REFRESH RELIEVA PRESERVATIVE FREE- carboxymethylcellulose sodium and glycerin solution/ drops 
Allergan, Inc.

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REFRESH RELIEVA PF (Preservative Free) Multi-Dose
Drug Facts

Active ingredients

Carboxymethylcellulose sodium 0.5%
Glycerin 0.9%

Purpose

Eye lubricant
Eye lubricant

Uses

Warnings

Stop use and ask a doctor if

you experience eye pain, changes in vision, continued redness or irritation of the eye, or if the condition worsens or persists for 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

Inactive ingredients

Boric acid; calcium chloride dihydrate; erythritol; levocarnitine; magnesium chloride hexahydrate; potassium chloride; purified water; sodium borate decahydrate; sodium citrate dihydrate; and sodium hyaluronate. May contain hydrochloric acid and/or sodium hydroxide (to adjust pH).

Questions or comments?

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PRINCIPAL DISPLAY PANEL

PRESERVATIVE-FREE
Lubricant Eye Drops
Refresh®
RELIEVA® PF
Lubricates and Protects
Recommended for
Sensitive Eyes
PRESERVATIVE-FREE
0.33 fl oz (10 mL) Sterile

PRESERVATIVE-FREE
Lubricant Eye Drops
Refresh®
RELIEVA® PF
Lubricates and Protects
Recommended for
Sensitive Eyes
PRESERVATIVE-FREE
0.33 fl oz (10 mL) Sterile

REFRESH RELIEVA PRESERVATIVE FREE 
carboxymethylcellulose sodium and glycerin solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0023-6634
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
CARBOXYMETHYLCELLULOSE SODIUM (UNII: K679OBS311) (CARBOXYMETHYLCELLULOSE - UNII:05JZI7B19X) CARBOXYMETHYLCELLULOSE SODIUM5 mg  in 1 mL
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN9 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BORIC ACID (UNII: R57ZHV85D4)  
CALCIUM CHLORIDE (UNII: M4I0D6VV5M)  
ERYTHRITOL (UNII: RA96B954X6)  
LEVOCARNITINE (UNII: 0G389FZZ9M)  
MAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM BORATE (UNII: 91MBZ8H3QO)  
TRISODIUM CITRATE DIHYDRATE (UNII: B22547B95K)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
HYDROCHLORIC ACID (UNII: QTT17582CB)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:0023-6634-101 in 1 CARTON07/26/2019
110 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product
2NDC:0023-6634-011 in 1 CARTON07/26/2019
210 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 DrugM01807/26/2019
Labeler - Allergan, Inc. (144796497)

Revised: 4/2022
Document Id: fcb7bb37-4d9a-420e-9f7e-1c1bd3b3a024
Set id: 3481f9b3-5a90-40d3-80f8-81f51cc864be
Version: 4
Effective Time: 20220407
 
Allergan, Inc.