LUBRICANT EYE DROPS SOLUTION- polyethylene glycol 400 and propylene glycol solution 
AvPAK

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Lubricant Eye Drops Solution

Active IngredientsPurpose
Polyethylene Glycol 400 0.4%Lubricant
Propylene Glycol 0.3%Lubricant

Uses

Warnings

For use in the eyes only

Do not use

When using this product

Stop use and ask a doctor if

Keep this and all drugs out of the 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:

Benzalkonium chloride (preservative), boric acid, calcium chloride, hypromellose, magnesium chloride, potassium chloride, purified water, sodium chloride, zinc chloride. May contain hydrochloric acid and/or sodium hydroxide to adjust pH.

Questions?

1-855-361-3993

Distributed by:

AvKARE

Pulaski, TN 38478

www.avkare.com

Rev. 12/2022 AV 12/2022

PRINCIPAL DISPLAY PANEL

15

LUBRICANT EYE DROPS SOLUTION 
polyethylene glycol 400 and propylene glycol solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50268-126
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ) POLYETHYLENE GLYCOL 4004 mg  in 1 mL
PROPYLENE GLYCOL (UNII: 6DC9Q167V3) (PROPYLENE GLYCOL - UNII:6DC9Q167V3) PROPYLENE GLYCOL3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)  
BORIC ACID (UNII: R57ZHV85D4)  
CALCIUM CHLORIDE (UNII: M4I0D6VV5M)  
MAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
ZINC CHLORIDE (UNII: 86Q357L16B)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50268-126-151 in 1 CARTON02/25/2003
115 mL in 1 BOTTLE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01802/25/2003
Labeler - AvPAK (832926666)

Revised: 3/2024
Document Id: 13036dcc-170b-76c1-e063-6394a90a7c7a
Set id: f5743b38-e3d2-a065-e053-2995a90a4b9a
Version: 3
Effective Time: 20240306
 
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