Peritoneal Dialysis Solution Shortage

• • 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

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

• • There is insufficient supply for usual ordering

Estimated Resupply Dates

• • All marketed presentations are on allocation.

Implications for Patient Care

• • ASPN has a statement on conservation for this shortage at https://aspneph.org/interim-guidance-on-pd-solution-conservation-during-supply-shortage/

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