DG Dry Eye Relief (PLD)

Active ingredients

Glycerin 0.2%

Hypromellose 0.2%

Polyethylene glycol 400 1%

Purpose

Glycerin.............Lubricant

Hypromellose.............Lubricant

Polyethylene glycol 400.............Lubricant

Uses

for the temporary relief of burning and irritation due to dryness of the eye
for protection against further irritation

Warnings

For external use only

Do not use this product if solution changes color or becomes cloudy

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

When using this product

to avoid contamination, do not touch tip of container to any surface
replace cap after using. Keep container tightly closed
remove contact lens before using

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

If pregnant or breast feeding, ask a healh professional before use

Directions

Instill 1 or 2 drops in the affected eye(s) as needed
Children under 6 years of age: ask a doctor

Other information

RETAIN THIS CARTON FOR FUTURE REFERENCE
Store at 15º-30ºC (59º-86ºF)

Inactive ingredients

dextrose, sodium chloride, potassium chloride, sodium phosphate monobasic, sodium phosphate dibasic, sodium bicarbonate, sodium citrate, edetate disodium, benzalkonium chloride, purified water.

Carton

DG HEALTH DRY EYE RELIEF
glycerin, hypromellose, polypropylene glycol 400 solution

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:55910-362
Route of Administration	OPHTHALMIC

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ)	POLYETHYLENE GLYCOL 400	1 g in 100 mL
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX)	GLYCERIN	0.2 g in 100 mL
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO) (HYPROMELLOSE, UNSPECIFIED - UNII:3NXW29V3WO)	HYPROMELLOSE, UNSPECIFIED	0.2 g in 100 mL

Ingredient Name	Strength
Inactive Ingredients
POTASSIUM CHLORIDE (UNII: 660YQ98I10)
SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM (UNII: 3980JIH2SW)
SODIUM CHLORIDE (UNII: 451W47IQ8X)
SODIUM BICARBONATE (UNII: 8MDF5V39QO)
EDETATE DISODIUM (UNII: 7FLD91C86K)
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)
SODIUM CITRATE (UNII: 1Q73Q2JULR)
WATER (UNII: 059QF0KO0R)
DEXTROSE (UNII: IY9XDZ35W2)
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)

#	Item Code	Package Description	Marketing Start Date
Packaging
1	NDC:55910-362-01	1 in 1 CARTON	01/27/2020
1		15 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	M018	01/27/2020

Labeler - Dolgencorp LLC (068331990)

Registrant - K.C. Pharmaceuticals, Inc. (174450460)

Name	Address	ID/FEI	Business Operations
Establishment
K.C. Pharmaceuticals, Inc.		174450460	manufacture(55910-362) , pack(55910-362) , label(55910-362)