Catecholamine, alpha-Adrenergic Agonist
Where is Epinephrine made?
24 companies sell it under their own name and 17 repackagers rebottle it. Their labels name 18 factories in the United States, India, Belgium, France, Germany, Switzerland and 1 other.
United States 10India 3Belgium 1France 1Germany 1Switzerland 1Taiwan 1
Companies and their factories
| Company on the label | Factory | Where | Last FDA inspection |
|---|---|---|---|
| American Regent, Inc.1 mg per 1 mL · NDC 0517-1171, 0517-3030 | American Regent, Inc.Makes it | Hilliard, OH, United States | Problems found, fixed voluntarilyJun 2026 |
| CenexiMakes it and labels it | Fontenay-sous-Bois, France | Problems found, fixed voluntarilyOct 2022 | |
| Amneal Pharmaceuticals0.15 mg per 0.15 mL, 0.3 mg per 0.3 mL · NDC 0115-1695, 0115-1694 | Boehringer Ingelheim Pharma GmbH and Co. KGMakes the active ingredient | Ingelheim am Rhein, Germany | Problems found, fixed voluntarilyMay 2025 |
| Hospira, Inc.Makes it and tests it | McPherson, KS, United States | Problems found, fixed voluntarilyJan 2025 | |
| BPI Labs, LLC1 mg per 1 mL, 30 mg per 30 mL · NDC 54288-600, 54288-103, 54288-117 +3 | BPI Labs LLCMakes it and tests it | Largo, FL, United States | Problems found, fixed voluntarilyApr 2025 |
| Sintetica S.a.Makes it, tests it, packages it and labels it | Mendrisio, Switzerland | Problems found, fixed voluntarilyNov 2023 | |
| ENDO USA, Inc. Adrenalin, Adrenalin (epinephrine in sodium chloride)1 mg per 1 mL, 8 ug per 1 mL, 16 ug per 1 mL, 20 ug per 1 mL, 32 ug per 1 mL, 40 ug per 1 mL · NDC 42023-168, 42023-159, 42023-315 +4 | Par Health USA, LLCMakes it | Rochester, MI, United States | Serious problems, FDA actionOct 2025 |
| Par Sterile Products LLCMakes it | Parsippany, New Jersey, United States | No problems foundMar 2014 | |
| Adamis Pharmaceuticals Corporation Symjepi0.3 mg per 0.3 mL · NDC 38739-200 | Novo Nordisk Production Belgium SAMakes it and tests it | Brussels, Belgium | Problems found, fixed voluntarilyApr 2023 |
| Amneal Pharmaceuticals LLC1 mg per 1 mL · NDC 70121-1660 | Amneal Pharmaceuticals Private LimitedMakes it, tests it, packages it and sterilizes it | Ahmedabad, India | No problems foundJun 2024 |
| Amneal Pharmaceuticals Private Limited1 mg per 1 mL · NDC 80830-1659 | Amneal Pharmaceuticals Private LimitedMakes it, tests it, packages it, labels it and sterilizes it | Ahmedabad, India | No problems foundAug 2024 |
| Baxter Healthcare Corporation1 mg per 1 mL, 16 ug per 1 mL, 32 ug per 1 mL, 64 ug per 1 mL · NDC 43066-803, 43066-801, 0338-0006 +2 | UBI Pharma Inc.Makes it, tests it and packages it | Hukou, Taiwan | Problems found, fixed voluntarilyJun 2023 |
| Civica, Inc.1 mg per 1 mL · NDC 72572-238 | Fresenius Kabi USA, LLCMakes it and tests it | Melrose Park, IL, United States | Problems found, fixed voluntarilyAug 2023 |
| Focus Health Group1 mg per 1 mL, 1 mg per 1000 mL · NDC 24357-811, 24357-911 | Focus Health GroupMakes it | Knoxville, TN, United States | No problems foundSep 2019 |
| Fresenius Kabi, LLC1 mg per 1 mL · NDC 63323-698, 63323-696 | Fresenius Kabi USA, LLCMakes it and tests it | Melrose Park, IL, United States | Problems found, fixed voluntarilyAug 2023 |
| Gland Pharma Limited1 mg per 1 mL · NDC 68083-633, 68083-685, 68083-699 +2 | Gland Pharma LimitedMakes it, tests it, packages it and labels it | Hyderabad, India | Problems found, fixed voluntarilyJun 2023 |
| Glenmark Pharmaceuticals Inc., USA1 mg per 1 mL · NDC 68462-933, 68462-760, 68462-761 +1 | Gland Pharma LimitedMakes it, tests it, packages it and labels it | Hyderabad, India | Problems found, fixed voluntarilyJun 2023 |
| HF Acquisition Co. LLC. DBA HealthFirst Epinephrine Convenience Kit1 mg per 1 mL · NDC 51662-1507 | HF Acquisition Co LLCMakes it | Mukilteo, WA, United States | Problems found, fixed voluntarilyJun 2025 |
| Hospira, Inc.0.1 mg per 1 mL · NDC 0409-4933 | Hospira, Inc.Makes it, tests it, packages it and labels it | Rocky Mount, NC, United States | No problems foundFeb 2025 |
| International Medication Systems, Ltd.0.1 mg per 1 mL, 1 mg per 1 mL · NDC 76329-3318, 76329-9060 | International Medication Systems, Ltd.Makes it and tests it | South El Monte, CA, United States | Serious problems, FDA actionDec 2025 |
| ARS Pharmaceuticals Operations, Inc. neffy1 mg per 100 uL, 2 mg per 100 uL · NDC 82580-010, 82580-020 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Belcher Pharmaceuticals,LLC1 mg per 1 mL · NDC 62250-102 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Boiron200 [kp_C]/200[kp_C] · NDC 0220-0078 | The label doesn't name the factory. Plants this company names for other drugs | ||
| CD Acquisitions, LLC Certa Dose Epinephrine Convenience Kit1 mg per 1 mL · NDC 71754-001 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Hikma Pharmaceuticals USA Inc.1 mg per 1 mL · NDC 0143-9476 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Kaleo, Inc. Auvi-Q0.1 mg per 0.1 mL, 0.15 mg per 0.15 mL, 0.3 mg per 0.3 mL · NDC 60842-021, 60842-022, 60842-023 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Teva Pharmaceuticals USA, Inc.0.15 mg per 0.3 mL, 0.3 mg per 0.3 mL · NDC 0093-5985, 0093-5986 | The label doesn't name the factory. Plants this company names for other drugs | ||
| Viatris Specialty LLC Epipen Jr, Epipen0.15 mg per 0.3 mL, 0.3 mg per 0.3 mL · NDC 49502-501, 49502-101, 49502-500 +1 | The label doesn't name the factory. Plants this company names for other drugs | ||
Repackaged by
These companies buy Epinephrine in bulk and rebottle it, often for mail-order, clinic or hospital pharmacies. If your bottle shows one of these names, open its NDC to see who made the pills inside.
- A-S Medication Solutions:
50090-2058,50090-5569,50090-7037,50090-5254+4 - Advanced Rx Pharmacy of Tennessee, LLC:
80425-0264 - Asclemed USA, Inc.:
76420-835,76420-188,76420-584,76420-834+1 - Bryant Ranch Prepack:
63629-8801 - Dispensing Solutions Inc.:
55045-3598,55045-3207 - HF Acquisition Co. LLC. DBA HealthFirst:
51662-1476,51662-1661,51662-1221,51662-1381+14 - Henry Schein, Inc.:
0404-9806,0404-9857,0404-9810 - Medical Purchasing Solutions, LLC.:
71872-7120,71872-7250,71872-7304,71872-7172+10 - Physicians Total Care, Inc.:
54868-5725,54868-4819,54868-6239,54868-2804 - Preferred Pharmaceuticals, Inc..:
68788-6376 - ProPharma Distribution:
84549-018,84549-103,84549-159 - Rebel Distributors Corp..:
21695-947 - RedPharm Drug. Inc.:
67296-1946 - Remedyrepack Inc.:
70518-3816,70518-4573,70518-2283,70518-2048+2 - Sina Health Inc:
70385-2017,70385-2038,70385-2020,70385-2009+4 - Sportpharm LLC:
85766-275,85766-276,85766-303,85766-061+5 - TYA Pharmaceuticals:
64725-0501,64725-0500
Recalls
- Aug 11, 2026 · Class I · American Regent, Inc.
Presence of Particulate Matter and Lack of Assurance of Sterility. Particulate matter identified as nylon, cellulosic, acrylic, polyethylene and glass and broken and leaking vials. - May 14, 2026 · Class III · Fresenius Kabi USA, LLC
Failed Impurities/Degradations Specifications - Apr 1, 2026 · Class II · International Medication Systems Ltd.
Lack of Assurance of Sterility - Aug 4, 2025 · Class II · Pfizer Inc
Lack of Assurance of Sterility. - Jan 17, 2024 · Class II · Henry Schein Inc. and Glove Club HSI Gloves Inc.
Labeling: Incorrect or Missing Lot and/or Exp Date. The expiration date listed on the Repack Pouch Label is incorrect. - Apr 13, 2022 · Class II · Mckesson Medical-Surgical Inc. Corporate Office · 5 recall notices
cGMP deviations: Temperature abuse - Mar 15, 2021 · Class II · Cardinal Health Inc. · 3 recall notices
CGMP Deviations: Intermittent exposure to temperature excursion during storage. - Mar 5, 2020 · Class II · Teva Pharmaceuticals USA
CGMP Deviations: Precautions taken due to Out-of-specification for trigger force for a non-marketed lot number that shares the same component. - Mar 12, 2017 · Class I · Meridian Medical Technologies a Pfizer Company · 2 recall notices
Defective Delivery System; reports of the device failing to activate which could result in a patient not receiving medication
Class I recalls are the most serious; Class III the least. A recall covers specific lots, listed on each recall.