For Physicians at Banner Gateway Medical Center  

Drug Shortages

 

Below is the update for the month of April 2015


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.
  • Indigo Carmine Inj.
  • Kanamycin 1gm Inj.
  • LTA Kits
  • Methyldopate Inj.
  • Papaverine injection
  • Perflutren Lipid Microspheres (Definity®) :  unavailable, we are substituting with Optison.
  • Scopolamine Inj.
  • 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:

  • Aminophyline Inj.: limited stock
  • Benzonanate 100mg Cap: limited stock; supply problems intermittently
  • Dextran-40 10% in NS 500ml: limited stock, backordered
  • Dextrose 5% in Water: allocated by manufacturer
  • Ephedrine 50mg/ml Inj.: limited supply
  • Foscavir (Foscarnet®) Inj.: backordered
  • Fosphenytoin Inj. : Backordered; limited supply
  • Heparin 25,000U/D5W 250ml RTU : backordered, limited supply
  • Ketorolac 30mg/ml Inj.: limited supply
  • Lactated Ringers:  allocated from manufacturer
  • Lipids : 100ml, 250ml , 500ml bags are on allocation, all sizes stocked in pharmacy
  • Magnesium Sulfate Inj.: limited supply, backordered
  • Methylene blue Inj.: limited supply
  • Metronidazole 500mg/100ml IVPB: allocated
  • Oxymorphone 1mg/mL injection : not available through the wholesaler.
  • Pantoprazole  40mg Inj.: limited supply; restricted use; expect stock to return mid April
  • Prochlorperazine injection (Compazine®)
  • Prochlorperazine Inj. : limited supply
  • Sincalide: limited supply , allocated by manufacturer
  • Sodium Bicarbonate 8.4% 50ml Syringes: Only Vials available
  • Sodium Chloride 0.9% IV SOLN : Backordered, supplies limited, allocated from manufacturer
  • Unasyn 3gm inj.: limited supply
  • Vasopressin 20U/ml: limited supply; purchasing new costly refrigerated product to replace
  • Vecuronium Inj.: limited supply
  • Vinblastine Inj.: limited supply

Products that have returned to a “normal” status

  • Acetylcysteine 10%  (Mucomyst)
  • Alteplase (Cathflo®) Inj
  • Atropine Inj
  • Belladonna/Opium Supp
  • Bumetanide 1mg  Tabs
  • Calcium Chloride Syringes
  • Cefazolin Inj.
  • Chloroprocaine Inj. (Nesacaine®)
  • Cistracurium Inj
  • Dexamethasone 4mg/ml
  • Dextrose Syringes
  • D.H.E. 45
  • Enalprilat 1.25mg/ml 1ml Inj
  • ENLON PLUS
  • Erythromycin 500mg Inj.
  • Estradiol Valerate Inj.
  • Fluticasone-salmeterol (Advair®) HFA 45/21
  • Furosemide (Lasix®) Inj.
  • Ganciclovir (Cytovene®) Inj.
  • Glycopyrrolate Inj.
  • Hetastarch
  • Lidocaine 2gm/500ml
  • Lidocaine syringes
  • Methylprednisolone injection (Solu-Medrol®)
  • Mepivacaine 2% 50ml
  • Multivitamin Inj (Infuvite®)
  • Nalbuphine Inj.
  • Neostigmine Inj.
  • Nitroglycerin Inj
  • Oxacillin Inj.
  • Oyxtocin 10U/ml  1ml
  • Phytonadione 10mg/ml Inj.
  • Plasmalyte A
  • Potassium Chloride 10mEq/100ml RTU bags
  • Potassium Phosphate Inj
  • Potassium Sodium Phosphate Powder Packet ( PhosNak)
  • Prednisone 20mg tablets
  • Propofol injection (Diprivan®)
  • Propranolol Inj.
  • Sodium Chloride 0.9% SF Sterile Syringes
  • Sodium Phosphate Inj.
  • Sterile Water Inj 1000ml
  • Tuberculin PPD Skin test (Aplisol®)
  • Vancomycin Inj.
  • Vincristine


Banner MD Anderson Cancer Center

Products that are out and no resupply at this time:

  • Aminophylline injection (recovery 3rd quarter)
  • Nitroglycerine 50mg vial
  • Papaverine inj
  • Sodium thiosulfate injection
  • Hydroxyzine injection

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

  • Atropine injection:  1mg have 3 flats, ordered extra Atropine syringes for Pyxis
  • BCG vaccine: No estimated recovery date, all vials in stock assigned to a patient,  24 on order with ETA of early April.
  • Bleomycin: have small amount from APP on hand and Hospira has released product.
  • Bupivacaine 0.5% PF inj:  0.5% now on intermittent backorder. Have full flat with good Expiration date.
  • 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, 4 flats in stock. ETA March 2015
  • Cytarabine inj: Have small amount, mostly used inpatient. They also have small supply.
  • Dacarbazine inj: On back order with no recovery date, 10 & 20ml size…received 4x10 of 20ml size and have over 100 of the 10ml size.
  • Dexamethasone: all sizes on intermittent release have good supply of 1mg vials and #60 MDV vials.
  • Dextrose 5% in water 250ml: No estimated recovery date, available from other Banner facilities.
  • Daunorubicin inj: Usually used inpatient, all drug we had in stock recalled, received 50 vials of short dated product for new patient.
  • Doxil 20 & 50mg:  Warned of national back order so stock is being secured for existing patients. Have small amounts of drug now at McKesson outdating mid- year 2015 (3 new patients this week)
  • Doxorubicin inj: Bedford no longer supplying but available from 2 MFG, goes on and off backorder
  • Diphenhydramine 50mg: 10 flats in pharmacy, intermittent backorder
  • Epinephrine amps:  on backorder. We currently have up to date amps in the E-kits.
  • Epirubicin: No ETA, have small supply. Hospira brand has become available
  • Etoposide: 100mg vial on allocation. Was able to get 25ml vials from wholesaler last week.
  • Famotidine inj:  Westward brand 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 small supply at this time with other MFG’s, 200mg size is now available through Mylan. Putting in direct  orders with several MFG’s
  • Ibandronate sodium (Boniva): none on hand, on and off backorder. Currently no stock at McKesson
  • Irrinotecan: Usual supplier on backorder,McKesson only has expensive brand.  Ordering direct from other MFG’s
  • Leucovorin inj:  Sagent currently has stock at McKesson with no supply issues. Can move to more expensive name brand if needed.
  • Magnesium Premixed 2 gram inj: Premix bags now available at Banner AZRX.
  • Magnesium 1gm/2ml inj: ETA March 2015 received 12 flats from APP and 4 flats or the 20ml from Hospira.
  • Oxaliplatin: Usual brand experiencing delays, putting in direct orders with other MFG’s
  • Paclitaxel: Now available at our distribution center.
  • 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.
  • NS 250ML IV BAG: 2 cases in stock.  No estimated recovery date, allocated 2 cases per week
  • Topotecan inj: Small amount available thru McKesson, found 10 vials from another distribution center.
  • Sodium phosphate inj: have small amount, manufacturer allocation
  • Sodium Bicarb (NEUT): currently have 6 flats on shelf. Hospira brand released
  • Vincristine: 20 vials currently in stock. McKesson has supply of 1mg, have 20 vials.
  • Vinblastine: Delays in production, back order placed with APP received 30 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 10 vials.

Products that have returned to a “normal” status

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