The Recall Desk
SevereFDA (Drugs)·D-0210-2025·Announced 2025-02-05

FDA Class I Recall: Astagraf XL Immunosuppressant Capsules May Be Empty

Astellas Pharma is recalling Astagraf XL (tacrolimus) due to manufacturing defects; bottles shipped nationwide may contain empty capsules instead of medication.

What this means for you

Illness, injury, or structural failure has been reported. Stop using the product immediately and contact the manufacturer for a refund or repair.

Our severity reasoning: The FDA's Class I classification mandates a minimum severity score of 4. Empty capsules prevent patients from receiving their prescribed medication dose, creating a significant risk of therapeutic failure.

Plain-English summary

Astellas Pharma US Inc. is recalling Astagraf XL (tacrolimus extended-release capsules, 0.5 mg) due to failed capsule specifications. Bottles shipped to the United States may contain empty capsules instead of the medication.

The affected product is lot number 0R3092A with expiration date 03/31/2026. The recall involves 3,500 30-count bottles distributed nationwide. The FDA has classified this as a Class I recall.

Patients and caregivers with this product should contact their healthcare provider or pharmacy immediately to verify their medication supply and discuss any concerns.

The recalled product

Product
ASTAGRAF XL (TACROLIMUS EXTENDED-RELEASE CAPSULES)
Brand
ASTAGRAF XL
Manufacturer
Astellas Pharma US Inc.
Hazard
  • empty-capsules
  • dose-failure
  • manufacturing-defect

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (2)

  • Lot# 0R3092A
  • EXP 03/31/2026

Distribution

Distributed nationwide across the United States.