EXCHANGE SELECT ARTIFICIAL TEARS LUBRICANT EYE DROPS- glycerin, hypromellose, polyethylene glycol 400 solution 
Army and Air Force Exchange Service

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Exchange Select Artificial Tears (PLD)

Active ingredients

Glycerin 0.2%

Hypromellose 0.2%

Polyethylene glycol 400 1%

Purpose

Glycerin....Lubricant

Hypromellose....Lubricant

Polyethylene glycol 400....Lubricant

Uses

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 bvefore 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 health professional before use

Directions

Other information

Inactive ingredients

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

carton

EXCHANGE SELECT ARTIFICIAL TEARS LUBRICANT EYE DROPS 
glycerin, hypromellose, polyethylene glycol 400 solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:55301-178
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ) POLYETHYLENE GLYCOL 4001 g  in 100 mL
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO) (HYPROMELLOSE, UNSPECIFIED - UNII:3NXW29V3WO) HYPROMELLOSE, UNSPECIFIED0.2 g  in 100 mL
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN0.2 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
DEXTROSE (UNII: IY9XDZ35W2)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM PHOSPHATE, MONOBASIC (UNII: 3980JIH2SW)  
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)  
SODIUM CITRATE (UNII: 1Q73Q2JULR)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
WATER (UNII: 059QF0KO0R)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:55301-178-011 in 1 CARTON02/12/2020
115 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 DrugM01802/12/2020
Labeler - Army and Air Force Exchange Service (001695568)
Registrant - K.C. Pharmaceuticals, Inc. (174450460)
Establishment
NameAddressID/FEIBusiness Operations
K.C. Pharmaceuticals, Inc.174450460manufacture(55301-178) , pack(55301-178) , label(55301-178)

Revised: 12/2023
Document Id: 0d29cc74-465b-735b-e063-6394a90a22de
Set id: 9e478343-8ae7-823e-e053-2995a90a84ed
Version: 3
Effective Time: 20231223
 
Army and Air Force Exchange Service