GOOD SENSE LUBRICANT EYE- polyethylene glycol, propylene glycol solution/ drops
L. Perrigo Company

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.

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Perrigo Lubricant Eye Drops Drug Facts

Active ingredients (in each single-use container)

Polyethylene glycol 400 0.4%

Propylene glycol 0.3%

Purpose

Lubricant

Uses

•: for the temporary relief of burning and irritation due to dryness of the eye

Warnings

For external use only

Do not use

•: if this product changes color or becomes cloudy
•: if you are sensitive to any ingredient in this product

When using this product

•: do not touch tip of container to any surface to avoid contamination
•: do not reuse
•: once opened, discard

Stop use and ask a doctor if

•: you feel eye pain
•: changes in vision occur
•: redness or irritation of the eye(s) gets worse, persist or lasts more than 72 hours

Keep out of reach of children.

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

Directions

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

Other information

•: store at 20-25°C (68-77°F)
•: protect from light

Inactive ingredients

boric acid, calcium chloride dihydrate, hypromellose, magnesium chloride hexahydrate, potassium chloride, sodium chloride, water for injection, zinc chloride. May contain sodium hydroxide and/or hydrochloric acid to adjust pH.

Questions or comments?

1-800-719-9260

Package/Label Principal Display Panel

Sterile

Lubricant Eye Drops

Polyethylene Glycol 0.4%

Propylene Glycol 0.3%

Preservative-Free Vials

Long Lasting Relief

Soothing Comfort

Dry Eye Therapy

Actual Size

Compare to active ingredients of Systane® Lubricant Eye Drops

30 Vials 0.4 mL (0.01 FL OZ) Each

GOOD SENSE LUBRICANT EYE
polyethylene glycol, propylene glycol solution/ drops

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:0113-0896
Route of Administration	OPHTHALMIC

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL, UNSPECIFIED - UNII:3WJQ0SDW1A, POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ)	POLYETHYLENE GLYCOL 400	0.4 g in 100 mL
PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3)	PROPYLENE GLYCOL	0.3 g in 100 mL

Ingredient Name	Strength
Inactive Ingredients
BORIC ACID (UNII: R57ZHV85D4)
CALCIUM CHLORIDE (UNII: M4I0D6VV5M)
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)
MAGNESIUM CHLORIDE (UNII: 02F3473H9O)
POTASSIUM CHLORIDE (UNII: 660YQ98I10)
SODIUM CHLORIDE (UNII: 451W47IQ8X)
WATER (UNII: 059QF0KO0R)
ZINC CHLORIDE (UNII: 86Q357L16B)
SODIUM HYDROXIDE (UNII: 55X04QC32I)
HYDROCHLORIC ACID (UNII: QTT17582CB)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0113-0896-65	6 in 1 CARTON	02/18/2014	02/01/2020
1		5 in 1 POUCH
1		0.4 mL in 1 VIAL, SINGLE-USE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part349	02/18/2014	02/01/2020

Labeler - L. Perrigo Company (006013346)

Revised: 9/2022

Document Id: 6ffcff6b-b451-474d-9924-274e9bf89f0f

Set id: d0924efb-4849-4172-887d-55ca7547de14

Version: 5

Effective Time: 20220926

L. Perrigo Company