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Patient IdentificationOUTPATIENT PHARMACY SERVICES
OUTPATIENT MONOCLONAL ANTIBODY ORDER FOR
COVID-19 EXPOSURE PHROPHLAXISDate and Time: _MM_ / _DD_ / _YYY @ HH:MM
Phone Number: ___ Allergies: ___Clinical
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Monoclonal antibodies are laboratory-made molecules that can mimic the immune system's ability to fight off harmful pathogens such as viruses.
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