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10/28/2024

Peritoneal Dialysis Solution

Products Affected - Description

    • Dianeal, Baxter, 1.5% dextrose, 1 Liter Ambu-Flex II container, yellow pull ring 12 count, NDC 00941-0411-05
    • Dianeal, Baxter, 1.5% dextrose, 2 Liter Ambu-Flex II container, yellow pull ring 6 count, NDC 00941-0411-06
    • Dianeal, Baxter, 1.5% dextrose, 2 Liter Ambu-Flex II container, yellow pull ring 6 count, NDC 00941-0409-06
    • Dianeal, Baxter, 1.5% dextrose, 3 Liter Ambu-Flex II container, yellow pull ring 4 count, NDC 00941-0411-04
    • Dianeal, Baxter, 1.5% dextrose, 5 Liter Ambu-Flex II container, yellow pull ring 2 count, NDC 00941-0409-07
    • Dianeal, Baxter, 1.5% dextrose, 5 Liter Ambu-Flex II container, yellow pull ring 2 count, NDC 00941-0411-07
    • Dianeal, Baxter, 1.5% dextrose, 6 Liter Ambu-Flex II container, yellow pull ring 2 count, NDC 00941-0409-01
    • Dianeal, Baxter, 1.5% dextrose, 6 Liter Ambu-Flex II container, yellow pull ring 2 count, NDC 00941-0411-11
    • Dianeal, Baxter, 2.5% dextrose, 1 Liter Ambu-Flex II container, green pull ring 12 count, NDC 00941-0413-05
    • Dianeal, Baxter, 2.5% dextrose, 2 Liter Ambu-Flex II container, green pull ring 6 count, NDC 00941-0413-06
    • Dianeal, Baxter, 2.5% dextrose, 2 Liter Ambu-Flex II container, green pull ring 6 count, NDC 00941-0457-08
    • Dianeal, Baxter, 2.5% dextrose, 3 Liter Ambu-Flex II container, green pull ring 4 count, NDC 00941-0413-04
    • Dianeal, Baxter, 2.5% dextrose, 3 Liter Ambu-Flex II container, green pull ring 4 count, NDC 00941-0457-02
    • Dianeal, Baxter, 2.5% dextrose, 5 Liter Ambu-Flex II container, green pull ring 2 count, NDC 00941-0457-05
    • Dianeal, Baxter, 2.5% dextrose, 6 Liter Ambu-Flex II container, green pull ring 2 count, NDC 00941-0413-01
    • Dianeal, Baxter, 2.5% dextrose, 6 Liter Ambu-Flex II container, green pull ring 2 count, NDC 00941-0457-01
    • Dianeal, Baxter, 4.25% dextrose, 1 Liter Ambu-Flex II container, red pull ring 12 count, NDC 00941-0415-05
    • Dianeal, Baxter, 4.25% dextrose, 2 Liter Ambu-Flex II container, red pull ring 6 count, NDC 00941-0415-06
    • Dianeal, Baxter, 4.25% dextrose, 2 Liter Ambu-Flex II container, red pull ring 6 count, NDC 00941-0459-08
    • Dianeal, Baxter, 4.25% dextrose, 3 Liter Ambu-Flex II container, red pull ring 4 count, NDC 00941-0415-04
    • Dianeal, Baxter, 4.25% dextrose, 3 Liter Ambu-Flex II container, red pull ring 4 count, NDC 00941-0459-02
    • Dianeal, Baxter, 4.25% dextrose, 5 Liter Ambu-Flex II container, red pull ring 2 count, NDC 00941-0415-07
    • Dianeal, Baxter, 4.25% dextrose, 5 Liter Ambu-Flex II container, red pull ring 2 count, NDC 00941-0459-05
    • Dianeal, Baxter, 4.25% dextrose, 6 Liter Ambu-Flex II container, red pull ring 2 count, NDC 00941-0415-01
    • Dianeal, Baxter, 4.25% dextrose, 6 Liter Ambu-Flex II container, red pull ring 2 count, NDC 00941-0459-01
    • Extraneal (Icodextrin), Baxter, 2 Liter Ambu-Flex II container, purple pull ring 6 count, NDC 00941-0679-06
    • Extraneal (Icodextrin), Baxter, 2.5 Liter Ambu-Flex II container, purple pull ring 5 count, NDC 00941-0679-05
    • Stay Safe, Fresenius Kabi, low mag/low cal 1.5% dextrose, 3 Liter Biofine container, 4 count, NDC 49230-0206-32
    • Stay Safe, Fresenius Kabi, low mag/low cal 1.5% dextrose, 5 Liter PVC container, 2 count, NDC 49230-0206-50
    • Stay Safe, Fresenius Kabi, std mag/std cal 1.5% dextrose, 5 Liter PVC container, 2 count, NDC 49230-0188-50
    • Stay Safe, Fresenius Kabi, low mag/low cal 1.5% dextrose, 5 Liter Biofine container, 2 count, NDC 49230-0206-52
    • Stay Safe, Fresenius Kabi, std mag/std cal 1.5% dextrose, 5 Liter Biofine container, 2 count, NDC 49230-0188-52
    • Stay Safe, Fresenius Kabi, low mag/low cal 1.5% dextrose, 6 Liter Biofine container, 2 count, NDC 49230-0206-62
    • Stay Safe, Fresenius Kabi, std mag/std cal 1.5% dextrose, 6 Liter Biofine container, 2 count, NDC 49230-0188-62
    • Stay Safe, Fresenius Kabi, low mag/low cal 2.5% dextrose, 3 Liter Biofine container, 4 count, NDC 49230-0209-32
    • Stay Safe, Fresenius Kabi, low mag/low cal 2.5% dextrose, 5 Liter Biofine container, 2 count, NDC 49230-0209-52
    • Stay Safe, Fresenius Kabi, std mag/std cal 2.5% dextrose, 5 Liter PVC container, 2 count, NDC 49230-0191-50
    • Stay Safe, Fresenius Kabi, std mag/std cal 2.5% dextrose, 5 Liter Biofine container, 2 count, NDC 49230-0191-52
    • Stay Safe, Fresenius Kabi, low mag/low cal 2.5% dextrose, 5 Liter PVC container, 2 count, NDC 49230-0209-50
    • Stay Safe, Fresenius Kabi, std mag/std cal 2.5% dextrose, 6 Liter Biofine container, 2 count, NDC 49230-0191-62
    • Stay Safe, Fresenius Kabi, low mag/low cal 2.5% dextrose, 6 Liter Biofine container, 2 count, NDC 49230-0209-62
    • Stay Safe, Fresenius Kabi, low mag/low cal 4.25% dextrose, 3 Liter Biofine container, 4 count, NDC 49230-0212-32
    • Stay Safe, Fresenius Kabi, low mag/low cal 4.25% dextrose, 5 Liter PVC container, 2 count, NDC 49230-0212-50
    • Stay Safe, Fresenius Kabi, low mag/low cal 4.25% dextrose, 5 Liter Biofine container, 2 count, NDC 49230-0212-52
    • Stay Safe, Fresenius Kabi, low mag/low cal 4.25% dextrose, 6 Liter Biofine container, 2 count, NDC 49230-0212-62
    • Dianeal, Baxter, 1.5% dextrose, 1.5 Liter Ultrabag container, yellow pull ring 8 count, NDC 00941-0424-51
    • Dianeal, Baxter, 1.5% dextrose, 2 Liter Ultrabag container, yellow pull ring 6 count, NDC 00941-0424-52
    • Dianeal, Baxter, 1.5% dextrose, 2 Liter Ultrabag container, yellow pull ring 6 count, NDC 00941-0426-52
    • Dianeal, Baxter, 1.5% dextrose, 2.5 Liter Ultrabag container, yellow pull ring 5 count, NDC 00941-0424-53
    • Dianeal, Baxter, 1.5% dextrose, 3 Liter Ultrabag container, yellow pull ring 4 count, NDC 00941-0424-55
    • Dianeal, Baxter, 1.5% dextrose, 3 Liter Ultrabag container, yellow pull ring 4 count, NDC 00941-0426-55
    • Dianeal, Baxter, 2.5% dextrose, 1.5 Liter Ultrabag container, green pull ring 8 count, NDC 00941-0430-51
    • Dianeal, Baxter, 2.5% dextrose, 2 Liter Ultrabag container, green pull ring 6 count, NDC 00941-0430-52
    • Dianeal, Baxter, 2.5% dextrose, 2 Liter Ultrabag container, green pull ring 6 count, NDC 00941-0427-52
    • Dianeal, Baxter, 2.5% dextrose, 2.5 Liter Ultrabag container, green pull ring 4 count, NDC 00941-0430-55
    • Dianeal, Baxter, 2.5% dextrose, 2.5 Liter Ultrabag container, green pull ring 5 count, NDC 00941-0430-53
    • Dianeal, Baxter, 2.5% dextrose, 2.5 Liter Ultrabag container, green pull ring 5 count, NDC 00941-0427-53
    • Dianeal, Baxter, 2.5% dextrose, 3 Liter Ultrabag container, green pull ring 4 count, NDC 00941-0427-55
    • Dianeal, Baxter, 4.25% dextrose, 1.5 Liter Ultrabag container, red pull ring 8 count, NDC 00941-0433-51
    • Dianeal, Baxter, 4.25% dextrose, 2 Liter Ultrabag container, red pull ring 6 count, NDC 00941-0433-52
    • Dianeal, Baxter, 4.25% dextrose, 2.5 Liter Ultrabag container, red pull ring 4 count, NDC 00941-0433-55
    • Dianeal, Baxter, 4.25% dextrose, 2.5 Liter Ultrabag container, red pull ring 5 count, NDC 00941-0433-53
    • Extraneal (Icodextrin), Baxter, 2 Liter Ultrabag container, purple pull ring 6 count, NDC 00941-0679-52
    • Extraneal (Icodextrin), Baxter, 2.5 Liter Ultrabag container, purple pull ring 5 count, NDC 00941-0679-53
    • Stay Safe, Fresenius Kabi, 1.5% dextrose, 2 Liter PVC container, 5 count, NDC 46163-0206-92
    • Stay Safe, Fresenius Kabi, 1.5% dextrose, 2.5 Liter PVC container, 5 count, NDC 46163-0206-94
    • Stay Safe, Fresenius Kabi, 1.5% dextrose, 3 Liter PVC container, 4 count, NDC 46163-0206-95
    • Stay Safe, Fresenius Kabi, 2.5% dextrose, 2 Liter PVC container, 5 count, NDC 46163-0209-92
    • Stay Safe, Fresenius Kabi, 2.5% dextrose, 2.5 Liter PVC container, 5 count, NDC 46163-0209-94
    • Stay Safe, Fresenius Kabi, 2.5% dextrose, 3 Liter PVC container, 4 count, NDC 46163-0209-95
    • Stay Safe, Fresenius Kabi, 4.25% dextrose, 2 Liter PVC container, 5 count, NDC 46163-0212-92
    • Stay Safe, Fresenius Kabi, 4.25% dextrose, 2.5 Liter PVC container, 5 count, NDC 46163-0212-94
    • Stay Safe, Fresenius Kabi, 4.25% dextrose, 3 Liter PVC container, 4 count, NDC 46163-0212-95

Reason for the Shortage

    • Baxter has sustained damage to their North Cove plant that supplies large volume fluids.

Available Products

    • There is insufficient supply for usual ordering

Estimated Resupply Dates

    • All marketed presentations are on allocation.

Implications for Patient Care

Safety

    • FDA has authorized Baxter to extend the use dates of multiple product codes without relabeling the products. The following link provides the product codes and expiration dates: https://meded.baxter.com/sites/g/files/ebysai4096/files/2024-10/ExtendedExpDatesIVSolutions%20v2.pdf

Alternative Agents & Management

    • See ASHP Suggestions for Management and Conservation during Fluid Shortages at https://www.ashp.org/drug-shortages/shortage-resources/publications/fluid-shortages-suggestions-for-management-and-conservation

Updated

Updated October 28, 2024 by Michelle Wheeler, PharmD, Drug Information Specialist. Created October 12, 2024 by Michelle Wheeler, PharmD, Drug Information Specialist. © 2024, Drug Information Service, University of Utah, Salt Lake City, UT.

Disclaimer

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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