April 2016 - PerformRx
Transcription
April 2016 - PerformRx
April 2016 Drug Information Update Table of Contents NEW GENERICS TO MARKET ........................................................................................................... 2 NEW DRUG ENTITIES....................................................................................................................... 3 NEW INDICATIONS (EXISTING DRUGS) ........................................................................................... 5 FDA NEWS/BULLETINS/ADVISORIES/SAFETY ALERTS ..................................................................... 6 STUDIES and RECENT TOPICS ........................................................................................................ 11 RECALLS ......................................................................................................................................... 27 CURRENT DRUG SHORTAGES ........................................................................................................ 44 NEW DRUGS COMING TO MARKET………………………………………………………………………………………. 106 Copyright© PerformRx, LLC 2016 All Rights Reserved 1 NEW GENERICS TO MARKET GENERIC DRUG NAME STRENGTH & DOSAGE FORM GENERIC MANUFACTURER Morphine Sulfate/0.9% NaCl/PF 2 mg/2ml Syr Pharmedium Oxycodone HCl ER Oxycodone HCl ER Oxycodone HCl ER Darifenacin Hydrobromide Darifenacin Hydrobromide Darifenacin Hydrobromide Darifenacin Hydrobromide Mebendazole Dicyclomine HCl 15 mg ER 12H Tab 30 mg ER 12H Tab 60 mg ER 12H Tab 7.5 mg ER 24H Tab 7.5 mg ER 24H Tab 15 mg ER 24H Tab 15 mg ER 24H Tab 100 mg Tab Chew 10 mg/ml vial Impax Impax Impax Actavis Par Actaivs Par Amedra West-Ward Cefazolin Sod-Water 2 g/20 ml Cantrell Drug Doxepin HCl Oxiconazole Nitrate 5% cream 1% cream 2 mcg/mL-0.2% plastic bag 25 mg-15 mg Tab 25 mg-30 mg Tab 25 mg-45 mg Tab 12.5 mg-15 mg Tab 12.5 mg-30 mg Tab 12.5 mg-45 mg Tab 12.5 mg-500 mg Tab 12.5 mg-1,000 mg Tab 25 mg Tab 12.5 mg Tab 6.25 mg Tab 1.75 mg Tab Subl 3.5 mg Tab Subl 100 mg Tab ER 12H 50 mcg spray/pump Renaissance Fougera Fentanyl-Ropivacaine-0.9% NaCl Alogliptin-pioglitazone Alogliptin-pioglitazone Alogliptin-pioglitazone Alogliptin-pioglitazone Alogliptin-pioglitazone Alogliptin-pioglitazone Alogliptin-metformin Alogliptin-metformin Alogliptin Alogliptin Alogliptin Zolpidem tartrate Zolpidem tartrate Carbamazepine ER Mometasone furoate Copyright© PerformRx, LLC 2016 All Rights Reserved Pharmedium Perrigo Perrigo Perrigo Perrigo Perrigo Perrigo Perrigo Perrigo Perrigo Perrigo Perrigo Gavis Gavis Sandoz Sandoz BRAND NAME Morphine Sulfate0.9% NaCl OxyContin OxyContin OxyContin Enablex Enablex Enablex Enablex Emverm Dicyclomine HCl Cefazolin Sodium/water Zonalon Oxistat FentanylRopivacaine-NS Oseni Oseni Oseni Oseni Oseni Oseni Kazano Kazano Nesina Nesina Nesina Intermezzo Intermezzo Tegretol XR Nasonex APPROVAL DATE 03/14/2016 03/16/2016 03/16/2016 03/16/2016 03/16/2016 03/15/2016 03/16/2016 03/15/2016 03/11/2016 03/25/2016 03/31/2016 03/09/2016 03/51/2016 04/07/2016 03/22/2016 03/22/2016 03/22/2016 03/22/2016 03/22/2016 03/22/2016 03/22/2016 03/22/2016 03/18/2016 03/18/2016 03/22/2016 03/21/2016 03/21/2016 03/25/2016 03/30/2016 2 NEW DRUG ENTITIES DESCRIPTION BRAND NAME GENERIC NAME STRENGTH NOTES Maintainence for severe asthma in adults Cinqair reslizumab 3 mg/kg New Entity Plaque psoriasis Taltz ixekizumab 80 mg/mL New Entity Anthrax antitoxin Anthim obiltoxaximab -- New Entity Unmodified, fulllength factor VIII compound Kovaltry Antihemophilic factor (recombinant) Alkylating agent Evomela Melphalan st Non-narc antitus-1 genantihist-decongest-expect st Non-narc antitus-1 gen antihist-decongest-expect st Non-narc antitus-1 gen antihist-fdecongetstexpect st Non-narc antitus-1 gen antihist-fdecongetstexpect st Non-narc antitus-1 gen antihist-fdecongetstexpect st Non-narc antitus-1 gen antihist-fdecongetstexpect Tussigen-N.F. Tussilan Chlor-pheniramnphenyleph-DM-GG Chlorpheniarmnphenyleph-DM-GG 250,500,1000, 2000,3000 unit vials 50 mg reconstituted New Entity New Entity -- New Combination -- New Combination Chem-Tuss-DME Chlorpheniramnphenyleph-DM-GG -- New Combination Donatussin Chlorpheniramnphenyleph-DM-GG -- New Combination No cough plus Chlorpheniramnphenyleph-DM-GG -- New Combination Tonecol cough Chlorpheniramnphenyleph-DM-GG -- New Combination 30 mg/30ml New Dosage Form & Strength 250, 500, 1000, 2000 (+/-) New Entity 2000/ 500mL New Stregnth 10 mg/ml New Dosage Form -- New Combination 250 mg/mL (1 mL) New Strength 100 mg New Entity Analgesics, narcotics Hydromorphone HCl -0.9% NaCl Hydromorphone HCl/ 0.9% NaCl/PF Factor IX recom, albumin fusion Heparin Sod, Porcine/ 0.9% NaCl Dexamethasone sodium phosp/PF Emollient combination No. 101 Hydroxyprogesterone caproate Botulism Immune globulin, Humn Factor IX preparations Idelvion Heparain and related preparations Heparin Sodium 0.9% NaCl Glucocorticoids Doubledex Emollients Ceramax Skin Barrier Cream Prenanacy/facilitating/mai ntaining agent, hormonal Makena Antisera Babybig Antimigraine preparations Zembrace Symtouch Sumatriptan succinate 3 mg/0.5ml New Strength Adrenergic agents, catecholamines Epinephrine HCl – 0.9% NaCl Epinephrine HCl In 0.9% NaCL 100 mcg/ 10 New Strength Adrenergics, Aromatic, non-catecholamine Adzenys XR-ODT Dextroamphetamine/ amphetamine 3.1,6.3,9.4, 12.5,15.7,18.8 mg New Strength and Dosage Form Copyright© PerformRx, LLC 2016 All Rights Reserved 3 DESCRIPTION BRAND NAME GENERIC NAME STRENGTH NOTES Factor IX Preparations Alprolix Factor IX Rec, FC fusion protein 250 unit New strength Calcium Channel Blocking Agents Nicardipine HCl Nicardipine HCl 2.5 mg/mL New Strength & Dosage Form Local Anesthetics Ropivacaine HCl Ropivacaine HCl/PF 0.2% 400 mL New Dosage Form Analgesics, Narcotics Hydromorphone HCl -0.9% NaCl 0.5 mg/mL New Dosage Form & Strength Anti-convulsants Active-PAC 300 mg-4%-1% New Dosage Form Topical anti-inflammatory steroidal Sernivo Hydromorphone HCl/ 0.9% NaCl/PF Gabapentin/Lidocaine Menthol Betamethasone dipropionate 0.05% New Dosage Form Topical Antibiotics mupirocin muirocin 2% New Dosage Form Neuromuscular blocking agents SuccinylcholineChloride SuccinylcholineChloride 50 mg/2.5 mL (20 mg/mL) New Strength Copyright© PerformRx, LLC 2016 All Rights Reserved 4 NEW INDICATIONS (EXISTING DRUGS) DRUG Xalkori (crizotinib) NEW INDICATION ROS1 positive metastatic non-small cell lung cancer (NSCLC) Copyright© PerformRx, LLC 2016 All Rights Reserved DATE OF APPROVAL 03/11/2016 LINKS Xalkori [package insert] Pfizer. March 2016 5 FDA NEWS/BULLETINS/ADVISORIES/SAFETY ALERTS FDA announces voluntary recall of all unexpired human and animal compounded drug products produced by Reliable Drug Pharmacy, San Francisco [Posted: 3/30/2016] The U.S. Food and Drug Administration (FDA) is alerting health care professionals, patients,and pet owners of a voluntary recall of all unexpired compounded drug products produced and distributed by Reliable Drug Pharmacy in San Francisco, due to concerns over mislabeled compounded drug products. The recalled products were compounded for human and animal use and were distributed between March 24, 2015, and March 24, 2016. Source: U.S. Food and Drug Administration (FDA) Diabetes Medications Containing Saxagliptin and Alogliptin: Drug Safety Communication - Risk of Heart Failure [Posted: 4/05/2016] Including: • Onglyza (saxagliptin) • Kombiglyze XR (saxagliptin and metformin extended release) • Nesina (alogliptin) • Kazano (alogliptin and metformin) • Oseni (alogliptin and pioglitazone) ISSUE: An FDA safety review has found that type 2 diabetes medicines containing saxagliptin and alogliptin may increase the risk of heart failure, particularly in patients who already have heart or kidney disease. As a result, FDA is adding new warnings to the drug labels about this safety issue. This Communication is an update to the 02/11/2014 FDA Drug Safety Communication. BACKGROUND: Saxagliptin and alogliptin are part of the class of dipeptidyl peptidase-4 (DPP-4) inhibitor drugs, which are used with diet and exercise to lower blood sugar in adults with type 2 diabetes. FDA evaluated two large clinical trials conducted in patients with heart disease. These clinical trials were also discussed at the FDA Endocrinologic and Metabolic Drugs Advisory Committee meeting in April 2015. Each trial showed that more patients who received saxagliptin- or alogliptin-containing medicines were hospitalized for heart failure compared to patients who received an inactive treatment called a placebo (see Data Summary in the FDA Drug Safety Communication for additional information). In the saxagliptin trial, 3.5% of patients who received the drug were hospitalized for heart failure versus 2.8% of patients who received a placebo. This is the same as 35 out of every 1,000 patients compared to 28 out of every 1,000 patients. Risk factors included a history of heart failure or kidney impairment. In the alogliptin trial, 3.9% of alogliptin-treated patients were hospitalized for heart failure versus 3.3% in the placebo group. This is the same as 39 out of every 1,000 patients compared to 33 out of every 1,000 patients. RECOMMENDATION: Health care professionals should consider discontinuing medications containing saxagliptin and alogliptin in patients who develop heart failure and monitor their diabetes control. If a Copyright© PerformRx, LLC 2016 All Rights Reserved 6 patient’s blood sugar level is not well-controlled with their current treatment, other diabetes medicines may be required. Patients taking these medicines should contact their health care professionals right away if they develop signs and symptoms of heart failure such as: • Unusual shortness of breath during daily activities • Trouble breathing when lying down • Tiredness, weakness, or fatigue • Weight gain with swelling in the ankles, feet, legs, or stomach Patients should not stop taking their medicine without first talking to their health care professionals. Source: U.S. Food and Drug Administration (FDA) Sterile Drug Products by Medaus Pharmacy: FDA Alert - Lack of Sterility Assurance [Posted: 04/01/2016] ISSUE: FDA is alerting health care professionals and patients not to use unexpired drug products that are intended to be sterile that were produced by Medaus Pharmacy in Birmingham, Alabama, due to lack of sterility assurance. Medaus’ products were distributed nationwide and internationally. BACKGROUND: During FDA’s recent inspection of Medaus’ facility, investigators observed insanitary conditions, including poor sterile production practices, which raise concerns about Medaus’ ability to assure the sterility of drug products that it produced. Administration of a non-sterile product, intended to be sterile, may result in serious and potentially lifethreatening infections or death. The Alabama Board of Pharmacy ordered Medaus to cease sterile compounding operations on March 22, 2016. On March 29, 2016, FDA recommended Medaus recall all unexpired drug products that are intended to be sterile. To date, Medaus has not voluntarily recalled any drug products intended to be sterile. Therefore, FDA alerts health care professionals and patients not to use drug products marketed as sterile from Medaus. To date, FDA is not aware of any adverse events associated with drug products made by Medaus. Patients who have received drug products produced by Medaus and have concerns should contact their health care professional. RECOMMENDATION: Health care professionals and patients should immediately check their medical supplies, quarantine any drug products marketed as sterile from Medaus, and not administer them. Source: U.S. Food and Drug Administration (FDA) OxySure Portable Emergency Oxygen System, Model 615 by OxySure Therapeutics, Inc: FDA Safety Communication - Do Not Use [Posted: 03/29/2016] ISSUE: The FDA is recommending consumers, businesses, schools, and health care providers stop using OxySure Portable Emergency Oxygen System, Model 615 because of several device malfunctions, including ineffective oxygen delivery, and chemical reactions in the canisters that could cause them to explode. Due to adverse event reports to the FDA and the company’s failure to address the device’s safety issues noted during inspections and in the FDA’s warning letter, the FDA is concerned that Copyright© PerformRx, LLC 2016 All Rights Reserved 7 patients and other users of OxySure Portable Emergency Oxygen System, Model 615 are at risk for serious adverse health consequences, such as burns and death. The FDA will continue to work with OxySure Therapeutics, Inc. to bring these devices into regulatory compliance and will keep the public informed if significant new information becomes available. BACKGROUND: OxySure Portable Emergency Oxygen System is intended to produce oxygen for emergency use. Since June 2013, OxySure Therapeutics, Inc. has distributed at least 1,000 units of the OxySure Portable Emergency Oxygen System, Model 615 nationwide. These devices may be purchased without a prescription and can be used in businesses, schools, and other public places (e.g.., gyms, shopping malls, and airports). See the FDA Safety Communication for additional information. RECOMMENDATION: The FDA recommends customers stop using the OxySure Portable Emergency Oxygen System, Model 615 and immediately transition to an alternative FDAcleared emergency oxygen device. Source: U.S. Food and Drug Administration (FDA) CMS caves to drugmakers' plea, partially delays enforcement of Medicaid drug rule [Posted: April 5, 2016] By Virgil Dickson Drug manufacturers are breathing a sigh of relief after the CMS announced it will delay enforcement of a rule that changes the way state Medicaid agencies reimburse pharmacies for prescription drugs. The CMS pushed back the enforcement date for inhalation, infusion, instilled, implanted or injectable drugs to July. Pharmaceutical companies wanted a delay until October. Source:modernhealthcare.com The Pain Points of Opioid Policy [Posted: Apr 4, 2016] By Vann R. Newkirk II The federal government is pushing some modest reforms in its fight against the opioid epidemic, but what will it really take to defeat addiction? Source: theatlantic.com Medicare Is Often Overbilled by Hospices, and Pays Twice for Some Drugs [Posted: APRIL 2, 2016] By Robert Pear Hospices often bill Medicare for a higher level of care than patients need, and Medicare often pays twice for the prescription drugs provided to people who are terminally ill, federal investigators say in a new report. The extra cost to Medicare was put at more than $260 million a year. Copyright© PerformRx, LLC 2016 All Rights Reserved 8 Source: nytimes.com In Rare Turn, Competing Health Groups Agree on Drugs, Risk [Posted: March 30, 2016] Caitlin Owens The strange dance between the pharmaceutical industry, insurers and the Obama administration has taken a new turn. When it comes to one of the wonkiest healthcare policies out there, all three seem close to agreement. They want prescription drugs to be included in determinations about whether a certain pools of patients are riskier than others. Source: morningconsult.com Sanders, other lawmakers seek NIH hearing to override drug patent [Posted: March 28, 2016] By Ed Silverman Senator Bernie Sanders and several other Democratic lawmakers are urging the Obama administration to hold a public hearing to determine whether the National Institutes of Health should override the patent on a prostate cancer drug in an effort to drive down prices. Source: statnews.com Obama Confronts Opiate Abuse Epidemic as Death Toll Mounts [Posted: March 28, 2016] By Alex Wayne State Medicaid programs for the poor would have to cover treatment for drug abuse under a rule the Obama administration will issue today, as the U.S. government grapples with an epidemic of painkiller and heroin abuse that kills tens of thousands of Americans a year. Source: bloomberg.com Federal officials, advocates push pill-tracking databases [Posted: Mar 28, 2016] By Matthew Perrone The nation's top health officials are stepping up calls to require doctors to log in to pilltracking databases before prescribing painkillers and other high-risk drugs. The move is part of a multi-pronged strategy by the Obama administration to tame an epidemic of abuse and death tied to opioid painkillers like Vicodin and OxyContin. But physician groups see the proposed requirement to check the databases as overly burdensome, another time-consuming task that takes away from patient care. Copyright© PerformRx, LLC 2016 All Rights Reserved 9 Source: ap.org FDA outlines standards for anti-abuse generic painkillers [Posted: Mar 24, 2016] By Matthew Perrone Federal officials are encouraging generic drugmakers to develop painkillers that are harder to abuse, the latest in a string of steps designed to combat abuse of highly-addictive pain drugs like codeine and oxycodone. The Food and Drug Administration published draft guidelines outlining testing standards for harder-toabuse generic painkillers. The agency has already approved five brand-name opioid pain drugs which are designed to discourage abuse. The current version of OxyContin, for example, is difficult to crush, discouraging abusers from snorting or dissolving the tablets to get high. Source: ap.org Copyright© PerformRx, LLC 2016 All Rights Reserved 10 STUDIES and RECENT TOPICS Drug dosing goes digital with software to personalize medication [Posted: April 6, 2016] By Leah Samuel A new algorithm may take the guesswork out of medicating patients with cancer, bacterial infections, organ transplants, and other conditions that require very precise drug dosing. Source: statnews.com FDA warns patients to avoid drugs from compounding pharmacy in Austin [Posted: April 6, 2016] The U.S. Food and Drug Administration is advising health care professionals and patients not to use products from I.V. Specialty, Ltd., an Austin-based compounding pharmacy where federal inspectors reported unsanitary conditions. Source: statesman.com FDA: Two diabetes drugs may be linked to heart failure risk [Posted: April 5, 2016] By Steven Reinberg Diabetes drugs containing saxagliptin and alogliptin may raise the risk of heart failure, particularly in patients with heart or kidney disease, U.S. health officials warned Tuesday. Drugs containing these ingredients are Onglyza (saxagliptin), Kombiglyze XR (saxagliptin and metformin extended release), Nesina (alogliptin), Kazano (alogliptin and metformin) and Oseni (alogliptin and pioglitazone), the U.S. Food and Drug Administration said. Source: medicalxpress.com ACC: Pharmacist Intervention Can Cut Cardiovascular Risk [Posted: April 5, 2016] A community pharmacy-based intervention can reduce cardiovascular disease (CVD) risk among highrisk patients, according to a study published online April 4 in the Journal of the American College of Cardiology. The research is being published to coincide with the annual meeting of the American College of Cardiology, held from April 2 to 4 in Chicago. Source: physiciansbriefing.com Copyright© PerformRx, LLC 2016 All Rights Reserved 11 ‘Truly terrifying’: Chinese suppliers flood US and Canada with deadly fentanyl [Posted: April 5, 2016] By David Armstrong The dozen packages were shipped from China to mail centers and residences in Southern California. One box was labeled as a “Hole Puncher.” In fact, it was a quarter-ton pill press, which federal investigators allege was destined for a suburban Los Angeles drug lab. The other packages, shipped throughout January and February, contained materials for manufacturing fentanyl, an opioid so potent that in some forms it can be deadly if touched. Source: statnews.com Exclusive: Makers took big price increases on widely used U.S. drugs [Posted: Apr 5, 2016] By Caroline Humer Major drug companies took hefty price increases in the U.S., in some cases more than doubling listed charges, for widely used medications over the past five years, a Reuters analysis of proprietary data found. Source: reuters.com FDA: 2 Diabetes Drugs May Be Linked to Heart Failure Risk [Posted: April 5, 2016] By Steven Reinberg Diabetes drugs containing saxagliptin and alogliptin may raise the risk of heart failure, particularly in patients with heart or kidney disease, U.S. health officials warned Tuesday. Drugs containing these ingredients are Onglyza (saxagliptin), Kombiglyze XR (saxagliptin and metformin extended release), Nesina (alogliptin), Kazano (alogliptin and metformin) and Oseni (alogliptin and pioglitazone), the U.S. Food and Drug Administration said. Source: healthday.com Big Drug Companies Hiked Prices on Popular Medications, Report Finds [Posted: April 4, 2016] By Daniel White Big pharma says it uses the money to support new research Major U.S. drug manufacturers set steep price increases on popular drugs for arthritis, high cholesterol, asthma and other common ailments, according to an analysis of price data. Copyright© PerformRx, LLC 2016 All Rights Reserved 12 Source: time.com New cholesterol methods needed in wake of failed drugs, heart researchers say [Posted: April 3, 2016] By Ransdell Pierson New ways of controlling cholesterol, including possibly directly injecting "good" HDL cholesterol into patients, need to be studied following the failure of promising treatments from Eli Lilly, Pfizer Inc and Roche Holding AG, according to top heart researchers. Source: yahoo.com Victoza® (liraglutide 1.8 mg) Provided Superior HbA1c Reductions in Adults with Type 2 Diabetes Compared to Continued Sitagliptin Treatment [Posted: April 3, 2016] Findings from a clinical trial comparing Victoza® (liraglutide 1.8 mg) and sitagliptin (100 mg), both in combination with metformin, demonstrated that switching from sitagliptin to Victoza® provided superior HbA1c reductions vs continuing with sitagliptin treatment in adults with type 2 diabetes. Results from the LIRA-SWITCH trial were presented at the Endocrine Society's 98th Annual Meeting and Expo (ENDO 2016) in Boston, MA, US. Source: yahoo.com Studies show high out-of pocket costs limit access to lifesaving specialty drugs [Posted: March 28, 2016] "Specialty drugs" have become important treatment options for many serious and chronic diseases, and in some conditions like cancer they represent the only chance for long-term survival. But, insurers increasingly require patients to share the high costs of these medications. Two new studies led by researchers at the Perelman School of Medicine at the University of Pennsylvania have found evidence that such cost-sharing arrangements are associated with significant reductions in access to these drugs. Both papers are published online in the American Journal of Managed Care. Source: medicalxpress.com BRILINTA Preferred Over clopidogrel In Updated American College of Cardiology and American Heart Association Guideline in Acute Coronary Syndrome [Posted: March 31, 2016] AstraZeneca (AZN) today confirmed that the American College of Cardiology (ACC) and American Heart Association (AHA) have released a treatment guideline on the duration of dual antiplatelet therapy (DAPT). BRILINTA (ticagrelor) is now preferred over clopidogrel for the management of patients with Copyright© PerformRx, LLC 2016 All Rights Reserved 13 acute coronary syndrome (ACS) who have received a coronary stent and in non-ST Elevation acute coronary syndrome (NSTE-ACS) patients treated with medical therapy alone (Class IIa LOE: B-R). This update is the first time the ACC/AHA has recommended BRILINTA over clopidogrel for patients who have experienced a ST-elevation myocardial infarction (STEMI). Source: yahoo.com GlaxoSmithKline promises reduced drug patents to help world's poor [Posted: Mar 31, 2016] By Ben Hirschler GlaxoSmithKline is to adopt a graduated approach to patenting its medicines, depending on the wealth of different countries, in order to make drugs more affordable in the developing world. Britain's biggest drugmaker said on Thursday it would not file patents in low-income states, leaving the way clear for generic companies to make cheap copies of its drugs without fear of being sued. Source: reuters.com The opioid crisis: Changing the culture of prescribing [Posted: 03/29/16] By POLITICO Staff Opioid-related deaths have reached an all-time high in the United States. More than 47,000 people died in 2014, and the numbers are rising. The Centers for Disease Control and Prevention this month released prescribing guidelines to help primary care physicians safely treat chronic pain while reducing opioid dependency and abuse. Given that the guidelines are not binding, how will the CDC and the Department of Health and Human Services make sure they make a difference? What can payers and providers do to encourage a countrywide culture shift? Source: politico.com IMS Health: Surge in Biosimilars to Drive Significant Change in Health System Costs, Patient Access and Competition by 2020 [Posted: Mar 28, 2016] By Tor Constantino Greater acceptance of biosimilar medicines in a growing number of therapy areas and an active pipeline of 56 new products in clinical development are expected to deliver total savings of as much as $110 billion to health systems across Europe and the U.S. through 2020, according to new research released today by the IMS Institute for Healthcare Informatics. Biosimilars, which compete with original biologic medicines, can provide physicians and patients with greater access to advanced treatments and offer budgetary relief to payers in the face of intensifying healthcare cost pressures. Health systems best positioned to capitalize on the benefits of biosimilars support functioning competitive markets—where Copyright© PerformRx, LLC 2016 All Rights Reserved 14 manufacturers are motivated to participate over the long term, and where physicians are at the heart of the decision-making process. Source: imshealth.com FDA says biosimilar labels should rely on reference drug data [Posted: March 31, 2016] By Adam Rubenfire Biologic manufacturers may not be pleased with the long-awaited biosimilar labeling guidelines released Thursday by the Food and Drug Administration. The agency is recommending that labeling for biosimilars use the clinical data gathered by the product the biosimilar is intended to emulate. Regulators would also allow biosimilar labels to state that the product is biosimilar to the reference product but has product-specific modifications. Source: modernhealthcare.com Fridge-Sized Machine Makes Prescription Drugs 'On Demand' [Posted: March 31, 2016] By Amy Norton Scientists have created a compact machine that can churn out thousands of doses of prescription medication in a day -- putting the capabilities of a drug-manufacturing plant into a device the size of a kitchen refrigerator. Experts said the advance could eventually allow on-the-spot drug production in special circumstances -on the battlefield, during epidemics, after natural disasters, or in cases where a drug is needed for a rare medical condition, for instance. Source: healthday.com Report Shows Theranos Testing Plagued by Problems [Posted: MARCH 31, 2016] By Andrew Pollack Medical testing done by the closely watched start-up Theranos was plagued by quality control problems that could have led to inaccurate results for patients, according to an inspection report released by federal regulators on Thursday. Source: nytimes.com Copyright© PerformRx, LLC 2016 All Rights Reserved 15 There’s a Way to Treat Opiate Addiction, So Why Isn’t It Being Used? [Posted: March 30, 2016] By Alice Park In the U.S., nearly two million people abuse prescription opioid painkillers. For many, an initial prescription to treat pain leads to a dangerous dependence and misuse that contributes to around 14,000 deaths each year. Source: time.com Cash is not king: FTC sues drug maker over pay-to-delay deal [Posted: March 31, 2016] By Ed Silverman In its latest effort to thwart pay-to-delay deals, the US Federal Trade Commission filed a lawsuit on Wednesday against Endo Pharmaceuticals and three other drug makers for allegedly paying generic rivals to delay launches of copycat versions of two painkillers. This is the first lawsuit, however, in which the agency argues that a deal involving a so-called authorized generic thwarted competition. Source: statnews.com Tainted Drug May Still Be in U.S. Almost Decade After Deaths [Posted: March 30, 2016] By Anna Edney Heparin tainted with unauthorized Chinese-made ingredients may be on the market in the U.S. and the Food and Drug Administration hasn’t moved swiftly enough to prevent it, according to a congressional probe nearly a decade after hundreds of deaths were linked to sullied batches of the blood-thinning drug. Source: bloomberg.com Women being charged for birth control that should be free under Obamacare [Posted: March 30, 2016] By Paul Muschick When she returns to the pharmacy in about a month to refill her daughter's birth control prescription, a Northampton woman isn't sure what to expect. The pills are supposed to be provided at no cost under the Affordable Care Act. Yet twice in the past three months she was charged for them and had to fight with her prescription plan to get hundreds of dollars back. Source: mcall.com Copyright© PerformRx, LLC 2016 All Rights Reserved 16 The FDA just made the abortion pill easier to get [Posted: March 30] By Sandhya Somashekhar and Laurie McGinley The Food and Drug Administration has changed its guidelines for use of the abortion pill, potentially increasing access to a method of pregnancy termination that has been heavily restricted in some states. Source: washingtonpost.com Mortgages For Expensive Health Care? Some Experts Think It Can Work. [Posted: March 29, 2016] By Michelle Andrews A Massachusetts Institute of Technology economist and Harvard oncologist have a proposal to get highly effective but prohibitively expensive drugs into consumers’ hands: health care installment loans. Writing last month in the journal Science Translational Medicine, the authors liken drug loans to mortgages, noting that both can enable consumers to buy big-ticket items requiring a hefty up-front payment that they could not otherwise afford. Source: khn.org FDA Review Times Steadily Decreasing, Report Finds [Posted: March 29,2016] By Zachary Brennan Despite wide variations across therapeutic areas, FDA review times for new drugs have steadily declined since 2009, according to a report released Tuesday by the California Life Sciences Association and Boston Consulting Group. Back in 2009, FDA was averaging 21 months for reviewing new molecular and biologic entities, but five years later, that average has been cut by more than half to nine months in 2014. In addition, the number of applicants waiting more than two years for an FDA review has fallen from more than 25% of applicants in 2000 to none by 2013. Source: raps.org Pharmacies boost controlled substance e-scripts [Posted: March 25, 2016] By Russell Redman ROCKVILLE, Md. — Last year, retail pharmacies greatly accelerated implementation of technology for electronic prescribing of controlled substances (EPCS). Copyright© PerformRx, LLC 2016 All Rights Reserved 17 Eighty-two percent of U.S. retail pharmacies are now EPCS-enabled, up 21% from 2014, according to a report released Thursday by e-prescribing solution provider DrFirst. Nearly all states have at least 60% of retail pharmacies EPCS-enabled, with over half of states having more than 80% of retail pharmacies capable of accepting and processing EPCS orders. Source: chaindrugreview.com Physician Group Calls On Government To Rein In Drug Prices [Posted: March 29, 2016] By Alison Kodjak It's not just patients who are getting tired of ever rising drug prices. Doctors are joining the chorus of frustration.The latest voice? The American College of Physicians, whose membership includes 143,000 internal medicine doctors. It published a position paper Monday calling for the government and industry to take steps to rein in spiraling costs. Source: npr.org Drugmakers move to counteract expiring patents with new respiratory drugs [Posted: March 28, 2016] By Rebecca Mayer Knutsen Recently plagued by patent expirations and generic competition, the respiratory space has found new energy through innovative beyond-the-pill partnerships. Indeed, an enhanced understanding of disease drivers continues to breathe new life — pun unabashedly intended — into a sector on the cusp of rebound. Source: mmm-online.com Gov't panel backs drug for delusions in Parkinson's patients [Posted: Mar 29, 2016] By Matthew Perrone WASHINGTON (AP) -- Federal health experts have endorsed an experimental drug intended to treat psychotic delusions and behaviors that often afflict patients with Parkinson's disease, the debilitating movement disorder. Source: ap.org Pros and cons of electronic prescriptions [Posted: March 28, 2016] New rules have gone into effect requiring doctors in New York to send prescriptions in to pharmacies electronically instead of handing patients a handwritten prescription slip.The requirement is intended to Copyright© PerformRx, LLC 2016 All Rights Reserved 18 help fight prescription painkiller abuse and reduce errors. Eprescribing is part of a nationwide trend, although it's voluntary, not required, most places. About 60 percent of prescriptions are now sent electronically, Paul Uhrig, chief administrative officer of Surescripts, the leading network for transmitting e-prescriptions, told the Associated Press. Source: cbsnews.com Fingerprint recognition, locks could be coming to pill bottles [Posted: March 28, 2016] By Christine Stapleton ATLANTA — Imagine a prescription drug bottle that only can dispense your medication at the exact time you should take it, in the proper amount and only after it scans your fingerprint and confirms your identity. Or another bottle with a combination lock that looks like it came off a bicycle lock. Source: palmbeachpost.com Lack of competition leads to EpiPen pricing woes [Posted: March 28, 2016] By Adam Rubenfire An epinephrine auto-injector can mean the difference between life and death for 1 in 50 Americans who could suffer from an anaphylactic reaction. But the high cost of the devices can make it difficult for some patients to obtain them. Source: modernhealthcare.com FDA Proposes a Tier-Based Approach to Evaluate “Bioequivalence” of Abuse Deterrence of Generic SODF Opioids [Posted: March 24, 2016] By Kurt R. Karst Ever since FDA Commissioner Dr. Robert M. Califf's February 2016 call for a sweeping review of FDA policies concerning opioids (in response to growing pressure from Congress), the Agency has been on a tear to meet that call with new policies and requirements. There's the recent announcement that the Agency will require class-wide safety labeling changes for immediate-release opioid pain medications (as well as a related citizen petition response - Docket No. FDA-2014-P-0205). And now FDA is tackling generic opioids. Source: fdalawblog.net Copyright© PerformRx, LLC 2016 All Rights Reserved 19 7 Potential Blockbuster Drugs May Hit the Market This Year [Posted: March 25, 2016] By Mark Terry The analysts at Thomson Reuters have consulted their crystal balls and come up with seven drugs coming out this year that will likely hit blockbuster status—defined as marking more than $1 billion annually. Source: biospace.com UPDATE 1-FDA staff says Acadia's drug for Parkinson's disease psychosis is effective [Posted: Mar 25, 2016] U.S. Food and Drug Administration staff members said on Friday Acadia Pharmaceuticals Inc's drug to treat psychosis associated with Parkinson's disease was an effective treatment for the condition. The drug, Nuplazid, is a new chemical compound and could be the first drug specifically approved in the United States for Parkinson's disease psychosis (PDP). Source: reuters.com Benlysta Found Steroid-Sparing in Lupus [Posted: 03.26.2016] By Diana Swift The monoclonal antibody belimumab (Benlysta) may have potential as a corticosteroidsparing drug when added to standard-of-care treatment for systemic lupus erythematosus (SLE), a post-hoc analysis suggested. Source: medpagetoday.com Many patients with high stroke risk don’t get needed blood thinners [Posted: Mar 24, 2016] By Lisa Rapaport Patients who have a heart rhythm disorder that can come with a high risk of stroke often don’t receive blood-thinning medications that can make this complication less likely, a U.S. study suggests. Researchers studied almost 430,000 people with a condition known as atrial fibrillation, an irregular rapid heartbeat that can lead to stoke, heart failure and chronic fatigue. Source: reuters.com Copyright© PerformRx, LLC 2016 All Rights Reserved 20 Older Americans are taking their vitamins — and that could be dangerous [Posted: March 24] By Carolyn Y. Johnson The number of older Americans at risk for a potentially life-threatening drug interaction doubled between 2005 and 2010, according to a new study -- but not just from the prescriptions they fill at the pharmacy or the medicines they buy over the counter. Source: washingtonpost.com Antibiotics before age 2 increases risk for childhood obesity [Posted: March 22, 2016] While early antibiotic use has been associated with a number of rare long-term health consequences, new research links antibiotics to one of the most important and growing public health problems worldwide—obesity. A study published online in Gastroenterology, the official journal of the American Gastroenterological Association, found that administration of three or more courses of antibiotics before children reach an age of 2 years is associated with an increased risk of early childhood obesity. Source: medicalxpress.com Better inhaler lessons can prevent asthma emergencies [Posted: Mar 23, 2016] By Lisa Rapaport Reuters Health - A major weakness of asthma care is that many patients don’t know how to use inhalers to deliver life-saving medicine when they’re gasping for air. The fix may be as simple as taking more time to teach patients how the devices work, a U.S. study suggests. Source: reuters.com Study Finds No Heart Risk From SSRI Antidepressants [Posted: March 23, 2016] By Alan Mozes Widely used antidepressants known as selective serotonin reuptake inhibitors (SSRIs) don't appear to raise the risk for heart trouble among young and middle-age patients, a large analysis suggests. Commonly prescribed SSRIs include Celexa, Lexapro, Prozac, Paxil and Zoloft. Source: healthday.com Copyright© PerformRx, LLC 2016 All Rights Reserved 21 AstraZeneca's Brilinta Doesn't Best Aspirin in Stroke Trial [Posted: March 23, 2016] By Marthe Fourcade Ketaki Gokhale AstraZeneca Plc’s heart medicine Brilinta didn’t outperform aspirin in a three-month long test on preventing further attacks in patients who have suffered a stroke. In a clinical trial dubbed Socrates, Brilinta taken twice daily was compared to a once-daily dose of aspirin in patients for two forms of stroke. Those taking the drug had fewer heart attacks, other stroke or death, but the difference wasn’t statistically significant, the Londonbased company said in a statement Wednesday. Source: bloomberg.com How much should that drug cost? Depends what disease it treats [Posted: March 22, 2016] By Ed Silverman If a drug does a good job of treating lung cancer, but is less effective at combating pancreatic cancer, you might think that the price should be lower for pancreatic cancer patients. But it doesn’t work that way in the convoluted world of pharmaceutical pricing, where a one-size-fits-all approach is generally used. Source: statnews.com Many seniors using dangerous drug combinations [Posted: March 21, 2016] By Ashley Welch One in six seniors in the U.S. regularly uses potentially dangerous combinations of prescription and overthe-counter medications and dietary supplements, according to new research. The study, published today in JAMA Internal Medicine, showed a two-fold increase over a five-year period. Source: cbsnews.com FDA Approved 3D Printed Drug Available In The US [Posted: Mar 22, 2016] By Jennifer Hicks A continued step forward in the treatment of epilepsy and the power of 3D printing. According to the Centers for Disease Control (CDC), there were 2.4 million adults living with active epilepsy in 2013. In 2015, the U.S. Food and Drug Administration (FDA) approved Spritam, the first 3D printed prescription drug to treat partial onset seizures, myoclonic seizures and primary generalized tonic-clonic seizures. Source: forbes.com Copyright© PerformRx, LLC 2016 All Rights Reserved 22 Antipsychotic Drugs Tied to Risk of Early Death in Parkinson's Patients [Posted: March 22, 2016] By Randy Dotinga New research suggests that Parkinson's patients who are given antipsychotics to treat dementia and psychosis may be more likely to die early. However, the medications provide important benefits and the study authors aren't suggesting that these patients stop taking them. And it's still not clear exactly why there seems to be an increased risk of early death. Source: healthday.com FDA adds new warnings on risk of addiction, overdose and death for prescription opioids [Posted: March 22, 2016] By Lenny Bernstein The Food and Drug Administration announced Tuesday that it will require new warnings about the risk of addiction, abuse, overdose and death for short-acting opioid pain medications, a step toward curbing the epidemic of narcotic use in the United States. Source: washingtonpost.com Studies warn of side effects from long-term use of heartburn medications [Posted: March 22, 2016] By David Templeton For decades, people have spent billions on such drugs as Prevacid, Prilosec and Nexium to treat heartburn; in fact, Nexium’s $6 billion in sales a year makes it one of nation’s topselling drugs. But stop the music. Stomach acid isn’t a bad thing — if it stays in the belly. In fact, stomach acid is necessary for proper digestion and absorption of minerals, vitamins, B-12 and nutrients, with further responsibilities in killing bad, and fostering good, bacteria in the stomach and intestinal tract. Source: post-gazette.com Multidrug TB Prophylaxis Not Needed in Advanced HIV [Posted: 03.20.2016] By Salynn Boyles Patients with advanced HIV infection initiating anti-retroviral therapy who were treated with isoniazid alone to prevent tuberculosis had similar survival rates as patients treated with a standard four-drug anti-tuberculosis regimen in a multi-national, randomized, controlled trial. Source: medpagetoday.com Copyright© PerformRx, LLC 2016 All Rights Reserved 23 Common painkillers are more dangerous than we think [Posted: 17-Mar-2016] By Aarhus University Many Danes are prescribed NSAIDs for the treatment of painful conditions, fever and inflammation. But the treatment also comes with side effects, including the risk of ulcers and increased blood pressure. A major new study now gathers all research in the area. This shows that arthritis medicine is particularly dangerous for heart patients, and also that older types of arthritis medicine, which have not previously been in focus, also appear to be dangerous for the heart. Source: eurekalert.org Glenmark Gets Final FDA Nod For Migraine Headache Relief Drug [Posted: March 14, 2016] Glenmark Pharma has received final nod from the USFDA to manufacture and market therapeutical equivalent of Endo Pharmaceutical's Frova tablets, used to treat migraine headaches, in the American market. Source: ndtv.com Patients in Pain, and a Doctor Who Must Limit Drugs [Posted: MARCH 16, 2016] By Jan Hoffman MILFORD, Neb. — Susan Kubicka-Welander, a short-order cook, went to her pain checkup appointment straight from the lunch-rush shift. “We were really busy,” she told Dr. Robert L. Wergin, trying to smile through deeply etched lines of exhaustion. “Thursdays, it’s Philly cheesesteaks.” Her back ached from a compression fracture; a shattered elbow was still mending; her lefthip sciatica was screaming louder than usual. She takes a lot of medication for chronic pain, but today it was just not enough. Source: nytimes.com Heart Failure Drug Could Treat Herpes Virus, Suggests Study [Posted: 03/15/2016] By Ryan Bushey Early research suggests the heart failure drug spironolactone hinders infection from the Epstein-Barr virus, a pathogen linked to mono and different types of cancer. Spironolactone is a “potassium-sparing diuretic” that prevents potassium levels from dropping too low and ensures the body doesn’t absorb excess levels of salt. Congestive heart failure patients also take the drug to treat fluid retention. Source: dddmag.com Copyright© PerformRx, LLC 2016 All Rights Reserved 24 New CDC Painkiller Guidelines: Go Slow, Use Less [Posted: Mar 15 2016] By Maggie Fox New guidelines from the Centers for Disease Control and Prevention urge doctors to take it easy in prescribing the potentially killer drugs, making it clear that overprescribing is driving an epidemic of opioid addiction. Source: nbcnews.com Waste in Cancer Drugs Costs $3 Billion a Year, a Study Says [Posted: MARCH 1, 2016] By Gardiner Harris WASHINGTON — The federal Medicare program and private health insurers waste nearly $3 billion every year buying cancer medicines that are thrown out because many drug makers distribute the drugs only in vials that hold too much for most patients, a group of cancer researchers has found. Source: nytimes.com Five Companies Face Big FDA Decisions This Month [Posted: 3/14/2016] By Mark Terry A decision by the U.S. Food and Drug Administration (FDA) has an enormous impact, both positive or negative, on drug companies. At least five drug companies are facing big FDA decisions this month. Source: biospace.com Marijuana-Based Drug Found to Reduce Epileptic Seizures [Posted: MARCH 14, 2016] By Andrew Pollack An experimental drug derived from marijuana has succeeded in reducing epileptic seizures in its first major clinical trial, the product’s developer announced on Monday, a finding that could lend credence to the medical marijuana movement. Source: nytimes.com Copyright© PerformRx, LLC 2016 All Rights Reserved 25 Shkreli's Strategy to Jack Up Drug Prices May Be Curbed by FDA [Posted: March 14, 2016] By Anna Edney With a small regulatory change, the U.S. Food and Drug Administration may have just stopped the next Martin Shkreli. The agency said Friday that it will prioritize review of new applications for generic drugs that would compete with treatments made by only one company. That could help make it less profitable for somebody like Shkreli, who was until last year the chief executive officer of Turing Pharmaceuticals AG, from buying an old, patent-expired drug with no competition and jacking up the price. Source: bloomberg.com VA expands hepatitis C treatment to all patients with the virus [Posted: March 10, 2016] By Patricia Kime The Veterans Affairs Department will begin providing hepatitis C treatment to all veterans in its health system who have the virus, regardless of their disease stage, VA officials said Wednesday. Having received a boost in funding from Congress late last year for the costly medications needed to cure hepatitis C, the VA is now able to treat the 174,000 veterans in its health system who have the disease, according to a VA release. Source: militarytimes.com First generic version of Viagra approved by FDA [Posted: March 10, 2016] By Mary Brophy Marcus The FDA has approved the first-ever generic version of Viagra. The Pennsylvania-based pharmaceutical company Teva will be adding the drug, sildenafil citrate, for male erectile dysfunction to its roster of hundreds of other generic medications. Teva told CBS News the drug will go on sale December 11, 2017. Source: cbsnews.com Copyright© PerformRx, LLC 2016 All Rights Reserved 26 RECALLS* Product Type Product Description Code Info Class Reason for Recall Recalling Firm Drugs CITRULLINE (L) in 25 g, 100 g, 500 g and 1 kg plastic bottles Lot #s: 95482/A, 95482/B, 95482/C, 95482/D, 96453/A, 96453/B, 96453/C, and 96453/D, Exp. 10/31/2014 Class I Labeling: Label Mix-Up: FDA tested samples of API from Medisca, labeled as to contain LCitrulline, and results revealed no L-Citrulline was present. Levels of N-acetylleucine were found instead. Medisca Inc 661 State Route 3 Unit C Plattsburgh, NY 12901-6531 Drugs Akttive High Performance Fat Burner Gold dietary supplement capsules, 30count bottle Lot # 000815004400; Exp 12/17 Class I Marketed Without An Approved NDA/ANDA: Dietary supplements contains undeclared sibutramine, desmethylsibutra mi ne and phenolphthalein based on FDA sampling. Life and More LLC 5771 NW 112th Ave Apt 112 Doral, FL 33178-4161 Drugs ACETAMINOPHEN EXTRASTRENGTH PAIN RELIEVER tablets, 500 mg, 100-count bottle lot # 45810; Exp. 05/18 Class I Medline Industries Inc 1 Medline Pl Mundelein, IL 600604485 Drugs fentaNYL Citrate, Preservative Free, 5 mcg per mL In 0.9% Sodium Chloride, 1 mL Total Volume For IV Use Lot #: 15002077M, Exp 04-02-2015 Class I Labeling: Label Error on Declared Strength- Bottles containing 500 mg acetaminophen tablets mislabeled to contain 325 mg tablets. Subpotent Drug Drugs fentaNYL Citrate, Preservative Free, 10 mcg per 1 mL In 0.9% Lot #: 15002250M, Exp 04-02-2015 Class I Subpotent Drug CLASS I Copyright© PerformRx, LLC 2016 All Rights Reserved Pharmedium Services, LLC 150 N Field Dr Ste 350 Lake Forest, IL 60045-2506 Pharmedium Services, LLC 27 Product Type Product Description Code Info Class Reason for Recall Sodium Chloride, 1 mL Total Volume For IV Use Recalling Firm 150 N Field Dr Ste 350 Lake Forest, IL 60045-2506 Premiere Sales Group 21446 Golden Triangle Rd Santa Clarita, CA 91350-2911 Drugs Rhino 7 3000, 6 count bottles All lots Class I Marketed without an Approved NDA/ANDA: Products contain undeclared active pharmaceutical ingredients; desmethyl carbondenafil and dapoxetine. Drugs NATUREAL BURN FAT NATURE, 30-count capsules, packaged in clear plastic bottle All lots Class I Marketed Without an Approved NDA/ANDA: Product contains undeclared sibutramine. Inaffit, LLC 356 Urban Ave Gaithersburg, MD 20878-4054 Drugs Rhino 7 Platinum 3000, 1 count Blister Pack All lots Class I Marketed without an Approved NDA/ANDA: Products contain undeclared active pharmaceutical ingredients; desmethyl carbondenafil and dapoxetine. Premiere Sales Group 21446 Golden Triangle Rd Santa Clarita, CA 91350-2911 Drugs ACETAMINOPHEN REGULARSTRENGTH PAIN RELIEVER tablets, 325 mg, 100-count bottle. lot # 45810; Exp. 05/18 Class I Labeling: Label Error on Declared Strength- Bottles containing 500 mg acetaminophen tablets mislabeled to contain 325 mg tablets. Medline Industries Inc 1 Medline Pl Mundelein, IL 600604485 Drugs Vitamin Supplement (Vial) D3, (cholecalciferol (vit D3)/lipoic acid/ubiquinol/ methylcobalamin/py ridoxine/methionin e/inositol/choline bitartrate AICACABF@3, AICECABF@2, AJBFCABF@4, ABCCABF@4, AICACABF@5, AICECABF@3, Class I Superpotent Drug: The vitamin supplement contains an extremely high level of vitamin Glades Drugs Inc. 109 S Lake Ave Pahokee, FL 334761803 Copyright© PerformRx, LLC 2016 All Rights Reserved 28 Product Type Product Description Code Info Class Reason for Recall Recalling Firm USP) capsules, 60, 120 or 180 count vials AJBHCABF@2, ABCCABF@5, AICBCABF@1, AICECABF@4, AJCBCABF@1, ABGCABF@4, AICBCABF@2, AICECABF@5, JCBCABF@2, BACDCABF@5, AICBCABF@3, AICICABF@3, BAAGCABF@2, BADACABF@3, AICBCABF@4, AJADCABF@1, BAAICABF@1, BACCABF@3, AICECABF@1, AJBECABF@6, BABCCABF@2 and BBAECABF@5, Exp 02/20/2016 Drugs Ultimate Herbal Slimcap Capsules, 350 mg*, 30-count bottles Lot #: 05/02/2015 to 05/01/2017 Class I Marketed Without An Approved NDA/ANDA: product marketed as a dietary supplement was found to be tainted with undeclared sibutramine, a previously approved controlled substance that was removed from the U.S. market in October 2010 for safety reasons, in this tainted product renders it an unapproved drug. Fit Firm and Fabulous 1504 Lincoln Way Apt 212 Mc Lean, VA 221025856 Drugs Magnesium Sulfate in Water for Injection, (0.325 mEq Lot: 53-113-JT, Exp 1NOV2016 Class I Labeling: Incorrect Hospira Inc. 275 N Field Dr Copyright© PerformRx, LLC 2016 All Rights Reserved D3 (Cholecalciferol 29 Product Type Product Description Code Info Class Mg++/mL) 40 mg/mL, 2 g Total, 50 mL Single-Dose Drugs APEXXX tablets, 300 mg, packaged in 1-count blister cards Reason for Recall Recalling Firm Barcode: Primary bag labeling may be mislabeled with the wrong barcode which scans in as heparin sodium. Lake Forest, IL 60045-2579 All lots Class I Marketed Without An Approved NDA/ANDA: tainted product marketed as a dietary supplement. Product found to be tainted with sildenafil, an FDA approved drug for the treatment of male erectile dysfunction, making this an unapproved drug. Nuway Distributors, LLC 9020 Pecky Cypress Way Orlando, FL 328366562 CLASS II Drugs Haloperidol Oral Solution, USP (Concentrate) 2 mg/mL 15 mL amber bottle Lot #846881; Exp 01/16 Class II Defective Container: Confirmed customer complaints of leaking bottles. Safecor Health, LLC 317 New Boston St Woburn, MA 018016231 Drugs Pramipexole Dihydrochloride Tablets 0.125 mg, 90 Ct Bottles Lot #: BPA512A; Expiry: 06/2017. Class II Presence of Foreign Tablets/Capsules: Presence of a comingled Carbimazole 5 mg tablet. Macleods Pharma Usa Inc 666 Plainsboro Rd Bldg 200 Ste 230 Plainsboro, NJ 085363030 Drugs Midazolam HCl Syrup, 10 mg/5 mL, 5 mL unit dose cups Lot: 932333, Exp 08/04/16 Class II Presence of Foreign Substance: customer complaint that one unit dose cup contained a small Safecor Health, LLC 317 New Boston St Woburn, MA 018016231 Copyright© PerformRx, LLC 2016 All Rights Reserved 30 Product Type Product Description Code Info Class Reason for Recall Recalling Firm piece of cardboard contaminant. Drugs SyrSpend SF, Suspending Base Lot #s: 15J26-U05027457; 15J26-U05027473 Class II Microbial Contamination of Non-Sterile Products: Syrspend SF and Syrspend SF Grape Flavor are being recalled due to the presence of yeast Microbial Contamination of Non-Sterile Products: Syrspend SF and Syrspend SF Grape Flavor are being recalled due to the presence of yeast. Fagron, Inc 2400 Pilot Knob Rd Saint Paul, MN 55120-1118 Drugs SyrSpend SF, Suspending Base Lot #s: 15A05-U03022765; 15G29-U03025975 Class II Drugs SyrSpend SF, Suspending Base Lot #s: 15I21-U01027370; 15I21-U01026920; 15J19-U05027406 Class II Microbial Contamination of Non-Sterile Products: Syrspend SF and Syrspend SF Grape Flavor are being recalled due to the presence of yeast. Fagron, Inc 2400 Pilot Knob Rd Saint Paul, MN 55120 Drugs Bupivacaine, 0.25%, 450 mL All lots Class II Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Drugs calcium elemental, 3 mg/10 mL, 200 mL unit All lots Class II Lack of Assurance of Sterility: Firm is Abbott's Compounding Copyright© PerformRx, LLC 2016 All Rights Reserved Fagron, Inc 2400 Pilot Knob Rd Saint Paul, MN 55120-1118 31 Product Type Product Description Code Info Class Drugs Estradiol cypionate/Test cyprionate; 2 mg/50 mg/ml, unit size 5 mL All lots Class II Drugs Folic Acid, 5 mg/mL, 30 mL unit size, refrigerate All lots Class II Drugs Folic Acid, 10 mg/mL, 6 mL unit All lots Class II Drugs Hydroxycobalamine 30 mg/mL, 90 mL unit size All lots Class II Copyright© PerformRx, LLC 2016 All Rights Reserved Reason for Recall recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection Recalling Firm Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 32 Product Type Product Description Code Info Class Drugs hydroxyprogesterone in sesame 250 mg/mL, 2 mL, 5 mL, 6 mL, 8 mL unit sizes All lots Class II Drugs hydroxyprogesterone w/ pres; 1 mg/mL, 20 mL unit size All lots Class II Drugs Insulin, 70/30, 10 mL unit size All lots Class II Drugs methylcobalamine 10 mg/mL, 10 mL and 12 mL unit sizes All lots Class II Drugs methylcobalamine 1 mg/mL, 1 mL and 10 mL unit sizes All lots Class II Copyright© PerformRx, LLC 2016 All Rights Reserved Reason for Recall found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all Recalling Firm Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 33 Product Type Product Description Code Info Class Drugs methylcobalamine 4 mg/mL, 5 mL and 30 mL unit sizes All lots Class II Drugs papaverine prostaglandin 30 mg/30 mcg/mL, 5 mL unit size All lots Class II Drugs progesterone/testosterone (ss oil) 0.25/20 mg/mL, 10 mL unit size All lots Class II Drugs testosterone cypionate, 200 mg/mL, 6 mL and 10 mL unit sizes All lots Class II Copyright© PerformRx, LLC 2016 All Rights Reserved Reason for Recall unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of Recalling Firm 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 34 Product Type Product Description Code Info Class Drugs testosterone cypionate, 100 mg/mL, 10 mL unit size All lots Class II Drugs papaverine phent, 25 mg/0.833 mg/mL, 20 mL unit size All lots Class II Drugs Menthocin Patch with Lidocaine-Strong (Menthol 5%, Capsaicin 0.0375%, Methyl Salicylate 20%, Lidocaine 0.5%) Lot#: 20150326, Exp 03/2018 Class II Drugs TEARS Naturale FREE (dextran 70 and hypromellose 2910) lubricant eye drops, 1% and 0.3%, Preservative Free, 0.9 mL (0.03 FL OZ) Single-Use Vials, packaged in 60-count Single-Use Vials Lot #: KRJ006, Exp 09/17 Class II Drugs Medicated Better Braids, La Laque (salicylic acid) Spray, 2%,12 Fl. OZ. (355 ml.) bottle Lot #: 9AD5 Class II Copyright© PerformRx, LLC 2016 All Rights Reserved Reason for Recall lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Lack of Assurance of Sterility: Firm is recalling all unexpired lots of sterile compounded products after FDA inspection found concerns of lack of sterility assurance. Marketed without an approved NDA/ANDA Lack of Assurance of Sterility: Some single-use vials may be filled with water rather than the product solution and the firm cannot guarantee the sterility of the water-filled vials. Microbial Contamination of a Non-Sterile Products: The product had a positive Staphylococcus aureus test result. Recalling Firm Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Abbott's Compounding Pharmacy, Inc. 2320 Woolsey St Berkeley, CA 947051973 Bonita Pharmaceuticals, LLC 6380 Commerce Drive Westland, MI 481859120 Alcon Research, Ltd. 6201 South Fwy Fort Worth, TX 76134-2099 Keystone Laboratories Inc 1103 Kansas St Memphis, TN 381061913 35 Product Type Drugs Product Description Code Info Class Reason for Recall Recalling Firm Capecitabine tablets USP 500 mg, Cytotoxic Agent, Rx Only, 120 tablets per bottle Lot # 3A404012V, Exp. 4/2016 Class II Failed Dissolution: Out of Specification test results (low) at the 18 month time-point. Teva North America 425 Privet Rd Horsham, PA 190441220 Drugs Baclofen, 2.5 mg/mL INJ, in 100 mL vial Lot # 07142015#7192@1, Exp 09/12/2015; 09112015#7192@1, Exp 11/10/2015; 10082015#7192@9, Exp 12/07/2015; 11302015#71920@1, Exp 1/30/2015 Class II Lack of assurance of sterility TexasStar Pharmacy 3033 W Parker Rd Ste 100 Plano, TX 750238000 Drugs 0.9% Sodium Chloride Irrigation, USP, 500 mL bottle Lot # G120162, Exp 11/18 Class II PRESENCE OF PARTICULATE MATTER: Product complaint for the presence of particulate matter identified as an insect. Baxter Healthcare Corp. 1 Baxter Pkwy Deerfield, IL 600154625 Drugs Thyrogen (thyrotropin alfa for injection), 0.9 mg/mL Lot #: E4029Y02 (carton), E4029 (vial) Exp 09/2016 Class II Presence of Particulate Matter: Glass particles found in the product after reconstitution. Drugs Thyrogen (thyrotropin alfa for injection), 0.9 mg/mL after reconstitution, For intramuscular injection Lot #s: E4029Y03, E4029Y04, E4029Y06, E4029Y07, Exp 12/2017 Class II Presence of Particulate Matter: Glass particles found in the product after reconstitution. Drugs Alendronate Sodium Tablets, USP, 70 mg*, 4-count Lot #s: JKP2234A, JKP2235A, Exp 04/17 Class II Failed Impurities/Degrad a tion Specifications: Observed levels of highest unknown impurity exceeding specification limit at the 3 month stability time Genzyme Corporation 500 Kendall Street 675 West Kendall/55 Cambridge Parkway Cambridge, MA 02142-1108 Genzyme Corporation 500 Kendall Street 675 West Kendall/55 Cambridge Parkway Cambridge, MA 02142-1108 Sun Pharma Global Fze Office # 43 Block Y Saif Zone Sharm Copyright© PerformRx, LLC 2016 All Rights Reserved 36 Product Type Product Description Code Info Class Reason for Recall point. Lack of Assurance of Sterility Drugs Morphine Sulfate 6 mg/ml/Bupivacaine HCL 32 mg/ml, vol. 22 ml syringe BUD: 5/3/2016 Class II Drugs Baclofen 5000 mcg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 10 mg/ml/Baclofen 460 mcg/ml/Bupivacaine HCL, vol. 40 ml BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 0.5 mg/ml/Baclofen 1000 mcg/ml/, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone 12 mg/ml/Baclofen 450 mcg/ml, vol. 20 ml, syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 9 mg/ml/Sufentanil Cit 180 mcg/ml/Bupivacaine HCL 33 mg/ml, vol. 20 ml vial BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Sufentanil Cit 1000 mcg/ml/Baclofen 300 mcg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 0.6 mg/ml, vol. 200 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 20 BUD: 5/3/2016 Class II Lack of Assurance Copyright© PerformRx, LLC 2016 All Rights Reserved Recalling Firm Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical 37 Product Type Product Description Code Info Class mg/ml/Bupivacaine HCL 11.3 mg/ml, vol. 40 ml syringe Reason for Recall of Sterility Drugs Morphine Sulfate 20 mg/ml/Bupivacaine HCL 11.3 mg/ml, vol. 40 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 10 mg/ml/Bupivacaine HCL 30 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 10 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Baclofen 2000 mcg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 20 mg/ml/Bupivacaine HCL 40 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 25 mg/ml, vol. 40 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 10 mg/ml/Fentanyl Citrate 0.15 mg/ml, vol. 40 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 10 mg/ml, vol. 40 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Copyright© PerformRx, LLC 2016 All Rights Reserved Recalling Firm Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 38 Product Type Product Description Code Info Class Reason for Recall Drugs Morphine Sulfate 1.5 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Fentanyl Citrate 1.275 mg/ml/Baclofen 150 mcg/ml/Bupivacaine HCL 20 mg/ml/ Clonidine HCL 450 mcg/ml, vol. 40 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 1 mg/ml, vol. 22 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 25 mg/ml/Bupivacaine HCL 4 mg/ml, vol. 40 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 10 mg/ml/Bupivacaine HCL 4 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 11 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 7 mg/ml/Bupivacaine HCL 11.2 mg/ml, vol. 40 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Sufentanil Cit 200 mcg/ml/Clonidine HCL 1600 mcg/ml, vol. 42 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Copyright© PerformRx, LLC 2016 All Rights Reserved Recalling Firm 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 39 Product Type Product Description Code Info Class Reason for Recall Drugs Sufentanil Cit 200 mcg/ml/Clonidine HCL 1600 mcg/ml, vol. 42 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 20 mg/ml, vol. 42 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Morphine Sulfate 0.5 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Hydromorphone HCL 0.5 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Drugs Sufentanil Cit 50 mcg/ml/Clonidine HCL 1 mcg/ml/Bupivacaine HCL 5 mg/ml, vol. 20 ml syringe BUD: 5/3/2016 Class II Lack of Assurance of Sterility Recalling Firm 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 Hartley Medical Center Pharmacy, Incorporated 113 W Victoria St Long Beach, CA 90805-2162 CLASS III Drugs Candesartan Cilexetil Tablets, 16 mg, a) 30 count (NDC 00781-5938-31) and b) 90 count (NDC 00781-5938-92) bottles a) 3022288 12/2015 3025988 03/2016 3025989 04/2016 3030459 08/2016 3030460 08/2016 3032087 10/2016 3032088 10/2016 3034506 12/2016 3035952 01/2017 3035953 01/2017 b) 3022287 12/2015 3025990 04/2016 3030458 08/2016 3032086 09/2016 3035954 01/2017 Class III Failed Impurities/Degrad a tion Specifications; 9 month stability timepoint Sandoz Inc 100 College Rd W Princeton, NJ 085406604 Drugs Paricalcitol Capsules, 1 mcg, Lot #s: C404795, Class III Failed Dr. Reddy's Copyright© PerformRx, LLC 2016 All Rights Reserved 40 Product Type Product Description Code Info Class Reason for Recall Recalling Firm Tablet/Capsule Specifications: Product recalled due to reports of breakage and leakage of Paricalcitol capsules. Laboratories, Inc. 107 College Rd E Princeton, NJ 085406623 30 capsules per bottle C404796, C404797, Exp 05/2016; C406272, C406273, C406274, C406518, Exp 07/2016; C409586, C409587, Exp 11/2016; C409588, Exp 12/2016; C501835, C501836 , C501837, Exp 02/2017; C503797, C503798, Exp 05/2017; C505009, Exp 06/2017; C505568, C505569, Exp 07/2017 Drugs Paricalcitol Capsules, 2 mcg, 30 capsules per bottle Lot #s: C404653, C404654, C404655, Exp 05/2016; C505010, Exp 06/2017 Class III Failed Tablet/Capsule Specifications: Product recalled due to reports of breakage and leakage of Paricalcitol capsules. Dr. Reddy's Laboratories, Inc. 107 College Rd E Princeton, NJ 085406623 Drugs Paricalcitol Capsules, 4 mcg, 30 capsules per bottle Lot #s: C404440, Exp 04/2016; C404946, Exp 05/2016; C505704, Exp 07/2017 Class III Failed Tablet/Capsule Specifications: Product recalled due to reports of breakage and leakage of Paricalcitol capsules. Dr. Reddy's Laboratories, Inc. 107 College Rd E Princeton, NJ 085406623 Drugs Triamcinolone Diacetate Injectable Suspension, 40 mg/mL, 10mL Multi-Dose Vial for Injection Lot Number: 12212015@8, Do Not Use Beyond: 03/22/2016, "Compounded on December 21, 2015" Class III Labeling: Incorrect or Missing Lot and/or Exp Date: some vials may be mislabeled with an incorrect "Compounded" date, lot number, and "Do Not Use Beyond " date or BUD (Before Use Date) that may be longer than intended. Isomeric Pharmacy Solution, LLC 2401 S Foothill Dr Salt Lake City, UT 84109-1479 Copyright© PerformRx, LLC 2016 All Rights Reserved 41 Product Type Drugs Product Description Code Info Class Reason for Recall Recalling Firm risperiDONE ORALLY DISINTEGRATING TABLETS, 2 mg, 30 Ct Bottles Lot #: MP4967, Expiry: 04/2016. Class III Failed Impurities/Degrad a tion Specifications: Out of specification for a known degradant. Zydus Pharmaceuticals USA Inc 73 Route 31 N Pennington, NJ 08534-3601 Drugs Normosol-M and 5% Dextrose (multiple electrolytes and 5% dextrose) Injection Type 1, USP, 1000 mL Single-Dose Container bag Lot #: 56-853-FW, Exp 01AUG2017 Class III Labeling: Incorrect or Missing Lot and/or Exp Date: Confirmed customer report of an incorrect expiration date printed on the primary container labeled "01AUG1017" rather than "01AUG2017". Hospira Inc. 275 N Field Dr Lake Forest, IL 60045-2579 Drugs sulfur8 medicated LIGHT FORMULA (sulfur) antidandruff hair& scalp conditioner, 2%, packaged in a) 2 OZ (57g) jar (UPC 0 75610 43510 8), and b) 4 OZ (113g) jar (UPC 0 75610 43610 5), 1 dozen jars per case, J. Strickland & Co., PO Box 1637, Olive Branch, MS 38654 Atorvastatin Calcium 10 mg, 10 tablets per blister,100count package Lot #: 33UF Class III Subpotent Drug: failed at the 3 and 6 month stability time points. J. Strickland and Co 10420 Desoto Rd Olive Branch, MS 38654-5301 Lot #GS005602; Exp. 10/15 Lot #GS008855; Exp. 09/17 Lot #GS009074; Exp. 08/17 Lot #GS009393; Exp. 08/17 Lot #GS009760; Exp. 10/17 Lot #GS010599; Exp. 11/17 Class III Failed Impurities/Degrad a tion Specifications Golden State Medical Supply Inc. 5187 Camino Ruiz Camarillo, CA 930128601 Drugs Atorvastatin Calcium 20 mg, 10 tablets per blister,100count package Lot #GS008856; Exp. 09/17 Lot #GS010268; Exp. 09/17 Lot #GS010600; Exp. 11/17 Class III Failed Impurities/Degrad a tion Specifications Drugs Atorvastatin Calcium 40 mg, 10 tablets per blister,100count package Lot #GS009075; Exp. 09/17 Lot #GS009763; Exp. 09/17 Lot Class III Failed Impurities/Degrad a tion Golden State Medical Supply Inc. 5187 Camino Ruiz Camarillo, CA 930128601 Golden State Medical Supply Inc. 5187 Camino Ruiz Drugs Copyright© PerformRx, LLC 2016 All Rights Reserved 42 Product Type Product Description Code Info Class #GS010178; Exp. 10/17 Reason for Recall Specifications Drugs Atorvastatin Calcium 80 mg, 10 tablets per blister,100count package Lot #GS005603; Exp. 10/15 Lot #GS006691; Exp. 08/17 Lot #GS009073; Exp. 08/17 Lot #GS009395; Exp. 08/17 Lot #GS009764; Exp. 10/17 Class III Failed Impurities/Degrad a tion Specifications Drugs Scrub-Stat 4 (chlorhexidine gluconate) Foam Forming Solution, 4%, packaged in a) 800 mL Plastic (HDPE) Bottles Lot #: a) L041051, Exp 04 /17; L060151, L061951, Exp 06 /17; b) L060151, L061951, Exp 06 /17 Class III Subpotent drug Recalling Firm Camarillo, CA 930128601 Golden State Medical Supply Inc. 5187 Camino Ruiz Camarillo, CA 930128601 Ecolab Inc 370 Wabasha St N Saint Paul, MN 55102-1323 BIOLOGICS none *Please refer to FDA website for further information; http://www.fda.gov/Safety/Recalls/EnforcementReports/default.htm Copyright© PerformRx, LLC 2016 All Rights Reserved 43 CURRENT DRUG SHORTAGES Date First Reported Status Company Presentation Availability Shortage Reason Acetohydroxamic Acid (Lithostat) Tablets 7/15/2014 Currently in Shortage Mission Pharmacal (Reverified 01/21/2015) 250 mg (NDC 01780500-01) Unavailable - no product available for release. Shortage of an active ingredient. Ammonium Chloride Injection 3/8/2013 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5 mEq/mL; 20 mL vial (NDC 0409-6043-01) Next delivery and estimated recovery TBD Other Available Name 1/6/2016 Currently in Shortage Shire US Inc. (Reverified 03/11/2016) AGRYLIN® (anagrelide hydrochloride) Dosage Form: 0.5 mg capsules for oral administration (NDC 54092-063-01) 1/6/2016 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 1mg 100 (NDC 001725240-60) Estimated availability: end of March 2016 Other 1/6/2016 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 0.5 mg 10 (NDC 00172-5241-60) Estimated availability: end of March 2016 Other Atropine Sulfate Injection Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 0.4 mg/mL 1 mL single-dose vial package of 25(NDC 00517-0401-25) Available in limited supply. Demand increase for the drug Atropine Sulfate Injection Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 1 mg/mL 1 mL singledose vial package of 25 (NDC 00517-101025) Available for NDC 00517-1010-25. Other Atropine Sulfate Injection Currently in Shortage Amphastar Pharmaceuticals Inc./IMS (Reverified 03/15/2016) 0.1 mg/mL; 10 mL Luer-Jet Prefilled Syringe(NDC 763293339-1 Old NDC 05483339-00) Product available Demand increase for the drug Atropine Sulfate Injection Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.1 mg/mL; 10 mL Ansyr syringe(NDC 0409-1630-10) Next delivery: Early April 2016; Estimated recovery: 2Q 2016 Other Anagrelide Hydrochloride Capsules Anagrelide Hydrochloride Capsules Anagrelide Hydrochloride Capsules Copyright© PerformRx, LLC 2016 All Rights Reserved 44 Date First Reported Status Company Presentation Availability Shortage Reason Atropine Sulfate Injection Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.05 mg/mL; 5 mL Ansyr syringe(NDC 0409-9630-05) Next delivery: Mid March 2016; Estimated recovery: 1Q 2016 Other Atropine Sulfate Injection Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.1 mg/mL; 5 mL Lifeshield syringe(NDC 0409-4910-34) Available Releasing product consistently Other Atropine Sulfate Injection Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.1 mg/mL; 10 mL Lifeshield syringe(NDC 0409-4911-34) Available Other Atropine Sulfate Injection Currently in Shortage West-Ward Pharmaceuticals (Reverified 03/10/2016) 0.4 mg/mL 20 mL vial (NDC 0641-6006-10) West-Ward has available inventory. Demand increase for the drug Caffeine Anhydrous (125mg/mL); Sodium Benzoate (125mg/mL) Injection Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 2 mL single-dose vial package of 10 (NDC 00517-2502-10) Unavailable for (NDC 00517-250210). Demand increase for the drug Calcium Chloride Inj. USP 10% 10mL LuerJet Prefilled Syringe (NDC 0548-3304-00) new (NDC 763293304-1) Product available Demand increase for the drug Name Calcium Chloride Injection USP 5/11/2015 Currently in Shortage Amphastar Pharmaceuticals Inc./IMS (Reverified 03/15/2016) Calcium Chloride Injection USP 5/11/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 100 mg/mL; 1 g/10 mL Ansyr™ Plastic Syringe (NDC 0409-1631-10) Available Releasing product consistently Other Hospira Inc. (Reverified 03/22/2016) 100 mg/mL; 1 g/10 mL LifeShield™ Abboject™ Glass Syringe (20 G x 1 1/2)(NDC 0409-492834) Next delivery: Early May 2016; Estimated recovery: 2Q 2016 Other Calcium Chloride Injection USP 5/11/2015 Currently in Shortage Copyright© PerformRx, LLC 2016 All Rights Reserved 45 Date First Reported Name Calcium Gluconate Injection 1/10/2013 Status Company Presentation Availability Shortage Reason Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 10% 50 mL vial; Calcium (0.465 mEq/mL) Preservative Free (NDC 0517-395025) American Regent is currently releasing Calcium Gluconate 100 mL vial (NDC 05173900-25). Other 10% 100 mL vial; Calcium (0.465 mEq/mL) Preservative Free (NDC 0517-390025) Unavailable for NDC 00517-390025. Demand increase for the drug Calcium Gluconate Injection 1/10/2013 Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) Calcium Gluconate Injection 1/10/2013 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 10% 100 mg/mL 10 mL single dose vial (NDC 63323-311-19) Available Demand increase for the drug Calcium Gluconate Injection 1/10/2013 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 10% 100 mg/mL 50 mL single dose vial (NDC 63323-311-59) Available Demand increase for the drug Calcium Gluconate Injection 1/10/2013 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 10% 100 mg/mL 100 mL pharmacy bulk package (NDC 63323311-66) Available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Apotex Corp. (Revised 03/25/2016) 1gm; (25 Vials) (NDC 60505-0749-5) On backorder. Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Apotex Corp. (Revised 03/25/2016) 1gm; (25 Vials)(NDC 60505-6093-5) On backorder. Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Apotex Corp. (Revised 03/25/2016) 10 gm; (10 Vials) (NDC 60505-0769-0) Back order expected to resolve by April 2016 Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Apotex Corp. (Revised 03/25/2016) 10 gm; (10 Vials) (NDC 60505-6094-0) On backorder. Demand increase for the drug 4/1/2014 Currently in Shortage B. Braun Medical Inc. (Reverified 06/18/2015) 2 g Cefazolin (NDC 0264-3105-11) Product available for contracted customers based on historical use. Demand increase for the drug 4/1/2014 Currently in Shortage B. Braun Medical Inc. (Reverified 06/18/2015) 1 g Cefazolin NDC (NDC 0264-3103-11) Product available for contracted customers based on historical use. Demand increase for the drug Cefazolin Injection Cefazolin Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 46 Name Date First Reported Status Company Presentation Availability Shortage Reason Cefazolin Injection 4/1/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) USP 1 g/50 mL (NDC 0338-3503-41) Available Demand increase for the drug 4/1/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 500 mg / single dose vial (NDC 63323-023610) Available Demand increase for the drug 4/1/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1 g / single dose vial (NDC 63323-0237-10) Available Demand increase for the drug 4/1/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 10 g / PBP (NDC 63323-0238-61) Available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 20 g / PBP (NDC 63323-449-61) Available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 1 g; vial (NDC 04090805-01) Available Other Cefazolin Injection 4/1/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 10 g; Pharmacy Bulk Package (NDC 04090806-01) Available Other Cefazolin Injection 4/1/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 1 g; Add-Vantage vial (NDC 0409-2585-01) Available Other 4/1/2014 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 500mg 10mL vial (NDC 25021-100-10) Available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 1g 10mL vial (NDC 25021-101-10) Available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 500 mg (NDC 007819338-95) Available Other Cefazolin Injection Cefazolin Injection Cefazolin Injection Cefazolin Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 47 Name Date First Reported Status Company Presentation Availability Shortage Reason Cefazolin Injection 4/1/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 500 mg (NDC 007813450-95) Available Other Cefazolin Injection 4/1/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 1g (NDC 00781-345196) Available Other Cefazolin Injection 4/1/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 10g (NDC 007813452-95) Available Other 4/1/2014 Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 1 g/10 mL vial (NDC 0143-9924-90) Inventory available Demand increase for the drug 4/1/2014 Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 10 mg/100 mL vial (NDC 0143-9983-03) Inventory available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 500 mg/10mL vial (NDC 0143-9923-90) Inventory available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage WG Critical Care (Reverified 01/28/2016) 500mg vial (NDC 44567-0706-25) Available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage WG Critical Care (Reverified 01/28/2016) 1g vial (NDC 445670707-25) Available Demand increase for the drug Cefazolin Injection 4/1/2014 Currently in Shortage WG Critical Care (Reverified 01/28/2016) 10g vial (NDC 445670708-10) Available Demand increase for the drug 7/22/2015 Currently in Shortage Apotex Corp. (Revised 03/25/2016) Cefepime for Injection USP 1 gm (10 Vials) (NDC 60505-6030-4) Backorder expected to resolve by May 2016 Demand increase for the drug 7/22/2015 Currently in Shortage Apotex Corp. (Revised 03/25/2016) Cefepime for Injection USP 2 gm (10 Vials)(NDC 605056031-4) Backorder expected to resolve by May 2016 Demand increase for the drug Cefazolin Injection Cefazolin Injection Cefepime Injection Cefepime Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 48 Date First Reported Name Status Company Presentation Availability Shortage Reason Demand increase for the drug Cefepime Injection 7/22/2015 Currently in Shortage B. Braun Medical Inc. (New 07/22/2015) Cefepime 1 g (NDC 0264-3193-11) On allocation to contract customers only due to increase in product demand. No interruption in supply. Cefepime Injection 7/22/2015 Currently in Shortage B. Braun Medical Inc. (New 07/22/2015) Cefepime 2 g (NDC 0264-3195-11) Available. No interruption in supply. Demand increase for the drug 7/22/2015 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Cefepime Injection 1 gram/50mL GALAXY Container (NDC 03381301-41) Available for existing customers. Demand increase for the drug 7/22/2015 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Cefepime Injection 2 gram/100mL GALAXY Container (NDC 03381301-48) Available for existing customers. Demand increase for the drug 7/22/2015 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1 g single dose vial sterile powder (NDC 63323-326-20) Backordered. Next release anticipated April 2016 Demand increase for the drug Cefepime Injection 7/22/2015 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 2 g single dose vial sterile powder (NDC 63323-340-20) Backordered. Next release anticipated Q2 2016 Demand increase for the drug Cefepime Injection 7/22/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2g Single Dose ADDVantage™ Glass Vial (NDC 0409-0218-01) Available Other Cefepime Injection 7/22/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 1g Single Dose ADDVantage™ Glass Vial (NDC 0409-0217-01) Available Other Cefepime Injection 7/22/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 1g Single Dose Glass Fliptop Vial (NDC 0409-0219-01) Available Releasing product consistently Demand increase for the drug Cefepime Injection Cefepime Injection Cefepime Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 49 Name Date First Reported Status Company Presentation Availability Shortage Reason Cefepime Injection 7/22/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2g Single Dose Glass Fliptop Vial (NDC 0409-0220-01) Available Releasing product consistently Demand increase for the drug 7/22/2015 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 1 g vial (NDC 25021121-20) Available Demand increase for the drug Cefepime Injection 7/22/2015 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 2 g vial (NDC 25021122-50) Product is on allocation Demand increase for the drug Cefepime Injection 7/22/2015 Currently in Shortage WG Critical Care (Revised 01/28/2016) 1 g vial (NDC 445670240-10) Available Demand increase for the drug Cefepime Injection 7/22/2015 Currently in Shortage WG Critical Care (Revised 01/28/2016) 2 g vial (NDC 445670241-10) Available Demand increase for the drug 2/17/2015 Currently in Shortage Sanofi-Aventis (New 02/17/2015) 500mg Single Dose Glass Fliptop Vial (NDC 0039-0017-10) Unavailable Discontinuation of the manufacture of the drug 2/17/2015 Currently in Shortage Sanofi-Aventis (New 02/17/2015) 1g Single Dose Glass Fliptop Vial (NDC 0039-0018-10) Inventory available - under allocation Discontinuation of the manufacture of the drug 2/17/2015 Currently in Shortage Sanofi-Aventis (New 02/17/2015) 2g Single Dose Glass Fliptop Vial (NDC 0039-0019-10) Unavailable Discontinuation of the manufacture of the drug 2/17/2015 Currently in Shortage Sanofi-Aventis (New 02/17/2015) 10g Pharmacy Bulk Package Glass Fliptop Vial (NDC 0039-002001) Inventory available - under allocation Discontinuation of the manufacture of the drug 2/17/2015 Currently in Shortage Sanofi-Aventis (New 02/17/2015) 1g Single Dose ADDVantage™ Glass Vial (NDC 0039-0023-25) Inventory available - under allocation Discontinuation of the manufacture of the drug Cefepime Injection Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 50 Name Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Cefotaxime Sodium (Claforan) Injection Cefotetan Disodium Injection Cefotetan Disodium Injection Cefotetan Disodium Injection Cefotetan Disodium Injection Date First Reported Status Company Presentation Availability Shortage Reason 2/17/2015 Currently in Shortage Sanofi-Aventis (New 02/17/2015) 2g Single Dose ADDVantage™ Glass Vial (NDC 0039-0024-25) Unavailable Discontinuation of the manufacture of the drug 2/17/2015 Currently in Shortage West-Ward Pharmaceuticals (Revised 03/17/2016) 500 mg/ 10 mL vial (NDC 0143-9930-10) Under allocation Demand increase for the drug 2/17/2015 Currently in Shortage West-Ward Pharmaceuticals (Revised 03/17/2016) 1 g/ 10 mL vial (NDC 0143-9931-25) Under allocation Demand increase for the drug 2/17/2015 Currently in Shortage West-Ward Pharmaceuticals (Revised 03/17/2016) 2 g/ 10 mL vial (NDC 0143-9933-25) Under allocation Demand increase for the drug 2/17/2015 Currently in Shortage West-Ward Pharmaceuticals (Revised 03/17/2016) 10 g/ 100 mL vial (NDC 0143-9935-01) Under allocation Demand increase for the drug 1 gram/50 mL in DUPLEX (NDC 002643173-11) Due to demand increase product is on allocation to contracted customers based on historical use. Increased demand for the product. Increased demand for the product. 8/14/2014 Currently in Shortage B. Braun Medical Inc. (Revised 06/18/2015) 8/14/2014 Currently in Shortage B. Braun Medical Inc. (Revised 06/18/2015) 2 gram/50 mL in DUPLEX (NDC 002643175-11) Due to demand increase product is on allocation to contracted customers based on historical use. 8/14/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1 g SDV (NDC 633230385-10) Available Manufacturing delay 8/14/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 2 g SDV (NDC 633230386-20) Available Manufacturing delay Copyright© PerformRx, LLC 2016 All Rights Reserved 51 Date First Reported Status Company Presentation Availability Shortage Reason 8/14/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 10 g PBP (NDC 633230396-61) Backordered. Next release anticipated Q2 2016. Manufacturing delay 8/14/2014 Currently in Shortage Teligent (Revised 03/24/2016) 2 g SDV (NDC 52565053-10) Product will be launched at the end of March 2016. Other Cefotetan Disodium Injection 8/14/2014 Currently in Shortage Teligent (Revised 03/24/2016) 1 g SDV (NDC 52565052-10) Product will be launched at the end of March 2016. Other Chloramphenicol Sodium Succinate Injection 1/7/2014 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) EQ 1GM base/vial(NDC 633230011-15) Estimated recovery: April 2016 Shortage of an active ingredient Desmopressin Acetate Injection 1/11/2016 Currently in Shortage Amring Pharmaceuticals (New 01/25/2016) 4 mcg/mL 10mL (NDC 69918-901-10) Available Other Desmopressin Acetate Injection 1/11/2016 Currently in Shortage Amring Pharmaceuticals (New 01/25/2016) 4 mcg/mL 1 mL (NDC 69918-899-01) Available Other Desmopressin Acetate Injection 1/11/2016 Currently in Shortage Ferring (New 01/12/2016) 4 mcg/mL 10 mL (NDC 55566-2300-0) Product available Other Desmopressin Acetate Injection 1/11/2016 Currently in Shortage Ferring (New 01/12/2016) 4 mcg/mL 1 mL (NDC 55566-2200-0) Product available Other Desmopressin Acetate Injection 1/11/2016 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 4 mcg/mL 1 mL (UNIAMP) (NDC 04092265-01) Next delivery and estimated recovery TBD Other 1/11/2016 Currently in Shortage Sun Pharmaceutical Industries Inc. (New 01/14/2016) 4 mcg/mL 1 mL (NDC 62756-529-26) Unavailable. Estimated availability: April 2016 Other 1/11/2016 Currently in Shortage Sun Pharmaceutical Industries Inc. (New 01/14/2016) 4 mcg/mL 10 mL multiple-dose vial (NDC 62756-529-40) Unavailable. Estimated availability: April 2016 Other Name Cefotetan Disodium Injection Cefotetan Disodium Injection Desmopressin Acetate Injection Desmopressin Acetate Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 52 Date First Reported Name Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection 1/15/2013 1/15/2013 1/15/2013 1/15/2013 1/15/2013 1/15/2013 Status Company Presentation Availability Shortage Reason Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 4 mg/mL 1 mL single dose vial (NDC 005174901-25) Unavailable- no product available for release. No plan to manufacture. Other Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 4 mg/mL 5 mL multiple dose vial (NDC 00517-4905-25) Unavailable- no product available for release. No plan to manufacture. Other Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 4 mg/mL 30 mL multiple dose vial (NDC 00517-4930-25) Unavailable- no product available for release. No plan to manufacture. Other 4 mg per mL 1 mL single dose vial (NDC 55150-237-01) package of 25 Aurobindo Pharma Ltd. has recently launched Dexamethasone Sodium Phosphate Injection Other 4 mg per mL 30 mL multiple dose vial (NDC 55150-239-30) package of 25 Aurobindo Pharma Ltd. has recently launched Dexamethasone Sodium Phosphate Injection Other 4 mg per mL 5 mL multiple dose vial (NDC 55150-238-05) package of 25 Aurobindo Pharma Ltd. has recently launched Dexamethasone Sodium Phosphate Injection Other Currently in Shortage Currently in Shortage Currently in Shortage Aurobindo Pharma (Revised 03/14/2016) Aurobindo Pharma (Revised 03/14/2016) Aurobindo Pharma (Revised 03/14/2016) Copyright© PerformRx, LLC 2016 All Rights Reserved 53 Name Date First Reported Status Company Presentation Availability Shortage Reason Dexamethasone Sodium Phosphate Injection 1/15/2013 Currently in Shortage BD Rx (Reverified 01/19/2016) 4 mg/mL single-use Pre-filled syringe (NDC 76045-106-10) Available Other 1/15/2013 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 4 mg/mL 1 mL single dose vial (NDC 633230165-01) Available Demand increase for the drug 1/15/2013 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 20 mg/5 mL single dose vial (NDC 633230165-05) Available Demand increase for the drug 1/15/2013 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 120 mg/30 mL multiple dose vial (NDC 63323-0165-30) Available Demand increase for the drug 1/15/2013 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 10 mg/mL single dose vial (NDC 63323-050601) Available Demand increase for the drug 1/15/2013 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 100 mg/10 mL multiple-dose vial (NDC 63323-0516-10) Available Demand increase for the drug 1/15/2013 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 120mg/30mL (4mg/mL) Pkg of 25 (NDC 67457-421-30) Available Demand increase for the drug 1/15/2013 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 20mg/5mL (4mg/mL) Pkg of 25 (NDC 67457422-54) Available Demand increase for the drug 1/15/2013 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 4mg/mL Pkg of 25 (NDC 67457-423-12) Unavailable. Estimated Recovery: TBD Demand increase for the drug 1/15/2013 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 100mg/10mL (10mg/mL) Pkg of 10 (NDC 67457-420-10) Available Demand increase for the drug Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 54 Name Dexamethasone Sodium Phosphate Injection Dexamethasone Sodium Phosphate Injection Dextrose 5% Injection Bags Dextrose 5% Injection Bags Date First Reported Status Company Presentation Availability Shortage Reason 1/15/2013 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 4 mg/mL Pkg of 25 NOVAPLUS (NDC 67457-419-01) Available Demand increase for the drug Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 1 mL vial 10 mg/mL (NDC 0641-0367-25) West-Ward currently has a temporary back order situation. Increase in prooduct demand due to market supply issues. 5% Dextrose 1000 mL (NDC 0264-7510-00) Continued intermittent interruptions in supply allocating to contracted customers. Demand increase for the drug Demand increase for the drug 1/15/2013 5/19/2014 5/19/2014 Currently in Shortage B. Braun Medical Inc. (Revised 06/18/2015) Currently in Shortage B. Braun Medical Inc. (Revised 06/18/2015) 5% Dextrose 250 mL (NDC 0264-7510-20) Continued intermittent interruptions in supply allocating to contracted customers. 150 mL VIAFLEX container (NDC 03380017-01) Unavailable. Production is planned to resume in 1Q 2016. Demand increase for the drug Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 250 mL VIAFLEX container (NDC 03380017-02) Available Demand increase for the drug Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 500 mL VIAFLEX container (NDC 03380017-03) Available Demand increase for the drug Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 1000 mL VIAFLEX container (NDC 03380017-04) Available for current customers. Demand increase for the drug Copyright© PerformRx, LLC 2016 All Rights Reserved 55 Name Date First Reported Status Company Presentation Availability Shortage Reason Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 250 mL AVIVA nonPVC container (NDC 0338-6346-02) Available for current customers. Demand increase for the drug Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 500 mL AVIVA nonPVC container (NDC 0338-6346-03) Available for current customers. Demand increase for the drug Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5% 150 mL Flexible Container (NDC 04097922-61) Available Other Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5% 250 mL ADDVantage Flexible Container (NDC 04097100-02) Available Other Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5% 250 mL Flexible Container (2 port) (NDC 0409-7922-02) Available Other Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5% 250 mL VisIV Flexible Container (NDC 0409-7922-25) Available Other Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5% 500 mL Flexible Container (NDC 04097922-03) Available Other Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5% 500 mL Flexible Container (2 port) (NDC 0409-7922-55) Available Other Dextrose 5% Injection Bags 5/19/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5% 1000 mL Flexible Container (NDC 04097922-09) Available Other Dextrose Injection USP 70% 10/3/2014 Currently in Shortage B. Braun Medical Inc. (Revised 01/07/2016) 70% Dextrose 1000 mL glass bottle (NDC 0262-1290-55) Allocating product to current customers. Dextrose Injection USP 70% 10/3/2014 Currently in Shortage B. Braun Medical Inc. (Revised 01/07/2016) 70% Dextrose 2000 mL bags (NDC 02647387-50) Allocating product to current customers. Copyright© PerformRx, LLC 2016 All Rights Reserved 56 Date First Reported Name Status Company Presentation Availability Shortage Reason 2000 mL Viaflex plastic container. Pharmacy Bulk Package (NDC 03380719-06) Available for current customers. Increase demand of the drug Dextrose Injection USP 70% 10/3/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Dextrose Injection USP 70% 10/3/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2 L Flexible Container (NDC 0409-7120-07) Available Other Dextrose Injection USP 70% 10/3/2014 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 500 mL Flexible Container (NDC 04097918-19) Available Other 4/18/2014 Currently in Shortage Actavis Inc. (Revised 10/20/2015) Disopyramide phosphate 100 mg capsules bottle of 100 (NDC 00591-5560-01) Unavailable 4/18/2014 Currently in Shortage Actavis Inc. (Revised 10/20/2015) Disopyramide phosphate 150 mg capsules bottle of 100 (NDC 00591-5561-01) Unavailable 4/18/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 12/23/2015) Norpace CR 100 mg capsules; bottle of 100's (NDC 00252732-31) Available Other manufacturing delay 4/18/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 12/23/2015) Norpace CR 100 mg capsules; bottle of 500's (NDC 00252732-51) Available Other manufacturing delay 4/18/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 12/23/2015) Norpace CR 150 mg capsules; bottle of 100s (NDC 0025-274231) Available Other manufacturing delay 4/18/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 12/23/2015) Norpace CR 150 mg capsules; bottle of 500s (NDC 0025-274251) Available Other manufacturing delay 4/18/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 12/23/2015) Norpace 100mg capsules; bottle of 100 (NDC 0025-275231) Available Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Copyright© PerformRx, LLC 2016 All Rights Reserved 57 Name Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Disopyramide Phosphate (Norpace) Capsules Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Date First Reported Status Company Presentation Availability 4/18/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 12/23/2015) Norpace 150mg capsules; bottle of 100 (NDC 0025-276231) Available 4/18/2014 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) Disopyramide phosphate 100 mg capsules bottle of 100 (NDC 00093-3127-01) Available 4/18/2014 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) Disopyramide phosphate 150 mg capsules bottle of 100 (NDC 00093-3129-01) Available 12/2/2011 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 2 mg/mL 5 mL Single Dose Vial (NDC 63323883-05) Available Other 12/2/2011 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 2 mg/mL 10 mL Single Dose Vial (NDC 63323883-10) Available Other 12/2/2011 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 2 mg/mL 25 mL Single Dose Vial (NDC 63323883-30) Available Other 12/2/2011 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 2 mg/mL 100 mL Multi Dose Vial (NDC 63323-101-61) Available Other 12/2/2011 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 10mg vials; Lyophilized Powder (NDC 67457-478-10) Unavailable. Estimated Recovery: TBD Demand increase for the drug 12/2/2011 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 50mg vials; Lyophilized Powder (NDC 67457-436-50) Unavailable. Estimated Recovery: TBD Demand increase for the drug Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 10mg/5mL (2mg/mL) 5mL CYTOSAFE™ Single Use Vial 1's (NDC 00069-3030-20) Available Other 12/2/2011 Copyright© PerformRx, LLC 2016 All Rights Reserved Shortage Reason 58 Date First Reported Name Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Status Company Presentation Availability Shortage Reason Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 20mg/10mL (2mg/mL) 10mL CYTOSAFE™ Single Use Vial 1's (NDC 00069-3031-20) Available Other Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 50mg/25mL (2mg/mL) 25mL CYTOSAFE™ Single Use Vial 1's (NDC 00069-3032-20) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 150mg/75mL (2mg/mL) 75mL CYTOSAFE™ Multi Dose Vial 1's (NDC 00069-3033-20) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 200mg/100mL Vial 1's (NDC 00069-3034-20) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Available Other Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 50mg/25 mL (2mg/mL) 25 mL Single Use Cytosafe® Vial 1's for Novaplus® (NDC 00069-4032-01) Available Other Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 50mg/25 mL (2mg/mL) 25 mL Single Use Cytosafe® Vial 1's for PREMIERPro™ Rx (NDC 00069-4026-25) Available Other 12/2/2011 12/2/2011 12/2/2011 12/2/2011 Copyright© PerformRx, LLC 2016 All Rights Reserved Doxorubicin 10mg/5mL (2mg/mL) 5 mL Single Use Cytosafe® Vial 1's for Novaplus® (NDC 00069-4030-01) Doxorubicin 10mg/5mL (2mg/mL) 5 mL Single Use Cytosafe® Vial 1's for PREMIERPro™ Rx (NDC 00069-4004-05) 59 Date First Reported Name Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Status Company Presentation Availability Shortage Reason Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Doxorubicin 20mg/10 mL (2mg/mL) 10 mL Single Use Cytosafe® Vial 1's for Novaplus® (NDC 00069-4031-01) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Available Other 12/2/2011 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Available Other 12/2/2011 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 2 mg per mL / 5mL vial (NDC 25021-20705) Available Demand increase for the drug 12/2/2011 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 2 mg per mL / 25mL vial (NDC 25021-20725) Available Demand increase for the drug 12/2/2011 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 2 mg per mL / 100mL vial (NDC 25021-20751) Available Demand increase for the drug 12/2/2011 Copyright© PerformRx, LLC 2016 All Rights Reserved Doxorubicin 20mg/10 mL (2mg/mL) 10 mL Single Use Cytosafe® Vial 1's for PREMIERPro™ Rx (NDC 00069-4015-10) Doxorubicin 150mg/75 mL (2mg/mL) 75 mL Multidose Cytosafe® Vial 1's for Novaplus® (NDC 00069-4033-01) Doxorubicin 200mg/100 mL (2mg/mL) 100 mL Multidose Cytosafe® Vial 1's for Novaplus® (NDC 00069-4034-01) Doxorubicin 200mg/100 mL (2mg/mL) 100 mL Multidose Cytosafe® Vial 1's for PREMIERPro™ Rx (NDC 00069-4037-01) 60 Name Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Doxorubicin (Adriamycin) Injection Epinephrine Injection Epinephrine Injection Epinephrine Injection Date First Reported Status Company Presentation Availability Shortage Reason 12/2/2011 Currently in Shortage Sun Pharmaceutical Industries Inc. (New 03/13/2015) 2 mg/mL 25 mL vial (NDC 62756-0826-40) Available Other 12/2/2011 Currently in Shortage Sun Pharmaceutical Industries Inc. (New 03/13/2015) 2 mg/mL 100 mL vial (NDC 62756-0827-40) Available Other 12/2/2011 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 2 mg/mL 5 mL vial (NDC 00703-5043-03) Product is currently available. Pending 12/2/2011 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 2 mg/mL 25 mL vial (NDC 00703-5046-01) Product is currently available. Pending 12/2/2011 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 2 mg/mL 100 mL vial (NDC 00703-5040-01) Product is currently available. Pending 4/27/2012 Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 30 mL vial package of 5 (NDC 00517-113005) Unavailable Other Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 1 mg/mL 1 mL ampule preservative free sulfite-freepackage of 25 (NDC 00517-107125) Unavailable Product on backorder and will be made available as it is released. Other Currently in Shortage Amphastar Pharmaceuticals Inc./IMS (Reverified 03/15/2016) Epinephrine Inj. USP 1mg/mL 30mL vial (NDC 76329-9061-00) Product available Demand increase for the drug 4/27/2012 4/27/2012 Copyright© PerformRx, LLC 2016 All Rights Reserved 61 Date First Reported Status Company Presentation Availability Shortage Reason 4/27/2012 Currently in Shortage Amphastar Pharmaceuticals Inc./IMS (Reverified 03/15/2016) 1:10000 10mL LuerJet Prefilled Syringe(NDC 763293316-1)(old NDC 0548-3316-00) Amphastar will regularly release products. Demand increase for the drug Epinephrine Injection 4/27/2012 Currently in Shortage BPI Labs LLC (Revised 01/12/2016) 1 mg/mL 1 mL ampule preservative-free sulfite-free (NDC 54288-103-10) Available Epinephrine Injection 4/27/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1 mg/mL 1 mL ampule (NDC 0409-7241-01) Available Other Epinephrine Injection 4/27/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1:10000; 10 mL Abboject-1 ½ “ needle (NDC 0409-4921-34) Next delivery: April 2016; Estimated recovery: 2Q 2016 Other Epinephrine Injection 4/27/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1:10000; 10 mL Abboject-3 ½ “ needle (NDC 0409-4901-18) Next delivery: TBD; Estimated recovery: TBD Demand increase for the drug 4/27/2012 Currently in Shortage Par Pharmaceutical (Revised 01/12/2016) Available Available 4/27/2012 Currently in Shortage Par Pharmaceutical (Revised 01/12/2016) Available Available 12/18/2015 Currently in Shortage Aurobindo Pharma (Reverified 01/15/2016) 100-mL vials containing 75 mg of Eptifibatide (NDC 55150-218-99) Check wholesalers for availability. Other 12/18/2015 Currently in Shortage Aurobindo Pharma (Reverified 01/15/2016) 100-mL vials containing 200 mg of Eptifibatide (NDC 55150-220-99) Check wholesalers for availability. Other 12/18/2015 Currently in Shortage Aurobindo Pharma (Reverified 01/15/2016) 10-mL vials containing 20 mg of Eptifibatide (NDC 55150-219-10) Check wholesalers for availability. Other Name Epinephrine Injection Epinephrine Injection Epinephrine Injection Eptifibatide (Integrilin) Injection Eptifibatide (Integrilin) Injection Eptifibatide (Integrilin) Injection Copyright© PerformRx, LLC 2016 All Rights Reserved Adrenalin® (epinephrine injection USP) 1 mg/mL 1 mL vial pack of 25 (NDC 42023-159-25) Adrenalin® (epinephrine injection USP) 1 mg/mL 30 mL vial pack of 1 (NDC 42023-168-01) 62 Date First Reported Name Eptifibatide (Integrilin) Injection Eptifibatide (Integrilin) Injection 12/18/2015 12/18/2015 Status Company Presentation Availability Shortage Reason Currently in Shortage Merck Sharp & Dohme Corp. (New 12/18/2015) 10-mL vials containing 20 mg of Eptifibatide (NDC 0085-1177-01) Limited inventory is available. Inventory will be re-supplied periodically. Other Currently in Shortage Merck Sharp & Dohme Corp. (New 12/18/2015) 100-mL vials containing 75 mg of Eptifibatide (NDC 0085-1136-01) Limited inventory is available. Inventory will be re-supplied periodically. Other Limited inventory is available. Inventory will be re-supplied periodically. Other Eptifibatide (Integrilin) Injection 12/18/2015 Currently in Shortage Merck Sharp & Dohme Corp. (New 12/18/2015) 100-mL vials containing 200 mg of Eptifibatide (NDC 0085-1177-02) Ethiodized Oil (Lipiodol) Injection 6/24/2015 Currently in Shortage Guerbet LLC (New 06/24/2015) Box of one 10 mL ampoule (NDC 676841901-1) Unavailable Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 2 mL ampule 10 pack (NDC 17478-0030-02) Readily Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 2 mL ampule; 25 pack (NDC 17478-0030-25) Readily Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 5 mL ampule 10 pack (NDC 17478-0030-05) Readily Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 20 mL ampule (NDC 17478-0030-20) Readily Available Other Copyright© PerformRx, LLC 2016 All Rights Reserved 63 Date First Reported Status Company Presentation Availability Shortage Reason Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 5 mL ampule 25 pack (NDC 17478-0030-55) Readily Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 2 mL Carpuject (NDC 04091276-32) Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 2 mL amp (NDC 0409-909332) Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 5 mL amp (NDC 0409-909335) Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 20 mL amp (NDC 0409-909338) Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 2 mL vial (NDC 0409-9094-22) Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 5 mL vial (NDC 0409-9094-25) Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 10 mL vial (NDC 0409-909428) Available Other Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 20 mL vial (NDC 0409-909431) Available Releasing product consistently Demand increase for the drug Fentanyl Citrate (Sublimaze) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 0.05 mg/mL; 50 mL vial (NDC 0409-909461) Available Releasing product consistently Demand increase for the drug Fentanyl Citrate (Sublimaze) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 2 mL ampul (NDC 06416024-10) Inventory available Demand increase for the drug Name Copyright© PerformRx, LLC 2016 All Rights Reserved 64 Date First Reported Status Company Presentation Availability Shortage Reason Fentanyl Citrate (Sublimaze) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 5 mL ampul (NDC 06416025-10) Inventory available Demand increase for the drug Fentanyl Citrate (Sublimaze) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 20 mL ampul (NDC 06416026-05) This presentation is temporarily on backorder. Demand increase for the drug Fentanyl Citrate (Sublimaze) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 2 mL vial(NDC 0641-602725) This presentation is temporarily on backorder. Demand increase for the drug Fentanyl Citrate (Sublimaze) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 5 mL vial(NDC 0641-602825) This presentation is temporarily on backorder. Regulatory delay Fentanyl Citrate (Sublimaze) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 20 mL vial (NDC 0641-6029-25) Inventory available Demand increase for the drug Fentanyl Citrate (Sublimaze) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 50 mL vial(NDC 0641-603001) Inventory available Demand increase for the drug Fomepizole Injection 3/18/2015 Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 1g/mL 1.5 ml vial (NDC 39822-0710-1; X-Gen label) Available for NDC 39822-0710-1. Shortage of an active ingredient. 3/18/2015 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 1g/mL 1.5 ml vial (NDC 67457-211-02) Available Demand increase for the drug 1g/mL 1.5 ml vial 1s (NDC 0781-3182-73; Sandoz label) Currently unavailable. Estimated recovery is TBD. Requirements related to complying with good manufacturing practices. Name Fomepizole Injection Fomepizole Injection 3/18/2015 Currently in Shortage Navinta LLC (New 03/18/2015) Copyright© PerformRx, LLC 2016 All Rights Reserved 65 Date First Reported Name Status Company Presentation Availability Shortage Reason Requirements related to complying with good manufacturing practices. Fomepizole Injection 3/18/2015 Currently in Shortage Navinta LLC (New 03/18/2015) 1g/mL 1.5 ml vial 4s (NDC 0781-3182-84; Sandoz label) Currently unavailable. Estimated recovery is TBD. Gemifloxacin Mesylate (Factive) Tablets 5/27/2015 Currently in Shortage LG Life Sciences Ltd. (Reverified 03/03/2016) 320mg 7 Tablets in 1 Blister Pack (NDC 44004-321-07) Estimated recovery to be determined. Other Gemifloxacin Mesylate (Factive) Tablets 5/27/2015 Currently in Shortage LG Life Sciences Ltd. (Reverified 03/03/2016) 320mg 5 Tablets in 1 Blister Pack (NDC 44004-321-05) Estimated recovery to be determined. Other 5/22/2015 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 250 mg/250 mg per vial single dose vial sterile powder (NDC 63323-349-25) Backordered. Next release anticipated April 2016. Demand increase for the drug 5/22/2015 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 500 mg/500 mg per vial single dose vial sterile powder (NDC 63323-322-25) Backordered. Next release anticipated April 2016. Demand increase for the drug 5/22/2015 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 500 mg/500 mg Single Dose Glass Fliptop Vial (NDC 0409-3507-01) Next delivery: Mid March 2016; Estimated recovery: 1Q 2016 Other 5/22/2015 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 250 mg/250 mg Single Dose Glass Fliptop Vial (NDC 0409-3508-01) Next delivery: Mid March 2016; Estimated recovery: 1Q 2016 Other Imipenem and Cilastatin for Injection USP Imipenem and Cilastatin for Injection USP Imipenem and Cilastatin for Injection USP Imipenem and Cilastatin for Injection USP Imipenem and Cilastatin for Injection USP Imipenem and Cilastatin for Injection USP 5/22/2015 5/22/2015 Currently in Shortage Merck Sharp & Dohme Corp. (Revised 08/03/2015) Currently in Shortage Merck Sharp & Dohme Corp. (Revised 08/03/2015) Copyright© PerformRx, LLC 2016 All Rights Reserved 250 mg imipenem equivalent and 250 mg cilastatin equivalent and 10 mg sodium bicarbonate as a buffer in trays of 25 vials (NDC 00063514-58) 500 mg imipenem equivalent and 500 mg cilastatin equivalent and 20 mg sodium bicarbonate as a buffer in trays of 25 vials (NDC 0006- Demand increase for the drug Limited inventory is available. Inventory will be resupplied periodically. Demand increase for the drug 66 Date First Reported Name Status Company Presentation Availability Shortage Reason Not available. Estimated recovery TBD Shortage of an active ingredient. Product currently available Requirements related to complying with good manufacturing practices. 3516-59) Indigotindisulfona te Sodium (Indigo Carmine) Injection L-Cysteine Hydrochloride Injection 6/20/2014 1/9/2015 Currently in Shortage Currently in Shortage Akorn Pharmaceuticals (Reverified 11/13/2015) Sandoz (Reverified 03/14/2016) 5 mL ampoule (NDC 17478-0508-01) 50 mg/mL 10x10 mL vial (NDC 66759-00402) Currently in Shortage Sandoz (Reverified 03/14/2016) 50 mg/mL 5x50 mL vial (NDC 66758-00502) Product currently available Requirements related to complying with good manufacturing practices Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 200 mg SDV (NDC 63323-710-50) Available Demand increase for the drug Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 500 mg SDV (NDC 63323-711-00) Product available on allocation. Manufacturing delay Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 50 mg vial (NDC 25021-813-10) Backordered Demand increase for the drug L-Cysteine Hydrochloride Injection 1/9/2015 Copyright© PerformRx, LLC 2016 All Rights Reserved 67 Date First Reported Status Company Presentation Availability Shortage Reason Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 100mg vial (NDC 25021-814-30) Available Demand increase for the drug Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 200mg vial (NDC 25021-815-30) Available Demand increase for the drug Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 350mg vial (NDC 25021-816-30) Available Demand increase for the drug Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 100mg/vial 20mL (NDC 0703-5140-01) Product is currently available. Regulatory delay Leucovorin Calcium Lyophilized Powder for Injection Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 350mg/vial 30mL (NDC 00703-5145-01) Product is currently available. Regulatory delay Leuprolide Acetate Injection Currently in Shortage Caraco (New ) 1 mg/0.2 ml (NDC 41616-0936-40) On intermittent backorder. Demand increase for the drug Leuprolide Acetate Injection Currently in Shortage Sandoz (Reverified 03/14/2016) 1 mg/0.2 ml (NDC 0781-4003-32) Product currently available Shortage of an active ingredient Leuprolide Acetate Injection Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 1 mg/0.2 ml (NDC 00703-4014-18) Teva expects to have product available Q1'18 Regulatory delay Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 1% 50 mL vial package of 25 (NDC 005170625-25) Unavailable-No product available for release. No plan to manufacture. Discontinuation of the manufacture of the drug Name Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Copyright© PerformRx, LLC 2016 All Rights Reserved 68 Date First Reported Name Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Status Company Presentation Availability Shortage Reason 2/22/2012 Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 2% 50 mL vial package of 25 (NDC 005170626-25) Unavailable-No product available for release. No plan to manufacture. Discontinuation of the manufacture of the drug 2/22/2012 Currently in Shortage Amphastar Pharmaceuticals Inc./IMS (Revised 03/15/2016) 2% 5mL Luer-Jet Prefilled Syringe (NDC 76329-3390-1)(old NDC 0548-3390-00) Product available Demand increase for the drug 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 1% 2 mL Ampoule (NDC 55150-158-22) Available Demand increase for the drug 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 1% 5 mL Ampoule (NDC 55150-159-74) Available demand increase for the drug 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 2% 2 mL Ampoule (NDC 55150-160-72) Available Demand increase for the drug 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 1% 2 mL Single Dose Vial (NDC 55150-16102) Available Demand increase for the drug 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 1% 5 mL Single Dose Vial (NDC 55150-16330) Available Demand increase for the drug 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 1% 30 mL Single Dose Vial (NDC 55150-16330) Available Demand increase for the drug 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 2% 2 mL Single Dose Vial (NDC 55150-16402) Available Demand increase for the drug Copyright© PerformRx, LLC 2016 All Rights Reserved 69 Name Lidocaine Hydrochloride (Xylocaine) Injection Date First Reported Status Company Presentation Availability Shortage Reason 2/22/2012 Currently in Shortage Aurobindo Pharma (Reverified 03/18/2014) 2% 5 mL Single Dose Vial (NDC 55150-16505) Available Demand increase for the drug Available Demand increase for the drug Available Demand increase for the drug Lidocaine 1.5% Xylocaine 1.5% - MPF injection 15 mg/mL 10 mL ampule (NDC 63323-0493-97) Lidocaine 1.5% Xylocaine 1.5% - MPF injection 15 mg/mL 20 mL ampule (NDC 63323-0493-91) Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Lidocaine 2% Lidocaine 2% injection 20 mg/mL 2 mL vial (NDC 63323-0202-02) Backordered. No release date available at this time. Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Lidocaine 2% injection 20 mg/mL 5 mL SD Tear Top vial preservative-free (NDC 63323-0208-05) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% injection 20 mg/mL 10 mL vial (NDC 63323-0486-17) Backordered. No release date available at this time. Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% injection 20 mg/mL 20 mL vial (NDC 63323-0486-27) Backordered. Next release anticipated April 2016. Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% injection 20 mg/mL 50 mL vial (NDC 63323-0486-57) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% injection 20 mg/mL 10 mL vial (NDC 63323-048610)discontinued Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Copyright© PerformRx, LLC 2016 All Rights Reserved Demand increase for the drug 70 Date First Reported Name Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Company Presentation 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% injection NDC discontinued 20 mg/mL 20 mL vial (NDC 63323-0486-20)NDC discontinued Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% injection 20 mg/mL 50 mL vial (NDC 63323-0486-50)NDC discontinued Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% - MPF injection 20 mg/mL 2 mL vial (NDC 633230495-27) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% - MPF injection 20 mg/mL 5 mL vial (NDC 633230495-07) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 2% - MPF injection 20 mg/mL 10 mL ampule (NDC 63323-0496-97) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Lidocaine 0.5% Xylocaine 0.5% injection 5 mg/mL 50 mL vial (NDC 633230484-57) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 0.5% - MPF injection APP 5 mg/mL 50 mL vial (NDC 63323-0491-57) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Lidocaine 1% Lidocaine 1% injection 10 mg/mL 2 mL vial (NDC 63323-0201-02) Backordered. No release date available at this time. Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Lidocaine 1% Lidocaine 1% injection 10 mg/mL 10 mL vial (NDC 63323-0201-10) Backordered. Next release date not available at this time. Demand increase for the drug Copyright© PerformRx, LLC 2016 All Rights Reserved Availability Shortage Reason Status 71 Date First Reported Status Company Presentation Availability Shortage Reason Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% injection 10 mg/mL 20 mL vial (NDC 63323-0485-27) Backordered. Next release anticipated March 2016. Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% injection 10 mg/mL 50 mL vial (NDC 63323-0485-57 Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% - MPF injection 10 mg/mL 2 mL vial (NDC 633230492-27) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% - MPF injection 10 mg/mL 2 mL glass ampule (NDC 63323-0492-80) Backordered. No release expectations at this time. Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% - MPF injection 10 mg/mL 5 mL glass ampule (NDC 63323-0492-89) Backordered. No release expectations at this time. Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% - MPF injection 10 mg/mL 5 mL vial (NDC 633230492-57) Available Demand increase for the drug 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% - MPF injection 10 mg/mL 30 mL vial (NDC 633230492-37) Backordered. Next release anticipated April 2016. Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) Xylocaine 1% - MPF injection 10 mg/mL 30 mL vial sterile pack (NDC 63323-0492-31) Available Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.5% w/EPI 1:100000; 1.8 mL Carpule (NDC 0409-0996-01) Estimated delivery and recovery: 2016 Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.5% w/EPI 1:200000; 50 mL vial (NDC 04093177-01) Available Other Name Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 72 Name Date First Reported Status Company Presentation Availability Shortage Reason Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1% w/EPI 1:100000; 20 mL vial (NDC 04093178-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1% w/EPI 1:100000; 30 mL vial (NDC 04093178-02) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1% w/EPI 1:100000; 50 mL vial (NDC 04093178-03) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1.5% w/EPI 1:200000; 5 mL amp (NDC 04091209-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1.5% w/EPI 1:200000; 30 mL amp (NDC 0409-3181-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2% w/EPI 1:100000; 20 mL vial (NDC 04093182-01) Available releasing product consistently Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2% w/EPI 1:100000; 30 mL vial (NDC 04093182-02) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2% w/EPI 1:100000; 50 mL vial (NDC 04093182-03) Available releasing product consistently Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2% w/EPI 1:200000; 20 mL vial (NDC 04093183-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2% w Epi 1:50000; 1.8mL syringe (NDC 0409-7263-01) Estimated delivery and recovery TBD Other Copyright© PerformRx, LLC 2016 All Rights Reserved 73 Name Date First Reported Status Company Presentation Availability Shortage Reason Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 5mL Ansyr Syringe (NDC 0409-9137-05) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1.5%; 20mL Sterile Pack Amp (NDC 04094056-01) Discontinued Discontinuation of the manufacture of the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 2 mL amp (NDC 0409-4713-32) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 20 mL vial (NDC 0409-4276-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 30 mL vial (NDC 0409-4279-02) Available releasing product consistently Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 50 mL vial (NDC 0409-4276-02) Available releasing product consistently Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 30 mL Sterile Pack vial (NDC 0409-427001) Next delivery & Estimated recovery TBD Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2%; 2 mL amp (NDC 0409-4282-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2%; 10 mL amp (NDC 0409-4282-02) Available Other Copyright© PerformRx, LLC 2016 All Rights Reserved 74 Date First Reported Name Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Status Company Presentation Availability Shortage Reason Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 5 mL Abboject syringe (NDC 04094904-34) Next delivery: Early May 2016; Estimated recovery: 2Q 2016. Other 2%; 5 mL Abboject syringe (NDC 04094903-34) Next delivery: Late April 2016; Estimated recovery: 2Q 2016. Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2%; 5 mL vial (NDC 0409-2066-05) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2%; 20 mL vial (NDC 0409-4277-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2%; 50 mL vial (NDC 0409-4277-02) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 4%; 5 mL amp (NDC 0409-4283-01) Available Other 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.4% in 5% Dex; 500mL flex (NDC 0409-7931-24) Discontinued Discontinuation of the manufacturer of the drug 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.4% in 5% Dex; 250mL flex (NDC 0409-7931-32) Discontinued Discontinuation of the manufacturer of the drug 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.8% in 5% Dex; 250mL flex (NDC 0409-7939-32) Discontinued Discontinuation of the manufacturer of the drug Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Lidocaine Hydrochloride (Xylocaine) Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 75 Name Date First Reported Status Company Presentation Availability Shortage Reason Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2%; 5mL Ansyr syringe (NDC 0409-1323-05) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.5%; 50 mL FT vial (NDC 0409-4275-01) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 5% w/7.5% Dex; 2mL amp (NDC 0409-471201) Available Other Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 0.5%; 50 mL TT vial (NDC 0409-4278-01) Available Releasing product consistently Demand increase for the drug Lidocaine Hydrochloride (Xylocaine) Injection 2/22/2012 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1%; 5 mL amp (NDC 0409-4713-02) Available Releasing product consistently Demand increase for the drug LifeCare PCA™ Sterile Empty Vial and Injector 12/14/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) LifeCare PCA Pump Accessory Next delivery and estimated recovery TBD Other Liotrix (Thyrolar) Tablets Currently in Shortage Forest Laboratories Inc. (Reverified 08/11/2015) Thyrolar-1/4 (NDC 0456-0040-01) Product currently unavailable; estimated duration: 1 year Shortage of an active ingredient Liotrix (Thyrolar) Tablets Currently in Shortage Forest Laboratories Inc. (Reverified 08/11/2015) Thyrolar-1/2 (NDC 0456-0045-01) Product currently unavailable; estimated duration: 1 year Shortage of an active ingredient Liotrix (Thyrolar) Tablets Currently in Shortage Forest Laboratories Inc. (Reverified 08/11/2015) Thyrolar-1 (NDC 04560050-01) Product currently unavailable; estimated duration: 1 year Shortage of an active ingredient Liotrix (Thyrolar) Tablets Currently in Shortage Forest Laboratories Inc. (Reverified 08/11/2015) Thyrolar-2 (NDC 04560055-01) Product currently unavailable; estimated duration: 1 year Shortage of an active ingredient Copyright© PerformRx, LLC 2016 All Rights Reserved 76 Date First Reported Name Liotrix (Thyrolar) Tablets Mecasermin [rDNA origin] (Increlex) Injection Meropenem for Injection USP 4/26/2012 8/25/2015 Status Company Presentation Availability Shortage Reason Currently in Shortage Forest Laboratories Inc. (Reverified 08/11/2015) Thyrolar-3 (NDC 04560060-01) Product currently unavailable; estimated duration: 1 year Shortage of an active ingredient Currently in Shortage Ipsen Biopharmaceutica ls Inc. (Revised 10/19/2015) INCRELEX(mecasermi n [rDNA origin] injection) 10 mg/mL(NDC-150541040-5) Limited supply available. Shortage of an active ingredient 500 mg/20mL (NDC 0310-0325-20) Limited stock available in September; shortage duration 4Q 2015 Demand increase for the drug Demand increase for the drug Currently in Shortage AstraZeneca (New 09/09/2015) Meropenem for Injection USP 8/25/2015 Currently in Shortage AstraZeneca (New 09/09/2015) 1 gm/30mL (NDC 0310-0321-30) Limited stock available in September; shortage duration 4Q 2015 Meropenem for Injection USP 8/25/2015 Currently in Shortage B. Braun Medical Inc. (New 12/18/2015) 500 mg Meropenem 50 mL (NDC 02643183-11) Product available under allocation Demand increase for the drug Meropenem for Injection USP 8/25/2015 Currently in Shortage B. Braun Medical Inc. (New 12/18/2015) 1 gram Meropenem 50 mL (NDC 02643185-11) Product available under allocation Demand increase for the drug 8/25/2015 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 500 mg SDV (NDC 63323-507-20) Available Demand increase for the drug Meropenem for Injection USP 8/25/2015 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1 g SDV (NDC 63323508-30) Available Demand increase for the drug Meropenem for Injection USP 8/25/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 500 mg Single Dose Glass Fliptop Vial (NDC 0409-3505-01) Available Other Meropenem for Injection USP 8/25/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 1g Single Dose Glass Fliptop Vial (NDC 0409-3506-01) Available Other Meropenem for Injection USP Copyright© PerformRx, LLC 2016 All Rights Reserved 77 Date First Reported Status Company Presentation Availability Shortage Reason Methyldopate Hydrochloride Injection Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 50 mg/mL 5 mL vial 10s (NDC 00517-890510) Unavailable-No product available for release. No plan to manufacture Shortage of an active ingredient Methylprednisolo ne Sodium Succinate for Injection USP 3/10/2016 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 40 mg Single Dose Vial (NDC 63323-255-03) Backordered. Next release anticipated late April 2016. Demand increase for the drug 3/10/2016 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 125 mg Single Dose Vial (NDC 63323-25803) Backordered. Next release anticipated late April 2016. Demand increase for the drug 3/10/2016 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1 g Single Dose Vial (NDC 63323-265-30) Available Demand increase for the drug Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection Rx 40 mg 1 mL ACT-O-VIAL® (NDC 0009-0039-28) Weekly shipments with full recovery projected beginning July 2016 Manufacturing delay Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection Rx 125 mg 2 mL ACT-O-VIAL® (NDC 0009-0047-22) Weekly shipments with full recovery projected beginning July 2016 Manufacturing delay Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection Rx 500 mg 4 mL ACT-O-VIAL® (NDC 0009-0003-02) Available Name Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP 3/10/2016 3/10/2016 3/10/2016 Currently in Shortage Currently in Shortage Currently in Shortage Copyright© PerformRx, LLC 2016 All Rights Reserved 78 Date First Reported Name Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP Methylprednisolo ne Sodium Succinate for Injection USP 3/10/2016 3/10/2016 3/10/2016 3/10/2016 3/10/2016 Status Currently in Shortage Currently in Shortage Currently in Shortage Currently in Shortage Currently in Shortage Company Presentation Availability Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection Rx 1 gm 8 mL ACT-O-VIAL® (NDC 0009-0758-01) Available Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection Rx 1 gm 8 mL ACT-O-VIAL® (NDC 0009-0018-20) Available Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection Rx 1 gm 16 mL Vial (NDC 00090698-01) Available Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection Rx 2 gm Vial w/Diluent (NDC 0009-0796-01) Available Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection for NovaPlus® Rx 40 mg 1 mL ACT-O-VIAL (NDC 0009-0039-32) Available Copyright© PerformRx, LLC 2016 All Rights Reserved Shortage Reason 79 Date First Reported Name Status Company Presentation Availability Available Shortage Reason 3/10/2016 Currently in Shortage Pfizer Pharmaceuticals (New 03/10/2016) Solu-Medrol® (methylprednisolone sodium succinate USP) Sterile Powder for Injection for NovaPlus® Rx 125 mg 2 mL ACT-O-VIAL® (NDC 0009-0047-26) 12/14/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 1 mg/mL; 30 mg/30 mL PCA Glass Vial (without injector) (NDC 0409-2029-02) Next delivery and estimated recovery: No ETA at this time Other 12/14/2015 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 5 mg/mL; 150 mg/30 mL PCA Glass Vial (without injector) (NDC 0409-6028-04) Next delivery and estimated recovery: No ETA at this time Other Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) INFUVITE Pediatric Multiple Vitamins for Injection. Single Dose package. (NDC 546435646-1) Available Demand increase for drug Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Available Demand increase for drug Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Available Demand increase for drug Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Available Demand increase for drug Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Hospira Inc. (Reverified 03/22/2016) MVI-12 Adult; 10 mL vial (NDC 0409-42381) TBD Other Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Hospira Inc. (Reverified 03/22/2016) MVI-12 Adult; 2x50 mL PBP (NDC 0409423-83) Next delivery and estimated recovery: TBD Other Methylprednisolo ne Sodium Succinate for Injection USP Morphine Sulfate Injection USP CII (PreservativeFree)(For PCA Use Only) Morphine Sulfate Injection USP CII (PreservativeFree)(For PCA Use Only) Multi-Vitamin Infusion (Adult and Pediatric) Copyright© PerformRx, LLC 2016 All Rights Reserved INFUVITE Adult Multiple Vitamins for Injection. Single dose package. (NDC 546435649-1) INFUVITE Adult Multiple Vitamins for Injection. Bulk package. (NDC 546435650-2) INFUVITE Pediatric Multiple Vitamins for Injection. Bulk package. (NDC 546435647-0) 80 Date First Reported Status Company Presentation Availability Shortage Reason Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Hospira Inc. (Reverified 03/22/2016) MVI Adult; 10 mL vial (NDC 0409-422-81) TBD Other Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Hospira Inc. (Reverified 03/22/2016) MVI Adult; 2x5 mL (NDC 0409-422-82) Available Other Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Hospira Inc. (Reverified 03/22/2016) MVI Adult 2x50 mL PBP (NDC 0409-42283) Available Other Multi-Vitamin Infusion (Adult and Pediatric) Currently in Shortage Hospira Inc. (Reverified 03/22/2016) MVI Pediatric; 5 mL vial (NDC 0409-42153) Available Other No supply currently available.Resupply expected no earlier than March 2016 Requirements related to complying with good manufacturing practices Name Mupirocin Calcium Nasal Ointment Nimodipine (Nymalize) Oral Solution Nimodipine (Nymalize) Oral Solution Peritoneal Dialysis Solutions Peritoneal Dialysis Solutions 10/14/2015 Currently in Shortage GlaxoSmithKline (New 10/14/2015) 2% Nasal Ointment1 gram tubePackage of 10(NDC# 0029152611) 6/2/2015 Currently in Shortage Arbor Pharmaceuticals (Revised 11/03/2015) 60mg/20mL 20 mL unit-dose cups (NDC 24338-200-20) Available Shortage of an active ingredient 6/2/2015 Currently in Shortage Arbor Pharmaceuticals (Revised 11/03/2015) 60mg/20mL 16 oz bottles (NDC 24338200-16) Available Shortage of an active ingredient Available to current customers by allocation. Please see link. Demand increase for the drug Available. Please see link. Demand increase for the drug 8/8/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 8/8/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Copyright© PerformRx, LLC 2016 All Rights Reserved Peritoneal Dialysis Solutions for Automated Peritoneal Dialysis (APD) therapy (Dianeal and Extraneal) Peritoneal Dialysis Solutions for Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy (Dianeal and Extraneal) 81 Date First Reported Status Company Presentation Availability Shortage Reason Peritoneal Dialysis Solutions 8/8/2014 Currently in Shortage Fresenius Medical Care North America (New 08/08/2014) Peritoneal Dialysis Solutions (Delflex and Stay Safe) Available Other Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Apotex Corp. (Reverified 03/25/2016) 2.25 gm/vial (10 Vials) (NDC 60505-0686-4) On backorder Demand increase in the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Apotex Corp. (Reverified 03/25/2016) 3.75 gm/vial (10 Vials) (NDC 60505-0687-4) On backorder Demand increase in the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Apotex Corp. (Reverified 03/25/2016) 4.5 gm/vial (10 Vials) (NDC 60505-0688-4) On backorder Demand increase in the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Apotex Corp. (Reverified 03/25/2016) 40.5 gm/vial (NDC 60505-0773-0) On backorder Demand increase in the drug 2.25 g SDV Cartons of 10 (NDC 55150-11930) On intermittent back order; the company is releasing product as it becomes available. Other 3.375 g SDV Cartons of 10 (NDC 55150120-30) On intermittent back order; the company is releasing product as it becomes available. Other 4.5 g SDV Cartons of 10 (NDC 55150-12150) On intermittent back order; the company is releasing product as it becomes available. Other 2.25 g single-dose vial (NDC 63323-309-20) Backordered. Increasing manufacturing and shipping upon release. Demand increase for the drug Name Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 4/2/2014 4/2/2014 4/2/2014 Currently in Shortage Currently in Shortage Aurobindo Pharma (Revised 01/20/2015) Aurobindo Pharma (Revised 01/20/2015) Currently in Shortage Aurobindo Pharma (Revised 01/20/2015) Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) Copyright© PerformRx, LLC 2016 All Rights Reserved 82 Date First Reported Name Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 4/2/2014 Status Company Presentation Availability Shortage Reason Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 3.375 g single-dose vial (NDC 63323-30030) Backordered. Increasing manufacturing and shipping upon release. Demand increase for the drug Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 4.5 g single-dose vial (NDC 63323-320-50) Backordered. Increasing manufacturing and shipping upon release. Demand increase for the drug 40.5 g PBP (NDC 63323-304-74) Backordered. Increasing manufacturing and shipping upon release. Demand increase for the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2.25 g Add-Vantage Vial (NDC 0409-337402) Available releasing product consistently Demand increase for the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 3.375 g; Add-Vantage Vial (NDC 0409-337813) Available releasing product consistently Demand increase for the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 4.5 g; Add-Vantage Vial (NDC 0409-337904) Available releasing product consistently Demand increase for the drug Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2.25 g; Vial (NDC 0409-3383-02) Next delivery: Early May 2016 and Estimated recovery Late 3Q 2016 Demand increase for the drug 3.375 g; Vial (NDC 0409-3385-13) Next delivery: Early April 2016 and Estimated recovery Late 3Q 2016 Demand increase for the drug 4.5 g; Vial (NDC 04093390-04) Available releasing product consistently Demand increase for the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Copyright© PerformRx, LLC 2016 All Rights Reserved 83 Name Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Piperacillin and Tazobactam (Zosyn) Injection Date First Reported Status Company Presentation Availability Shortage Reason 4/2/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 3.375 g Pkg of 10 (NDC 67457-522-37) Available Demand increase for the drug 4/2/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Zosyn 2.25/50mL Frozen Bag 24's (NDC 0206-8860-02) Available 4/2/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Zosyn 3.375/50mL Frozen Bags 24's (NDC 0206-8861-02) Available 4/2/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Zosyn 4.5/100mL Frozen Bags 12's (NDC 0206-8862-02) Available 4/2/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Zosyn 2.25g 10's (NDC 0206-8852-16) Unavailable Manufacturing Delays 4/2/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Zosyn 3.375g 10's (NDC 0206-8854-16) Unavailable Manufacturing Delays 4/2/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Zosyn 4.5g 10's (NDC 0206-8855-16) Unavailable Manufacturing Delays 4/2/2014 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Zosyn 40.5g Pharm Bulk 1's (NDC 02068859-10) Unavailable Sourcing Change 4/2/2014 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 2.25mg 30mL vial (NDC 25021-164-30) Backordered Demand increase for the drug 4/2/2014 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 3.375g 30mL vial (NDC 25021-165-30) Backordered Demand increase for the drug Copyright© PerformRx, LLC 2016 All Rights Reserved Increased market demand and capacity constraint Increased market demand and capacity constraint Increased market demand and capacity constraint 84 Date First Reported Status Company Presentation Availability Shortage Reason Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 4.5g 48mL vial (NDC 25021-166-48) Backordered Demand increase for the drug Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 4.5g (NDC 007813114-95) No more supply from this vendor Other Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 3.75g (NDC 007813113-95) No more supply from this vendor Other Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 2025g (NDC 007813110-95) Stock sold out. No more supply from this vendor. Other Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage Sandoz (Reverified 03/14/2016) 3.75g (NDC 007813350-95) Supply in house. Other Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage WG Critical Care (Revised 01/28/2016) 2.25g (NDC 445670801-10) Product on backorder Increased demand for the product. Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage WG Critical Care (Revised 01/28/2016) 3.375g (NDC 445670802-10) Product on backorder Increased demand for the product. Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage WG Critical Care (Revised 01/28/2016) 4.5g (NDC 445670803-10) Product on backorder Increased demand for the product. Piperacillin and Tazobactam (Zosyn) Injection 4/2/2014 Currently in Shortage WG Critical Care (Revised 01/28/2016) 40.5g (NDC 445670804-01) Product on backorder Increased demand for the product. Currently in Shortage Exela Pharma Sciences LLC (New 03/01/2016) 2 mEq/mL; 40 mEq/20 mL Single Dose Fliptop Vial (NDC 517542001-4) Available; product will be released regularly and manufacturing is on-going. Demand increase for the drug Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2 mEq/mL; 100 mEq/50 mL Pharmacy Bulk Package Glass Fliptop Vial (NDC 0409-3294-51) Available releasing product consistently Demand increase for the drug Name Potassium Acetate Injection USP Potassium Acetate Injection USP 2/3/2016 2/3/2016 Copyright© PerformRx, LLC 2016 All Rights Reserved 85 Date First Reported Status Company Presentation Availability Shortage Reason Potassium Acetate Injection USP 2/3/2016 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2 mEq/mL; 40 mEq/20 mL Single Dose Plastic Fliptop Vial (NDC 0409-8183-01) Available releasing product consistently Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage B. Braun Medical Inc. (Revised 01/07/2016) KCl 2 mEq/mL 250 mL bulk package (NDC 00264-1940-20) Allocating product to current customers Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 10 mEq/100 mL in sterile water (NDC 00338-0709-48) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/100 mL in sterile water (NDC 00338-0705-48) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 40 mEq/100 mL in sterile water (NDC 00338-0703-48) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/50 mL in sterile water (NDC 00338-0703-41) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 10 mEq/50 mL in sterile water (NDC 00338-0705-41) Available Demand increase for the drug 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/1000 mL in lactated ringers and dextrose 5% (NDC 00338-0811-04) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/1000 mL in 5% dextrose and 0.9% sodium chloride (NDC 00338-0803-04) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/1000 mL in 0.9% sodium chloride (NDC 00338-0691-04) Available Name Potassium Chloride Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 86 Date First Reported Name Status Company Presentation Availability 40 mEq/1000 mL in 5% dextrose and 0.45% sodium chloride (NDC 003380675-04) Available Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/1000 mL in 5% dextrose (NDC 00338-0683-04) Available Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 40 mEq/1000 mL in 0.9% sodium chloride (NDC 00338-0695-04) Available 20 mEq/1000 mL in 5% dextrose and 0.45% sodium chloride (NDC 003380671-04) 20 mEq/L in 5% dextrose and 0.45% sodium chloride 500 mL (NDC 00338-067103) Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/1000 mL in 0.45% sodium chloride (NDC 003380704-34) Available 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 40 mEq/1000 mL in 5% dextrose and 0.9% sodium chloride (NDC 00338-0807-04) Available 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/L in 5% dextrose and 0.2% sodium chloride 500 mL (NDC 00338-066303) Available 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 20 mEq/1000 mL in 5% dextrose and 0.2% sodium chloride (NDC 00338-0663-04) Available Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 10 mEq/1000 mL in 5% dextrose and 0.45% sodium chloride (NDC 003380669-04) Available Potassium Chloride Injection Potassium Chloride Injection Potassium Chloride Injection Potassium Chloride Injection Potassium Chloride Injection 5/15/2012 Copyright© PerformRx, LLC 2016 All Rights Reserved Shortage Reason Available Available 87 Date First Reported Name Status Company Presentation Availability 30 mEq/1000 mL in 5% dextrose and 0.45% sodium chloride (NDC 003380673-04) Available Shortage Reason Potassium Chloride Injection 5/15/2012 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Potassium Chloride Injection 5/15/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 2 mEq/mL 5 mL vials (NDC 63323-0965-05) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 2 mEq/mL 10 mL vials (NDC 63323-0965-10) Backordered. Next release anticipated May 2016. Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 2 mEq/mL 15 mL vials (NDC 63323-0965-15) Unavailable Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 2 mEq/mL 20 mL vials (NDC 63323-0965-20) Backordered. Next release anticipated March 2016. Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 2 mEq/mL 30 mL vials (NDC 63323-0967-30) Available Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2 mEq/mL; 250 mL bottle (NDC 04091513-02) Next delivery & Estimated recovery: No ETA at this time Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2 mEq/mL; 15 mL vial (NDC 0409-6636-01) Next delivery and estimated recovery TBD Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2 mEq/mL; 20 mL vial (NDC 0409-6651-06) Available releasing product consistently Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 2 mEq/mL; 20 mL vial (NDC 0409-6653-05) Available releasing product consistently Demand increase for the drug Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 10 mEq/100 mL (NDC 0409-7074-26) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 10 mEq/50 mL (NDC 0409-7075-14) Available Other Copyright© PerformRx, LLC 2016 All Rights Reserved 88 Name Date First Reported Status Company Presentation Availability Shortage Reason Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/100 mL (NDC 0409-7075-26) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/50 mL (NDC 0409-7077-14) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 40 mEq/100 mL (NDC 0409-7077-26) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 40 mEq/1000 mL (NDC 0409-7116-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/1000 mL in 0.9% NaCl (NDC 04097115-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/1000 mL in 5% dextrose (NDC 0409-7905-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/1000 mL in 5% Dex/Lact Ringers (NDC 0409-7111-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 10 mEq/500 mL in 5% dex & 0.225% NaCl(NDC 0409-790103) Next delivery & Estimated recovery: No ETA at this time Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 10 mEq/ 500 mL in 5% dex 0.45% NaCl(NDC 0409-7902-03) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/1000 mL in 5% dex& 0.225% NaCl(NDC 0409-790109) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/1000 mL in 5% dex& 0.45% NaCl (NDC 0409-7902-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 30 mEq/1000 mL in 5% dex& 0.45% NaCl (NDC 0409-7903-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 40 mEq/1000 mL in 5% dex& 0.45% NaCl (NDC 0409-7904-09) Available Other Copyright© PerformRx, LLC 2016 All Rights Reserved 89 Name Date First Reported Status Company Presentation Availability Shortage Reason Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 10 mEq/1000 mL in 5% dex & 0.45% NaCl (NDC 0409-7993-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 20 mEq/1000 mL in 5% dex & 0.9% NaCl (NDC 0409-7107-09) Available Other Potassium Chloride Injection 5/15/2012 Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 40 mEq/1000 mL in 5% dex & 0.9% NaCl (NDC 0409-7109-09) Available Other Reserpine Tablets Reserpine Tablets Reserpine Tablets Reserpine Tablets Sacrosidase (Sucraid) Oral Solution 4/17/2013 Currently in Shortage Sandoz (Reverified 03/14/2016) 0.25 mg 100s (NDC 0185-0134-01) currently unavailable estimated recovery TBD. 4/17/2013 Currently in Shortage Sandoz (Reverified 03/14/2016) 0.25 mg 1000s (NDC 0185-0134-10) currently unavailable estimated recovery TBD. 4/17/2013 Currently in Shortage Sandoz (Reverified 03/14/2016) 0.1 mg 100s (NDC 0185-0032-01) currently unavailable estimated recovery TBD. 4/17/2013 Currently in Shortage Sandoz (Reverified 03/14/2016) 0.1 mg 1000s (NDC 0185-0032-10) currently unavailable estimated recovery TBD. 8500 I.U./mL 118 mL per bottle 2 bottles/pack (NDC 67871-111-04) Limited supply available during estimated shortage from the end of July 2015 until the end of October 2015. 7/9/2015 Currently in Shortage QOL Medical LLC (New 07/09/2015) Copyright© PerformRx, LLC 2016 All Rights Reserved API and Raw Material changes. required changes currently in process API and Raw Material changes. required changes currently in process API and Raw Material changes. required changes currently in process API and Raw Material changes. required changes currently in process Requirements related to complying with good manufacturing practices. 90 Name Date First Reported Status Company Presentation Availability Shortage Reason Sodium Acetate Injection USP 2/3/2016 Currently in Shortage Fresenius Kabi USA LLC (New 03/23/2016) 32.8% 400 mEq 100mL PBP (NDC 63323-0032-61) Available Demand increase for the drug Available releasing product consistently Demand increase for the drug Available releasing product consistently Demand increase for the drug Available releasing product consistently Demand increase for the drug Amphastar will regularly release products. Demand increase for the drug Available Other Next delivery: Mid May 2016; Estimated recovery: 2Q 2016 Other Next delivery: Early May 2016; Estimated recovery: 2Q 2016 Other Sodium Acetate Injection USP 2/3/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Sodium Acetate Injection USP 2/3/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Sodium Acetate Injection USP 2/3/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Currently in Shortage Amphastar Pharmaceuticals Inc./IMS (Reverified 03/15/2016) Sodium Bicarbonate Injection USP Sodium Bicarbonate Injection USP Sodium Bicarbonate Injection USP Sodium Bicarbonate Injection USP 2/4/2016 2/4/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2/4/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 2/4/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Copyright© PerformRx, LLC 2016 All Rights Reserved 2 mEq/mL; 100 mEq/50 mL Pharmacy Bulk Package Glass Fliptop Vial (NDC 0409-3299-05) 2 mEq/mL; 200 mEq/100 mL Pharmacy Bulk Package Glass Fliptop Vial (NDC 0409-329906) 2 mEq/mL; 40 mEq/20 mL Single Dose Plastic Fliptop Vial (NDC 0409-7299-73) Sodium Bicarbonate Inj. USP 8.4% 50mL Luer-Jet Prefilled Syringe (NDC 05483352-00) (new NDC 76329-3352-1) [Neut™ (Sodium Bicarbonate Additive Solution)] 4% (200mg/5mL) Single Dose Glass Fliptop Vial (NDC 0409-6609-02) (Infant) 4.2% (0.5 mEq/mL); 5 mEq/10 mL LifeShield™ Abboject™ Glass Syringe with Male Luer Lock Adapter and 20-Gauge protected needle (NDC 04095534-34) 7.5% (0.9 mEq/mL); 44.6 mEq/50 mL LifeShield™ Abboject™ Glass Syringe with Male Luer Lock Adapter and 18-Gauge protected needle (NDC 04094916-34) 91 Name Sodium Bicarbonate Injection USP Sodium Bicarbonate Injection USP Date First Reported Status Company Presentation Availability Shortage Reason 2/4/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 8.4% (1 mEq/mL); 50 mEq/50 mL Single Dose Glass Fliptop Vial (NDC 0409-6625-02) Available releasing product consistently Demand increase for the drug Next delivery: Early April Estimated recovery: 2Q 2016 Other Next delivery: April Estimated recovery: 2Q 2016 Other 8.4% (1 mEq/mL); 50 mEq/50 mL LifeShield™ Abboject™ Glass Syringe (18 G x 1 1/2)(NDC 0409-663734) (Pediatric) 8.4% (1 mEq/mL); 10 mEq/10 mL LifeShield™ Abboject™ Glass Syringe with Male Luer Lock Adapter and 20-Gauge protected needle (NDC 04094900-34) 2/4/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Sodium Bicarbonate Injection USP 2/4/2016 Currently in Shortage Hospira Inc. (Revised 03/22/2016) Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage B. Braun Medical Inc. (Revised 06/18/2015) 0.9% NaCl 250mL bag PVC/DEHP-free (NDC 00264-7800-20) Intermittent interruptions in supply Demand increase for the drug Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage B. Braun Medical Inc. (Revised 06/18/2015) 0.9% NaCl 500mL bag PVC/DEHP-free (NDC 00264-7800-10) Intermittent interruptions in supply Demand increase for the drug Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage B. Braun Medical Inc. (Revised 06/18/2015) 0.9% NaCl 1000mL bag PVC/DEHP-free (NDC 00264-7800-00) Intermittent interruptions in supply Demand increase for the drug B. Braun Medical Inc. (Revised 06/18/2015) Sodium Chloride 0.9% w/v Intravenous Infusion BP in the Ecoflac® plus container sizes: 500 mL (NDC 0264-999910) Available Available Baxter Healthcare (Reverified 03/25/2016) Sodium Chloride 0.9% w/v Intravenous Infusion in Viaflo® Non-PVC Containers (UK/ English label) Viaflo® container sizes: 250 mL (NDC 0338-9542-01) Product code FE1322 Available for current customers. Other Sodium Chloride 0.9% Injection Bags Sodium Chloride 0.9% Injection Bags 1/15/2014 1/15/2014 Currently in Shortage Currently in Shortage Copyright© PerformRx, LLC 2016 All Rights Reserved 92 Date First Reported Name Sodium Chloride 0.9% Injection Bags 1/15/2014 Company Presentation Availability Shortage Reason Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Sodium Chloride 0.9% w/v Intravenous Infusion in Viaflo® Non-PVC Containers (UK/ English label) Viaflo® container sizes: 250 mL 250 mL (NDC 0338-9542-04) Product code FE1322D Available for current customers. Other 150mL (NDC 003380049-01) Unavailable. Production is planned to resume in 1Q 2016. Demand increase for the drug Status Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 250 mL (NDC 003380049-02) Available Demand increase for the drug Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 250mL PVC/DEHP-free (NDC 00338-6304-02) Available for current customers. Demand increase for the drug Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 500 mL (NDC 003380049-03) Available Demand increase for the drug Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 500 mL PVC/DEHPfree (NDC 003386304-03) Available for current customers. Demand increase for the drug Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 1000 mL (NDC 003380049-04) Available for current customers. Demand increase for the drug Copyright© PerformRx, LLC 2016 All Rights Reserved 93 Date First Reported Name Status Company Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1/15/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1/15/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) Sodium Chloride 0.9% Injection Bags Sodium Chloride 0.9% Injection Bags Sodium Chloride 0.9% Injection Bags Sodium Chloride 0.9% Injection Bags 1/15/2014 1/15/2014 Copyright© PerformRx, LLC 2016 All Rights Reserved Presentation Sodium Chloride 0.9% w/v Intravenous Infusion in Viaflo® Non-PVC Containers (UK/ English label) Viaflo® container sizes: 500 mL (NDC 0338-9542-02) 250 mL Product code FE1323; 500 mL (NDC 03389542-05) Product code FE1323D Sodium Chloride 0.9% w/v Intravenous Infusion in Viaflo® Non-PVC Containers (UK/ English label) Viaflo® container sizes: 1000 mL (NDC 0338-9542-06) Product Code FE1324D 0.9% Freeflex Injection Solution for Intravenous Infusion (Australian label / English) 100 mL (NDC 63323-623-00) 0.9% Freeflex Injection Solution for Intravenous Infusion (Australian label / English) 500 mL (NDC 63323-623-59) 0.9% Freeflex Injection Solution for Intravenous Infusion (Australian label / English) 1000 mL (NDC 63323-623-10) 0.9% Freeflex Injection Solution for Intravenous Infusion (Scandinavian label) freeflex container: 50 mL (NDC 63323-62357) Availability Shortage Reason Available for current customers. Other Available for current customers. Other No further 100 mL will be available. Please check wholesaler inventory. Other No further 500 mL will be available. Please check wholesaler inventory. Other No further 1000 mL will be available. Please check wholesaler inventory. Other No further Scandinavian inventory available. Other 94 Date First Reported Name Status Company Presentation 0.9% Freeflex Injection Solution for Intravenous Infusion (Scandinavian label) freeflex container: 100 mL (NDC 63323623-09) 0.9% Freeflex Injection Solution for Intravenous Infusion (Scandinavian label) freeflex container: 500 mL (NDC 63323623-51) 0.9% Freeflex Injection Solution for Intravenous Infusion (Australian label / English) 50 mL (NDC 63323-623-50) Availability Shortage Reason No further Scandinavian inventory available. Other No further Scandinavian inventory available. Other No further 50 mL will be available. Please check wholesaler inventory. Other 1/15/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1/15/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 1/15/2014 Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Fresenius Medical Care North America (New 03/13/2014) 1000ml (NDC 49230300-10) Fresenius has this product on allocation Demand increase for the drug Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 50 mL flexible container (NDC 04097984-13) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 100 mL flexible container (NDC 04097984-23) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 100 mL flexible container-4 pack (NDC 0409-7984-37) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 150mL flexible container (NDC 04097983-61) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 250mL Vis-IV container PVC/DEHPfree (NDC 0409-798325) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 250mL flexible container (NDC 04097983-02) Available Other Sodium Chloride 0.9% Injection Bags Sodium Chloride 0.9% Injection Bags Sodium Chloride 0.9% Injection Bags Copyright© PerformRx, LLC 2016 All Rights Reserved 95 Name Date First Reported Status Company Presentation Availability Shortage Reason Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 250mL flexible container 2 port (NDC 0409-7983-53) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 250mL ADD-Vantage flexible container (NDC 0409-7101-02) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 500mL flexible container 2 port (NDC 0409-7983-55) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 500mL flexible container (NDC 04097983-03) Available Other Sodium Chloride 0.9% Injection Bags 1/15/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1000mL flexible container (NDC 04097983-09) Available Other Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 30 mL vials pkg of 25 (NDC 00517-2930-25) Unavailable- no product available for release. No plan to manufacture. Discontinuation of the manufacture of the drug Sodium Chloride 23.4% Injection Currently in Shortage American Regent/Luitpold (Reverified 03/17/2016) 100 mL vials pkg of 25 (NDC 00517-2900-25) Unavailable- no product available for release. No plan to manufacture. Discontinuation of the manufacture of the drug Sodium Chloride 23.4% Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 30 mL vials (NDC 63323-0087-30) Available Demand increase for the drug Sodium Chloride 23.4% Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 100 mL vials (NDC 63323-0088-61) Backordered. Next release date not available at this time. Demand increase for the drug Sodium Chloride 23.4% Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 200 mL vials (NDC 63323-0088-63) Backordered. Next release anticipated March 2016. Demand increase for the drug Sodium Chloride 23.4% Injection Copyright© PerformRx, LLC 2016 All Rights Reserved 96 Date First Reported Status Company Presentation Availability Shortage Reason Sodium Chloride 23.4% Injection Currently in Shortage Hospira Inc. (Revised 03/22/2016) 4 mEq/mL; 100 mL bottle (NDC 04091141-02) Next delivery: 2Q 2016; Estimated recovery: Early 2Q 2016 Demand increase for the drug Sodium Chloride 23.4% Injection Currently in Shortage Hospira Inc. (Revised 03/22/2016) 4 mEq/mL; 250 mL bottle (NDC 04091130-02) Next delivery & Estimated recovery: TBD Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 50 mcg/mL 1 mL ampoule 10 pack(NDC 17478-0050-01) Readily Available Sufentanil Citrate (Sufenta) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 50 mcg/mL 2 mL ampoule 10 pack(NDC 17478-0050-02) Readily Available Sufentanil Citrate (Sufenta) Injection Currently in Shortage Akorn Pharmaceuticals (Reverified 12/12/2014) 50mcg/ml 5ml ampule 10 pack (NDC 174780050-05) Readily Available Delay in shipping of the drug Sufentanil Citrate (Sufenta) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 50 mcg/mL; 1 mL ampule (NDC 04093380-31) Next delivery and estimated recovery TBD. Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 50 mcg/mL; 1 mL vial (NDC 0409-3382-21) Available Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 50 mcg/mL; 2 mL ampule (NDC 04093380-32) Next delivery and estimated recovery TBD. Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 50 mcg/m;L 2 mL vial (NDC 0409-3382-22) Next delivery and estimated recovery TBD. Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 50 mcg/mL; 5 mL ampule (NDC 04093380-35) Next delivery and estimated recovery TBD. Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 50 mcg/mL; 5 mL vial (NDC 0409-3382-25) Available Other Name Copyright© PerformRx, LLC 2016 All Rights Reserved 97 Date First Reported Status Company Presentation Availability Shortage Reason Sufentanil Citrate (Sufenta) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 1 mL ampul (NDC 06416110-10) West-Ward has inventory available. Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 2 mL ampul(NDC 06416111-10) West-Ward has inventory available. Other Sufentanil Citrate (Sufenta) Injection Currently in Shortage West-Ward Pharmaceuticals (Revised 03/10/2016) 50 mcg/mL 5 mL ampul(NDC 06416112-10) West-Ward has inventory available. Demand increase for the drug 11/20/2015 Currently in Shortage GlaxoSmithKline (Revised 03/11/2016) Limited availability. Next resupply in April 2016. Shortage of an active ingredient. Sumatriptan (Imitrex) Nasal Spray 11/20/2015 Currently in Shortage GlaxoSmithKline (Revised 03/11/2016) Limited availability. Next resupply in April 2016. Shortage of an active ingredient. Sumatriptan (Imitrex) Nasal Spray 11/20/2015 Currently in Shortage GlaxoSmithKline (Revised 03/11/2016) Supply not available until April 2016. Shortage of an active ingredient. Sumatriptan (Imitrex) Nasal Spray 11/20/2015 Currently in Shortage GlaxoSmithKline (Revised 03/11/2016) Supply not available until April 2016. Shortage of an active ingredient. DMSA product is currently not available. Estimated return to market is August 2016. Delay in shipping of the drug Name Sumatriptan (Imitrex) Nasal Spray Technetium Tc99m Succimer Injection (DMSA) 10/15/2014 Currently in Shortage GE Healthcare (Revised 07/15/2015) Copyright© PerformRx, LLC 2016 All Rights Reserved Sumatriptan (Imitrex®) Nasal Spray 20 mg (6 doses per device)(NDC 01730523-00) Sumatriptan (Imitrex®) Nasal Spray 5 mg (6 doses per device)(NDC 01730524-00) Sumatriptan Nasal Spray 20 mg 6 doses per device)(NDC 0781-6523-86) Sumatriptan Nasal Spray 5 mg (6 doses per device)(NDC 0781-6524-86) DMSA Kit for the Preparation of Technetium Tc99m Succimer Injection (NDC 17156-525-01) 98 Date First Reported Name Status Company Presentation Availability Shortage Reason Manufacturing delay 12/10/2015 Currently in Shortage Pfizer Pharmaceuticals (Reverified 02/05/2016) Tygacil® (tigecycline) for Injection 50mg/10ml vial (NDC 00008-4990-20) Weekly shipments of 50% of normal demand will be sent to wholesalers and drop shipments are available for all customers. Projected recovery expected in May 2016 10/31/2013 Currently in Shortage Mission Pharmacal (Revised 09/04/2014) 100mg tablets(NDC 0178-0900-01) Product has started shipping. Shortage of an active ingredient Tobramycin Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 10 mg/ml; 2ml vial (NDC 63323-0305-02) Available Demand increase for the drug Tobramycin Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 40 mg/mL 2 mL vial (NDC 63323-0306-02) Available Demand increase for the drug Tobramycin Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 40 mg/mL 30 mL vial (NDC 63323-0306-30) Available Demand increase for the drug Tobramycin Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 40 mg/mL 50 mL vial (NDC 63323-0307-51) Backordered. Next release anticipated Q2 2016. Demand increase for the drug Tobramycin Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 40 mg/mL 2 mL Novaplus vial (NDC 63323-0306-55) Backordered. No estimated delivery at this time. Demand increase for the drug Tigecycline (Tygacil) Injection Tiopronin (Thiola) Copyright© PerformRx, LLC 2016 All Rights Reserved 99 Date First Reported Status Company Presentation Availability Shortage Reason Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) 40 mg/mL 30 mL Novaplus vial (NDC 63323-0306-56) Backordered. No estimated delivery at this time. Demand increase for the drug Tobramycin Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) Available Demand increase for the drug Tobramycin Injection Currently in Shortage Fresenius Kabi USA LLC (Reverified 03/23/2016) Backordered. Next release anticipated Q2 2016. Demand increase for the drug Tobramycin Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 80 mg/mL in 0.9% NaCl; 100 mL (NDC 0409-3470-23) Discontinued Discontinuation of the manufacturer of the drug Tobramycin Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 10 mg/mL; 2 mL vial (NDC 0409-3577-01) Next delivery and estimated recovery TBD. Other Tobramycin Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 40 mg/mL; 2 mL vial (NDC 0409-3578-01) Next delivery: Early April Estimated recovery 2Q 2016 Other Tobramycin Injection Currently in Shortage Hospira Inc. (Reverified 03/22/2016) 40 mg/mL; 50 mL vial (NDC 0409-3590-02) Discontinued Discontinuation of the manufacturer of the drug Tobramycin Injection Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 40 mg/mL 2 mL vial (NDC 67457-473-22) Unavailable. Estimated Recovery: TBD Demand increase for the drug Tobramycin Injection Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 40 mg/mL 30 mL vial (NDC 67457-428-30) Unavailable. Estimated Recovery: TBD Demand increase for the drug Tobramycin Injection Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 40 mg/mL 2 mL vial (NDC 00703-9402-04) Teva expects to have product available Q4'16 Method remediation delays Name Tobramycin Injection Copyright© PerformRx, LLC 2016 All Rights Reserved Powder for solution 1.2 gram 50 mL vial preservative-free 6 count (NDC 633230303-51) Powder for solution 1.2 gram 50 mL Novaplus vial preservative-free 6 count (NDC 633230303-55) 100 Date First Reported Status Company Presentation Availability Shortage Reason Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) 40 mg/mL 30 mL vial (NDC 00703-9416-01) Teva expects to have product available Q4'16 Method remediation delays Currently in Shortage X-GEN Pharmaceuticals INC (New 01/22/2015) Powder for solution 1.2gm/pharmacy bulk pack 6 pack carton (NDC 39822-0412-6) Both sizes are in stock and being distributed. No shortages are expected Other Tobramycin Injection Currently in Shortage X-GEN Pharmaceuticals INC (New 01/22/2015) Powder for solution 1.2gm/pharmacy bulk pack Single vial carton (NDC 39822-0412-1) Both sizes are in stock and being distributed. No shortages are expected Other Tretinoin Capsules 2/19/2016 Currently in Shortage Cheplapharm Arzneimittel GmbH (Revised 03/28/2016) VESANOID® 10 mg Capsules (NDC 101532341-1) Available Other 2/19/2016 Currently in Shortage Par Pharmaceutical (Revised 03/10/2016) Tretinoin 10 mg Capsules (NDC 10370268-01) Available Delay in shipping of the drug 2/19/2016 Currently in Shortage Teva Pharmaceuticals (Revised 03/11/2016) Tretinoin 10 mg Capsules (NDC 05550808-02) Available Shortage of active ingredient 20 mg/mL (fill in a 2 mL vial) (NDC 07813085-71) Currently unavailable estimated recovery H1 2016. Requirements related to complying with good manufacturing practices. 20 mg/mL (fill in a 10 mL vial) (NDC 07813085-75) Currently unavailable estimated recovery H1 2016. Requirements related to complying with good manufacturing practices. Name Tobramycin Injection Tobramycin Injection Tretinoin Capsules Tretinoin Capsules Triamcinolone Hexacetonide Injectable Suspension (Aristospan) Triamcinolone Hexacetonide Injectable Suspension (Aristospan) 10/3/2014 10/3/2014 Currently in Shortage Currently in Shortage Sandoz (Reverified 03/14/2016) Sandoz (Reverified 03/14/2016) Copyright© PerformRx, LLC 2016 All Rights Reserved 101 Name Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Date First Reported Status Company Presentation Availability Shortage Reason 8/18/2014 Currently in Shortage Mikah Pharma LLC c/o Epic Pharma LLC (Reverified 01/22/2015) 25 mg 30s (NDC 45963-293-30) Product currently unavailable Shortage of active ingredient 8/18/2014 Currently in Shortage Mikah Pharma LLC c/o Epic Pharma LLC (Reverified 01/22/2015) 25 mg 90s (NDC 45963-293-08) Product currently unavailable Shortage of active ingredient 8/18/2014 Currently in Shortage Mikah Pharma LLC c/o Epic Pharma LLC (Reverified 01/22/2015) 25 mg 270s (NDC 45963-293-27) Product currently unavailable Shortage of active ingredient 8/18/2014 Currently in Shortage Mikah Pharma LLC c/o Epic Pharma LLC (Reverified 01/22/2015) 50 mg 30s (NDC 45963-294-30) Product currently unavailable Shortage of active ingredient 8/18/2014 Currently in Shortage Mikah Pharma LLC c/o Epic Pharma LLC (Reverified 01/22/2015) 50 mg 90s (NDC 45963-294-08) Product currently unavailable Shortage of active ingredient 8/18/2014 Currently in Shortage Mikah Pharma LLC c/o Epic Pharma LLC (Reverified 01/22/2015) 50 mg 270s (NDC 45963-294-27) Product currently unavailable Shortage of active ingredient 8/18/2014 Currently in Shortage Mikah Pharma LLC c/o Epic Pharma LLC (Reverified 01/22/2015) 100 mg 30s (NDC 45963-295-30) Product currently unavailable Shortage of active ingredient 8/18/2014 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) SURMONTIL(R) CAPSULES 50MG 100 (NDC 51285-0539-02) Product is currently available. Other Copyright© PerformRx, LLC 2016 All Rights Reserved 102 Date First Reported Status Company Presentation Availability Shortage Reason 8/18/2014 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) SURMONTIL(R) CAPSULES 25MG 100 (NDC 51285-0538-02) Product is currently available. Other 8/18/2014 Currently in Shortage Teva Pharmaceuticals (Reverified 01/13/2016) SURMONTIL(R) CAPSULES 100MG 100 (NDC 51285-0554-02 ) Product is currently available. Other 11/7/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 500mg/100 mL GALAXY Plastic Container (NDC 03383551-48) Available Demand increase for the drug 11/7/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 750 mg/150 mL (underfill in 200 mL) GALAXY Plastic Container (NDC 03383580-48) Available Demand increase for the drug Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Baxter Healthcare (Reverified 03/25/2016) 1 gram/200 mL GALAXY Plastic Container (NDC 03383552-48) Available Demand increase for the drug Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 500 mg / single dose vial (NDC 63323-22110) Available Demand increase for the drug Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 1 g / single dose vial (NDC 63323-284-20) Available Demand increase for the drug 11/7/2014 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 5 g / PBP (NDC 63323295-61) Backordered. Next release anticipated April 2016. Demand increase for the drug Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Fresenius Kabi USA LLC (Revised 03/23/2016) 10 g / PBP (NDC 63323-314-61) Backordered. Next release anticipated March 2016. Demand increase for the drug Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 500 mg Single Dose Glass Fliptop Vial (NDC 0409-4332-01) Available Other Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 750 mg Single Dose Glass Fliptop Vial (NDC 0409-6531-02) Available Other Name Trimipramine Maleate (SURMONTIL) Capsules Trimipramine Maleate (SURMONTIL) Capsules Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Copyright© PerformRx, LLC 2016 All Rights Reserved 103 Date First Reported Status Company Presentation Availability Shortage Reason 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 500 mg Single Dose ADD-Vantage™ Glass Vial (NDC 0409-653401) Available Other Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 750 mg Single Dose ADD-Vantage; Glass Vial (NDC 0409-653101) Next delivery: Early March 2016; Estimated recovery 2Q 2016 Demand increase for the drug Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1 g Single Dose Glass Fliptop Vial (NDC 0409-6533-01) Available Other Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 1 g Single Dose ADDVantage™ Glass Vial (NDC 0409-6535-01) Available Other Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 5 g Pharmacy Bulk Package Glass Fliptop Vial (NDC 0409-650901) Available Other Vancomycin Hydrochloride for Injection USP 11/7/2014 Currently in Shortage Hospira Inc. (Revised 03/22/2016) 10 g Pharmacy Bulk Package Glass Bottle (NDC 0409-6510-01) Available Other 11/7/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 500mg Pkg of 10 (NDC 67457-339-50) Available Demand increase for the drug 11/7/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 1g Pkg of 10 (NDC 67457-340-01) Available Demand increase for the drug 11/7/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 10g Pkg of 1 (NDC 67457-342-10) Available Demand increase for the drug 11/7/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 5g Pkg of 1 (NDC 67457-341-05) Available Demand increase for the drug Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 5g Pkg of 1 Novaplus (NDC 67457-613-10) Available Demand increase for the drug Name Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP 11/7/2014 Copyright© PerformRx, LLC 2016 All Rights Reserved 104 Name Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Vancomycin Hydrochloride for Injection USP Date First Reported Status Company Presentation Availability Shortage Reason 11/7/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 500mg Pkg of 10 Novaplus (NDC 67457611-10) Available Demand increase for the drug 11/7/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 1g Pkg of 10 Novaplus (NDC 67457-612-20) Available Demand increase for the drug 11/7/2014 Currently in Shortage Mylan Institutional (Reverified 03/24/2016) 10 g Pkg of 1 NOVAPLUS (NDC 67457-614-10) Available Demand increase for the drug 11/7/2014 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 10g vial Pharmacy Bulk Package (NDC 25021-158-99) Allocation Demand increase for the drug 11/7/2014 Currently in Shortage Sagent Pharmaceuticals (Reverified 03/22/2016) 5g vial Pharmacy Bulk Package (NDC 25021157-99) Available Demand increase for the drug *Please refer to ASHP website for more information Copyright© PerformRx, LLC 2016 All Rights Reserved 105 NEW DRUGS COMING TO MARKET PRODUCT MFR ROUTE INDICATION PHARMACOLOGY Selective serotonin inverse agonist NuplazidTM (pimavanserin) Acadia Oral Psychosis associated with parkinson’s disease Obeticholic acid Intercept Oral Rociletinib (CO-1686) Zinbryta (daclizumab HYP) Sarilumab Clovis Oncology Biogen Oral Primary billary cirrhosis Mutant EGFR T790M NSCLC Multiple sclerosis Subcutanous Translarna™ (Ataluren) Regeneron/ Sanofi PTC Therapeutics Brodalumab Valeant Suncutanous Andexanet Pfizer IV Baricitinib Eli-Lilly Oral Subcutanous Oral Daclatasvir/Asuna Bristol Myers Oral previr/Beclabuvir Squibb Buparlisib Novartis Oral Ztilido (lidocaine patch 1.8%) Lupuzor™ (rigerimod) Elagolix Scilex Topical patch ImmunPharm a PLC Abbvie Subcutanous Oral Farnesoid-X receptor agoinst Irreverable inhibitor of EGFR Interleukin-2R receptor inhibitor RA Targets interleukin-6r Nonsence mutation Gene Duchenne transcription Muscular modulate, Dystrophy and protein Cystic Fibrosis restoration Psorasis Interleukin-17 inhibitor Anticoagulant Factor Xa reversal antidote RA Janus Kinase-1 and 2 inhibitor HCV genotype 1 NS5B polymerase inhibitor/ NS5A inhibitor/ protease inhibitor nd 2 line for Pan-class 1 P13K metastatic, ER+ inhibitor breast cancer resistant to aromitase inhibitors Post-herpetic Local anesthetic neuralgia Systemic lupus P140 peptide erythematosus Uterine fibroids GnRH antagonist and endometiosis Copyright© PerformRx, LLC 2016 All Rights Reserved MARKET RELEASE 5/1/2016 5/29/2016 6/28/2016 Q2 2016 10/30/2016 Q4 2016 Q4 2016 Q4 2016 2016 2016 2016 2016 2016 2016 106 PRODUCT MFR ROUTE INDICATION PHARMACOLOGY MARKET RELEASE Midostaurin (PKC412) Amigal (Migalstat) Baxdela (delafloxacin) Novartis Oral AML Kinase inhibitor 2016 Amicus Oral Fabry disease Binds alpha-Gal A 2016 Melinta Oral and IV Fluoroquinolone 2016 Glycopyrronium/f ormoterol (PT003) Eravacycline AstraZeneca Inhaler Gonorrhea and bacterial skin/soft tissue infections Asthma/COPD Anticholinergic combination 2016 Tetraphase Oral and IV Complicated UTIs 2016 MK-8342B Hydrocodone ER (CEP-33237) Oxycodone/naltre xone ER (ALO-02) Ribociclib Merck Teva Vaginal ring Oral Contraception Pain Pfizer Oral Pain Novartis Oral Pacritinib CTI BioPharma Oral HR+, HER2-, postmenopausal advanced breast cancer Myelofibrosis Noval synthetic tetracycline Contraceptive Opioid receptor agonist Opioid receptor agonist CDK4/6 inhibitor 2016 Surotomycin Cubist Oral Janus Kinase-2/ FMS-like tyrosine kinase-3 inhibitor Antibacteral lipopeptide C. diff associated diarrhea Copyright© PerformRx, LLC 2016 All Rights Reserved 2016 2016 2016 2016 2016 107