DailyMed - MODEL 6240-37F- kit

NHRIC Code(s): 27860-003-09
Packager: Aerospace Accessory Service, Inc

Category: MEDICAL DEVICE
DEA Schedule: None
Marketing Status: Exempt device

Drug Label Information

Updated May 5, 2021

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Aerospace Accessory Service

Aerospace Accessory Service

P/N:

S/N:

EXP:

Prep. By:

INGREDIENTS AND APPEARANCE

MODEL 6240-37F
first aid kit with drug kit

Product Information
Product Type	MEDICAL DEVICE	Item Code (Source)	NHRIC:27860-003

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NHRIC:27860-003-09	1 in 1 PACKAGE; Type 1: Convenience Kit of Co-Package

Part #	Package Quantity	Total Product Quantity
Quantity of Parts
Part 1		1
Part 2		1
Part 3		1
Part 4		1
Part 5		1
Part 6		1
Part 7		1
Part 8		1
Part 9		1

Part 1 of 9

ALCOHOL PREP
isopropyl alcohol swab

Product Information
Item Code (Source)	NDC:67777-121
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
ISOPROPYL ALCOHOL (UNII: ND2M416302) (ISOPROPYL ALCOHOL - UNII:ND2M416302)	ISOPROPYL ALCOHOL	0.7 mL in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333A	07/01/2010

Part 2 of 9

TRIPLE ANTIBIOTIC
bacitracin zinc, neomycin sulfate, polymyxin b sulfate ointment

Product Information
Item Code (Source)	NDC:55670-600
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BACITRACIN ZINC (UNII: 89Y4M234ES) (BACITRACIN - UNII:58H6RWO52I)	BACITRACIN	400 [USP'U] in 1 g
NEOMYCIN SULFATE (UNII: 057Y626693) (NEOMYCIN - UNII:I16QD7X297)	NEOMYCIN	3.5 mg in 1 g
POLYMYXIN B SULFATE (UNII: 19371312D4) (POLYMYXIN B - UNII:J2VZ07J96K)	POLYMYXIN B	5000 [USP'U] in 1 g

Ingredient Name	Strength
Inactive Ingredients
PETROLATUM (UNII: 4T6H12BN9U)

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part333B	07/11/2012	04/15/2022

Part 3 of 9

MOORE MEDICAL NON ASPIRIN
acetaminophen tablet, film coated

Product Information
Item Code (Source)	NDC:55670-467
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
ACETAMINOPHEN (UNII: 362O9ITL9D) (ACETAMINOPHEN - UNII:362O9ITL9D)	ACETAMINOPHEN	325 mg

Ingredient Name	Strength
Inactive Ingredients
HYPROMELLOSES (UNII: 3NXW29V3WO)
POLYETHYLENE GLYCOL, UNSPECIFIED (UNII: 3WJQ0SDW1A)
POVIDONE, UNSPECIFIED (UNII: FZ989GH94E)
SODIUM STARCH GLYCOLATE TYPE A POTATO (UNII: 5856J3G2A2)
STARCH, CORN (UNII: O8232NY3SJ)
STEARIC ACID (UNII: 4ELV7Z65AP)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)

Product Characteristics
Color	white (white)	Score	no score
Shape	ROUND (ROUND)	Size	10mm
Flavor		Imprint Code	AZ;234
Contains

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part343	12/30/2008

Part 4 of 9

NASAL DECONGESTANT
oxymetazoline hcl spray

Product Information
Item Code (Source)	NDC:0904-6761
Route of Administration	NASAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
OXYMETAZOLINE HYDROCHLORIDE (UNII: K89MJ0S5VY) (OXYMETAZOLINE - UNII:8VLN5B44ZY)	OXYMETAZOLINE HYDROCHLORIDE	0.05 g in 100 mL

Ingredient Name	Strength
Inactive Ingredients
BENZYL ALCOHOL (UNII: LKG8494WBH)
SODIUM PHOSPHATE, DIBASIC, UNSPECIFIED FORM (UNII: GR686LBA74)
EDETATE DISODIUM (UNII: 7FLD91C86K)
MICROCRYSTALLINE CELLULOSE (UNII: OP1R32D61U)
CARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED FORM (UNII: K679OBS311)
SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM (UNII: 3980JIH2SW)
POLYETHYLENE GLYCOL, UNSPECIFIED (UNII: 3WJQ0SDW1A)
POVIDONE, UNSPECIFIED (UNII: FZ989GH94E)
WATER (UNII: 059QF0KO0R)
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)

Product Characteristics
Color	white (to off white, viscous)	Score
Shape		Size
Flavor		Imprint Code
Contains

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part341	10/12/2018

Part 5 of 9

MEDIQUE DIAMODE
loperamide hydrochloride tablet

Product Information
Item Code (Source)	NDC:47682-200
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
LOPERAMIDE HYDROCHLORIDE (UNII: 77TI35393C) (LOPERAMIDE - UNII:6X9OC3H4II)	LOPERAMIDE HYDROCHLORIDE	2 mg

Ingredient Name	Strength
Inactive Ingredients
MAGNESIUM STEARATE (UNII: 70097M6I30)
POWDERED CELLULOSE (UNII: SMD1X3XO9M)
STARCH, CORN (UNII: O8232NY3SJ)
HYDROGENATED COTTONSEED OIL (UNII: Z82Y2C65EA)
ANHYDROUS LACTOSE (UNII: 3SY5LH9PMK)
CROSCARMELLOSE SODIUM (UNII: M28OL1HH48)
CROSPOVIDONE (UNII: 2S7830E561)
D&C YELLOW NO. 10 (UNII: 35SW5USQ3G)
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)

Product Characteristics
Color	green (Green)	Score	2 pieces
Shape	OVAL (Caplet)	Size	10mm
Flavor		Imprint Code	123
Contains

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
ANDA	ANDA074091	12/30/2008

Part 6 of 9

MOORE MEDICAL ANTACID
calcium carbonate tablet, chewable

Product Information
Item Code (Source)	NDC:55670-142
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
CALCIUM CARBONATE (UNII: H0G9379FGK) (CALCIUM CATION - UNII:2M83C4R6ZB)	CALCIUM CARBONATE	420 mg

Ingredient Name	Strength
Inactive Ingredients
ACACIA (UNII: 5C5403N26O)
MAGNESIUM STEARATE (UNII: 70097M6I30)
MALTODEXTRIN (UNII: 7CVR7L4A2D)
SUCROSE (UNII: C151H8M554)

Product Characteristics
Color	white (white)	Score	no score
Shape	ROUND (ROUND)	Size	12mm
Flavor	MINT (MINT)	Imprint Code	FR;8
Contains

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part331	12/30/2008

Part 7 of 9

MOTION SICKNESS
meclizine hcl tablet

Product Information
Item Code (Source)	NDC:70677-0026
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
MECLIZINE HYDROCHLORIDE (UNII: HDP7W44CIO) (MECLIZINE - UNII:3L5TQ84570)	MECLIZINE HYDROCHLORIDE	25 mg

Ingredient Name	Strength
Inactive Ingredients
STARCH, CORN (UNII: O8232NY3SJ)
D&C YELLOW NO. 10 ALUMINUM LAKE (UNII: CQ3XH3DET6)
ANHYDROUS LACTOSE (UNII: 3SY5LH9PMK)
MAGNESIUM STEARATE (UNII: 70097M6I30)
SILICON DIOXIDE (UNII: ETJ7Z6XBU4)

Product Characteristics
Color	yellow	Score	no score
Shape	ROUND	Size	9mm
Flavor		Imprint Code	44;403
Contains

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part336	06/24/2002

Part 8 of 9

AMMONIA INHALANTS
ammonia inhalants inhalant

Product Information
Item Code (Source)	NDC:46414-3333
Route of Administration	RESPIRATORY (INHALATION)

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
AMMONIA (UNII: 5138Q19F1X) (AMMONIA - UNII:5138Q19F1X)	AMMONIA	0.045 g in 0.3 mL

Ingredient Name	Strength
Inactive Ingredients
ALCOHOL (UNII: 3K9958V90M)
FD&C RED NO. 40 (UNII: WZB9127XOA)
WATER (UNII: 059QF0KO0R)

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved drug other		02/14/1976

Part 9 of 9

EASY CARE FIRST AID DIPHENHYDRAMINE
diphenhydramine hydrochloride tablet, film coated

Product Information
Item Code (Source)	NDC:44224-0017
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
DIPHENHYDRAMINE HYDROCHLORIDE (UNII: TC2D6JAD40) (DIPHENHYDRAMINE - UNII:8GTS82S83M)	DIPHENHYDRAMINE HYDROCHLORIDE	25 mg

Ingredient Name	Strength
Inactive Ingredients
CELLULOSE, MICROCRYSTALLINE (UNII: OP1R32D61U)
CROSCARMELLOSE SODIUM (UNII: M28OL1HH48)
D&C RED NO. 27 (UNII: 2LRS185U6K)
HYPROMELLOSES (UNII: 3NXW29V3WO)
LACTOSE (UNII: J2B2A4N98G)
MAGNESIUM STEARATE (UNII: 70097M6I30)
POLYETHYLENE GLYCOL, UNSPECIFIED (UNII: 3WJQ0SDW1A)
SILICON DIOXIDE (UNII: ETJ7Z6XBU4)
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)

Product Characteristics
Color	pink (pink)	Score	no score
Shape	OVAL (OVAL)	Size	11mm
Flavor		Imprint Code	048;D
Contains

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part341	01/01/2012

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
exempt device	ABC	01/01/2015

Labeler - Aerospace Accessory Service, Inc (859100547)

Registrant - Aerospace Accessory Service, Inc (859100547)

Name	Address	ID/FEI	Business Operations
Establishment
Aerospace Accessory Service, Inc		859100547	manufacture, repack

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Published Date (What is this?)	Version	Files
May 6, 2021	2 (current)	download
Jan 11, 2021	1	download

	RxCUI	RxNorm NAME	RxTTY
1	204602	bacitracin 400 UNT / neomycin 3.5 MG / polymyxin B 5000 UNT per GM Topical Ointment	PSN
2	204602	bacitracin 0.4 UNT/MG / neomycin 0.0035 MG/MG / polymyxin B 5 UNT/MG Topical Ointment	SCD
3	204602	bacitracin 400 UNT / neomycin 3.5 MG (as neomycin sulfate 5 MG) / polymyxin B 5000 UNT per GM Topical Ointment	SY
4	313782	acetaminophen 325 MG Oral Tablet	PSN
5	313782	acetaminophen 325 MG Oral Tablet	SCD
6	313782	APAP 325 MG Oral Tablet	SY
7	313884	calcium carbonate 420 MG (Ca 168 MG) Chewable Tablet	PSN
8	313884	calcium carbonate 420 MG Chewable Tablet	SCD
9	313884	calcium carbonate 420 MG (calcium 168 MG) Chewable Tablet	SY
10	797544	isopropyl alcohol 70 % Medicated Pad	PSN
11	797544	isopropyl alcohol 0.7 ML/ML Medicated Pad	SCD
12	797544	isopropyl alcohol 70 % Medicated Pad	SY
13	797544	isopropyl alcohol 70 % Topical Cloth	SY
14	797544	isopropyl alcohol 70 % Topical Swab	SY
15	978010	loperamide HCl 2 MG Oral Tablet	PSN
16	978010	loperamide hydrochloride 2 MG Oral Tablet	SCD
17	978012	Diamode 2 MG Oral Tablet	PSN
18	978012	loperamide hydrochloride 2 MG Oral Tablet [Diamode]	SBD
19	978012	Diamode 2 MG Oral Tablet	SY
20	995666	meclizine HCl 25 MG Oral Tablet	PSN
21	995666	meclizine hydrochloride 25 MG Oral Tablet	SCD
22	1000990	oxymetazoline HCl 0.05 % Nasal Spray	PSN
23	1000990	oxymetazoline hydrochloride 0.5 MG/ML Nasal Spray	SCD
24	1000990	oxymetazoline hydrochloride 0.05 % Nasal Spray	SY
25	1049630	diphenhydrAMINE HCl 25 MG Oral Tablet	PSN
26	1049630	diphenhydramine hydrochloride 25 MG Oral Tablet	SCD
27	1299889	ammonia 15 % Nasal Inhalant	PSN
28	1299889	ammonia 150 MG/ML Nasal Inhalant	SCD
29	1299889	ammonia 0.045 GM per 0.3 ML Nasal Inhalant	SY
30	1299889	ammonia 0.3 ML Nasal Inhalant	SY
31	1299889	ammonia 15 % Nasal Inhalant	SY

Label: MODEL 6240-37F- kit

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Label: MODEL 6240-37F- kit

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MODEL 6240-37F- kit

Number of versions: 2

MODEL 6240-37F- kit

MODEL 6240-37F- kit

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MODEL 6240-37F- kit

If this SPL contains inactivated NDCs listed by the FDA initiated compliance action, they will be specified as such.