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5/5/2020

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

Products Affected - Description

    • Minibag injection, Baxter, 0.9%, 100 mL small volume bag, Single pack 96 count, NDC 00338-0049-48
    • 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, Quad pack 96 count, NDC 00338-0049-18
    • 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, Multipack 96 count, NDC 00338-0049-31
    • 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, 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, 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

Reason for the Shortage

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

Available Products

    • 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 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 VisIV small volume bag, 60 count, NDC 00409-7984-11
    • 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 VisIV small volume bag, 60 count, NDC 00409-7984-06
    • 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

    • Baxter has 0.9% sodium chloride 50 mL and 100 mL Viaflex minibags on back order and the company is allocating product as it becomes available. All other presentations are on allocation.
    • BD has 0.9% sodium chloride 50 mL and 100 mL PVC/DEHP-free bags on allocation.
    • Fresenius Kabi has 0.9% sodium chloride 50 mL PVC/DEHP-free bags in 60 count available with short expiration dating (<4 months). The 100 mL PVC/DEHP-free bags in 50 count are also available with short expiration dating (<9 months).

Alternative Agents & Management

    • 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/Drug-Shortages/Shortage-Resources/Publications/Small-Volume-Parenteral-Solutions-Shortages.

Updated

Updated May 5, 2020 by Leslie Jensen, PharmD, Drug Information Specialist. Created September 29, 2017 by Michelle Wheeler, PharmD, Drug Information Specialist. © 2020, Drug Information Service, University of Utah, Salt Lake City, UT.

Disclaimer

Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. 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, with 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 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 ASHP nor the University of Utah endorses or recommends the use of any particular drug. Any application of this information for any purpose shall be limited to personal, non-commercial use.

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