REFRESH TEARS- carboxymethylcellulose sodium solution/ drops 
Mechanical Servants, Inc.

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

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REFRESH TEARS®

Drug Facts

Active ingredient

Carboxymethylcellulose sodium 0.5%

Purpose

Eye lubricant

Uses

Warnings

  • For external use only.
  • To avoid contamination, do not touch tip of container to any surface. Replace cap after using.
  • If solution changes color or becomes cloudy, do not use.

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.

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.

Other information

Inactive ingredients

Boric acid; calcium chloride; magnesium chloride; potassium chloride; purified water; PURITE® (stabilized oxychloro complex); sodium borate; and sodium chloride. May also contain hydrochloric acid and/or sodium hydroxide to adjust pH.

Questions or comments?

1.800.433.8871 M–F 6 AM – 4:30 PM Pacific Time
refreshbrand.com

Repackaged and distributed by Convenience Valet®
Melrose Park, IL 60160

PRINCIPAL DISPLAY PANEL - 3 mL Bottle Label

CONVENIENCE
CV
VALET
®

PERSONAL
CARE

Refresh
Tears
®
Lubricant Eye Drops

0.1 fl oz (3 mL) Sterile

PRINCIPAL DISPLAY PANEL - 3 mL Bottle Label
REFRESH TEARS 
carboxymethylcellulose sodium solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:29485-1073(NDC:0023-0798)
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
carboxymethylcellulose sodium (UNII: K679OBS311) (carboxymethylcellulose - UNII:05JZI7B19X) carboxymethylcellulose sodium5 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
boric acid (UNII: R57ZHV85D4)  
calcium chloride (UNII: M4I0D6VV5M)  
magnesium chloride (UNII: 02F3473H9O)  
potassium chloride (UNII: 660YQ98I10)  
water (UNII: 059QF0KO0R)  
sodium chlorite (UNII: G538EBV4VF)  
sodium chlorate (UNII: T95DR77GMR)  
chlorine dioxide (UNII: 8061YMS4RM)  
sodium borate (UNII: 91MBZ8H3QO)  
sodium chloride (UNII: 451W47IQ8X)  
hydrochloric acid (UNII: QTT17582CB)  
sodium hydroxide (UNII: 55X04QC32I)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:29485-1073-01 in 1 PACKAGE
13 mL in 1 BOTTLE, DROPPER
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC MONOGRAPH FINALpart34901/01/2010
Labeler - Mechanical Servants, Inc. (005530951)
Establishment
NameAddressID/FEIBusiness Operations
Allergan, Inc.362898611MANUFACTURE(29485-1073)
Establishment
NameAddressID/FEIBusiness Operations
Mechanical Servants, Inc.005530951RELABEL(29485-1073)

Revised: 11/2012
Document Id: 0184b46f-48de-4566-a55d-7ee56b366e08
Set id: cd467181-9d56-4b11-9826-15b5357d0689
Version: 2
Effective Time: 20121108
 
Mechanical Servants, Inc.