DailyMed - MODEL 6240-35-001CS- kit

NHRIC Code(s): 27860-012-09
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:

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INGREDIENTS AND APPEARANCE

MODEL 6240-35-001CS
first aid kit with drug kit

Product Information
Product Type	MEDICAL DEVICE	Item Code (Source)	NHRIC:27860-012

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NHRIC:27860-012-09	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

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 2 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 3 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 4 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 5 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 6 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

Part 7 of 9

BZK PADS
benzalkonium chloride swab

Product Information
Item Code (Source)	NDC:67777-245
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1.3 mg 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	04/05/2011

Part 8 of 9

POVIDONE-IODINE
povidone-iodine solution

Product Information
Item Code (Source)	NDC:46414-7777
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
POVIDONE-IODINE (UNII: 85H0HZU99M) (IODINE - UNII:9679TC07X4)	IODINE	10 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)
SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)
NONOXYNOL-9 (UNII: 48Q180SH9T)
SODIUM HYDROXIDE (UNII: 55X04QC32I)
WATER (UNII: 059QF0KO0R)

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333A	02/14/1976

Part 9 of 9

MOORE MEDICAL BISMUTH
bismuth subsalicylate tablet, chewable

Product Information
Item Code (Source)	NDC:55670-474
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BISMUTH SUBSALICYLATE (UNII: 62TEY51RR1) (SALICYLIC ACID - UNII:O414PZ4LPZ, BISMUTH CATION - UNII:ZS9CD1I8YE)	BISMUTH SUBSALICYLATE	262 mg

Ingredient Name	Strength
Inactive Ingredients
ACACIA (UNII: 5C5403N26O)
MALTODEXTRIN (UNII: 7CVR7L4A2D)
ASPARTAME (UNII: Z0H242BBR1)
CALCIUM CARBONATE (UNII: H0G9379FGK)
CELLULOSE, MICROCRYSTALLINE (UNII: OP1R32D61U)
D&C RED NO. 27 (UNII: 2LRS185U6K)
DEXTRATES (UNII: G263MI44RU)
MAGNESIUM STEARATE (UNII: 70097M6I30)
SILICON DIOXIDE (UNII: ETJ7Z6XBU4)

Product Characteristics
Color	pink	Score	no score
Shape	ROUND	Size	16mm
Flavor		Imprint Code	RH;046
Contains

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part335	04/01/2014

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	308761	bismuth subsalicylate 262 MG Chewable Tablet	PSN
2	308761	bismuth subsalicylate 262 MG Chewable Tablet	SCD
3	312564	povidone-iodine 10 % Topical Solution	PSN
4	312564	povidone-iodine 100 MG/ML Topical Solution	SCD
5	312564	povidone-iodine 10 % (titratable iodine 1 % ) Topical Solution	SY
6	313782	acetaminophen 325 MG Oral Tablet	PSN
7	313782	acetaminophen 325 MG Oral Tablet	SCD
8	313782	APAP 325 MG Oral Tablet	SY
9	313884	calcium carbonate 420 MG (Ca 168 MG) Chewable Tablet	PSN
10	313884	calcium carbonate 420 MG Chewable Tablet	SCD
11	313884	calcium carbonate 420 MG (calcium 168 MG) Chewable Tablet	SY
12	995666	meclizine HCl 25 MG Oral Tablet	PSN
13	995666	meclizine hydrochloride 25 MG Oral Tablet	SCD
14	1000990	oxymetazoline HCl 0.05 % Nasal Spray	PSN
15	1000990	oxymetazoline hydrochloride 0.5 MG/ML Nasal Spray	SCD
16	1000990	oxymetazoline hydrochloride 0.05 % Nasal Spray	SY
17	1038558	benzalkonium chloride 0.13 % Medicated Pad	PSN
18	1038558	benzalkonium chloride 1.3 MG/ML Medicated Pad	SCD
19	1038558	benzalkonium chloride 0.13 GM per 100 GM Topical Patch	SY
20	1038558	benzalkonium chloride 0.13 GM per 100 GM Topical Swab	SY
21	1038558	benzalkonium chloride 0.13 % Topical Swab	SY
22	1038558	benzalkonium chloride 1 ML per 750 ML Topical Swab	SY
23	1049630	diphenhydrAMINE HCl 25 MG Oral Tablet	PSN
24	1049630	diphenhydramine hydrochloride 25 MG Oral Tablet	SCD
25	1299889	ammonia 15 % Nasal Inhalant	PSN
26	1299889	ammonia 150 MG/ML Nasal Inhalant	SCD
27	1299889	ammonia 0.045 GM per 0.3 ML Nasal Inhalant	SY
28	1299889	ammonia 0.3 ML Nasal Inhalant	SY
29	1299889	ammonia 15 % Nasal Inhalant	SY

Label: MODEL 6240-35-001CS- kit

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Label: MODEL 6240-35-001CS- kit

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MODEL 6240-35-001CS- kit

Number of versions: 2

MODEL 6240-35-001CS- kit

MODEL 6240-35-001CS- kit

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MODEL 6240-35-001CS- kit

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