Long-Term Care FacilitiesRemedi Webinar

Tasha Polster, RPh

Walgreens Covid-19 Vaccination Program

Member of Walgreens Boots Alliance ©2020 Walgreen Co. All rights reserved.

Agenda

Member of Walgreens Boots Alliance ©2020 Walgreen Co. All rights reserved.

2

Vaccine flow

What to expect

Vaccine Info

How you can start to prepare

Vaccine flow – huge cross functional undertaking

3Member of Walgreens Boots Alliance ©2020 Walgreen Co. All rights reserved.

Only a few of the ~34,000+ facilities that have selected Walgreens are beyond 75 miles from the nearest Walgreens location.

We intend to address these via a clustered

approach where possible.Even though there are 56 that are beyond 75 miles, many are clustered

together, and we’ll group together to streamline to reach those more

distant areas.

©2020 Walgreen Co. All rights reserved. Confidential and Proprietary.

Outreach is regional, driven by they way our staffing is scheduled

4

Timeline for 1st clinics to be scheduled/completed

Complicated timeline due to differences among the jurisdictions – we cannot activate scheduling until the jurisdiction is approved. Then it depends which facilities can be scheduled and that is determined by the jurisdiction.

Jurisdiction that allowed for 1A – SNF only we expect to do within 3 weeks

Jurisdiction has activated 1A and B then the SNF and LTC can be scheduled at the same time if they are on the same site

What to expect

When our team contacts you (Local Leadership or Vaccine Lead)• Exchange contact info• Set up dates for 3 clinics at your site

o Agreement is for 3 separate clinics 21 or 28 days apart

• Vaccine Lead will send a link to you to begin to enter residents/staff info being vaccinated into our COVID-19 Registration Portal must be complete prior to clinic• Name, address, DOB, gender• Race / Ethnicity

What the COVID registration portal looks like

• Consent can be obtained through your facility’s protocol

• The Vaccine Administration Record (VAR form) is required• This form is Walgreens legal record

that we keep as part of the patient record per CDC requirements as well a pharmacy regulations

• An authorized person can complete and sign on behalf of the patient

Obtaining Consent

Clinics are customizable for your residents

Clinic Format

Combination Room to RoomCentral Location

Considerations:• Is the room well

ventilated?• How will patients enter

and exit the room? • How will residents know

it is their turn?• Will staff assist residents

to the area

If it works better for your residents, we can do a combination, please be prepared to inform us of which residents will be

requiring door to door service

Considerations:• Will Walgreens Team

Members enter each resident room?

• Will sit outside their door?

• How will staff make the residents comfortable?

Please let your Vaccine Lead know ahead of time

Day Of Room Set Up Example

Illustrative Purposes Only

Resident & Family Hand Out• Walgreens Immunization Clinic Experience

• About the Vaccine Authorization Record (consent form)

• How we are ensuring their safety

COVID-19 Vaccine Clinic Agreement• Party Responsibilities

• Terms & Conditions

Tip Sheet• Information about COVID clinics to get

you started as you prepare for clinics

Preparation Guide

FAQ Site• Soon we will have a page on our

website with the most up to date information

We will provide you with the materials you need to prepare residents, their families, and your staff

• Step by step clinic procedures

• How to prepare clinic location

• COVID safety protocols

• Vaccination Authorization Record (consent form)

• Consent instructions

Who to contact:

Walgreens Vaccine Lead assigned to your facility

ImmunizeLTC@walgreens.com

mailto:ImmunizeLTC@walgreens.com

Vaccine Information

Pfizer

• Stored ultracold frozen -70°C• Minimal interval for 2nd Dose 21 days• Should not be administered before 21 days,

but can be administered after

Moderna

• Stored frozen at -25° to-15°C• Minimal interval for 2nd Dose 28 days• Should not be administered before 28 days,

but can be administered after

COVID Vaccine Information**vaccines are not interchangeable**

Walgreens will handle all vaccine storage

Our Pharmacists will bring one of two different vaccines to vaccinate (these are chosen by the state) In primary efficacy analyses both Pfizer and Moderna COVID-19 vaccines demonstrated over 94% effectiveness against COVID-19.Pfizer Vaccine:• Primary efficacy analysis demonstrates vaccine to be 95% effective against COVID-19 • Efficacy was consistent in adults across age, gender, race and ethnicity demographics.Moderna Vaccine:• Primary efficacy analysis demonstrates vaccine efficacy against COVID-19 was 94.1• Efficacy was consistent in adults across age, gender, race and ethnicity demographics.

Vaccine Efficacy

https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-conclude-phase-3-study-covid-19-vaccinehttps://investors.modernatx.com/news-releases/news-release-details/moderna-announces-primary-efficacy-analysis-phase-3-cove-study

• Older adults tend to report fewer and milder adverse events. However, more severe adverse events may occur following dose 2

• Any unexpected adverse events must be reported (https://vaers.hhs.gov/)• Recipients should be encouraged to complete the series for complete protection even

if they experienced a mild to moderate reaction after the first dose

Vaccine Contraindications

Anyone who has had a serious allergic reaction to a prior dose of COVID-19 vaccine

Potential Adverse Effects

Fatigue Joint/ muscle pain Chills Myalgia Headache Fever

Swollen lymph nodes injection site pain, swelling, redness

NauseaFeeling unwell

https://vaers.hhs.gov/

Appendix

https://www.cdc.gov/vaccines/hcp/conversations/downloads/vacsafe-understand-color-office.pdf

https://www.cdc.gov/vaccines/imz-managers/downloads/COVID-19-Vaccination-Program-Interim_Playbook.pdf

https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-conclude-phase-3-study-covid-19-vaccine

https://www.nih.gov/news-events/news-releases/promising-interim-results-clinical-trial-nih-moderna-covid-19-vaccine

https://investors.modernatx.com/news-releases/news-release-details/modernas-covid-19-vaccine-candidate-meets-its-primary-efficacy

Sources for side effects

VAERS reporting (https://vaers.hhs.gov/)

Next slide shows example of what the webform looks like

https://vaers.hhs.gov/

• Simple webform

• There should be nothing required that

the facility doesn’t already know

• Walgreens RPh can help, but should not be needed

Example of the VAERS form

Walgreens VAR form – this is our consent form and it is part of the patient record (see next slide for FAQs)

Consent FAQsQuestion Response

What can be signed before the clinic (once EUA fact sheet is a received) vs what sections must be signed the day of the clinic?

Sections A1, A2, C (Consent, Insurance):• Can be filled out / signed prior to the clinicSection B1, B2 (Screening):• Must be filled out the day-of the clinic. This section can be filled out by the patient or a

staff member at the facility who supports the Walgreens Team Member in screening the patient.

Section D (Day-of Admin Information); • Will be filled out by Walgreens Team Member the day of the clinics

Can consent be received via email from a family member? What proof must be provided on the VAR form for email consent?

Yes. Please follow your standard facility protocols for obtaining consent from family members or other authorized persons. When consent is received via email, the Walgreens VAR form still needs to be completed. The form indicates that an authorized person can complete the VAR on behalf on the patient.

Can consent be received via phone from a family member? What proof must be provided on the VAR form for verbal consent?

Yes. Please follow your standard facility protocols for obtaining consent from family members or other authorized persons. When consent is received via email, the Walgreens VAR form still needs to be completed. The form indicates that an authorized person can complete the VAR on behalf on the patient.

Walgreens VAR form – Vaccine Admin Record

CDC’s COVID-19 Vaccination Communication Toolkit for Medical Centers, Clinics, and Clinicians

https://www.cdc.gov/vaccines/covid-19/index.html

CDC Resources

https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fcovid-19%2Fhealth-systems-communication-toolkit.html&data=04%7C01%7Ctasha.polster%40walgreens.com%7Cf0831a48e5964e29926208d89ec967e7%7C92cb778e8ba74f34a0114ba6e7366996%7C0%7C0%7C637433935155069052%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=e6uCb6k5f0h690cXmbhhGwRn8iIXfEad8ZrQ7akdvAs%3D&reserved=0https://www.cdc.gov/vaccines/covid-19/index.html

Thank You

Walgreens Covid-19 Vaccination ProgramAgendaVaccine flow – huge cross functional undertakingSlide Number 4Timeline for 1st clinics to be scheduled/completedWhat to expect What the COVID registration portal looks likeObtaining ConsentClinics are customizable for your residentsDay Of Room Set Up ExampleWe will provide you with the materials you need to prepare residents, their families, and your staffWho to contact: Slide Number 13COVID Vaccine Information�Vaccine EfficacyPotential Adverse Effects Slide Number 17Sources for side effectsVAERS reporting (https://vaers.hhs.gov/)Example of the VAERS formWalgreens VAR form – this is our consent form and it is part of the patient record (see next slide for FAQs) Consent FAQsCDC ResourcesSlide Number 24