IDSA Guidelines recommend pemivibart in moderately or severely immunocompromised individuals 12 years or older at risk for progression to severe COVID-19. The IDSA guideline panel suggests pre-exposure prophylaxis with pemivibart when predominant regional variants are susceptible to the agent (conditional recommendation, low certainty of evidence).
This recommendation is endorsed by the Society of Critical Care Medicine (SCCM), the Society for Healthcare Epidemiology of America (SHEA), the Society of Infectious Diseases Pharmacists (SIDP), and the Pediatric Infectious Diseases Society (PIDS).
Reference: Infectious Disease Society of America. IDSA guidelines on the treatment and management of patients with COVID-19. May 30, 2025. Updated June 04, 2025. Accessed August 19, 2025. https://www.idsociety.org/practice-guideline/covid-19-guideline-treatment-and-management/#null