POLYVINYL ALCOHOL- polyvinyl alcohol solution/ drops 
A-S Medication Solutions

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Polyvinyl Alcohol Ophthalmic Solution

Active ingredient

Polyvinyl Alcohol 1.4%

Purpose

Lubricant

Uses

Warnings

 

When using this product

  • Avoid contamination, do not touch tip of container to any surface.
  • Replace cap after use

Stop use and ask a doctor if

  • you experience eye pain, changes in vision, continued redness or irritation of the eye
  • 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 (1-800-222-1222)

Directions

Other information

Inactive ingredients

dibasic sodium phosphate, edetate disodium, monobasic sodium phosphate,

purified water, sodium chloride. Phosphoric acid and/or sodium hydroxide may be added to adjust pH. PRESERVATIVE ADDED: benzalkonium chloride 0.01%

Questions ?

Call 1-855-361-3993

Distributed by:

AvKARE

Pulaski, TN 38478

www.avkare.com

Rev. 12/2022 AV 12/2022

HOW SUPPLIED

Product: 50090-7119

NDC: 50090-7119-0 15 mL in a BOTTLE

Polyvinyl Alcohol

Label Image
POLYVINYL ALCOHOL 
polyvinyl alcohol solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50090-7119(NDC:50268-678)
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYVINYL ALCOHOL (UNII: 532B59J990) (POLYVINYL ALCOHOL - UNII:532B59J990) POLYVINYL ALCOHOL14 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
SODIUM PHOSPHATE, DIBASIC, UNSPECIFIED FORM (UNII: GR686LBA74)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM (UNII: 3980JIH2SW)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
WATER (UNII: 059QF0KO0R)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50090-7119-015 mL in 1 BOTTLE; Type 0: Not a Combination Product03/19/2024
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01801/05/2023
Labeler - A-S Medication Solutions (830016429)
Establishment
NameAddressID/FEIBusiness Operations
A-S Medication Solutions830016429RELABEL(50090-7119)

Revised: 3/2024
Document Id: f9bfe960-da7e-40f4-9242-3d9008311473
Set id: c77589fd-f68d-48b7-bd12-51f6b4cc9402
Version: 1
Effective Time: 20240320
 
A-S Medication Solutions