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Atropine Sulfate Injection shortage

Atropine Sulfate Injection is currently listed in shortage by the FDA. The FDA lists 19 affected products. The reported reason: Requirements related to complying with good manufacturing practices; Discontinuation of the manufacture of the drug; Other. This page was last refreshed from FDA data on Sep 24, 2026.

Current ⚠ Supply risk: Low Anesthesia, Neurology, Pediatric 19 products 8 manufacturers 5,381 days · 14.7 yr First posted Jan 1, 2012 Updated Sep 22, 2026
Here’s the bottom line

Some strengths of atropine sulfate injection are currently hard to get, particularly the 0.05 mg/mL vials and certain LifeShield® prefilled glass syringes. Several other strengths remain listed as available from multiple manufacturers, including Hikma, Amneal, and others not reporting a shortage.

Don’t stop or change your therapy on your own — talk with your prescriber about the plan that fits you, and ask your pharmacist what’s actually available (see options).

Do you take this drug? See the ‘What to do’ recommendation from Dr. Brian Staiger, PharmD →
19
Affected NDCs
8
Reporting manufacturers
8/8
Reporting mfrs supplying
7/10
Affected strengths supplied
35%
NDCs unavailable
5,381
Days in shortage
11,248
Medicaid Rx (2025)
Source: FDA Drug Shortages Database API (openFDA). Last refreshed Sep 24, 2026 · yesterday

What’s in shortage — at a glance

These figures count only the manufacturers that reported this shortage to the FDA — not every company that makes Atropine Sulfate Injection. Other makers that haven’t reported a problem are shown in the green card below.

Availability of affected NDCs
From the FDA shortage report
19 NDCs
Available 11 Unavailable 6 To be discontinued 2
Affected strengths still supplied
Among manufacturers reporting this shortage
7/10 strengths
Sourceable 7 No supply 3
FDA-reporting manufacturers with supply
Among manufacturers reporting this shortage
8/8 makers
With supply 8
✓ Other manufacturers not reporting a shortage
Still-marketed Atropine Sulfate Injection from companies that have not filed an FDA shortage — these are not counted in the figures above. Stock can still vary by pharmacy.
Hikma Pharmaceuticals USA Inc. Accord Healthcare, Inc., A-S Medication Solutions Amneal Pharmaceuticals LLC REMEDYREPACK INC.
Plus 4 alternative dosage forms of Atropine Sulfate.
See all other options & details →
Shortage timeline
  1. Sep 22, 2026
    Currently in shortage
    19 of 19 products affected.
  2. Sep 18, 2026
    FDA refreshed this shortage record
    1 product updated.
  3. Sep 16, 2026
    FDA refreshed this shortage record
    1 product updated.
  4. Sep 15, 2026
    FDA refreshed this shortage record
    6 products updated.
  5. Sep 11, 2026
    FDA refreshed this shortage record
    3 products updated.
  6. Sep 1, 2026
    FDA refreshed this shortage record
    4 products updated.
  7. Aug 24, 2026
    FDA refreshed this shortage record
    1 product updated.
  8. Nov 7, 2025
    FDA refreshed this shortage record
    2 products updated.
  9. Nov 7, 2025
    More presentations reported
    2 more products added to the shortage.
  10. Dec 20, 2023
    More presentations reported
    1 more product added to the shortage.
  11. Jan 1, 2020
    More presentations reported
    4 more products added to the shortage.
  12. Jan 1, 2012
    First reported to the FDA
    12 products first listed.

Built from FDA posting and update dates. The end date FDA publishes is the posting/update date, not a true resolution date, so durations are approximate.

What exactly is on backorder — by manufacturer

Manufacturer: Accord Healthcare Inc. 📞 866-941-7875, option 2 6 NDCS click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, 0.1 mg/1 mL (NDC 16729-484-45) NDC 16729-0484-45 — Available — —
Current Atropine Sulfate, Injection, .05 mg/1 mL (NDC 16729-483-03) NDC 16729-0483-03 — Unavailable Discontinuation of the manufacture of the drug Discontinuation of the manufacture of the drug
Current Atropine Sulfate, Injection, .1 mg/1 mL (NDC 16729-484-90) NDC 16729-0484-90 — Unavailable Discontinuation of the manufacture of the drug Discontinuation of the manufacture of the drug
Current Atropine Sulfate, Injection, .4 mg/1 mL (NDC 16729-525-08) NDC 16729-0525-08 — Unavailable Estimated recovery: mid-September 2026 Requirements related to complying with good manufacturing pr...
Current Atropine Sulfate, Injection, .4 mg/1 mL (NDC 16729-512-43) NDC 16729-0512-43 — Unavailable Estimated recovery: TBD Requirements related to complying with good manufacturing pr...
Current Atropine Sulfate, Injection, 1 mg/1 mL (NDC 16729-526-08) NDC 16729-0526-08 — Unavailable Estimated recovery: TBD Requirements related to complying with good manufacturing pr...
Manufacturer: American Regent, Inc. 📞 800-645-1706 2 NDCS click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, .4 mg/1 mL (NDC 0517-1004-25) NDC 00517-1004-25 — Available — —
Current Atropine Sulfate, Injection, 1 mg/1 mL (NDC 0517-1001-25) NDC 00517-1001-25 — Available — —
Manufacturer: Amphastar Pharmaceuticals, Inc. 📞 800-423-4136 1 NDC click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, .1 mg/1 mL (NDC 76329-3340-1) NDC 76329-3340-01 — Available — —
Manufacturer: Fresenius Kabi USA, LLC 📞 888-386-1300 1 NDC click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, .4 mg/1 mL (NDC 63323-580-20) NDC 63323-0580-20 — Available Check wholesalers for inventory —
Manufacturer: Hikma Pharmaceuticals USA, Inc. 📞 800-631-2174 1 NDC click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, 0.4 mg/1 mL (NDC 0641-6251-10) NDC 00641-6251-10 — Available — —
Manufacturer: Hospira, Inc., a Pfizer Company 📞 844-646-4398 4 NDCS click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, 0.25 mg/5 mL (0.05 mg/mL) Syringes (NDC 0409-9630-05) NDC 00409-9630-05 — Available — —
Current Atropine Sulfate, Injection, 1 mg/10 mL (0.1 mg/mL) Syringes (NDC 0409-1630-10) NDC 00409-1630-10 — Unavailable Next Delivery: August 2026; Estimated Recovery: September 2026; Shortage per Manufacturer: Manufacturing Delay Other
To Be Discontinued Atropine Sulfate, Injection, (Adult) 0.5 mg/5 mL (0.1 mg/mL) LifeShield® ABBOJECT® Glass Syringe (20 G x 1 1/2) (NDC 0409-4910-34)" NDC 00409-4910-34 — — Discontinuation of the manufacture of the drug —
To Be Discontinued Atropine Sulfate, Injection, (Adult)1 mg/10 mL (0.1 mg/mL) LifeShield® ABBOJECT® Glass Syringe (20 G x 1 1/2) (NDC 0409-4911-34)" NDC 00409-4911-34 — — Discontinuation of the manufacture of the drug —
Manufacturer: Medefil, Inc. 📞 630-682-4600 1 NDC click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, 1 mg/10 mL (0.1 mg/mL) Syringes (NDC 64253-400-91) NDC 64253-0400-91 — Available — —
Manufacturer: Somerset Therapeutics, LLC 📞 732-554-1037 3 NDCS click to expand
Status NDC / product Strength Availability Related information Reason
Current Atropine Sulfate, Injection, .4 mg/1 mL (NDC 70069-631-25) NDC 70069-0631-25 — Available — —
Current Atropine Sulfate, Injection, .4 mg/1 mL (NDC 70069-481-10) NDC 70069-0481-10 — Available — —
Current Atropine Sulfate, Injection, 1 mg/1 mL (NDC 70069-641-25) NDC 70069-0641-25 — Available — —

These rows are manufacturer reports to the FDA for Atropine Sulfate Injection — they do not necessarily cover every manufacturer that makes this drug. A company appears here only if it told the FDA it has a supply problem, so other makers may still have stock. That’s the basis for the Where else can I get Atropine Sulfate Injection? options further down this page.

Why is Atropine Sulfate Injection in shortage?

There are a few different things going on with Atropine Sulfate Injection from the manufacturers covered in this report. Accord Healthcare has permanently stopped making two of its strengths — the 0.05 mg/1 mL and 0.1 mg/1 mL vials — meaning those specific products won't be coming back from them. Several of Accord's other strengths (1 mg/1 mL and two versions of 0.4 mg/1 mL) are currently unavailable due to manufacturing compliance issues, with one of the 0.4 mg/1 mL versions expected to recover around mid-September 2026 and the others still listed as "to be determined." Accord's 0.1 mg/1 mL (a different package) is still available from them.

Hospira (a Pfizer company) has permanently stopped making its two LifeShield® ABBOJECT® glass syringe versions — the adult 1 mg/10 mL and 0.5 mg/5 mL glass syringes. Their 1 mg/10 mL plastic syringe is temporarily unavailable due to a manufacturing delay, with the next delivery expected in August 2026 and recovery estimated for September 2026. Their 0.25 mg/5 mL syringe remains available. This report covers only these specific manufacturers and their products.

FDA reason code(s): Requirements related to complying with good manufacturing practices; Discontinuation of the manufacture of the drug; Other

Based on the manufacturer-reported reason(s) and notes on file with the FDA for Atropine Sulfate Injection, summarized in plain English by HelloPharmacist. A drug can be short for more than one reason, and the FDA updates these as manufacturers report changes.

What should I do if I take Atropine Sulfate Injection?

Atropine Sulfate Injection is currently on the FDA drug-shortage list. This is a medicine that hospitals and clinics often use, and I want to walk you through where supply stands so you can find the strength you take.

Several strengths still have an available source, including 0.1 mg/1 mL, 1 mg/1 mL, 0.4 mg/1 mL, and the 0.25 mg/5 mL syringes. A few others currently have no available source: the 0.05 mg/1 mL vial, and two adult prefilled glass syringes (1 mg/10 mL and 0.5 mg/5 mL). These three are reported as discontinued by the maker that filed this record, so for those the supply problem may be lasting.

The reported reasons include manufacturing-practice requirements, product discontinuation, and other factors. Importantly, all eight manufacturers on this record still report some available supply, and one syringe product lists an estimated recovery around September 2026.

Do not stop, skip, or change your dose on your own. Instead:

  • If your strength still has supply, ask your pharmacy to order it — they can check wholesalers and other makers.
  • The same medicine may be available from another manufacturer; your pharmacy may be able to source one, though it may not be in local stock.
  • If your exact strength is discontinued or cannot be found, ask your prescriber or pharmacist about options.

Manufacturer contact numbers are listed on this page for reference. This reflects national data and may not match your local pharmacy's stock.

See “Where else can I get Atropine Sulfate Injection?” below ↓ The same medicine from manufacturers not reporting a shortage, alternative dosage forms, and therapeutic equivalents with pricing.
If you are a patient:
  • Don’t stop or change the medication on your own — talk to your prescriber first.
  • If this is part of an ongoing or essential regimen (for example HIV treatment or prevention, seizure, heart, transplant, diabetes or mental-health medicines), do not skip or ration doses — contact your pharmacist or prescriber right away to arrange continued supply before you run out.
  • Ask your pharmacy to check other manufacturers, strengths, package sizes, and nearby stores.
  • Ask your prescriber whether a different strength, formulation, or the brand/generic version is appropriate.
Keep reading
Our full Atropine guide

Uses, dosing, side effects, prices, and the complete FDA label — written in plain English and pharmacist-reviewed.

Read the Atropine guide →

Where else can I get Atropine Sulfate Injection?

FDA shortages are manufacturer-reported — a company only shows up on the shortage list if it told the FDA it has a supply problem, so not every maker of Atropine Sulfate Injection is necessarily short. Below we pull together the other still-marketed options that are not reported in shortage: the same medicine from manufacturers that haven’t reported a problem, and alternative dosage forms. These may still be out of stock at your pharmacy, and only your prescriber or pharmacist can decide what’s right for you.

Same medicine, other manufacturers (not reported short)

Same active ingredient, dosage form & route as the shortage (matched on the FDB HICL ingredient code), from makers that have not filed a shortage with the FDA:

ProductStrengthForm / routeManufacturerNDC
Atropine Sulfate ATROPINE SULFATE 1 mg/mL Injection · Intravenous Hikma Pharmaceuticals USA Inc. 00641-6275-25
Atropine Sulfate ATROPINE SULFATE .05 mg/mL Injection · Intravenous Accord Healthcare, Inc., 16729-0483-31
Atropine Sulfate ATROPINE SULFATE .1 mg/mL Injection · Intravenous Accord Healthcare, Inc., 16729-0484-03
Atropine Sulfate ATROPINE SULFATE .1 mg/mL Injection · Intravenous A-S Medication Solutions 50090-5924-00
Atropine Sulfate ATROPINE SULFATE .1 mg/mL Injection, Solution · Intravenous Amneal Pharmaceuticals LLC 70121-1705-07
Atropine Sulfate ATROPINE SULFATE .1 mg/mL Injection · Intravenous REMEDYREPACK INC. 70518-3120-00
Atropine Sulfate ATROPINE SULFATE .4 mg/mL Injection, Solution · Endotracheal, Intramedullary, Intramuscular, Intravenous, Subcutaneous REMEDYREPACK INC. 70518-4188-00
Atropine Sulfate ATROPINE SULFATE .4 mg/mL Injection · Endotracheal, Intramedullary, Intramuscular, Intravenous, Subcutaneous REMEDYREPACK INC. 70518-4329-00

Alternative dosage forms of Atropine Sulfate

A different form of the same drug (for example a solution when capsules are short). A form change is a clinical decision — ask your prescriber:

Therapeutic equivalents & pricing 18 productsclick to expand

Orange Book–rated equivalents of the affected strengths, with the latest NADAC price (a federal retail-acquisition benchmark, not your copay) and an evidence-based availability label. Cheapest first.

ProductManufacturerPackageNADAC $/unitAB ratingAvailability
Atropine Sulfate .1 mg/mLNDC 71872-7252-01 Medical 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 71872-7298-01 Medical 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 00404-9784-05 Henry 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 50090-5924-00 A-S 1 ml — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 51662-1527-01 HF 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 70518-3120-00 REMEDYREPACK 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 16729-0484-45 Accord 10 syringes — AP FDA listed
atropine sulfate .1 mg/mLNDC 70121-1705-07 Amneal 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 00409-1630-10 Hospira, 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 84549-0340-01 ProPharma 10 ml — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 51662-1207-01 HF 1 syringe — — FDA listed
Atropine Sulfate .1 mg/mLNDC 51662-1208-01 HF 1 syringe — — FDA listed
atropine sulfate .1 mg/mLNDC 70121-1706-01 Amneal 1 syringe — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 76329-3340-01 International 1 syringe — AP FDA listed
Atropine Sulfate .05 mg/mLNDC 00404-9823-05 Henry 1 syringe — AP FDA listed
Atropine Sulfate .05 mg/mLNDC 00409-9630-05 Hospira, 1 syringe — AP FDA listed
Atropine Sulfate .05 mg/mLNDC 16729-0483-03 Accord 10 syringes — AP FDA listed
Atropine Sulfate .1 mg/mLNDC 16729-0484-90 Accord 10 syringes — AP FDA listed

Equivalents share the same ingredient, strength, dosage form and route; an AB rating means the FDA considers them substitutable. NADAC is a national retail-pharmacy acquisition benchmark from CMS — not what you pay. Availability is inferred from recent pricing, not a stock check.

Other drugs in the same treatment class

These are different medicines — not other versions of Atropine Sulfate Injection — that fall in the same broad treatment class (belladonna alkaloids) . They are not automatic substitutes: they can differ in how they work, dosing, effectiveness, side effects and what they’re approved to treat. Do not switch on your own. This list is for information only — ask your prescriber or pharmacist whether any of them is appropriate for you.

Identity & classification

GCN Seq No 004817
GCN 18661
HICL code 002004
Ingredient (HICL) Atropine Sulfate
HIC1 code J
Therapeutic class — broad (HIC1) Autonomic Nervous System
HIC2 code J2
Therapeutic class — intermediate (HIC2) Anticholinergics
HIC3 code J2A
Therapeutic class — specific (HIC3) Belladonna Alkaloids
AHFS code 12:08.08.00
AHFS class Antimuscarinics/Antispasmodics
FDB label name ATROPINE 1 MG/10 ML SYRINGE
FDB brand name Atropine Sulfate
Legend status F — Federal legend — prescription drug or device
GPI-144910101010E510
GPI classAtropine Sulfate
Where does this data come from?
Identity codes come from First Databank (FDB) (HICL ingredient, HIC1–3 therapeutic-class hierarchy, GCN, AHFS class, legend status) and Medi-Span GPI, mapped from a representative affected NDC. Licensed reference data — for identification only.

Atropine Sulfate Injection shortage FAQs

Is Atropine Sulfate Injection in shortage?
Yes — the FDA currently lists Atropine Sulfate Injection in shortage (status: “Current”, first reported Jan 1, 2012). 19 of 19 products are affected. This is national, manufacturer-reported data, so your pharmacy may still have stock.
Why is Atropine Sulfate Injection in shortage?
The manufacturer-reported reason on file with the FDA: Requirements related to complying with good manufacturing practices; Discontinuation of the manufacture of the drug; Other.
Which products are affected?
Atropine Sulfate, Injection, 0.1 mg/1 mL (NDC 16729-484-45) (NDC 16729-0484-45); Atropine Sulfate, Injection, .05 mg/1 mL (NDC 16729-483-03) (NDC 16729-0483-03); Atropine Sulfate, Injection, .1 mg/1 mL (NDC 16729-484-90) (NDC 16729-0484-90). The full per-NDC list (availability, manufacturer and status) is in the table above — each NDC links to its own page.
When will Atropine Sulfate Injection be available again?
The FDA does not publish a guaranteed restock date, and no estimated-recovery note is on file. Availability can change daily — confirm with your pharmacy.
Can I still get Atropine Sulfate somewhere?
Other manufacturers (Hikma Pharmaceuticals USA Inc., Accord Healthcare, Inc.,, A-S Medication Solutions and others) still market it and have not reported a shortage. 4 alternative dosage forms of Atropine Sulfate are also listed. See “Where else can I get Atropine Sulfate Injection?” above — stock still varies by pharmacy.
What should I do if I take Atropine Sulfate Injection?
Don’t stop or change it on your own. Ask your pharmacist whether they can order it from another manufacturer or a different strength/package size, and ask your prescriber about a long-term plan before your supply runs out.

Still have a question about the Atropine Sulfate Injection shortage?

Ask a pharmacist about this shortage →
How to read the Supply-Risk rating
Low (1–2)Multiple manufacturers still supplying and most strengths or pack sizes sourceable.
Medium (3)Some constraint — fewer suppliers or a notable share of NDCs unavailable.
High (4–5)Down to a single source, most strengths or pack sizes unsourceable, or a long-running outage.
Where does this data come from?
Shortage records come from the FDA Drug Shortages Database API via openFDA (/drug/shortages) — drug, manufacturer & contact, NDC/product, status, availability, reason, therapeutic category and posting/update dates. Current / To Be Discontinued = active; Resolved is kept for history. The Supply-Risk rating is assessed per active ingredient and adds the FDA NDC Directory (still-marketed manufacturers by ingredient & form); same-medicine and equivalent products use First Databank classification + CMS NADAC pricing; Medicaid use + most-affected states come from CMS Medicaid State Drug Utilization Data. Reference only — confirm current status with the manufacturer or FDA before acting on it.
Data structure & sourcing designed and verified by Dr. Brian Staiger, PharmD.
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