Drug shortage

updated 1/12/17

NEW THIS WEEK:

  • D5-0.45% NaCl 1000 mL IV 

    There is a current shortage of D5 / 0.45% NaCl 1 Liter bags.  We have received approval from Marcel Hoffman, M.D., Pharmacy & Therapeutics Chair, for automatic therapeutic substitution with D5 / 0.2% NaCl 1 Liter bags during this shortage. EXCEPTION: orders for pediatric patients will not be automatically substituted. 

    Please be aware that this substitution will begin with new orders received on Thursday, January 12, 2017 across all campuses. 

  • watching NS 250 mL IV bags
  • watching nafcillin 1 GM & 2 GM inj

 

Medication / Descripton Description Alternative / Risk Mitigation Strategy
acetazolamide inj (DIAMOX) 73100581 500 mg PWVL *watch daily alternative CIN 4743605 is available to order 1/12/17
aminocaproic acid inj (AMICAR) 73000591 250 mg/mL 20 mL SDV share between campuses as needed checking HOSPIRA for availability direct
atropine ophth drop 73010354 1% 2 mL although still on backorder, allocation available 1/12/17
bupivacaine-epinephrine PF 73000641 0.5%-1:200,000 inj 30 mL 10 mL also on backorder checking FRESENIUS & HOSPIRA for availability direct
bupivacaine-epinephrine PF 73001362 0.25%- 1:200,000 inj 10 mL 30 mL also on backorder checking FRESENIUS & HOSPIRA for availability direct
bupivacaine-epinephrine PF 73103256 0.5%-1:200,000 inj 10 mL 30 mL also on backorder checking FRESENIUS & HOSPIRA for availability direct
bupivacaine-epinephrine PF

73103769
0.25%-1:200,000 inj 30 mL 10 mL also on backorder
checking FRESENIUS & HOSPIRA for availability direct
calcium chloride 10% 73001709 1 GM/10 mL vials Syringes are available
cefepime 73102469 1 GM PWVL although still on backorder, alternate available to order 1/5/17 share between campuses as needed
cefepime 73102532 2 GM PWVL although still on backorder, available to order 1/12/17
cefotaxime (CLAFORAN) 73102822 1 GM PEDS RESTRICTED
cefOXitin inj 73010202 2 GM 1 GM available although still on backorder, alternative available to order 1/12/17
cefTRIAXone inj

 

73101145

2 GM PWVL 1 GM available;
although still on backorder, alternate available 1/12/17
D5% AVIVA bags (DEHP free) 73003718 500 mL BBraun Excel product is alternative, also on backorder IntraVia empty bags or glass bottles may be used during shortage
D5%/0.2% NACL IV 73202270 1000 mL  
D5%/0.45% NACL IV

73402268

1000 mL auto-sub approved by Dr. Hoffman to

D5 / 0.2% 1000 mL

PEDS PATIENTS – DO NOT SUBSTITUTE

 

Sequester D5/0.45% in Pharmacy for Pediatric pts

 

500 mL (2B1073Q) alternative; also on backorder

desmopressin 73001340 4 mcg/mL 1 mL vial * watch daily availability share between campuses
desmopressin 73002481 4 mcg/mL 10 mL vial 1 mL vials * watch daily availability
DOPamine 73100765 400 mg/10 mL vial sufficient stock at this time although still on backorder, available 1/12/17;
droperidol

73100767

2.5 mg/mL
2 mL
watching backorder since 5/11
empty PAB 150 mL NON DEHP bags (for ATIVAN drips) B Braun has no release date for this product; use 250 mL NON DEHP bags = Baxter bag # 2J8002
ePHEDrine inj 73100772 50 mg/mL SDV $$$$ HIGH COST alternative procured for IM emergent use only; refill to recovery, OB & OB recov; physicians approved use of 25 mg/5 mL syringes from PharMEDium as alternate; may replenish kits/trays with syringes as needed; label with NOTE DOSE sticker & communicate on kit list
erythromycin lactobionate 73003827 500 mg inj although still on backorder, available to order 1/12/17 share between campuses as needed
fluPHENAZine HCL inj

 

73100781

2.5 mg/mL 10 mL MDV no alternatives; only used at CHW

oral liquid and tablets available

fluPHENAZine decanoate is available & stocked at CHW

checking FRESENIUS for availability direct

hydromorphone 73010191 0.5 mg/0.5 mL syringe hydromorphone 1 mg carpujects are still available
indigo carmine 73100799 0.8% 5 mL methylene blue 1 mL (also on backorder; watch for updates)
leucovorin inj 73101869 73003152 73010288 73004245 50 mg, 100 mg, 200 mg, 350 mg PWVL *watch daily obtaining supply from alternate vendors as available
lidocaine 4% soln 73101276 4% topical soln 50 mL per Dr. Justesen, lidocaine 4% LTA kits (4594990) are acceptable alternative more expensive alternate product also being watched
lidocaine PF inj

73001374

1% 5 mL SDPF although still on backorder, available to order 1/12/17
checking FRESENIUS for availability direct
lidocaine PF inj 73101436 2% 5 mL SDPF *watch daily although still on backorder, available to order 1/12/17
lidocaine-epinephrine inj 73001426 1%-1:100,000 20 mL checking FRESENIUS & HOSPIRA for availability direct
magnesium inj 73010372 4 mEq/mL 20 mL vial although still on backorder, alternate available to order 1/12/17 use 2 mL or 10 mL as needed
magnesium inj 73101475 40 mEq/10 mL vial *watch daily although still on backorder, available to order 1/12/17
methyldopate INJ 73100830 50 mg/mL 5 mL inj  
methylene blue

 

73103845

1% SDV 1 mL *watch daily

share between campuses as needed

10 mL stocked

methylene blue *ANTIDOTE* 73000829 1% SDV 10 mL *watch daily 6 x 10 mL at each campus must be kept for ANTIDOTE per policy
nafcillin inj 73101177 1 GM PWVL although still on backorder, alternative available to order 1/12/17
nafcillin inj 73101178 2 GM PWVL although still on backorder, alternative available to order 1/12/17
nalbuphine inj (NUBAIN) 73000849 10 mg/mL 1 mL amp *watch weekly available with allocation 1/5/17 20 mg/mL 10 mL vials acquired; share between campuses; draw up patient specific dose in Pharmacy
nicardipine inj

 

73003496

2.5 mg/ml
10 mL SDV
premade 40 mg/200 mL IVPB available & stocked

available with allocation 1/12/17

NS 0.9% IV 73003985 150 mL Sufficient stock at this time

*watch daily*

NS 0.9% IV 73202253 250 mL Sufficient stock at this time *watch daily*
NS 0.9% IV 500 mL *watch daily* MUST HAVE FOR CHM OPEN HEART can be used to split to 250 mL bags as appropriate
orphenadrine citrate (NORFLEX)

 

73102994

60 mg/2 mL share between campuses as needed
no alternatives available
phenylephrine ophth 73101335 2.5% 2 mL ophth drops watch daily available with allocation 1/12/17
piperacillin-tazobactam (ZOSYN) 73001618 4.5 GM VIALS order direct with Hospira-Pfizer weekly
potassium phosphate 73101708 3 mMol/mL 15 mL alternate available at higher cost 1/12/17 5 mL vial also stocked
potassium phosphate 73101102 3 mMol/mL 5 mL alternate available at higher cost 1/12/17 15 mL vial also stocked
prochlorperazine inj (COMPAZINE) 73010047 5 mg/mL 2 mL use PHENERGAN, ZOFRAN although still on backorder, available to order 1/12/17
promethazine
(PHENERGAN)

 

73100006

25 mg/mL
1 mL SDV
Use ZOFRAN

share between campuses

although still on backorder, available to order 1/12/17

risperidone 73003100 0.5 mg ODT *watch daily 0.25 mg ODT (4229332) is available; regular PO tab is available if needed
risperidone 73102909 1 mg ODT *watch daily 0.25 mg ODT (4229332) is available; regular PO tab is available if needed
scopolamine ptch (TRANSDERM SCOP) 73102766 1.5 mg/72 hr patch share between campuses as needed each campus is on backorder to receive as they come available
sodium chloride ophth 73000126 5% 15 mL drops alternate available at higher price
sterile talc (SCLEROSOL) 73002737 4 GM aerosol powder Lymol Corp low usage item share between campuses as needed
tetracaine

73010608

0.5% 0.6 mL ophth drop switching to 4 mL bottle when this stock is depleted
tetracaine PF 73100130 0.5% 4 mL ophth drop *watch daily 2 mL has been discontinued and replaced with 4 mL bottle released by Alcon; will stock 4 mL when the 0.6 mL are depleted
theophylline 73100524 300 mg tab ER 12 hour share between campuses as needed KEEP WATCHING USAGE 100 mg capsule ER 24 hour & 80 mg/15 mL oral soln is available & stocked
theophylline 73101499 100 mg tab ER 12 hour send patient specific until supply is exhausted 100 mg capsule ER 24 hour & 80 mg/15 mL oral soln is available & stocked
valproate sodium inj 73101085 500 mg/5 mL inj please consider switching to PO whenever possible Although still on backorder, available to order 1/12/17