HEALTH MART EYE DROPS ADVANCED RELIEF- tetrahydrozoline hydrochloride, polyethylene glycol 400, dextran 70, povidone solution/ drops
Strategic Sourcing Services LLC

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Health Mart Eye Drops Advanced Relief (PLD)

Active ingredients

Dextran 70 0.1%

Polyethylene glycol 400 1%

Povidone 1%

Tetrahydrozoline HCl 0.05%

Purpose

Dextran 70..........Eye lubricant

Polyethylene glycol 400.....Eye lubricant

Povidone.............Eye lubricant

Tetrahydrozoline HCl.....Redness reliever

Uses

relieves redness of the eye due to minor eye irritations
as a lubricant to prevent further irritation or to relieve dryness of the eye

Warnings

For external use only

Ask a doctor before use if you have narrow angle glaucoma

When using this product

pupils may become enlarged temporarily
to avoid contamination, do not touch tip of container to any surface. Replace cap after using
if solution changes color or becomes cloudy, do not use
overuse may product increased redness of the eye
remove contact lens before using

Stop use and ask a doctor if you experience

eye pain
changes in vision
continued redness or irritation of the eye, or if the condition worsens or persists for more than 72 hours

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

If pregnant or breastfeeding, ask a health professional before use

Directions

Instill 1 or 2 drops in the affected eye(s)up to four times daily.

Other information
Store at 15º-30ºC (59ª-86ºF)

Inactive ingredients

benzalkonium chloride, boric acid, edetate disodium, purified water, sodium borate, and sodium chloride.

Carton HMEyeDrAdvRel.jpg

Carton

HEALTH MART EYE DROPS ADVANCED RELIEF
tetrahydrozoline hydrochloride, polyethylene glycol 400, dextran 70, povidone solution/ drops

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:62011-0104
Route of Administration	OPHTHALMIC

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
TETRAHYDROZOLINE HYDROCHLORIDE (UNII: 0YZT43HS7D) (TETRAHYDROZOLINE - UNII:S9U025Y077)	TETRAHYDROZOLINE HYDROCHLORIDE	0.5 mg in 1 mL
POVIDONE (UNII: FZ989GH94E) (POVIDONE - UNII:FZ989GH94E)	POVIDONE	10 mg in 1 mL
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ)	POLYETHYLENE GLYCOL 400	10 mg in 1 mL
DEXTRAN 70 (UNII: 7SA290YK68) (DEXTRAN 70 - UNII:7SA290YK68)	DEXTRAN 70	1 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
BORIC ACID (UNII: R57ZHV85D4)
EDETATE DISODIUM (UNII: 7FLD91C86K)
WATER (UNII: 059QF0KO0R)
SODIUM BORATE (UNII: 91MBZ8H3QO)
SODIUM CHLORIDE (UNII: 451W47IQ8X)
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)

#	Item Code	Package Description	Marketing Start Date
Packaging
1	NDC:62011-0104-1	1 in 1 CARTON	03/01/2012
1		15 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	M018	03/01/2012	01/09/2024

Labeler - Strategic Sourcing Services LLC (116956644)

Registrant - KC Pharmaceuticals, Inc. (174450460)

Name	Address	ID/FEI	Business Operations
Establishment
KC Pharmaceuticals, Inc.		174450460	manufacture(62011-0104) , pack(62011-0104) , label(62011-0104)

Revised: 1/2024

Document Id: 0e8a96d5-c3e1-c4aa-e063-6394a90a5a15

Set id: 5a6be263-ebda-45fb-aa39-138b27ef7f89

Version: 4

Effective Time: 20240109

Strategic Sourcing Services LLC