The commitment to Zosyn ( p i p e ra c i l l i n / ® tazobactam) continues with Pfizer Injectables ZOSYN ® (piperacillin and tazobactam for Injection, USP) The Solution You Demand The demand for ZOSYN is up across US markets Extended Units (per 1,000) 30 April 2010 May 2010 June 2010 25 20 2,421 Vials 15 10 5 1,270 Bags 1,425 Vials 1,396 Bags 0 1,610 Vials 1,454 Bags Source: IMS Health MIDASTM MAT Q2 2010 Pfizer Injectables is helping hospital after hospital meet its needs for ZOSYN. Count on Pfizer Injectables for your supply of premixed Galaxy® Frozen Bags, bulk vials, or single-dose vials. Important Safety Information • ZOSYN is contraindicated in patients with a history of allergic reactions to any of the penicillins, cephalosporins, or ß-lactamase inhibitors • Careful inquiry should be made concerning previous hypersensitivity reaction, as serious and occasionally fatal anaphylactic/anaphylactoid reactions (including shock) have been reported in patients receiving therapy with penicillins including ZOSYN • While ZOSYN possesses the characteristic low toxicity of the penicillin group of antibiotics, periodic assessment of organ system functions, including renal, hepatic, and hematopoietic, during prolonged therapy is advisable • Clostridium difficile–associated diarrhea (CDAD) has been reported with use of nearly all antibacterial agents, including ZOSYN, and may range in severity from mild diarrhea to fatal colitis • The most commonly reported adverse events in clinical trials, irrespective of relationship to therapy, included diarrhea (11.3%), headache (7.7%), constipation (7.7%), nausea (6.9%), and insomnia (6.6%) (continued) Please see full Prescribing Information for ZOSYN Vials, ZOSYN Bulk Vials, and ZOSYN Frozen Bags. Galaxy is a registered trademark of Baxter Healthcare Corporation, Round Lake, IL. Pfizer Injectables: The Supplier You Can Count On Single- and Bulk-Use Vials The Galaxy® Frozen Bag 2.25, 3.375, and 4.5 g trays of 10; 40.5 g bulk pharmacy vial (1’s) 2.25 and 3.375 g packages of 24; 4.5 g packages of 12 Supplying versatile products when you need them Pfizer Injectables has a dedicated API source and manufacturing facilities for ZOSYN. As the only supplier to serve the US market with both ZOSYN vials and frozen bags, Pfizer Injectables brings a commitment to reliable manufacturing, customer-focused flexibility, and a heritage of quality, making us the solution to your supply needs. ZOSYN with sodium citrate and edetate disodium dihydrate (EDTA) has the following characteristics1: • Compliant with USP Chapter <788> (particulate matter) • Tolerant to variability in pH and metal ion concentrations of commercial solutions used in clinical settings • Compatible with lactated Ringer’s solution • Compatible with aminoglycosides amikacin or gentamicin via Y-site infusion at specific doses and specific concentrations, and with certain diluents ZOSYN is not compatible with tobramycin for simultaneous coadministration via Y-site infusion. Compatibility of ZOSYN with other aminoglycosides has not been established. Only the concentration and diluents for amikacin or gentamicin with the dosages of ZOSYN listed in the full Prescribing Information have been established as compatible for coadministration via Y-site infusion. Simultaneous coadministration via Y-site infusion in any manner other than listed in the full Prescribing Information may result in inactivation of the aminoglycoside by ZOSYN. Galaxy is a registered trademark of Baxter Healthcare Corporation, Round Lake, IL. www.pfizerinjectables.com ZOSYN ® (piperacillin and tazobactam for Injection, USP) Pfizer Injectables: Your Solution to Continued Care Helping treat nosocomial pneumonia ZOSYN is indicated for the treatment of nosocomial pneumonia (moderate to severe) caused by piperacillinresistant, ß-lactamase-producing strains of Staphylococcus aureus and by piperacillin/tazobactam-susceptible Acinetobacter baumannii, Haemophilus influenzae, Klebsiella pneumoniae, and Pseudomonas aeruginosa (nosocomial pneumonia caused by P aeruginosa should be treated in combination with an aminoglycoside). Order today from your wholesaler Product Name NDC # Potency 0206-8852-16 2.25 g Vial Zosyn® for Injection 0206-8854-16 3.375 g Vial GLUTEN GLUTEN FREEFREE LATEX LATEX FREEFREE PRESERVATIVE FREEFREE PRESERVATIVE 0206-8855-16 4.5 g Vial 0206-8859-10 40.5 g Pharmacy Bulk Vial I.V. Solutions 0206-8860-02 2.25 g Galaxy Bag GLUTEN FREE LATEX FREE PRESERVATIVE FREE 0206-8861-02 3.375 g Galaxy Bag 0206-8862-02 4.5 g Galaxy Bag Package Size Packages Amerisource Per Case Bergen Cardinal HD Smith McKesson Morris Dickson 10’s 10’s 12’s 1’s 10 10 10 18 052946 053076 053203 053304 3705548 3705555 3705563 3705605 1878024 1878040 1878065 1878081 1798594 1798628 1799154 1799162 665695 660142 660159 667832 24’s 24’s 12’s 24 24 12 053328 053350 053393 3707452 3707502 3707536 1878610 1878628 1878636 2117455 2119394 2118578 208231 208249 208256 Call Customer Service at 800.533.4535, or visit www.pfizerinjectables.com for more information on how to order. To order ZOSYN vials, please contact a Customer Service Representative at 800.964.6374. For more information on ordering ZOSYN in Frozen Galaxy Bags, contact Customer Service at 800.422.9837. Important Safety Information (cont’d) • The most commonly reported adverse events in clinical trials of ZOSYN (4.5 g every 6 hours) plus an aminoglycoside included diarrhea (17.6%), fever (2.7%), vomiting (2.7%), urinary tract infection (2.7%), and rash (2.3%) • Like all ß-lactams, ZOSYN is not a suitable agent for strains of methicillin-resistant Staphylococcus. If MRSA or MRSE is suspected, the addition of an appropriate agent such as vancomycin may be warranted • To reduce the development of drug-resistant bacteria and maintain the effectiveness of ZOSYN and other antibacterial drugs, ZOSYN should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria • Initial presumptive treatment of patients with nosocomial pneumonia should start with ZOSYN at a dosage of 4.5 g every 6 hours plus an aminoglycoside. If P aeruginosa is not isolated, the aminoglycoside may be discontinued at the discretion of the treating physician Please see full Prescribing Information for ZOSYN Vials, ZOSYN Bulk Vials, and ZOSYN Frozen Bags. Galaxy is a registered trademark of Baxter Healthcare Corporation, Round Lake, IL. Reference: 1. Data on file, Wyeth Pharmaceuticals, Inc., a subsidiary of Pfizer Inc. www.pfizerinjectables.com © 2010 Pfizer Inc Printed in USA 100 Route 206 North, Peapack, NJ 07977 All rights reserved. November 2010 USI00187B