For Physicians at Banner Gateway Medical Center  

Drug Shortages

 

Below is the update for the week of October 6, 2014


Banner Gateway Medical Center

Products that are out and no resupply at this time:

  • Aminophylline Tabs
  • Caffeine-Sodium Benzonate Inj.
  • Dexferrum Inj. (Iron Dextran)
  • Doxorubicin 50mg Powder Inj.
  • Droperidol injection (Inapsine®)
  • Hydroxyzine Inj.
  • Ilex Topical Paste
  • Indigo Carmine Inj.
  • Kanamycin 1gm Inj.
  • Methyldopate Inj.
  • Papaverine injection
  • Perflutren Lipid Microspheres (Definity®): Unavailable - we are substituting with Optison.
  • Plasmalyte A
  • Sodium thiosulfate injection
  • Ticarcillin-clavulanic 3.1 G Inj. (Timentin®)
  • Tromethamine Inj. (Tham®)
  • Warfarin Inj.

Products that supplies are low, resupply is problematic or does not seem stable:

  • Acetylcysteine 10%  (Mucomyst®): limited stock
  • Aminophyline Inj.: limited stock
  • D.H.E. 45: backordered, allocated by manufacturer
  • Enalprilat 1.25mg/ml 1ml Inj.:backordered; limited supply
  • Ephedrine 50mg/ml Inj.: limited supply
  • Foscavir (Foscarnet®) Inj.: backordered
  • Lactated Ringers:  allocated from manufacturer
  • Lipids : 100ml, 250ml , 500ml bags are on allocation, all sizes stocked in pharmacy
  • Metronidazole 500mg/100ml IVPB: allocated
  • Morphine 10mg/10ml vials:  backordered, limited supply
  • Nalbuphine Inj. (Nubain®) :  limited supply, no release date
  • Oxymorphone 1mg/mL injection : not available through the wholesaler.
  • Prochlorperazine Inj. : limited supply, allocated
  • Sincalide: limited supply , allocated by manufacturer
  • Sodium Chloride 0.9% IV SOLN : Backordered, supplies limited, allocated from manufacturer
  • Sodium Chloride 0.9% SF Sterile Syringes- Backordered

Products that have returned to a “normal” status

  • Alteplase (Cathflo®) Inj
  • Atropine Inj
  • Belladonna/Opium Supp
  • Bumetanide 1mg  Tabs
  • Calcium Chloride Syringes
  • Cefazolin Inj.
  • Chloroprocaine Inj. (Nesacaine®)
  • Cistracurium Inj
  • Dextrose Syringes
  • ENLON PLUS
  • Erythromycin 500mg Inj
  • Fluticasone-salmeterol (Advair®) HFA 45/21
  • Furosemide (Lasix®) Inj.
  • Ganciclovir (Cytovene®) Inj.
  • Glycopyrrolate Inj.
  • Hetastarch
  • Lidocaine syringes
  • Magnesium Sulfate Inj.
  • Methylene blue Inj.
  • Methylprednisolone injection (Solu-Medrol®)
  • Mepivacaine 2% 50ml
  • Multivitamin Inj (Infuvite®)
  • Neostigmine Inj.
  • Nitroglycerin Inj
  • Oxacillin Inj.
  • Phytonadione 10mg/ml Inj.
  • Potassium Chloride 10mEq/100ml RTU bags
  • Potassium Phosphate Inj
  • Potassium Sodium Phosphate Powder Packet ( PhosNak)
  • Prednisone 20mg tablets
  • Prochlorperazine injection (Compazine®)
  • Propofol injection (Diprivan®)
  • Propranolol Inj.
  • Scopolamine Inj.
  • Sodium Phosphate Inj.
  • Tuberculin PPD Skin test (Aplisol®)
  • Vancomycin Inj.
  • Vecuronium Inj.
  • Vincristine



Banner MD Anderson Cancer Center

Products that are out and no resupply at this time:

  • Aminophylline injection (recovery 3rd quarter)
  • Nalbuphine inj (Nubain®)
  • Nitroglycerine 50mg vial
  • Papaverine inj
  • Sodium thiosulfate injection
  • Tuberculin PPD Skin test (Tubersol®)
  • Hydorxyzine injection

Products that supplies are low, resupply is problematic or does not seem stable:

  • Atropine injection:  1mg received 3 flats, ordered extra Atropine syringes for Pyxis
  • Bleomycin: available late Sept, early October from Hospira…got small amount from APP on hand.
  • Bupivacaine 0.5% PF inj:  0.5% now on intermittent backorder.
  • Calcium Gluconate inj : Have good supply of vials at this time.
  • Carboplatin inj: have several sizes and several MFG so this has not been a problem.
  • Cyanocobalamin (Vit B-12) inj: on backorder, 6 flats in stock.
  • Cytarabine inj: Have small amount, mostly used inpatient. They also have small supply.
  • Dacarbazine inj: On back order until early October, 10 & 20ml size…backorder is in for 12 flats..extremely low
  • Dexamethasone: all sizes on intermittent release have good supply of 1mg vials and #40 MDV vials.
  • Dextrose 5% in water 250ml: No estimated recovery date, 3 cases in stock
  • Daunorubicin inj: Usually used inpatient, all drug we had in stock recalled, received 20 vials ER stock for new patient.
  • Doxil 20 & 50mg:  Warned of national back order so stock is being secured for existing patients. Several vials expiring in September. McKesson still has small supply outdating mid year 2015
  • Doxorubicin inj: Bedford no longer supplying but available from 2 MFG, goes on and off backorder
  • Diphenhydramine 50mg: Short dated product available, have 15 flats on hand and order for short dated product.
  • Epinephrine amps:  on backorder. We currently have up to date amps in the E-kits.
  • Etoposide: 100mg vial on allocation. Received #25 of the 25ml size but wholesaler not supplying, ordering direct.
  • Famotidine inj:  15 flats on hand, backorder with release end of month but Westward has become available.
  • Fluticasone-salmeterol (Advair®) HFA 45/21:  recall product, not available. Other strengths are available.
  • Furosemide inj: We continue to see improvements with product availability.  We currently hold a good supply of the 20mg and only 1 flat of 40mg vials at Cancer Center.
  • Gemcitabine: Have good supply at this time with other MFG’s, APP next release date is Oct 2014 have #40 vials on order.
  • Ibandronate sodium (Boniva): 1 dose on hand, on and off backorder. Currently no stock at McKesson
  • Leucovorin inj: Bedford is now supplying product, Sagent currently has stock at McKesson with no supply issues. can move to more expensive name brand if needed.
  • Magnesium Premixed 2 gram inj:  this is on backorder 2ml, 10ml & 20ml sizes; however we do currently hold 5 flats of 2ml & 50ml vials expired and 10 cases of the premixed bags Hospira  is depleted of stock on all list numbers. Premix bags now available at Banner AZRX.
  • Magnesium 1gm/2ml inj: Currently 5 flats on shelf
  • Paclitaxel: Unavailable at our distribution center. Have several sizes in stock for now.
  • Phenylephrine 10mg vial:   currently on backorder with no release date. Discontinued by Westward but have 2 flats of 25. McKesson holds good amount of stock at this time.
  • Phytonadione 10mg amps: Expired in October, none in the pharmacy at this time.
  • Polio Vaccine:  we do hold a few of the 5ml – 10dose vials. McKesson has a few vials in stock.
  • Potassium Phosphate inj: Received 3 flats next available late December but order was refused for our facility.
  • NS 250ML IV BAG: Received  6 more cases.  No estimated recovery date.
  • Topotecan inj: Small amount available thru McKesson, found 10 vials from another distribution center.
  • Sodium phosphate inj: have small amount, manufacturer allocation
  • Vincristine: 20 vials currently in stock. McKesson has supply of 1mg, have 20 vials.
  • Vinorelbine inj: Long term backorder with APP so using other MFG and no problem at this time. Increase in demand may cause issues with other manufacturers. Currently have 6 vials.

Products that have returned to a “normal” status

  • Alteplase: (Cathflo)
  • Cis-Platin
  • Florouracil (5-FU)
  • Methotrexate inj
  • Mitomycin powder for inj
  • Propofol  (Diprivan) inj 20ml & 100ml
  • Vinblastine
Banner Gateway Medical Center
Higley Road and US 60
1900 N. Higley Road
Gilbert, Arizona 85234
(480) 543-2000
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