Immediate Action Required – Epinephrine Auto Injector Devices

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Date: June 17, 2020
To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers & Practices
From: HPSJ Pharmacy Department
Subject: Immediate Action Required – Epinephrine Auto Injector Devices
Business: Medi-Cal

We are sending this alert because your patient(s) may have filled a prescription for Epinephrine Auto-Injector Device since December 20, 2018.

FDA is alerting patients, caregivers and health care professionals to immediately inspect certain lots of Amneal and Impax epinephrine auto-injector 0.3 mg to ensure the yellow “stop collar” in the device is present. If the auto-injector is missing the yellow “stop collar” component, the device has the potential safety risk of delivering a double dose of epinephrine to a patient.

Patients, pharmacists and health care professionals who have received Amneal or Impax’s epinephrine auto-injector after December 20, 2018, should immediately visually inspect the autoinjector to confirm the presence of the yellow “stop collar” by –

  1. Removing the auto-injector from the carrying case.Placing the auto-injector on a flat surface.
  2. Locating the edge of the label that states, “Peel here for further instructions.” Lift the label edge until you see the clear part of the auto-injector.
  3. Looking for the yellow “stop collar” inside the clear part of the auto-injector.
  4. If the yellow “stop collar” is not visible inside the clear part of the auto-injector, gently rotate the blue sheath remover, without pulling or removing the blue sheath remover, to observe if the yellow “stop collar” comes into view inside the clear part of the auto-injector. If yellow “stop collar” is present, then the product is safe to use, and no further action is necessary. Rewrap the label to its original position and place the auto-injector into the carrying case.

For more information on this alert, please visit website link:

If you have questions, please contact our HPSJ Customer Service team (Monday-Friday, 8 a.m. – 6 p.m. PST) at 209-942-6320.

Posted on June 18th, 2020 and last modified on June 18th, 2020.