On Nov. 3, 2026, FDA's drug shortage database held 230 entries. Sixty-nine were current shortages. Forty-nine of those 69 were injections, and the median current shortage had been on the list for 1,710 days, about four years and eight months.
Those figures come from GxRadar's snapshot of the database as FDA publishes it through the openFDA drug shortages endpoint1, grouped by drug. This piece breaks the snapshot down by status, dosage form, FDA's therapeutic tags, the reason FDA records, and age. Our shortage tracker carries the full, updated list, and our guide to reading FDA's shortage database explains each field.
A monthly look matters because the headline number moves slowly while its contents do not. Most new entries in 2026 were not new shortages at all but notices that a product is being discontinued. Meanwhile the current list is dominated by hospital injectables that have been short for years.
Counts by status
| Status | Entries | Share of 230 |
|---|---|---|
| Current | 69 | 30% |
| To be discontinued | 156 | 68% |
| Resolved | 5 | 2% |
Source: GxRadar analysis of FDA shortage records via openFDA1, as of Nov. 3, 2026.
Status labels follow FDA's definitions. A shortage exists when "the demand or projected demand for the drug within the United States exceeds the supply of the drug," the wording of section 506C4. A "to be discontinued" entry reflects a manufacturer's notice of a permanent discontinuance, which FDA's shortage FAQ2 says is posted "for informational purposes only." The resolved count is small by design: the FAQ says resolved shortages stay on the page for six months and discontinuations for one year.
That retention rule explains the dates. Of the 156 discontinuation entries, 125 were first posted in 2026 and 30 in 2025. Only one dates to 2023. Our article on discontinued drugs on the shortage list looks at what those notices cover.
What form the current shortages take
| Dosage form (current shortages) | Drugs | Share of 69 |
|---|---|---|
| Injection | 49 | 71% |
| Tablet (including extended-release) | 6 | 9% |
| Capsule | 3 | 4% |
| Powder for solution | 2 | 3% |
| Other forms, one each: chewable tablet, extended-release film, oral solution, oral suspension, ophthalmic ointment, ophthalmic solution, spray, concentrate, irrigant | 9 | 13% |
Source: GxRadar analysis of openFDA shortage records1, Nov. 3, 2026. Each drug carries one dosage form in this snapshot.
A 71% injectable share is not new. FDA's 2013 strategic plan7 said shortages "predominantly affect sterile injectable products." An HHS analysis9 found that 74% of 2010 shortages involved sterile injectables, and FDA's 2019 root-cause report6 found that 63% of 163 drugs that went into shortage from 2013 to 2017 were given by injection. The two powders on the list, cefotaxime and streptozocin, are also reconstituted for injection, so the practical share is higher. Our explainer on why sterile injectables dominate shortage lists covers the economics.
Discontinuations look different. Injections are 58 of its 156 entries, or 37%, while tablets and capsules of all kinds account for 62.
Therapeutic areas
FDA tags each shortage with one or more therapeutic categories. The FAQ2 says the tag describes "labeled indications and populations in which the drug is commonly used" and "does not indicate FDA approved status." Forty-five of the 69 current shortages carry one tag; the rest carry two to 10, so shares sum to more than 100%.
| FDA category | Current shortages | Share of 69 |
|---|---|---|
| Pediatric | 17 | 25% |
| Analgesia/Addiction | 11 | 16% |
| Anesthesia | 10 | 14% |
| Gastroenterology | 10 | 14% |
| Cardiovascular | 9 | 13% |
| Other | 9 | 13% |
| Endocrinology/Metabolism | 8 | 12% |
| Neurology | 8 | 12% |
| Oncology | 8 | 12% |
| Anti-Infective | 7 | 10% |
| Psychiatry | 7 | 10% |
Source: GxRadar analysis of openFDA shortage records1, Nov. 3, 2026. Eight smaller categories, from rheumatology to medical imaging, account for 17 more tags.
Fourteen of the 17 pediatric-tagged shortages are injections. All seven psychiatry-tagged shortages are oral, and five of them are stimulants used for attention-deficit disorders, a group shaped by federal production quotas as described in our piece on DEA quotas and shortages. Our October breakdown, shortages by therapeutic area, adds median durations by category.
The reasons FDA records
The statute behind the list3 tells FDA to give a reason for each shortage, chosen from seven categories, from good manufacturing practice problems to "demand increase for the drug." In practice the most common entries are outside that list.
| Reason recorded (current shortages) | Drugs | Share |
|---|---|---|
| Other | 30 | 43% |
| Demand increase for the drug | 15 | 22% |
| Not stated | 7 | 10% |
| Discontinuation of the manufacture of the drug | 6 | 9% |
| Delay in shipping of the drug | 4 | 6% |
| Shortage of an active ingredient | 3 | 4% |
| Requirements related to complying with good manufacturing practices | 3 | 4% |
| Regulatory delay | 1 | 1% |
Source: GxRadar analysis of openFDA shortage records1, Nov. 3, 2026. Shares do not sum to 100 because of rounding.
Only three current shortages are attributed to manufacturing-quality requirements, though FDA's FAQ2 says "manufacturing quality issues are the most common reason for drug shortages." The gap between the two is the subject of our analysis of shortage reasons in FDA data. Of the 15 demand-driven entries, 14 are injectables or injectable powders, including dexamethasone, lidocaine, midazolam and sterile water.
How long they have lasted
| Time since first posting | Current shortages |
|---|---|
| Under 1 year | 4 |
| 1 to 3 years | 8 |
| 3 to 5 years | 29 |
| 5 to 10 years | 22 |
| 10 years or more | 6 |
Source: GxRadar analysis of openFDA1 first-posted dates, measured to Nov. 3, 2026. Median: 1,710 days.
Six shortages predate 2017. Atropine and fentanyl injections were first posted Jan. 1, 2012; lidocaine injection and lidocaine with epinephrine followed on Feb. 22, 2012. The newest current entry, pentostatin injection, was posted Aug. 27, 2026, and four in all were first posted in 2026. Our piece on how long drug shortages last tracks these durations over time.
Duration and availability are separate measures. FDA's FAQ warns that an "available" status "is not an FDA determination that the shortage has been resolved." In this snapshot, 49 current shortages had a most-reported status of available, six limited, and 14 unavailable, including carboplatin, ketorolac and valproate injections and quinapril tablets.
How this compares with FDA's annual count
FDA's own year-end figure is broader. The agency reported 93 ongoing shortages at the end of 2025, 71 tracked by its drug center and 22 by its biologics center, according to its CY 2025 report to Congress5. The openFDA feed used here covers the drug center's list. FDA counted 15 new shortages in 2024, according to its CY 2024 report8, and only four in 2025, the lowest in a decade. That fits a list that is aging more than it is growing. FDA's next annual report, covering 2026, is due by March 31, 2027.
Sources and notes
- openFDA (2026). Drug shortages API: documentation
open.fda.gov/apis/drug/drugshortages/ - FDA (2024). Frequently Asked Questions about Drug Shortages
www.fda.gov/drugs/drug-shortages/frequently-asked-questions-about-drug-shortages - US Code (2023). 21 U.S.C. 356e, Drug shortage list
www.govinfo.gov/content/pkg/USCODE-2023-title21/html/USCODE-2023-title21-chap9-subchapV-pa - US Code (2023). 21 U.S.C. 356c, Discontinuance or interruption in the production of life-saving drugs
www.govinfo.gov/content/pkg/USCODE-2023-title21/html/USCODE-2023-title21-chap9-subchapV-pa - FDA (2026). Report to Congress: Drug Shortages, CY 2025
www.fda.gov/media/193637/download - FDA (2019). Drug Shortages: Root Causes and Potential Solutions
www.fda.gov/media/131130/download - FDA (2013). Strategic Plan for Preventing and Mitigating Drug Shortages
www.fda.gov/media/86907/download - FDA (2025). Report to Congress: Drug Shortages, CY 2024
www.fda.gov/media/189325/download - ASPE (2011). Economic Analysis of the Causes of Drug Shortages (issue brief)
aspe.hhs.gov/sites/default/files/migrated_legacy_files//57791/ib.pdf
Superscript numbers in the text link to these sources. GxRadar data (NADAC histories, recall and shortage counts) come from CMS and FDA files described on the sources page. Researched and drafted with AI tools from the sources above and checked with automated and AI-assisted review; not individually reviewed by a pharmacist or physician. Information current as of Nov 3, 2026 and may change. Spot an error? Report it and it will be corrected once confirmed.
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