This form is to request access to purchase Veklury for administration in non-hospital settings; this is not US government owned product and is not free. If approved for access, you will receive a notification from ASD Healthcare notifying you of your account, if you do not have one, and how to order Veklury

UPDATE 21Dec2022: Retail Pharmacies and Specialty Pharmacies that support Long Term Care or Skilled Nursing Facilities are now able to be approved to purchase Veklury. Please select either option as a class of trade below. If you have previously been denied access before this update, please re-enter your information below and access will be granted if you are a qualifying site.