The Sotylize Shortage: Where Things Stand in 2026

If you rely on Sotylize (Sotalol hydrochloride oral solution) to manage your heart rhythm, you've likely dealt with the frustration of hearing "we don't have it" at the pharmacy. Sotalol oral solution has experienced intermittent supply issues in recent years, and patients understandably want to know: is it still in shortage?

In this article, we'll give you the latest information on Sotylize availability, explain what's driving the supply problems, and share practical steps you can take right now.

Is Sotylize Still in Shortage?

As of early 2026, Sotylize and generic Sotalol oral solution continue to experience intermittent availability issues. The drug has appeared on and off the FDA drug shortage list. While it's not currently listed as a nationwide shortage in all sources, real-world availability remains inconsistent — many pharmacies simply don't stock it, and those that do may face delays in restocking.

The key distinction: Sotalol tablets (generic 80 mg, 120 mg, 160 mg, and 240 mg) remain widely available and are not in shortage. The supply problem is specific to the oral solution formulation.

Why Is Sotylize Hard to Find?

Several factors contribute to the ongoing availability challenges:

• Limited manufacturers: Very few companies produce Sotalol oral solution compared to the dozens that make the tablet form
• Small market: The oral solution serves a niche patient population (primarily pediatric patients and those who can't swallow tablets), which makes it less profitable to produce
• Manufacturing disruptions: Any quality control issue or raw material shortage at even one manufacturer can significantly impact supply
• Low pharmacy stocking: Most retail pharmacies don't keep Sotylize on their shelves due to low demand, creating the impression of a shortage even when wholesale supply exists

For a deeper dive into these factors, read: Why Is Sotylize So Hard to Find?

How Much Does Sotylize Cost in 2026?

Cost is a significant factor for many patients dealing with Sotylize supply issues:

• Brand-name Sotylize oral solution: $300 to $600 for a 30-day supply without insurance
• Generic Sotalol oral solution: $150 to $350 for a 30-day supply
• Generic Sotalol tablets: $10 to $40 for a 30-day supply

If you have insurance, generic Sotalol tablets are typically covered as a Tier 1 or Tier 2 medication with low copays. The brand-name oral solution may require prior authorization, and some plans use step therapy — meaning they'll want you to try tablets first.

For detailed savings strategies, check out: How to Save Money on Sotylize in 2026.

New Options and Developments

There are a few developments worth knowing about:

• Compounding pharmacies can prepare Sotalol oral solution from raw ingredients when the manufactured product is unavailable. Ask your doctor about writing a prescription for a compounded preparation.
• Generic Sotalol oral solution availability has improved somewhat, giving patients an alternative to the brand-name Sotylize product.
• Tablet-splitting or crushing is sometimes discussed, but this should only be done under a doctor's or pharmacist's guidance, as Sotalol tablets are not specifically designed for this.

How to Find Sotylize in Stock Right Now

If you need Sotylize today, here are the most effective steps:

1. Use Medfinder to check real-time pharmacy availability near you
2. Call independent and specialty pharmacies — they're more likely to stock or quickly order niche medications
3. Contact compounding pharmacies if the manufactured product is unavailable
4. Start refills 7-10 days early to give your pharmacy time to source it
5. Ask your pharmacist to check with multiple wholesalers

For a complete guide with more tips, read: How to Find Sotylize in Stock Near You.

Final Thoughts

The Sotylize shortage situation in 2026 is not a full nationwide crisis, but it remains a real problem for patients who need the oral solution form of Sotalol. The best approach is to plan ahead, use tools like Medfinder, and stay in close communication with your cardiologist and pharmacist.

Never stop taking Sotalol suddenly without your doctor's guidance. Abruptly stopping a beta-blocker can cause rebound increases in heart rate and potentially dangerous arrhythmias. If you're running low and can't find your medication, call your doctor right away to discuss your options.

For information on alternative medications, see: Alternatives to Sotylize If You Can't Fill Your Prescription.