11/11/2024

Fentanyl Citrate Injection

Products Affected - Description

- Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 0.5 mL syringe, 10 count, NDC 00641-6249-10
- Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 1 mL syringe, 10 count, NDC 00641-6248-10
- 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, 10 mL vial, 25 count, NDC 00409-9094-28

Reason for the Shortage

- Akorn ceased operations in February 2023.
- Fresenius Kabi has fentanyl injection available.
- Hikma has fentanyl injection on shortage due to supply and demand issues.
- Pfizer has fentanyl injection on shortage due to manufacturing delays.

Available Products

- Fentanyl citrate solution for injection, Fresenius Kabi, 50 mcg/mL, 1 mL syringe, 10 count, NDC 63323-0808-11
- Fentanyl citrate solution for injection, Fresenius Kabi, 50 mcg/mL, 1 mL vial, 25 count, NDC 63323-0806-01
- Fentanyl citrate solution for injection, Fresenius Kabi, 50 mcg/mL, 2 mL vial, 25 count, NDC 63323-0806-02
- Fentanyl citrate solution for injection, Fresenius Kabi, 50 mcg/mL, 20 mL vial, 25 count, NDC 63323-0806-20
- Fentanyl citrate solution for injection, Fresenius Kabi, 50 mcg/mL, 5 mL vial, 25 count, NDC 63323-0806-05
- Fentanyl citrate solution for injection, Fresenius Kabi, 50 mcg/mL, 50 mL vial, 1 count, NDC 63323-0806-50
- Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 1 mL vial, 25 count, NDC 00641-6247-25
- Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 2 mL vial, 25 count, NDC 00641-6027-25
- Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 20 mL vial, 1 count, NDC 00641-6029-01
- Fentanyl citrate solution for injection, Hikma, 50 mcg/mL, 5 mL vial, 25 count, NDC 00641-6028-25
- 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 vial, 25 count, NDC 00409-9094-31
- 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

Estimated Resupply Dates

- Hikma has fentanyl 50 mcg/mL 0.5 mL syringes, 1 mL syringes, and 50 mL vials on back order and the company cannot estimate a release date.
- Pfizer has fentanyl 50 mcg/mL 10 mL vials 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 November 11, 2024 by Michelle Wheeler, PharmD, Drug Information Specialist. Created May 8, 2017 by Leslie Jensen, PharmD, Drug Information Specialist. © 2024, Drug Information Service, University of Utah, Salt Lake City, UT.

Disclaimer

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