Drug shortage

last updated 2/22/17

new this week:

  • famotidine PF 20 mg/2 mL vials – sufficient supply at this time

resolved:

  • dexamethasone PF 10 mg/10 mL vials
  • cefOXitin 2 GM inj
  • bacitracin ointment packets
    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
    bupivacaine-epinephrine PF 73000641 0.5%-1:200,000 inj 30 mL CIN 4374294 3/13/2017 *Check daily 10 mL also on backorder share between campuses as needed
    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 2/22/17 30 mL also on backorder share between campuses as needed
    bupivacaine-epinephrine PF 73103769 0.25%-1:200,000 inj 30 mL CIN 4374203 3/6/2017 *Check daily 10 mL also on backorder although still on backorder, allocation available 2/22/17
    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 no date provided share between campuses as needed no alternative available
    calcium gluconate 73001098 100 mg/mL 10 mL vial CIN 5073440 no date provided share between campuses as needed short dated product allocated (exp 5/31/17)
    calcium gluconate 73010090 4.65 mEq/10 mL 50 mL vial CIN 1464916 no date provided tracking backorder since 9/14/2012
    cefotaxime (CLAFORAN) 73102822 1 GM CIN 4910519 8/31/2017 PEDS RESTRICTED
    cefTRIAXone inj 73101145 2 GM PWVL CIN 3664547 4/11/2017 1 GM available; although still on backorder, allocation available 2/22/17
    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 3/1/2017 *watch daily share between campuses Preservative Free product is available with no restrictions SOUND ALIKE LOOK ALIKE
    diltiazem inj 73101849 25 mg/5 mL vial CIN 3924271 2/27/2017 share between campuses as needed 125 mg/25 mL is also stocked although still on backorder, available with allocation 2/22/17
    doxycycline 73101172 100 mg inj CIN 3528643 in stock or in transit to Cardinal share between campuses as needed although still on backorder, available with allocation 2/22/17
    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
    famotidine inj 73001355 20 mg/2 mL vial CIN 3379963 3/13/2017 watch daily
    heparin PF 73000618 5000 u/0.5 mL carpuject CIN 3537073 no date provided no alternative available share between campuses backordered with Cardinal & Hospira
    hydromorphone 73010191 0.5 mg/0.5 mL syringe CIN 4745188 no date provided stock reported includes CII Safe + Pyxis machines hydromorphone 1 mg carpujects 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 syringe 73000806 20 mg/4 mL syringe CIN 2928802 early Feb per Hospira Pfizer labetalol 5 mg/mL 20 mL MDV is available backordered with Cardinal & Hospira
    lidocaine jelly 73000736 2% 5 mL CIN 3498359 3/1/2017 although still on backorder, allocation available 2/22/17
    lidocaine 4%LTA 73001462 LTA 4 mL inj CIN 4594990 3/10/2017 ordered from secondary vendor 2/22/17; expect 3×25 at CHM on 2/24/17
    lidocaine 4% soln 73101276 4% topical soln 50 mL CIN 1060078 4/3/2017 per Dr. Justesen, lidocaine 4% LTA kits (4594990) are acceptable alternative more expensive alternate product also being watched
    lidocaine-epinephrine inj 73001426 1%-1:100,000 20 mL CIN 4380663 3/14/2017
    loperamide 73002941 2 mg/10 mL oral liquid CIN 4902433 3/28/2017 share between campuses as needed
    loxapine inhaler (ADASUVE) 73010456 10 mg inhaler CIN 3724853 no longer available through our vendor working with Alexza (mfr) to get approval to order from McKesson Plasma & Biologics; REMS registration needed for CHM & CHH 2/22/17
    magnesium inj 73010372 4 mEq/mL 20 mL vial 1152131 date not provided although still on backorder, alternate available to order 2/22/17 use 2 mL or 10 mL as needed
    magnesium inj 73101475 40 mEq/10 mL vial CIN 1370394 3/16/2017 *watch daily although still on backorder, available to order 2/22/17
    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=9 CHH Pyxis=6 CHW Pyxis=12 10 mL 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
    norepinephrine inj 73010595 4 mg/4 mL VIAL *for crash carts* CIN 4212767 date not provided vials are used for crash carts only increased par levels of ampules during shortage
    NS 0.9% IV 73003985 150 mL CIN 1668508 date not provided HOSPIRA product manufacturer is allocating 2/22/17 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 no date provided *watch daily* MUST HAVE FOR CHM OPEN HEART
    piperacillin-tazobactam (ZOSYN) 73001618 4.5 GM VIALS CIN 4036992 4/27/2017 no alternative available share between campuses backordered with Cardinal & Hospira
    promethazine (PHENERGAN) 73100006 25 mg/mL 1 mL SDV CIN 3441896 9/1/2017 ZOFRAN share between campuses
    risperidone 73003100 0.5 mg ODT CIN 4229357 3/2/2017 *watch daily although still on backorder, allocation available 2/22/17 0.25 mg ODT (4229332) is available; regular PO tab is available if needed
    risperidone 73102909 1 mg ODT CIN 4261475 3/3/2017 *watch daily although still on backorder, allocation available 2/22/17 0.25 mg ODT (4229332) is available; regular PO tab is available if needed
    sodium bicarbonate 73101013 8.4% 50 mL syringe CIN 4791018 no date provided ordered direct from Hospira 2/22/17 for CHH x 6 packs of 10 syringes; will share between campuses
    sodium bicarbonate 73101084 8.4% 50 mL vial CIN 1453216 date not provided placed on backorder with Cardinal; not available direct from Hospira
    sodium polystyrene sulfonate (KAYEXALATE) 73001169 15 GM/60 mL CIN 1482678 2/28/2017 although still on backorder, available with allocation 2/22/17
    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