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Amit Gupta RPh, Pharm.D, CCP

Monthly Newsletter - Shortages Galore!

Updated: Aug 14, 2022

We have some important updates and questions which have come through over the past month. To keep everyone in touch we send out this email. If you have any questions, please do not hesitate to contact us.


Due to Covid, there have been temporary shutdowns in ONE of the manufacturing plants of Omnipaque. This has resulted in supply chain issues leading to a shortage of Omnipaque. You can read more from the AHA and GE by clicking here. GE Healthcare states they do not expect normal production to resume until the end of June.


The ASHP has released a letter with advice on strategies on conservation of Omnipaque. You can read more about that by clicking here. Please remember Omnipaque is a single dose vial, therefore it cannot be saved from patient to patient. The American College of Radiology is aware of the shortages being faced and offered the following statement. Toward the bottom of the article, their Appendix A - Contrast Media Specifications offers potential alternatives.


During recent surveys, there have been questions as to the validity of shortages. Surveyors and accrediting bodies are questioning whether a medication is truly in short supply, and the alternative sizes of medications ordered. If a medication is in shortage, the center must continue to order and document lack of availability of the medication from multiple suppliers.


We are in the process of providing an updated expiration date policy. The policy would be a sample and would require updating on a Center by Center basis. We will be sending out this sample policy shortly.


Finally last but not least is the compiled list of FDA shortages. Please remember this list is not complete, but a general release.


· Dextrose 5% Injection (Updated - Currently in Shortage)

  • Bupivacaine Hydrochloride and Epinephrine Injection (Updated - Currently in Shortage)

  • Bupivacaine Hydrochloride Injection (Updated - Currently in Shortage)

  • Calcium Gluconate Injection (Updated - Currently in Shortage)

  • Cefazolin Injection (New - Currently in Shortage)

  • Cefazolin Injection (Updated - Currently in Shortage)

  • Cytarabine Injection (Updated - Currently in Shortage)

  • Dacarbazine Injection (Updated - Currently in Shortage)

  • Dexamethasone Sodium Phosphate Injection (Updated - Currently in Shortage)

  • Dexmedetomidine Injection (Updated - Currently in Shortage)

  • Dextrose 5% Injection (Updated - Currently in Shortage)

  • Dobutamine Hydrochloride Injection (Updated - Currently in Shortage)

  • Dopamine Hydrochloride Injection (Updated - Currently in Shortage)

  • Fentanyl Citrate (Sublimaze) Injection (Updated - Currently in Shortage)

  • Furosemide Injection (Updated - Currently in Shortage)

  • Gentamicin Sulfate Injection (Updated - Currently in Shortage)

  • Heparin Sodium and Sodium Chloride 0.9% Injection (Updated - Currently in Shortage)

  • Hydromorphone Hydrochloride Injection (Updated - Currently in Shortage)

  • Ketorolac Tromethamine Injection (Updated - Currently in Shortage)

  • Leucovorin Calcium Lyophilized Powder for Injection (Updated - Currently in Shortage)

  • Lidocaine Hydrochloride (Xylocaine) Injection (Updated - Currently in Shortage)

  • Lidocaine Hydrochloride (Xylocaine) Injection with Epinephrine (Updated - Currently in Shortage)

  • Lidocaine Hydrochloride (Xylocaine) and Dextrose Injection Solution-Premix Bags (Updated - Currently in Shortage)

  • Lipid Injection (Updated - Currently in Shortage)

  • Mannitol Injection (Updated - Currently in Shortage)

  • Methylprednisolone Acetate Injection (New - Currently in Shortage)

  • Mepivacaine Hydrochloride Injection (Updated - Currently in Shortage)

  • Midazolam Injection (Updated - Currently in Shortage)

  • Ondansetron Hydrochloride Injection (Updated - Currently in Shortage)

  • Pantoprazole Sodium for Injection (Updated - Currently in Shortage)

  • Potassium Chloride Concentrate Injection (Updated - Currently in Shortage)

  • Propofol Injectable Emulsion (Updated - Currently in Shortage)

  • Rifampin Injection (Updated - Currently in Shortage)

  • Ropivacaine Hydrochloride Injection (Updated - Currently in Shortage)

  • Sodium Bicarbonate Injection (Updated - Currently in Shortage)

  • Sodium Chloride 0.9% Injection Bags (Updated - Currently in Shortage)

  • Sodium Chloride 23.4% Injection (Updated - Currently in Shortage)

  • Sodium Chloride Injection USP, 0.9% Vials and Syringes (Updated - Currently in Shortage)

  • Sufentanil Citrate Injection (New - Currently in Shortage)

  • Sufentanil Citrate Injection (Updated - Currently in Shortage)



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