POLYVINYL ALCOHOL W/POVIDON1.4-0.6%- polyvinyl alcohol, povidon liquid 
Rugby Laboratories

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Rugby®Polyvinyl Alcohol w/Povidon1.4-0.6%

Active ingredient

Polyvinyl Alcohol (1.4%)

Povidone (0.6%)

Purpose

Eye lubricant

Uses

▪
For the temporary relief of burning, irritation, and discomfort due to dryness of the eye or exposure to wind or sun.
▪
May be used as a protectant against further irritation.

Warnings

• For use in eyes only.

• Using this product, to avoid contamination, do not touch tip of container to any surface.

• Do not reuse. Once opened, discard after use.

• Do not touch single-use container tip to the eye.

Stop use and ask a doctor if

• You experience eye pain, changes in vision, continued redness, or irritation of the eye.

• The condition worsens or persists for more than 72 hours.

Keep out of reach of children.

Keep this and all drugs out of the reach of children. If swallowed, get medical help or contact a Poison Control Center immediately (1-800-222-1222).

Directions

To open, TWIST AND PULL TAB TO REMOVE. Instill 1 or 2 drops in the affected eye(s) as needed and discard container.

Other information

• Store at 59°-86° F (15°-30°C)

• Use only if single-use container is intact.

Inactive ingredients

Calcium chloride, Hydrochloric acid, Magnesium chloride, Potassium chloride, Purified water, Sodium chloride, Sodium hydroxide, Sodium lactate.

Questions or comments?

Call (888) 969-6855

Do not use

• If solution changes color or becomes cloudy.

DO NOT USE IF TAMPER EVIDENT SEAL IS TORN, BROKEN OR MISSING

Save carton for complete drug facts.

*This product is not manufactured or distributed by Allergan, Inc., owner of the registered trademark Refresh® Classic Lubricant Eye Drops.

Distributed by:

RUGBY LABORATORIES

Indianapolis, IN 46268

Questions or comments?

Call (800) 616-2471

www.majorpharmaceuticals.com

Rev. 08/23

R-155

Re-order No. 371162

Rev. 08/23

R-155

Re-order No. 371163

Principal Display Panel

Rugby®

NDC 0536-1399-92

Compare to the active

ingredients in Refresh®

Classic Lubricant

Eye Drops*

Preservative-Free

Polyvinyl Alcohol

w/Povidone

1.4-0.6% Drops

Soothes, Moisturizes,

Protects & Lubricates

Sterile

30 Single-Use Containers

0.01 FL OZ (0.4 mL) each

1.4-0.6% - 30s carton

Principal Display Panel

Rugby®

NDC 0536-1399-93

Compare to the active

ingredients in Refresh®

Classic Lubricant

Eye Drops*

Preservative-Free

Polyvinyl Alcohol

w/Povidone

1.4-0.6% Drops

Soothes, Moisturizes,

Protects & Lubricates

Sterile

50 Single-Use Containers

0.01 FL OZ (0.4 mL) each

1.4-0.6% - 50s carton
POLYVINYL ALCOHOL W/POVIDON1.4-0.6% 
polyvinyl alcohol, povidon liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0536-1399
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYVINYL ALCOHOL, UNSPECIFIED (UNII: 532B59J990) (POLYVINYL ALCOHOL, UNSPECIFIED - UNII:532B59J990) POLYVINYL ALCOHOL, UNSPECIFIED14 mg  in 1 mL
POVIDONE, UNSPECIFIED (UNII: FZ989GH94E) (POVIDONE, UNSPECIFIED - UNII:FZ989GH94E) POVIDONE, UNSPECIFIED6 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
CALCIUM CHLORIDE (UNII: M4I0D6VV5M)  
HYDROCHLORIC ACID (UNII: QTT17582CB)  
MAGNESIUM CHLORIDE ANHYDROUS (UNII: 59XN63C8VM)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
SODIUM LACTATE (UNII: TU7HW0W0QT)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:0536-1399-9230 in 1 CARTON10/01/202310/01/2023
10.4 mL in 1 VIAL, SINGLE-USE; Type 0: Not a Combination Product
2NDC:0536-1399-9350 in 1 CARTON10/01/202310/01/2023
20.4 mL in 1 VIAL, SINGLE-USE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01810/01/202310/01/2023
Labeler - Rugby Laboratories (079246066)

Revised: 12/2024
Document Id: 9038d6cb-1626-442f-aaf5-2cc07072639d
Set id: 0dd90118-0013-9bf2-e063-6394a90afe3c
Version: 2
Effective Time: 20241212
 
Rugby Laboratories