Hospital medication shortages in the United States are associated with decreased quality and/or quantity of life.1,2 In severe cases, shortages require clinicians to decide which patients receive needed medications and which do not (ie, rationing drugs between patients).3 Previous studies have proposed ethical allocation frameworks and assessed the associations of specific shortages.2,4,5 We conducted a national survey of hospital pharmacy managers to investigate current drug allocation and rationing practices of US hospitals during shortages.