epinephrine

Drug ingredientActive Shortage

CAS 51-43-4

This drug ingredient is in active FDA shortage. At least one manufacturer cannot meet demand.

Molecular structure of 51-43-4
US productionNot reported
Import value, 2024$174M
Top sourceItaly 69%

This chemical is listed as active in US commerce, but no company reported it to EPA’s survey for 2019 or 2023. Sites may have made or imported less than the threshold amount, or none.

Why supply is unknown

Production is reported production, not a complete census of factories. Import value and source-country shares describe a shared customs category, not a separate chemical measurement.

Where It Comes From

Customs basis: HS 293790 · basket

These shares come from HS customs code 293790, which covers 10 tracked chemicals in total. They estimate the category's origin mix, not this chemical specifically.

Source Countries
IT 69%ItalyCN 22%ChinaDE 3%GermanyIN 2%IndiaJP 2%Japan
75 FDA-registered drug labelers
A-S Medication Solutions
Advanced Rx Pharmacy of Tennessee, LLC
ALMON HEALTHCARE PRIVATE LIMITED
American Regent, Inc.
Amneal Pharmaceuticals LLC
Amneal Pharmaceuticals of New York LLC
Amneal Pharmaceuticals Private Limited
Amphastar Nanjing Pharmaceuticals, Inc.
Apex Energetics Inc.
Apotheca Company
Armstrong Pharmaceuticals, Inc.
ARS Pharmaceuticals Operations, Inc.
ASCLEMED USA INC.
Be Well Medical dba Richard Clement Nutrition y Be Well Homeopathics
BioActive Nutritional, Inc.
Boiron
BPI Labs, LLC
Bryant Ranch Prepack
Cambrex Profarmaco Milano Srl
Cardinal Health 107, LLC
Carolinas Weight Loss Institute
Catalent Indiana, LLC
Curia New York, Inc
Derivados Quimicos
Deseret Biologicals, Inc.
DNA Labs, Inc.
Dr. Donna Restivo DC
Energetix Corporation
Energique, Inc.
Fresenius Kabi USA, LLC
Gland Pharma Limited
GLENMARK PHARMACEUTICALS INC., USA
Guna spa
hameln rds s.r.o.
Harman Finochem Limited
Health Masters LLC
Henry Schein, Inc.
HF Acquisition Co LLC, DBA HealthFirst
Hospira, Inc.
IHA Distribution, LLC
International Medication Systems, Limited
kaleo, Inc
King Bio Inc.
Medical Purchasing Solutions, LLC
MYLAN LABORATORIES LIMITED
Natural Creations, Inc
NaturalCare
Newton Laboratories, Inc.
Novo Nordisk Production Belgium SA
Novocol Pharmaceutical of Canada, Inc.
Nutritional Specialties, Inc.
OHM PHARMA INC.
Par Health USA, LLC
Perfso (HK) Co., Limited
Professional Complementary Health Formulas
Professional Compounding Centers of America dba PCCA
ProPharma Distribution
Redpharm Drug
REMEDYREPACK INC.
Silver Star Brands
Sina Health Inc
SLIMCELL, LLC
Spectrum Laboratory Products, Inc.
Sportpharm LLC
Sportpharm, Inc. dba Sportpharm
Syn-Tech Chem. & Pharm. Co. LTD.
Teva Pharmaceuticals USA, Inc.
TRP Company
Viatris Specialty LLC
Vitality Works, Inc,
Viyash Life Sciences Private Limited
White Manufacturing Inc. BDA Micro-West
White Manufacturing Inc. DBA Micro-West
Wuhan Wuyao Pharmaceutical Co., Ltd.
Zorex

Why It Matters

Sectors
Health
Downstream Uses

Appears in 115 drug and cosmetic product listings (FDA).

  • •Adrenalin
  • •Lidocaine Hydrochloride and Epinephrine
  • •Epinephrine
  • •Auvi-Q
  • •Weight Loss Support Plus Female Balance
  • •Weight Loss Support Plus Adrenal
  • •Primatene Mist
  • •Chronic Fatigue Therapy
FDA Shortage Status
Active Shortage
Shortage History
  • Current shortage

    Epinephrine Bitartrate, Lidocaine Hydrochloride Injection

    Shortage listed since February 22, 2012

    Manufacturer reports: 1 unavailable, 1 limited, 2 available

  • Current shortage

    Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection

    Shortage listed since February 20, 2018

    Manufacturer reports: 1 unavailable, 1 available

  • to be discontinued

    Epinephrine Injection

    Shortage listed since November 7, 2025

See all current drug shortages

Chemical Identity

CAS51-43-4
PubChem CID5816
DTXSIDDTXSID5022986
FormulaC9H13NO3
Mol. Weight183.2 g/mol
SMILESCNCC(C1=CC(=C(C=C1)O)O)O

Data Sources

Brief citations

epinephrine (CAS 51-43-4) https://chemicalindependence.com/chemical/51-43-4/ PubChem: 5816. Retrieved 2026-04-07. https://pubchem.ncbi.nlm.nih.gov/compound/5816 EPA TSCA Inventory: CAS 51-43-4. Retrieved 2026-04-24. https://www.epa.gov/tsca-inventory FDA Drug Shortages: CAS 51-43-4. Retrieved 2026-10-04. https://www.accessdata.fda.gov/scripts/drugshortages/ US Census international trade: HS 293790 for CAS 51-43-4. Reporting year: 2024. https://usatrade.census.gov/