REFRESH RELIEVA- carboxymethylcellulose sodium, glycerin solution/ drops 
Allergan, 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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REFRESH RELIEVA
Lubricant Eye Drops
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

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

Other information

Inactive ingredients

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

Questions or comments?

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PRINCIPAL DISPLAY PANEL

NEW
Refresh®
RELIEVA
Lubricates and Protects
0.33 fl oz (10 mL) Sterile

PRINCIPAL DISPLAY PANEL
NEW
Refresh®
RELIEVA
Lubricates and Protects
0.33 fl oz (10 mL) Sterile

REFRESH RELIEVA 
carboxymethylcellulose sodium, glycerin solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0023-6630
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)  
MAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM CHLORITE (UNII: G538EBV4VF)  
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:0023-6630-101 in 1 CARTON07/22/2019
110 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product
2NDC:0023-6630-031 in 1 CARTON07/22/2019
23 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 FINALpart34907/22/2019
Labeler - Allergan, Inc. (144796497)

Revised: 7/2019
Document Id: e20f50c2-44be-4e61-ae78-80803785c034
Set id: 6b984fa2-4187-45ef-b7d3-15e720abc667
Version: 2
Effective Time: 20190725
 
Allergan, Inc.