DISCOUNT DRUG MART EYE DROPS DRY EYE RELIEF- glycerin, hypromellose, polyethylene glycol 400 solution/ drops 
Discount Drug Mart

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Discount Drug Mart Eye Drops Dry Eye Relief 15mL (PLD)

​Active ingredients

Glycerin 0.2%

Hypromellose 0.2%

Polyethylene glycol 400 1%

​Purpose

Glycerin.....Lubricant

Hypromellose.....Lubricant

Polyethylene glycol 400.....Lubricant

​Uses

​Warnings

For external use only

Do not use this product if solution changes color or becomes cloudy

When using this product

  • to avoid contamination, do not touch tip of container to any surface. Replace cap after using.
  • remove contact lens before using

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

If pregnant or breast-feeding, ask a health professional before use.

Keep out of reach of children If swallowed get medical help or contact a Poison Control Center (1-800-222-1222) right away.

Directions

Other information

Store at 15 o-30 oC (59 o-86 oF)

​Inactive ingredients

benzalkonium chloride, dextrose, edetate disodium, potassium chloride, purified water, sodium bicarbonate, sodium chloride, sodium citrate, sodium phosphate dibasic, sodium phosphate monobasic

BOX

DISCOUNT DRUG MART EYE DROPS DRY EYE RELIEF 
glycerin, hypromellose, polyethylene glycol 400 solution/ drops
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:53943-032
Route of AdministrationOPHTHALMIC
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN0.2 g  in 100 mL
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO) (HYPROMELLOSE, UNSPECIFIED - UNII:3NXW29V3WO) HYPROMELLOSE, UNSPECIFIED0.2 g  in 100 mL
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ) (POLYETHYLENE GLYCOL 400 - UNII:B697894SGQ) POLYETHYLENE GLYCOL 4001 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
DEXTROSE (UNII: IY9XDZ35W2)  
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
POTASSIUM CHLORIDE (UNII: 660YQ98I10)  
WATER (UNII: 059QF0KO0R)  
SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
SODIUM CITRATE (UNII: 1Q73Q2JULR)  
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)  
SODIUM PHOSPHATE, MONOBASIC (UNII: 3980JIH2SW)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:53943-032-011 in 1 CARTON03/28/2023
115 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM01803/28/2023
Labeler - Discount Drug Mart (047741335)
Registrant - KC Pharmaceuticals, Inc. (174450460)
Establishment
NameAddressID/FEIBusiness Operations
KC Pharmaceuticals, Inc.174450460manufacture(53943-032) , pack(53943-032) , label(53943-032)

Revised: 12/2023
Document Id: 0d29bc02-e799-6633-e063-6394a90a2226
Set id: f7fd53be-e501-d97f-e053-6394a90ad409
Version: 2
Effective Time: 20231223
 
Discount Drug Mart