Independent register of U.S. FDA drug recalls · updated Oct 10, 2026
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Is Neostigmine recalled?

Not under an active recall. Neostigmine was recalled 30 times in the past — all now closed. Most recent: Nov 9, 2023.

Most common reason: Sterility / contamination (19 of these recalls)

Recalls are matched by product description. A recall usually affects specific lots, not every package of Neostigmine. “Active” means an FDA recall is still ongoing; “closed” means it was terminated or completed. Checked against openFDA on Oct 10, 2026.

Neostigmine recalls on record

none so far in 2026; 30 on record, newest first
Class II · Moderate risk

neostigmine 5 mg/5mL

Lack of assurance of sterility. Validation data for decontamination cycles is lacking.

Terminated Sterility / contamination Central Admixture Pharmacy Services, Inc. D-0982-2023
Class II · Moderate risk

Neostigmine Methylsulfate

Lack of Assurance of Sterility: FDA inspection found insufficient environmental controls, potential cross contamination and lack of product specific process validations that can result in a lack of sterility assurance.

Terminated Sterility / contamination Premier Pharmacy Labs Inc D-1422-2019
Class I · High risk

Neostigmine Methylsulfate Injection Solution

Labeling: Label Error on Declared Strength: syringes of Neostigmine Methylsulfate 1 mg per mL, 5 mg per 5 mL may be incorrectly labeled as Neostigmine Methylsulfate 1 mg per mL, 3 mg per 3 mL.

Terminated Labeling / mix-up Fagron Compounding Services LLC dba Fagron Sterile Services NDC 71266-2003-01 D-0911-2018
Class I · High risk

Neostigmine Methylsulfate Injection Solution

Labeling: Label Error on Declared Strength: syringes of Neostigmine Methylsulfate 1 mg per mL, 5 mg per 5 mL may be incorrectly labeled as Neostigmine Methylsulfate 1 mg per mL, 3 mg per 3 mL.

Terminated Labeling / mix-up Fagron Compounding Services LLC dba Fagron Sterile Services NDC 71266-2003-02 D-0910-2018
Class II · Moderate risk

NEOstigmine Methylsulfate

Lack of Assurance of Sterility:Microbial contamination was detected during routine testing of subsequent unreleased product lots due to interaction between the product syringe and tamper evident container closure, which may result in the potential introduction of microorganisms into the products.

Terminated Sterility / contamination Premier Pharmacy Labs Inc NDC 69623-234-14 D-0702-2018
Class II · Moderate risk

Neostigmine Methylsulfate 5 mg/5 mL

Lack of sterility assurance: Microbial growth detected during a routine simulation of the manufacturing process. No batches of distributed product have been identified as actually containing microorganisms.

Terminated Sterility / contamination SSM Health Care St. Louis DBA SSM St. Clare Health Center D-0141-2018
Class II · Moderate risk

Neostigmine Methylsulfate

Stability Date Doesn't Support Expiry: labeling error indicating a beyond use date that exceeds current stability data.

Terminated Stability / shelf life Premier Pharmacy Labs Inc NDC 69623-234-15 D-0129-2018