Physicianscare Eyewash Station Additive Concentrate

SPL v4

SPL

SPL Set ID 2a3f0a3e-3ae2-4d7e-e054-00144ff88e88

Route

OPHTHALMIC

Published

Effective Date 2015-12-28

Document Type 34390-5 HUMAN OTC DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients

Propylene Glycol (2374.4 L) Chlorhexidine (280 kg)

Inactive Ingredients

Water

Identifiers & Packaging

Marketing Status

OTC MONOGRAPH NOT FINAL Active Since 2016-01-26

Description

Ingredients Chlorhexidine gluconate 1% w/v Purified Water, Propylene Glycol

Medication Information

Warnings and Precautions

Warnings

For external use only. In case of contact with eye in undiluted form, flush with clean water

Do not use

in full strength

When using this product

do not change dilution or use with other chemicals
do not reuse

Stop use and ask a doctor if you have any of the following

changes in vision
eye pain
condition worsens or persists
continued redness or irritations of the eye

Indications and Usage

Use

A preservative for use in potable self-contained emergency eyewash stations

Dosage and Administration

Directions

wear protective eyewear and gloves
clean potable eyewash station and rinse with potable water
partially fill station with potable water
remove tamper evident seal and cap of bottle
add entire contents of the bottle to the eyewash station container
fill the station to the manufacturer's required level
date and initial inspection tag
station should be cleaned and refilled every 120 days when using this product
in advance of emergency, add the concentrate to potable water to have solution available

Description

Ingredients Chlorhexidine gluconate 1% w/v Purified Water, Propylene Glycol

Section 34076-0

Other information

lot number is printed on the bottle
store at 20º to 25º C [68º to 77º F]
for your protection, this bottle has an imprinted white seal with black printing "TAMPER EVIDENT SEAL"
do not use if this seal is missing or broken
use before expiration date marked on bottle

Section 50565-1

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Section 51727-6

Inactive Ingredients

Water

Section 51945-4

PRINCIPAL DISPLAY PANEL - 236 mL Bottle Label

EYEWASH STATION ADDITIVE CONCENTRATE

NDC 0924-0169-08

A preservative for potable water.

Preserves from 5 - 20 US Gallons

(15 - 76 Liters)

FOR USE IN EMERGENCY

EYEWASH STATIONS

Acme United Corporation

55 Walls Drive

Fairfield, CT 06824

www.FirstAidOnly.com

8 Fl Oz [236mL]

Section 53413-1

Questions ? Call 1-800-254-5050 9 a.m. to 5 p.m. EST Mon-Fri

Section 55105-1

Purpose

Preservative

Section 55106-9

Ingredients

Chlorhexidine gluconate 1% w/v Purified Water, Propylene Glycol

Structured Label Content

Indications and Usage (34067-9)

Use

A preservative for use in potable self-contained emergency eyewash stations

Dosage and Administration (34068-7)

Directions

wear protective eyewear and gloves
clean potable eyewash station and rinse with potable water
partially fill station with potable water
remove tamper evident seal and cap of bottle
add entire contents of the bottle to the eyewash station container
fill the station to the manufacturer's required level
date and initial inspection tag
station should be cleaned and refilled every 120 days when using this product
in advance of emergency, add the concentrate to potable water to have solution available

Warnings and Precautions (34071-1)

Warnings

For external use only. In case of contact with eye in undiluted form, flush with clean water

Do not use

in full strength

When using this product

do not change dilution or use with other chemicals
do not reuse

Stop use and ask a doctor if you have any of the following

changes in vision
eye pain
condition worsens or persists
continued redness or irritations of the eye

Section 34076-0 (34076-0)

Other information

lot number is printed on the bottle
store at 20º to 25º C [68º to 77º F]
for your protection, this bottle has an imprinted white seal with black printing "TAMPER EVIDENT SEAL"
do not use if this seal is missing or broken
use before expiration date marked on bottle

Section 50565-1 (50565-1)

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Section 51727-6 (51727-6)

Inactive Ingredients

Water

Section 51945-4 (51945-4)

PRINCIPAL DISPLAY PANEL - 236 mL Bottle Label

EYEWASH STATION ADDITIVE CONCENTRATE

NDC 0924-0169-08

A preservative for potable water.

Preserves from 5 - 20 US Gallons

(15 - 76 Liters)

FOR USE IN EMERGENCY

EYEWASH STATIONS

Acme United Corporation

55 Walls Drive

Fairfield, CT 06824

www.FirstAidOnly.com

8 Fl Oz [236mL]

Section 53413-1 (53413-1)

Questions ? Call 1-800-254-5050 9 a.m. to 5 p.m. EST Mon-Fri

Section 55105-1 (55105-1)

Purpose

Preservative

Section 55106-9 (55106-9)

Ingredients

Chlorhexidine gluconate 1% w/v Purified Water, Propylene Glycol

Advanced Ingredient Data

[{"name": "WATER", "unii": "059QF0KO0R", "classCode": "IACT", "strengthNumerator": "2374.4", "strengthDenominator": "2800", "strengthNumeratorUnit": "L", "strengthDenominatorUnit": "L"}, {"name": "PROPYLENE GLYCOL", "unii": "6DC9Q167V3", "classCode": "ACTIB", "strengthNumerator": "280", "strengthDenominator": "2800", "strengthNumeratorUnit": "kg", "strengthDenominatorUnit": "L"}, {"name": "CHLORHEXIDINE", "unii": "R4KO0DY52L", "classCode": "ACTIB", "strengthNumerator": "145.6", "strengthDenominator": "2800", "strengthNumeratorUnit": "kg", "strengthDenominatorUnit": "L"}]

Raw Label Data

All Sections (JSON)

{"34067-9": "Use A preservative for use in potable self-contained emergency eyewash stations", "34068-7": "Directions wear protective eyewear and gloves clean potable eyewash station and rinse with potable water partially fill station with potable water remove tamper evident seal and cap of bottle add entire contents of the bottle to the eyewash station container fill the station to the manufacturer's required level date and initial inspection tag station should be cleaned and refilled every 120 days when using this product in advance of emergency, add the concentrate to potable water to have solution available", "34071-1": "Warnings For external use only. In case of contact with eye in undiluted form, flush with clean water Do not use in full strength When using this product do not change dilution or use with other chemicals do not reuse Stop use and ask a doctor if you have any of the following changes in vision eye pain condition worsens or persists continued redness or irritations of the eye", "34076-0": "Other information lot number is printed on the bottle store at 20º to 25º C [68º to 77º F] for your protection, this bottle has an imprinted white seal with black printing "TAMPER EVIDENT SEAL" do not use if this seal is missing or broken use before expiration date marked on bottle", "50565-1": "Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.", "51727-6": "Inactive Ingredients Water", "51945-4": "PRINCIPAL DISPLAY PANEL - 236 mL Bottle Label EYEWASH STATION ADDITIVE CONCENTRATE NDC 0924-0169-08 A preservative for potable water. Preserves from 5 - 20 US Gallons (15 - 76 Liters) FOR USE IN EMERGENCY EYEWASH STATIONS Acme United Corporation 55 Walls Drive Fairfield, CT 06824 www.FirstAidOnly.com 8 Fl Oz [236mL]", "53413-1": "Questions ? Call 1-800-254-5050 9 a.m. to 5 p.m. EST Mon-Fri", "55105-1": "Purpose Preservative", "55106-9": "Ingredients Chlorhexidine gluconate 1% w/v Purified Water, Propylene Glycol"}

Additional Information

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Source: dailymed · Ingested: 2026-02-15T11:56:55.671716 · Updated: 2026-03-14T22:55:42.107827