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6/12/2022

0.9% Sodium Chloride Flush Syringes

Products Affected - Description

    • BD Posiflush, BD, 10 mL standard plunger rod syringe, 30 count, NDC 08290-3065-46
    • BD Posiflush, BD, 10 mL standard plunger rod syringe, with cannula 30 count, NDC 08290-3065-51
    • BD Posiflush, BD, 3 mL fill in 10 mL syringe, 30 count, NDC 08290-3065-44
    • BD Posiflush, BD, 3 mL fill in 10 mL syringe, with cannula 30 count, NDC 08290-3065-49
    • BD Posiflush, BD, 5 mL fill in 10 mL syringe, with cannula 30 count, NDC 08290-3065-50
    • BD Posiflush, BD, 5 mL fill in 10 mL syringe, 30 count, NDC 08290-3065-45
    • BD Pre-filled Normal Saline Syringes, BD, 10 mL fill in 10 mL syringe, with cannula 30 count, NDC 08290-3065-19
    • BD Pre-filled Normal Saline Syringes, BD, 10 mL fill in 10 mL syringe, 30 count, NDC 08290-3065-00
    • BD Pre-filled Normal Saline Syringes, BD, 2 mL fill in 3 mL syringe, 30 count, NDC 08290-3065-08
    • BD Pre-filled Normal Saline Syringes, BD, 3 mL fill in 10 mL syringe, 30 count, NDC 08290-3065-03
    • BD Pre-filled Normal Saline Syringes, BD, 3 mL fill in 3 mL syringe, 30 count, NDC 08290-3065-07
    • BD Pre-filled Normal Saline Syringes, BD, 3 mL fill in 3 mL syringe, with cannula 30 count, NDC 08290-3065-24
    • BD Pre-filled Normal Saline Syringes, BD, 3 mL fill in 5 mL syringe, 30 count, NDC 08290-3065-05
    • BD Pre-filled Normal Saline Syringes, BD, 5 mL fill in 10 mL syringe, 30 count, NDC 08290-3065-02
    • BD Pre-filled Normal Saline Syringes, BD, 5 mL fill in 5 mL syringe, 30 count, NDC 08290-3065-04
    • BD Pre-filled Normal Saline Syringes, BD, 5 mL fill in 5 mL syringe, with cannula 30 count, NDC 08290-3065-22
    • Normal Saline Flush, Medefil, Inc., 10 mL fill in 12 mL syringe, 60 count, NDC 64253-0111-30
    • Normal Saline Flush, Medefil, Inc., 3 mL fill in 12 mL syringe, 60 count, NDC 64253-0111-33
    • Normal Saline Flush, Medefil, Inc., 3 mL fill in 6 mL syringe, 60 count, NDC 64253-0111-23
    • Normal Saline Flush, Medefil, Inc., 5 mL fill in 12 mL syringe, 60 count, NDC 64253-0111-35
    • Normal Saline Flush, Medefil, Inc., 5 mL fill in 6 mL syringe, 60 count, NDC 64253-0111-25

Reason for the Shortage

    • In August 2021, Cardinal recalled three Monoject saline flush prefilled syringe products because the plunger may pull air into the syringe after the air has been expelled. Cardinal has made a business decision to no longer manufacture Monoject saline flush prefilled syringes. Additional information about the recall can be found at https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/cardinal-health-issues-nationwide-recall-select-monojecttm-flush-prefilled-saline-syringes
    • BD has 0.9% sodium chloride flush syringes on shortage due to increased demand. The company has increased manufacturing to help alleviate the shortage due to the Cardinal recall.
    • Medefil has Normal Saline Flush syringes on shortage due to increased demand.

Available Products

    • There is insufficient supply for usual ordering

Estimated Resupply Dates

    • BD has all Posiflush syringes on manual allocation. The pre-filled normal saline flush syringes are on back order and the company cannot estimate a release date.
    • Medefil has Normal Saline Flush syringes on intermittent back order and the company is releasing supplies as they become available.

Alternative Agents & Management

    • Saline flush syringe conservation strategies can be found at https://www.fda.gov/medical-devices/letters-health-care-providers/prefilled-saline-flush-syringe-conservation-strategies-letter-health-care-personnel?utm_medium=email&utm_source=govdelivery

Updated

Updated June 12, 2022 by Elyse MacDonald, PharmD, MS, BCPS. Created February 8, 2022 by Leslie Jensen, PharmD, Drug Information Specialist. © 2022, Drug Information Service, University of Utah, Salt Lake City, UT.

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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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