ARTIFICAL TEARS- glycerin and propylene glycol solution/ drops 
Rite Aid Corporation

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Drug Facts

Active ingredients

Glycerin (0.3%)

Propylene glycol (1.0%)

Purpose

Lubricant

Lubricant

Uses

temporary relief of burning and irritation due to dryness of the eye
prevents further irritation

Warnings

Do not use

if solution changes color or becomes cloudy

When using this product

do not touch tip of container to any surface to avoid contamination
remove contact lenses before using
replace cap after use

Stop use and ask a doctor if

you experience eye pain, changes in vision, continued redness or irritation of the eye
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

instill 1 or 2 drops in the affected eye(s) as needed

Other information

store at 15°-25°C (59°-77°F)
keep tightly closed
use before expiration date marked on the carton and bottle
serious side effects associated with use of the product may be reported to the phone number provided below

Inactive ingredients

benzalkonium chloride (0.01%), boric acid, edetate disodium, potassium chloride, purified water, sodium borate, sodium chloride. Hydrochloric acid and/or sodium hydroxide may be used to adjust pH.

Questions?

Call: 1-866-767-8975

U.S. Patent No. 5,800,807

DISTRIBUTED BY: RITE AID

30 HUNTER LANE, CAMP HILL, PA 17011

MADE IN USA

© RITE AID

ITEM 398549

3123703

Package/Label Principal Display Panel

Rite Aid 30mL Artificial Tears Carton

RITE

AID®

PHARMACY

eye care

artificial

tears

lubricant eye drops

DRY EYE FORMULA

fast relief from

age-related dry eyes

replenishes tears

refreshes eyes

Sterile

1 FL OZ (30 mL)

ARTIFICAL TEARS 
glycerin and propylene glycol solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:11822-9854
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN0.3 g  in 100 mL
PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3) PROPYLENE GLYCOL1 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
BORIC ACID (UNII: R57ZHV85D4)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM BORATE (UNII: 91MBZ8H3QO)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
HYDROCHLORIC ACID (UNII: QTT17582CB)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:11822-9854-91 in 1 CARTON09/01/201004/22/2024
130 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 DrugM01809/01/201004/22/2024
Labeler - Rite Aid Corporation (014578892)
Registrant - Baush & Lomb Incorporated (196603781)
Establishment
NameAddressID/FEIBusiness Operations
Bausch & Lomb Incorporated114406598MANUFACTURE(11822-9854)

Revised: 12/2018
 
Rite Aid Corporation