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<h1> Product Shortages</h1>
<description>
<div id="cnt">
<p><strong>ASPEN </strong> is continually addressing the ongoing shortage of PN components by working with and maintaining communications with the FDA, pharmaceutical manufacturers, other professional healthcare organizations and
clinicians to stay up to date on the status of shortages, collaborate to resolve shortages and to provide resources for managing shortages.</p>
<p>
<font size="4" color="#641f45"><strong>LATEST Shortage News</strong></font>
</p>
<p>
<a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/Shortages/Baxter%20Customer%20Letter%20Infuvite%2004.07.22.pdf" title="Baxter Provides Update on the Supply of Infuvite" target="_blank">Baxter Provides Update on the Supply of Infuvite</a>—April
7, 2022 </p>
<p>
<a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/Shortages/SMOFlipid%20Letter%203.15.22.pdf" title="Fresenius Kabi Provides Update on Supply of SMOFlipid" target="_blank">Fresenius Kabi Provides Update on Supply of SMOFlipid</a>—March
15, 2022 </p>
<p>
<a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/Shortages/SMOFlipid%20Letter%2012.27.21.pdf" title="Fresenius Kabi Provides Update on Supply of SMOFlipid" target="_blank">Fresenius Kabi Provides Update on Supply of SMOFlipid</a>—January
3, 2022 </p>
<p>
<a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/Shortages/Customer%20Letter%20Infuvite%2011.16.21.pdf" title="Baxter Provides Update on Supply of Infuvite" target="_blank">Baxter Provides Update on Supply of Infuvite</a>—November
16 2021 </p>
<p>
<a href="https://www.nutritioncare.org/Guidelines_and_Clinical_Resources/Product_Shortages/Guidance_for_Meeting_Essential_Fatty_Acids_Requirements_in_Adult_Patients_During_Limited_Supply_of_Lipid_Injectable_Emulsions/" title="ASPEN Provides Guidance for Meeting Essential Fatty Acids Requirements in Adult Patients During Limited Supply of Lipid Injectable Emulsions" target="_blank">ASPEN Provides Guidance for Meeting Essential Fatty Acids Requirements in Adult Patients During Limited Supply of Lipid Injectable Emulsions</a>—October
25, 2021 </p>
<p>
<a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/Shortages/Pfizer%20Hospital%20MVI%20Discontinuation%20Notice.pdf" title="Pfizer Discontinuing Multi-Vitamin Infusion Products" target="_blank">Pfizer Discontinuing Multi-Vitamin Infusion Products</a>—October
25, 2021 </p>
<p>
<a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/Shortages/Nutrilipid%20Letter%2021-0817_Temp_Interruption_Nutrilipid_Cust_Ltr.pdf" title="B.Braun Provides Update on Supply of Nutrilipid 20%" target="_blank">B.Braun Provides Update on Supply of Nutrilipid 20%</a>—September
14, 2021 </p><b>Webinar "Optimizing Patient Care During a Multivitamin Shortage"</b>—March 10, 2021 <br>A recording of this free informational webinar on managing current intravenous multivitamin shortages across the age continuum and
the safe use of temporarily imported multivitamins is available in the <a href="https://aspen.digitellinc.com/aspen/sessions/16811/view" title="ASPEN eLearning Center" target="_blank">ASPEN eLearning Center</a>. <br><br>
<table dropzone="copy" style="border: 1px solid rgb(255, 242, 204); background-color: rgb(255, 242, 204); padding: 5px;">
<tbody>
<tr style="border: 1px solid rgb(255, 242, 204); background-color: rgb(255, 242, 204);">
<td style="cursor: default; border: 1px solid rgb(255, 242, 204); background-color: rgb(255, 242, 204);"> <b>Submit Comments Regarding PN Product Shortages:</b> ASPEN is committed to continually addressing PN product shortages by
working with the FDA, manufacturers, other professional healthcare organizations, and clinicians. This communication helps ASPEN stay up to date on the status of shortages, collaborate to resolve shortages and to develop and
provide resources to aid in the management of shortages. Comments and input regarding information and experience related to shortages and outages by clinicians is valuable to ASPEN. <br> <br>If your institution is experiencing a
shortage of any PN products or components, please voluntarily provide your comments by clicking
<a href="https://www.cognitoforms.com/ASPEN9/parenteralnutritioncomponentshortagesurvey" title="here" target="_blank" draggable="false">here</a>.
<br><i><br>Please note, ASPEN is not able to personally communicate regarding these submissions. Thank you in advance for your comments.</i> <br> </td>
</tr>
</tbody>
</table>
<p><b><br>As of April 19, 2022 the FDA considers the following PN components in shortage:</b></p>
<ul>
<li> <a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Amino%20Acids&st=c&tab=tabs-1" title="Amino Acids" target="_blank">Amino Acids</a> </li>
<li>
<a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Calcium%20Gluconate%20Injection&st=c&tab=tabs-1" title="Calcium Gluconate Injection" target="_blank">Calcium Gluconate Injection</a>
</li>
<li> <a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Lipid%20Injection&st=c" title="Lipid (Smoflipid) Injectable Emulsion" target="_blank">Lipid Injection</a> <br> </li>
<li>
<a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Multi-Vitamin+Infusion+%28Adult+and+Pediatric%29&st=c&tab=tabs-4&panels=1" title="Link to Multi-Vitamin Infusion (Adult and Pediatric) detail" target="_blank">Multi-Vitamin Infusion (Adult and Pediatric)</a>
</li>
<li>
<a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Potassium+Acetate+Injection%2C+USP&st=c&tab=tabs-4&panels=1" title="Link to Potassium Acetate Injection, USP detail" target="_blank">Potassium Acetate Injection, USP</a>
</li>
<li> <a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_SearchResults.cfm" title="Potassium Chloride Concentrate Injection" target="_blank">Potassium Chloride Concentrate Injection</a> <br> </li>
<li>
<a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Sodium+Acetate+Injection%2C+USP&st=c&tab=tabs-4&panels=1" title="Link to Sodium Acetate Injection, USP detail" target="_blank">Sodium Acetate Injection, USP</a>
</li>
<li>
<a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Sodium%20Chloride%2023.4per%20Injection&st=c" title="Sodium Chloride 23.4% Injection" target="_blank">Sodium Chloride 23.4% Injection</a>
</li>
<li>
<a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Sodium%20Phosphates%20Injection&st=c&tab=tabs-1" title="Sodium Phosphates Injection" target="_blank">Sodium Phosphates Injection</a>
</li>
<li>
<a href="https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Sterile+Water+for+Injection&panels=0&st=c&tab=tabs-4&utm_medium=email&utm_source=govdelivery#" title="Sterile Water for Injection" target="_blank">Sterile Water for Injection</a>
<br> </li>
</ul>
<p> <br></p>
<p>
<font size="4" color="#641f45"><strong>Shortage Management</strong></font>
</p><strong>ASPEN recommendations for managing shortages of PN components. </strong>
<p>ASPEN's Clinical Practice Committee Nutrition Product Shortage Subcommittee has developed product shortage recommendations to help clinicians manage PN therapy during times of product shortages. These recommendations, approved by the
Board of Directors, are regularly reviewed and revised to provide up-to-date information on ways to optimize patient care during shortages.</p>
<ul>
<li>
<a href="https://www.nutritioncare.org/Guidelines_and_Clinical_Resources/Product_Shortages/2021_Parenteral_Nutrition_Multivitamin_Product_Shortage_Considerations/" title="2020 Parenteral Nutrition Multivitamin Product Shortage Considerations" target="_blank"><b>2021 Parenteral Nutrition Multivitamin Product Shortage Considerations</b> </a>
</li>
<li>
<a href="https://www.nutritioncare.org/News/General_News/2017_Parenteral_Nutrition_Lipid_Injectable_Emulsion_Product_Shortage_Considerations/" title="2017 Parenteral Nutrition Lipid Injectable Emulsion Product Shortage Considerations" target="_blank"><strong>2017 Parenteral Nutrition Lipid Injectable Emulsion Product Shortage Considerations</strong> </a>
</li>
<li>
<a href="https://www.nutritioncare.org/News/General_News/Parenteral_Nutrition_Trace_Element_Product_Shortage_Considerations/" title="2016 Parenteral Nutrition Trace Elements Product Shortage Considerations" target="_blank"><strong>2016 Parenteral Nutrition Trace Elements Product Shortage Considerations</strong> </a>
</li>
<li>
<a href="https://www.nutritioncare.org/News/General_News/Parenteral_Nutrition_Amino_Acids_Product_Shortage_Considerations/" title="2016 Parenteral Nutrition Amino Acids Product Shortage Considerations" target="_blank"><strong>2016 Parenteral Nutrition Amino Acids Product Shortage Considerations</strong> </a>
<br>
<a href="https://www.nutritioncare.org/News/Product_Shortages/Parenteral_Nutrition_Multivitamin_Product_Shortage_Considerations/" title="2015 Parenteral Nutrition Multivitamin Product Shortage Considerations" target="_blank"> </a>
</li>
<li>
<a href="https://www.nutritioncare.org/News/General_News/Parenteral_Nutrition_Electrolyte_and_Mineral_Product_Shortage_Considerations/" title="2015 Parenteral Nutrition Electrolyte and Mineral Product Shortage Considerations" target="_blank"><strong>2015 Parenteral Nutrition Electrolyte and Mineral Product Shortage Considerations</strong> </a>
</li>
<li>
<a href="https://www.nutritioncare.org/News/General_News/A_S_P_E_N__Releases_New_Parenteral_Nutrition_L-Cysteine_Product_Shortage_Considerations/" title="2015 Parenteral Nutrition L-Cysteine Product Shortage Considerations" target="_blank"><strong>2015 Parenteral Nutrition L-Cysteine Product Shortage Considerations</strong> </a>
</li>
</ul>
<p>
<strong><i><font color="#f57f26"></font></i><a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/PN%20Dosing%201-Sheet-Nov%202020-FINAL.pdf" title="AppropriateDosing for Parenteral Nutrition: ASPEN Recommendations" target="_blank">Appropriate Dosing for Parenteral Nutrition: ASPEN Recommendations</a></strong>
<br>Persistent shortages of PN components have led to a tendency of practitioners providing less than adequate dosing, which can lead to nutrient deficiencies and impair growth and healing. Clinicians who have entered practice within
the last 10 years may have never cared for patients receiving PN therapy without a shortage of PN components. This
<strong><a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/PN%20Dosing%201-Sheet-Nov%202020-FINAL.pdf" title="document" target="_blank">document</a> </strong>
<a href="https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/PN%20Dosing%201-Sheet-FINAL.pdf" title="document" target="_blank"></a>provides both the appropriate PN nutrient requirements and dosing
recommendations for adult, neonatal, and pediatric patients. ASPEN has also developed a <a href="https://aspen.digitellinc.com/aspen/sessions/13936/view" title="webinar" target="_blank">webinar</a> addressing this patient care
issue.</p>
<p>
<font size="4" color="#641f45"><strong><br>Why do PN Component Shortages Occur?</strong></font>
</p>
<p>Medication shortages can result in delayed or compromised therapy, cause providers to prescribe an alternative therapy, result in medication errors, adversely affect patient outcomes, and consume healthcare resources.<sup>1,2</sup>
Clinicians caring for patients receiving PN have been dealing with shortages since the mid-1980’s when there was an intravenous multivitamin shortage. Since that time there have been shortages of PN components, but they were
infrequent and short-lived. However, since 2010 almost every component used in preparing PN has been in shortage at least once. Shortages have become more frequent and longer in duration with some shortages continuing for almost 10
years. </p>
<p>Providing this therapy is particularly challenging for clinicians because PN is a complex medication and may contain 20 or more ingredients, of which multiple components may simultaneously be in limited supply. The availability of PN
components must be considered during every step of the PN use process from ordering the PN prescription to administering this therapy to a patient. Unlike antibiotics, there are no therapeutic alternatives for missing PN components.
Adults, neonates, and pediatric patients who need this life-sustaining therapy have no alternatives if there is a shortage of one or more of the critical components in the PN. </p>
<p>The reasons for drug shortages can result from many factors, including regulatory, natural disasters, voluntary recalls, issues with raw materials, increase in demand, discontinuation, loss of manufacturing site, and quality issues.
Some firms made the business decision to discontinue an older medication to produce a newer, more profitable medication. </p>
<p>More than half of the drug shortages are sterile injectables, which includes PN components. Sterile injectables are produced by small number of manufacturers and they have a limited production capacity, especially for older products.
Furthermore, the production of sterile injectables is a complex, complicated process long lead times. Any production problems or quality issues will likely result in a shortage.</p>
<p>
<font size="1">1. American Society of Health-System Pharmacists. ASHP guidelines on managing drug product shortages in hospitals and health systems. <i>Am J Health-Syst Pharm</i>. 2009;66:1399-1406.<br></font>
<font size="1">2. Report on Drug Shortages for Calendar Year 2016. <a href="https://www.fda/">https://www.fda</a>. gov/downloads/Drugs/DrugSafety/DrugShortages/UCM561290.pdf.Accessed July 29, 2017.</font>
</p>
<font size="4" color="#641f45"><strong><br>Where can I find out if a drug is in shortage?</strong></font>
<ul>
<li> <a href="https://www.ashp.org/Drug-Shortages" target="_blank"><strong>American Society of Health-System Pharmacists (ASHP) Drug Shortages</strong> </a> </li>
<li> <a href="https://www.accessdata.fda.gov/scripts/drugshortages/default.cfm"><strong>FDA Current and Resolved Drug Shortages</strong> </a> </li>
</ul>
<font size="4" color="#641f45"><strong><br>Where/how do I report a shortage of a PN component? </strong></font>
<ul>
<li>
<a href="https://www.fda.gov/drugs/drug-shortages/how-report-shortage-or-supply-issue" title="Food and Drug Administration Drug Shortage Program" target="_blank"><strong>Food and Drug Administration Drug Shortage Program</strong> </a>
</li>
<li>
<strong><a href="https://www.ashp.org/shortages" title="American Society of Health-System Pharmacists (ASHP) Drug ShortagesResource Center" target="_blank">American Society of Health-System Pharmacists (ASHP) Drug Shortages Resource Center</a></strong>
</li>
</ul>
<font size="4" color="#641f45"><strong><br>What should I report and how do I report an adverse event related to a PN product shortage? </strong></font>
<p>Any adverse event or suboptimal patient outcome related to PN product shortage is considered a medication error and should be reported to Institute for Safe Medication Practices Medication Error Reporting Program (MERP). Some
examples of patient scenarios that should be reported are weight loss due to underfeeding, deficiencies of vitamins and/or trace elements, acid-base balance disturbances due to lack of chloride or acetate salts, inability to advance
PN to goals due to lack of phosphate, and increased catheter-associated blood stream infections due to lack of ethanol for ethanol locks. The reporting system is accessed via <a></a>
<a href="https://www.ismp.org/report-medication-error" title="Institute for Safe Medication Practices Medication Error Reporting Program (MERP)" target="_blank">Institute for Safe Medication Practices Medication Error Reporting Program (MERP)</a>.
</p>
<font size="4" color="#641f45"><strong><br>Where can I learn more about drug shortages and resources for managing shortages? </strong></font>
<ul>
<li> <a href="https://www.ashp.org/Drug-Shortages" title="American Society of Health-System Pharmacists (ASHP) Drug Shortages" target="_blank">American Society of Health-System Pharmacists (ASHP) </a> <a id="_anchor_1"></a>
<a href="https://" title="American Society of Health-System Pharmacists (ASHP) Drug Shortages">Drug Shortages</a> </li>
<li> <a href="https://www.fda.gov/drugs/drug-safety-and-availability/drug-shortages" title="FDA Drug Shortages" target="_blank">FDA Drug Shortages</a> </li>
</ul>
<p> <a href="https://www.nutritioncare.org/MedicationPNComponentShortages/" title="MEDICATION AND PN COMPONENT SHORTAGES READINGS AND REPORTS" target="_blank">MEDICATION AND PN COMPONENT SHORTAGES READINGS AND REPORTS</a></p>
<p> <a href="https://www.nutritioncare.org/ArchivedPNShortageNews/" title="REFERENCES AND RESOURCES" target="_blank">ARCHIVED SHORTAGE NEWS</a></p>
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PRODUCT SHORTAGES
ASPEN is continually addressing the ongoing shortage of PN components by working
with and maintaining communications with the FDA, pharmaceutical manufacturers,
other professional healthcare organizations and clinicians to stay up to date on
the status of shortages, collaborate to resolve shortages and to provide
resources for managing shortages.
LATEST Shortage News
Baxter Provides Update on the Supply of Infuvite—April 7, 2022
Fresenius Kabi Provides Update on Supply of SMOFlipid—March 15, 2022
Fresenius Kabi Provides Update on Supply of SMOFlipid—January 3, 2022
Baxter Provides Update on Supply of Infuvite—November 16 2021
ASPEN Provides Guidance for Meeting Essential Fatty Acids Requirements in Adult
Patients During Limited Supply of Lipid Injectable Emulsions—October 25, 2021
Pfizer Discontinuing Multi-Vitamin Infusion Products—October 25, 2021
B.Braun Provides Update on Supply of Nutrilipid 20%—September 14, 2021
Webinar "Optimizing Patient Care During a Multivitamin Shortage"—March 10, 2021
A recording of this free informational webinar on managing current intravenous
multivitamin shortages across the age continuum and the safe use of temporarily
imported multivitamins is available in the ASPEN eLearning Center.
Submit Comments Regarding PN Product Shortages: ASPEN is committed to
continually addressing PN product shortages by working with the FDA,
manufacturers, other professional healthcare organizations, and clinicians. This
communication helps ASPEN stay up to date on the status of shortages,
collaborate to resolve shortages and to develop and provide resources to aid in
the management of shortages. Comments and input regarding information and
experience related to shortages and outages by clinicians is valuable to ASPEN.
If your institution is experiencing a shortage of any PN products or components,
please voluntarily provide your comments by clicking here.
Please note, ASPEN is not able to personally communicate regarding these
submissions. Thank you in advance for your comments.
As of April 19, 2022 the FDA considers the following PN components in shortage:
* Amino Acids
* Calcium Gluconate Injection
* Lipid Injection
* Multi-Vitamin Infusion (Adult and Pediatric)
* Potassium Acetate Injection, USP
* Potassium Chloride Concentrate Injection
* Sodium Acetate Injection, USP
* Sodium Chloride 23.4% Injection
* Sodium Phosphates Injection
* Sterile Water for Injection
Shortage Management
ASPEN recommendations for managing shortages of PN components.
ASPEN's Clinical Practice Committee Nutrition Product Shortage Subcommittee has
developed product shortage recommendations to help clinicians manage PN therapy
during times of product shortages. These recommendations, approved by the Board
of Directors, are regularly reviewed and revised to provide up-to-date
information on ways to optimize patient care during shortages.
* 2021 Parenteral Nutrition Multivitamin Product Shortage Considerations
* 2017 Parenteral Nutrition Lipid Injectable Emulsion Product Shortage
Considerations
* 2016 Parenteral Nutrition Trace Elements Product Shortage Considerations
* 2016 Parenteral Nutrition Amino Acids Product Shortage Considerations
* 2015 Parenteral Nutrition Electrolyte and Mineral Product Shortage
Considerations
* 2015 Parenteral Nutrition L-Cysteine Product Shortage Considerations
Appropriate Dosing for Parenteral Nutrition: ASPEN Recommendations
Persistent shortages of PN components have led to a tendency of practitioners
providing less than adequate dosing, which can lead to nutrient deficiencies and
impair growth and healing. Clinicians who have entered practice within the last
10 years may have never cared for patients receiving PN therapy without a
shortage of PN components. This document provides both the appropriate PN
nutrient requirements and dosing recommendations for adult, neonatal, and
pediatric patients. ASPEN has also developed a webinar addressing this patient
care issue.
Why do PN Component Shortages Occur?
Medication shortages can result in delayed or compromised therapy, cause
providers to prescribe an alternative therapy, result in medication errors,
adversely affect patient outcomes, and consume healthcare resources.1,2
Clinicians caring for patients receiving PN have been dealing with shortages
since the mid-1980’s when there was an intravenous multivitamin shortage. Since
that time there have been shortages of PN components, but they were infrequent
and short-lived. However, since 2010 almost every component used in preparing PN
has been in shortage at least once. Shortages have become more frequent and
longer in duration with some shortages continuing for almost 10 years.
Providing this therapy is particularly challenging for clinicians because PN is
a complex medication and may contain 20 or more ingredients, of which multiple
components may simultaneously be in limited supply. The availability of PN
components must be considered during every step of the PN use process from
ordering the PN prescription to administering this therapy to a patient. Unlike
antibiotics, there are no therapeutic alternatives for missing PN components.
Adults, neonates, and pediatric patients who need this life-sustaining therapy
have no alternatives if there is a shortage of one or more of the critical
components in the PN.
The reasons for drug shortages can result from many factors, including
regulatory, natural disasters, voluntary recalls, issues with raw materials,
increase in demand, discontinuation, loss of manufacturing site, and quality
issues. Some firms made the business decision to discontinue an older medication
to produce a newer, more profitable medication.
More than half of the drug shortages are sterile injectables, which includes PN
components. Sterile injectables are produced by small number of manufacturers
and they have a limited production capacity, especially for older products.
Furthermore, the production of sterile injectables is a complex, complicated
process long lead times. Any production problems or quality issues will likely
result in a shortage.
1. American Society of Health-System Pharmacists. ASHP guidelines on managing
drug product shortages in hospitals and health systems. Am J Health-Syst Pharm.
2009;66:1399-1406.
2. Report on Drug Shortages for Calendar Year 2016. https://www.fda.
gov/downloads/Drugs/DrugSafety/DrugShortages/UCM561290.pdf.Accessed July 29,
2017.
Where can I find out if a drug is in shortage?
* American Society of Health-System Pharmacists (ASHP) Drug Shortages
* FDA Current and Resolved Drug Shortages
Where/how do I report a shortage of a PN component?
* Food and Drug Administration Drug Shortage Program
* American Society of Health-System Pharmacists (ASHP) Drug Shortages Resource
Center
What should I report and how do I report an adverse event related to a PN
product shortage?
Any adverse event or suboptimal patient outcome related to PN product shortage
is considered a medication error and should be reported to Institute for Safe
Medication Practices Medication Error Reporting Program (MERP). Some examples of
patient scenarios that should be reported are weight loss due to underfeeding,
deficiencies of vitamins and/or trace elements, acid-base balance disturbances
due to lack of chloride or acetate salts, inability to advance PN to goals due
to lack of phosphate, and increased catheter-associated blood stream infections
due to lack of ethanol for ethanol locks. The reporting system is accessed via
Institute for Safe Medication Practices Medication Error Reporting Program
(MERP).
Where can I learn more about drug shortages and resources for managing
shortages?
* American Society of Health-System Pharmacists (ASHP) Drug Shortages
* FDA Drug Shortages
MEDICATION AND PN COMPONENT SHORTAGES READINGS AND REPORTS
ARCHIVED SHORTAGE NEWS
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