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PRINCIPAL DISPLAY PANEL
COMPANION
OXYGEN, REFRIGERATED LIQUID-USP
UN1073
OXYGEN 2
BY AIR LIQUEFACTION
PART N2 776252 REV. C
FEDERAL LAW PROHIBITS DISPENSING WITHOUT A PRESCRIPTION
ProCare
1416 North 8th Street
Peking, Illinois 61554
309-347-4663
800-514-9862
710 Illinois Ave
Mandota, Illinois 61342
815-539-6506
800-645-0123
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INGREDIENTS AND APPEARANCE
OXYGEN
oxygen gasProduct Information Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:61210-001 Route of Administration RESPIRATORY (INHALATION) Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength OXYGEN (UNII: S88TT14065) (OXYGEN - UNII:S88TT14065) OXYGEN 990 mL in 1 L Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NDC:61210-001-01 21 L in 1 CYLINDER; Type 0: Not a Combination Product 01/01/1994 2 NDC:61210-001-02 31 L in 1 CYLINDER; Type 0: Not a Combination Product 01/01/1994 3 NDC:61210-001-03 41 L in 1 CYLINDER; Type 0: Not a Combination Product 01/01/1994 Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date NDA NDA205849 01/01/1994 Labeler - Pekin Prohealth Inc. (011472831) Establishment Name Address ID/FEI Business Operations Pekin Prohealth Inc. 011472831 manufacture(61210-001) Establishment Name Address ID/FEI Business Operations Pekin Prohealth Inc. 620448688 manufacture(61210-001)