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February 2012 Drug Update Information - Pharmacy Benefits ...

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West-Ward states the<br />

shortage is due to increased demand for product.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=664<br />

Source: http://www.a<br />

ashp.org<br />

Dexamethasone Sodium Phosphate<br />

<strong>February</strong><br />

7, <strong>2012</strong><br />

Products Affected - Description<br />

Dexamethasone Sodium Phosphate Injection, 4 mg/mL, American Regent<br />

1 mL single dose vial (NDC 00517-4901-25)<br />

5 mL multiple dose vial (NDC 00517-4905-25)<br />

30 mL multiple dose vial (NDC 00517-4930<br />

-25)<br />

Dexamethasone Sodium Phosphate Injection, 10 mg/mL, West-Ward<br />

(formerly Baxter products)<br />

1 mL vial (NDC 00641-0367-25)<br />

Reason for the Shortage<br />

American<br />

Regent voluntarily recalled all dexamethasonee sodium phosphate due to the presence<br />

of particulate matter in the solution and discontinued manufacture off all dexamethasone 4<br />

mg/mL presentations<br />

s in March, 2011.<br />

American<br />

Regent had<br />

temporarily suspendedd distributionn of most drug products including<br />

dexamethasone in April, 2011.<br />

American<br />

Regent resumed manufacturing in Shirley, New<br />

York in early-May, 2011.<br />

APP states the dexamethasone sodium phosphate shortage was due to supply and<br />

demand issues.<br />

Baxter could not provide a reason<br />

for the shortage. Baxter sold several products to West-Ward in<br />

mid-2011.<br />

Pfizer launched dexamethasone sodium phosphate injection in January, <strong>2012</strong>.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=751<br />

Source: http://www.a<br />

ashp.org<br />

Epinephrine Metered Dose Inhaler<br />

<strong>February</strong><br />

7, <strong>2012</strong><br />

Products Affected - Description<br />

Primatene Mist Inhaler (CFC), Armstrong Pharmaceuticals<br />

0.22 mg/ /actuation, Over-the-Cou<br />

unter<br />

Reason for the Shortage<br />

To decrease depletion<br />

of the ozone layer, the<br />

Food and <strong>Drug</strong> Administration (FDA) announced<br />

that epinephrine metered dose inhalers (MDIs) containing chlorofluorocarbon (CFC) propellant<br />

must be withdrawn from the market by December 31, 2011.<br />

Other prescription metered dose inhalers such as albuterol were previously transitioned from<br />

a<br />

CFC propellant to a hydrofluoroa<br />

alkane (HFA) propellantt in 2008.<br />

Armstrong Pharmaceuticals is the only manufacturer of over-the-counter epinephrine inhalers.<br />

Patients will now need a prescription for any<br />

type of metered-dose inhaler. Additional<br />

information for patients is available online.<br />

Armstrong discontinued Primatene Mist with<br />

CFC propellant at the end of 2011. The company is<br />

hoping to<br />

release a more environmentally friendly Primatene Mist in<br />

the near future.<br />

Article link: http://www.ashp.org/<strong>Drug</strong>Shortages/Current/Bulletin.aspx?id=848<br />

Source: http://www.a<br />

ashp.org<br />

Trazodone Tablets<br />

<strong>February</strong><br />

8, <strong>2012</strong><br />

Products Affected - Description<br />

55

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