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April 2012 Drug Information Update - Pharmacy Benefits ...

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Cytarabine Injection<br />

March 20, <strong>2012</strong><br />

Products Affected - Description<br />

Cytarabine injection (powder for reconstitution), Bedford<br />

100 mg vial (NDC 55390-0131-10)<br />

500 mg vials (NDC 55390-0132-10)<br />

1 gram vials (NDC 55390-0133-01)<br />

100 mg (Novaplus) vial (NDC 55390-0806-10)<br />

500 mg (Novaplus) vials (NDC 55390-0807-10)<br />

1 gram (Novaplus) vials (NDC 55390-0808-01)<br />

Reason for the Shortage<br />

• Ben Venue voluntarily suspended all manufacturing and distribution in mid-November, 2011 on a<br />

temporary basis for maintenance and requalification of equipment. Product will become available<br />

in stages as production resumes.<br />

• Bedford Laboratories has temporarily suspended the distribution of Ben Venue Laboratories<br />

manufactured products. Availability of products is updated on the Bedford Laboratories website.<br />

• Bedford issued a voluntary recall of 3 lots of cytarabine 1 gram vials in February, <strong>2012</strong>. The<br />

company determined there was a potential increased risk for lack of sterility with these specific<br />

lots. More information can be found online.<br />

• Bedford states the cytarabine shortage is due to manufacturing delays. Bedford discontinued<br />

cytarabine 2 gram presentations in May, 2011 to concentrate on the manufacturing of other<br />

products.<br />

• Hospira had found crystallization in some cytarabine 2 gram lots. The company is recommending<br />

to not use product that has crystallization.<br />

• APP recalled one lot of cytarabine in February, 2011 due to potential crystallization or<br />

precipitation in vials.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=413<br />

Source: www.ashp.org<br />

Cyclosporine Injection<br />

March 20, <strong>2012</strong><br />

Products Affected - Description<br />

Cyclosporine 50 mg/mL solution for injection, Bedford<br />

5 mL vial, 10 count (NDC 55390-0122-10)<br />

Cyclosporine 50 mg/mL solution for injection, Perrigo<br />

5 mL ampule, 10 count (NDC 00574-0866-10)<br />

5 mL ampule, 10 count (NDC 00574-0866-10) - discontinued<br />

Reason for the Shortage<br />

• Perrigo acquired Paddock Laboratories in July 2011. Perrigo discontinued cyclosporine injection<br />

in late-November, 2011.<br />

• Ben Venue voluntarily suspended all manufacturing and distribution in mid-November, 2011.<br />

Product will become available in stages as production resumes.<br />

• Bedford Laboratories has multiple products affected by this suspension of manufacturing.<br />

Availability of all products, including those not manufactured at Ben Venue, is updated as<br />

information changes on the Bedford Laboratories website.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=832<br />

Source: www.ashp.org<br />

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