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Fentanyl Citrate Injection

Last Updated: May 29, 2018
Status: Current

Products Affected - Description
    • Fentanyl citrate solution for injection, Akorn, 50 mcg/mL, 2 mL ampule, 10 count, NDC 17478-0030-02
    • Fentanyl citrate solution for injection, Akorn, 50 mcg/mL, 2 mL ampule, 25 count, NDC 17478-0030-25
    • Fentanyl citrate solution for injection, Akorn, 50 mcg/mL, 5 mL ampule, 10 count, NDC 17478-0030-05
    • Fentanyl citrate solution for injection, Akorn, 50 mcg/mL, 5 mL ampule, 25 count, NDC 17478-0030-55
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 2 mL Carpuject syringe, 10 count, NDC 00409-1276-32
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 2 mL ampule, 10 count, NDC 00409-9093-32
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 2 mL vial, 25 count, NDC 00409-9094-22
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 20 mL ampule, 5 count, NDC 00409-9093-38
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 20 mL vial, 25 count, NDC 00409-9094-31
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 5 mL ampule, 10 count, NDC 00409-9093-35
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 5 mL vial, 25 count, NDC 00409-9094-25
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 50 mL vial, 25 count, NDC 00409-9094-61
    • Fentanyl citrate solution for injection, West-Ward, 50 mcg/mL, 2 mL ampule, 10 count, NDC 00641-6024-10
    • Fentanyl citrate solution for injection, West-Ward, 50 mcg/mL, 2 mL ampule, 25 count, NDC 00641-6027-25
    • Fentanyl citrate solution for injection, West-Ward, 50 mcg/mL, 20 mL ampule, 5 count, NDC 00641-6026-05
    • Fentanyl citrate solution for injection, West-Ward, 50 mcg/mL, 20 mL vial, 25 count, NDC 00641-6029-25
    • Fentanyl citrate solution for injection, West-Ward, 50 mcg/mL, 5 mL ampule, 10 count, NDC 00641-6025-10
    • Fentanyl citrate solution for injection, West-Ward, 50 mcg/mL, 5 mL vial, 25 count, NDC 00641-6028-25
    • Fentanyl citrate solution for injection, West-Ward, 50 mcg/mL, 50 mL vial, 1 count, NDC 00641-6030-01
Reason for the Shortage
    • Akorn has fentanyl injection on shortage due to increased demand.
    • West-Ward has fentanyl injection on shortage due to supply and demand issues.
    • Pfizer has fentanyl injection on shortage due to manufacturing delays. The 20 mL ampules were discontinued in September 2017.
Available Products
    • There is insufficient supply for usual ordering

Estimated Resupply Dates

    • Akorn has Sublimaze 50 mcg/mL 2 mL ampules in 10 count and 5 mL ampules in 10 count on intermittent back order and is allocating product upon release. Sublimaze 50 mcg/mL 2 mL ampules in 25 count and 5 mL ampules in 25 count are temporarily not being packaged.
    • Pfizer has fentanyl 50 mcg/mL 2 mL on back order and the company estimates a release date of late-June 2018. The 2 mL ampules are available in limited supply. The 2 mL Carpuject syringes are on back order and the company estimates a release date of June 2019. The 2 mL, 5 mL, 10 mL, 20 mL, and 50 mL vials are on back order and the company estimates a release date of mid-June 2018 for the 2 mL vials, late-June 2018 for the 5 mL vials, mid-July 2018 for the 10 mL vials, and early-July 2018 for the 20 mL and 50 mL vials.
    • West-Ward has fentanyl 50 mcg/mL 2 mL, 5 mL, and 50 mL vials on allocation. The 20 mL vials are on back order and the company estimates a release date of June 2018. The 2 mL, 5 mL, and 20 mL ampules are on back order and the company cannot estimate a release date.

Implications for Patient Care

    • ASHP has an FAQ on the injectable opioid shortage at https://www.ashp.org/Drug-Shortages/Shortage-Resources/Injectable-Opioid-Shortages-FAQ. This discusses multiple issues including inventory and pharmacy operational strategies.

Updated

Updated May 29, 2018 by Michelle Wheeler, PharmD, Drug Information Specialist. Created May 8, 2017 by Leslie Jensen, PharmD, Drug Information Specialist. Copyright 2018, Drug Information Service, University of Utah, Salt Lake City, UT.

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