Current Drug
Shortages and Alternatives

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)