OXYGEN - oxygen gas 
Rice Home Medical LLC

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

----------

OXYGEN PURITY TAG

LOT NUMBER____ SERIAL NUMBER________ AMOUNT_____________ INS. LBS GALS LITERS CU FT

USP TESTS

TEST           ID        ODOR        ASSAY

LIMITS        OK        NONE        GREATER THAN OR EQUAL TO 99.2%

RESULTS __        _____            _______

FOR CUSTOMER USE TO DOCUMENT TESTS PERFORMED ON THIS VESSEL

METHOD OF ANALYSIS IS THE PARAMAGNETIC OXYGEN ANALYZER

MANUFACTURER __________  MODEL ________ CUSTOMER WITNESSED TESTS YES__ MO___  SUPPLIERS SIGNATURE _____________  DATE____ CUSTOMER'S SIGNATURE___________ DATE___________

LIQUID OXYGEN DELIVERY TAG  THIS VESSEL CONTAINS OXYGEN U.S.P. (SEE REVERSE SIDE FOR TEST RESULTS) OXYGEN PRODUCED BY THE AIR LIQUEFACTION PROCESS - MEDICAL GASES

PURITY TAG

PRODUCT WARNINGS

THIS VESSEL CONTAINS OXYGEN U.S.P. (SEE REVERSE SIDE FOR TEST RESULTS)  OXYGEN PRODUCED BY THE AIR LIQUEFACTION PROCESS.

OXYGEN 
oxygen gas
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:58977-001
Route of AdministrationRESPIRATORY (INHALATION)
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OXYGEN (UNII: S88TT14065) (OXYGEN - UNII:S88TT14065) OXYGEN99 L  in 100 L
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:58977-001-0121 L in 1 DEWAR
2NDC:58977-001-0231 L in 1 DEWAR
3NDC:58977-001-0336 L in 1 DEWAR
4NDC:58977-001-0441 L in 1 DEWAR
5NDC:58977-001-0546 L in 1 DEWAR
6NDC:58977-001-06169 L in 1 DEWAR
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved medical gas01/01/1998
Labeler - Rice Home Medical LLC (603626920)
Registrant - Rice Home Medical LLC (603626920)
Establishment
NameAddressID/FEIBusiness Operations
Rice Home Medical LLC603626920manufacture

Revised: 12/2011
Document Id: 87c40f6e-fd23-432e-8e61-8d404054c820
Set id: d6561a52-84b9-41cb-9a39-cf25a26c8060
Version: 2
Effective Time: 20111201
 
Rice Home Medical LLC