COVID-19 Alert-Level System Indicators, Triggers and Thresholds Reference Sheet

Alert levels should be tailored to local context and agreed upon by a multi-stakeholder group. Before deciding on the thresholds for levels, you should ensure you are able to capture data regularly and be able to analyze and share it consistently. Below is an example of an alert-level system with indicators and thresholds for USA.



Amazon Pharmacy

SEATTLE–(BUSINESS WIRE)–Nov. 17, 2020–, Inc. (NASDAQ: AMZN) today announced two new pharmacy offerings to help customers conveniently purchase their prescription medications. Amazon Pharmacy, a new store on Amazon, allows customers to complete an entire pharmacy transaction on their desktop or mobile device through the Amazon App. Using a secure pharmacy profile, customers can add their insurance information, manage prescriptions, and choose payment options before checking out. Prime members receive unlimited, free two-day delivery on orders from Amazon Pharmacy included with their membership. To learn more and get started, visit

Aerus Hydroxyl Blaster with ActivePure Technology Proven to Kill 99.98% of SARS-Cov-2 on Surfaces

The Aerus Hydroxyl Blaster with ActivePure Technology is the only air purifier scientifically proven to reduce the SARS-CoV-2 novel coronavirus on surfaces.

  • ActivePure Technology was tested on live SARS-CoV-2 virus, not proxy or surrogate strains
  • Demonstrated a 99.98% surface kill rate of SARS-CoV-2 virus within 7 hours
  • Test completed in an independent FDA-compliant lab
  • Made for indoor areas up to 20,000 sq. ft. – ballrooms, conference centers, restaurants, hotel lobbies, and large public spaces

The ActivePure Technology disinfection system is the safest, fastest and most powerful surface and air-purification technology available that minimizes recontamination and cross contamination in real time without the use of chemicals or ozone.

Emergency Approval of COVID-19 Vaccine Guidance

The NCPDP Emergency Preparedness Task Group approved a guidance document for the industry, related to the administration of the COVID-19 vaccines.

Subject to section 2713 of the Public Health Emergency Act, plans must cover without cost sharing such an immunization and its administration, regardless of how the administration is billed, and regardless of whether a COVID-19 vaccine or any other immunization requires the administration of multiple doses in order to be considered a complete vaccination.

These vaccines will generally be available through the Food and Drug Administration (FDA) Emergency Use Authorization (EUA) process, and may vary in strength, dose quantity and number of doses to achieve expected efficacy. COVID-19 vaccines currently under FDA review will require a series of two doses to achieve expected efficacy.  Reimbursement for administration of these doses may vary for each dose within the series. NCPDP recommends:

Two-Dose Vaccines: Use of Submission Clarification Codes (420-DK)

In order to clearly identify whether the claim is for an initial dose or final dose of the vaccine series — in addition to the Professional Service Code MA — a Submission Clarification Code value should be submitted on all claims for two-dose vaccines. The following distinct Submission Clarification Code values should be used to clarify the submission as an initial or final dose:

Initial Dose(s):

  • Submission Clarification Code of 2 “Other Override” – defined as, “Used when authorized by the payer in business cases not currently addressed by other SCC values,” to indicate the first dose of a two-dose vaccine is being administered.

Final Dose:

  • Submission Clarification Code of 6 “Starter Dose” – defined as, “The pharmacist is indicating that the previous medication was a starter dose and now additional medication is needed to continue treatment,” to indicate the final dose of a two-dose vaccine is being administered.

For details, refer to the NCPDP EMERGENCY PREPAREDNESS GUIDANCE – COVID-19 VACCINES document on the website. – Specialized Resource for HTM, Biomed and Clinical Engineers


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