Contact:Consumer:Dr. Wissam Alawieh, Pharm.D.(800) 518-9831 FOR IMMEDIATE RELEASE - July 31, 2013 – Southfield, MI, Beacon Hill Medical Pharmacy d/b/a/ Rxtra Solutions (Beacon Hill) is voluntarily recalling all lots of certain sterile products to the user level. There is a question of sterility assurance for the affected products raised by the FDA.Microbial contamination of products intended to be sterile can lead to serious infections, which may be life-threatening. Beacon Hill has not received any reports of adverse events related to this recall and to date, there is no evidence of contamination in the recalled products or any previously prepared products.Below is the list of sterile injectable products compounded by Beacon Hill/Rxtra Solutions prescribed by physicians to individual patients according to their prescription order in alphabetical order, organized by Drug name and strength:ACETYLCYSTEINE 100 MG/ML INJ SOLNAPOMORPHINE HCL 3 MG/ML INJECTABLEASCORBIC ACID ( CORN SOURCE) 500 MG/ML INJECTABLEASCORBIC ACID (NON CORN SOURCE) 500 MG/ML INJECTABLEB-12 REJUV 25 MG/ML INJECTABLEB-12/LIDOCAINE 25/10MG/ML INJECTABLEB-COMPLEX/LIDO/B-12 25MG/ML INJECTABLEB-COMPLEX/LIDOCAINE 2% INJECTION INJECTABLEBI-TROPIN S-2 INJECTABLEBUPRENORPHINE 0.3 MG/ML INJECTABLEBUPRENORPHINE 0.5 MG/ML INJECTABLECALCIUM CHLORIDE 100 MG/MLCALCIUM EDTA 200 MG/ML INJECTABLECALCIUM EDTA 300 MG/ML INJECTABLECHROMIUM 4 MCG/ML INJECTABLECOPPER 0.4MG/ML INJECTABLECYANOCOBALAMIN 1000 MCG/ML INJ SOLNCYCLOSPORIN (A) 2% (PF) AQUEOUS SUSPDEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTABLEDEXPANTHENOL 250 MG/ML INJECTABLEDEXTROSE PF 50% INJECTABLEDIAZEPAM 5MG/ML INJECTABLEDMPS P/F 50 MG/ML INJECTABLEDMSO 50% INJ 50 ML VIAL INJECTABLEDUAL-TESTOSTERONE 10ML VIAL(COTTON SEED OIL) 200 MG/ML OIL INJ SOLNDUAL-TESTOSTERONE 2 ML VIAL 20 MG/ML OIL INJ SOLNDUAL-TESTOSTERONE 4 ML VIAL 50 MG/ML OIL INJ SOLNDUAL-TESTOSTERONE 5 ML VIAL 50 MG/ML OIL INJ SOLNEDETATE DISODIUM 150 MG/ML INJECTABLEESTRADIOL CYP/PROG/TEST CYP 0.5/10/10 MG/ML OIL INJ SOLNOXYTOCIN 10 UNITS/ML INJECTABLEESTRIOL 5 MG/ML OIL INJ SOLNAMINO ACID III (COMPARE TO FREAMINE III) ALT. 8.5% INJECTABLEARGININE 100MG/ML INJECTABLE FUROSEMIDE 10MG/ML INJECTABLEGLUTATHIONE 200 MG/ML (PF) INJ SOLNGLUTATHIONE/LIDO 100MG/2%/ML (PF) INJ SOLNGLUTATHIONE/METHYL/LIDO 1 00/25/20 MG/ML INJ SOLNGLUTATHIONE/METHYL/LIDO 100/25/20MG/ML (PF) INJ SOLNGLYCINE 50 MG/ML INJECTABLEGLYCYRRHIZIC ACID 8 MG/ML INJECTABLEHYALURONIDASE 150U/ML INJECTABLEHYALURONIDASE 200U/ML INJECTABLEHYDROXOCOBALAMIN (VITAMIN B12A) 1 MG/ML INJECTABLEL-CARNITINE HCL 50 MG/ML INJECTABLELIDOCAINE MDV 1% INJECTABLELIDOCAINE MDV 20 MG/ML INJECTABLELIDOCAINE PF 20 MG/ML INJECTABLELIPOIC ACID 100 MG/ML INJECTABLELIPOIC ACID 200 MG/ML INJECTABLELIPO-PLEX INJECTABLELIPO-PLEX/LIDOCAINE 2% INECTABLE INJECTABLEL-TRYPTOPHAN 300 MG/ML INJECTABLEMAGNESIUM CHLORIDE HEXAHYDRATE 20% INJECTABLEMAGNESIUM SULFATE 50% INJECTABLEMANGANESE SULFATE 0.1 MG/ML INJECTABLEMELOXICAM 10 MG/ML INJECTABLEMELOXICAM 5MG/ML INJECTABLEMETHYLCOBALAMIN (PF) 1 MG/ML INJ SOLNMETHYLCOBALAMIN (PF) 25 MG/ML INJECTABLEMETHYLCOBALAMIN 1 MG/ML INJ SOLNMETHYLCOBALAMIN 10 MG/ML INJ SOLNMETHYLCOBALAMIN 25 MG/ML INJECTABLEMETHYLCOBALAMIN 5 MG/ML INJ SOLNMETHYLPREDNISOLONE ACETATE 40 MG/ML INJECTABLEMETHYLPREDNISOLONE ACETATE 80 MG/ML INJECTABLEMIC-CARN + B6/B12/LIDOCAINE 25/50/50/175MCG/1/0.1MG/ML INJECTABLEMIC-CARN MAX (WITH METHYLCOBALAMIN) 15/100/50/1 MG/ML INJECTABLEMIC-CARN MAX 15/100/50/1 MG/ML INJECTABLEMIC-CARN MAX PLUS LIDOCAINE 15/100/50/1 MG/5MG/ML INJECTABLEPHOSPHATIDYLCHOLINE 50 MG/ML INJECTABLEPOTASSIUM CHLORIDE 2 MEQ/ML INJECTABLEPROCAINE P/F 20 MG/ML INJECTABLEPROG/TEST CYP 15/7.5 MG/ML OIL INJ SOLNPROGESTERONE 50 MG/ML OIL INJ SOLNPUMICE/LIDOCAINE HCL 1.5%/1% INJ SUSPPYRIDOXINE HCL P/F 100 MG/ML INJECTABLEQUAD AMINO BLEND 150/75/150/75 MG/ML INJECTABLESELENIUM 400 MCG/ML INJECTABLESERMORELIN ACETATE 10 MG INJECTABLESERMORELIN ACETATE 3 MG INJECTABLESODIUM BICARBONATE PF 8.4% INJECTABLETACROLIMUS SOLUTION 0.02% OPHTHALMICTEST. HYPOALLRGNC 200 MG/ML INJECTABLETESTOSTERONE AQUEOUS 100 MG/ML INJECTABLETESTOSTERONE CYPIONATE 10 ML VIAL 100 MG/ML OIL INJ SOLNTESTOSTERONE CYPIONATE 2 ML VIAL 20 MG/ML INJECTABLETRIAMCINOLONE ACETONIDE 80 MG/ML INJ SUSPTRI-MIX 10 MCG/30 MG/1 MG/ML INJ SOLNTRI-MIX 30 MCG/15 MG/2 MG/ML INJ SOLNTRIPLE-TESTOSTERONE 10 ML VIAL 250 MG/ML OIL INJ SOLNTRIPLE-TESTOSTERONE 5 ML VIAL 200 MG/ML OIL INJ SOLNTRIPTROPIN PLUS INJECTABLEVITAMIN B- COMPLEX INJECTABLEVITAMIN B-COMPLEX SL SOLTNVITAMIN B-COMPLEX (PF) INJECTABLEVITAMIN D 50,000 I.U./ML INJECTABLEESTRADIOL CYPIONATE 10 MG/ML OIL INJ SOLNESTRADIOL CYPIONATE 40 MG/ML OIL INJ SOLNESTRADIOL CYPIONATE 5 MG/ML OIL INJ SOLNTRACE ELEMENTS-5 INJECTABLENALBUPHINE HCL 20MG/ML INJECTABLENANDROLONE DECANOATE 200 MG/ML OIL INJ SOLNNANDROLONE DECANOATE 100 MG/ML OIL INJ SOLNALPROSTADIL 100 MCG/ML INJ SOLNNALTREXONE 1 MG/ML INJECTABLENALTREXONE 200 MG/ML INJECTABLEHYDROCHLORIC ACID 10% INJ SOLN ZINC SULFATE 1 MG/ML INJECTABLEALPROSTADIL 50 MCG/ML INJ SOLNAMMONIUM MOLYBDATE 25 MCG/ML INJECTABLEB12/E2/E3/PROG/TEST 1/3.75/2.5/50/45 MG/ML OIL INJ SOLUTIONBI-MIX PHENTOLAMINE/PAPAVERINE 0.5 MG/30 MG/ML INJECTABLEBI-MIX PHENTOLAMINE/PAPAVERIN E 1 MG/30 MG/ML INJECTABLEBUPRENORPHINE 0.1/0.05 MG/ML CREAMDUAL-TESTOSTERONE 100 MG/ML OIL INJ SOLUTIONDUAL-TESTOSTERONE 150 MG/ML OIL INJ SOLUTIONDUAL-TESTOSTERONE 200 MG/ML OIL INJ SOLUTIONDUAL-TESTOSTERONE 50 MG/ML OIL INJ SOLUTIONESTRADIOL VALERATE W/LIDOCAINE 1% 40MG/ML OIL INJ SOLNGLUTAMINE 100 MG/ML INJ SOLNH.C.G. (COMPOUNDED) 10,000 UNIT VIAL INJECTABLEH.C.G. (COMPOUNDED) 11,000 UNIT VIAL INJECTABLEH.C.G. (COMPOUNDED) 12,000 UNIT VIAL INJECTABLEH.C.G. (COMPOUNDED) 5,000 UNIT VIAL INJECTABLEH.C.G. (COMPOUNDED) 8,000 UNIT VIAL INJECTABLEHYDROGEN PEROXIDE 3% INJECTABLEHYDROCYPROGESTERONE CAPROATE 250 MG/ML OIL INJ SOLNKETOROLAC TROMETHAMINE 60 MG/ML INJECTABLEPARABEN WATER FOR INJECTIONSODIUM HYDROXIDE 10% (W/V) WATER FOR INJECTIONSODIUM PHOSPHATE DIBASIC/WATER FOR INJECTION 10%SODIUM PHOPHATE MONOBASIC/WATER FOR INJECTION 10%TESTOSTERONE CYPIONATE (COTTONSEED) 200 MG/ML OIL INJ SOLNTESTOSTERONE PROPRIONATE 100 MG/ML OIL INJ SOLNPhysicians prescribe these products to patients receiving IV solutions and hormone replacement therapy.These products are packaged in clear or amber sterile injectable vials ranging in size of 1 ml to 100 ml containing liquid solution, suspension or lyophilized powder. The products are packaged in either individual patient prescription vials or single units in a cardboard box container. The products can be identified via the label format, which will include lot numbers initiating with code 01012013@1 to 07262013@99. The vials will contain a label indicating the drug name, strength, and quantity of product in the vial, the lot number with the codes indicated above, and a recommended use by date, product ingredients, storage instructions and the facility information and address. A sample vial label and prescription label is attached that includes the exact format for all products dispensed. The products were distributed nationwide to outlets including hospitals, clinics, and patients who have received orders by directly placing phone calls or faxed prescriptions to the Beacon Hill Medical pharmacy facility in Southfield, Michigan.Beacon Hill began notifying its customers on July 26th 2013 via telephone, and will begin initiating recall mailers including formal letters, and will continue to call its patients and providers, and schedule office visits to discuss with physicians further. Beacon Hill is arranging for return of all recalled products. Health care providers, hospital staff and patients should immediately check their inventory, identify products in their possession, which are being recalled, stop utilizing product and contact Beacon Hill Medical Pharmacy at 800.518.9831 to further assist with product replacement, continuity of care and further instructions on product return.Beacon Hill recognizes FDA's observations of sterile practices and 211 guidelines and has already initiated its facility upgrade in an effort to deliver at the highest manufacturing standard. Beacon Hill has initiated testing on products in the recall in quarantine in an effort to assess its validation process of prior sterility practices and will continue to cooperate with the FDA to establish 211guided standards of practice.Beacon Hill is dedicated to this voluntary recall and has set up a task force of pharmacists and personnel ready to establish a transition for product replacement and urges patients to contact the pharmacy for any assistance.Consumers with questions regarding this recall can contact Beacon Hill by calling 800.518.9831 during the business hours of 10 am and 6 pm eastern standard time. Consumers should contact their physician or healthcare provider if they have experienced any problems that may be related to taking or using this drug product.Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax.Online: www.fda.gov/medwatch/report.htmRegular Mail: use postage-paid, pre-addressed Form FDA 3500 available at:www.fda.gov/MedWatch/getforms.htm. Mail to address on the pre-addressed form.Fax: 1-800-FDA-0178This recall is being conducted with the knowledge of the U.S. Food and Drug Administration.
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