IV Solution Shortage

About IV Solution Shortage

Hurricane Helene hit the southeast in early October, causing widespread damage and the temporary closure of Baxter International’s manufacturing plant in Marion, N.C. The plant manufactures 60% of the nation’s supply of IV solutions, previously producing 1.5 million bags per day. As hospitals and other health care providers nationally grapple with serious shortages of IV fluids essential to patient care, CHA has compiled resources to assist in response. Visit the CHA About IV Solution Shortage resources web page for assistance in navigating the current shortage.

IV Solution Shortage Resources

CHA has compiled the following federal, state, and local resources to assist hospitals in navigating the current IV solution shortage:

State

  • California Board of Pharmacy | Temporary Provisions for Compounding Certain Parenteral Drug Products | October 16, 2024
  • California Department of Public Health | All-Facilities Letter 24-24: Intravenous (IV) Solution Shortage due to Hurricane Helene | October 9, 2024
  • Federal

  • U.S. Department of Health and Human Services | Fact Sheet: HHS Continues Taking Action to Increase Access and Supply of IV Fluids Following Hurricane Helene | October 18, 2024
  • Centers for Disease Control and Prevention | Health Advisory 518: Disruptions in Availability of Peritoneal Dialysis and Intravenous Solutions from Baxter International Facility in North Carolina | October 12, 2024
  • U.S. Department of Health and Human Services | Fact Sheet: Biden-Harris Administration Takes Action to Ensure Americans Can Access Medical Supplies Following Hurricanes Helene and Milton | October 11, 2024
  • U.S. Department of Health and Human Services | Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra | October 9, 2024
  • American Hospital Association | Letter to Biden Administration Urging Action to Address IV Solution Supply Shortage | October 7, 2024
  • American Hospital Association | Special Bulletin: HHS, Baxter Announce Additional Mitigation Efforts to Increase Access, Supply of IV Fluids | October 18, 2024
  • American Hospital Association | Special Bulletin: Baxter Provides Updates on Efforts to Increase Access to and Supply of IV Solutions | October 24, 2024
  • American Hospital Association | Special Bulletin: Baxter Announces Expiration Dating Extensions for Certain Products Related to IV Solutions Disruption | October 28, 2024
  • Clinical Guidance

  • Food & Drug Administration | Temporary Policies for Compounding Certain Parenteral Drug Products | October 11, 2024
  • Baxter | Recommendations for Management and Conservation Measures & List of Impacted Supplies
  • Vizient | Product Disruption Brief | October 10, 2024
  • Vizient | Adult/Pediatric IV Push Medication Reference | October 7, 2024
  • American Society of Health System Pharmacists | Fluid Shortages – Suggestions for Management and Conservation | October 4, 2024
  • Healthcare Ready | Situation Overview | October 3, 2024
  • Baxter | Product Allocation Letter | October 1, 2024
  • American Society of Health System Pharmacists | Guidelines on Managing Drug Product Shortages
  • Situational Updates

  • American Hospital Association | 8 of 10 Baxter manufacturing lines restarted | December 20, 2024
  • Baxter | Hurricane Helene Updates | Last updated December 19, 2024
  • American Hospital Association | Baxter restores additional IV solutions production lines | December 10, 2024
  • American Hospital Association | Shortage of Empty IV Bags Expected to Last Through March | December 4, 2024
  • American Hospital Association | Increased Allocations for Certain IV Products | December 2, 2024
  • Baxter | Expiration Dating Extension to 24 Months | November 8, 2024
  • Food & Drug Administration | Hurricane Helene: Baxter’s manufacturing recovery in North Carolina | Last updated November 8, 2024
  • American Hospital Association | Updates on IV Fluid Supplies After Helene Forces Closure of Baxter Manufacturing Plant | Last updated October, 28, 2024
  • Healthcare Ready | 2024 Baxter Plant Alert Hub | September 30, 2024
  • Healthcare Ready | 2024 Hurricane Helene Alert Hub | September 25, 2024
  • Baxter Announces Expiration Dating Extensions for Certain Products Related to IV Solutions Disruption

    As part of its efforts to mitigate the disruption to the supply of IV solutions after Hurricane Helene temporarily closed its North Cove, N.C., manufacturing plant, Baxter today said that it is now authorized by the Food and Drug Administration (FDA) to extend the use date of some products to provide a 24-month expiration from the manufacture date without relabeling the products. In a letter to customers today, Baxter said the extended expiration date is based on Baxter’s submission to the FDA including container closure integrity data, container functional performance data, and an analysis of product weight loss profiles for those certain product codes.

    CHA Releases Resource Web Page for Nationwide IV Fluid Shortage

    What’s happening: As hospitals and other health care providers nationally grapple with the shortage of IV fluids following the temporary closure of Baxter International’s manufacturing plant in Marion, N.C., CHA has compiled federal, state, and local resources to assist hospitals. 

    What else to know: Hurricane Helene hit the southeast in early October, causing widespread damage, including the temporary closure of Baxter’s plant — which, pre-Hurricane, manufactured 60% of the nation’s supply of IV solutions, producing 1.5 million bags per day.  

    United Through Crisis

    Crisis has a way of reminding us of our commonalities.  

    Take, for instance, Hurricane Helene. Though California is far from the storm’s devastation, its effects have rippled all the way to our coast due to the temporary closure of Baxter International’s North Carolina plant, which supplies 60% of the nation’s IV fluids. Hospitals across the country are working to ensure continued patient care despite a shortage of supplies critical to emergency care, trauma, oncology, surgery, and other lifesaving services.  

    CHA Responds to Nationwide IV Fluid Shortage

    What’s happening: On Oct. 3, CHA informed members of an IV fluid shortage due to the temporary closure of Baxter International’s North Carolina plant, which supplies 60% of the country’s IV solutions. The facility was damaged by flooding from Hurricane Helene.   

    What else to know: The update from CHA includes guidance for hospitals to mitigate the impact of the IV shortage.