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Recall data is sourced from official U.S. government agencies (CPSC, FDA, NHTSA, USDA) and processed using AI to improve readability. This site is not affiliated with or endorsed by any government agency. Always refer to the original agency notice for authoritative information.

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Critical RiskFDA Drug
Medications & Supplements/Prescription Drugs

Astagraf XL and Prograf Capsules Recalled for Potential Empty Capsules

Agency Publication Date: January 29, 2025
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Summary

Astellas Pharma US Inc. is recalling 17,840 bottles of Astagraf XL (tacrolimus extended-release) and Prograf (tacrolimus) capsules because bottles shipped to the USA may contain empty capsules. These medications are used to prevent organ rejection in transplant patients. Patients who receive an empty capsule will effectively miss a dose of their medication.

Risk

Missing doses of tacrolimus can lead to under-dosing and low blood levels of the drug, which increases the risk of organ transplant rejection. No specific injuries or incidents were reported in the recall data.

What You Should Do

  1. This recall affects Astagraf XL 0.5 mg (30-count bottles, NDC 0469-0647-73, Lot 0R3092A) and Prograf 0.5 mg (100-count bottles, NDC 0469-0607-73, Lot 0E3353D). Both affected lots have an expiration date of 03/31/2026.
  2. If you have health concerns or believe you may have taken an empty capsule, contact your healthcare provider or pharmacist immediately.
  3. Return any unused product from these specific lots to the place of purchase for a refund, throw it away, or contact Astellas Pharma US Inc. for further instructions.
  4. Call the FDA Consumer Complaint hotline at 1-888-723-3332 (1-888-SAFEFDA) for additional questions.

Your Remedy Options

You have 2 options:

💰Option 1: Full Refund
How to: Contact your healthcare provider or pharmacist for guidance, or return any unused product to the place of purchase for a refund
🗑️Option 2: Dispose of Product
How to: Throw the product away. For prescription medications, a DEA take-back location or pharmacy mail-back program is preferred when available.

Affected Products

Product: Astagraf XL (tacrolimus extended-release capsules) 0.5 mg (30-count bottles)
Variants: 0.5 mg, 30-count bottle
Lot Numbers:
0R3092A (Exp 03/31/2026)
NDC:
0469-0647-73

Product of Japan

Product: Prograf (tacrolimus) capsules, USP, 0.5 mg (100-count bottle)
Variants: 0.5 mg, 100-count bottle
Lot Numbers:
0E3353D (Exp 03/31/2026)
NDC:
0469-0607-73

Product of Japan

Product Images

Image 1: “Label for Prograf (tacrolimus) capsules, USP, 0.5 mg, 100 capsules”

Image 1: “Label for Prograf (tacrolimus) capsules, USP, 0.5 mg, 100 capsules”

Image 2: “Label for Astagraf XL (tacrolimus extended-release capsules) 0.5 mg, 30 capsules”

Image 2: “Label for Astagraf XL (tacrolimus extended-release capsules) 0.5 mg, 30 capsules”

Additional Information

Agency: Food and Drug Administration (FDA)
Event ID: 96008
Status: Active
Manufacturer: Astellas Pharma US Inc.
Sold By: Pharmacies; Healthcare providers
Manufactured In: Japan
Units Affected: 2 products (3,500 30-count bottles; 14,340 100-count bottles)
Distributed To: Nationwide

Were You Affected by This Recall?

If you or a family member were harmed by this recalled product, you may have legal rights. Consider consulting a consumer protection attorney to understand your options for compensation.

Find an Attorney

This is general information, not legal advice. Go Backs is not a law firm and does not provide legal services.

AI-Enhanced Content: The summary, action steps, and risk assessment on this page were generated by AI from official government recall data to improve readability. This is not legal or medical advice. Always refer to the official agency sources below for authoritative information.

Sources: FDA iRES · FDA Press Release · Raw API Response

openFDA Disclaimer: This recall information is sourced from the openFDA API. Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Refer to the openFDA terms of service for more information.