MULTI- ACTION RELIEF DROPS- polyvinyl alcohol and povidone and tetrahydrozoline hydrochloride solution/ drops 
Velocity Pharma LLC

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CVS Health: Multi- Action Relief Drops

Drug Facts

Active ingredients

Polyvinyl alcohol 0.5%

Active ingredients

Povidone 0.6%

Purpose

Lubricant

Active ingredient

Tetrahydrozoline hydrochloride 0.05%

Purpose

Redness reliever

Uses

  • for the temporary relief of burning & irritation due to dryness of the eye
  • for use as a protectant against further irritation or to relieve dryness of the eye
  • relieves redness of the eye due to minor eye irritations

Warnings

For external use only

Do not use if

solution changes color or becomes cloudy.

Ask a doctor before use if you have

narrow angle glaucoma.

When using this product

  • to avoid contamination, do not touch tip to any surface
  • replace cap after using
  • overuse may produce increased redness of the eye
  • pupils may become enlarged temporarily

Stop use & ask a doctor if

  • you experience eye pain
  • you experience changes in vision
  • you experience continued redness or irritation of the eye
  • the condition worsens
  • symptoms last for more than 72 hours

Keep out of reach of children.

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

Directions

Instill 1 to 2 drops in the affected eye(s) up to four times daily.

Other information

  • store at room temperature
  • remove contact lenses before using
  • retain carton for future reference

Inactive ingredients

benzalkonium chloride, disodium hydrogen phosphate, edetate disodium, mannitol, sodium dihydrogen phosphate dihydrate, potassium chloride, purified water, sodium chloride, sodium citrate.

May contain hydrochloric acid and/or sodium hydroxide to adjust pH.

PRINCIPAL DISPLAY PANEL

1

MULTI- ACTION RELIEF DROPS 
polyvinyl alcohol and povidone and tetrahydrozoline hydrochloride solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:76168-706
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYVINYL ALCOHOL, UNSPECIFIED (UNII: 532B59J990) (POLYVINYL ALCOHOL, UNSPECIFIED - UNII:532B59J990) POLYVINYL ALCOHOL, UNSPECIFIED5 mg  in 1 mL
POVIDONE (UNII: FZ989GH94E) (POVIDONE - UNII:FZ989GH94E) POVIDONE6 mg  in 1 mL
TETRAHYDROZOLINE HYDROCHLORIDE (UNII: 0YZT43HS7D) (TETRAHYDROZOLINE - UNII:S9U025Y077) TETRAHYDROZOLINE HYDROCHLORIDE0.5 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
SODIUM PHOSPHATE, MONOBASIC, DIHYDRATE (UNII: 5QWK665956)  
SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
MANNITOL (UNII: 3OWL53L36A)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM CITRATE (UNII: 1Q73Q2JULR)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:76168-706-151 in 1 CARTON03/15/201110/25/2023
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 DrugM01803/15/201110/25/2023
Labeler - Velocity Pharma LLC (962198409)
Registrant - Velocity Pharma LLC (962198409)

Revised: 1/2024
 
Velocity Pharma LLC