Metformin Hydrochloride Extended-Release Tablets, USP, 750 mg, 100 tablets per bottle, Rx Only, M...

FDA Drug Recall #D-0227-2021 — Class II — January 4, 2021

Recall Summary

Recall Number D-0227-2021
Classification Class II — Moderate risk
Date Initiated January 4, 2021
Status Ongoing
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm Nostrum Laboratories Inc
Location Kansas City, MO
Product Type Drugs
Quantity 6958 Bottles

Product Description

Metformin Hydrochloride Extended-Release Tablets, USP, 750 mg, 100 tablets per bottle, Rx Only, Manufactured by: Nostrum Laboratories, Inc., Kansas City, MO 64120, NDC: 29033-056-01

Reason for Recall

CGMP Deviations: detection of N-Nitrosodimethylamine (NDMA) impurity above the acceptable intake level

Distribution Pattern

Nationwide

Lot / Code Information

MET200501 07/2022

Other Recalls from Nostrum Laboratories Inc

Recall # Classification Product Date
D-0249-2021 Class II Metformin Hydrochloride Extended-Release Tablet... Jan 25, 2021
D-0068-2021 Class II Metformin Hydrochloride Extended-Release Tablet... Oct 23, 2020
D-0067-2021 Class II Metformin Hydrochloride Extended-Release Tablet... Oct 23, 2020
D-1059-2020 Class II Theophylline (Anhydrous) Extended-Release Table... Mar 6, 2020
D-0473-2018 Class III Calcium Acetate Capsules, 667 mg, 200 Capsules ... Feb 13, 2018

Frequently Asked Questions

cGMP stands for Current Good Manufacturing Practice — the FDA's regulations governing drug manufacturing quality. A cGMP recall means the company failed to follow required manufacturing standards. This could involve inadequate testing, poor environmental controls, documentation failures, or process deviations. cGMP recalls do not always mean the product is directly harmful — in many cases, quality records are insufficient to confirm the product meets specifications. However, the FDA requires a recall because without proper documentation, product quality cannot be assured. These are often Class II or Class III recalls.

Not necessarily. Many drug recalls are initiated because of quality system failures or test results that suggest a product might not meet specifications — even if no patients have reported harm. The FDA uses a precautionary approach: if there is reason to believe quality standards were not met, a recall is required regardless of whether adverse effects have been reported. Class I recalls typically involve a reasonable probability of harm; Class II recalls may cause temporary health issues; Class III recalls are for products unlikely to cause adverse health consequences but that still violate regulations.

Pharmacies typically receive recall notices directly from drug wholesalers and manufacturers within days of the recall being announced. Your pharmacist can look up whether any product in your prescription history matches a recalled lot number. For current recalls, the FDA publishes updates at FDA.gov/safety/recalls-market-withdrawals-safety-alerts and sends MedWatch email alerts for significant drug safety issues. You can sign up for MedWatch alerts at FDA.gov. Most major pharmacy chains also have their own recall notification systems that automatically alert pharmacists when a recalled product is in their inventory.

What Should You Do?

Stop using this medication if affected by this recall. Contact your pharmacist or prescribing doctor immediately for guidance. Do not flush medications — use a drug take-back program.