TB Medications

Current TB Medication Shortages

Rifapentine Shortage

Local wholesale warehouses may not have this on their shelf. The FDA is currently listing rifapentine as 'in shortage due to increase demand'. Local wholesale distributors (ex., Cardinal or McKesson) may not have a supply on their shelves for pharmacies to order. Please place an order with your medication supplier or pharmacy, even if it has to be a backorder. Then request your pharmacy directly contact their supplier's sales representative letting them know that there is a backorder, and that the TB patient needs the medications as soon as possible. These backorders with the wholesale distributors will be communicated to the manufacturer, helping them to prioritize the production of the medication.

Check the national shortage database links below for more information:

  • FDA Drug Shortages
    Drug Shortages can occur for many reasons, including manufacturing and quality problems, delays, and discontinuations. Manufacturers provide FDA most drug shortage information.
  • Medical Device Shortages
    FDA maintains a list of medical device shortages during the COVID-19 Public Health Emergency. (This list includes masks, syringes etc.,)
  • ASHP (American Society of Hospital Pharmacists) Drug Shortages Database 
    Another national database that tracks drug shortages.
  • Drugs.com 
    The Drugs.com website is owned and operated by Drugsite Limited, as trustee of the Drugsite Trust. Drugsite Limited is a privately owned company administered by two New Zealand Pharmacists. The Drugs.com website is intended for a U.S. audience and is hosted at a data center located in Dallas, TX, USA. The shortage database is free to use.

TB Medications available from DOH for LHJs

Local health jurisdictions can order the first 4-line TB medications for free and other TB medications at a reduced price through the 340B Medication Discount Program, MMCAP, and Former CDC National Stockpile Medications. The bullet points below link to the internal TB Partners SharePoint page. If you would like to access additional resources about TB medications, please email tbservices@doh.wa.gov .

DOH offers the first 4-line TB medications for active disease patients without cost to the LHJs. DOH covers the cost of the medications, pharmacy rebottling and shipping to your LHJ.

DOH may use this purchasing tool for LHJs' patients who do not qualify for 340B. DOH may cover the cost of medication, pharmacy rebottling and shipping. Your LHJ can also get free access to purchase medications using MMCAP to purchase TB medications and supplies.

These medications are free of charge for LHJs to use for any of their TB patients and are NOT part of the 304B program and do NOT have the 340B restrictions. You can use them for any of your TB patients including those identified in contact investigations and/or who have LTBI. Visit the internal TB Partners SharePoint page to view the medications and order form.