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Fentanyl Citrate Injection

Last Updated: September 17, 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, Hikma, 50 mcg/mL, 2 mL ampule, 10 count, NDC 00641-6024-10
    • Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 2 mL ampule, 25 count, NDC 00641-6027-25
    • Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 20 mL ampule, 5 count, NDC 00641-6026-05
    • Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 20 mL vial, 25 count, NDC 00641-6029-25
    • Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 5 mL ampule, 10 count, NDC 00641-6025-10
    • Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 5 mL vial, 25 count, NDC 00641-6028-25
    • Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 50 mL vial, 1 count, NDC 00641-6030-01
    • 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, 50 mL vial, 25 count, NDC 00409-9094-61
Reason for the Shortage
    • Akorn has fentanyl injection on shortage due to increased demand.
    • Hikma 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
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 10 mL vial, 25 count, NDC 00409-9094-28
    • Fentanyl citrate solution for injection, Pfizer, 50 mcg/mL, 5 mL vial, 25 count, NDC 00409-9094-25

Estimated Resupply Dates

    • Akorn has Sublimaze 50 mcg/mL 2 mL ampules in 10 count and 25 count, and 5 mL ampules in 10 count and 25 count on allocation.
    • Hikma has fentanyl 50 mcg/mL 2 mL, 5 mL, 20 mL, and 50 mL vials on allocation. The 2 mL, 5 mL, and 20 mL ampules are on back order and the company cannot estimate a release date.
    • Pfizer has fentanyl 50 mcg/mL 2 mL ampules on back order and the company estimates a release date of October 2018. The 5 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 and 20 mL vials are on back order and the company estimates a release date of September 2018 for the 2 mL vials and late-October 2018 for the 20 mL vials. The 50 mL vials are available in limited supply.

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 September 17, 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.

Further information

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

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