Current Drug
Shortages and Alternatives

Veramyst Nasal Spr Alternatives: Fluticasone 50mcg Spr Strength: 27.5mcg Discontinued? No Other: Med available in limited supply

Strovite One Vitamins Alternatives: Multivitamins w/ minerals   Discontinued? No  

Sodium Chloride 0.9%   Strength: All sizes   Other: Pharmacy will not replenish backup boxes until relief of the shortage

Sodium Bicarbonate Inj Alternatives: Sodium Bicarbonate Inj 4.2% Strength: 8.4% Discontinued? No  

Scopalamine patch Alternatives: Brand Transderm   Discontinued? No  

Sarna sensitive lotion Alternatives: Cerave itch relieve lotion ; men-phor lotion; aveeno anti-itch cream   Discontinued? No  

Refresh PM Oint     Discontinued? No  

Refresh Lacrilube Oint   Discontinued? No  

Phenytoin Inj Alternatives: Phenytoin caps, susp, chew tabs; Levetiractiam Inj   Discontinued? No  

Potassium Chloride Inj Alternatives: Liquid, Tabs, Caps   Discontinued? No Other: Med available in limited supply

Oxycodone ER Alternatives: Brand Oxycontin Strength: All strengths Discontinued? No  

Nephronex Liquid   Discontinued? No  

Natural Forte Tears Alternatives: Artificial Tears   Discontinued? Yes

Naphazoline Sol Opth Alternatives: Visine Soln Strength: 0.1% Discontinued? No  

Mucomyst Alternatives: 10% Strength: 20% Discontinued? No Other: Med available in limited supply

Morphine Sulfate Oral Syringe Alternatives: Morphine Sulfate 10mg/0.5mL, 1mL Oral Syringe Strength: 20mg/mL, 1mL Discontinued? Yes

Morphine sulfate for Inj Alternatives: Morphine  oral solution, morphine tablets (IR and ER) Strength: All strengths Discontinued? No  

Lidocaine HCl Inj Alternatives: Other vial sizes available Strength: 1%, 10mL Discontinued? 10mL size only

Levocetirizine tab Alternatives: Cetirizine 10mg tab Strength: 5mg Discontinued? No  

Isosorbide Dinitrate ER Alternatives: Isosorbide Dinitrate 5,10,20,30mg Isosorbide Mononitrate ER 30mg Strength: 40mg Discontinued? No  

LacHydrin Lotion/Cream Alternatives: Ammonium Lactate 12% Strength: 5% Discontinued? No  

Insyte Catheter Alternatives: 22G or 24G Strength: 18G, 20G Discontinued? Yes  

Hypotears Soln Alternatives: Isopto Tears, Tears Natural Free   Discontinued? No  

Hydromorphone for Inj Alternatives: Hydromorphone Tabs or 1mg/ml oral solution Strength: All strengths Discontinued? No  

Hydroxyzine Inj Alternatives: Hydroxyzine Inj 25mg/mL Strength: 50mg/mL Discontinued? Yes  

Hexavitamin Alternatives: Multivitamin Tab/Cap   Discontinued? Yes  

Genteal Gel Alternatives: Genteal Drops/Tears; Systane   Discontinued? Yes  

Elta Seal Cream   Strength: 6% Discontinued? Yes  

Duloxetine caps Alternatives: Duloxetine 20mg, 30mg, 60mg Strength: 40mg Discontinued? No  

Dorzolamide/Timolol Drops Alternatives: Drugs available separately   Discontinued? No  

Dilaudid Tabs (Brand) Alternatives: Hydromorphone Tabs 2mg Strength: 2mg Discontinued? No  

Diazepam Inj Alternatives: Diazepam Gel Midazolam Inj 5mg/mL Strength: All strengths Discontinued? No  

Dextrose Syringe 50%   Discontinued? No  

Cephalexin Tabs Alternatives: Cephalexin 500mg capsules Strength: 500mg Discontinued? No  

Cefadroxil tab Alternatives: Cefadroxil 500mg; cefadroxil susp Strength: 1gm Discontinued? No  

Calcium Gluconate Tabs   Strength: 500mg Discontinued? Yes  

Calcium Carbonate Alternatives: Calcium Carbonate 500mg Strength: 1250mg Discontinued? Yes  

Bydureon inj Alternatives: Bydureon Dual Chamber Pen; Bydureon Bcise Strength: 2mg Discontinued? Yes  

Bactroban Nasal Alternatives: Mupirocin Oint Strength: 2% Discontinued? Yes  

Bacitracin/Polymixin Opth Oint Alternatives: Neo/Poly B/Gramicidin Opth Oint Discontinued? No  

Atrovent HFA inhaler Alternatives: Ipratropium neb solution, Spiriva   Discontinued? No  

Ampicillin Alternatives: 500mg caps or IV vials ONLY Strength: 250mg Discontinued? Yes  

Veramyst Nasal Spr Alternatives: Fluticasone 50mcg Spr Strength: 27.5mcg Discontinued? No Other: Med available in limited supply

Sodium Chloride 0.9%   Strength: All sizes Discontinued? No Other: Pharmacy will not replenish backup boxes until relief of the shortage

Sodium Bicarbonate Inj Alternatives: Sodium Bicarbonate Inj 4.2% Strength: 8.4% Discontinued? No

Siltussin DM Alternatives: Robafen DM   Discontinued? No

Sarna sensitive lotion Alternatives: Cerave itch relieve lotion ; men-phor lotion; aveeno anti-itch cream   Discontinued? No

Refresh PM Oint   Discontinued? No

Refresh Lacrilube Oint   Discontinued? No

Primaxin Inj Alternatives: Invanz Strength: 250mg, 500mg Discontinued? No

Potassium Chloride Inj Alternatives: Liquid, Tabs, Caps Discontinued? No Other: Med available in limited supply

Nephronex Liquid   Discontinued? No

Natural Forte Tears Alternatives: Artificial Tears Discontinued? Yes

Naphazoline Sol Opth Alternatives: Visine Soln Strength: 0.1% Discontinued? No

Mucomyst Alternatives: 10% Strength: 20% Discontinued? No Other: Med available in limited supply

Morphine Sulfate Oral Syringe Alternatives: Morphine Sulfate 10mg/0.5mL, 1mL Oral Syringe Strength: 20mg/mL, 1mL Discontinued? Yes

Morphine sulfate for Inj Alternatives: Morphine  oral solution, morphine tablets (IR and ER) Strength: All strengths Discontinued? No

Lorazepam Inj Alternatives: Lorazepam Tablets, Concentrate or Gel Midazolam Inj 5mg/mL Diastat Gel Strength: 2mg/mL Discontinued? No Other: Anticipated back in stock mid-January 2018

Lidocaine HCl Inj Alternatives: Other vial sizes available Strength: 1%, 10mL Discontinued? 10mL size only

LacHydrin Lotion/Cream Alternatives: Ammonium Lactate 12% Strength: 5% Discontinued? No

Isosorbide Dinitrate ER Alternatives: Isosorbide Dinitrate 5,10,20,30mg Isosorbide Mononitrate ER 30mg Strength: 40mg Discontinued? No

Insyte Catheter Alternatives: 22G or 24G Strength: 18G, 20G Discontinued? Yes

Hypotears Soln Alternatives: Isopto Tears, Tears Natural Free Discontinued? No

Hydromorphone for Inj (vial and syringe) Alternatives: Hydromorphone Tabs or 1mg/ml oral solution Strength: All strengths Discontinued? No

Hydroxyzine Inj Alternatives: Hydroxyzine Inj 25mg/mL Strength:50mg/mL Discontinued? Yes

Hexavitamin Alternatives: Multivitamin Tab/Cap Discontinued? Yes

Genteal Gel Alternatives: Genteal Drops/Tears; Systane Discontinued? Yes

Gentak eye oint Alternatives: Gentamicin Eye drops Discontinued? No

Elta Seal Cream Alternatives:Strength: 6% Discontinued? Yes

Dorzolamide/Timolol Drops Alternatives: Drugs available separately Discontinued? No

Dilaudid Tabs (Brand) Alternatives: Hydromorphone Tabs 2mg Strength:2mg Discontinued? No

Diazepam Inj Alternatives: Diazepam Gel Midazolam Inj 5mg/mL Strength:All strengths Discontinued? No

Dextrose Syringe 50% Alternatives:Discontinued? No

Cephalexin Tabs Alternatives: Cephalexin 500mg capsules Strength: 500mg Discontinued? No

Cefotetan Inj Other: Med available in limited supply Strength:1gm & 2gm Discontinued? No

Calcium Gluconate Tabs Alternatives:Strength: 500mg Discontinued? Yes

Calcium Carbonate Alternatives: Calcium Carbonate 500mg Strength: 1250mg Discontinued? Yes

Bactroban Nasal Alternatives: Mupirocin Oint Strength: 2% Discontinued? Yes

Bacitracin/Polymixin Opth Oint Alternatives: Neo/Poly B/Gramicidin Opth Oint Discontinued? No  

Atenolol Alternatives: Coreg, Metoprolol Strength: All Discontinued? No Other: Med available in limited supply

Ampicillin Alternatives: 500mg caps or IV vials ONLY Strength: 250mg Discontinued? Yes

Atenolol tablets – multiple NDCs – Limited availability Alternatives: Other beta blockers – metoprolol, carvedilol

Bactroban 2% nasal ointment (1gram tubes) – NDC 00029-1526-11 Alternatives: Mupirocin 2% ointment -22gm tube

Carbidopa/Levodopa ER 25-100mg – multiple NDCs Alternatives: ER 50-250mg tabs Carbidopa/levodopa 25-100mg tabs

Cefepime for Injection 1gm, 2gm vial -multiple NDCs – Limited Availability Alternatives: Ceftriaxone 500mg, 1gm Cefazolin 500mg, 1gm

Diazepam Injection 5mg/ml – Carpuject and flip top vial; Limited supply Alternatives: Lorazepam Injection 2mg/ml Diazepam tablets – 2mg, 5mg, 10mg Diazepam rectal gel

Dextrose 50% Injection (25gm/50ml) –limited availability Dextrose 50% Injection (25gm/50ml) –limited availability

Imipenem/Cilastatin 250mg/ 500mg for Injection – multiple NDCs – Limited supply Alternatives Invanz IV 500mg, 1 gram

Methotrexate Injection – Multiple NDCs Alternatives: The choice of alternative agent must be patient –specific and based on neoplasm type and location. No single agent can be substituted for methotrexate. Use oral Methotrexate if possible.

MVI -12 and MVI- Adult Injection vial – Hospira Alternatives: Infuvite

Potassium Chloride Inj and Potassium Phosphate inj 2mEq/ml – Limited Availability Alternatives: Other dosage forms of potassium (tabs/caps/liquid)

Protonix IV powder for injection 40mg Vial – limited availability Alternatives: Other IV PPI – Nexium (esomeprazole) or Prevacid (lansoprazole) Oral protonix (pantoprazole) Other oral proton pump inhibitors – Omeprazole, Lansoprazole, Esomeprazole

QVAR (beclomethasone) HFA inhaler 40mcg, 80mcg – product discontinuation Alternatives: Other steroidal inhalers such as Asmanex (mometasone) or Flovent (fluticasone)

Sodium Bicarbonate Injection 8.4% – limited availability Sodium Bicarbonate Injection 8.4% - limited availability

Acetylcysteine 10% vials Alternatives: Acetylcysteine 20% vials

Pipercillin/Tazobactam 2.25gm, 3.375gm, 4.5gm – multiple NDCs – Limited supply Pipercillin/Tazobactam 2.25gm, 3.375gm, 4.5gm – multiple NDCs – Limited supply

Bicillin LA 1.2mu & 2.4mu Injection (Pen G) – NDC: 60793-702-10, 60793-701-10 – Limited Availability Alternatives: Antimicrobials based on sensitivity Ampicillin INJ for IV Penicillin INJ of IV

MVI -12 and MVI- Adult Injection vial – Hospira Alternatives: Infuvite

Cefepime for Injection 1gm, 2gm vial -multiple NDCs – Limited Availability Alternatives: Ceftriaxone 500mg, 1gm Cefazolin 500mg, 1gm

Dextrose 50% Injection (25gm/50ml) –limited availability Dextrose 50% Injection (25gm/50ml) –limited availability