HELIUM, OXYGEN- helium, oxygen gas 
AIRGAS USA, LLC

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Helium Oxygen Mix 80/20 - 041

COMPRESSED GAS, N.O.S.

(80% HELIUM USP, 20% OXYGEN USP)

UN1956

NON-FLAMMABLE GAS 2

837137 (02/17)

RX only. WARNING: Administration of this gas mixture may be hazardous or contraindicated. For use only by or under the supervision of a licensed practitioner who is experienced in the use and administration of gas mixtures, and is familiar with the indications, effects dosages, methods, and frequency and duration of administration and with the hazards, contraindications and side effects and the precautions to be taken.

WARNING: CONTAINS GAS UNDER PRESSURE: MAY EXPLODE IF HEATED. Do not handle until all safety precautions have been read and understood. Use and store only outdoors or in a well-ventilated place. Use a back-flow preventative device in the piping. Use only with equipment of compatible materials of construction and rated for cylinder pressure. Close valve after each use and when empty. Protect from sunlight when ambient temperature exceeds 52oC/125oF. Read and follow the Safety Data Sheet (SDS) before use. FIRST AID: IF ACCIDENTALLY INHALED: Remove person to fresh air and keep comfortable for breathing. Seek medical advice/attention. CAS        HELIUM 7440-59-7            OXYGEN 7782-44-7

DO NOT REMOVE THIS PRODUCT LABEL

Airgas, Healthcare

An Air Liquide Company

AIRGAS USA, LLC

Radnor, PA 19087-5283

Safety Data Sheets available at www. airgas.com

80/20 Label

HELIUM, OXYGEN 
helium, oxygen gas
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:11054-041
Route of AdministrationRESPIRATORY (INHALATION)
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HELIUM (UNII: 206GF3GB41) (HELIUM - UNII:206GF3GB41) HELIUM800 mL  in 1 L
OXYGEN (UNII: S88TT14065) (OXYGEN - UNII:S88TT14065) OXYGEN200 mL  in 1 L
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:11054-041-01300 L in 1 CYLINDER; Type 0: Not a Combination Product10/14/1997
2NDC:11054-041-02500 L in 1 CYLINDER; Type 0: Not a Combination Product10/14/1997
3NDC:11054-041-032260 L in 1 CYLINDER; Type 0: Not a Combination Product10/14/1997
4NDC:11054-041-044000 L in 1 CYLINDER; Type 0: Not a Combination Product10/14/1997
5NDC:11054-041-054500 L in 1 CYLINDER; Type 0: Not a Combination Product10/14/1997
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NDA authorized genericNDA20584310/14/1997
Labeler - AIRGAS USA, LLC (078301808)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC003324498manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC006301766manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC032547507manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC072198059manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC079214355manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC079934743manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC620137799manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC790441885manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC827455879manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC879945632manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC946304797manufacture(11054-041)
Establishment
NameAddressID/FEIBusiness Operations
AIRGAS USA, LLC947401071manufacture(11054-041)

Revised: 10/2023
Document Id: 962be648-37ec-47f8-8a23-8ea4fa38e00e
Set id: 58ba729f-cca1-4e08-a131-dbe91258d99d
Version: 8
Effective Time: 20231005
 
AIRGAS USA, LLC