Bupivacaine hydrochloride with adrenaline (Marcain with Adrenaline): Hospital supply issue
This has been a long running issue affecting both presentations of Marcain with Adrenaline (Pharmacodes 2284189 and 201405).
22 August 2024 Update
There is ample stock of the 2.5 mg per ml with adrenaline 1:400,000, 20 ml vial (pharmacode: 2284189).
A supply issue remains with the 5 mg per ml with adrenaline 1:200,000, 20 ml vial. CDC has run out of the alternative.
Affected product
This is a global supply issue, supplies of this product are affected by a manufacturing plant issue. This product's availability has been highly variable over the last few years.
Bupivacaine hydrochloride with adrenaline
- Brand: Marcain with Adrenaline
- Presentation: Inj 5 mg per ml with adrenaline 1:200,000, 20 ml vial
- Pharmacode: 201405
- Price: $80.50
- Measure / Qty: per 5
HML listing for bupivacaine hydrochloride with adrenaline(external link)
Alternative product
Small shipments of the Marcain with Adrenaline brand continue to arrive. However, CDC no longer has an alternate available.
Expected resupply
Aspen, the supplier, advises that a new manufacturing site has been built. They expect supply to return to normal by the end of 2024. Between now and then, pharmacists can expect to get either Marcain with Adrenaline or the CDC brand products.
Who to contact
If you have questions about this issue, email enquiry@pharmac.govt.nz
Please include as much information as you can about the product (presentation, brand, pharmacode) and who your wholesaler is.
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