LUBRICANT EYE- polyethylene glycol 400 and propylene glycol solution/ drops 
Walgreens

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.

----------

Drug Facts

Active ingredients

Polyethylene Glycol 400 0.4%

Propylene Glycol 0.3%

Purpose

Lubricant

Lubricant

Uses

For the temporary relief of burning and irritation due to dryness of the eye.

Warnings

For external use only.

Do not use

When using this product

  • do not touch tip of container to any surface to avoid contamination
  • replace cap after each use

Stop use and ask a doctor if

  • you feel eye pain
  • changes in vision occur
  • redness or irritation of the eye(s) gets worse, persists 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.

Directions

Other information

Store at room temperature.

Inactive ingredients

benzalkonium chloride, boric acid, hydroxyethyl cellulose, potassium chloride, purified water, sodium chloride. May also contain hydrochloric acid and/or sodium hydroxide to adjust pH.

Questions or comments?

1-800-883-0085

Principal Display Panel Text for Carton Label:

Well at

WALGREENS PHARMACIST RECOMMENDED≠

STERILE

Lubricant

Eye Drops

Polyethylene

Glycol 400 0.4%

Propylene Glycol 0.3%

Compare to Systane ® Ultra active ingredient#

0.3 FL OZ (10 mL)

carton

LUBRICANT EYE 
polyethylene glycol 400 and propylene glycol solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0363-6451
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ) POLYETHYLENE GLYCOL 4004 mg  in 1 mL
PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3) PROPYLENE GLYCOL3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SORBITOL (UNII: 506T60A25R)  
BORIC ACID (UNII: R57ZHV85D4)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
HYDROCHLORIC ACID (UNII: QTT17582CB)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:0363-6451-101 in 1 CARTON
110 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 finalpart34907/16/2015
Labeler - Walgreens (008965063)

Revised: 7/2015
Document Id: 1b02a39e-1961-2ca6-e054-00144ff8d46c
Set id: 1b02a39e-1960-2ca6-e054-00144ff8d46c
Version: 1
Effective Time: 20150716
 
Walgreens