Drug shortage

last updated 12.12.17

Bumetanide (BUMEX) 4 mL and 10 mL vials are on backorder; move product around as necessary and possibly make therapeutic substitution to furosemide (LASIX) as clinically appropriate.
CLINIMIX – all formulations are allocated; switch other formulation or use CAPS
BAXTER SVP fluids are slowly coming in on backorder releases; check stock as needed
MORPHINE & HYDROmorphone injectable products are slowly coming in on backorder releases; check stock as needed
DEXTROSE 5% 250 ML, 500 ML, & 1000 ML are on allocation and very short supply; consider D5%-0.2% NaCl 1000 mL for fluid
HEPARIN/D5W 250 ML IVPB – backorder; move stock around as needed until depleted; then approval from P&T to change to HEPARIN/0.45 NACL 250 ML
MedDescription Notes Expected Release Date
ACETYLCYSTEINE 10% 100 MG/ML 30 ML (oral/neb) 2870145; 10% 10mL AMIH brought in during shortage 1/30/2018
ACETYLCYSTEINE 10% 100 MG/ML 4 ML (oral/neb) 3453271, 5005525 12/5/2017
ACETYLCYSTEINE 20% 200 MG/ML 30 ML (oral/neb) 2400919, 4754388, 2870160 12/19/2017
ACETYLCYSTEINE 20% 200 MG/ML 4 ML (oral/neb) 3453263, 4795738 12/15/2017
ALBUTEROL SULFATE 90 MCG ACTUATION HFA 8 GM 4094686, 4241410; 18 GM brought in during shortage under separate charge code 12/31/2017
AMINO ACID 4.25%/D5W/LYTES/CA 1000 ML 2B7737, 3444569; Baxter allocating direct 12/31/2017
AMINO ACID 5%/D20W/LYTES/CA 2000 ML 2B7722, 2989358; Baxter allocating direct 12/31/2017
AMINO ACIDS 5%/D15W/LYTES/CA 2000 ML 2B7721, 2989333; Baxter allocating direct 12/31/2017
AMINOCAPROIC ACID 250 MG/ML INJ 20 ML 5025176; Cardiology notified 10/19/17 2/28/2018
ATROPINE 1 MG/ML INJ 1 ML 1467349; limited allocation available 11/7/17 12/31/2017
BUMETANIDE 1 MG/4 ML INJ 12/28/2017
BUMETANIDE 2.5 MG/10 ML INJ 5089859; increased par levels of 1 mg/4 mL vials during shortage 1/15/2018
BUPIVACAINE-EPINEPHRINE (PF) 0.25%-1:200,000 INJ 10 ML 1284686; Dr Justesen states ROPIVACAINE is best alternative 12/31/2017
BUPIVACAINE-EPINEPHRINE (PF) 0.25%-1:200,000 INJ 30 ML 5152434; Dr Justesen states ROPIVACAINE is best alternative 12/31/2017
BUPIVACAINE-EPINEPHRINE (PF) 0.5%-1:200,000 INJ 10 ML 4421913; Dr Justesen states ROPIVACAINE is best alternative 12/31/2017
BUPIVACAINE-EPINEPHRINE (PF) 0.5%-1:200,000 INJ 30 ML 4340139; Dr Justesen states ROPIVACAINE is best alternative 12/31/2017
CALCIUM CHLORIDE 1 GM/10 ML INJ *A* 1465400; small allocation available 11/7/17 1/15/2018
CALCIUM GLUCONATE in mEq 4.65 MEQ/10 ML INJ 50 ML 1464916; allocation available 11/7/17 1/31/2018
CEFOTAXIME 1 GRAM SOLUTION *peds restriction* 4910519; PEDS RESTRICTED 3/30/2018
D5% MINI BAG PLUS SOLUTION 100 ML 2B0041, 1930551; Baxter allocating direct 1/31/2018
D5% MINI BAG PLUS SOLUTION 50 ML 2B0040, 1930544; Baxter allocating direct 1/31/2018
D5% SOLUTION 100 ML 2B0082, 2B0087, 2B0089, 2543361; Baxter allocating direct 1/31/2018
D5% SOLUTION 1000 ML 1/31/2018
D5% SOLUTION 250 ML 1603158, 2B0062Q
D5% SOLUTION 50 ML 2B0086, 2B0081, 2B0088, 2615169; Baxter allocating direct 1/31/2018
D5% SOLUTION 500 ML 2B0063Q, 1115369 1/31/2018
D5%-0.45% NACL SOLUTION 1000 ML 3663564, 2B1074X; allocation available 11/7/17 12/31/2017
D5%-0.9% NS SOLUTION 1000 ML 3663556, 2B1064X; allocation available 11/7/17 12/31/2017
DEXAMETHASONE (PF) 10 MG/1 ML INJ 11/24/2017
DEXTROSE 50% IN WATER (D50W) 50 ML SYRINGE 2961555, 4791026, 2381317; D50W 50 mL vials brought in during shortage 12/31/2017
DIAZEPAM 10 MG/2 ML SYRG 3684172; 50 mg/10 mL MDV available if needed; lorazepam is alternative 2/28/2018
DILTIAZEM 100 MG INJ 3485489; sequester ADDVANTAGE vials for ER; compound during shortage 12/31/2017
DOBUTamine 250 MG/20 ML INJ 1320365; mfrs are allocating 12/31/2017
DOBUTamine-D5W IV DRIP 500 MG/250 ML 2226553, 1257534; Baxter is allocating direct 12/31/2017
DORZOLAMIDE 2% OPHT DROP 10 ML 12/21/2017
DORZOLAMIDE-TIMOLOL 2-0.5%  OPHT DROP 10 ML 4309498; dorzolamide 25 and timolol 0.5% drops are stocked individually 11/21/2017
DOXYCYCLINE HYCLATE 100 MG INJ 4793766 11/22/2017
EMPTY INTRAVIA 150 ML (2B8011) EACH 2B8011, 2126647 1/31/2018
EMPTY INTRAVIA 150 ML (2B8011) EACH 2B8011, 2126647 1/31/2018
EMPTY INTRAVIA 250 ML 1/31/2018
EMPTY INTRAVIA 250 ML NON DEHP (2J8002) (EACH) 2J8002 12/31/2017
EMPTY INTRAVIA 250 ML NON DEHP (2J8002) (EACH) 2J8002 12/31/2017
EMPTY INTRAVIA 50 ML 2010916, 2B8019 1/31/2018
EPINEPHrine 1 MG/10 ML SYRG 2381176, 4763983; ordering from Nephron and/or Pharmedium during shortage 1/1/2018
ETOMIDATE 40 MG/20 ML SYRG 1256627; single dose vials available with allocation 5218235 2/28/2018
fentaNYL CITRATE (PF) 1000 MCG/20 ML INJ 4765079, 3688272 3/30/2018
fentaNYL CITRATE (PF) 250 MCG/5 ML INJ 3701703, 3695657; ALLOCATING 3/30/2018
fentaNYL CITRATE (PF) 2500 MCG/50 ML INJ 4726188 3/30/2018
FOLIC ACID 50 MG/10 ML INJ 1250307; multidose vial; CONSERVE and share between campuses as needed 1/2/2018
heparin (PORCINE) (PF) 5000 UNIT/0.5 ML INJ 3537073, 4376018; no release date given; bringing in single dose PF vials; also limited stock 12/31/2017
heparin (PORCINE) IN D5W 25,000 UNIT/250 ML 12/31/2017
heparin, PORCINE (PF) 2000 UNIT/2 ML INJ 1060755; allocation available 11/7/17 11/17/2017
HEPATITIS B VACCINE (PF) 5 MCG/0.5 ML INJ PEDS/ADOL 2908432; ENGERIX B 10 mcg/0.5mL is alternative 4/30/2018
HYDROmorphone (PF) 0.5 MG/0.5 ML INJ 5321237, 4745188; sporadic backorder shipments; watch supply 12/25/2017
HYDROmorphone (PF) 1 MG/1 ML INJ 5321245, 4247037; allocating; watch supply 12/25/2017
HYDROmorphone (PF) 2 MG/1 ML SYRG 3675915, 4247029, 5321252; limited allocations; watch supply 1/31/2018
HYDROmorphone PCA 30 MG/30 ML Pharmedium has notified us of delay in manufacturing; orders will not be taken for next two weeks 1/1/2018
KETAMINE 50 MG/1 ML SYRG 1/31/2018
LABETALOL 20 MG/4 ML INJ 2928802; purchasing from Nephron; watch exp dates 2/28/2018
LIDOCAINE 1% (PF) INJ 30 ML (TEAR TOP VIAL) 3/31/2018
LIDOCAINE 2% (PF) 100 MG/5 ML SYRINGE 2383545; allocating 1/31/2018
LIDOCAINE 2% JELLY 5 ML 3498359, 5212980, allocating; 30 mL tubes also stocked 12/18/2017
LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJ 20 ML 1774785; all lidocaine 1% and 2% with epi products are on backorder; check other strengths and sizes as needed 12/31/2017
LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJ 20 ML 4380663, 1028356; all lidocaine 1% and 2% with epi products are on backorder; check other strengths and sizes as needed 12/5/2017
LIDOCAINE-EPINEPHRINE 1%-1:100,000 INJ 50 ML 4375416; this 50 mL size brought in because of 20 mL shortage 11/27/2017
LORazepam 2 MG/ML INJ 1 ML 4591673 12/12/2017
LORazepam 20 MG/10 ML INJ 4591681 12/13/2017
MANNITOL 25% 50 ML INJ 1451400, 1347129; 20% bag is alternative; Cardiology informed 10/19/17 12/31/2017
MEPERIDINE (PF) 25 MG/1 ML SYRG 3683679; 50 mg syrd may be available-check stock; single dose vials brought in during shortage; NOTE: SHOULD ONLY BE USED FOR RIGORS WITH LIMITED USE FOR PAIN INDICATIONS 2/28/2018
METHYLENE BLUE 1% 1 ML INJ 4534186; no date provided for release; PROVAYBLUE 0.5% brought into stock during shortage; ampules and filter needles to be stocked together in SURGERY CORE Pyxis only 1/31/2018
METOCLOPRAMIDE 10 MG/2 ML INJ 5058656; alternative available 11/7/17; convert to PO when possible 11/30/2017
metroNIDAZOLE-NS 500 MG/100 ML PGBK 5227764; sporadic backorder releases; switch to PO as soon as possible 12/31/2017
morphine (PF) 10 MG/10 ML INJ 4723557; morphine PF 5 mg/10 mL is alternative 12/18/2017
morphine 0.5MG/ML 10ML PF AMP 4723573, 3680253; alternative for DURAMORPH 10 mg/10 mL 12/31/2017
morphine 10 mg/ML SYRD 4957429, 4728853; see Opioid Conversion Chart 12/31/2017
morphine 10 MG/ML VIAL 5147608; see Opioid Conversion Chart 11/30/2017
MORPHINE PCA 30 mg 1/1/2018
morphine SULF 4 MG/ML SYRINGE 4957387, 4728812, 4932547; see Opioid Conversion Chart 12/4/2017
morphine SULF 4 MG/ML VIAL 5147525; see Opioid Conversion Chart; brought in during syringe shortage 12/31/2017
morphine SULFATE 2 mg SYRD 4957379, 4932554, 4728796; see Opioid Conversion Chart; sporadic allocation shipments; check stock as needed 11/29/2017
NOREPINEPHRINE-NACL 4 MG/250 ML IV 2K6134; Pharmedium is allocating due to shortage of NS 250 mL bags 12/31/2017
NS 0.9% MINI BAG PLUS 100 ML 2B0043, 2473882; Baxter allocating direct 1/31/2018
NS 0.9% MINI BAG PLUS 50 ML 2B0042, 1930569; Baxter allocating direct 1/31/2018
NS 0.9% SOLUTION 100 ML 2B1302, 2B1307, 2B1309, 1965359; Baxter allocating direct 1/31/2018
NS 0.9% SOLUTION 250 ML 2B1322Q, 1135284; Baxter allocating direct 1/31/2018
NS 0.9% SOLUTION 50 ML 2B1301, 2B1306, 2B1308, 2615706; Baxter allocating direct 1/31/2018
NS 0.9% SOLUTION 500 ML 2B1323Q, 2469039; Baxter allocating direct 1/31/2018
SODIUM BICARBONATE 8.4% 50 ML SYRG 4791018, 2381341; no release date provided; SEQUESTER MFR BOXED PRODUCT FOR CRASH CARTS; allocation available 11/7/17 1/31/2018
SODIUM BICARBONATE 8.4% 50 ML VIAL 4960589, 1453216; alternative allocation available 11/7/17 11/20/2017
SODIUM CHLORIDE ** 23.4% ** 4 MEQ/ ML  30 ML VIAL 1370618 1/8/2018
SODIUM CHLORIDE 0.45% SOLN 1000 ML 3658556
SODIUM PHOSPHATE 3 MMOL/ML SOLUTION 15 ML 1/15/2018
STERILE TALC 4 GM AEROSOL POWDER LYMOL CORP does not have release date; 5 GM sterile vials also on backorder with no release date 1/31/2018
STERILE TALC 5 GM POWDER *NF* LYMOL CORP has no release date; 5 GM powder vials brought in during SCLEROSOL shortage 1/31/2018
THEOPHYLLINE 100 MG TABLET ER 12 HR *LONGTERM BACKORDER* 1849181; no release date; we stock 300 mg tab ER 12 hr, 100 mg cap ER 24 hr, and 80mg/15mL oral soln 3/31/2018
VANCOMYCIN 10 GRAM SOLN 4224002, 5066626; $$$ alternative available with allocation 12/31/2017
WATER FOR INJECTION, STERILE  INJ 50 ML 1294206; 10 mL vials and 1000 mL bags are stocked if needed for compounding 3/30/2018