GOODSENSE ARTIFICAL TEARS- polyvinyl alcohol, and povidone solution/ drops 
Proficient Rx LP

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Active ingredients                                  Purpose

Polyvinyl alcohol 0.5%............................Lubricant

Povidone 0.6%......................................Lubricant

Uses

For the temporary relief of burning & irritation due to dryness of the eye
For use as a protectant against further irritation or to relieve dryness of the eye

Warnings

For external use only.

Do not use

if solution changes color or becomes cloudy.

When using this product

to avoid contamination, do not touch tip to any surface
replace cap after using

Stop use and ask a doctor if

you experience eye pain
you experience changes in vision
you experience continued redness or irritation of the eye
the condition worsens
symptoms last for more than 72 hours

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

Directions

Instill 1 or 2 drops in the affected eye(s) as needed.
store at room temperature
remove contact lenses before using

Inactive ingredients

benzlkonium chloride, dibasic sodium phosphate hydrate, edetate disodium, glucose, hydrochloric acid, monobasic sodium phosphate, potassium chloride, purified water, sodium bicarbonate, sodium chloride, sodium citrate hydrate, sodium hydroxide

Distributed by:

Geiss, Destin & Dunn, Inc.

Peachtree, City, GA 30269

www.valuelabels.com

1-866-696-0957

Made in Korea

Relabeled by:

Proficient Rx LP

Thousand Oaks, CA 91320

63187-893-15
GOODSENSE ARTIFICAL TEARS 
polyvinyl alcohol, and povidone solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:63187-893(NDC:50804-017)
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYVINYL ALCOHOL, UNSPECIFIED (UNII: 532B59J990) (POLYVINYL ALCOHOL - UNII:532B59J990) POLYVINYL ALCOHOL, UNSPECIFIED0.05 g  in 1 mL
POVIDONE, UNSPECIFIED (UNII: FZ989GH94E) (POVIDONE - UNII:FZ989GH94E) POVIDONE, UNSPECIFIED0.06 g  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
SODIUM PHOSPHATE, DIBASIC, DIHYDRATE (UNII: 94255I6E2T)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
HYDROCHLORIC ACID (UNII: QTT17582CB)  
SODIUM PHOSPHATE, MONOBASIC, DIHYDRATE (UNII: 5QWK665956)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:63187-893-151 in 1 PACKAGE08/01/2017
115 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01804/04/2016
Labeler - Proficient Rx LP (079196022)
Establishment
NameAddressID/FEIBusiness Operations
Proficient Rx LP079196022RELABEL(63187-893)

Revised: 2/2024
Document Id: a007cd3d-ee83-43b6-bbb5-7fcb33435c0a
Set id: cd24da78-fd90-4a9c-8e5f-f7fc56ec0fc9
Version: 4
Effective Time: 20240201
 
Proficient Rx LP