FAMILY WELLNESS ARTIFICIAL TEARS- polyvinyl alcohol, povidone solution/ drops 
Family Dollar Services, Inc.

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Family Wellness Artificial Tears 15mL (PLD)

Active ingredients

Polyvinyl alcohol 0.5%

Povidone 0.6%

Purposes

Lubricant

Lubricant

Uses

Warnings

For external use only

Do not use this product if

  • solution changes color or becomes cloudy

When using this product

  • remove contact lens before using
  • to avoid contamination, do not touch tip of container to any surface
  • replace cap after using. Keep container tightly closed.

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 the reach of children.

If accidentally swallowed, get medical help or contact a Poison Control Center (1-800-222-1222) immediately.

Directions

instill 1 or 2 drops in the affected eye(s) as needed

Other information

Inactive ingredients

benzalkonium chloride, dextrose, edetate disodium, potassium chloride, purified water, sodium bicarbonate, sodium chloride, sodium citrate, sodium phosphate dibasic, sodium phosphate monobasic

Questions or comments?

Call 1-888-527-4276

Family Wellness Artificial Tears 15mL

Family Wellness Artificial Tears 15mL

FAMILY WELLNESS ARTIFICIAL TEARS 
polyvinyl alcohol, povidone solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:55319-908
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POVIDONE (UNII: FZ989GH94E) (POVIDONE - UNII:FZ989GH94E) POVIDONE0.6 g  in 100 mL
POLYVINYL ALCOHOL, UNSPECIFIED (UNII: 532B59J990) (POLYVINYL ALCOHOL, UNSPECIFIED - UNII:532B59J990) POLYVINYL ALCOHOL, UNSPECIFIED0.5 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)  
SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
SODIUM PHOSPHATE, MONOBASIC (UNII: 3980JIH2SW)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
DEXTROSE (UNII: IY9XDZ35W2)  
SODIUM CITRATE (UNII: 1Q73Q2JULR)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:55319-908-011 in 1 BOX08/12/2023
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 DrugM01808/12/2023
Labeler - Family Dollar Services, Inc. (024472631)
Registrant - KC Pharmaceuticals, Inc. (174450460)
Establishment
NameAddressID/FEIBusiness Operations
KC Pharmaceuticals, Inc.174450460manufacture(55319-908) , pack(55319-908) , label(55319-908)

Revised: 12/2023
Document Id: 0d38267e-cdfa-a2c0-e063-6394a90ab84c
Set id: facd329b-1923-61df-e053-6294a90ab738
Version: 3
Effective Time: 20231223
 
Family Dollar Services, Inc.