Company Announcement Date: March 04, 2020

FDA Publish Date: March 05, 2020

Product Type: Drugs

Reason for Announcement: Potential Presence of Small Particulates

Company Name: Hikma Pharmaceuticals USA Inc.

Brand Name: West-Ward

Product Description: Ketorolac Tromethamine Injection, USP 30mg/mL, 1 mL Vial

Company Announcement Date: March 04, 2020

FDA Publish Date: March 05, 2020

Product Type: Drugs

Reason for Announcement: Potential Presence of Small Particulates

Company Name: Hikma Pharmaceuticals USA Inc.

Brand Name: West-Ward

Product Description: Ketorolac Tromethamine Injection, USP 30mg/mL, 1 mL Vial/nSummary

Company Announcement

Hikma Pharmaceuticals PLC (Hikma, Group), today announces that its subsidiary Hikma Pharmaceuticals USA Inc. (formerly known as West-Ward Pharmaceuticals Corp.; “Hikma”) is voluntarily extending its previously-announced recall of certain lots (listed below) of Ketorolac Tromethamine Injection USP 30mg/mL, 1mL fill/2mL vials to the medical facility and retail levels. The product is being recalled due to the presence of small visible particulate matters of a gelatinous/oily nature that appear black in some of the recalled lots.

On December 23, 2019, Hikma voluntarily initiated a recall of this product to the direct customer level. In coordination with the U.S. Food and Drug Administration (FDA), Hikma is extending the recall to the medical facility and retail levels.

Administration of the affected product could potentially result in the deposition of particulates in the lungs of patients, which could result in multiple pulmonary microemboli with subsequent acute respiratory distress for patients receiving the drug intravenously.

Although Hikma has not received any reports of adverse events related to this issue, it is nonetheless extending its recall of these products out of an abundance of caution and to promote patient safety, which is Hikma’s highest priority.

The lots being recalled were manufactured between March 22, 2018, and February 21, 2019. Hikma investigated the cause of the problem and decided to suspend manufacturing of this product until an appropriate solution can be implemented to prevent recurrence.

Ketorolac Tromethamine Injection is a nonsteroidal anti-inflammatory drug (“NSAID”) that is indicated for the short-term (up to 5 days in adults) management of moderately severe acute pain that requires analgesia at the opioid level.

The affected lot numbers and expiration dates being recalled are as follows:

NDC Product Name and Strength Size Lot Number Expiration Date

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 038366 Mar-2020

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 048365 Apr-2020

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 048367 Apr-2020

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 078301 Jul-2020

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 078303 Jul-2020

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 118358 Nov-2020

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 019413 Jan-2021

0641-6042-25 Ketorolac Tromethamine Injection 30mg/mL 1mL Fill/2mL Vial 029353 Feb-2021

The product can be identified by name and NDC and lot codes, which are clearly stated on the product label, along with Hikma Pharmaceuticals USA Inc./West-Ward Pharmaceutical Corp.’s name and address. Images of the vial and shelf pack labels are included below:

The product was distributed to Hikma’s direct customers nationwide. Hikma notified its direct customers as part of the initial recall, asking them to contact medical and retail level facilities to locate and remove the recalled product from distribution channels and return the recalled lots to Hikma. Hikma is now asking customers at the medical and retail level facilities to locate and remove the recalled product from their channels and return the recalled lots to Hikma.

For recall inquiries, please contact Hikma using the information provided below:

Hikma Contact Contact Information Areas of Support

Hikma Pharmaceuticals USA Inc. – Customer Service (P): (800) 631-2174

(E): usrecall@hikma.com

(F): (732) 542-0940

Hours of operation, M-F: 8:00am-7pm (EST) Recall related inquires

Qualanex LLC (Hikma 3rd Party Recall Service Provider) Qualanex LLC

1410 Harris Road

Libertyville, IL 60048-2435

(E): recall@qualanex.com Product Returns

Consumers should contact their physician or healthcare provider if they have experienced any problems that may be related to taking or using this drug product.

Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax.

Complete and submit the report Online

Regular Mail or Fax: Download form or call 1- 800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178

This recall is being conducted with the knowledge of the U.S. Food and Drug Administration.

Enquiries:

Steve Weiss +1 732 720 2830/ +1 732 788 8279

David Belian +1 732 720 2814/ +1 848 254 4875

US Communications and Public Affairs uscommunications@hikma.com

About Hikma

Hikma helps put better health within reach every day for millions of people in more than 50 countries around the world. For more than 40 years, we've been creating high-quality medicines and making them accessible to the people who need them. Headquartered in the UK, we are a global company with a local presence across the United States (US), the Middle East and North Africa (MENA) and Europe, and we use our unique insight and expertise to transform cutting-edge science into innovative solutions that transform people's lives. We're committed to our customers, and the people they care for, and by thinking creatively and acting practically, we provide them with a broad range of branded and non-branded generic medicines. Together, our 8,600 colleagues are helping to shape a healthier world that enriches all our communities. We are a leading licensing partner, and through our venture capital arm, are helping bring innovative health technologies to people around the world. For more information, please visit: www.hikma.com