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COVID-19 Therapeutics Thresholds, Orders, and Replenishment by Jurisdiction

State and territorial health departments have the ability to order COVID-19 therapeutic products seven days a week through the Health Partner Ordering Portal (HPOP) in a process known as “threshold and replenishment.” In this process, the federal government replenishes the available supply, replacing products ordered by sites in the jurisdiction the previous week. This ensures that the total amount of product available to jurisdictions each week is consistent, and this amount is known as a jurisdiction’s "threshold quantity."

Paxlovid and Lagevrio (molnupiravir) threshold amounts are determined on a pro rata population basis and replenishment occurs weekly.

Requests for additional products can be made by state and territorial health department officials at any time if the current supply is not sufficient to meet demand. The federal government tracks the amount of COVID-19 therapeutic products ordered through the HPOP portal each week, monitoring product availability for each state or territory.

COVID-19 Therapeutics Summary: For All Open Distribution Channels1

December 17, 2021 – April 30, 2023

Therapeutic Courses Delivered Courses Administered2
Paxlovid3 13,386,715 9,071,782
Lagevrio
3,023,021 1,317,979
Total:
View Data by Jurisdiction
16,409,736 10,389,761

1States, territories, and federal entities, including HRSA
2Based on 92% of sites reporting as of April 30, 2023
3Includes Paxlovid and Renal Paxlovid
Data source: HHS-Tiberius

COVID-19 Therapeutics Summary: Previously Distributed Products

2020 – 2023

Therapeutics
(currently not in use)
Courses Delivered Courses Administered
Evusheld (300mg doses) 1,032,156 738,936
Bebtelovimab 739,889 624,633
REGEN-COV 2,878,138 2,078,587
Bamlanivimab/Etesevimab 642,125 610,753
Sotrovimab 706,692 302,209

COVID-19 Therapeutics Threshold Determinations

May 1, 2023 - May 31, 2023

Monthly Threshold Determinations* Paxlovid
(Standard and Reduced Dose)
Lagevrio
(molnupiravir)
Total
May 1 - May 31, 2023 2,450,200 194,911 2,645,111

*Starting May 2023, COVID-19 therapeutic threshold determinations are reported monthly.

Prior COVID-19 Therapeutic Product Distribution

Weekly Threshold Determinations
September 5, 2022 - April 30, 2023
Paxlovid
(Standard and Reduced Dose)
Lagevrio
(molnupiravir)
Total
April 24 - April 30, 2023 612,165 48,604 660,769
April 17 - April 23, 2023 612,165 48,604 660,769
April 10 - April 16, 2023 612,165 48,604 660,769
April 3 - April 9, 2023 613,705 49,099 662,804
March 27 - April 2, 2023 612,165 48,604 660,769
March 20 - March 26, 2023 612,165 48,604 660,769
March 13 - March 19, 2023 612,165 48,604 660,769
March 6 - March 12, 2023 612,165 48,604 660,769
February 27 - March 5, 2023 613,705 49,099 662,804
February 20 - February 26, 2023 612,165 48,604 660,769
February 13 - February 19, 2023 612,165 48,604 660,769
February 6 - February 12, 2023 612,115 48,296 660,411
January 30 - February 5, 2023 613,655 48,791 662,446