About 40,000 people with high blood pressure and heart failure could be sent back to their doctor to have their prescription changed because of a worldwide shortage of the drug Betaloc.
Pharmac chief executive Wayne McNee said manufacturer Astra-Zeneca had struggled to supply pharmacists with the beta blocker for the past two months.
People were being sent back to their doctor who had to prescribe another drug. Several other drugs could be substituted but a second visit to the doctor could be highly inconvenient, he said.
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