FDA·Medicines·October 14, 2026

Carolina Infusion recalls Quad-Mix, Tri-Mix and tirzepatide/cyanocobalamin injectables over lack of sterility assurance

The notice says there is a lack of assurance of sterility for these compounded injectable products because of the processing equipment used to make them.

What to do

The notice does not give instructions. Read the official notice for details.

Note from Recalled Today: Don't stop taking a prescribed medicine before you talk to your pharmacist or doctor.

Recall details

Product
QUAD-MIX( PAPAV/PHENTO/ALPROS/TROP) INJECTABLE, Packaged in single-use dosage syringes, total mL dispensed based on dosage per specific patient prescription, Carolina Infusion LLC, 95 Bees Creek Road, Ridgeland, SC 29936; TIRZEPATIDE/CYANOCOBALAMIN 26/2 MG/ML INJECTABLE, Packaged in single-use dosage syringes, total mL dispensed based on dosage per specific patient prescription, Carolina…
Hazard
Lack of Assurance of Sterility: Related to processing equipment used in compounded product.
Units
5 mls in patient specific syringe doses; 297 mL - in patient specific syringe dose; 15 mLs - in patient specific syringe doses
Where sold
Nationwide within the U.S
FDA classification
Class II · Ongoing
Classified by FDA
October 8, 2026
Recall started
September 10, 2026
FDA enforcement report
October 14, 2026
Identifiers
  • Codes: LOT: 08032026@24, BUD: 09/17/2026.
  • FDA recall number: D-0021-2027
  • Codes: Lot:07212026@18, BUD: 9/4/2026; 07222026@14, BUD: 9/5/2026; 07292026@8, BUD: 9/12/2026; 08052026@14, BUD: 9/19/2026; 08142026@1, BUD: 9/28/2026; 08192026@10, BUD: 10/3/2026; 08242026@25, BUD: 10/8/2026; 08282026@2, BUD: 10/12/2026; 08292026@1, BUD:10/13/2026;
  • FDA recall number: D-0027-2027
  • Codes: Lot: 08072026@2, BUD:9/21/2026; 08032026@10, BUD:09/17/2026.
  • FDA recall number: D-0022-2027
  • Codes: Lot: 07242026@7, BUD: 09/7/2026.
  • FDA recall number: D-0023-2027
  • Codes: Lot:08062026@10, BUD: 9/20/2026.
  • FDA recall number: D-0025-2027
  • Codes: Lot: 07282026@2, BUD: 9/11/2026; 08032026@11, BUD: 9/17/2026; 08042026@3, BUD: 9/18/2026. .
  • FDA recall number: D-0032-2027

The headline, summary and steps above are written in plain English from the official notice below. Identifiers are copied exactly as the agency published them. Always check the official notice before you act.

Official notice

The notice's own wording from FDA.

Product
QUAD-MIX( PAPAV/PHENTO/ALPROS/TROP) INJECTABLE, Packaged in single-use dosage syringes, total mL dispensed based on dosage per specific patient prescription, Carolina Infusion LLC, 95 Bees Creek Road, Ridgeland, SC 29936 | TIRZEPATIDE/CYANOCOBALAMIN 26/2 MG/ML INJECTABLE, Packaged in single-use dosage syringes, total mL dispensed based on dosage per specific patient prescription, Carolina Infusion LLC, 95 Bees Creek Road, Ridgeland, SC 29936 | Tri-MIX (PAPAV/PHENTO/ALPROS),30/1/20, injectable, Packaged in single-use dosage syringes, total mL dispensed based on dosage per specific patient prescription, Carolina Infusion LLC, 95 Bees Creek Road, Ridgeland, SC 29936, | Tri-MIX (PAPAV/PHENTO/ALPROS),30/1/10, injectable, Packaged in single-use dosage syringes, total mL dispensed based on dosage per specific patient prescription, Carolina Infusion LLC, 95 Bees Creek Road, Ridgeland, SC 29936,
Reason for recall
Lack of Assurance of Sterility: Related to processing equipment used in compounded product.
Classification
Class II (Ongoing)
Distribution
Nationwide within the U.S
Quantity
5 mls in patient specific syringe doses; 297 mL - in patient specific syringe dose; 15 mLs - in patient specific syringe doses; 5 mL in patient specific syringe doses; 5 mL in patient specific syringe dose; 20 mLs - in patient specific syringe dose

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