CVS LUBRICANT EYE DROPS ULTRA- polyethylene glycol 400, propylene glycol solution 
CVS

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CVS Lubricant Eye Drops Ultra (PLD)

Active ingredients

Polyethylene glycol 400.........0.4%

Propylene glycol ...................0.3%

Purposes

Polyethylene glycol 400......Lubricant

Propylene glycol.................Lubricant

Use

Warnings

For external use only

Do not use

  • if this solution changes color or becomes cloudy
  • if you are sensitive to any ingredient in this product

When using this product

  • do not touch tip of container to any surface to avoid contamination
  • replace cap after each use

Stop use and ask a doctor if

  • you feel eye pain
  • changes in vision occur
  • redness or irritation of the eye(s) gets worse or lasts more than 72 hours

If pregnant or breast-feeding, ask a health professional before use

Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

Directions

Other information

Inactive ingredients

boric acid, hydrochloric acid**, hypromellose, potassium chloride, purified water, sodium chloride, sodium hydroxide**

** May contain these ingredients to adjust pH.

60 ct carton30 ct carton

CVS LUBRICANT EYE DROPS ULTRA 
polyethylene glycol 400, propylene glycol solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:69842-752
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3) PROPYLENE GLYCOL0.3 g  in 100 mL
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ) POLYETHYLENE GLYCOL 4000.4 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
HYDROCHLORIC ACID (UNII: QTT17582CB)  
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)  
BORIC ACID (UNII: R57ZHV85D4)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:69842-752-0130 in 1 CARTON02/12/2021
10.4 mL in 1 VIAL, SINGLE-USE; Type 0: Not a Combination Product
2NDC:69842-752-0260 in 1 CARTON02/12/2021
20.4 mL in 1 VIAL, SINGLE-USE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01802/12/2021
Labeler - CVS (062312574)
Registrant - K.C. Pharmaceutical, Inc. (174450460)
Establishment
NameAddressID/FEIBusiness Operations
KC Pharmaceuticals, Inc.174450460pack(69842-752) , label(69842-752)
Establishment
NameAddressID/FEIBusiness Operations
Unimed Pharmaceuticals, Inc.689852052manufacture(69842-752) , pack(69842-752) , label(69842-752)

Revised: 12/2023
Document Id: 0d376b0b-0989-5527-e063-6394a90acce9
Set id: bb1b936e-5e41-9d18-e053-2a95a90a4a86
Version: 6
Effective Time: 20231223
 
CVS