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April 2012 Drug Information Update - Pharmacy Benefits ...

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Nicardipine hydrochloride injection, American Regent<br />

2.5 mg/mL, 10 mL vials (NDC 40042-0047-10)<br />

Reason for the Shortage<br />

• Teva recalled 4 lots nicardipine injection because the product did not meet purity specifications.<br />

The recalled lots are 31302508B, 31302510B, 31302957B, 31303195B.<br />

• Teva discontinued nicardipine injection in September, 2010.<br />

• American Regent had temporarily suspended distribution of all drug products in <strong>April</strong>, 2011.<br />

• American Regent resumed manufacturing in Shirely, New York in early-May, 2011.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=31<br />

Source: www.ashp.org<br />

Nalbuphine Injection<br />

March 29, <strong>2012</strong><br />

Products Affected - Description<br />

Nalbuphine injection, Hospira<br />

10 mg/mL 1 mL ampules (NDC 00409-1463-01)<br />

10 mg/mL, 1 mL Novaplus ampule (NDC 00409-1463-49)<br />

20 mg/mL 1 mL ampules (NDC 00409-1465-01)<br />

20 mg/mL, 1mL Novaplus ampule (NDC 00409-1465-49)<br />

Reason for the Shortage<br />

• Endo discontinued Nubain in 2008.<br />

• Teva discontinued all nalbuphine injections in July, 2010.<br />

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

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=665<br />

Source: www.ashp.org<br />

Metoclopramide Injection<br />

March 29, <strong>2012</strong><br />

Products Affected - Description<br />

Metoclopramide injection, Hospira<br />

5 mg/mL, 2 mL vials (NDC 00409-341401)<br />

Reason for the Shortage<br />

• Baxter had metoclopramide injection on back order due to regulatory issues. Baxter sold some<br />

generic injectable products to West-Ward. West-Ward then discontinued the metoclopramide<br />

injection in January, <strong>2012</strong>.<br />

• Teva discontinued metoclopramide injection in February, 2011.<br />

• Hospira discontinued metoclopramide ampules in February, 2010, and Carpuject syringes in May,<br />

2009. Hospira is the only manufacturer of metoclopramide injection.<br />

Article Link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=611<br />

Source: www.ashp.org<br />

Diphenhydramine Hydrochloride for Injection<br />

March 29, <strong>2012</strong><br />

Products Affected - Description<br />

Diphenhydramine injection, 50 mg/mL, Hospira<br />

1 mL Carpuject syringe (NDC 00409-2290-31)<br />

Diphenhydramine injection, 50 mg/mL, Mylan Institutional<br />

10 mL vial (NDC 67457-0124-10)<br />

73

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