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The FDA Desk2026-10-21October 21, 2026

FDA Recall Roundup: 10 Class II Actions — Compounding Sterility Failures Dominate

// Summary

Ten Class II recalls posted today, with no Class I actions reported. The largest cluster involves six compounded injectable products from a single South Carolina pharmacy citing sterility assurance failures tied to processing equipment and formulation issues; two additional recalls cover eye drop lines manufactured by K.C. Pharmaceuticals under multiple private-label brands. Rounding out the list are a Cipla oral antibiotic solution pulled for failed impurity specifications and a Janssen biologic recalled for particulate matter.

Total10
Class I0
Class II10
Class III0
Voluntary10
// Compounded Sterile Injectables — Carolina Infusion, LLC
Quad-Mix Injectable Syringes
IDD-0021-2027
ClassII
StatusOngoing
ProductQUAD-MIX (PAPAV/PHENTO/ALPROS/TROP) Injectable, single-use syringes
ManufacturerCarolina Infusion, LLC, Ridgeland, SC
ReasonLack of assurance of sterility — processing equipment
DistributionNationwide (US)
Filed2026-10-14
Tirzepatide/Cyanocobalamin Injectable
IDD-0027-2027
ClassII
StatusOngoing
ProductTirzepatide/Cyanocobalamin 26/2 mg/mL Injectable
ManufacturerCarolina Infusion, LLC
ReasonLack of sterility assurance — bacteriostatic water formulation; processing equipment
DistributionNationwide (US)
Filed2026-10-14
Tri-Mix 30/1/20 Injectable
IDD-0022-2027
ClassII
StatusOngoing
ProductTri-MIX (PAPAV/PHENTO/ALPROS) 30/1/20 Injectable
ManufacturerCarolina Infusion, LLC
ReasonLack of sterility assurance — processing equipment
DistributionNationwide (US)
Filed2026-10-14
Tri-Mix 30/1/10 Injectable
IDD-0023-2027
ClassII
StatusOngoing
ProductTri-MIX (PAPAV/PHENTO/ALPROS) 30/1/10 Injectable
ManufacturerCarolina Infusion, LLC
ReasonLack of sterility assurance — processing equipment
DistributionNationwide (US)
Filed2026-10-14
Tri-Mix 30/1/60 Injectable
IDD-0025-2027
ClassII
StatusOngoing
ProductTri-MIX (PAPAV/PHENTO/ALPROS) 30/1/60 Injectable
ManufacturerCarolina Infusion, LLC
ReasonLack of sterility assurance — processing equipment
DistributionNationwide (US)
Filed2026-10-14
Tri-Mix 30/2/40 Injectable
IDD-0032-2027
ClassII
StatusOngoing
ProductTri-MIX (PAPAV/PHENTO/ALPROS) 30/2/40
ManufacturerCarolina Infusion, LLC
ReasonLack of sterility assurance — bacteriostatic water formulation; processing equipment
DistributionNationwide (US)
Filed2026-10-14

Six separate compounded injectable lines from this single firm share the same root-cause language around processing equipment and, in two cases, bacteriostatic water formulation. The clustering across multiple product codes over a one-month manufacturing window (July–August 2026) suggests a systemic facility-level sterility control issue rather than isolated batch failures. Prescribers and patients using these compounded erectile-dysfunction and weight-management injectables should confirm lot numbers against the issued BUD dates.

// Ophthalmic Products — K.C. Pharmaceuticals, Inc.
Sterile Lubricant Dry Eye Relief Drops (Multi-Brand)
IDD-0006-2027
ClassII
StatusOngoing
ProductSterile Lubricant Dry Eye Relief Eye Drops, 0.5 FL OZ — distributed under Leader, Crocodile Tears, Discount Drug Mart, Exchange Select, Geri Care, H-E-B, Harris Teeter, Foster & Thrive, TopCare
ManufacturerK.C. Pharmaceuticals, Inc., Pomona, CA
ReasonLack of assurance of sterility
DistributionUS Nationwide
Filed2026-10-14
Sterile Eye Drops Advanced Relief (Multi-Brand)
IDD-0004-2027
ClassII
StatusOngoing
ProductSterile Eye Drops Advanced Relief (dextran 70/PEG 400/tetrahydrozoline HCl) — distributed under Leader, Equaline, GoodSense, H-E-B, Medic's Choice, Foster & Thrive, Colirio Manzanilla A+, Publix, QC-Quality Choice, TopCare
ManufacturerK.C. Pharmaceuticals, Inc., Pomona, CA
ReasonLack of assurance of sterility
DistributionUS Nationwide
Filed2026-10-14

A single manufacturer's sterility deficiency has cascaded across ten-plus private-label retail brands nationwide, affecting two distinct ophthalmic formulations. Given the broad retail footprint (major grocery and pharmacy chains), consumer-facing recall notices should be prioritized.

// Oral Solutions
Fosfomycin Tromethamine Oral Solution
IDD-0014-2027
ClassII
StatusOngoing
ProductFosfomycin Tromethamine Granules for Oral Solution, 3g single-dose sachet, NDC 69097-579-67
ManufacturerCipla USA, Inc. (mfg. Cipla Ltd., India)
ReasonFailed impurities/degradation specifications
DistributionUSA Nationwide
Filed2026-10-14
// Biologics/Injectables
IMAAVY (nipocalimab-aahu) Injection
IDD-0016-2027
ClassII
StatusOngoing
ProductIMAAVY (nipocalimab-aahu) Injection, 300 mg/1.62 mL, NDC 57894-800-01
ManufacturerJanssen Biotech, Inc. (J&J Innovative Medicine)
ReasonPresence of particulate matter
DistributionOhio
Filed2026-10-14

This recall is geographically limited to Ohio and involves a single lot of a newer biologic indicated for myasthenia gravis; particulate contamination in an IV infusion product warrants immediate clinical staff notification at affected sites.

FDA Recall Roundup: 10 Class II Actions — Compounding Sterility Failures Dominate · The FDA Desk