HELIUM, OXYGEN  - oxygen and helium gas 
AIRGAS USA, LLC

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Compressed Gas, N.O.S

(80% Helium USP 20% Oxygen USP)

UN1956

RX only: CAUTION:Federal law prohibits dispensing without prescription. WARNING: Administration of this gas mixture may be hazardous or contraindicated. For use only by or under the supervision of a licensed practitioner who is experienced in the use and administration of gas mixtures, and is familiar with the indications, effects, dosages, methods, and frequency and duration of administration, and with the hazards, contraindications and side effects and the precautions to be taken. CAUTION: HIGH PRESSURE GAS. MIXTURES CONTAINING LESS THAN 19.5% OXYGEN MAY CAUSE RAPID SUFFOCATION. Store and use with adequate ventilation. Keep oil and grease away. Use only with equipment cleaned for oxygen service and rated for cylinder pressure. Use a back flow preventive device in the piping. Cylinder temperature should not exceed 52˚C (125˚F). Open valve slowly. Close valve after each use and when empty. Use in accordance with the Material Safety Data Sheet (MSDS). FIRST AID: IF INHALED, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Call a physician.

Helium CAS: 7740-59-7

Oxygen CAS: 7782-44-7

DO NOT REMOVE THIS PRODUCT LABEL

Airgas Puritan Medical
Distributed By: AIRGAS USA, LLC Radnor, PA

837137 (R 11/11)image of 80 helium, 20 oxygen label


HELIUM, OXYGEN 
helium, oxygen gas
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:11054-041
Route of AdministrationRESPIRATORY (INHALATION)DEA Schedule    
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Oxygen (Oxygen) Oxygen200 mL  in 1 L
Helium (Helium) Helium800 mL  in 1 L
Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMultilevel Packaging
1NDC:11054-041-01300 L in 1 CYLINDERNone
2NDC:11054-041-02500 L in 1 CYLINDERNone
3NDC:11054-041-032260 L in 1 CYLINDERNone
4NDC:11054-041-044000 L in 1 CYLINDERNone
5NDC:11054-041-054500 L in 1 CYLINDERNone

Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved medical gas10/14/1997

Labeler - AIRGAS USA, LLC (078301808)
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NameAddressID/FEIOperations
AIRGAS USA, LLC829050819manufacture
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NameAddressID/FEIOperations
AIRGAS USA, LLC968794425manufacture
Establishment
NameAddressID/FEIOperations
AIRGAS USA, LLC003324498manufacture
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AIRGAS USA, LLC032547507manufacture
Establishment
NameAddressID/FEIOperations
AIRGAS USA, LLC947401071manufacture
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NameAddressID/FEIOperations
AIRGAS USA, LLC827455648manufacture
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NameAddressID/FEIOperations
AIRGAS USA, LLC017427142manufacture
Establishment
NameAddressID/FEIOperations
AIRGAS USA, LLC949045181manufacture
Establishment
NameAddressID/FEIOperations
AIRGAS USA, LLC113526545manufacture
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NameAddressID/FEIOperations
AIRGAS USA, LLC602249583manufacture
Establishment
NameAddressID/FEIOperations
AIRGAS USA, LLC833002020manufacture
Establishment
NameAddressID/FEIOperations
AIRGAS USA, LLC833002111manufacture
Establishment
NameAddressID/FEIOperations
AIRGAS USA, LLC072198059manufacture

Revised: 10/2012 AIRGAS USA, LLC