Product Information

Ingredients

Chlorhexidine gluconate 1% w/v Purified Water, Propylene Glycol

Purpose

Preservative

A preservative for use in potable self-contained emergency eyewash stations

For external use only. In case of contact with eye in undiluted form, flush with clean water

Stop use and ask a doctor if you have any of the following

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

wear protective eyewear and gloves
clean potable eyewash station and rinse with potable water
partially fill station with potable water
remove tamper evident seal and cap of bottle
add entire contents of the bottle to the eyewash station container
fill the station to the manufacturer's required level
date and initial inspection tag
station should be cleaned and refilled every 120 days when using this product
in advance of emergency, add the concentrate to potable water to have a solution available

lot number is printed on the bottle
store at 20° to 25° C [68° to 77° F]
for your protection, this bottle has an imprinted white seal with black printing "TAMPER EVIDENT SEAL"
do not use if this seal is missing or broken
use before expiration date marked on bottle

☎ Call 905 690-6277 9 a.m. to 5 p.m. EST Mon-Fri

Manufactured by:
Niagara Pharmaceuticals Inc.
60 Innovation Dr.
Flamborough ON L9H 7P3

EYEWASH STATION
ADDITIVE
CONCENTRATE

NDC 65785-034-01

A preservative for potable water.
Preserves from 5 - 20 US Gallons
(15 - 76 Liters)

FOR USE IN EMERGENCY
EYEWASH STATIONS.

Manufactured by:
Niagara Pharmaceuticals Inc.
60 Innovation Dr.
Flamborough ON L9H 7P3
Made in Canada

8 Fl Oz [236 mL]

HEALTH SAVER®

The Safe Solution™

EYEWASH STATION ADDITIVE CONCENTRATE
chlorhexidine gluconate and propylene glycol liquid

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
CHLORHEXIDINE GLUCONATE (UNII: MOR84MUD8E) (CHLORHEXIDINE - UNII:R4KO0DY52L)	CHLORHEXIDINE GLUCONATE	145.6 kg in 2800 L
PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3)	PROPYLENE GLYCOL	280 kg in 2800 L

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)	2374.4 L in 2800 L

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:65785-034-01	0.236 L in 1 BOTTLE, UNIT-DOSE; Type 0: Not a Combination Product	11/15/2011

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	M018	11/15/2011

Labeler - Niagara Pharmaceuticals Inc. (205477792)

Registrant - Niagara Pharmaceuticals Inc. (205477792)

Name	Address	ID/FEI	Business Operations
Establishment
Niagara Pharmaceuticals Inc.		205477792	manufacture(65785-034)