EPINEPHRINE .3 mg/.3mL Injection, Solution, 3 mL — NDC 51662-1320-1 (Billing 51662-1320-01)
This is a package of 3 mL of EPINEPHRINE .3 mg/.3mL Injection, Solution from HF Acquisition Co LLC, DBA HealthFirst, marketed since Sep 2018 and currently FDA-listed. It is the main listing for this product, which comes in 2 package sizes.
NDC database record
One package, one record: these facts belong to NDC 51662-1320-1 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 51662 labeler · 1320 product · 1 package
- Package marketed since
- Sep 21, 2018
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2026
- Barcode (UPC)
- 0060842022011
- FDA record last changed
- Jul 24, 2026
Other active recalls for Epinephrine (different manufacturers) — 2 · tap to view
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
- RxCUI (RxNorm): 1870205
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the alpha-Adrenergic Agonist class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
- Epinephrine works fast but wears off quickly — sometimes in as little as 15 to 20 minutes. Anaphylaxis can come back (this is called a biphasic reaction), and you may need addition...
- Why do I need to go to the ER after using my EpiPen or Auvi-Q if I already feel better?
- Yes, it absolutely matters. Inject into the outer thigh — you can even go through your clothing if needed. Never inject into the buttocks (that spot carries a risk of serious infec...
- Where exactly do I inject it, and does it matter?
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Epinephrine — tap one for details:
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per mL | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
Where does this data come from?
- CMS NADAC weekly file
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · refreshed Oct 4, 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 51662-1320-01 You're viewing this Main listing | .3 mL in 1 DOSE PACK | 2018-09-21 | — | Active |
| 51662-1320-02 51662-1320-2 | 2 DOSE PACK in 1 CARTON / .3 mL in 1 DOSE PACK | 2019-08-24 | — | Active |
Pack size FAQ
What quantity is in this package?
How does this package differ from NDC 51662-1320-02?
What NDC number is used to bill for this package of EPINEPHRINE .3 mg/.3mL Injection, Solution?
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Epinephrine .3 mg/.3mL 49502-0102-02 | Viatris | 1 syringe | $141.276 | AB | Availability likely | — |
| Epipen .3 mg/.3mL 49502-0500-02 | Viatris | 1 syringe | $292.748 | AB | FDA listed | — |
| Auvi-Q .3 mg/.3mL 60842-0023-01 | kaleo, | 2 doses | $309.376 | BX | Discontinued | — |
| Epinephrine .3 mg/.3mLthis 51662-1320-01 | HF | 3 ml | — | BX | FDA listed | — |
| Auvi-Q .3 mg/.3mL 51662-1663-02 | HF | 2 doses | — | BX | FDA listed | — |
| Auvi-Q .3 mg/.3mL 71872-7173-01 | Medical | 1 dose | — | BX | FDA listed | — |
| Auvi-Q .3 mg/.3mL 71872-7329-01 | Medical | 1 dose | — | BX | FDA listed | — |
| Epinephrine .3 mg/.3mL 50090-4543-00 | A-S | 1 ml | — | AB | FDA listed | — |
| Epinephrine .3 mg/.3mL 51662-1224-01 | HF | 1 syringe | — | AB | FDA listed | — |
| Epinephrine .3 mg/.3mL 71872-7135-01 | Medical | 1 syringe | — | AB | FDA listed | — |
| Epipen .3 mg/.3mL 76420-0584-02 | Asclemed | 1 syringe | — | AB | FDA listed | — |
| Auvi-Q .3 mg/.3mL 85766-0277-02 | Sportpharm | 2 doses | — | BX | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file
Availability & generic status
We did not find an FDA-approved generic match for this exact strength, form and route. Patent/protection dates below may affect future generic timing.
Why the date isn’t exact: Generic timing can change because patents may be challenged, settled, licensed, added, removed, or worked around with a narrower label — and FDA approval does not always mean a pharmacy can get the generic today.
🛈 What do these terms mean?
- Patent
- Legal protection listed in the Orange Book that may delay generic approval or launch. Issued by the U.S. Patent & Trademark Office.
- Substance patent
- Covers the active drug molecule itself — the hardest to design around. A generic generally can’t launch until it expires.
- Formulation (product) patent
- Covers a specific formulation or dosage form. A generic can sometimes work around it with a different formulation.
- Method-of-use patent
- A patent covering one specific approved use of the drug — not necessarily the whole molecule. A generic can sometimes launch with a “skinny label” that carves out the protected use and keeps the others.
- Skinny label
- A generic label that omits a still-patented use when the FDA allows it — letting a generic reach the market for the unprotected uses.
- Exclusivity
- FDA-granted marketing protection, separate from patents — e.g. 5-yr new chemical entity, 7-yr orphan drug, or a +6-month pediatric extension.
- Paragraph IV
- A generic applicant’s formal challenge to a listed patent. It can potentially lead to earlier generic entry, but often involves litigation or a settlement.
- RLD / RS
- Reference Listed Drug — the brand product the FDA uses as the reference for generic applications. Reference Standard — the product the FDA expects generics to compare against in bioequivalence testing.
- TE / AB rating
- FDA therapeutic-equivalence rating. An AB rating generally means the FDA considers a generic therapeutically equivalent to — and substitutable for — the brand.
- LOE (loss of exclusivity)
- The latest patent or exclusivity currently listed — the loss-of-exclusivity / latest-listed-protection date shown on this page. Paragraph-IV challenges and settlements can move the real date earlier; FDA approval and a manufacturer’s decision to market can move it later.
Built from the FDA Orange Book. The bars above are scaled to each protection’s expiry; the red LOE marker is the last one to lapse.
| Patent | Type | Use code | Expires |
|---|---|---|---|
| US 10688244 ↗ | Method of use | U-2980 | Dec 21, 2037 |
| US 10688244 ↗ | Method of use | U-2980 | Dec 21, 2037 |
| US 10842938 ↗ | Method of use | U-2980 | Dec 21, 2037 |
| US 10842938 ↗ | Method of use | U-2980 | Dec 21, 2037 |
| US 11771830 ↗ | Method of use | U-2980 | Dec 21, 2037 |
| US 11771830 ↗ | Method of use | U-2980 | Dec 21, 2037 |
| US 8226610 ↗ | Drug product | — | Apr 10, 2029 |
| US 11590286 ↗ | Drug product | — | Dec 12, 2026 |
| US 8231573 ↗ | Drug product | — | Nov 25, 2028 |
| US 8021344 ↗ | Drug product | — | Nov 2, 2029 |
| US 8206360 ↗ | Drug product | — | Feb 27, 2027 |
| US 8206360 ↗ | Drug product | — | Feb 27, 2027 |
| US 8231573 ↗ | Drug product | — | Nov 25, 2028 |
| US 7947017 ↗ | Drug product | — | Mar 12, 2028 |
| US 8021344 ↗ | Drug product | — | Nov 2, 2029 |
| US 11590286 ↗ | Drug product | — | Dec 12, 2026 |
| US 8231573 ↗ | Drug product | — | Nov 25, 2028 |
| US 7947017 ↗ | Drug product | — | Mar 12, 2028 |
| US 8226610 ↗ | Drug product | — | Apr 10, 2029 |
| US 8206360 ↗ | Drug product | — | Feb 27, 2027 |
| US 8021344 ↗ | Drug product | — | Nov 2, 2029 |
| US 8226610 ↗ | Drug product | — | Apr 10, 2029 |
| US 7947017 ↗ | Drug product | — | Mar 12, 2028 |
| US 11590286 ↗ | Drug product | — | Dec 12, 2026 |
Is there a generic version of this drug?
The FDA approved a generic — why can’t I get it at my pharmacy yet?
Why do different websites show different generic release dates?
What does “FDA listed” mean?
What does a patent or protection date mean here?
What does “current Orange Book estimate” mean?
Can a generic come out before the last patent expires?
Can a generic come out after the listed dates?
What is the difference between patents and exclusivity?
Why are there multiple patent dates?
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII QTT17582CB
A strong acid used to adjust and maintain the proper pH level in liquid medicines, ensuring stability and preventing breakdown of active ingredients.
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0.5 mg / 0.3 mL
UNII TZX5469Z6I
Sodium bisulfite is a chemical salt used as a preservative and antioxidant in medicines. It prevents discoloration and degradation of active ingredients, especially in liquid formulations and injectables.
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2.3 mg / 0.3 mL
UNII 451W47IQ8X
Sodium chloride is common table salt. It's used in medicines as a buffer to maintain proper pH, as a filler to add bulk, or to adjust the osmotic balance in liquid formulations.
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UNII 059QF0KO0R
Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.
4 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 3, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from HF Acquisition Co LLC, DBA HealthFirst labeler code 51662
- ATROPINE SULFATE .4 mg/mL Injection NDC 51662-1311-1
- CALCIUM GLUCONATE 98 mg/mL Injection, Solution NDC 51662-1312-1
- VASOPRESSIN 20 [USP'U]/mL Injection NDC 51662-1314-1
- LEVOPHED(R) NOREPINEPHRINE BITARTRATE 1 mg/mL Injection, Solution, Concentrate NDC 51662-1315-1
- DOPAMINE HYDROCHLORIDE 1.6 mg/mL Injection, Solution NDC 51662-1316-1
- 6% HETASTARCH IN 0.9% SODIUM CHLORIDE 6 g/100mL Injection, Solution NDC 51662-1317-1
- EPINEPHRINE .15 mg/.15mL Injection, Solution NDC 51662-1321-1
- ESMOLOL HYDROCHLORIDE 10 mg/mL Injection, Solution NDC 51662-1322-1
- EPHEDRINE SULFATE 50 mg/mL Injection, Solution NDC 51662-1325-1
- 2% LIDOCAINE HCI 20 mg/mL Injection, Solution NDC 51662-1326-1
- STERILE WATER 1 mL/mL Injection NDC 51662-1329-1
- DOBUTAMINE 200 mg/100mL Injection, Solution NDC 51662-1330-1
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
1 INDICATIONS & USAGE AUVI-Q® is indicated in the emergency treatment of allergic reactions (Type I) including anaphylaxis to stinging insects (e.g., order Hymenoptera, which include bees, wasps, hornets, yellow jackets and fire ants) and biting insects (e.g., triatoma, mosquitoes), allergen immunotherapy, foods, drugs, diagnostic testing substances (e.g., radiocontrast media) and other allergens, as well as idiopathic anaphylaxis or exercise-induced anaphylaxis. AUVI-Q is intended for immediate administration in patients who are determined to be at increased risk for anaphylaxis, including individuals with a history of anaphylactic reactions.
Anaphylactic reactions may occur within minutes after exposure and consist of flushing, apprehension, syncope, tachycardia, thready or unobtainable pulse associated with a fall in blood pressure, convulsions, vomiting, diarrhea and abdominal cramps, involuntary voiding, wheezing, dyspnea due to laryngeal spasm, pruritus, rashes, urticaria or angioedema. AUVI-Q is intended for immediate self-administration as emergency supportive therapy only and is not a substitute for immediate medical care.
⏱️ Dosage and Administration ▾
2 DOSAGE & ADMINISTRATION Selection of the appropriate dosage strength (AUVI-Q 0.3 mg, AUVI-Q 0.15 mg or AUVI-Q 0.1 mg) is determined according to patient body weight. Patients greater than or equal to 30 kg (approximately 66 pounds or more): AUVI-Q 0.3 mg Patients 15 to 30 kg (33 to 66 pounds): AUVI-Q 0.15 mg Patients 7.5 to 15 kg (16.5 to 33 pounds): AUVI-Q 0.1 mg Inject AUVI-Q intramuscularly or subcutaneously into the anterolateral aspect of the thigh, through clothing if necessary. Instruct caregivers of young children and infants who are prescribed AUVI-Q and who may be uncooperative and kick or move during an injection to hold the child’s leg firmly in place and limit movement prior to and during an injection [see WARNINGS AND PRECAUTIONS 5- (5.2)].
Each AUVI-Q contains a single dose of epinephrine for single-use injection. Since the doses of epinephrine delivered from AUVI-Q are fixed, consider using other forms of injectable epinephrine if doses lower than 0.1 mg are deemed necessary. The prescriber should carefully assess each patient to determine the most appropriate dose of epinephrine, recognizing the life-threatening nature of the reactions for which this drug is indicated.
With severe persistent anaphylaxis, repeat injections with an additional AUVI-Q may be necessary. More than two sequential doses of epinephrine should only be administered under direct medical supervision [see WARNINGS AND PRECAUTIONS 5- (5.1)]. The epinephrine solution in the viewing window of AUVI-Q should be inspected visually for particulate matter and discoloration.
Epinephrine is light sensitive and should be stored in the outer case provided to protect it from light [see STORAGE AND HANDLING 16- (16.2)].
💊 Dosage Forms and Strengths ▾
3 DOSAGE FORMS & STRENGTHS Injection, 0.3 mg/0.3 mL epinephrine injection, USP, pre-filled auto-injector Injection, 0.15 mg/0.15 mL epinephrine injection, USP, pre-filled auto-injector Injection, 0.1 mg/0.1 mL epinephrine injection, USP, pre-filled auto-injector
⛔ Contraindications ▾
4 CONTRAINDICATIONS None.
⚠️ Warnings and Cautions ▾
5 WARNINGS AND PRECAUTIONS
5.1EMERGENCY TREATMENT AUVI-Q is not intended as a substitute for immediate medical care. In conjunction with the administration of epinephrine, the patient should seek immediate medical or hospital care. More than two sequential doses of epinephrine should only be administered under direct medical supervision [see INDICATIONS AND USAGE ( 1 ), DOSAGE AND ADMINISTRATION (2) and PATIENT COUNSELING INFORMATION 17- (17.1)].
5.2INJECTION-RELATED COMPLICATIONS AUVI-Q should ONLY be injected into the anterolateral aspect of the thigh [see DOSAGE AND ADMINISTRATION (2) and PATIENT COUNSELING INFORMATION 17- (17.1)]. Do not inject intravenously. Large doses or accidental intravenous injection of epinephrine may result in cerebral hemorrhage due to sharp rise in blood pressure.
Rapidly acting vasodilators can counteract the marked pressor effects of epinephrine if there is such inadvertent administration. Do not inject into buttock. Injection into the buttock may not provide effective treatment of anaphylaxis.
Advise the patient to go immediately to the nearest emergency room for further treatment of anaphylaxis. Additionally, injection into the buttock has been associated with Clostridial infections (gas gangrene). Cleansing with alcohol does not kill bacterial spores, and therefore, does not lower this risk.
Do not inject into digits, hands or feet. Since epinephrine is a strong vasoconstrictor, accidental injection into the digits, hands or feet may result in loss of blood flow to the affected area. Advise the patient to go immediately to the nearest emergency room and to inform the healthcare provider in the emergency room of the location of the accidental injection.
Treatment of such inadvertent administration should consist of vasodilation, in addition to further appropriate treatment of anaphylaxis [see ADVERSE REACTIONS ( 6 )]. Hold leg firmly during injection. To minimize the risk of injection-related injury when administering AUVI-Q to young children or infants, instruct caregivers to hold the child’s leg firmly in place and limit movement prior to and during injection.
5.3SERIOUS INFECTIONS AT THE INJECTION SITE Rare cases of serious skin and soft tissue infections, including necrotizing fasciitis and myonecrosis caused by Clostridia (gas gangrene), have been reported at the injection site following epinephrine injection for anaphylaxis. Clostridium spores can be present on the skin and introduced into the deep tissue with subcutaneous or intramuscular injection. While cleansing with alcohol may reduce the presence of bacteria on the skin, alcohol cleansing does not kill Clostridium spores.
To decrease the potential risk of a rare, but serious Clostridium infection, do not inject AUVI-Q into the buttock [see WARNINGS AND PRECAUTIONS (5.2)]. Advise patients to seek medical care if they develop signs or symptoms of infection, such as persistent redness, warmth, swelling, or tenderness, at the epinephrine injection site.
5.4ALLERGIC REACTIONS ASSOCIATED WITH SULFITE Epinephrine is the preferred treatment for serious allergic reactions or other emergency situations even though this product contains sodium bisulfite, a sulfite that may, in other products, cause allergic-type reactions including anaphylactic symptoms or life-threatening or less severe asthmatic episodes in certain susceptible persons. The presence of a sulfite in this product should not deter administration of the drug for treatment of serious allergic or other emergency situations even if the patient is sulfite-sensitive.
The alternatives to using epinephrine in a life-threatening situation may not be satisfactory.
5.5DISEASE INTERACTIONS Some patients may be at greater risk for developing adverse reactions after epinephrine administration. Despite these concerns, it should be recognized that the presence of these conditions is not a contraindication to epinephrine administration in an acute, life-threatening situation. Therefore, p… [Excerpted — this section continues on DailyMed.]
🤒 Adverse Reactions ▾
6 ADVERSE REACTIONS Due to lack of randomized, controlled clinical trials of epinephrine for the treatment of anaphylaxis, the true incidence of adverse reactions associated with the systemic use of epinephrine is difficult to determine. Adverse reactions reported in observational trials, case reports, and studies are listed below. Common adverse reactions to systemically administered epinephrine include anxiety; apprehensiveness; restlessness; tremor; weakness; dizziness; sweating; palpitations; pallor; nausea and vomiting; headache; and/or respiratory difficulties.
These symptoms occur in some persons receiving therapeutic doses of epinephrine, but are more likely to occur in patients with hypertension or hyperthyroidism [see WARNINGS AND PRECAUTIONS 5- (5.5)]. Arrhythmias, including fatal ventricular fibrillation, have been reported, particularly in patients with underlying cardiac disease or those receiving certain drugs [see WARNINGS AND PRECAUTIONS 5- (5.5) and DRUG INTERACTIONS ( 7 )]. Rapid rises in blood pressure have produced cerebral hemorrhage, particularly in elderly patients with cardiovascular disease [see WARNINGS AND PRECAUTIONS 5- (5.5)].
Angina may occur in patients with coronary artery disease [see WARNINGS AND PRECAUTIONS 5- (5.5)]. Rare cases of stress cardiomyopathy have been reported in patients treated with epinephrine. Accidental injection into the digits, hands or feet may result in loss of blood flow to the affected area [see WARNINGS AND PRECAUTIONS 5- (5.2)].
Adverse events experienced as a result of accidental injections may include increased heart rate, local reactions including injection site pallor, coldness and hypoesthesia or injury at the injection site resulting in bruising, bleeding, discoloration, erythema or skeletal injury. Injection of epinephrine into the buttock has resulted in cases of gas gangrene [see WARNINGS AND PRECAUTIONS 5- (5.2)]. Rare cases of serious skin and soft tissue infections, including necrotizing fasciitis and myonecrosis caused by Clostridia (gas gangrene), have been reported at the injection site following epinephrine injection in the thigh [see WARNINGS AND PRECAUTIONS 5- (5.2)].
🔄 Drug Interactions ▾
7 DRUG INTERACTIONS Patients who receive epinephrine while concomitantly taking cardiac glycosides, diuretics, or anti-arrhythmics should be observed carefully for the development of cardiac arrhythmias [see WARNINGS AND PRECAUTIONS 5- (5.5)]. The effects of epinephrine may be potentiated by tricyclic antidepressants, monoamine oxidase inhibitors, levothyroxine sodium, and certain antihistamines, notably chlorpheniramine, tripelennamine, and diphenhydramine. The cardiostimulating and bronchodilating effects of epinephrine are antagonized by beta-adrenergic blocking drugs, such as propranolol.
The vasoconstricting and hypertensive effects of epinephrine are antagonized by alpha-adrenergic blocking drugs, such as phentolamine. Ergot alkaloids may also reverse the pressor effects of epinephrine.
👥 Use in Specific Populations ▾
8 USE IN SPECIFIC POPULATIONS
8.1PREGNANCY Teratogenic Effects: Pregnancy Category C. There are no adequate and well controlled studies of the acute effect of epinephrine in pregnant women. Epinephrine was teratogenic in rabbits, mice and hamsters.
Epinephrine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus (fetal anoxia, spontaneous abortion, or both). Epinephrine has been shown to have teratogenic effects when administered subcutaneously in rabbits at approximately 30 times the maximum recommended daily subcutaneous or intramuscular dose (on a mg/m2 basis at a maternal dose of 1.2 mg/kg/day for two to three days), in mice at approximately 7 times the maximum daily subcutaneous or intramuscular dose (on a mg/m2 basis at a maternal subcutaneous dose of 1 mg/kg/day for 10 days), and in hamsters at approximately 5 times the maximum recommended daily subcutaneous or intramuscular dose (on a mg/m2 basis at a maternal subcutaneous dose of 0.5 mg/kg/day for 4 days).
These effects were not seen in mice at approximately 3 times the maximum recommended daily subcutaneous or intramuscular dose (on a mg/m2 basis at a subcutaneous maternal dose of 0.5 mg/kg/day for 10 days).
8.3NURSING MOTHERS It is not known whether epinephrine is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when AUVI-Q is administered to a nursing woman.
8.4PEDIATRIC USE AUVI-Q may be administered to pediatric patients at a dosage appropriate to body weight [see DOSAGE AND ADMINISTRATION ( 2 2)]. Clinical experience with the use of epinephrine suggests that the adverse reactions seen in children are similar in nature and extent to those both expected and reported in adults. Since the doses of epinephrine delivered from AUVI-Q are fixed, consider using other forms of injectable epinephrine if doses lower than 0.1 mg are deemed necessary.
8.5GERIATRIC USE Clinical studies of AUVI-Q did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. Epinephrine should be administered with caution in elderly individuals, who may be at greater risk for developing adverse reactions after epinephrine administration [see WARNINGS AND PRECAUTIONS 5- (5.5), OVERDOSAGE ( 10 )].
🆘 Overdosage ▾
10 OVERDOSAGE Overdosage of epinephrine may produce extremely elevated arterial pressure, which may result in cerebrovascular hemorrhage, particularly in elderly patients. Overdosage may also result in pulmonary edema because of peripheral vascular constriction together with cardiac stimulation. Treatment consists of rapidly acting vasodilators or alpha-adrenergic blocking drugs and/or respiratory support.
Epinephrine overdosage can also cause transient bradycardia followed by tachycardia, and these may be accompanied by potentially fatal cardiac arrhythmias. Premature ventricular contractions may appear within one minute after injection and may be followed by multifocal ventricular tachycardia (prefibrillation rhythm). Subsidence of the ventricular effects may be followed by atrial tachycardia and occasionally by atrioventricular block.
Treatment of arrhythmias consists of administration of a beta-adrenergic blocking drug such as propranolol. Overdosage sometimes results in extreme pallor and coldness of the skin, metabolic acidosis, and kidney failure. Suitable corrective measures must be taken in such situations.
🧬 Clinical Pharmacology ▾
12 CLINICAL PHARMACOLOGY
12.1MECHANISM OF ACTION Epinephrine acts on both alpha and beta-adrenergic receptors.
12.2PHARMACODYNAMICS Through its action on alpha-adrenergic receptors, epinephrine lessens the vasodilation and increased vascular permeability that occurs during anaphylaxis, which can lead to loss of intravascular fluid volume and hypotension. Through its action on beta-adrenergic receptors, epinephrine causes bronchial smooth muscle relaxation and helps alleviate bronchospasm, wheezing and dyspnea that may occur during anaphylaxis. Epinephrine also alleviates pruritus, urticaria, and angioedema and may relieve gastrointestinal and genitourinary symptoms associated with anaphylaxis because of its relaxer effects on the smooth muscle of the stomach, intestine, uterus and urinary bladder.
When given subcutaneously or intramuscularly, epinephrine has a rapid onset and short duration of action.
📦 How Supplied / Storage and Handling ▾
16 HOW SUPPLIED/STORAGE AND HANDLING AUVI-Q(R) EPINEPHRINE INJECTION, USP is supplied in the following dosage forms. NDC 51662-1320-1 AUVI-Q(R) EPINEPHRINE INJECTION, USP 0.3mg AUTO INJECTOR NDC 51662-1320-2 AUVI-Q(R) EPINEPHRINE INJECTION, USP 0.3mg 2PK AUTO INJECTOR NDC 51662-1321-1 AUVI-Q(R) EPINEPHRINE INJECTION, USP 0.15mg AUTO INJECTOR NDC 51662-1321-2 AUVI-Q(R) EPINEPHRINE INJECTION, USP 0.15mg 2PK AUTO INJECTOR HF Acquisition Co LLC, DBA HealthFirst Mukilteo, WA 98275 Also supplied in the following manufacture supplied dosage forms
16.1HOW SUPPLIED Carton containing two AUVI-Q (epinephrine injection, USP) 0.3 mg auto-injectors and a single AUVI-Q Trainer - NDC 60842-023-01 Carton containing two AUVI-Q (epinephrine injection, USP) 0.15 mg auto-injectors and a single AUVI-Q Trainer - NDC 60842-022-01 Carton containing two AUVI-Q (epinephrine injection, USP) 0.1 mg auto-injectors and a single AUVI-Q Trainer - NDC 60842-021-01 Rx only
16.2STORAGE AND HANDLING Epinephrine is light sensitive and should be stored in the outer case provided to protect it from light. Store at 20°to 25°C (68°to 77°F); excursions permitted to 15°to 30°C (59°to 86°F) [See USP Controlled Room Temperature]. Do not refrigerate. Before using, check to make sure the solution in the auto-injector is clear and colorless. Replace the auto-injector if the solution is discolored, cloudy, or contains particles.
📋 Description ▾
11 DESCRIPTION AUVI-Q (epinephrine injection, USP) 0.3 mg, 0.15 mg and 0.1 mg is an auto-injector and a combination product containing drug and device components. AUVI-Q includes audible (electronic voice instructions, beeps) and visible (LED lights) cues for use. The needle automatically retracts after the injection is complete.
Each AUVI-Q 0.3 mg delivers a single dose of 0.3 mg epinephrine from epinephrine injection, USP (0.3 mL) in a sterile solution. Each AUVI-Q 0.15 mg delivers a single dose of 0.15 mg epinephrine from epinephrine injection, USP (0.15 mL) in a sterile solution. Each AUVI-Q 0.1 mg delivers a single dose of 0.1 mg epinephrine from epinephrine injection, USP (0.1 mL) in a sterile solution .
AUVI-Q 0.3 mg, AUVI-Q 0.15 mg and AUVI-Q 0.1 mg each contain 0.76 mL epinephrine solution. 0.3 mL, 0.15 mL and 0.1 mL epinephrine solution is dispensed for AUVI-Q 0.3 mg, AUVI-Q 0.15 mg and AUVI-Q 0.1 mg, respectively, when activated. The remaining solution is not available for future use and should be discarded.
Each 0.3 mL in AUVI-Q 0.3 mg contains 0.3 mg epinephrine, 2.3 mg sodium chloride, 0.5 mg sodium bisulfite, hydrochloric acid to adjust pH, and water for injection. The pH range is 2.2–5.0. Each 0.15 mL in AUVI-Q 0.15 mg contains 0.15 mg epinephrine, 1.2 mg sodium chloride, 0.2 mg sodium bisulfite, hydrochloric acid to adjust pH, and water for injection.
The pH range is 2.2–5.0. Each 0.1 mL in AUVI-Q 0.1 mg contains 0.1 mg epinephrine, 0.78 mg sodium chloride, 0.15 mg sodium bisulfite, hydrochloric acid to adjust pH, and water for injection. The pH range is 2.2–5.0.
Epinephrine is a sympathomimetic catecholamine. Chemically, epinephrine is (-)-3,4-Dihydroxy-α-[(methylamino)methyl]benzyl alcohol with the following structure: Epinephrine solution deteriorates rapidly on exposure to air or light, turning pink from oxidation to adrenochrome and brown from the formation of melanin. AUVI-Q is not made with natural rubber latex.
AUVI-Q instructional and safety systems should be thoroughly reviewed with patients and caregivers prior to use [see PATIENT COUNSELING INFORMATION 17 (17.1)]. STRUCTURE
💬 Information for Patients ▾
PATIENT INFORMATION/INSTRUCTIONS FOR USE AUVI-Q® (epinephrine injection) Auto-Injector For allergic emergencies (anaphylaxis) Read this Patient Information Leaflet before you have to use AUVI-Q and each time you get a refill. There may be new information. You should know how to use AUVI-Q before you have an allergic emergency.
This information does not take the place of talking with your healthcare provider about your medical condition or your treatment. What is the most important information I should know about AUVI-Q? Always carry AUVI-Q with you because you may not know when a life-threatening allergic reaction (anaphylactic reaction) may happen.
Talk to your doctor if you need additional units to keep at work, school, etc. An anaphylactic reaction is a life-threatening allergic reaction that can happen within minutes and can be caused by stinging and biting insects (bees, wasps, hornets, and mosquitoes), allergy shots, foods, medicines, exercise, or other unknown causes. Follow your healthcare provider’s instructions on when to use AUVI-Q if you have the symptoms of an anaphylactic reaction, which may include the symptoms listed below: trouble breathing wheezing hoarseness (changes in the way your voice sounds) hives (raised reddened rash that may itch) severe itching swelling of your face, lips, mouth or tongue skin rash, redness, or swelling fast heartbeat weak pulse feeling very anxious confusion stomach pain losing control of urine or bowel movements dizziness or fainting Tell your family members and others where you keep AUVI-Q and how to use it before you need it.
You may be unable to speak in an allergic emergency. Get medical attention immediately after using AUVI-Q. If you have a serious allergic reaction, you may need more medicine.
What is AUVI-Q? AUVI-Q is a prescription medicine used to treat life-threatening allergic reactions including anaphylaxis in people who are at risk for or have a history of serious allergic reactions. AUVI-Q is for immediate self (or caregiver) administration and does not take the place of emergency medical care.
You should get emergency medical help right away after using AUVI-Q. It is not known if AUVI-Q is safe and effective in children who weigh less than 16.5 pounds (7.5 kg). What should I tell my healthcare provider before using AUVI-Q?
Before you use AUVI-Q, tell your healthcare provider if you: have heart problems or high blood pressure have diabetes have thyroid problems have history of depression have Parkinson’s disease have any other medical conditions are pregnant or plan to become pregnant. It is not known if AUVI-Q will harm your unborn baby. are breastfeeding or plan to breastfeed. It is not known if AUVI-Q passes into your breast milk.
Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. AUVI-Q and other medicines may affect each other, causing side effects. AUVI-Q may affect the way other medicines work, and other medicines may affect how AUVI-Q works.
Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine. How should I use AUVI-Q?
Each AUVI-Q contains only 1 dose of medicine. AUVI-Q should only be injected into the muscle of your outer thigh. It can be injected through your clothing, if needed.
Read the Instructions for Use at the end of this Patient Information Leaflet for information about the right way to use AUVI-Q. Use AUVI-Q exactly as your healthcare provider tells you to use it. A Trainer for AUVI-Q with a separate Trainer Instructions for Use leaflet is included with AUVI-Q.
Additional training resources are available at www.auvi-q.com. Practice with the Trainer for AUVI-Q before an allergic emergency happens to make sure you are able to safely use the real AUVI-Q in an emergency. The Trainer for AUVI-Q does not contain a needle or medicine and can be reused to practice your injection.
What… [Excerpted — this section continues on DailyMed.]
🧪 Nonclinical Toxicology ▾
13 NONCLINICAL TOXICOLOGY
13.1CARCINOGENESIS, MUTAGENESIS, IMPAIRMENT OF FERTILITY Long-term studies to evaluate the carcinogenic potential of epinephrine have not been conducted. Epinephrine and other catecholamines have been shown to have mutagenic potential in vitro and to be an oxidative mutagen in a WP2 bacterial reverse mutation assay. Epinephrine was positive in the DNA Repair test with B. subtilis (REC) assay, but was not mutagenic in the Salmonella bacterial reverse mutation assay.
The potential for epinephrine to impair fertility has not been evaluated. This should not prevent the use of epinephrine under the conditions noted under INDICATIONS AND USAGE (1).
📖 Instructions for Use ▾
TRAINER FOR AUVI-Q® Trainer Instructions for Use Important: The TRAINER for AUVI-Q Does Not contain a needle or medicine. In case of an allergic emergency, use the real AUVI-Q and not the gray Trainer. Always carry your real Auvi-Q with you in case of an allergic emergency.
Important Information about the TRAINER for AUVI-Q: Inside your TRAINER for AUVI-Q are: batteries a speaker that will make a beeping sound and that produces electronic voice instructions red and green blinking lights The TRAINER for AUVI-Q batteries are made to last long enough for you to practice 1 time each day for 2 years. If your TRAINER for AUVI-Q does not work properly call your healthcare provider for a new Trainer. Storage: Store the TRAINER for AUVI-Q at room temperature; the TRAINER for AUVI-Q should not be used at temperatures less than 50°F (10°C) or greater than 104°F (40°C).
Store the TRAINER for AUVI-Q in its outer case. Keep the TRAINER for AUVI-Q away from dirt, chemicals, and water. Disposal: The TRAINER for AUVI-Q contains electronics and lithium coin cell batteries, and should be disposed of in the correct manner.
Follow your State and local environmental regulations for disposal. For California Only: This product uses batteries containing Perchlorate Material - special handling may apply. See www.dtsc.ca.gov/hazardouswaste/perchlorate Manufactured for: Kaleo, Inc.
Richmond, VA 23219 USA This product may be covered by one or more U.S. patents or pending patent applications. See www.kaleopharma.com/pat for details. Rev Nov 2017 TRAINER INST.
📄 Package Label / Principal Display Panel ▾
PRINCIPAL DISPLAY PANEL, OUTER CASE LABEL- NDC: 60842-023-01 - 0.3 mg Outer Case Label - NDC: 60842-023-01 - 0.3 mg Outer Case Label AUVI-Q CASE LABEL
PRINCIPAL DISPLAY PANEL NDC: 60842-023-01 - 0.3 mg Device Label - NDC: 60842-023-01 - 0.3 mg Device Label AUVI-Q DEVICE LABEL
PRINCIPAL DISPLAY PANEL, 51662-1320-1 SERIALIZED LABEL RFID Label
PRINCIPAL DISPLAY PANEL - NDC: 60842-022-01 - 0.15 mg Outer Case Label - NDC: 60842-022-01 - 0.15 mg Outer Case Label AUVI-Q 0.15MG CASE
PRINCIPAL DISPLAY PANEL - NDC: 60842-022-01 - 0.15 mg Device Label - NDC: 60842-022-01 - 0.15 mg Device Label AUVI-Q 0.15mg DEVICE LABEL
PRINCIPAL DISPLAY PANEL, 51662-1321-1 SERIALIZED LABEL SERIALIZED LABEL
Principal Display Panel, 51662-1320-2 Serialized Labeling RFID Label
Principal Display Panel - 51662-1320-2 Package 51662-1320-2 Package Labeling
Principal Display Panel, 51662-1321-2 Package Labeling 51662-1321-2 Product Package Labeling
Principal Display Panel, 51662-1321-2 Serialized Package Labeling Serialized Product Labeling
Principal Display Panel, Trainer Labeling (1) Included With 51662-1320-2 & 51662-1321-2 Trainer Part 1
Principal Display Panel, Trainer Labeling (2) Included With 51662-1320-2 & 51662-1321-2 Trainer Part 2
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