Irinotecan hydrochloride (Inj 20 mg per ml, 5 ml vial): Hospital supply issue resolved

The supplier has run out of irinotecan hydrochloride (Inj 20 mg per ml, 5 ml vial) Pharmacode: 2621177.

19 June 2026 | Stock arrived

The supplier advises that a shipment has arrived. It can take another 1 to 2 weeks for stock to reach pharmacies around the country.

Affected product

Accord, the supplier, had run out of the following product.

Irinotecan hydrochloride

  • Presentation: Inj 20 mg per ml, 5 ml vial
  • Brand: Accord
  • Pharmacode: 2621177
  • Subsidy: $52.57
  • Measure / Qty: per 1

HML listing for irinotecan hydrochloride(external link)

Alternative product

The alternative is a single-use 25 ml vial that was listed to support a previous supply issue. As the vial is single use, it may result in some wastage.

It is available to order from Accord. It is not approved by Medsafe so will need to be prescribed and dispensed in line with section 29A of the Medicines Act. 

  • Brand: Accord
  • Presentation: Inj 20 mg per ml, 25 ml vial
  • Pharmacode: 2711036
  • Subsidy: $262.85
  • Measure / Qty: per 1

Prescribing and supplying an unapproved medicine

Section 29A of the Medicines Act 1981 allows for medicines that are not Medsafe approved to be prescribed and supplied to people. 

We know supplying an unapproved medicine is not ideal. In this case, however, this will allow people to continue to access an appropriate treatment. 

We apologise for any inconvenience this causes. 

Prescriber and pharmacist requirements for section 29 and 29A medicines – Medsafe website (external link)

What patients need to know about unapproved medicines – Healthify website(external link)

Registered stock arrived June 2026

The supplier advises that the registered 5 ml vial is available again. It can take another 1 to 2 weeks to reach pharmacies around the country.

Who to contact

If you have questions about this issue, email enquiry@pharmac.govt.nz

Please include as much information as you can about the product (presentation, brand, pharmacode) and who your wholesaler is.

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