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12/3/2019

0.9% Sodium Chloride Small Volume Bags (< 150 mL)

Products Affected - Description

    • 0.9% Sodium Chloride injection, ICU Medical, 0.9%, 100 mL VisIV small volume bag, 60 count, NDC 00409-7984-11
    • 0.9% Sodium Chloride injection, ICU Medical, 0.9%, 50 mL VisIV small volume bag, 60 count, NDC 00409-7984-06

Reason for the Shortage

    • Baxter has 0.9% sodium chloride small volume bags available.
    • BBraun has 0.9% sodium chloride small volume bags available.
    • BD has 0.9% sodium chloride small volume bags available.
    • Fresenius Kabi has 0.9% sodium chloride small volume bags available.
    • ICU Medical did not provide a reason for the shortage.
    • Pfizer had 0.9% sodium chloride small volume presentations on shortage due to increased demand.

Available Products

    • Minibag injection, Baxter, 0.9%, 100 mL small volume bag, Quad pack 96 count, NDC 00338-0049-18
    • Minibag injection, Baxter, 0.9%, 100 mL small volume bag, Multipack 96 count, NDC 00338-0049-38
    • Minibag injection, Baxter, 0.9%, 100 mL small volume bag, Single pack 96 count, NDC 00338-0049-48
    • Minibag injection, Baxter, 0.9%, 25 mL small volume bag, Quad pack 48 count, NDC 00338-0049-10
    • Minibag injection, Baxter, 0.9%, 50 mL small volume bag, Single pack 96 count, NDC 00338-0049-41
    • Minibag injection, Baxter, 0.9%, 50 mL small volume bag, Multipack 96 count, NDC 00338-0049-31
    • Minibag injection, Baxter, 0.9%, 50 mL small volume bag, Quad pack 96 count, NDC 00338-0049-11
    • Minibag plus Viaflex injection, Baxter, 0.9%, 100 mL small volume bag, 80 count, NDC 00338-0553-18
    • Minibag plus Viaflex injection, Baxter, 0.9%, 50 mL small volume bag, 80 count, NDC 00338-0553-11
    • 0.9% Sodium Chloride injection, BBraun, 0.9%, 100 mL fill in 150 mL bag small volume bag, 64 count, NDC 00264-1800-32
    • 0.9% Sodium Chloride injection, BBraun, 0.9%, 25 mL fill in 100 mL bag small volume bag, 116 count, NDC 00264-1800-36
    • 0.9% Sodium Chloride injection, BBraun, 0.9%, 50 mL fill in 100 mL bag small volume bag, 84 count, NDC 00264-1800-31
    • 0.9% Sodium Chloride injection, BD, 100 mL PVC/DEHP-free bag, 50 count, NDC 17271-0701-03
    • 0.9% Sodium Chloride injection, BD, 50 mL PVC/DEHP-free bag, 60 count, NDC 17271-0701-02
    • 0.9% Sodium Chloride injection, Fresenius Kabi, 100 mL PVC/DEHP-free bag, 50 count, NDC 63323-0623-61
    • 0.9% Sodium Chloride injection, Fresenius Kabi, 50 mL PVC/DEHP-free bag, 60 count, NDC 63323-0623-53
    • 0.9% Sodium Chloride solution for injection, Fresenius Kabi, 100 mL single dose vial, 25 count, NDC 63323-0186-00
    • 0.9% Sodium Chloride injection, ICU Medical, 0.9%, 100 mL small volume bag, 48 count, NDC 00409-7984-23
    • 0.9% Sodium Chloride injection, ICU Medical, 0.9%, 100 mL small volume bag, 80 count, NDC 00409-7984-37
    • 0.9% Sodium Chloride injection, ICU Medical, 0.9%, 25 mL small volume bag, 48 count, NDC 00409-7984-20
    • 0.9% Sodium Chloride injection, ICU Medical, 0.9%, 50 mL preservative-free small volume bag, 48 count, NDC 00409-7984-13
    • 0.9% Sodium Chloride injection, ICU Medical, 0.9%, 50 mL small volume bag, 80 count, NDC 00409-7984-36
    • 0.9% Sodium Chloride solution for injection, Pfizer, 50 mL single dose vial, 25 count, NDC 00409-4888-50
    • 0.9% Sodium Chloride, Pfizer, 0.9%, 100 mL ADD-Vantage small volume bag, 50 count, NDC 00409-7101-67
    • 0.9% Sodium Chloride, Pfizer, 0.9%, 50 mL ADD-Vantage small volume bag, 50 count, NDC 00409-7101-66

Estimated Resupply Dates

    • ICU Medical has 0.9% sodium chloride 50 mL and 100 mL VisIV bags on allocation to contracted customers only.

Safety

    • Significant pharmacy informatics changes may be required when using imported product. Items to review include barcode scanning, compatibility with devices used to admix drugs on demand such as Vial2Bag®, and ensuring products are entered appropriately in all pharmacy automated systems.

Alternative Agents & Management

    • Baxter is coordinating with FDA to temporarily import 0.9% sodium chloride in 50 mL and 100 mL sizes manufactured in Ireland. The Dear Healthcare Professional letter provides ordering instructions and other details about the imported products: https://www.fda.gov/downloads/Drugs/DrugSafety/DrugShortages/UCM579560.pdf
    • Reserve small volume bags for medication preparation. Use larger volumes (1 liter) for all other uses including starting intravenous lines, administering blood, or flushing.
    • Work with materials management departments to transfer supplies of small volume bags to pharmacy.
    • Review current compounding and switch to IV push or premixed products whenever possible.
    • ASHP has suggestions on management and conservation of small volume parenteral solutions at https://www.ashp.org/-/media/assets/drug-information/docs/drug-shortages-SVP-Shortages-suggestions-for-management-conservation.ashx?la=en&hash=1D9BCC78FFBB074C04C97A5096DA4215C8C1B746

Updated

Updated December 3, 2019 by Michelle Wheeler, PharmD, Drug Information Specialist. Created September 29, 2017 by Michelle Wheeler, PharmD, Drug Information Specialist. © 2019, Drug Information Service, University of Utah, Salt Lake City, UT.

Disclaimer

This information is provided through the support of Vizient to ASHP solely as a service to its members, which shall not use this information for their further commercial use. The content was prepared by the Drug Information Center of University of Utah. Vizient, ASHP, and the University of Utah make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, which respect to such information, and specifically disclaim all such warranties. Users of this information are advised that decisions regarding the use of drugs and drug therapies are complex medical decisions and that in using this information, each user must exercise his or her own independent professional judgment. Neither Vizient, ASHP nor the University of Utah assumes any liability for persons administering or receiving drugs or other medical care in reliance upon this information, or otherwise in connection with this bulletin. Neither Vizient, ASHP nor University of Utah endorses or recommends the use of any drug.

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