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2801 Horace Shepard Drive Dothan, AL 36303 Phone: 800.633.7555 www.oncologysupply.com OSC Recall Letter (v.2) *** PRODUCT NOTICE *** PRODUCT SAFETY ADVISORY PLEASE NOTE THIS IS NOT A RECALL – THIS IS A PRODUCT SAFETY ADVISORY DATE: 02-Jun-2020 Dear Valued Customer, Amneal Pharmaceutical has issued a Product Notice regarding the product listed below. Your account purchased the below-mentioned product from Oncology Supply between the dates listed. To begin the return process please follow the instructions listed below. PRODUCT & MANUFACTURER DETAILS Product Description: Epinephrine Injection, USP Auto-Injector 0.3 NDC (Item) Number: 00115-1694-49 Oncology Supply Item Number: 48730 Lot Number / Expiration Date: See attached memo for complete list of affected lot numbers. Product Purchased Between: 12/20/2018 to Present Oncology Supply Event Number: 3274 (7021) RETURN INSTRUCTIONS Immediate Action Carefully examine your inventory and stop dispensing the affected product and follow the Impax instructions. Manufacturer Event Letter Reference the letter for additional information and reason for the Product Safety Advisory details. Reason: Due to some devices may not contain the yellow ‘stop collar’ component. Action: Follow the Impax provided instructions to confirm if the device contains the yellow ‘stop collar’. If the device does NOT contain the yellow stop collar follow the instructions from the ‘Dear Consumer Letter’. Questions Regarding the Safety Alert Please contact Amneal Drug Safety Department: Phone: 1-877-835-5472 Email: [email protected] Mail: Amneal Pharmaceuticals, 50 Horseblock Road Brookhaven, New York 11710 Sincerely, Oncology Supply

PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

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Page 1: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

2801 Horace Shepard Drive

Dothan, AL 36303 Phone: 800.633.7555

www.oncologysupply.com

OSC Recall Letter (v.2)

*** PRODUCT NOTICE ***

PRODUCT SAFETY ADVISORY

PLEASE NOTE THIS IS NOT A RECALL – THIS IS A PRODUCT SAFETY ADVISORY DATE: 02-Jun-2020 Dear Valued Customer, Amneal Pharmaceutical has issued a Product Notice regarding the product listed below. Your account purchased the below-mentioned product from Oncology Supply between the dates listed. To begin the return process please follow the instructions listed below.

PRODUCT & MANUFACTURER DETAILS Product Description: Epinephrine Injection, USP Auto-Injector 0.3 NDC (Item) Number: 00115-1694-49 Oncology Supply Item Number: 48730 Lot Number / Expiration Date: See attached memo for complete list of affected lot

numbers. Product Purchased Between: 12/20/2018 to Present Oncology Supply Event Number: 3274 (7021)

RETURN INSTRUCTIONS Immediate Action Carefully examine your inventory and stop dispensing the

affected product and follow the Impax instructions. Manufacturer Event Letter Reference the letter for additional information and reason for

the Product Safety Advisory details. Reason: Due to some devices may not contain the yellow ‘stop collar’

component. Action: Follow the Impax provided instructions to confirm if the

device contains the yellow ‘stop collar’. If the device does NOT contain the yellow stop collar follow the instructions from the ‘Dear Consumer Letter’.

Questions Regarding the Safety Alert Please contact Amneal Drug Safety Department: Phone: 1-877-835-5472 Email: [email protected] Mail: Amneal Pharmaceuticals, 50 Horseblock Road Brookhaven, New York 11710

Sincerely, Oncology Supply

Page 2: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

IMPORTANT SAFETY INFORMATIONImpax Laboratories, LLC

Epinephrine Injection, USP Auto-Injector 0.3 mg

Visual inspection instructions - Affected LotsNDC# 0115-1694-30 (case) and 0115-1694-49 (carton)

PRODUCT SAFETY ADVISORYEpinephrine Injection, USP Auto-Injector 0.3 mg may be missing its

yellow “stop collar,” potentially causing medication overdose.

Page 3: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

June 1, 2020

IMPORTANT SAFETY INFORMATION Impax Laboratories, LLC

Epinephrine Injection, USP Auto-Injector 0.3 mg

Dear Consumer:

Impax Laboratories, LLC, a wholly owned subsidiary of Amneal Pharmaceuticals LLC, is providing important safety information concerning its Epinephrine Injection, USP Auto-Injector 0.3 mg. Impax is writing to inform you that some Epinephrine Injection, USP Auto-Injector 0.3 mg devices may not contain the yellow “stop collar” component (see pictures below). The yellow “stop collar” is one of several components that work together to assure proper dosing of the auto-injector. If the auto-injector is missing a yellow “stop collar” component, it has the potential safety risk of delivering a double dose of the product to a consumer. An overdose of epinephrine has the potential to cause severe patient harm or death.

If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after December 20, 2018, Impax is requesting that you immediately perform a visual inspection (Steps 1-5) as described below to confirm the presence of the yellow “stop collar”:

• Carefully inspect for the presence of the yellow “stop collar.”• If yellow “stop collar” is present, then the product is safe to use. No further action is

necessary.• If the yellow “stop collar” is missing, call or e-mail Amneal Drug Safety Department,

using the contact information below, for instructions for the return and replacement of the auto-injector:

AMNEAL PHARMACEUTICALS DRUG SAFETY DEPARTMENTPhone: 1(877) 835-5472Email: [email protected]: Amneal Pharmaceuticals, 50 Horseblock Road, Brookhaven, New York 11719

PRODUCT SAFETY ADVISORY Epinephrine Injection, USP Auto-Injector 0.3 mg may be missing its

yellow “stop collar,” potentially causing medication overdose.

Page 4: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

Note: If you have any questions about the steps below, have difficulty following the instructions, or are unsure if the yellow “stop collar” is missing, please call AMNEAL PHARMACEUTICALS DRUG SAFETY DEPARTMENT VISUAL INSPECTION INSTRUCTIONS TO CONFIRM PRESENCE OF YELLOW “STOP COLLAR” Step 1: Remove the auto-injector from the carrying case.

Page 5: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

Step 2: Place the auto-injector on a flat surface as shown below.

Step 3: Locate the edge of the label that states “Peel here for further instructions”. Lift the label edge until you see the clear part of the auto-injector.

Page 6: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

Step 4: Look for the YELLOW “stop collar”. See arrow below.

Missing Yellow Stop Collar

Acceptable

Unacceptable

Page 7: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

PLEASE NOTE: If the yellow “stop collar” is missing, hold the unit (as shown below) and gently rotate the blue sheath remover and observe until the yellow “stop collar” comes into view. DO NOT PULL OR REMOVE THE BLUE SHEATH REMOVER.

IMPORTANT:

• If yellow “stop collar” is present, then the product is safe to use. No further action is necessary.

• If the yellow “stop collar” is missing, contact Amneal Drug Safety Department, using the contact information below, to make arrangements for the return of the auto-injector and a replacement at no additional cost:

AMNEAL PHARMACEUTICALS DRUG SAFETY DEPARTMENTPhone: 1(877) 835-5472Email: [email protected]: Amneal Pharmaceuticals, 50 Horseblock Road, Brookhaven, New York 11719

Yellow Stop Collar

Rotate Blue Sheath Remover

Page 8: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

Step 5: Re-wrap the label to its original position and place the auto-injector into the carrying case.

Page 9: PRODUCT NOTICE · epinephrine has the potential to cause severe patient harm or death. If you have received Amneal or Impax’s Epinephrine Injection, USP Auto-Injector 0.3 mg after

To report issues with product, contact Amneal at:

AMNEAL PHARMACEUTICALS DRUG SAFETY DEPARTMENT Phone: 1(877) 835-5472 Email: [email protected] Mail: Amneal Pharmaceuticals, 50 Horseblock Road, Brookhaven, New York 11719 Please note that adverse events 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:

• Complete and submit the report Online: www.fda.gov/medwatch/report.htm

• Regular mail or fax: download form www.fda.gov/MedWatch/getforms.htm or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178 (1-800-332-0178).

Thank you in advance for your cooperation.

Candis Edwards SVP, Regulatory Affairs Amneal Pharmaceuticals 50 Horseblock Road Brookhaven, New York 11788 Office: 631.952.0214 X 338 Email: [email protected]