"My spouse has Lupus"
All this is off the top of my head... but allow me to immediately divert to this: is she on Plaquenil for the lupus?
Did you happen to read what we were saying about the quinines/DMARDs here: https://www.medhelp.org/posts/Coronavirus/Whats-next-/show/3053987
Plaquenil is hydroxychloroquine. It is being talked about as being possibly effective against ARDS and CoV.
If she's not on Plaquenil, I would think really really hard and fast about calling her rheumy and trying to get the max Rx for it, then filling it ASAP.
If she is on Plaquenil, I would call the rheumy to get a max refill Rx, then fill it ASAP.
You've heard about how all NBA players and any showbiz 'celebrity' who wanted the Corona test got it immediately, even those WITHOUT ANY SYMPTOMS, while every body else has to wait or got denied even with severe symptoms? They're extremely likely to do the same with Plaquenil.