Drug shortage

last updated 3/16/17

Medication / Descripton Description Duration / Resolution Date Alternative / Risk Mitigation Strategy
bupivacaine-epinephrine PF 73103256 0.5%-1:200,000 inj 10 mL CIN 4421913 5/1/2017 *Check daily 30 mL also on backorder share between campuses as needed backordered with Cardinal & Hospira 3/16
bupivacaine-epinephrine PF 73000641 0.5%-1:200,000 inj 30 mL CIN 4374294 4/10/2017 *Check daily 10 mL also on backorder share between campuses as needed backordered with Cardinal & Hospira 3/16
bupivacaine-epinephrine PF 73001362 0.25%- 1:200,000 inj 10 mL CIN 4373999 5/1/2017 *Check daily although still on backorder, alternative available to order 3/15/17 30 mL available share between campuses as needed
calcium chloride 10% 73001709 1 GM/10 mL vials CIN 1465400 date not provided Syringes are available on allocation
calcium chloride 73000652 1 GM/10 mL syringe CIN 4815064 4/4/2017 share between campuses as needed alternative available
calcium gluconate 73001098 100 mg/mL 10 mL vial CIN 5073440 4/10/2017 share between campuses as needed
calcium gluconate 73010090 4.65 mEq/10 mL 50 mL vial CIN 1464916 no date provided 10 mL stocked tracking backorder since 9/14/2012 VERY SHORT DATED PRODUCT (3/31/17) OBTAINED 3/15/17
cefotaxime (CLAFORAN) 73102822 1 GM CIN 4910519 8/22/2017 PEDS RESTRICTED
cefTRIAXone inj 73101145 2 GM PWVL CIN 3664547 in transit 1 GM available; although still on backorder, allocation available 3/15/17
D5% AVIVA bags (DEHP free) 73003718 500 mL 4085114 (Baxter) 2789600 (BBraun) date not provided BBraun Excel product is alternative, also on backorder IntraVia empty bags or glass bottles may be used during shortage
desmopressin 73001340 4 mcg/mL 1 mL vial CIN 3342771 no date provided * watch daily availability share between campuses alternative available at 4x cost
desmopressin 73002481 4 mcg/mL 10 mL vial CIN 2707123 no date provided 1 mL vials * watch daily availability
dexamethasone *WITH PRESERVATIVES* 73102249 10 mg/mL 1mL SDV CIN 1154020 3/29/2017 *watch daily share between campuses Preservative Free product is available with no restrictions SOUND ALIKE LOOK ALIKE
dexmedetomidine-NS (PRECEDEX) 73010133 400 mcg-100 mL INJ CIN 4844882 no date provided share between campuses as needed
droperidol 73100767 2.5 mg/mL 2 mL CIN 1502848 date not provided watching backorder since 5/11
empty PAB 150 mL NON DEHP bags (for ATIVAN drips) CIN 2797355 date not provided 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 CIN 5093844 date not provided 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
heparin PF 73000618 5000 u/0.5 mL CIN 3537073 4376018 vial no date provided SDPF vials are being stocked during this shortage share between campuses & move around Pyxis machines backordered with Cardinal & Hospira
hydromorphone 73010191 0.5 mg/0.5 mL syringe CIN 4745188 (HOSPIRA) 5321237 (FRESENIUS) no date provided stock reported includes CII Safe + Pyxis machines Simplist syringes from Fresenius are being purchased as available hydromorphone 1 mg are still available
indigo carmine 73100799 0.8% 5 mL CIN 1589779 no date provided methylene blue 1 mL (also on backorder; watch for updates)
labetalol INJ 73001073 5 mg/mL 20 mL CIN 2927671 no date provided
labetalol INJ 73103052 5 mg/mL 40 mL CIN 2927713 no date provided
labetalol syringe 73000806 20 mg/4 mL syringe CIN 2928802 date not provided labetalol 5 mg/mL 20 mL, 40 mL MDV is also backordered by stocked at this time Pyxis Stock:    CHM = 112    CHH = 87    CHW = 42 backordered with Cardinal & Hospira
lidocaine 1% INJ 73001374 1% PF 5 mL vial CIN 4375473 4/3/2017
lidocaine 2% jelly 73000736 2% 5 mL CIN 3498359 4/5/2017 although still on backorder, alternative available 3/15/17
lidocaine 4% LTA 73001462 LTA 4 mL inj CIN 4594990 3/24/2017
lidocaine 4% soln 73101276 4% topical soln 50 mL CIN 1060078 4/3/2017 more expensive alternate product also being watched
lidocaine-epinephrine inj 73001426 1%-1:100,000 20 mL CIN 4380663 4/4/2017 TRACKING FROM FRESENIUS BOB
loperamide 73002941 2 mg/10 mL oral liquid CIN 4902433 3/24/2017 share between campuses as needed although still on backorder, available on allocation 3/15/17
lorazepam inj 73101324 2 mg/mL SDV CIN 4585774 4/3/2017 *watch daily* stock shown included CII Safe + Pyxis machines no alternatives available backorders placed with Cardinal
magnesium inj 73010372 4 mEq/mL 20 mL vial 1152131 date not provided although still on backorder, alternate available to order 3/15/17 use 2 mL or 10 mL as needed
meperidine 73001534 25 mg syringe CIN 3683679 date not provided 50 mg syringes are available stock numbers include CII Safe & Pyxis
methyldopate INJ 73100830 50 mg/mL 5 mL inj CIN 3453768 date not provided
methylene blue 73103845 1% SDV 1 mL CIN 4534186 date not provided *watch daily CHM Pyxis=6 CHH Pyxis=10 CHW Pyxis=4 10 mL also stocked
methylene blue *ANTIDOTE* 73000829 1% SDV 10 mL CIN 4255782 date not provided *watch daily 6 x 10 mL at each campus must be kept for ANTIDOTE per policy
NS 0.9% IV 73003985 150 mL CIN 1668508 date not provided HOSPIRA product manufacturer is allocating 3/15/17 can be used as appropriate alternative during NS 250 mL shortage
NS 0.9% IV 73202253 250 mL CIN 1135284 2B1322Q no date provided able to procure HOSPIRA product Baxter is allocating *watch daily*
NS 0.9% IV 73202254  500 mL CIN 2469039 2B1323Q 3/15/2017 *watch daily* MUST HAVE Baxter product FOR CHM OPEN HEART
piperacillin-tazobactam (ZOSYN) 73001618 4.5 GM VIALS CIN 4036992 7/10/2017 alternative available at higher price share between campuses backordered with Cardinal & Hospira
promethazine (PHENERGAN) 73100006 25 mg/mL 1 mL SDV CIN 3441896 8/23/2017 ZOFRAN share between campuses
risperidone 73003100 0.5 mg ODT CIN 4229357 3/23/2017 *watch daily although still on backorder, allocation available 3/15/17 0.25 mg ODT (4229332) is available; regular PO tab is available if needed
risperidone 73102909 1 mg ODT CIN 4261475 3/24/2017 *watch daily 0.25 mg ODT (4229332) is available; regular PO tab is available if needed
sodium bicarbonate 73101013 8.4% 50 mL syringe CIN 4791018 date not provided although still on backorder, alternative available 3/15/17
sodium bicarbonate 73101084 8.4% 50 mL vial CIN 1453216 date not provided although still on backorder, available with allocation 3/15/17
sodium polystyrene sulfonate (KAYEXALATE) 73001169 15 GM/60 mL CIN 1482678 no date provided although still on backorder, available with allocation 3/15/17
sterile talc (SCLEROSOL) 73002737 4 GM aerosol powder Lymol Corp no date provided low usage item share between campuses as needed 1/19 per Lymol, not available & no date for release
tetracaine 73010608 0.5% 0.6 mL ophth drop CIN 4276010 no date provided switching to 4 mL bottle when this stock is depleted
theophylline 73100524 300 mg tab ER 12 hour CIN 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 CIN 1849181 no date provided 100 mg capsule ER 24 hour & 80 mg/15 mL oral soln is available & stocked
vancomycin inj 73010086 10 GM vial CIN 4224002 CIN 2723278 4/3/2017 *watch daily share between campuses as needed 1 GM vials available & stocked backordered with Cardinal