ULTRA HERS VANILLA- chaste tree fruit, gamolenic acid, thioctic acid, ubidecarenone , reynoutria japonica leaf, chiroinositol, acetylcysteine, royal, vitis vinifera seed capsule 
CROWN GENERAL AGENCY INC

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STATEMENT OF IDENTITY

Dietary Supplement

Suggested Use

Take two (2) capsules daily, after meal(s), or as directed by your healthcare provider. Do not exceed two (2) capsules daily.

Precaution

If reaction(s) occur, consult your physician. Consult your doctor before starting any dietary supplement regime. This product is a dietary supplement, not a prescription drug. Keep out of the reach of children. In case of accidental overdose, call a hospital or poison control center immediately. Do not use if safety seal is damaged or missing. Do not expose to excessive heat or moisture. Store at room temperature in a cool dry place. Keep out of sunlight.

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ULTRA HERS VANILLA 
chaste tree fruit, gamolenic acid, thioctic acid, ubidecarenone , reynoutria japonica leaf, chiroinositol, acetylcysteine, royal, vitis vinifera seed capsule
Product Information
Product TypeDIETARY SUPPLEMENTItem Code (Source)NHRIC:73489-004
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
CHASTE TREE FRUIT (UNII: 433OSF3U8A) (CHASTE TREE - UNII:433OSF3U8A) CHASTE TREE FRUIT500 mg
GAMOLENIC ACID (UNII: 78YC2MAX4O) (GAMOLENIC ACID - UNII:78YC2MAX4O) GAMOLENIC ACID200 mg
THIOCTIC ACID (UNII: 73Y7P0K73Y) (.ALPHA.-LIPOIC ACID - UNII:73Y7P0K73Y) THIOCTIC ACID100 mg
UBIDECARENONE (UNII: EJ27X76M46) (UBIDECARENONE - UNII:EJ27X76M46) UBIDECARENONE200 mg
REYNOUTRIA JAPONICA LEAF (UNII: 2540B7G25G) (REYNOUTRIA JAPONICA LEAF - UNII:2540B7G25G) REYNOUTRIA JAPONICA LEAF50 mg
CHIRO-INOSITOL, (+)- (UNII: 6R79WV4R10) (CHIRO-INOSITOL, (+)- - UNII:6R79WV4R10) CHIRO-INOSITOL, (+)-50 mg
ACETYLCYSTEINE (UNII: WYQ7N0BPYC) (ACETYLCYSTEINE - UNII:WYQ7N0BPYC) ACETYLCYSTEINE50 mg
ROYAL JELLY (UNII: L497I37F0C) (ROYAL JELLY - UNII:L497I37F0C) ROYAL JELLY200 mg
VITIS VINIFERA SEED (UNII: C34U15ICXA) (VITIS VINIFERA SEED - UNII:C34U15ICXA) VITIS VINIFERA SEED50 mg
Inactive Ingredients
Ingredient NameStrength
POWDERED CELLULOSE (UNII: SMD1X3XO9M)  
MAGNESIUM STEARATE (UNII: 70097M6I30)  
SILICON DIOXIDE (UNII: ETJ7Z6XBU4)  
TALC (UNII: 7SEV7J4R1U)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
FD&C RED NO. 3 (UNII: PN2ZH5LOQY)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NHRIC:73489-004-0130 in 1 BOTTLE, PLASTIC
2NHRIC:73489-004-0260 in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
dietary supplement11/29/2019
Supplement Facts
Serving Size : Serving per Container :
Amount Per Serving% Daily Value
flavor
color
shape
size (solid drugs)19 mm
scoring1
Labeler - CROWN GENERAL AGENCY INC (067373836)
Registrant - CROWN GENERAL AGENCY INC (067373836)

Revised: 10/2021
Document Id: e3ad8002-3ee1-47ad-934a-e7094bfa37f7
Set id: 2035ec06-f904-4f61-9f29-8e06d9f51efe
Version: 2
Effective Time: 20211021
 
CROWN GENERAL AGENCY INC