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Mirikizumab-Mrkz Injection shortage

Mirikizumab-Mrkz Injection is currently listed in shortage by the FDA. The FDA lists 2 affected products. This page was last refreshed from FDA data on Sep 17, 2026.

To Be Discontinued ⚠ Supply risk: High Gastroenterology, Other 2 products 269 days First posted Dec 22, 2025 Updated Dec 22, 2025
Here’s the bottom line

Eli Lilly is stopping Omvoh (mirikizumab-mrkz) 100 mg/1 mL injection, and this change may be permanent. Eli Lilly says a 200 mg/2 mL version of Omvoh will remain available after distribution of the 100 mg/1 mL ends in April 2026.

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 →
2
Affected NDCs
1
Reporting manufacturers
0/1
Reporting mfrs supplying
0/1
Affected strengths supplied
269
Days in shortage
123
Medicaid Rx (2025)
Source: FDA Drug Shortages Database API (openFDA). Last refreshed Sep 17, 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 Mirikizumab-Mrkz 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
2 NDCs
To be discontinued 2
Affected strengths still supplied
Among manufacturers reporting this shortage
0/1 strengths
No supply 1
FDA-reporting manufacturers with supply
Among manufacturers reporting this shortage
0/1 makers
No supply 1
✓ Other manufacturers not reporting a shortage
Still-marketed Mirikizumab-Mrkz Injection from companies that have not filed an FDA shortage — these are not counted in the figures above. Stock can still vary by pharmacy.
Eli Lilly and Company
Plus 1 alternative dosage form of Mirikizumab-Mrkz.
See all other options & details →
Shortage timeline
  1. Dec 22, 2025
    Currently in shortage
    2 of 2 products affected.
  2. Dec 22, 2025
    First reported to the FDA
    2 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: Eli Lilly and Co. 📞 800-545-5979 2 NDCS click to expand
Status NDC / product Strength Availability Related information Reason
To Be Discontinued Omvoh, Injection, 100 mg/1 mL (NDC 0002-8011-27) NDC 00002-8011-27 A business decision was made to discontinue. Distribution will end April 2026. The 200 mg/2 mL injection presentation (NDC 0002-3116-11) will remain.
To Be Discontinued Omvoh, Injection, 100 mg/1 mL (NDC 0002-8870-27) NDC 00002-8870-27 A business decision was made to discontinue. Distribution will end April 2026. The 200 mg/2 mL injection presentation (NDC 0002-1442-11) will remain.

These rows are manufacturer reports to the FDA for Mirikizumab-Mrkz 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 Mirikizumab-Mrkz Injection? options further down this page.

Why is Mirikizumab-Mrkz Injection in shortage?

Eli Lilly has made a business decision to permanently stop distributing two specific package sizes of Omvoh (mirikizumab-mrkz) — both are the 100 mg/1 mL injection versions. Distribution of these packages will end in April 2026. No specific reason beyond a business decision was shared publicly.

The good news is that Eli Lilly is not stopping Omvoh altogether. The 200 mg/2 mL injection presentations of Omvoh will continue to be made and distributed going forward.

Based on the manufacturer-reported reason(s) and notes on file with the FDA for Mirikizumab-Mrkz 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 Mirikizumab-Mrkz Injection?

Mirikizumab-Mrkz injection (brand name Omvoh) is currently listed on the FDA drug-shortage list, and I want to walk you through what that means for you.

The affected strength is the 100 mg/1 mL injection. According to the reported data, this strength does not have an available source right now. The manufacturer, Eli Lilly and Co., has made a business decision to discontinue it, with distribution ending in April 2026. Because this is a discontinuation, the supply problem with the 100 mg/1 mL presentation is likely permanent. Notably, the manufacturer reports that the 200 mg/2 mL injection presentation will remain available.

Since your specific strength is being phased out, a conversation with your prescriber is the right next step.

Here is what I suggest, in order:

  • Do not stop, skip, or change your dose on your own — keep taking your medicine as prescribed while you sort this out.
  • Ask your pharmacy to check with wholesalers, since local stock can differ from national reports.
  • Because the 100 mg/1 mL form is being discontinued, ask your prescriber or pharmacist about options — for example, whether the remaining 200 mg/2 mL presentation could fit your regimen.

This is general, manufacturer-reported information and may not match your pharmacy's actual stock. The manufacturer's contact number is listed on this page for reference; your pharmacy usually handles those calls.

See “Where else can I get Mirikizumab-Mrkz 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 Mirikizumab-Mrkz guide

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

Read the Mirikizumab-Mrkz guide →

Where else can I get Mirikizumab-Mrkz 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 Mirikizumab-Mrkz 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
Omvoh MIRIKIZUMAB 100 mg/mL Injection, Solution · Subcutaneous Eli Lilly and Company 00002-1442-11

Alternative dosage forms of Mirikizumab-Mrkz

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 4 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
Omvoh 100 mg/mLNDC 00002-8011-27 Eli 2 syringes FDA listed
Omvoh 100 mg/mLNDC 00002-1442-11 Eli 1 syringe FDA listed
Omvoh 100 mg/mLNDC 00002-8870-27 Eli 2 syringes FDA listed
Omvoh 100 mg/mLNDC 00002-3116-11 Eli 1 syringe 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 Mirikizumab-Mrkz Injection — that fall in the same broad treatment class (interleukin-23 (il-23) receptor antagonist) . 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 087865
GCN 57892
HICL code 049282
Ingredient (HICL) Mirikizumab-Mrkz
HIC1 code V
Therapeutic class — broad (HIC1) Neoplasms
HIC2 code V4
Therapeutic class — intermediate (HIC2) Antihistamines,Antiserotonins,Immunosuppres(Cont1)
HIC3 code V4E
Therapeutic class — specific (HIC3) Interleukin-23 (Il-23) Receptor Antagonist
AHFS code 56:44.00.00
AHFS class Immunomodulatory Agents (56:44)
FDB label name OMVOH 200 MG DOSE - 2 PENS
FDB brand name Omvoh Pen
Legend status F — Federal legend — prescription drug or device
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.

Mirikizumab-Mrkz Injection shortage FAQs

Is Mirikizumab-Mrkz Injection in shortage?
Yes — the FDA currently lists Mirikizumab-Mrkz Injection in shortage (status: “To Be Discontinued”, first reported Dec 22, 2025). 2 of 2 products are affected. This is national, manufacturer-reported data, so your pharmacy may still have stock.
Which products are affected?
Omvoh, Injection, 100 mg/1 mL (NDC 0002-8011-27) (NDC 00002-8011-27); Omvoh, Injection, 100 mg/1 mL (NDC 0002-8870-27) (NDC 00002-8870-27). The full per-NDC list (availability, manufacturer and status) is in the table above — each NDC links to its own page.
When will Mirikizumab-Mrkz 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 Mirikizumab-Mrkz somewhere?
Other manufacturers (Eli Lilly and Company) still market it and have not reported a shortage. 1 alternative dosage form of Mirikizumab-Mrkz is also listed. See “Where else can I get Mirikizumab-Mrkz Injection?” above — stock still varies by pharmacy.
What should I do if I take Mirikizumab-Mrkz 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 Mirikizumab-Mrkz 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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