An aseptically prepared pharmaceutically acceptable
azithromycin premix formulation has a pH value of 5.5 to 7.5, preferably 6.0 to 7.0, more preferably 6.3 to 7.0, even more preferably 6.3 to 6.7, for example about 6.5. Preferred embodiments of the aseptically prepared pharmaceutically acceptable
azithromycin premix formulation contain
azithromycin, a
buffering agent, water and optionally a
tonicity adjusting agent and are stable for one month, three months, six months, nine months, twelve months, fifteen months, eighteen months or even twenty-four months, during storage at refrigerated temperatures, such as about 5° C., even without any additional components beyond the azithromycin, the
buffering agent, and the optional
tonicity adjusting agent in the premix formulation. The pharmaceutically acceptable azithromycin premix formulation may be aseptically filled into a container, preferably a glass or flexible container, to form a sterile pharmaceutical azithromycin premix product which does not undergo
terminal sterilization. The azithromycin premix product can be a
single use premix which is a sterile, stable and ready-to-use
aqueous solution for parenteral administration, for example intravenous (IV) administration such as
IV infusion, and requires no
dilution prior to parenteral administration.