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April 2012 Drug Information Update - Pharmacy Benefits ...

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2 mL vial, preservative-free (NDC 66758-0040-02)<br />

10 mL vial, preservative-free (NDC 66758-0040-08)<br />

40 mL vial, preservative-free (NDC 66758-0041-01)<br />

Reason for the Shortage<br />

• APP has discontinued their methotrexate 25 mg/mL (with preservative) 2 mL vials. The 10 mL<br />

vials are on shortage due to increased demand for the product. FDA approved preservative-free<br />

methotrexate from APP in February, <strong>2012</strong>.<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 />

• Hospira has methotrexate on shortage due to manufacturing delays.<br />

• Sandoz recalled their 2 mL and 10 mL methotrexate preservative-free vials in October, 2010.<br />

Sandoz cannot provide a reason for the current shortage.<br />

• Mylan Institutional (formerly Bioniche) cannot provide a reason for the shortage.<br />

• Bioniche was acquired by Mylan Institutional in September, 2011.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=26<br />

Source: www.ashp.org<br />

Azathioprine Injection<br />

March 26, <strong>2012</strong><br />

Products Affected - Description<br />

Azathioprine injection, lyophilized powder, Bedford<br />

100 mg vial (NDC 55390-0600-20)<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 multiple products affected by this temporary suspension of<br />

manufacturing. Bedford will have the affected, as well as the available products, listed on their<br />

website and are updating this information as it changes.<br />

• There are no other manufacturers of azathioprine injection.<br />

• The oral presentations are not affected by this shortage.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=794<br />

Source: www.ashp.org<br />

Protamine Sulfate<br />

March 27, <strong>2012</strong><br />

Products Affected - Description<br />

Protamine Sulfate 10 mg/mL, American Pharmaceutical Partners (APP)<br />

5 mL vials (NDC 63323-0229-05)<br />

5 mL Novaplus vials (NDC 63323-0229-15)<br />

25 mL vials (NDC 63323-0229-30)<br />

25 mL Novaplus vials (NDC 63323-0229-35)<br />

Reason for the Shortage<br />

APP has protamine on shortage due to increased demand.<br />

There are no other manufacturers of protamine sulfate.<br />

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