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

Last Updated: September 5, 2018
Status: Current

Products Affected - Description
    • 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, 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 small volume bag, 80 count, NDC 00409-7984-36
    • 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
Reason for the Shortage
    • Baxter had 0.9% sodium chloride small volume bags on shortage due to manufacturing delays.
    • BBraun has 0.9% sodium chloride small volume bags on shortage due to increased demand.
    • ICU Medical has 0.9% sodium chloride small volume bags on shortage due to increased demand.
Available Products
    • 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%, 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, ICU Medical, 0.9%, 50 mL VisIV small volume bag, 60 count, NDC 00409-7984-06

Estimated Resupply Dates

    • BBraun has all 0.9% sodium chloride small volume bags on allocation to current customers only.
    • ICU Medical has 0.9% sodium chloride 50 mL bags, 100 mL VisIV bags, and 100 mL bags on back order and the company estimates a release date in late-September 2018. The 25 mL and 100 mL bags are on back order and the company estimates a release date in mid- to late-September 2018. The 50 mL preservative-free bags are on back order with an estimated release date of early-October 2018.
    • Pfizer has 0.9% sodium chloride 50 mL Add-Vantage bags and 100 mL Add-Vantage bags available in limited quantities. The 50 mL preservative-free vials are on back order and the company estimates a release date of September 2018.

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 September 5, 2018 by Leslie Jensen, PharmD, Drug Information Specialist. Created September 29, 2017 by Michelle Wheeler, PharmD, Drug Information Specialist. Copyright 2018, Drug Information Service, University of Utah, Salt Lake City, UT.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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