HEALTH MART LUBRICATING TEARS- polyethylene glycol 400, propylene glycol solution/ drops 
Strategic Sourcing Services LLC

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Health Mart Lubricating Tears (PLD)

Active ingredients

Polyethylene glycol 400    0.4%
Propylene glycol   0.3%

Purpose

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

Uses
• for the temporary relief of burning and irritation due to dryness of the eye

Warnings
For external use only

Do not use
• if this product changes color or becomes cloudy
• if you are sensitive to any ingredient in this product

When using this product
• do not touch the 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

Keep out of reach of children
If swallowed, get medical help or contact a Poison Control Center right away

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 room temperature

Carton

HEALTH MART LUBRICATING TEARS 
polyethylene glycol 400, propylene glycol solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:62011-0254
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ) POLYETHYLENE GLYCOL 4000.4 g  in 100 mL
PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3) PROPYLENE GLYCOL0.3 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
AMINOMETHYLPROPANOL (UNII: LU49E6626Q)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
BORIC ACID (UNII: R57ZHV85D4)  
HYPROMELLOSES (UNII: 3NXW29V3WO)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SORBITOL (UNII: 506T60A25R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:62011-0254-11 in 1 BOX07/01/2015
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 DrugM01807/01/2015
Labeler - Strategic Sourcing Services LLC (116956644)
Registrant - KC Pharmaceuticals, Inc. (174450460)
Establishment
NameAddressID/FEIBusiness Operations
KC Pharmaceuticals, Inc.174450460manufacture(62011-0254) , pack(62011-0254) , label(62011-0254)

Revised: 12/2023
Document Id: 0d2a828a-146f-a981-e063-6394a90a38d5
Set id: c8be678f-2b4a-4d39-9cb4-910d36d72174
Version: 4
Effective Time: 20231223
 
Strategic Sourcing Services LLC