Independent register of U.S. FDA drug recalls · updated Oct 11, 2026
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Sterility & contamination

A product that must be sterile could not be assured sterile, or was contaminated. A top reason for injectables, eye drops and IV products - loss of sterility assurance can lead to serious infections.

6,317 FDA drug recalls with this cause, newest first.

This is the single biggest cause in the register by a wide margin. It covers products that had to be sterile - injectables, eye drops, certain ointments - but could not be verified sterile, or were found contaminated during testing. Most of these recalls come from compounding pharmacies and outsourcing facilities after an FDA inspection finds gaps in how sterile products were made. Sterility failures are treated seriously because the products involved have the least room for error, going straight into the bloodstream or the eye.

Class II · Moderate risk

Hydroxocobalamin

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1392-2015
Class II · Moderate risk

Doxycycline/0.9 % NaCl 100 mg/100 mL IV

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1390-2015
Class II · Moderate risk

Tobramycin 14 mg/mL Ophthalmic Solution

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1389-2015
Class II · Moderate risk

Doxcycline/0.9% NaCl 150 mg/150 mL IV

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1388-2015
Class II · Moderate risk

Vancomycin 25 mg/mL Opthalmic Solution

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1387-2015
Class II · Moderate risk

Papaverine/Phentolamine/PGE-1 Injectable

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1386-2015
Class II · Moderate risk

Papaverine/Phentolamine/PGE-1 Injectable

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1385-2015
Class II · Moderate risk

Papaverine/Phentolamine/PGE-1 Injectable

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1384-2015
Class II · Moderate risk

Methylcobalamin 5000 mcg/mL Injectable

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1382-2015
Class II · Moderate risk

Papaverine/Phentolamine/PGE-1 Injectable

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1381-2015
Class II · Moderate risk

Cyanocobalamin 500 mcg/mL Injectable

Lack of Assurance of Sterility: Process deficiencies were observed in the sterile ophthalmic and injectable products that could have compromised the sterility of the product.

Terminated Sterility / contamination Liberty Drug & Surgical D-1380-2015
Class II · Moderate risk

Trypan Blue 0.3%

Lack of Assurance of Sterility: Aluminum crimps do not fully seal the rubber stopper to the vials.

Terminated Sterility / contamination Vital Care Compounder D-1056-2016
Class II · Moderate risk

Brilliant Blue G BBG

Lack of Assurance of Sterility: Aluminum crimps do not fully seal the rubber stopper to the vials.

Terminated Sterility / contamination Vital Care Compounder D-1055-2016
Class II · Moderate risk

Methylcobalamin 5

Lack of Assurance of Sterility: Aluminum crimps do not fully seal the rubber stopper to the vials.

Terminated Sterility / contamination Vital Care Compounder D-1054-2016
Class II · Moderate risk

Tri-Mix T-106

Lack of Assurance of Sterility; FDA inspection identified GMP violations potentially impacting product quality and sterility

Terminated Sterility / contamination The Compounding Pharmacy of America D-1807-2015
Class II · Moderate risk

Tri-Mix T-105

Lack of Assurance of Sterility; FDA inspection identified GMP violations potentially impacting product quality and sterility

Terminated Sterility / contamination The Compounding Pharmacy of America D-1806-2015
Class II · Moderate risk

Tri-Mix T-102

Lack of Assurance of Sterility; FDA inspection identified GMP violations potentially impacting product quality and sterility

Terminated Sterility / contamination The Compounding Pharmacy of America D-1804-2015