BETHESDA, MD 13 May 2009—Repackager A-S Medications Solutions LLC on May 11 announced it was recalling all 0.25-mg digoxin tablets the company distributed before March 31 with the National Drug Code 54569-5758-0 and an expiration date of August 2011 or earlier.

The tablets, the company said, had been manufactured by generic drug maker Caraco Pharmaceutical Laboratories Ltd. and may not be of uniform size, raising the possibility that the amount of digoxin per tablet varies.

A-S Medications Solutions spokesman Bill Norkus said the tablets being recalled by his company have labeling bearing the name of the manufacturer, Caraco, and the name of the repackager, Allscripts. The medications repackaging business of Allscripts was bought by A-S Medications Solutions earlier this year, he explained.

Manufacturer Caraco on March 31 announced it was recalling all Caraco-brand digoxin tablets. Those tablets have a National Drug Code that begins with the numerical sequence 57664.

A-S Medications Solutions's recall applies only to 0.25-mg digoxin tablets. The company repackages 0.125-mg digoxin tablets but bought those from a firm other than Caraco, Norkus said.

Norkus said his company sells repackaged medications primarily to physician offices.