On October 13, 2022, the U.S. Food and Drug Administration (FDA) reported Exela Pharma Sciences, LLC’s (Exela’s), voluntary recall of 49 lots of sodium bicarbonate injection, USP, 8.4%, 50 mEq/50 ml vial, 20-count carton, to the consumer level because of potential vial breakage and flying glass when pressurized while preparing for administration.

Exela Pharma Sciences, LLC, Issues Voluntary Nationwide Recall of Sodium Bicarbonate Injection Because of Vial Breakage

Exela said it has received five reports of flying glass injuring the skin, eye, or other parts of the body. To date, Exela has not reported any sterility failures.

The vials are labeled with the Exela brand (Carton NDC: 51754-5001-5; Vial NDC: 51754-5001-1) and Civica brand (Carton NDC: 72572-740-20; Vial NDC: 72572-740-1).

The following products are included in the recall. All are supplied in 20-count cartons only.

Brand

Lot

Expiration Date

Exela

P0001370

10/2023

Exela

P0001371

10/2023

Exela

P0001372

10/2023

Exela

P0001433

11/2023

Exela

P0001434

11/2023

Exela

P0001443

12/2023

Exela

P0001468

12/2023

Exela

P0001469

12/2023

Exela

P0001470

12/2023

Exela

P0001495

12/2023

Exela

P0001505

12/2023

Exela

P0001506

12/2023

Exela

P0001509

12/2023

Exela

P0001510

12/2023

Exela

P0001511

12/2023

Exela

P0001512

12/2023

Exela

P0001560

01/2024

Exela

P0001561

01/2024

Exela

P0001562

01/2024

Exela

P0001564

01/2024

Exela

P0001566

01/2024

Exela

P0001567

01/2024

Exela

P0001568

01/2024

Exela

P0001571

02/2024

Exela

P0001572

02/2024

Exela

P0001573

02/2024

Exela

P0001574

02/2024

Exela

P0001578

02/2024

Exela

P0001579

02/2024

Exela

P0001580

02/2024

Exela

P0001583

02/2024

Exela

P0001586

02/2024

Exela

P0001587

02/2024

Exela

P0001588

02/2024

Exela

P0001593

02/2024

Exela

P0001594

02/2024

Exela

P0001610

02/2024

Exela

P0001618

02/2024

Exela

P0001619

02/2024

Exela

P0001644

03/2024

Exela

P0001645

03/2024

Exela

P0001646

03/2024

Exela

P0001654

02/2024

Exela

P0001662

03/2024

Exela

P0001664

03/2024

Exela

P0001730

05/2024

Civica

P0001497

12/2023

Civica

P0001600

02/2024

Civica

P0001663

03/2024

Both brands can be identified by the NDC numbers and the yellow flip-top safety cap on the 50 ml vial. The Exela carton is printed with a purple stripe containing the concentration information and the manufacturer name “Exela Pharma Sciences” in the lower right-hand corner; the vial label is also printed with a purple stripe containing the concentration information and “Exela Pharma Sciences” is printed on the back. The Civica product has the same information printed on a green stripe and uses the manufacturer name “Civica.”

All affected products were distributed nationwide to wholesalers, distributors, and customers from December 16, 2021–August 10, 2022.

Exela notified customers by email and certified mail and is arranging for return and replacement of all recalled product. Exela recommended that customers with recalled products discontinue its use, segregate it, submit a recall stock response form, and hold the product until shipment instructions are provided.

Customers with questions can contact Exela at 828-341-6118, ext. 1017, or recall@exela.us Monday–Friday, from 9 am–5 pm EST. Consumers should contact their healthcare provider if they experience any problems after using the product.

Healthcare professionals and consumers should report any adverse reactions or quality problems they experienced using the product to MedWatch, FDA’s Safety Information and Adverse Event Reporting Program.