Rx Release Form

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					                                                                                      Drug Shortages/Supply Issues
                                                           Items only listed when they are unavailable and VUMC is out or experiencing supply issues
                                                                                               Updated: 11/02/09
Medication                                 Date Reported    Update Date    Anticipated Release date     Communication   Notes
Urokinase 250MIU injection                     6/16/09        10/28/09                None                 HEO/MD       Microbix- 1.800.794.6694- experiencing issues with FDA release of product
Recombivax vaccine adult 10mcg injection       4/13/09        10/28/09          No release date             RX/MD
Phisohex cleanser                              3/6/09         10/28/09          No release date              HEO
2000ML Evacuated Containers                  6/20/2009       9/27/2009                2010            RX
Pontocaine 2% solution                        10/21/09        10/28/09          Late November                 RX
Desmopressin 4mcg/ml 10ml                     10/28/09        10/28/09          Early December                RX        Use different size
Ciprofloxacin 100mg tabs                      10/28/09                          No release date               RX
Paromomycin 250mg capsule                     10/28/09                          No release date              HEO
Mexilitine 150mg capsule                      10/28/09                          Early December                RX        No alternative
Vancomycin 10gm vial                            9/1/09         10/28/09         No release date               RX        Use 5gm vial for compounding
Methadone oral solution                       10/30/09                          Mid November                  RX        Use tablets
Diazepam injection                            10/30/09                          Early November                RX        Consult MD regarding oral form or another benzo
Erythromycin ophthalmic ointment               11/2/09                          No release date               RX        In discussion with VCH/VUH Clinical group
                                                              Resolved Drug
Date       Drug
2/22/08    Ativan 2ml injection
2/25/08    B&O Suppositories
3/7/08     Hydroxyzine HCL tablets
3/11/08    Advair 100/50
3/11/08    Sodium Bicarbonate 50ml vials
5/14/08    Amobarbital 500mg injection
5/15/08    Heparin flush syringes 100 units/ml 5ml (yellow)
5/28/08    Nitroglycerin drips 25mg/250ml
6/4/08     Lidocaine with Epi 2% 20ml AMP
5/14/08    Dextran in Saline 500ml
5/14/08    Dextran in Dextrose 500ml
6/4/08     Butorphanol injection 2mg/ml
6/4/08     Glycolax 17gm packets
2/22/08    Heparin (Baxter) vials and pre-filled syringes
3/11/08    Morphine 10mg/0.5ml
5/6/08     AK-Flour (Fluorescein 25% eye injection)
7/22/08    Cocaine 4% 4ml topical
7/22/08    Ultiva 1mg vials
8/20/08    Zemuron 10ml vials
6/6/08     Amlodipine powder (for compounding)
2/25/08    Prednisolone (Orapred) 15mg/5ml unit-dose
4/11/08    Lymphazurin (Isosulfan) 1% 5ml inj
8/20/08    Calcitriol 1mcg injection
9/10/08    Levothyroxine 200mcg injection
9/10/08    Acetazolamide 500mg injection
9/10/08    Pentamidine 300mg injection (not Nebupent)
8/20/08    Meclizine 25mg tab
9/10/08    Acyclovir 500mg & 1000mg injection
8/27/08    Primaxin 250mg and 500mg vials
8/27/08    Evacuated Container 2000ml
6/5/08     Hyoscyamine 0.125mg & 0.375mg tabs/caps
12/30/08   Ultiva 2mg vials
8/20/08    Nexium 20mg and 40mg vials
11/03/08   Alprostadil injection
01/31/09   Ranitidine injection
02/13/09   Vancomycin addvantage 1gm vials
01/31/09   Syprine (Trientine) 250mg capsule
01/31/09   Physostigmine injection
06/16/09   Bacitracin zinc ointment packets
06/16/09   Naropin 5mg/ml (0.5%) 20ml
06/16/09   Nitroglycerin 9mg capsules
05/05/09   Senna/Docusate
           Iron Dextran
           Polycitra oral syrup
           Nimbex (Cisatracurium)
           Sufentanil 5ml
           Thyroid tablets
CPD Solution which may affect Cardioplegia
Niferex 150 tablets
Remifentanil 1mg/2mg vials
Donnatal Elixir
Erythromycin injection
Mitomycin injection
Aztreonam 1gm/2gm Vials
         Resolved Drug Shortages
Anticipated date of resolution
Available
Available
Available
Available
Available
Mid March
Sporadic availability
Early June
Mid July
July 11th according to Hospira
July 11th according to Hospira
No release date
Mid July
No release date
No release date
No release date
No release date
Late July

No release date
Early May
Early May
No release date
No release date
Late September
Week of 9/14
No release date
No release date
No release date
No release date
Long-term backorder
No release date
Will review all new orders and maintain stock based on limited supply
No release date
No release date
No release date
Temporary --no release date
No release date
No release date
No release date
No release date
No release date

             6/15/09
             8/24/09
             9/2/09
             9/23/09
8/20/09
6/16/09
8/12/09
6/16/09
 7/1/09
3/25/09
3/24/09
ed Drug Shortages
          Plan during shortage/Comments
          Will only fill stockouts from Pyxis until product arrives 2/26
          Slowly coming back into inventory
          Substitute with pamoate or similar

          Use sodium bicarbonate 50ml syringes
          Call into McKesson again (4/29)
          We are working with our local rep to meet our needs --
          50mg/500ml or 100mg/250ml (concentrated)




          Substitute with 255gm bulk bottle
          Receiving limited dropshipped product until resolution
          No using 20mg/1ml u/d only

          Being compounded by VUMC


          Amlodipine tabs
          Fill as an extempt using the bulk bottles
          Substitute with methylene blue
          Oral formulation-- can buy amps now



          Substitute with the 12.5mg tab


          Sub with 1000ml Evacuated Container


rs and maintain stock based on limited supply
           Able to buy brand on allocation at the moment



          were ablet o buy a limited supply from 2ndary source



          Adults: Docusate 100mg BID Peds: Docusate based on pt wgt

                                           8/5/09
8/12/09

9/22/09

10/28/09
     Communcation Plan
         Pharmacy
     Pharmacy/HEO/MD
         Pharmacy
         Pharmacy
         Pharmacy
         Pharmacy
 Pharmacy/HEO/MD/Nursing
         Pharmacy
         Pharmacy
     Pharmacy/HEO/MD
     Pharmacy/HEO/MD
         Pharmacy
       Pharmacy/HEO
 Pharmacy/HEO/MD/Nursing
         Pharmacy
  Pharmacy/Nursing (Clinic)
         Pharmacy
       Pharmacy/MD
         Pharmacy
         Pharmacy
         Pharmacy
       Pharmacy/MD
         Pharmacy
       Pharmacy/HEO
         Pharmacy
         Pharmacy
         Pharmacy
         Pharmacy
       Pharmacy/HEO
         Pharmacy
         Pharmacy
         Pharmacy
     Pharmacy/HEO/MD
         Pharmacy
         Pharamcy
         Pharmacy
         Pharmacy
         Pharmacy
Pharmacy
Pharmacy
Pharmacy
Pharmacy/MD

            None
    None                        Judy will keep me updated on status of cardioplegia from CAPS
    None
Mid-September       To OR staffOR Rx will not dispense until these are back-- 5mg vials will be reserv
    None                       Gi Cocktail no longer orderable or available at VUMC-- prescriber mu
November 2009                  See
                  HEO Intervention HEO
    None
No release date                 Use frozen piggyback instead
ardioplegia from CAPS

ack-- 5mg vials will be reserved for inpatient infusions
ble at VUMC-- prescriber must order as separate components

				
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posted:7/22/2011
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