Independent register of U.S. FDA drug recalls · updated Oct 10, 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

Sodium Tetradecyl Sulfate for Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-293-2013
Class II · Moderate risk

Triamcinolone Acetonide Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-291-2013
Class II · Moderate risk

Triamcinolone Diacetate Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-290-2013
Class II · Moderate risk

QuadMix Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-287-2013
Class II · Moderate risk

Quadmix Custom Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-285-2013
Class II · Moderate risk

BiMix Plus Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-284-2013
Class II · Moderate risk

BiMix Standard Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-283-2013
Class II · Moderate risk

Trimix Customs Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-282-2013
Class II · Moderate risk

Mono-mix (Prostaglandin)

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-281-2013
Class II · Moderate risk

Phosphatidylcholine Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-279-2013
Class II · Moderate risk

Cyclosporin

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-278-2013
Class II · Moderate risk

Progesterone in Olive Oil Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-277-2013
Class II · Moderate risk

Methylcobalamin and Folic Acid Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-276-2013
Class II · Moderate risk

Cyanocobalamin

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-275-2013
Class II · Moderate risk

Triamcinolone Hexacetonide Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-274-2013
Class II · Moderate risk

Betamethasone Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-273-2013
Class II · Moderate risk

Sodium Tetradecyl Sulfate Injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-272-2013
Class II · Moderate risk

Methylprednisolone Acetate injectable Balanced Solutions

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-271-2013
Class II · Moderate risk

TriMix Standartd

Lack of Assurance of Sterility:All sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

Terminated Sterility / contamination Axium Healthcare Pharmacy dba Balanced Solutions Compounding D-270-2013