2015. Organizations facing a shortage should consider the following actions: * Establish a task force or method to approve new starts and ongoing doses. NIH Mayo Clin Proc. Vermeulen LC, Swarthout MD, Alexander GC, Ginsburg DB, Pritchett KO, White SJ, Tryon J, Emmerich C, Nesbit TW, Greene W, Fox ER, Conti RM, Scott BE, Sheehy F, Melby MJ, Lantzy MA, Hoffman JM, Knoer S, Zellmer WA. Make every attempt to maintain consistent therapy when possible. Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. Additional Information on Drug Shortages. Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. [5], Takeda is reviewing all Gammagard Liquid orders and the company is allocating product as it becomes available. 2020 Jul;27(4):202-208. doi: 10.1136/ejhpharm-2020-002341. Pfizer (personal communication). Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. [3], Grifols has Gamunex-C and Flebogamma available and distributors are allocating product. eCollection 2020. Created February 7, 2019 by Leslie Jensen, PharmD, Drug Information Specialist. [4], Grifols has Xembify 20% solution available and distributors are allocating product. You might need to discuss other treatment options with their providers, which may include plasmapheresis or immunosuppressant medications. 2020 Jan 8;77(2):84-112. doi: 10.1093/ajhp/zxz283. Product switches may be inevitable during times of shortage. Multilevel Engagements of Pharmacists During the COVID-19 Pandemic: The Way Forward. So, if you’re facing an IVIG shortage, here’s my my patient-to-patient recommendation: Stay in continual communication with your prescribing provider. 2013. 2020 Dec;158(6):2414-2424. doi: 10.1016/j.chest.2020.08.015. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 2017;12:1530-1536. Let them know when your symptoms start to escalate. Catch up on interviews with pharmacy leaders, good news segments, member stories, and more, on ASHP TV. NLM Rocchio MA, Hussey AP, Southard RA, Szumita PM. Managing Drug Shortages. 2020 May 12;7:157. doi: 10.3389/fmed.2020.00157. Immune Globulin. On November 11, 2017, ASHP convened a roundtable of government and non-profit drug shortages stakeholders. Government intervention. Am J Health Syst Pharm. ASHP Guidelines on Managing Drug Product Shortages in Hospitals and Health Systems. ASHP guidelines on managing drug product shortages Am J Health Syst Pharm. Check back frequently as new jobs are posted every day. Drug shortages: a complex health care crisis. There is … AHFS 2019 Drug Information. Anderson CR, Olson JA. | [6], Takeda has Gammagard on shortage due to increased demand. Immune Globulin, Intravenous or Subcutaneous (Human), Bivigam solution for injection, ADMA Biologics, Immune globulin (human) 10%, 5 gram protein/50 mL bottle, NDC 59730-6502-01, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 10%, 10 grams protein/100 mL vial, NDC 69153-0005-02, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 10%, 20 grams protein/200 mL vial, NDC 69153-0005-03, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 10%, 5 grams protein/50 mL vial, NDC 69153-0005-01, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 5%, 0.5 grams protein/10 mL vial, NDC 69153-0004-01, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 5%, 10 grams protein/200 mL vial, NDC 69153-0004-04, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 5%, 2.5 grams protein/50 mL vial, NDC 69153-0004-02, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 5%, 20 grams protein/400 mL vial, NDC 69153-0004-05, Flebogamma DIF solution for injection, Grifols, Intravenous Immune globulin (human) 5%, 5 grams protein/100 mL vial, NDC 69153-0004-03, Gammagard Liquid solution for injection, Takeda, Immune globulin (human) 10%, 1 gram protein/10 mL bottle, NDC 00944-2700-02, Gammagard Liquid solution for injection, Takeda, Immune globulin (human) 10%, 10 gram protein/100 mL bottle, NDC 00944-2700-05, Gammagard Liquid solution for injection, Takeda, Immune globulin (human) 10%, 2.5 gram protein/25 mL bottle, NDC 00944-2700-03, Gammagard Liquid solution for injection, Takeda, Immune globulin (human) 10%, 20 gram protein/200 mL bottle, NDC 00944-2700-06, Gammagard Liquid solution for injection, Takeda, Immune globulin (human) 10%, 30 gram protein/300 mL bottle, NDC 00944-2700-07, Gammagard Liquid solution for injection, Takeda, Immune globulin (human) 10%, 5 gram protein/50 mL bottle, NDC 00944-2700-04, Gammaked solution for injection, Kedrion Biopharma, Inc., Intravenous or subcutaneous Immune globulin (human) 10%, 1 gram protein/10 mL vial, NDC 76125-0900-01, Gammaked solution for injection, Kedrion Biopharma, Inc., Intravenous or subcutaneous Immune globulin (human) 10%, 10 gram protein/100 mL vial, NDC 76125-0900-10, Gammaked solution for injection, Kedrion Biopharma, Inc., Intravenous or subcutaneous Immune globulin (human) 10%, 2.5 gram protein/25 mL vial, NDC 76125-0900-25, Gammaked solution for injection, Kedrion Biopharma, Inc., Intravenous or subcutaneous Immune globulin (human) 10%, 20 gram protein/200 mL vial, NDC 76125-0900-20, Gammaked solution for injection, Kedrion Biopharma, Inc., Intravenous or subcutaneous Immune globulin (human) 10%, 5 gram protein/50 mL vial, NDC 76125-0900-50, Gamunex-C solution for injection, Grifols, Intravenous or subcutaneous Immune globulin (human) 10%, 1 gram protein/10 mL vial, NDC 13533-0800-12, Gamunex-C solution for injection, Grifols, Intravenous or subcutaneous Immune globulin (human) 10%, 10 grams protein/100 mL vial, NDC 13533-0800-71, Gamunex-C solution for injection, Grifols, Intravenous or subcutaneous Immune globulin (human) 10%, 2.5 grams protein/25 mL vial, NDC 13533-0800-15, Gamunex-C solution for injection, Grifols, Intravenous or subcutaneous Immune globulin (human) 10%, 20 grams protein/200 mL vial, NDC 13533-0800-24, Gamunex-C solution for injection, Grifols, Intravenous or subcutaneous Immune globulin (human) 10%, 40 grams protein/400 mL vial, NDC 13533-0800-40, Gamunex-C solution for injection, Grifols, Intravenous or subcutaneous Immune globulin (human) 10%, 5 grams protein/50 mL vial, NDC 13533-0800-20, Hizentra subcutaneous solution for injection, CSL Behring, Immune globulin (human) 20%, 1 gram protein/5 mL vial, NDC 44206-0451-01, Hizentra subcutaneous solution for injection, CSL Behring, Immune globulin (human) 20%, 10 grams protein/50 mL vial, NDC 44206-0455-10, Hizentra subcutaneous solution for injection, CSL Behring, Immune globulin (human) 20%, 2 grams protein/10 mL vial, NDC 44206-0452-02, Hizentra subcutaneous solution for injection, CSL Behring, Immune globulin (human) 20%, 4 grams protein/20 mL vial, NDC 44206-0454-04, Privigen 10% Liquid intravenous solution for injection, CSL Behring, Immune globulin (human) 10%, 100 mL / 10 gram protein bottle, NDC 44206-0437-10, Privigen 10% Liquid intravenous solution for injection, CSL Behring, Immune globulin (human) 10%, 200 mL / 20 gram protein bottle, NDC 44206-0438-20, Privigen 10% Liquid intravenous solution for injection, CSL Behring, Immune globulin (human) 10%, 400 mL / 40 gram protein bottle, NDC 44206-0439-40, Privigen 10% Liquid intravenous solution for injection, CSL Behring, Immune globulin (human) 10%, 50 mL / 5 gram protein bottle, NDC 44206-0436-05, Xembify solution for injection, Grifols, Subcutaneous Immune globulin (human) - klhw 20%, 1 gram protein/5 mL single dose vial, NDC 13533-0810-05, Xembify solution for injection, Grifols, Subcutaneous Immune globulin (human) - klhw 20%, 10 gram protein/50 mL single dose vial, NDC 13533-0810-50, Xembify solution for injection, Grifols, Subcutaneous Immune globulin (human) - klhw 20%, 2 gram protein/10 mL single dose vial, NDC 13533-0810-10, Xembify solution for injection, Grifols, Subcutaneous Immune globulin (human) - klhw 20%, 4 gram protein/20 mL single dose vial, NDC 13533-0810-20, ADMA Biologics has Bivigam on allocation through BioCare SD. November 26, 2018; March 20 November 20, 2019; January 29, April 20, June 11, and August 28, 2020. The authors have declared no other potential conflicts of interest. ASHP has gathered guidance, tools, and background information to help pharmacists maintain effective patient care. August 28, 2020. ASHP Expert Panel on Drug Product Shortages, et al. Notifying ASHP or FDA about a drug product shortage can initiate these efforts. Updated November 6, 2020 by Leslie Jensen, PharmD, Drug Information Specialist. eCollection 2020. Any application of this information for any purpose shall be limited to personal, non-commercial use. Considering that previous Ig shortages, such as the ones in the late 1990s, had created similar predicaments, one would have expected hospitals and other centralized care systems to be thoughtful stewards of such a precious resource. Kedrion (personal communication). 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. Results of EAHP's 2019 Medicines Shortages Survey. CSL Behring (personal communication). ASHP Expert Panel on Drug Product Shortages, Fox ER, Birt A, James KB, Kokko H, Salverson S, Soflin DL. [1-2], CSL Behring is releasing Hizentra and Privigen regularly and distributors are allocating product. ; The U.S. Food and Drug Administration (FDA) only focuses on shortages of medically necessary drugs, as these have the potential to impact public health. « Back to Drug Shortage Product Bulletins. Epub 2018 Jul 30. Front Med (Lausanne). In: McEvoy GK, Snow EK, eds. [4], Kedrion Biopharma has Gammaked available to current customers. ASHP: Purpose: Provides information obtained from manufacturers about current shortages, estimated duration, and discontinuations and provides information about FDA’s and other stakeholders’ roles in addressing and preventing shortages: Notification of new shortages and status of ongoing shortages; drug shortage management resources: Audience: Public As such, we have high hopes we're going to see a lot of advancement of indications in 2018 and some new products being released. October 17, November 28, December 3, 2018; January 9 and 17, April 2, March 20, April 24, September 24, November 20, 2019; January 29, June 4 and 26, and August 28, 2020. Small-Volume Parenteral Solutions Shortages: Suggestions for Management and Conservation (PDF - 153 KB). Risks in Antibiotic Substitution Following Medicine Shortage: A Health-Care Failure Mode and Effect Analysis of Six European Hospitals. Neither ASHP nor the University of Utah endorses or recommends the use of any particular drug. Pharmacotherapy. Drug shortages statistics, and best practices, guidelines and publications related to drug … DisclosuresDr. eCollection 2020. Explore. Coronavirus Disease (COVID-19): The FDA continues to take steps to monitor the supply chain. Drug product shortages can adversely affect drug therapy, compromise or delay medical procedures, result in medication errors, and cause patient harm.1–38 In addition to these potential problems, healthcare professionals are also increasingly concerned about the tremendous resources required to address shortages, estimated at $209 million in 2013 for the purchase of more-expensive substitutes alone, which excludes other significant costs (e.g., drugs purchased “off contract,” therapeutic alternativ… This list differs from the FDA’s list as ASHP lists every drug shortage reported through their online report form as soon as it is investigated and confirmed, usually within 24-72 hours, whereas the FDA site focuses only on shortages of medically necessary drugs, as these have the potential to impact public health. Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. IVIG is an essential therapy for the treatment of many debilitating and/or life-threatening immunodeficiency and immune dysregulatory disorders. National survey on the effect of oncology drug shortages on cancer care. Immune Globulin Doses with Changes in Serum Immunoglobulin G levels. Mallhi TH, Liaqat A, Abid A, Khan YH, Alotaibi NH, Alzarea AI, Tanveer N, Khan TM. Data are available regarding dosing using ideal or adjusted body weight.[10-12]. 72(4):285-289. Miljković N, Godman B, van Overbeeke E, Kovačević M, Tsiakitzis K, Apatsidou A, Nikopoulou A, Yubero CG, Portillo Horcajada L, Stemer G, Kuruc-Poje D, De Rijdt T, Bochenek T, Huys I, Miljković B. Epub 2020 Aug 14. Am J Health Syst Pharm. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Serracino-Inglott is a professor in the department of pharmacy, faculty of medicine and surgery at the University of Malta in Msida. This site needs JavaScript to work properly. ASHP Foundation Pharmacy Forecast 2020: Strategic Planning Advice for Pharmacy Departments in Hospitals and Health Systems. Drug Shortages Statistics. Check out coverage of special events, educational sessions, awards, and more in News & Views, Midyear’s daily news publication. Miljković N, Batista A, Polidori P, Kohl S, Horák P. Eur J Hosp Pharm. Am J Health Syst Pharm. Advertisement. It is a searchable database that provides up-to-date information for consumers and healthcare professionals related to current drug shortages. 2020 Dec 8;8:561924. doi: 10.3389/fpubh.2020.561924. 2009 Aug 1;66(15):1399-406. doi: 10.2146/ajhp090026. This report summarizes the presentations, discussion, and … | Impact of Ideal Body Weight Dosing for all Inpatient I.V. An analysis of the Northern Navajo Medical Center (NNMC) found that although opportunities grew due to provider shortages, pharmacists practicing at the top of their license have the ability to significantly improve access to care, particularly in areas revolving around medication management, according to a poster presented at the American Society of Health-System Pharmacists' (ASHP) virtual 2020 ASHP … [5], Octapharma has Cutaquig and Octagam available. McBride A, Holle LM, Westendorf C, Sidebottom M, Griffith N, Muller RJ, Hoffman JM. "Our community needs it for antibody replacement. Chest. * Ensure immune globulin is appropriate and necessary for the indication. 2020 Aug 5;7:407. doi: 10.3389/fmed.2020.00407. Am J Health Syst Pharm. 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. * Ensure the dose and interval are appropriate. Front Med (Lausanne). ASHP Supports the Mitigating Emergency Drug Shortages (MEDS) Act [10/28/19] Drug Shortage Legislative Objectives [08/28/19] ASHP Applauds Senators and Expresses Support for Drug Shortages Task Force [06/21/19] ASHP Letter to Leaders of the Oversight and Investigations Subcommittee on Shortage of Small-Volume Parenteral Solutions [11/9/17] A drug receives Resolved status when the Drug Shortages Staff (DSS) determines that the market is covered, based on information from all manufacturers. November 5, 2020. 2014 Mar;89(3):361-73. doi: 10.1016/j.mayocp.2013.11.014. Immune Globulin Indications. [4], Kedrion has Gammaked on allocation to its current customers. Generic Name Shortage Status Revision Date; 0.45% Sodium Chloride Injection Bags: Resolved Shortages: May 26, 2016: 0.9% Sodium Chloride 10 mL, 20 … The market is considered covered when supply is available from at least one manufacturer to cover total market demand. BioCare SD (personal communication). 2013 Apr 1;70(7):609-17. doi: 10.2146/ajhp120563. The purpose of this memorandum is to communicate the Massachusetts Department of Public Health’s (the Department) awareness of ongoing nationwide Intravenous Immune Globulin (IVIG) shortages. Front Public Health. Drawing attention to the shortage may encourage production by other manufacturers, collaborative efforts to develop alternative therapies, and ad hoc training opportunities on the safe and effective use of alternatives. November 26, and December 10, 2018; January 17, February 11, March 20, April 24, and November 20, 2019; January 29, April 6, and June 26, 2020. ADMA Biologics (personal communication). 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. July 11, August 26, and September 24, 2019; April 6 and August 28, 2020. Octapharma (personal communication). National drug shortages statistics and their interpretation. HHS January … Epub 2020 May 29. Subscribe to AHFS Clinical Drug Information to get direct access to integrated drug shortages content, plus comprehensive and actionable drug information. Two day residency program design and conduct workshops. [8], Immune globulin products are life-saving and critical products for a number of acute and chronic conditions including, but not limited to: B-cell chronic lymphocytic leukemia, chronic inflammatory demyelinating polyneuropathy, idiopathic thrombocytopenic purpura, Kawasaki disease, and primary immunodeficiency diseases.[9]. Learn More. Drug Shortages: Root Causes and Potential Solutions examines the underlying factors responsible for drug shortages and recommends enduring solutions. The ASHP Board of Directors Donald E. Francke Medal, which is awarded to a pharmacist who has made international contributions to the advancement of pharmacy practice, was awarded to Anthony Serracino-Inglott, PharmD. Am J Health Syst Pharm. Learn more Residency Program Design and Conduct Virtual Workshops. According to the American Society of Health-System Pharmacists (ASHP) and the American Hospital Association (AHA), the Coronavirus Aid, Relief, and Economic Security (CARES) Act offers some provisions that address shortages of drugs and medical devices. [3], Grifols has Gamunex-C, Flebogamma, and Xembify available. Boyle said the IVIg shortage will not end soon, but he encouraged the public to consider donating blood plasma. 70(9): 751-752. ASHP guidelines on managing drug product shortages. 2018 Nov 1;75(21):1742-1750. doi: 10.2146/ajhp180441. [1-2], CSL Behring has Hizentra and Privigen on shortage due to increased demand. Miljković N, van Overbeeke E, Godman B, Kovačević M, Anastasi A, Bochenek T, Huys I, Miljković B. One manufacturer is even looking at utilizing intravenous immune globulin (IVIG) to treat some of the more rare autoimmune disorders such as encephalitis and PANS/PANDAS. FDA is responsible for assisting with drug product shortages … USA.gov. [8], Asceniv solution for injection, ADMA Biologics, Immune globulin (human) - slra 10%, 5 gram protein/50 mL single dose vial, (available through Biocare SD) NDC 69800-0250-02, Cutaquig subcutaneous solution for injection, Octapharma, Subcutaneous Immune globulin (human) - hipp 16.5%, 1 gram protein/6 mL single dose vial, NDC 68982-0810-01, Cutaquig subcutaneous solution for injection, Octapharma, Subcutaneous Immune globulin (human) - hipp 16.5%, 1.65 gram protein/10 mL single dose vial, NDC 68982-0810-02, Cutaquig subcutaneous solution for injection, Octapharma, Subcutaneous Immune globulin (human) - hipp 16.5%, 2 gram protein/12 mL single dose vial, NDC 68982-0810-03, Cutaquig subcutaneous solution for injection, Octapharma, Subcutaneous Immune globulin (human) - hipp 16.5%, 3.3 gram protein/20 mL single dose vial, NDC 68982-0810-04, Cutaquig subcutaneous solution for injection, Octapharma, Subcutaneous Immune globulin (human) - hipp 16.5%, 4 gram protein/24 mL single dose vial, NDC 68982-0810-05, Cutaquig subcutaneous solution for injection, Octapharma, Subcutaneous Immune globulin (human) - hipp 16.5%, 8 gram protein/48 mL single dose vial, NDC 68982-0810-06, Cuvitru subcutaneous solution for injection, Takeda, Immune globulin (human) 20%, 1 gram protein/5 mL vial, NDC 00944-2850-01, Cuvitru subcutaneous solution for injection, Takeda, Immune globulin (human) 20%, 2 grams protein/10 mL vial, NDC 00944-2850-03, Cuvitru subcutaneous solution for injection, Takeda, Immune globulin (human) 20%, 4 grams protein/20 mL vial, NDC 00944-2850-05, Cuvitru subcutaneous solution for injection, Takeda, Immune globulin (human) 20%, 8 grams protein/40 mL vial, NDC 00944-2850-07, HyQvia subcutaneous solution for injection, Takeda, Immune globulin (human) 10% / Recombinant Human Hyaluronidase, 10 grams protein / 100 mL - 800 units / 5 mL dual vial, NDC 00944-2512-02, HyQvia subcutaneous solution for injection, Takeda, Immune globulin (human) 10% / Recombinant Human Hyaluronidase, 2.5 grams protein / 25 mL - 200 units / 1.25 mL dual vial, NDC 00944-2510-02, HyQvia subcutaneous solution for injection, Takeda, Immune globulin (human) 10% / Recombinant Human Hyaluronidase, 20 grams protein / 200 mL - 1600 units / 10 mL dual vial, NDC 00944-2513-02, HyQvia subcutaneous solution for injection, Takeda, Immune globulin (human) 10% / Recombinant Human Hyaluronidase, 30 grams protein / 300 mL - 2400 units / 15 mL dual vial, NDC 00944-2514-02, HyQvia subcutaneous solution for injection, Takeda, Immune globulin (human) 10% / Recombinant Human Hyaluronidase, 5 grams protein / 50 mL - 400 units / 2.5 mL dual vial, NDC 00944-2511-02, Octagam 10% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 10%, 100 mL / 10 gram protein bottle, NDC 68982-0850-03, Octagam 10% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 10%, 20 mL / 2 gram protein bottle, NDC 68982-0850-01, Octagam 10% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 10%, 200 mL / 20 gram protein bottle, NDC 68982-0850-04, Octagam 10% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 10%, 50 mL / 5 gram protein bottle, NDC 68982-0850-02, Octagam 5% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 5%, 100 mL / 5 gram protein bottle, NDC 68982-0840-03, Octagam 5% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 5%, 20 mL / 1 gram protein bottle, NDC 68982-0840-01, Octagam 5% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 5%, 200 mL / 10 gram protein bottle, NDC 68982-0840-04, Octagam 5% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 5%, 50 mL / 2.5 gram protein bottle, NDC 68982-0840-02, Octagam 5% Liquid intravenous solution for injection, Octapharma, Immune globulin (human) 5%, 500 mL / 25 gram protein bottle, NDC 68982-0840-05, Panzyga intravenous solution for injection, Pfizer, Immune globulin (human) - ifas -10%, 10 mL / 1 gram protein bottle, NDC 00069-1011-02, Panzyga intravenous solution for injection, Pfizer, Immune globulin (human) - ifas -10%, 100 mL / 10 gram protein bottle, NDC 00069-1312-02, Panzyga intravenous solution for injection, Pfizer, Immune globulin (human) - ifas -10%, 200 mL / 20 gram protein bottle, NDC 00069-1415-02, Panzyga intravenous solution for injection, Pfizer, Immune globulin (human) - ifas -10%, 25 mL / 2.5 gram protein bottle, NDC 00069-1109-02, Panzyga intravenous solution for injection, Pfizer, Immune globulin (human) - ifas -10%, 300 mL / 30 gram protein bottle, NDC 00069-1558-02, Panzyga intravenous solution for injection, Pfizer, Immune globulin (human) - ifas -10%, 50 mL / 5 gram protein bottle, NDC 00069-1224-02, ADMA Biologics has Bivigam 10% on allocation through Biocare SD. At that time, many hospitals had their Pharmacy & Therapeutics Committees establish strategies to prioritize the IVIG available to hospital pharmacies. The American Society of Health-System Pharmacists (ASHP) has launched CareerPharm Rapid Connect, a new, free service to connect health care facilities with pharmacy personnel who can help alleviate potential staffing shortages during the coronavirus 2019 disease (COVID-19) pandemic. Fox is a member of the AJHP Editorial Board. Please enable it to take advantage of the complete set of features! However, some manufacturers may not have all presentations available. Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah, provided by ASHP as its exclusive authorized distributor, and used with permission. Bethesda, MD: American Society of Health-Systems Pharmacists; 2019: 3377-3397. 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