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For the past few months, many members of our community have had trouble filling prescriptions for epinephrine auto-injectors. Some have been affected by shortages due to manufacturing issues. Others have been given one auto-injector when two have been prescribed, as decided by their insurance company. Families are walking away from pharmacies empty-handed, or driving miles out of their way to fill their prescriptions.

The drug epinephrine itself has not been in short supply. Yet these ongoing issues are preventing families of children with life-threatening food allergies from getting epinephrine. When families who manage food allergies are fearing for their children's lives because they can't get the medicine they need, our system is broken.

If action isn't taken soon, our community will be in crisis. The Asthma and Allergy Foundation of America (AAFA) and Kids With Food Allergies (KFA) sent a letter to the Department of Health and Human Services (HHS) to ask them to fix this system. 

Read the letter AAFA sent to the HHS

We have also written a letter families can send to the HHS about this issue. We ask you to sign this letter so we can show the HHS the impact of this issue. Our tool below makes it easy for you to send it as an email message – and you can personalize it by adding your story.

Dear Mr. Secretary:

I am writing to share my concerns about epinephrine auto-injector shortages.  My family is impacted by food allergies, which can lead to a life-threatening allergic reaction that requires immediate treatment with epinephrine. I am one of the many who have experienced potentially life-threatening fallout from the auto-injector shortages.

At least one insurance company has started rationing the prescriptions and only giving one dose instead of the prescribed two doses. I fear this type of practice will continue and spread. Please keep in mind the patient and caregiver perspective when dealing with anaphylaxis. It is important that people with food allergies have access to two doses of epinephrine at all times. If you have a child in school, you need to provide the school with two doses. You also need two doses for home and other locations.

Recently, the FDA took two actions but these actions may not be enough to help families like mine. The recent approval of a new generic epinephrine auto-injector won’t solve the current shortage since the manufacturer has not begun to supply this new generic version. The FDA provided for the extension of expiration dates on the EpiPen® 0.3mg dose but this does not help children who use the 0.15mg dose. Schools may be reluctant to accept expired medicines as well, so this is putting families in a very stressful situation.

There are only three options for epinephrine auto-injectors in the U.S. and at this time, there are roadblocks to access all three. Two of them have manufacturing shortages. The other option doesn’t have a shortage, but most insurance companies do not cover it and it is only available via a direct delivery system – meaning, my family can’t just go to the pharmacy and get this life-saving medicine today.

I respectfully request that the Department of Human and Health Services look at this shortage issue immediately. I am aware of the Asthma and Allergy Foundation of America’s outreach to your office and I encourage you to work with them and other stakeholders to come up with immediate solutions to open up access to epinephrine auto-injectors.

With just a few clicks, you can join us in urging the HHS to take further action on epinephrine access issues:

AAFA and its food allergy division (Kids With Food Allergies) are dedicated to improving the quality of life for people with asthma and allergic diseases through support, education, advocacy and research. We work to raise awareness and impact policy changes to help improve and save lives.

To support our work, please consider giving a donation.


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Thank you for writing this letter.

i do wish that even after this shortage that Auvi-q was covered by insurance.  The mechanism of delivery is easier and the verbal instructions are gold in a crisis- especially when others are caring for your child or even self injecting - having verbal instructions in a time of crisis makes a huge difference. 

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