Drug Shortage Update
Proposed Legislation Regarding D
Proposed Legislation Regarding Drug Shortages
On September 22, 2012, the Protecting Patients and Hospitals from Price Gouging
Act was introduced to the Senate.
This act is intended to “prohibit prescription drug price-gouging during states
of market shortage.” The US is
facing many drug shortages and often sellers are taking advantage of the
decreased supply by increasing the price to excessive amounts.
This practice leaves consumers at an unfair advantage if they cannot
afford their vital medication. The Protecting Patients and Hospitals from Price
Gouging Act will enforce penalties on any person with the intent to charge a
price that is unreasonable excessive.
The bill was referred to the Committee on Health, Education, Labor, and
Pensions for evaluation.
To learn more about or to keep up with this bills progress, please visit:
Drug Shortage Spotlight: Sodium bicarbonate injection
Sodium bicarbonate injection is often used in critical care patients during
advanced cardiac life support as well as in the management of hyperkalemia,
metabolic acidosis, and urine pH.
Sodium bicarbonate injection is also frequently used in the compounding of oral
solutions of PPIs. The injection is
currently in shortage. The shortage
exists because of manufacturing delays, increased demand and discontinuation of
the product by a manufacturer. The
estimated release date of sodium bicarbonate injections is October and November
Appropriate alternatives for sodium bicarbonate injection include:
Baking soda (1 teaspoon in 240ml of water) to make oral solutions of PPIs
For more information about appropriate alternative agents including dosing and
ordering, please visit
ASHP drug shortages webpage.
Other Available Resources
For the most up-to-date drug shortages list, visit the FDA and ASHP websites:
For guidelines on managing drug shortages, visit