Managing Drug Shortages: A Buyer/Vendor Perspective. Allen Sutherland St. Joseph’s Hospital Phoenix, AZ. Drug Shortage Defined. “A supply issue that affects how the pharmacy prepares or dispenses a drug product or influences patient care when prescribers must use an alternative agent.”
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St. Joseph’s Hospital
“A supply issue that affects how the pharmacy prepares or dispenses a drug product or influences patient care when prescribers must use an alternative agent.”
–American Journal of Health-System Pharmacists. 2009; 66:1399-406
Transitioning from one product to another
-Example: Albuterol MDIs containing chlorofluorocarbons to MDSs containing hydrofluoroalkanes.
Montreal Protocol-Global Warming
The interim replacements for CFCs are hydrochlorofluorocarbons (HCFCs), which deplete stratospheric ozone, but to a much lesser extent than CFCs.
On September 21, 2007, approximately 200 countries agreed to accelerate the elimination of hydrochlorofluorocarbons entirely by 2020 in a United Nations-sponsored Montreal summit. Developing nations were given until 2030. Many nations agreed with the accelerated phase out schedule.
Often result in decisions to narrow the focus of product lines or move a production line to a new facility, resulting in delayed availability or discontinuation.
Obtain product in short supply for the purpose of reselling them to end users who are unable to obtain them through normal supply channels (Grey Market).
*Vendors should be communicating with buyers on a bi-monthly basis with regard to product availability.
Drug shortages have always occurred. Recent increases in the frequency and duration have a bigger impact on healthcare.
Buyers need to establish a proactive process of preventing, identifying, assessing, and enduring shortages without compromising patient care.
This necessitates a strong relationship with vendors/manufacturers in obtaining the product needed.