SIGNATURE CARE ORIGINAL- oxymetazoline hydrochloride spray 
SAFEWAY, INC.

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Signature Care Original Nasal Spray 1oz

Active ingredient Purpose

Oxymetazoline hydrochloride 0.05%............ Nasal decongestant

Uses

Warnings

Ask a doctor before use if you have

When using this product

Stop use and ask a doctor if symptoms persist

If pregnant or breast-feeding, ask a health professional before use

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center (1-800-222-1222) right away

Directions

Other information

Inactive ingredients

benzalkonium chloride, benzyl alcohol, edetate disodium, polyethylene glycol 1500, povidone k30, purified water, sodium phosphate dibasic, sodium phosphate monobasic monohydrate

Distributed by:

Better Living Brands LLC

P.O. Box 99

Pleasanton, CA 94566-0009

Made in China

76095

SIGNATURE CARE ORIGINAL 
oxymetazoline hydrochloride spray
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21130-956
Route of AdministrationNASAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OXYMETAZOLINE HYDROCHLORIDE (UNII: K89MJ0S5VY) (OXYMETAZOLINE - UNII:8VLN5B44ZY) OXYMETAZOLINE HYDROCHLORIDE0.05 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
POVIDONE K30 (UNII: U725QWY32X)  
WATER (UNII: 059QF0KO0R)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
SODIUM PHOSPHATE DIBASIC DIHYDRATE (UNII: 94255I6E2T)  
POLYETHYLENE GLYCOL 1500 (UNII: 1212Z7S33A)  
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE (UNII: 593YOG76RN)  
BENZYL ALCOHOL (UNII: LKG8494WBH)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:21130-956-281 in 1 CARTON10/18/2023
130 mL in 1 BOTTLE, SPRAY; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01210/18/2023
Labeler - SAFEWAY, INC. (009137209)

Revised: 10/2023
Document Id: 08066632-3740-6360-e063-6294a90a2b5e
Set id: f7ad687b-dcaf-928c-e053-6294a90a6abe
Version: 2
Effective Time: 20231018
 
SAFEWAY, INC.