<?xml version="1.0" encoding="UTF-8"?>
<NDC>
<NDCCode>
62011-0104-1
</NDCCode>
<PackageDescription>
1 BOTTLE, DROPPER in 1 CARTON (62011-0104-1) / 15 mL in 1 BOTTLE, DROPPER
</PackageDescription>
<NDC11Code>
62011-0104-01
</NDC11Code>
<ProductNDC>
62011-0104
</ProductNDC>
<ProductTypeName>
HUMAN OTC DRUG
</ProductTypeName>
<ProprietaryName>
Health Mart Eye Drops Advanced Relief
</ProprietaryName>
<ProprietaryNameSuffix/>
<NonProprietaryName>
Tetrahydrozoline Hydrochloride, Polyethylene Glycol 400, Dextran 70, Povidone
</NonProprietaryName>
<DosageFormName>
SOLUTION/ DROPS
</DosageFormName>
<RouteName>
OPHTHALMIC
</RouteName>
<StartMarketingDate>
20120301
</StartMarketingDate>
<EndMarketingDate/>
<MarketingCategoryName>
OTC MONOGRAPH DRUG
</MarketingCategoryName>
<ApplicationNumber>
M018
</ApplicationNumber>
<LabelerName>
Strategic Sourcing Services LLC
</LabelerName>
<SubstanceName>
DEXTRAN 70; POLYETHYLENE GLYCOL 400; POVIDONE; TETRAHYDROZOLINE HYDROCHLORIDE
</SubstanceName>
<StrengthNumber>
1; 10; 10; .5
</StrengthNumber>
<StrengthUnit>
mg/mL; mg/mL; mg/mL; mg/mL
</StrengthUnit>
<Pharm_Classes>
Increased Intravascular Volume [PE], Osmotic Activity [MoA], Plasma Volume Expander [EPC]
</Pharm_Classes>
<DEASchedule/>
<Status>
Deprecated
</Status>
<LastUpdate>
2024-01-11
</LastUpdate>
<PackageNdcExcludeFlag>
N
</PackageNdcExcludeFlag>
<ProductNdcExcludeFlag>
N
</ProductNdcExcludeFlag>
<ListingRecordCertifiedThrough>
20241231
</ListingRecordCertifiedThrough>
<StartMarketingDatePackage>
20120301
</StartMarketingDatePackage>
<EndMarketingDatePackage/>
<SamplePackage>
N
</SamplePackage>
</NDC>