NDC Code(s) : 69597-904-60
Packager : Basiem

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Sulfzixsodium polysulthionate, folic acid CAPSULE
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:69597-904
Route of Administration ORAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
SULFUR(UNII: 70FD1KFU70)
(SULFUR - UNII:70FD1KFU70) 		SULFUR388 mg
SODIUM SULFATE(UNII: 0YPR65R21J)
(SODIUM SULFATE ANHYDROUS - UNII:36KCS0R750) 		SODIUM SULFATE8 mg
SODIUM THIOSULFATE(UNII: HX1032V43M)
(THIOSULFATE ION - UNII:LLT6XV39PY) 		SODIUM THIOSULFATE1.8 mg
FOLIC ACID(UNII: 935E97BOY8)
(FOLIC ACID - UNII:935E97BOY8) 		FOLIC ACID1 mg
Inactive Ingredients
Ingredient Name Strength
CELLULOSE, MICROCRYSTALLINE(UNII: OP1R32D61U)
METHYLCOBALAMIN(UNII: BR1SN1JS2W)
MAGNESIUM STEARATE(UNII: 70097M6I30)
SILICON DIOXIDE(UNII: ETJ7Z6XBU4)
Product Characteristics
Color white Score no score
Shape capsule Size 16 mm
Flavor Imprint Code SG1002
Contains
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:69597-904-6060 in 1 BOTTLE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
medical food 06/23/2016

PRINCIPAL DISPLAY PANEL

image description