RITE AID HYDRATION LUBRICANT EYE DROPS- polyethylene glycol 400, propylene glycol solution/ drops 
Rite Aid Corporation

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Rite Aid Hydration Lubricant Eye Drops 10mL(PLD)

Active ingredients

Polyethylene glycol 400 0.4%

Propylene glycol 0.3%

Purposes

Lubricant

Lubricant

Use

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 tip of container to any surface to avoid contamination
  • replace cap after each use

Stop use and ask a doctor if

you experience any of the following:

  • eye pain
  • changes in vision occur
  • continued redness or irritation of the eye
  • 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 (1-800-222-1222) right away.

Directions

Put 1 or 2 drops in the affected eye(s) as needed

Other information

Store at temperature, not exceeding 59°F(15°C).

Inactive ingredients

boric acid, hypromellose, potassium chloride, purified water, sodium chloride, sodium hyaluronate, sodium hydroxide

Questions or comments?

Call 1-888-527-4276

Rite Aid Hydration Lubricant Eye Drops 10mL

Rite Aid Hydration Lubricant Eye Drops 10mL

RITE AID HYDRATION LUBRICANT EYE DROPS 
polyethylene glycol 400, propylene glycol solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:11822-0203
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, UNSPECIFIED - UNII:3WJQ0SDW1A) POLYETHYLENE GLYCOL 4000.4 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)  
BORIC ACID (UNII: R57ZHV85D4)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
WATER (UNII: 059QF0KO0R)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:11822-0203-11 in 1 BOX01/06/2023
110 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 DrugM01801/06/2023
Labeler - Rite Aid Corporation (014578892)
Registrant - KC Pharmaceuticals, Inc. (174450460)
Establishment
NameAddressID/FEIBusiness Operations
Unimed688016567manufacture(11822-0203) , pack(11822-0203) , label(11822-0203)

Revised: 12/2023
Document Id: 0cfa30c4-2583-add0-e063-6394a90a0487
Set id: ecac1351-e944-21da-e053-2995a90a6d34
Version: 3
Effective Time: 20231220
 
Rite Aid Corporation