14 secret drugs. (Not-for-Profit Generic Drug Company Officially Established)

[ornithoptor]

Not-for-Profit Generic Drug Company Officially Established, Attracts Interest of More Than 120 Health Organizations

7 health care systems representing 500 hospital is forming a non-for-profit manufacturing branch with focus on 14 generics that are must, easily go short or gouged by vendors. Initial set of dosage forms would include injectable, tablet, and patch for treating infections, pain and heart conditions.

What do you all think? What would be the drugs that you think will be included based on your educated guess.

Please list all 14 or your top 5 picks.

Thanks

---

Members don't see this ad.

 

[awval999]

If you're going for constant shortage issues, then all of the electrolytes:
1. Magnesium sulfate
2. Calcium gluconate
3. Sodium chloride
4. Calcium chloride

Then the anesthetic agents:
1. Lidocaine
2. Bupivicaine

How about outrageously high for no reason:
1. Isoproterenol

 

[lane one]

1. Hydromorphone inj
2. Morphine inj
3. Fentanyl inj
4. Mag sulfate inj
5. Calcium gluconate inj
6. Calcium chloride inj
7. Sodium chloride inj
8. Sodium bicarb inj
9. Lidocaine inj
10. Bupivacaine inj
11. Hydralazine inj
12. Erythromycin inj
13. Diazepam inj
14. Dobutamine inj

Willing to bet at least 10 of those are on the list.

 

[lane one]

If you're going for constant shortage issues, then all of the electrolytes:
1. Magnesium sulfate
2. Calcium gluconate
3. Sodium chloride
4. Calcium chloride

Then the anesthetic agents:
1. Lidocaine
2. Bupivicaine

How about outrageously high for no reason:
1. Isoproterenol

Isuprel is definitely outrageously expensive for no reason, but I doubt it would be focus due to how infrequently it's utilized. I just don't think the return on investment would be there.

 

[zelman]

I think IV fluids are a no-brainer if they are set up for sterile manufacturing.

 

[gwarm01]

Might as well throw in sodium bicarbonate while we're at it, plus sterile vials and bags.

 

[Rockinacoustic]

Isoproterenol is a solid choice. Add Vasopressin to that list too.

Everything else was unnecessary to begin with. Not every GI bleed who was taken off Protonix IV had hemorrhagic shock, and those patients with an SBP of 190 did just fine with PO hydralazine instead...

 

[awval999]

I believe we'll see isoproterenol price dropping in 2019. There's already at least two generic manufacturers of it now. And Valeant can't even supply their brand Isuprel.... it's constantly unavailable/backordered from Amerisource.

 

[sakigt]

If you're going for constant shortage issues, then all of the electrolytes:
1. Magnesium sulfate
2. Calcium gluconate
3. Sodium chloride
4. Calcium chloride

Then the anesthetic agents:
1. Lidocaine
2. Bupivicaine

How about outrageously high for no reason:
1. Isoproterenol

Don't forget EPI PFS
Dilalaulau
Morphine

Ooh, Ive got 4 more. How about:
alteplase
kcentra
Pen G
Bicarb

 

[sakigt]

Isoproterenol is a solid choice. Add Vasopressin to that list too.

Everything else was unnecessary to begin with. Not every GI bleed who was taken off Protonix IV had hemorrhagic shock, and those patients with an SBP of 190 did just fine with PO hydralazine instead...

We got all those Protonix drips P&T swapped to BID. Saved 3 vials a day. $$$$$ Ballin!

 

[Rouelle]

We got all those Protonix drips P&T swapped to BID. Saved 3 vials a day. $$$$$ Ballin!

Do you have any specific references that y’all presented your P&T committee to get this change approved? I would love our place to make the switch too.

 

[sakigt]

Do you have any specific references that y’all presented your P&T committee to get this change approved? I would love our place to make the switch too.

Intermittent vs Continuous Proton Pump Inhibitors