Label: PHYSICIANSCARE EYEWASH STATION ADDITIVE CONCENTRATE- chlorhexidine gluconate and propylene glycol liquid solution

  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: OTC monograph not final

DISCLAIMER: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

Drug Label Information

Updated November 4, 2019

If you are a consumer or patient please visit this version.

  • ACTIVE INGREDIENT

    Ingredients

    Chlorhexidine gluconate 1% w/v Purified Water, Propylene Glycol

  • PURPOSE

    Purpose

    Preservative

  • INDICATIONS & USAGE

    Use

    A preservative for use in potable self-contained emergency eyewash stations

  • WARNINGS

    Warnings

    For external use only. In case of contact with eye in undiluted form, flush with clean water

    Do not use

    • in full strength

    When using this product

    • do not change dilution or use with other chemicals
    • do not reuse

    Stop use and ask a doctor ifyou have any of the following

    • changes in vision
    • eye pain
    • condition worsens or persists
    • continued redness or irritations of the eye

  • KEEP OUT OF REACH OF CHILDREN

    Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

  • DOSAGE & ADMINISTRATION

    Directions

    • wear protective eyewear and gloves
    • clean potable eyewash station and rinse with potable water
    • partially fill station with potable water
    • remove tamper evident seal and cap of bottle
    • add entire contents of the bottle to the eyewash station container
    • fill the station to the manufacturer's required level
    • date and initial inspection tag
    • station should be cleaned and refilled every 120 days when using this product
    • in advance of emergency, add the concentrate to potable water to have solution available
  • INFORMATION FOR PATIENTS

    Other information

    • lot number is printed on the bottle
    • store at 20º to 25º C [68º to 77º F]
    • for your protection, this bottle has an imprinted white seal with black printing "TAMPER EVIDENT SEAL"
    • do not use if this seal is missing or broken
    • use before expiration date marked on bottle
  • QUESTIONS

    Questions? Call 1-800-254-5050 9 a.m. to 5 p.m. EST Mon-Fri

  • INACTIVE INGREDIENT

    Inactive Ingredients

    Water

  • PRINCIPAL DISPLAY PANEL

    Eyewash Station Additive Concentrate 8 oz Label

    PRINCIPAL DISPLAY PANEL - 236 mL Bottle Label

    EYEWASH STATION ADDITIVE CONCENTRATE

    NDC 0924-0169-08

    A preservative for potable water.

    Preserves from 5 - 20 US Gallons

    (15 - 76 Liters)

    FOR USE IN EMERGENCY

    EYEWASH STATIONS

    Acme United Corporation

    55 Walls Drive

    Fairfield, CT 06824

    www.FirstAidOnly.com

    8 Fl Oz [236mL]

  • INGREDIENTS AND APPEARANCE
    PHYSICIANSCARE EYEWASH STATION ADDITIVE CONCENTRATE 
    chlorhexidine gluconate and propylene glycol liquid solution
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0924-0169
    Route of AdministrationOPHTHALMIC
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3) PROPYLENE GLYCOL280 kg  in 2800 L
    CHLORHEXIDINE GLUCONATE (UNII: MOR84MUD8E) (CHLORHEXIDINE - UNII:R4KO0DY52L) CHLORHEXIDINE GLUCONATE145.6 kg  in 2800 L
    Inactive Ingredients
    Ingredient NameStrength
    WATER (UNII: 059QF0KO0R) 2374.4 L  in 2800 L
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:0924-0169-080.236 L in 1 BOTTLE, UNIT-DOSE; Type 0: Not a Combination Product01/26/2016
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC monograph not finalpart34901/26/2016
    Labeler - Acme United Corporation (001180207)
    Establishment
    NameAddressID/FEIBusiness Operations
    Acme United Corporation045924339relabel(0924-0169) , repack(0924-0169)
    Establishment
    NameAddressID/FEIBusiness Operations
    Acme United Corporation080119599repack(0924-0169) , relabel(0924-0169)
    Establishment
    NameAddressID/FEIBusiness Operations
    Niagara Pharmaceuticals, Inc.205477792manufacture(0924-0169)