Drug shortage

last updated 5.25.17

Medication / Descripton Description Duration / Resolution Date Alternative / Risk Mitigation Strategy
albuterol INH 90 mcg/actu 8 GM no date provided 18 GM inhaler brought in during shortage; under separate charge code
atropine syringe 1 mg/10 mL syringe Late October all alternatives on backorder at this time backordered with Cardinal During shortage, we may receive the syringe product with needle attached. Attach a “CAUTION – NEEDLE ATTACHED” label to these products in any carts or kits
bumetanide 1 mg/4 mL SDV 6/26/2017 move Pyxis stock as needed all alternatives on backorder at this time backordered with Cardinal 10 mL is stocked
bumetanide 2.5 mg/10 mL MDV delay in shipping to DC although still on backorder, allocation available 5/24/17
bupivacaine-epinephrine PF 0.5%-1:200,000 inj 10 mL 7/17/2017 although still on backorder, alternative allocation available 5/24/17 30 mL also on backorder share between campuses as needed
bupivacaine-epinephrine PF 0.5%-1:200,000 inj 30 mL date not provided although still on backorder, alternative available with allocation 5/17/17 10 mL also on backorder share between campuses as needed backordered with Cardinal & Hospira
calcium chloride 10% 1 GM/10 mL vials date not provided
calcium chloride 1 GM/10 mL syringe date not provided share between campuses as needed alternative available with allocation 5/24/17 During shortage, we may receive the syringe product with needle attached. Attach a “CAUTION – NEEDLE ATTACHED” label to these products in any carts or kits
calcium gluconate 10% 10 mL vial 6/12/2017 although still on backorder, allocation available 5/17/17
calcium gluconate 10% 50 mL vial no date provided 10 mL stocked although still on backorder, alternative (5073598) available in limited supply 5/24/17
cefotaxime (CLAFORAN) 1 GM 12/1/2017 PEDS RESTRICTED Pediatricians are informed of very short supply; suggesting cefepime, cefTRIAXone, or pip/taz as alternatives
D5% AVIVA or EXCEL (DEHP free) 500 mL date not provided BBraun Excel product is alternative, also on backorder IntraVia empty bags or glass bottles may be used during shortage backordered direct with Baxter
desmopressin 4 mcg/mL 1 mL vial no date provided * watch daily availability share between campuses alternative available at 10x cost
desmopressin 4 mcg/mL 10 mL vial no date provided 1 mL vials * watch daily availability alternative available at 10x cost
dexmedetomidine-NS (PRECEDEX) 200 mcg-50 mL inj no date provided 100 mL & 2 mL stocked
dexmedetomidine-NS (PRECEDEX) 400 mcg-100 mL INJ delay in shipping to DC although still on backorder, allocation available 5/24/17 sufficient supply at this time
dextrose 25% – water D25W 10 mL syringe late August share between campuses as needed sufficient supply at this time During shortage, we may receive the syringe product with needle attached.  Attach a “CAUTION – NEEDLE ATTACHED” label to these products in any carts or kits
dextrose 50% – water D50W 50 mL syringe late August no alternatives available on backorder with Pfizer & Cardinal; manufacturer is allocating During shortage, we may receive the syringe product with needle attached. Attach a “CAUTION – NEEDLE ATTACHED” label to these products in any carts or kits
diazepam inj 10 mg/2 mL carp date not provided CURRENT STOCK CHH 127 CHM 136 CHW 108
diltiazem inj 100 mg ADDV vials date not provided on backorder with Pfizer & Cardinal compound with 5 mg/mL 5 mL, 10 mL, or 25 mL; whichever is available during shortage SEQUESTER ANY ADDVANTAGE VIALS FOR USE IN ER
droperidol 2.5 mg/mL 2 mL date not provided watching backorder since 5/11
empty PAB bags 150 mL NON DEHP for ATIVAN drips date not provided 5/5/17 B Braun has no release date for this product; use 250 mL NON DEHP bags = Baxter bag # 2J8002
ePHEDrine inj 50 mg/mL SDV 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 5000 u/0.5 mL carpujects no date provided SDPF vials (CIN 4376018) are being stocked during this shortage and are available with no restrictions allocation available 5/24/17 backordered with Cardinal & Hospira
indigo carmine 0.8% 5 mL no date provided methylene blue 1 mL (also on backorder; watch for updates)
labetalol INJ 5 mg/mL 20 mL no date provided although still on backorder, allocation available 5/24/17 backordered with Cardinal & Hospira
labetalol INJ 5 mg/mL 40 mL no date provided although still on backorder, allocation available 5/24/17 backordered with Cardinal & Hospira
labetalol syringe 20 mg/4 mL syringe late June Syringes loaded in Pyxis machines sequester usage per Alan’s instructions
lidocaine 2% jelly 2% 5 mL 6/7/2017 although still on backorder, allocation available 5/24/17
lidocaine 4% LTA LTA 4 mL inj 6/9/2017 although still on backorder, allocation available 5/24/17
lidocaine 4% soln 4% topical soln 50 mL 6/30/2017 no alternative available
lidocaine-epinephrine inj 1%-1:100,000 20 mL 7/11/2017 backordered with Cardinal, Pfizer & Fresenius 5/5/17
lidocaine-epinephrine inj (pf) 2%-1:200,000 20 mL date not provided backordered with Cardinal & Pfizer
lorazepam inj 2 mg/mL SDV 6/26/2017 CURRENT STOCK CHH  125 CHM 121 CHW 193
mannitol IV 20% 250 mL IV late May although still on backorder, available with allocation 5/24/17 500 mL bags are stocked
methyldopate INJ 50 mg/mL 5 mL inj date not provided
methylene blue 1% SDV 1 mL date not provided *watch daily also loaded in select Pyxis machines 10 mL also on backorder methylene blue 0.5% (PROVAYBLUE) brought into stock during shortage ampules and filter needles will be stocked together in SURGERY CORE Pyxis machines only
methylene blue *ANTIDOTE* 1% SDV 10 mL date not provided *watch daily 6 x 10 mL at each campus must be kept for ANTIDOTE per SOP see above
methylene blue (PROVAYBLUE) 0.5% 10 mL date not provided manufacturer is allocating
midazolam inj 5 mg/5 mL vial 6/8/2017 CURRENT STOCK CHH 162 CHM 240 CHW 56
NS 0.9% IV 250 mL date not provided able to procure HOSPIRA product Baxter & Cardinal are allocating *watch daily*
NS 0.9% IV   500 mL date not provided *watch daily* allocation available through Baxter direct MUST HAVE Baxter product FOR CHM OPEN HEART
papaverine 30 mg/mL 2 mL SDV 6/6/2017 although still on shortage, available with allocation 5/24/17
potassium phosphate 4.4 mEq/mL 5 mL 6/26/2017 although still on backorder, allocation available 5/24/17
potassium phosphate 3 MMOL/mL 15 mL delay in shipping to DC although still on backorder, allocation available 5/24/17
promethazine (PHENERGAN) 25 mg/mL 1 mL SDV 7/13/2017 alternative available with allocation 5/24/17 ZOFRAN share between campuses
rocuronium bromide 50 mg/5 mL inj delay in shipping to DC share between campuses as needed 5/24/17 no alternatives available alternatives vecuronium & atracurium vecuronium also experiencing backorders
sodium acetate 40 mEq/20 mL single dose vial delay in shipping to DC American Regent has -0- stock; Pfizer anticipates release mid-June; alternative to Sodium Bicarb
sodium bicarbonate 8.4% 50 mL syringe late August Pfizer is releasing only through wholesalers; placed on backorder with Cardinal Pfizer does not expect release until July SEQUESTER ALL SODIUM BICARB INJ FOR CRASH CARTS During shortage, we may receive the syringe product with needle attached. Attach a “CAUTION – NEEDLE ATTACHED” label to these products in any carts or kits
sodium bicarbonate 8.4% 50 mL VIAL date not provided Pfizer is releasing only through wholesalers; placed on backorder with Cardinal Pfizer does not expect release until July SEQUESTER ALL SODIUM BICARB INJ FOR CRASH CARTS
sterile talc (SCLEROSOL) 4 GM aerosol powder no date provided low usage item 5 GM sterile vials available to prepare as slurry; send patient specific as ordered share between campuses as needed not available & no date for release
tetracaine  0.5% 0.6 mL ophth drop switching to 4 mL bottle when this stock is depleted
theophylline 100 mg tab ER 12 hour no date provided 300 mg tab ER 12 hr, 100 mg capsule ER 24 hour & 80 mg/15 mL oral soln is available & stocked
vancomycin inj 10 GM vial delay in shipping to DC although still on backorder, allocation available to order 5/24/17 share between campuses as needed 1 GM vials available & stocked backordered with Cardinal
vecuronium 10 mg vial short dated product may be available CURRENT STOCK (Pharmacy & Pyxis) CHH  82 CHM  133 CHW  47