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Sterile Water Irrigation Solution shortage

Sterile water irrigation solutions are on the FDA’s drug shortage list as of Oct 5, 2026. The companies reporting it blame a company discontinuing its product and rising demand. 1 other company sells the same medicine and has not reported a problem, so your pharmacy may be able to order another company’s version.

Current ⚠ Supply risk: Low Gastroenterology, Other, Pediatric 9 products 3 companies reporting 1,257 days · 3.4 yr First posted Apr 28, 2023 Updated Oct 1, 2026
Here’s the bottom line

Sterile Water Irrigant is currently in shortage, driven by manufacturing discontinuations and rising demand. Most strengths still have supply from other makers, including B. Braun Medical and ICU Medical.

Don’t stop or change your therapy on your own — ask your pharmacist about other companies’ versions (see options) and your prescriber about a long-term plan.

Do you take this medicine? See the ‘What to do’ note from Dr. Brian Staiger, PharmD →
9
Affected NDCs
2/3
Reporting makers with supply
2/2
Affected sizes still listed
1
Other companies listing it
1,257
Days on the list
75,431
Medicaid Rx (2025)
Source: FDA Drug Shortages Database API (openFDA). Last refreshed Oct 5, 2026 · yesterday

Is sterile water still in shortage? — status as of Oct 5, 2026

Yes, still current as of Oct 5, 2026. Every size is still made by at least one company. 2 of the 3 companies that reported this shortage say they still have some supply, and 1 other company sells the same medicine and has not reported a problem. Your pharmacy may still need to order it or offer another company’s version.

⚠ Supply risk: Low 1 of 5 risk factors
  1. Every size is still listed by a company — 2 of 2 sizes
  2. More than one company still lists it — 2 of 3 reporting companies with supply + 1 other company
  3. Most affected NDCs still available — 44% unavailable
  4. Not a long-running shortage — 1,256 days
  5. Listed by several companies — 4 companies (3 reporting + 1 other)

A rule-based estimate of national supply risk, counting both the companies reporting the shortage and the companies listing the same medicine without a report — never your local pharmacy’s stock. How the rating works.

The charts count only the companies that reported this shortage to the FDA; companies that haven’t reported a problem are in the green card, and the Supply-Risk rating counts them too.

Availability of affected NDCs
From the FDA shortage report
9 NDCs
Available 4 Limited 1 Unavailable 4
Affected sizes still listed by a company
A reporting maker with supply, or another company listing that size
2/2 sizes
Has a listed source 2
Reporting companies with supply
Among the 3 companies that reported this shortage — plus 1 other company listing it, below
2/3 reporting
Reporting supply 2 Reporting no supply 1
✓ Other companies listing the same medicine — not reporting a shortage
Sterile Water Irrigation Solution listings in the current FDA NDC Directory from companies that have not filed a shortage report — these are not counted in the charts above. Some are repackagers of another company’s product. Stock can still vary by pharmacy.
ICU Medical Inc.
Plus 1 other dosage form of sterile water.
See all other options & details →
Shortage timeline
  1. Oct 1, 2026
    Currently in shortage
    9 of 9 products affected.
  2. Sep 22, 2026
    FDA refreshed this shortage record
    2 products updated.
  3. Sep 17, 2026
    FDA refreshed this shortage record
    3 products updated.
  4. Apr 28, 2023
    First reported to the FDA
    9 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.

Which sterile water products are affected — by company

Company: B. Braun Medical Inc. 📞 800-227-2862 2 NDCS click to expand
Status NDC / product Size Availability Related information Reason
Current Sterile Water Irrigation Solution, 1 mL/1 mL NDC 00264-2101-00 1 mL/1 mL Available — —
Current Sterile Water Irrigation Solution, 1 mL/1 mL NDC 00264-2101-10 1 mL/1 mL Available — —
Company: Baxter Healthcare 📞 888-229-0001 3 NDCS click to expand
Status NDC / product Size Availability Related information Reason
Current Sterile Water Irrigation Solution, 100 mL/100 mL NDC 00338-0004-04 100 mL/100 mL Limited Availability Estimated recovery: September 2026 Demand increase for the drug
Current Sterile Water Irrigation Solution, 100 mL/100 mL NDC 00338-0004-03 100 mL/100 mL Available — —
Current Sterile Water Irrigation Solution, 100 mL/100 mL NDC 00338-0004-02 100 mL/100 mL Available — —
Company: Otsuka ICU Medical LLC 📞 1-866-829-9025 or [email protected] 4 NDCS click to expand
Status NDC / product Size Availability Related information Reason
Current Sterile Water Irrigation Solution, 1 mL/1 mL NDC 00990-6139-03 1 mL/1 mL Unavailable Product temporarily unavailable. Estimated recovery: TBD. This product is distributed by ICU Medical. For questions regarding this product, please contact ICU Medical. Discontinuation of the manufacture of the drug
Current Sterile Water Irrigation Solution, 1 mL/1 mL NDC 00990-7139-09 1 mL/1 mL Unavailable Product temporarily unavailable. Estimated recovery: TBD. This product is distributed by ICU Medical. For questions regarding this product, please contact ICU Medical. Discontinuation of the manufacture of the drug
Current Sterile Water Irrigation Solution, 1 mL/1 mL NDC 00990-6139-22 1 mL/1 mL Unavailable Product temporarily unavailable. Estimated recovery: TBD. This product is distributed by ICU Medical. For questions regarding this product, please contact ICU Medical. Discontinuation of the manufacture of the drug
Current Sterile Water Irrigation Solution, 1 mL/1 mL NDC 00990-7139-36 1 mL/1 mL Unavailable Product temporarily unavailable. Estimated recovery: TBD. This product is distributed by ICU Medical. For questions regarding this product, please contact ICU Medical. Discontinuation of the manufacture of the drug

These rows are company reports to the FDA for Sterile Water Irrigation Solution — they do not cover every company that lists this medicine. A company appears here only if it told the FDA it has a supply problem, so other companies may still have stock. That’s the basis for the Where else can I get sterile water? options further down this page.

Why is sterile water in shortage?

A note from Dr. Brian Staiger, PharmD · Written Oct 4, 2026

There are two separate supply situations reported here, involving two different manufacturers. For Otsuka ICU Medical LLC (distributed by ICU Medical), all of their Sterile Water Irrigant products have temporarily stopped being made — and right now there's no estimated date for when they'll be back. The FDA lists this as a manufacturing discontinuation, though no specific reason beyond that was shared publicly.

Separately, Baxter Healthcare has one of their 100 mL/100 mL Sterile Water Irrigant package sizes in limited supply, because more people than usual are needing it right now. Baxter's other 100 mL packages are still available, and the limited-supply one is expected to recover by September 2026. It's also worth noting that B. Braun Medical Inc. is reporting their products as available at this time.

FDA reason code(s): Discontinuation of the manufacture of the drug; Demand increase for the drug

Based on the company-reported reason(s) and notes on file with the FDA for Sterile Water Irrigation Solution, summarized in plain English by HelloPharmacist. A drug can be short for more than one reason, and the FDA updates these as companies report changes.

What should I do if I take sterile water?

A note from Dr. Brian Staiger, PharmD · Written Oct 4, 2026

Sterile Water Irrigant is currently on the FDA drug-shortage list, but both strengths still have a working source, so supply overall remains in good shape.

Here is how the two strengths look right now:

  • 1 mL/1 mL: One manufacturer (ICU Medical) has marked its supply unavailable, in part because it is discontinuing production. However, B. Braun still reports this strength as available.
  • 100 mL/100 mL: This strength is available, though one set of containers is listed with limited availability and an estimated recovery of September 2026.

The reported reasons are a discontinuation by one manufacturer and increased demand. Because more than one company still supplies this product, your strength can likely be found even if one maker steps back.

Here are practical steps you can take:

  1. Do not stop, skip, or change how you use this product on your own.
  2. If your strength still has supply, ask your pharmacy to order it — they can check wholesalers and other manufacturers.
  3. The same medicine is made by B. Braun and Baxter; your pharmacy may be able to source one of these, though it may not be in local stock.
  4. If your exact item cannot be found, ask your pharmacist or prescriber about suitable options.

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

See “Where else can I get sterile water?” below ↓ The same medicine from companies not reporting a shortage, other dosage forms, and therapeutic equivalents with pricing.
Quick checklist for the pharmacy counter:
  • Ask your pharmacy to check other companies’ versions, other sizes, package sizes, and nearby stores — the options below are a starting point.
  • If this is part of an ongoing or essential regimen (for example HIV, seizure, heart, transplant, diabetes or mental-health medicines), arrange continued supply before you run out rather than rationing doses.
Keep reading
Our full Water guide

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

Read the Water guide →

Where else can I get sterile water?

FDA shortages are company-reported — a company only shows up on the shortage list if it told the FDA it has a supply problem, so not every company that lists sterile water irrigation solutions is necessarily short. Below are the other listings in the current FDA NDC Directory that are not reported in shortage: the same medicine from companies that haven’t reported a problem (the reporting companies are excluded), and other dosage forms. Some listings are repackagers, which relabel another company’s product. 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 from other companies (not reporting a shortage)

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

ProductStrengthForm / routeCompanyNDC
Sterile Water WATER 1 mL/mL Irrigant · Irrigation ICU Medical Inc. 00990-7973-05

Other dosage forms of sterile water

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 11 productsclick to expand

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

ProductManufacturerPackageNADAC $/unitAB ratingAvailability
Sterile Water 1 mL/mLNDC 00264-2101-00 B. 1000 ml — AT FDA listed
Sterile Water 100 mL/100mLNDC 00264-7386-50 B. 2000 ml — AT FDA listed
Sterile Water 100 mL/100mLNDC 00338-0003-44 Baxter 1000 ml — AT FDA listed
Sterile Water 100 mL/100mLNDC 00338-0004-02 Baxter 24 bottles — AT FDA listed
Sterile Water 1 mL/mLNDC 00990-7973-05 ICU 12 pouches — AT FDA listed
Sterile Water 1 mL/mLNDC 17271-0802-07 Becton 1000 ml — AT FDA listed
Sterile Water 1 mL/mLNDC 65219-0495-10 Fresenius 1000 ml — AT FDA listed
Sterile Water 1 mL/mLNDC 65219-0497-20 Fresenius 2000 ml — AT FDA listed
Sterile Water 1 mL/mLNDC 65219-0499-30 Fresenius 3000 ml — AT FDA listed
Sterile Water 1 mL/mLNDC 00264-2101-10 B. 500 ml — AT FDA listed
Sterile Water 100 mL/100mLNDC 00338-0004-04 Baxter 12 bottles — AT 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 sterile water — that fall in the same broad treatment class (irrigants) . 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.

Codes & classification for pharmacists and billers
GCN Seq No 009825
GCN 45340
HICL code 004283
Ingredient (HICL) Water For Irrigation,Sterile
HIC1 code W
Therapeutic class — broad (HIC1) Anti-Infecting Agents
HIC2 code W8
Therapeutic class — intermediate (HIC2) Antiseptics
HIC3 code W8F
Therapeutic class — specific (HIC3) Irrigants
AHFS code 40:36.00.00
AHFS class Irrigating Solutions
FDB label name STERILE WATER FOR IRRIGATION
FDB brand name Water
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.

Sterile water shortage FAQs

Is sterile water still in shortage?
Yes — as of Oct 5, 2026 the FDA lists sterile water irrigation solutions as a current shortage (status: “Current”, first reported Apr 28, 2023). The FDA’s record for this shortage covers 9 products from 3 companies. This is national, manufacturer-reported data, so your pharmacy may still have stock.
Which sizes of sterile water are affected?
The FDA record covers 2 sizes: 1 mL/1 mL, 100 mL/100 mL. Every size on the record is still listed by someone — a reporting maker with supply, or another company listing it with the FDA — though local stock varies.
Why is sterile water in shortage?
The companies reporting it told the FDA the cause is a company discontinuing its product and rising demand.
Which sterile water products are affected?
Sterile Water Irrigation Solution, 1 mL/1 mL (NDC 00264-2101-00); Sterile Water Irrigation Solution, 1 mL/1 mL (NDC 00264-2101-10); Sterile Water Irrigation Solution, 100 mL/100 mL (NDC 00338-0004-04) and 6 more. The full per-NDC list (availability, company and status) is in the table above — each NDC links to its own page.
When will sterile water 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 sterile water somewhere?
Another company (ICU Medical) lists the same medicine with the FDA and has not reported a shortage. 1 other dosage form of sterile water is also listed. See “Where else can I get sterile water?” above — stock still varies by pharmacy.
What should I do if I take sterile water?
Don’t stop or change it on your own. Ask your pharmacist whether they can order it from another company or a different size or package size, and ask your prescriber about a long-term plan before your supply runs out.

Still have a question about the sterile water shortage?

Ask a pharmacist about this shortage →
How to read the Supply-Risk rating
Low (0–2)Several companies still list it and most strengths or pack sizes are still listed by someone — counting both the companies reporting the shortage and the companies listing the same medicine without a report. A listing is not a stock check.
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 without a source, or a long-running outage. A company’s discontinuation notice is not an 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 (companies listing the same ingredient & form — the "other companies" the rating counts); 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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