Drug Shortages Update

Drug Shortages Update: July 2022

This week we are once again providing an update on the most recent drug shortages.

Drug shortages currently remain at over 100 different medications, with the Food and Drug Administration (FDA) noting 118 products as being unavailable. Some of these shortages are short term, or limited availability, while others are completely unavailable with unknown release dates.

As noted above, the current list stands at 118 products, which is down two from our last update in April. Below we have two separate lists of medications in short supply. The first list covers the most commonly used medications in ambulatory surgery centers, while the second addresses medications commonly used long-term care facilities.

Common ASC medications in short supply:

  • Atropine Sulfate Injection
  • Azithromycin (Azasite) Ophthalmic Solution 1%
  • Bacteriostatic 0.9% Sodium Chloride Injection
  • Bacteriostatic Water for Injection
  • Bupivacaine Hydrochloride and Epinephrine Injection
  • Bupivacaine Hydrochloride Injection
  • Calcium Gluconate Injection
  • Cefazolin Injection
  • Cefixime Oral Capsules
  • Cefotaxime Sodium Injection
  • Cefotetan Disodium Injection
  • Chloroprocaine Hydrochloride Injection
  • Continuous Renal Replacement Therapy (CRRT) Solutions
  • Cortisone Acetate Tablets
  • Cyclopentolate Ophthalmic Solution
  • Desmopressin Acetate Nasal Spray
  • Dexamethasone Sodium Phosphate Injection
  • Dexmedetomidine Injection
  • Dextrose 10% Injection
  • Dextrose 25% Injection
  • Dextrose 5% Injection
  • Dextrose 50% Injection
  • Digoxin Injection
  • Diltiazem Hydrochloride Injection
  • Dobutamine Hydrochloride Injection
  • Dopamine Hydrochloride Injection
  • Echothiophate Iodide (Phospholine Iodide) Ophthalmic Solution
  • Epinephrine Injection, 0.1 mg/mL
  • Epinephrine Injection, Auto-Injector
  • Fentanyl Citrate (Sublimaze) Injection
  • Fluorescein Injection
  • Furosemide Injection
  • Gentamicin Sulfate Injection
  • Heparin Sodium and Sodium Chloride 0.9% Injection
  • Hydromorphone Hydrochloride Injection
  • Hydroxypropyl (Lacrisert) Cellulose Ophthalmic Insert
  • Iodixanol (Visipaque) Injection
  • Iohexol (Omnipaque) Injection
  • Iopromide (Ultravist) Injection
  • Ketamine Injection
  • Ketorolac Tromethamine Injection
  • Lidocaine Hydrochloride (Xylocaine) and Dextrose Injection Solution-Premix Bags
  • Lidocaine Hydrochloride (Xylocaine) Injection
  • Lidocaine Hydrochloride (Xylocaine) Injection with Epinephrine
  • Lipid Injection
  • Lorazepam Injection
  • Mannitol Injection
  • Mepivacaine Hydrochloride Injection
  • Methylprednisolone Acetate Injection
  • Metronidazole Injection
  • Midazolam Injection
  • Morphine Sulfate Injection
  • Pantoprazole Sodium for Injection
  • Potassium Acetate Injection
  • Potassium Chloride Concentrate Injection
  • Promethazine (Phenergan) Injection
  • Propofol Injectable Emulsion
  • Protamine Sulfate Injection
  • Ropivacaine Hydrochloride Injection
  • Sodium Acetate Injection
  • Sodium Bicarbonate Injection
  • Sodium Chloride 0.9% Injection Bags
  • Sodium Chloride 14.6% Injection
  • Sodium Chloride 23.4% Injection
  • Sodium Chloride Injection USP, 0.9% Vials and Syringes
  • Sodium Phosphates Injection
  • Sterile Water for Injection
  • Sufentanil Citrate Injection
  • Technetium TC-99M Mebrofenin Injection
  • Technetium Tc99m Succimer Injection (DMSA)
  • Triamcinolone Acetonide Injectable Suspension
  • Triamcinolone Hexacetonide Injectable suspension
  • Valproate Sodium Injection
  • Vecuronium Bromide for Injection

Common LTC medications in short supply:

  • Amino Acids
  • Amoxapine Tablets
  • Amphetamine Oral Suspension, Extended Release
  • Azithromycin (Azasite) Ophthalmic Solution 1%
  • Bacteriostatic 0.9% Sodium Chloride Injection
  • Bacteriostatic Water for Injection
  • Cefazolin Injection
  • Cefixime Oral Capsules
  • Cefotaxime Sodium Injection
  • Cefotetan Disodium Injection
  • Chlordiazepoxide Hydrochloride Capsules
  • Cortisone Acetate Tablets
  • Cyclopentolate Ophthalmic Solution
  • Desmopressin Acetate Nasal Spray
  • Dextrose 5% Injection
  • Diazepam Rectal Gel
  • Diflunisal Tablets
  • Diltiazem Hydrochloride Injection
  • Disopyramide Phosphate (Norpace) Capsules
  • Echothiophate Iodide (Phospholine Iodide) Ophthalmic Solution
  • Epinephrine Injection, Auto-Injector
  • Fluvoxamine ER Capsules
  • Gentamicin Sulfate Injection
  • Guanfacine Hydrochloride Tablets
  • Heparin Sodium and Sodium Chloride 0.9% Injection
  • Hydroxypropyl (Lacrisert) Cellulose Ophthalmic Insert
  • Ketoprofen Capsules
  • Leuprolide Acetate Injection
  • Lipid Injection
  • Lithium Oral Solution
  • Lorazepam Injection
  • Methyldopa Tablets
  • Metronidazole Injection
  • Morphine Sulfate Injection
  • Multi-Vitamin Infusion (Adult and Pediatric)
  • Nizatidine Capsules
  • Physostigmine Salicylate Injection
  • Potassium Acetate Injection
  • Potassium Chloride Concentrate Injection
  • Rifampin Capsules
  • Rifapentine Tablets
  • Semaglutide (WEGOVY®) Injection
  • Sodium Chloride 0.9% Injection Bags
  • Sodium Chloride Injection USP, 0.9% Vials and Syringes
  • Sterile Water for Injection
  • Sulfasalazine Tablets
  • Thiothixene Capsules
  • Trimethobenzamide Hydrochloride Capsules

Steps you can take:

The solution to each shortage is going to differ by the medication involved and the available alternatives. In a previous post titled “Ten Steps to Dealing with Drug Shortages”, I discussed ways to deal with shortages.

If you are currently struggling with a particular shortage, work with your pharmacy consultant to come up with creative ways to work around it. This requires planning and expertise. Some solutions may seem obvious and easy, but they could be dangerous to patient safety and often not compliant with licensing or accreditation standards. If you have questions about a current shortage, or how to set up a compliant system, don’t hesitate to reach out to us.


The Consultant Pharmacists at OctariusRx provide guidance on safe medication management, survey readiness and cost savings to ambulatory healthcare facilities/surgery centerssenior care facilities and pharmacies. We also help individual patients optimize their medications to improve their quality of life and save money. Contact us for assistance.


Any health, medical or drug information on the Web Site is for informational purposes only. This information is not intended to be used, and you should not use it, as a substitute for obtaining professional healthcare advice, diagnosis or treatment. You should always seek the advice of your doctor, a pharmacist or other qualified healthcare provider for professional healthcare advice, diagnosis or treatment for any medical condition.