 3844 | Yes |
| Warragul | West Gippsland Healthcare | 41 Landsborough Street, 3820 | No |
| Warnambool | South West Healthcare | 25 Ryot Street, 3280 | No |
| Wonthaggi | Bass Coast Health | 235 Graham Street, 3995 | No |
Reviewed 22 December 2022