XYZMUNE- ascorbic acid, cholecalciferol, folic acid, zinc, echinacea, l-lysine hcl, tumeric, ginger capsule 
Basiem, LLC

----------

XYZMUNE

HEALTH CLAIM:

XYZMUNE Capsules - Dietary Supplement     

Dispensed by Prescription

image description

OTHER INGREDIENTS:  gelatin, calcium stearate, silica, organic mushroom (Pleurotus eryngii), organic turkey tail (Trametes versicolor), organic cordyceps (Cordyceps militaris), organic reishi (Ganoderna lucidum) organic himematsutake (Agaricus blazei), organic lion's mane (Hericium erincaces), organic antrodia (Taiwanofungus camphoratus (Antrodia camphorate)), organic maitake (Grifola frondosa)

DESCRIPTION:

XYZMUNE is an orally administered prescription vitamin formulation for the clinical dietary management of suboptimal nutritional status in patients where advanced supplementation is required and nutritional supplementation in physiologically stressful conditions for maintenance of good immune health is needed.

XYZMUNE is manufactured in accordance with Current Good Manufacturing Practice for foods, using ingredients that have been approved by the U.S. Food and Drug Administration (FDA) as food additives or are “Generally Recognized as Safe” (GRAS) for their intended use.

XYZMUNE should be administered under the supervision of a licensed medical practitioner.

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent disease.

WARNING AND PRECAUTIONS

This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.  XYZMUNE capsules should only be used under the direction and supervision of a licensed medical practitioner. Use with caution in patients that may have a medical condition, are pregnant, lactating, trying to conceive, under the age of 18, or taking medications.


KEEP OUT OF REACH OF CHILDREN


PRECAUTION
Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B is deficient. Folic acid in doses above 1 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress. XYZMUNE capsules should only be used under the direction and supervision of a licensed medical practitioner.

ADVERSE REACTIONS

Allergic sensitization has been reported following both oral and parenteral administration of folic acid. You may report side effects by calling 1-844-551-9911 or the FDA by calling 1-800-FDA-1088.

DOSAGE & ADMINISTRATION

Usual adult dose is 1 capsule taken orally once or twice daily or as prescribed by a licensed medical practitioner.


HOW SUPPLIED HEALTH CLAIM:

XYZMUNE Dietary Supplement
Capsules are clear with a yellow powder inside
Bottles contain 30 capsules, 69597-355-30*
Dispensed by Prescription

Manufactured in USA for:
Basiem, LLC
Madisonville, LA 70447


Distributed by: Solubiomix, LLC
Rev. 04/2020


* Basiem does not represent these product codes to be National Drug Codes (NDC). Product codes are formatted according to standard industry practice, to meet the formatting requirement by pedigree reporting and supply-chain control including pharmacies.
The most appropriate way to ensure pedigree reporting consistent with these regulatory guidelines and safety monitoring is to dispense this product by prescription. This is not an Orange Book product. This product may be administered only under a physician’s supervision and all prescriptions using this product shall be pursuant to state statutes as applicable. The ingredients, indication or claims of this product are not to be construed to be drug claims.

1. Federal Register Notice of August 2, 1973 (38 FR 20750)
2. Federal Register Notice of October 17, 1980 (45 FR 69043, 69044)
3. Federal Register Notice of March 5, 1996 (61 FR 8760)

STORAGE AND HANDLING:

STORAGE: Store at 20°-25°C (68°-77°F); excursions permitted to 15°-30°C (59°-86°F) [See USP]

PACKAGE LABEL

image description

XYZMUNE 
ascorbic acid, cholecalciferol, folic acid, zinc, echinacea, l-lysine hcl, tumeric, ginger capsule
Product Information
Product TypeDIETARY SUPPLEMENTItem Code (Source)NHRIC:69597-355
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ASCORBIC ACID (UNII: PQ6CK8PD0R) (ASCORBIC ACID - UNII:PQ6CK8PD0R) ASCORBIC ACID500 mg
cholecalciferol (UNII: 1C6V77QF41) (cholecalciferol - UNII:1C6V77QF41) cholecalciferol0.015 mg
ZINC OXIDE (UNII: SOI2LOH54Z) (ZINC CATION - UNII:13S1S8SF37) ZINC CATION16 mg
FOLIC ACID (UNII: 935E97BOY8) (FOLIC ACID - UNII:935E97BOY8) FOLIC ACID1 mg
ECHINACEA PURPUREA WHOLE (UNII: QI7G114Y98) (ECHINACEA PURPUREA WHOLE - UNII:QI7G114Y98) ECHINACEA PURPUREA WHOLE30 mg
LYSINE HYDROCHLORIDE (UNII: JNJ23Q2COM) (LYSINE - UNII:K3Z4F929H6) LYSINE10 mg
TURMERIC (UNII: 856YO1Z64F) (TURMERIC - UNII:856YO1Z64F) TURMERIC10 mg
GINGER (UNII: C5529G5JPQ) (GINGER - UNII:C5529G5JPQ) GINGER5 mg
Inactive Ingredients
Ingredient NameStrength
GELATIN (UNII: 2G86QN327L)  
CALCIUM STEARATE (UNII: 776XM7047L)  
SILICA DIMETHYL SILYLATE (UNII: EU2PSP0G0W)  
PLEUROTUS ERYNGII WHOLE (UNII: 2WGH02ZJ1G)  
TRAMETES VERSICOLOR WHOLE (UNII: 2YD82VN5CM)  
CORDYCEPS MILITARIS WHOLE (UNII: J617U5X7NN)  
GANODERMA LUCIDUM WHOLE (UNII: J5P04QW0CF)  
AGARICUS BLAZEI WHOLE (UNII: 11MSQ4JG7G)  
HERICIUM AMERICANUM WHOLE (UNII: UF625TXW2A)  
TAIWANOFUNGUS CAMPHORATUS WHOLE (UNII: 944OR6BL20)  
GRIFOLA FRONDOSA WHOLE (UNII: O238UC53ET)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NHRIC:69597-355-3030 in 1 BOTTLE
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
dietary supplement04/08/2020
Supplement Facts
Serving Size : Serving per Container :
Amount Per Serving% Daily Value
color
scoring1
size (solid drugs)23 mm
shape
Labeler - Basiem, LLC (079686680)

Revised: 11/2021
Document Id: 8f0c78c7-4930-4b58-83df-3a32c6bd7fe5
Set id: aa5e68c0-c400-43a7-8bf5-5560b6deddc7
Version: 4
Effective Time: 20211101
 
Basiem, LLC