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The FDA Desk2026-10-22October 22, 2026

FDA Recalls Desk — Oct 22: 10 Class II Actions, No Class I Flags

// Summary

Today's FDA recall feed carries ten entries, all classified Class II — no Class I actions requiring top-of-desk escalation. The bulk of volume comes from two multi-SKU sterility clusters: K.C. Pharmaceuticals' private-label eye drop lines (distributed under ten-plus store brands) and Carolina Infusion LLC's compounded injectable portfolio (six separate lot recalls). Rounding out the list are a Cipla oral-solution impurity recall and a J&J biologic particulate-matter recall limited to Ohio distribution.

Total10
Class I0
Class II10
Class III0
Voluntary (firm-initiated)10
// Compounding & Sterility — Eye Drops (K.C. Pharmaceuticals)
Sterile Lubricant Dry Eye Relief Drops — Multi-Brand
IDD-0006-2027
ClassII
StatusOngoing
ProductSterile Lubricant Dry Eye Relief Eye Drops, 15 mL (Leader, Crocodile Tears, Discount Drug Mart, Exchange Select, GeriCare, H-E-B, Harris Teeter, Foster & Thrive, TopCare)
ManufacturerK.C. Pharmaceuticals, Inc.
ReasonLack of assurance of sterility
DistributionUS Nationwide
Filed2026-10-14 (initiated 2026-09-11)
LocationCA

Ten store-brand labels trace to one Pomona, CA manufacturer — a single root-cause sterility failure propagating across the private-label supply chain. Pharmacy and retail partners should pull by lot regardless of label.

Sterile Advanced Relief Eye Drops — Multi-Brand
IDD-0004-2027
ClassII
StatusOngoing
ProductAdvanced Relief Eye Drops (dextran 70/PEG 400/tetrahydrozoline HCl), 15 mL — ten store-brand labels including Leader, Equaline, GoodSense, H-E-B, Medic'c Choice, Foster & Thrive, Publix, QC, TopCare
ManufacturerK.C. Pharmaceuticals, Inc.
ReasonLack of assurance of sterility
DistributionUS Nationwide
Filed2026-10-14 (initiated 2026-09-11)
LocationCA

Companion recall to the lubricant line above, same firm and same day of initiation — indicative of a facility-wide sterility assurance gap rather than an isolated SKU defect.

// Compounding & Sterility — Injectables (Carolina Infusion LLC)
Quad-Mix Injectable (Papav/Phento/Alpros/Trop)
IDD-0021-2027
ClassII
ReasonLack of assurance of sterility — processing equipment
DistributionNationwide US
Filed2026-10-14 (initiated 2026-09-10)
LocationSC
Tirzepatide/Cyanocobalamin Injectable
IDD-0027-2027
ClassII
ReasonLack of assurance of sterility — bacteriostatic water formulation; processing equipment
DistributionNationwide US
Filed2026-10-14 (initiated 2026-09-10)
LocationSC
Tri-Mix Injectable, 30/1/20
IDD-0022-2027
ClassII
ReasonLack of assurance of sterility — processing equipment
DistributionNationwide US
Filed2026-10-14 (initiated 2026-09-10)
LocationSC
Tri-Mix Injectable, 30/1/10
IDD-0023-2027
ClassII
ReasonLack of assurance of sterility — processing equipment
DistributionNationwide US
Filed2026-10-14 (initiated 2026-09-10)
LocationSC
Tri-Mix Injectable, 30/1/60
IDD-0025-2027
ClassII
ReasonLack of assurance of sterility — processing equipment
DistributionNationwide US
Filed2026-10-14 (initiated 2026-09-10)
LocationSC
Tri-Mix Injectable, 30/2/40
IDD-0032-2027
ClassII
ReasonLack of assurance of sterility — bacteriostatic water formulation; processing equipment
DistributionNationwide US
Filed2026-10-14 (initiated 2026-09-10)
LocationSC

Six separate compounded-injectable formulations from the same Ridgeland, SC compounder, all traced to the same equipment deficiency and all initiated on the same date. This is a facility-level sterility assurance failure spanning erectile-dysfunction mixes and a tirzepatide/B12 combination — prescribers using this compounder should confirm no inventory remains in circulation.

// Other Drug Recalls
Fosfomycin Tromethamine Oral Granules
IDD-0014-2027
ClassII
ProductFosfomycin Tromethamine 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 (initiated 2026-09-18)
LocationNJ
IMAAVY (nipocalimab-aahu) Injection
IDD-0016-2027
ClassII
ProductIMAAVY Injection, 300 mg/1.62 mL, NDC 57894-800-01
ManufacturerJ&J Innovative Medicine (Janssen Biotech, Inc.)
ReasonPresence of particulate matter
DistributionOH (limited)
Filed2026-10-14 (initiated 2026-09-23)
LocationPA

Narrow geographic footprint limits exposure, but particulate matter in an IV biologic warrants immediate quarantine of lot JNYJ1208 at affected Ohio infusion sites.

FDA Recalls Desk — Oct 22: 10 Class II Actions, No Class I Flags · The FDA Desk