Products Affected - Description
Multivitamin for infusion (MVI) Adult, Hospira
MVI Adult, 10 mL two-chambered vials (NDC 61703-0422-81)
MVI Adult, 2 x 5 mL Dual vials (NDC 61703-0422-82)
MVI Adult, 2 x 50 mL Dual vials (NDC 61703-0422-83)
Multivitamin for infusion (MVI) Without Vitamin K Adult, Hospira
MVI-12 Adult, 10 mL two-chambered vials (NDC 61703-0423-81) - discontinued
MVI-12 Adult, 50 mL Dual vials (NDC 61703-0423-83)
Infuvite for infusion, Baxter
Adult 2 x 50 mL bulk vials (NDC 54643-5650-02)
Reason for the Shortage
- Hospira states the shortage is due to manufacturing delays.
- Baxter states the reason for the shortage is manufacturing delays.
Infuvite for infusion, Baxter
Adult 2 x 5 mL single dose vials (NDC 54643-5649-01)
Pediatric 5 mL single dose vials (NDC 54643-5646-01)
Pediatric 50 mL bulk vials (NDC 54643-5647-00)
Multivitamin for infusion (MVI) Pediatric, Hospira
MVI Pediatric, lyophilized powder, 5 mL (once reconstituted) vials (NDC 61703-0421-53)
Estimated Resupply Dates
- Hospira has all adult multivitamin for infusion on back order and cannot estimate a release date.
- Baxter has Infuvite adult 2 x 50 mL vials on allocation through wholesalers or direct order.
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.
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