Label: REFRESH RELIEVA PRESERVATIVE FREE- carboxymethylcellulose sodium and glycerin solution/ drops

  • NDC Code(s): 0023-6634-01, 0023-6634-10
  • Packager: Allergan, Inc.
  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None

Drug Label Information

Updated April 7, 2022

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  • Active ingredients

    Carboxymethylcellulose sodium 0.5%
    Glycerin 0.9%

  • Purpose

    Eye lubricant
    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 external use only.
    • To avoid contamination, do not touch tip of container to any surface. Replace cap after using.
    • If solution changes color, do not use.

    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 reach of children.

    If swallowed, get medical help or contact a Poison Control Center right away.

  • Directions

    • Instill 1 or 2 drops in the affected eye(s) as needed.
    • Prior to first use, bottle must be primed. Please read the “Instructions For Use” on the insert inside this carton.
    • *Follow your eye doctor’s instructions if you are using this product after an eye surgery (e.g., LASIK) to relieve eye dryness and discomfort. 
  • Other information

    • Use only if tape seals on top and bottom flaps are intact.
    • Use before expiration date marked on container.
    • Discard 90 days after opening.
    • Store at 59°-77°F (15°-25°C).
    • RETAIN THIS CARTON AND THE INSERT FOR FUTURE REFERENCE.
  • Inactive ingredients

    Boric acid; calcium chloride dihydrate; erythritol; levocarnitine; magnesium chloride hexahydrate; potassium chloride; purified water; sodium borate decahydrate; sodium citrate dihydrate; and sodium hyaluronate. May contain hydrochloric acid and/or sodium hydroxide (to adjust pH).

  • Questions or comments?

    Refreshbrand.com

  • PRINCIPAL DISPLAY PANEL

    PRESERVATIVE-FREE

    Refresh®
    RELIEVA® PF
    Lubricant Eye Drops
    With Hydrocell®
    Lubricates &Protects

    Dry,Sensitive Eyes

    0.33 fl oz (10 mL) Sterile

    PRESERVATIVE-FREE Refresh® RELIEVA® PF Lubricant Eye Drops With Hydrocell® Lubricates &Protects Dry,Sensitive Eyes 0.33 fl oz (10 mL) Sterile

  • INGREDIENTS AND APPEARANCE
    REFRESH RELIEVA PRESERVATIVE FREE 
    carboxymethylcellulose sodium and glycerin solution/ drops
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0023-6634
    Route of AdministrationOPHTHALMIC
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    CARBOXYMETHYLCELLULOSE SODIUM (UNII: K679OBS311) (CARBOXYMETHYLCELLULOSE - UNII:05JZI7B19X) CARBOXYMETHYLCELLULOSE SODIUM5 mg  in 1 mL
    GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN9 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    BORIC ACID (UNII: R57ZHV85D4)  
    CALCIUM CHLORIDE (UNII: M4I0D6VV5M)  
    ERYTHRITOL (UNII: RA96B954X6)  
    LEVOCARNITINE (UNII: 0G389FZZ9M)  
    MAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
    POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
    WATER (UNII: 059QF0KO0R)  
    SODIUM BORATE (UNII: 91MBZ8H3QO)  
    TRISODIUM CITRATE DIHYDRATE (UNII: B22547B95K)  
    HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
    HYDROCHLORIC ACID (UNII: QTT17582CB)  
    SODIUM HYDROXIDE (UNII: 55X04QC32I)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:0023-6634-101 in 1 CARTON07/26/2019
    110 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product
    2NDC:0023-6634-011 in 1 CARTON07/26/2019
    210 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 DrugM01807/26/2019
    Labeler - Allergan, Inc. (144796497)
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