NDC Code(s) : 69962-030-30
Packager : Webco Dental & Medical Supplies, Inc.

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

FIDELIS Topical AnestheticBenzocaine GEL
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:69962-030
Route of Administration DENTAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BENZOCAINE(UNII: U3RSY48JW5)
(BENZOCAINE - UNII:U3RSY48JW5) 		BENZOCAINE200 mg in 1 g
Inactive Ingredients
Ingredient Name Strength
POLYETHYLENE GLYCOL 3350(UNII: G2M7P15E5P)
POLYETHYLENE GLYCOL 400(UNII: B697894SGQ)
SACCHARIN SODIUM(UNII: SB8ZUX40TY)
Product Characteristics
Color red Score
Shape Size
Flavor RASPBERRY Imprint Code
Contains
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:69962-030-3030 g in 1 JAR Type 0: Not a Combination Product
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
OTC monograph not final part356 01/01/2014

PRINCIPAL DISPLAY PANEL

FIDELISTAGELGENERIC