For Physicians at Banner Gateway Medical Center  

Drug Shortages

 

Below is the update for the month of July/August 2015


Banner Gateway Medical Center

Products that are out and no resupply at this time:

  • Aminophylline Tabs
  • Caffeine-Sodium Benzonate Inj.
  • Droperidol injection (Inapsine®)
  • Hydroxyzine Inj.
  • Indigo Carmine Inj.
  • Kanamycin 1gm Inj.
  • LTA Kits
  • Methyldopate Inj.
  • Perflutren Lipid Microspheres (Definity®) :  unavailable, we are substituting with Optison.
  • Phentolamine 5mg Inj.: expected release from WESTWARD Q4
  • 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
  • Cefepime Inj.: limited stock; backordered
  • Chlorpromazine 25mg/ml 2ml Inj.: backordered, limited supply
  • Dexamethasone 10mg/ml Inj. : limited supply; backordered
  • Dexferrum Inj. (Iron Dextran): limited supply
  • Dextran-40 10% in NS 500ml: backordered
  • Dextrose 5% in Water: allocated by manufacturer
  • Dolasetron 20mg/ml 5ml Inj. : Backordered
  • Doxorubicin 50mg Powder Inj. : limited supply
  • Ephedrine 50mg/ml Inj.: limited supply
  • Foscavir (Foscarnet®) Inj.: backordered
  • Fosphenytoin Inj. : Backordered; limited supply
  • Lactated Ringers:  allocated from manufacturer
  • Levonorgestrel 0.75mg tablet: backordered
  • 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.
  • Papaverine injection: limited supply, only 2ml available
  • Prochlorperazine injection (Compazine®): allocated through FFF
  • Sodium Chloride 0.9% IV SOLN : Backordered, supplies limited, allocated from manufacturer
  • Unasyn 1.5gm, 3gm inj.: limited supply
  • Vasopressin 20U/ml: limited stock; supply problems intermittently
  • Vecuronium Inj.: limited stock; supply problems intermittently
  • Vinblastine Inj. : limited supply; supply problems intermittently

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.
  • Heparin 25,000U/D5W 250ml RTU
  • Hetastarch
  • Ketorolac 30mg/ml Inj.
  • 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
  • Pantoprazole  40mg Inj.
  • 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.
  • Sincalide
  • Sodium Bicarbonate 8.4% 50ml Syringes
  • 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, over 24 vials in stock at this time.
  • Bleomycin: have small amount from APP on hand and Hospira has released product. Current stick Outdating in August and will be used.
  • Bupivacaine 0.5% PF inj:  0.5% now on intermittent backorder. Have full flat with good Expiration date.
  • Calcium Gluconate inj :  Rceived 4 flats of 10ml and have 1 flat of 50ml. McKesson has good supply at this time.
  • Carboplatin inj: have several sizes and several MFG so this has not been a problem.
  • Cyanocobalamin (Vit B-12) inj: intermittent  backorder, 3 flats in stock.
  • Cytarabine inj: Have small amount, mostly used inpatient. They also have small supply.
  • Dacarbazine inj: MFG allocation, 10 & 20ml size…received 3 flats 6-28
  • Dexamethasone: several MFG’s experiencing delays in production, have plenty of the MDV’s
  • Dextrose 5% in water 250ml: No estimated recovery date, available from other Banner facilities.
  • Docetaxel 20mg/ml: Sagent no longer making product, McKesson now stocking the Winthrop brand.
  • Daunorubicin inj: McKesson has some short dated product available, no current patients needing.
  • 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: On and off backorder, available at this time from APP
  • Diphenhydramine 50mg: 12 flats in pharmacy, intermittent backorder
  • Epinephrine amps:  Received 1 box good dating. On and off backorder
  • 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 and 1GM size is now available through Mylan.
  • Ibandronate sodium (Boniva): none on hand.
  • Irrinotecan: Usual supplier on backorder,  Phizer brand now available.
  • 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: Received 24 flats of 2ml from McKesson backorder, 4 flats or the 20ml from Hospira.
  • Mesna: no patient’s currently on, 15 vials in stock
  • Ondansetron 2ml & 20ml sizes currently we have plenty in stock. PPX stock has become available.
  • Oxaliplatin: Usual brand experiencing delays, putting in direct orders with other MFG’s. Teva now available.
  • 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: 3 cases in stock.  No estimated recovery date, allocated 3 cases per week and allocation increased 20%  for the liters. Corporate sending  10 cases of 1000ml
  • Topotecan inj: Small amount available thru McKesson.
  • Sodium phosphate inj: have small amount, manufacturer allocation
  • Sodium Bicarb (NEUT): currently have 2 flats on shelf. Hospira brand released
  • Vincristine: 20 vials currently in stock. McKesson has supply of 1mg, have 20 vials.
  • Vinblastine: Delays in production, 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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