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Certain Types of Insulin are in short supply nationwide
American Society of Health-System Pharmacists (ASHP) ^ | 7/10/26

Posted on 07/27/2026 10:38:41 PM PDT by EinNYC

Insulin Glargine Injection (Recombinant)

Products Affected - Description Basaglar Tempo Pen subcutaneous injection, Lilly USA, LLC, 100 units/mL, 3 mL pen injector, 5 count, NDC 00002-8214-05
Lantus Solostar Pen subcutaneous injection, Sanofi-Aventis, 100 units/mL, 3 mL pen injector, 5 count, NDC 00088-2219-05
Semglee subcutaneous injection, Biocon, 100 units/mL, 10 mL vial, NDC 83257-0011-11 - discontinued
Semglee Pen subcutaneous injection, Biocon, 100 units/mL, 3 mL pen injector, 5 count, NDC 83257-0012-33 - discontinued

Reason for the Shortage

Biocon discontinued Semglee vials and pens on December 31, 2025. The generic vials and pens are available.
Lilly has Basaglar and Rezvoglar Kwikpens available. Lilly is discontinuing Basaglar Tempo pens by the end of 2026 due to a business decision. Tempo pens are available through July 27, 2026. After that date, patients can use their Tempo Pens until the expiration date. However, the Tempo Platform will stop recording patient diabetes-related data on July 28, 2026. On December 31, 2026, the TempoSmart App and Tempo Insights portal will be discontinued. Additional information can be found at lillytempo.com.
Sanofi has Lantus Solostar pens on shortage due to increased demand. Lantus vials, U-300 Solostar pens, and Toujeo pens remain available.
Winthrop has insulin glargine injection available.

Available Products

Basaglar Kwikpen subcutaneous injection, Lilly USA, LLC, 100 units/mL, 3 mL pen injector, 5 count, NDC 00002-7715-59
Insulin Glargine U-300 Max Solostar subcutaneous injection, Winthrop, 300 units/mL, 3 mL pen injector, 2 count, NDC 00955-2900-02
Insulin Glargine U-300 Solostar subcutaneous injection, Winthrop, 300 units/mL, 1.5 mL pen injector, 3 count, NDC 00955-3900-03
Lantus subcutaneous injection, Sanofi-Aventis, 100 units/mL, 10 mL vial, NDC 00088-2220-33
Rezvoglar Kwikpen subcutaneous injection, Lilly USA, LLC, 100 units/mL, 3 mL pen injector, 5 count, NDC 00002-8980-05
Toujeo 1.5 mL Prefilled Pen subcutaneous injection, Sanofi-Aventis, 300 units/mL, 1.5 mL pen injector, 3 count, NDC 00024-5869-03
Toujeo Max 3 mL Prefilled Pen subcutaneous injection, Sanofi-Aventis, 300 units/mL, 3 mL pen injector, 2 count, NDC 00024-5871-02
Insulin glargine-yfgn, recombinant subcutaneous injection, Biocon, 100 units/mL, 10 mL vial, NDC 83257-0014-11
Insulin glargine-yfgn, recombinant subcutaneous injection, Biocon, 100 units/mL, 3 mL pen injector, 5 count, NDC 83257-0015-32

Estimated Resupply Dates

Lilly is discontinuing Basaglar Tempo pens by the end of 2026. Tempo pens are available through July 27, 2026.
Sanofi has Lantus Solostar 3 mL pens on intermittent back order and the company is releasing supplies as they become available.

Implications for Patient Care

Sanofi advises patients on Lantus Solostar pens to consult with their healthcare provider to ensure continued access to insulin glargine during this temporary period of limited supply of Lantus Solostar pens.

Patients on Basaglar Tempo pens should work with their healthcare provider to transition to Lilly insulin KwikPens or other insulin pens as soon as possible. This drug is used to improve glycemic control in adult and pediatric patients with diabetes mellitus.[1-2]

Off-label indications include the treatment of hyperglycemia in gestational diabetes mellitus and in persistent hyperglycemia in hospitalized patients with or without a history of diabetes.[2]

Safety

Though doses can often be converted unit for unit when converting individuals from one basal insulin to another, an initial dose reduction of 10-20% can be used in individuals at a high risk for hypoglycemia or in very tight management. A dose reduction is typically needed when switching from U-300 glargine to another insulin. Extra caution should be taken when switching between insulin concentrations or when transitioning from pen devices to vials, as these changes may increase the risk of dosing confusion and may result in significant under- or overdosing.[3-4]


Other long-acting insulin options include insulin degludec or insulin NPH.

1. When converting between long-acting insulins, consider a 10-20% dose reduction in individuals in very tight management or at risk for hypoglycemia.[3]

2. Long-acting insulin analogs may be interchanged with NPH with a 20% reduction in dose and divided based on predicted meal frequency.[5]

There is now a once-weekly basal insulin formulation, Awiqli, which may offer an alternative basal insulin option for select individuals with type 2 diabetes mellitus.[6] 1. If converting from daily basal insulin to once-weekly basal insulin, administer the first dose on the day after the last day of basal insulin. 2. Week 1 dosage: initiate Awiqli at 10.5 times the daily basal insulin dose, rounded to the nearest 10 units 3. Week 2 and beyond: The recommended dosage is the previous total daily basal insulin dose multiplied by 7, then rounded to the nearest 10 units. The recommended dosage can be titrated from the previous dosage based on the patients blood glucose monitoring results and glycemic control needs.


TOPICS: Health/Medicine
KEYWORDS: insulin; insulinpen

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I went to reorder my Lantus pens when I discovered "Oops, we don't have any". When was the pharmacy going to get them? "We don't know." Uh oh. I spent the whole morning and part of the afternoon trying to get hold of my doctor (finally did) to report what turned out to be a nationwide shortage. The doctor was able to prescribe a substitute which was the same chemical and concentration. I'll pick it up tomorrow. Very nervous about this...
1 posted on 07/27/2026 10:38:41 PM PDT by EinNYC
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To: EinNYC

Bookmark


2 posted on 07/27/2026 10:47:23 PM PDT by Chgogal (There is no entity more arrogantly ignorant than a White Liberal Woman.)
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To: EinNYC
What is the cause of this supply bottleneck?

Were several factories hit by Iranian Shahad drones? Was there a major disruption of the distribution channels?

"Inquiring minds etc."

Regards,

3 posted on 07/27/2026 10:47:46 PM PDT by alexander_busek (Extraordinary claims require extraordinary evidence.)
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To: EinNYC

I’m a pharmacy tech in Chicago, and we do get some in little by little now and again, but it’s on backorder nationwide. Pharmacies are manually changing their on-hand quantity to zero so other pharmacies in their chain can see that they have some in stock.

Your doctor can usually subsitute Basaglar instead of Lantus, or you can use the manually-injected vial formula with a syringe (for now it appears we can still get it). We don’t know if this is due to a manufacturer issue or a trade dispute.

There are A LOT of drugs on backorder, and because the DEA is pressuring drug companies not to make controlled substances, cancer patients and patients with nerve damage can’t get painkillers in a timely manner. All extended-release stimulants are on backorder (it’s been probably eight months), along with almost all oral morphine, some fentanyl, and extended release hydrocodone and oxycodone.

If you can’t get your insulin and have a hospital nearby with an outpatient pharmacy, they get first dibs from drug suppliers. Try calling and asking if they have some to spare and to reach out to your pharmacy for a transfer. The same applies to controlled substances, but doc will have to send a new RX. Those cannot be transferred betweem competitors.


4 posted on 07/27/2026 11:30:07 PM PDT by Tacrolimus1mg (Do no harm, but take no sh!t.)
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To: Tacrolimus1mg

I typo’ed a whole lot, but you get the idea.


5 posted on 07/27/2026 11:31:29 PM PDT by Tacrolimus1mg (Do no harm, but take no sh!t.)
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To: EinNYC

“Sanofi advises patients on Lantus Solostar pens to consult with their healthcare provider to ensure continued access to insulin glargine during this temporary period of limited supply of Lantus Solostar pens...Patients on Basaglar Tempo pens should work with their healthcare provider to transition to Lilly insulin KwikPens or other insulin pens as soon as possible.”

I guess they’re not going to mention the other option for Type 2’s (and Type 1’s, to a lesser extent), which is STOP EATING CARBS as that would end their gravy train.


6 posted on 07/28/2026 12:37:57 AM PDT by BobL (Trusting one's doctor is the #1 health mistake one can make.)
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To: Tacrolimus1mg

How about Aspirin? America no longer even manufactures Aspirin. Everything is pretty much made overseas, including precursors?


7 posted on 07/28/2026 1:12:05 AM PDT by Freedom4US
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To: EinNYC

Biden told us there’d be “supply chain” shortages...


8 posted on 07/28/2026 1:55:58 AM PDT by Does so (Book:"The Party of Death"...Dem☭¢rats ™ ® © ≣ ½⅓⅔¼¾ ⅛⅜⅝⅞ ⅓ ⅕ ⅖ ⅗ ⅘ ⅙ ⅚)
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To: EinNYC; hellinahandcart

Well this ain’t good.


9 posted on 07/28/2026 3:05:56 AM PDT by sauropod (Make sure Satan has to climb over a lot of Scripture to get to you. John MacArthur Ne supra crepidam)
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To: Does so
"Biden told us there’d be “supply chain” shortages..."

Well Trump promised to strengthen America"s supply chain by supply side economics and tariffs to return manufacturing to the USA. Instead Trump appears to have triple downed on AI and market wealth creation which to date has not not made America's supply chain more secure.

10 posted on 07/28/2026 3:31:08 AM PDT by buckalfa (More chaos and disruption please)
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To: EinNYC

Would America being the fattest country on the planet with a high population and a lot of diabetics have anything to do with this shortage?

Or our manufacturing pharmies not making enough $$$ and dumping the production overseas like everything else?


11 posted on 07/28/2026 3:32:52 AM PDT by quantim (Victory is not relative, it is absolute.)
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To: All

Seems to be a higher demand. Hopefully they sort it out soon.


12 posted on 07/28/2026 3:35:15 AM PDT by Rush4U
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To: Tacrolimus1mg

FDA working against the administration?


13 posted on 07/28/2026 3:46:38 AM PDT by Chickensoup
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To: EinNYC

Eat and drink like you should.

Exercise like you should.

Reduce stress like you should.

It’s not what you want to hear.

It’s what you need to do.

It’s never too late to start.

Praying for you all.


14 posted on 07/28/2026 4:30:25 AM PDT by Eccl 10:2 (Prov 3:5 --- "Trust in the Lord with all your heart, and lean not on your own understanding")
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To: Chgogal

bkmk


15 posted on 07/28/2026 5:40:37 AM PDT by PubliusMM (Liberalism is a mental disease.)
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To: Tacrolimus1mg

Could it be that the GLP-1 craze has Big Pharma shifting production?

EC


16 posted on 07/28/2026 6:15:51 AM PDT by Ex-Con777 ("Journalism is about covering important stories-with a pillow, until they stop moving." ~ David Burg)
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To: Tacrolimus1mg
Tacrolimus seems to be ok for now. At one time a few years ago there was some talk of a tac shortage, but my pharmacy assured me that they had plenty.

Gotta keep that tac going…

17 posted on 07/28/2026 6:33:21 AM PDT by telescope115 (Ad Astra, Ad Deum…)
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