DG HEALTH ARTIFICAL TEARS- glycerin, hypromellose, and polyethylene glycol 400 solution/ drops 
Dolgencorp Inc.

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.

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DG Artificial Tears Eye Drops 0.5oz (NBE Visine Tears) 644

Active ingredients                                    Purpose

Glycerin 0.2%.........................................Lubricant

Hypromellose 0.2%..................................Lubricant

Polyethylene glycol 400 1%.......................Lubricant

Uses

Warnings

For external use only

When using this product

Stop use and ask a doctor if

If pregnant or breast-feeding, ask a health professional before use.

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

Directions

Other information

Inactive ingredients

benzalkonium chloride, boric acid, dextrose, glycine, magnesium chloride, potassium chloride, purified water, sodium borate, sodium chloride,

sodium citrate, sodium lactate

Distributed by:

Dolgencorp, LLC

100 Mission Ridge

Goodlettsville, TN 37072

Made in Korea

image description

DG HEALTH ARTIFICAL TEARS 
glycerin, hypromellose, and polyethylene glycol 400 solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:55910-644
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN2.5 mg  in 1 mL
HYPROMELLOSES (UNII: 3NXW29V3WO) (HYPROMELLOSE, UNSPECIFIED - UNII:3NXW29V3WO) HYPROMELLOSES2 mg  in 1 mL
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ) POLYETHYLENE GLYCOL 40011.28 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
BORIC ACID (UNII: R57ZHV85D4)  
DEXTROSE (UNII: IY9XDZ35W2)  
GLYCINE (UNII: TE7660XO1C)  
MAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM BORATE (UNII: 91MBZ8H3QO)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM CITRATE (UNII: 1Q73Q2JULR)  
SODIUM LACTATE (UNII: TU7HW0W0QT)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:55910-644-151 in 1 CARTON02/27/2017
115 mL in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart34902/27/2017
Labeler - Dolgencorp Inc. (068331990)

Revised: 11/2017
Document Id: 5eff783b-10be-4d29-e053-2a91aa0a0999
Set id: 38a9bc4c-32e5-4b83-885b-73dc065ed1ad
Version: 2
Effective Time: 20171127
 
Dolgencorp Inc.