Active Drug Shortages Still Trending Up

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The American Society of Health System Pharmacists (ASHP) says the 227 active drug shortages in the second quarter of 2026 represent an increase for the third consecutive quarter but remain significantly lower than the all-time high of 323 shortages in the first quarter of 2024. The ASHP report says chemotherapy shortages remain a problem, with Ifex (ifosfamide) a particularly severe new shortage due to manufacturing quality problems at a key supplier.

Some 16% of active drug shortages are controlled substances, meaning that patients with chronic pain or ADHD may struggle to fill monthly prescriptions and health systems may struggle to obtain sufficient supplies needed for surgeries and procedures, the report says.

ASHP reports that just under half of all new shortages in 2026 were sole-source products.

Some 10% of the shortages were contrast agents used for potentially life-saving procedures such as CT scans and MRIs.

The report cautions that lower numbers of shortages do not necessarily translate into fewer patients affected since a single shortage can affect large numbers of patients.

“The workload required to manage shortages, including work to change pharmacy automation and electronic health records, adds to the challenges of pharmacy staff shortages,” ASHP concludes.

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