Current Drug
Shortages and Alternatives

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

Dextrose 70% Injection 500ml and 2000ml bags – limited availabiltiy Dextrose 70% Injection 500ml and 2000ml bags – limited availabiltiy

Epinephrine 0.1mg/mL Alternatives: Epipen 0.15mg and 0.3mg

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 inibitors – Omeprazole, Lansoprazole, Esomeprazole

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

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

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.

Theophylline ER Tablet 100mg, 200mg, 300mg Alternatives Theophylline oral solution (elixophyllin 80mg/15ml) Theo-24 ER capsules – 100mg 200mg, 300mg

Isosorbide Dinitrate ER 40mg (Isordil) – NDC: 57664-600-88 Alternatives: Isosorbide Dinitrate 5mg, 10mg 20mg, 30mg tablets

Acetylcysteine 10% vials Alternatives:
Acetylcysteine 20% vials

Disopyramide Phosphate (Norpace) – multiple Strengths Alternatives:
Amiodarone
Calcium channel blockers- verapamil
Beta blockers – metoprolol, atenolol

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) Dextrose 50% injection (25gm/50ml)

Epinephrine 0.1mg/mL Alternatives
Epipen 0.15mg and 0.3mg

Factive (Gemifloxacin) 320mg Alternatives:
Other flouroquinolones depending on microorganism such as Levaquin
Azithromycin

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 Sodium Chloride 0.9% inj bags – 100ml Disopyramide Phosphate (Norpace) – multiple Strengths Alternatives: Amiodarone Calcium channel blockers- verapamil Beta blockers – metoprolol, atenolol

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

Risperidone ODT tablets all strengths – Mylan – Discontinuation Alternatives: Zyprexa Zydis (olanzapine ODT – 5mg, 10mg)
Ability ODT (aripiprazole ODT – 10mg, 15mg)

Montelukast oral granules 4mg NDC 00378-6040-93 Mylan – Discontinuation Alternatives: Montelukast 4mg tablet chewable, 5mg tablet chewable, 10mg tablet

Calcium Gluconate Injection Vial 10% – multiple NDCs Alternatives : calcium carbonate 500mg tablets

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

Promethazine for Injection Vial 25mg – NDC 00641-0928-25 Westward
50mg- NDC 00641-0929-25 Westward
Alternatives: Reglan (metoclopramide 10mg )
Zofran (ondansetron 4mg, 8mg)