After Baxter International temporarily closed its North Cove facility in Marion, N.C., the company told customers in an Oct. 3 email to evaluate their inventory of several saline, dextrose and Lactated Ringer's presentations.
The site has been closed since Sept. 29 because of flooding caused by Hurricane Helene. The North Cove facility is the largest manufacturer of intravenous and peritoneal dialysis solutions in the U.S.
A similar situation happened last summer when a tornado ripped through a Pfizer plant in North Carolina; the facility manufactured 25% of Pfizer's sterile injectables used by hospitals. As Pfizer worked to recover, there were 65 medications at risk of new or worsened shortages.
At Baxter's North Cove site, here are the medications and their NDCs:
Brevibloc premix sodium chloride injection solution 10Mg/Ml 250 Ml X10 — 10019-0055-61
Brevibloc premix injection 2000 Mg 100 Ml 20 Mg/Ml double storage bags — 10019-0075-87
Dextrose 5% injection USP 250M L migrated — 00338-0017-02
Dextrose 5% injection USP 500M L migrated — 00338-0017-03
Dextrose 5% injection USP 1000 Ml migrated — 00338-0017-04
10% dextrose injection USP 250 Ml migrated — 00338-0023-02
10% dextrose injection USP 500 Ml migrated — 00338-0023-03
10% dextrose injection USP 1000 Ml — 00338-0023-04
70% dextrose injection (2000 Ml) USP — 00338-0719-06
Sterile water for injection, USP 1000 Ml — 00338-0013-04
Sterile water for injection, USP 2000 Ml (pharmacy bulk package) — 00338-0013-06
Sterile water for injection, USP 3000 Ml (pharmacy bulk package) — 00338-0013-08
Sterile water for injection, USP 5000 Ml (pharmacy bulk package) — 00338-0013-29
2.5% dextrose and 0.45% sodium chloride injection, USP — 00338-0073-04
5% dextrose and 0.9% sodium chloride injection, USP — 00338-0089-03
5% dextrose and 0.9% sodium chloride injection, USP — 00338-0089-04
5% dextrose and 0.45% sodium chloride injection, USP — 00338-0085-03
5% dextrose and 0.45% sodium chloride injection, USP — 00338-0085-04
5% dextrose and 0.2% sodium chloride injection, USP — 00338-0077-04
20 mEq potassium in 5% dextrose injection, USP — 00338-0683-04
0.45% sodium chloride injection, USP — 00338-0043-03
0.45% sodium chloride injection, USP Viaflex plastic container — 00338-0043-04
Sodium chloride 0.9% injection, USP Viaflex plastic 250 Ml migrated — 00338-0049-02
0.9% sodium chloride injection, USP — 00338-0049-03
Sodium chloride 0.9% injection USP Viaflex Plastic 500 Ml migrated — 00338-0049-03
Sodium chloride 0.9% injection USP Viaflex 1000 Ml migrated — 00338-0049-04
3% sodium chloride injection, USP — 00338-0054-03
20mEq potassium chloride 0.45% sodium chloride injection, USP — 00338-0704-34
5% sodium chloride injection, USP — 00338-0056-03
Cardioplegic solution 1000 Ml — 00338-0341-04
10 mEq potassium chloride in 5% dextrose and 0.33% sodium chloride injection, USP — 00338-0603-03
20 mEq potassium chloride in 5% dextrose and 0.2% sodium chloride injection, USP — 00338-0663-04
10 mEq potassium chloride in 5% dextrose and 0.45% sodium chloride injection, 1000 Ml — 00338-0669-04
10 mEq potassium chloride in 5% dextrose and 0.45% sodium chloride injection, USP (500 Ml) — 00338-0671-03
20 mEq potassium chloride in 5% dextrose and 0.4 5% sodium chloride injection, USP — 00338-0671-04
30 mEq potassium chloride in 5% dextrose and 0.45% sodium chloride injection, USP — 00338-0673-04
40 mEq potassium chloride in 5% dextrose and 0.45% sodium chloride injection, USP — 00338-0675-04
20 mEq potassium chloride in 0.9% sodium chloride injection, USP — 00338-0691-04
40 mEq potassium chloride in 0.9% sodium chloride injection — 00338-0695-04
Lactated Ringer's and 5% dextrose injection, USP — 00338-0125-03
Lactated Ringer's and 5% dextrose injection, USP — 00338-0125-04
5% dextrose and electrolyte No. 48 injection — 00338-0143-03
20 mEq potassium chloride in Lactated Ringer's and 5% dextrose — 00338-0811-04
Lactated Ringer's injection, USP — 00338-0117-02
Lactated Ringer's injection, USP Viaflex plastic container 500 Ml — 00338-0117-03
Lactated Ringer's injection, USP 1000 Ml Viaflex container — 00338-0117-04
20 mEq potassium chloride in 5% dextrose and 0.9% sodium chloride injection, USP — 00338-0803-04
40 mEq potassium chloride in 5% dextrose and 0.9% sodium chloride injection, USP — 00338-0807-04
Plasma-Lyte 148 injection (multiple electrolytes injection, Type 1, USP) — 00338-0179-04
Plasma-Lyte A injection pH 7.4 (multiple electrolytes injection, Type 1, USP) — 00338-0221-03
Plasma-Lyte A injection pH 7.4 (multiple electrolytes injection, Type 1, USP) — 00338-0221-04
Sterile water for irrigation USP, 1000 Ml — 00338-0003-44
Sterile water for irrigation USP, 2000 Ml uromatic container — 00338-0003-46
Sterile water for irrigation USP, 3000 Ml uromatic container — 00338-0003-47
0.9% sodium chloride irrigation USP, 1000 Ml uromatic container — 00338-0047-44
0.9% sodium chloride irrigation USP, 2000 Ml uromatic container — 00338-0047-46
0.9% sodium chloride irrigation USP, 3000 Ml uromatic container — 00338-0047-47
0.9% sodium chloride processing solution, 3000 Ml flexible container — 00338-0050-47
0.9% sodium chloride irrigation USP, I N Baxter sterile container — 00338-0051-44
0.9% sodium chloride irrigation USP, I N Baxter sterile container — 00338-0051-44
1.5% glycine for irrigation USP, 3000 Ml — 00338-0289-47
3% sorbitol in water, 3000 Ml uromatic container — 00338-0295-47
0.9% sodium chloride irrigation USP, 3000 Ml arthromatic — 00338-0047-27
0.9% sodium chloride irrigation USP, 5000 Ml arthromatic — 00338-0047-29
Lactated Ringer's irrigation 3000 M L arthromatic — 00338-0137-27
Lactated Ringer's irrigation 5000 M L arthromatic — 00338-0137-29
10% osmitrol injection (10% mannitol injection, USP) — 00338-0353-03
20% osmitrol injection (20% mannitol injection, USP) — 00338-0357-02
20% osmitrol injection (20% mannitol injection, USP) — 00338-0357-03
Brevibloc injection Vizient 2000 Mg in 100Ml premix bag, saline — 10019-0668-10
Brevibloc injection Vizient 2500 Mg in 250Ml premix bag, saline — 10019-0672-10
Brevibloc injection Premier 2500 Mg in 250Ml premix bag, saline — 10019-0670-10
Brevibloc injection Premier 2000 Mg in 100Ml premix bag, saline — 10019-0666-10