Multiple Vitamins for Infusion

[13 March 2015]

Products Affected - Description

Multivitamin for infusion (MVI) Adult, Hospira
MVI Adult, 10 mL two-chambered vials (NDC 61703-0422-81)
MVI Adult, 2 x 50 mL Dual vials (NDC 61703-0422-83)

Reason for the Shortage

  • Hospira states the shortage is due to manufacturing delays.
  • Baxter states the reason for the shortage was manufacturing delays. Baxter has all presentations fully available at this time.

Available Products

Infuvite for infusion, Baxter
Adult 2 x 5 mL single dose vials (NDC 54643-5649-01)
Adult 2 x 50 mL bulk vials (NDC 54643-5650-02)
Pediatric 5 mL single dose vials (NDC 54643-5646-01)
Pediatric 50 mL bulk vials (NDC 54643-5647-00)
Multivitamin for infusion (MVI) Without Vitamin K Adult, Hospira
MVI-12 Adult, 50 mL Dual vials (NDC 61703-0423-83)

Multivitamin for infusion (MVI) Adult, Hospira
MVI Adult, 2 x 5 mL Dual vials (NDC 61703-0422-82)
Multivitamin for infusion (MVI) Pediatric, Hospira
MVI Pediatric, lyophilized powder, 5 mL (once reconstituted) vials (NDC 61703-0421-53)

Estimated Resupply Dates

Hospira has MVI Adult 10 mL two-chambered vials and 50 mL Dual vials on back order and estimates a release date of late-March 2015 for the 50 mL Dual vials and cannot estimate a release date for the 10 mL two-chambered vials.

Alternative Agents & Management

  • The American Society for Parenteral and Enteral Nutrition (ASPEN) has detailed recommendations for managing an intravenous multivitamin shortage in adults and pediatric patients online.
  • Key recommendations include:
    • Use oral or enteral multivitamin preparations whenever possible.
    • Use of pediatric intravenous multivitamins for adults is not recommended and may result in a shortage of pediatric products.
    • Use of multivitamin preparations without vitamin K is fine with individual supplementation of Vitamin K products. Ensure patients receiving vitamin K are getting adequate anticoagulation if they are on warfarin.
    • Reserve intravenous multivitamins for patients receiving parenteral nutrition.
    • Reserve pediatric intravenous multivitamins for children less than 2.5 kg or less than 36 weeks gestational age.
    • When all supply options are exhausted, ration intravenous multivitamins in parenteral nutrition or administer individual parenteral vitamins.
    • Purchase only the supply needed, do not stockpile.

Related Shortages


March 4 and 13, January 8 and 23, 2015; November 14, October 15, August 26, July 9 and 25, June 25, May 1, March 20, January 9, 2014; October 7, August 5 and 21, June 18, May 3, April 15, February 26, January 30, 2013; December 12,; October 10, September 5 and 10, August 9, July 18, May 16 and 24, April 13, March 9, February 24, January 3 and 18, 2012; December 13, November 15, October 4, 11, and 31, September 14, August 1, July 14, June 3 and 28, April 1, 4, 7 and 18, March 28, February 4, 2011; December 2, September 29, August 4, July 2 and 16, May 19, April 13, March 1, February 2, January 8 and 11, 2010; November 17, September 11, 2009; November 17, October 22, September 9 and 26, August 11 and 25, July 14 and 28, June 23, 2008, University of Utah, Drug Information Service. Copyright 2015, Drug Information Service, University of Utah, Salt Lake City, UT.


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