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Multiple Vitamins for Infusion

Last Updated: February 13, 2018
Status: Current

Multiple Vitamins for Infusion

Products Affected - Description
  • Multivitamin for infusion (MVI) Adult, Pfizer
    MVI Adult, 2 x 5 mL Dual vial, 10 count (NDC 61703-0422-82) - discontinued
    MVI Adult, 2 x 50 mL Dual vial, 10 count (NDC 61703-0422-83)

Reason for the Shortage
    • Pfizer states the shortage is due to manufacturing delays.
    • Baxter has all presentations fully available at this time.
Available Products
  • Infuvite injection, Baxter
    Adult, 2 x 5 mL single dose vial, 100 count (NDC 54643-5649-01)

Adult, 2 x 50 mL bulk vial, 10 count (NDC 54643-5650-02)
Pediatric, 5 mL single dose vial, 100 count (NDC 54643-5646-01)Pediatric, 50 mL bulk vial, 1 count (NDC 54643-5647-00)
 
Multivitamin for infusion (MVI) Adult, Pfizer
MVI Adult, 2 x 5 mL Dual vial, 1 count (NDC 61703-0434-82)
MVI Adult, 2 x 5 mL Dual vial, 10 count (NDC 61703-0422-82)
 
Multivitamin for infusion (MVI) Pediatric lyophilized powder for solution for injection, Pfizer
MVI Pediatric, 5 mL vial, 10 count (NDC 61703-0421-53)

Estimated Resupply Dates

  • Pfizer has M.V.I. adult 50 mL Dual vials on back order and the company estimates a release date of late-March 2018.

Alternative Agents & Management

    • The American Society for Parenteral and Enteral Nutrition (ASPEN) has detailed recommendations for managing an intravenous multivitamin shortage in adults and pediatric patients online.
    • Key recommendations include:
      • Use oral or enteral multivitamin preparations whenever possible.
      • Use of pediatric intravenous multivitamins for adults is not recommended and may result in a shortage of pediatric products.
      • Use of multivitamin preparations without vitamin K is fine with individual supplementation of Vitamin K products. Ensure patients receiving vitamin K are getting adequate anticoagulation if they are on warfarin.
      • Reserve intravenous multivitamins for patients receiving parenteral nutrition.
      • Reserve pediatric intravenous multivitamins for children less than 2.5 kg or less than 36 weeks gestational age.
      • When all supply options are exhausted, ration intravenous multivitamins in parenteral nutrition or administer individual parenteral vitamins.
      • Purchase only the supply needed, do not stockpile.

Updated

February 13, January 10, 2018; November 21 and 2, September 26 and 22, August 29 and 8, July 30 and 25, June 26 and 14, May 16 and 3, February 27, January 25, 2017; December 12, November 7, October 5, September 7, August 16 and 1, July 14 and 7, June 22, April 6, January 26, 2016;  January 23 and 8, 2015; November 14, October 15, August 26, January 9, 2014; January 30, 2013; December 12, October 10, September 5, August 9, July 18, June 4, May 16, January 18 and 3, 2012; December 13, November 15, October 31, September 14, August 1, July 14, June 28, March 30, February 4, 2011; December 2, September 29, August 4, July 16, May 19, April 13, March 1, February 2, January 11 and 8, 2010; November 17, September 11, 2009; November 17, October 22, September 26, August 25, July 28, June 23, 2008, University of Utah, Drug Information Service. Copyright 2018, Drug Information Service, University of Utah, Salt Lake City, UT.

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