Independent register of U.S. FDA drug recalls · updated Oct 10, 2026
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Class I drug recalls - the high-risk category

Class I is the FDA's most serious recall category: a reasonable probability that using the product will cause serious health consequences or death. It is a small share of all recalls, but the one to check first if a medication you take appears here.

1,750 recalls, newest first.

Class I · High risk

TRESIBA (insulin degludec injection)

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-2662-90 D-0620-2021
Class I · High risk

TRESIBA FlexTouch

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-2660-90 D-0619-2021
Class I · High risk

NovoLog (Insulin aspart)

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-7501-90 D-0616-2021
Class I · High risk

NovoLog FlexPen

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-6339-90 D-0615-2021
Class I · High risk

Levemir FlexTouch

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-6438-90 D-0614-2021
Class I · High risk

Fiasp (insulin aspart injection)

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-3201-90 D-0613-2021
Class I · High risk

Fiasp PenFill

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-3205-91 D-0612-2021
Class I · High risk

Fiasp FlexTouch

Temperature Abuse: product samples were stored at temperatures below 32* F which is not in accordance with storage requirements that could cause a lack of efficacy and damage to the cartridge and pen-injectors.

Terminated Temperature excursion Novo Nordisk Inc NDC 0169-3204-90 D-0611-2021
Class I · High risk

ChloraPrep With Tint 2% w/v chlorhexidine gluconate

Microbial Contamination of Non-Sterile Product:.Product is being recalled because at labeled storage conditions of 30*C/75% Relative Humidity, growth of Aspergillus penicillioides, a type of fungus, resulted in a breach of the package integrity.

Terminated Microbial contamination CareFusion 213, LLC D-0346-2021
Class I · High risk

ChloraPrep One-Step 2% w/v chlorhexidine gluconate

Microbial Contamination of Non-Sterile Product.Product is being recalled because at labeled storage conditions of 30*C/75% Relative Humidity, growth of Aspergillus penicillioides, a type of fungus, resulted in a breach of the package integrity.

Terminated Microbial contamination CareFusion 213, LLC D-0345-2021
Class I · High risk

BD ChloraPrep Clear

Non-sterility.Product is being recalled because at labeled storage conditions of 30*C/75% Relative Humidity, growth of Aspergillus penicillioides, a type of fungus, resulted in a breach of the package integrity.

Terminated Sterility / contamination CareFusion 213, LLC NDC 54365-400-32 D-0343-2021
Class I · High risk

Durisan Antimicrobial Solutions

Microbial Contamination of Non-Sterile Products: firm's internal testing found certain lots of the product to be contaminated with Burkholderia contaminans and/or yeast and mold.

Terminated Microbial contamination Sanit Technologies, LLC dba Durisan D-0657-2021
Class I · High risk

Durisan Antimicrobial Solutions

Microbial Contamination of Non-Sterile Products: firm's internal testing found certain lots of the product to be contaminated with Burkholderia contaminans and/or yeast and mold.

Terminated Microbial contamination Sanit Technologies, LLC dba Durisan D-0656-2021
Class I · High risk

heal the world

Labeling Not Elsewhere Classified: Hand sanitizer packaged in containers resembling drinking water bottles.

Terminated Labeling / mix-up Pnhc, LLC. D-0365-2021
Class I · High risk

Acetaminophen

Labeling: Label Mix-up; The bottle of over-the-counter Acetaminophen 500mg Extra Strength, 100 count, included in Health Essential Kits, labeled incorrectly with a prescription drug label instead of an OTC drug label.

Terminated Labeling / mix-up A-S Medication Solutions LLC. D-0358-2021
Class I · High risk

Enoxaparin Sodium Injection

Labeling; Label Mixup; syringe barrels may contain markings for 100 mg/mL (corresponding to 100 mg/mL strength) instead of 150 mg/mL (corresponding to 120 mg/0.8mL strength)

Ongoing Labeling / mix-up Apotex Corp. NDC 60505-0796-4 D-0262-2021
Class I · High risk

Enoxaparin Sodium Injection

Labeling; Label Mixup; syringe barrels may containing markings for 150 mg/mL (corresponding to 120 mg/0.8mL strength) instead of 100 mg/mL markings (corresponding to 100 mg/mL strength)

Ongoing Labeling / mix-up Apotex Corp. NDC 60505-0795-4 D-0261-2021
Class I · High risk

Spironolactone Tablets

Labeling: Label Mix-Up - Prepackaged bottles labeled spironolactone 25 mg may contain spironolactone 50 mg tablets.

Ongoing Labeling / mix-up Bryant Ranch Prepack, Inc. dba BRP Pharmaceuticals NDC 63629-1064-01 D-0303-2021
Class I · High risk

Cisatracurium Besylate Injection

Labeling: Label mix-up: Carton of Cisatracurium Besylate Injection, USP was observed to contain ten vials mislabeled as Phenylephrine Hydrochloride Injection, USP, but confirmed to contain Cisatracurium

Terminated Labeling / mix-up Meitheal Pharmaceuticals Inc NDC 71288-712-05 D-0286-2021

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