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Systane Ultra Preservative Free

Approved
Approval ID

751fb85f-6683-4b0a-a650-324d4a74c5de

Product Type

HUMAN OTC DRUG LABEL

Effective Date

Jul 30, 2025

Manufacturers
FDA

Alcon Laboratories, Inc.

DUNS: 008018525

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Polyethylene Glycol 400 and Propylene Glycol

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code0065-1507
Application NumberM018
Product Classification
M
Marketing Category
C200263
G
Generic Name
Polyethylene Glycol 400 and Propylene Glycol
Product Specifications
Route of AdministrationOPHTHALMIC
Effective DateJuly 30, 2025
FDA Product Classification

INGREDIENTS (11)

Potassium ChlorideInactive
Code: 660YQ98I10
Classification: IACT
Sodium HydroxideInactive
Code: 55X04QC32I
Classification: IACT
Propylene GlycolActive
Quantity: 3 mg in 1 mL
Code: 6DC9Q167V3
Classification: ACTIB
Sodium ChlorideInactive
Code: 451W47IQ8X
Classification: IACT
SorbitolInactive
Code: 506T60A25R
Classification: IACT
Hydrochloric AcidInactive
Code: QTT17582CB
Classification: IACT
Polyethylene Glycol 400Active
Quantity: 4 mg in 1 mL
Code: B697894SGQ
Classification: ACTIB
AminomethylpropanolInactive
Code: LU49E6626Q
Classification: IACT
Boric AcidInactive
Code: R57ZHV85D4
Classification: IACT
Guaraprolose (3500 Mpa.S At 1%)Inactive
Code: 3A1I7376TC
Classification: IACT
WaterInactive
Code: 059QF0KO0R
Classification: IACT

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 7/30/2025

PRINCIPAL DISPLAY PANEL

Preservative-Free


Systane**®******
****LUBRICANT EYE DROPS

ULTRA PF
****FAST ACTING
****DRY EYE RELIEF


Moisture Rich Formula
Instantly Hydrates

Preservative-Free Bottle

DOCTOR RECOMMENDED #1 BRANDS1

Alcon

STERILE
10 mL (0.34 FL OZ)

LOT: EXP.:

SIDE PANEL:


****TAMPER EVIDENT:
For your protection, this bottle has a tamper evident ring around the bottom of the cap. Do not use if this ring is damaged or missing at the time of purchase.

1Based on a survey of eye care professionals. Data on file.

Alcon Laboratories, Inc.
Fort Worth, TX 76134 USA
Country of Origin United States
U.S. Pat.: www.alconpatents.com

300068254-0824


****Actual Size

Carton

TWIN VALUE PACK


Preservative-Free


Systane**®******
****LUBRICANT EYE DROPS


ULTRA PF
****FAST ACTING
****DRY EYE RELIEF

Moisture Rich Formula
Instantly Hydrates

Preservative-Free Bottles

DOCTOR RECOMMENDED #1 BRANDS1

Alcon


STERILE
Two 10 mL (0.34 FL OZ) Bottles

LOT: EXP.:

SIDE PANEL:


****TAMPER EVIDENT:
For your protection, this bottle has a tamper evident ring around the bottom of the cap. Do not use if this ring is damaged or missing at the time of purchase.

1Based on a survey of eye care professionals. Data on file.

Preservative-Free
Fast Acting
Relief for
Sensitive Eyes

Alcon Laboratories, Inc.
Fort Worth, TX 76134 USA
Country of Origin USA
U.S. Pat.: www.alconpatents.com

ACTUAL SIZE

300068255-0824

Carton Label

Preservative-Free****


Systane**®******
****LUBRICANT EYE DROPS

ULTRA PF****
FAST ACTING
DRY EYE RELIEF

Moisture Rich Formula
Instantly Hydrates

Preservative-Free Bottle

DOCTOR RECOMMENDED #1 BRANDS1

Alcon

STERILE
10 mL (0.34 fl oz)

LOT: EXP.:

SIDE PANEL:****


TAMPER EVIDENT:
**** For your protection, this bottle has a tamper evident ring around the bottom of the cap. Do not use if this ring is damaged or missing at the time of purchase.

1Based on a survey of eye care professionals. Data on file.

Alcon Laboratories, Inc.
Fort Worth, TX 76134 USA
Country of Origin: Singapore
U.S. Pat.: www.alconpatents.com

300072082-0525

Actual Size

Carton Label

Systane®
LUBRICANT EYE DROPS


ULTRA PF
FAST ACTING
DRY EYE RELIEF

10 mL (0.34 FL OZ) STERILE

Only for use in the eye.
Store at room temperature.
Discard 90 days after opening.
**TAMPER EVIDENT:**For your protection, this bottle has a tamper evident ring around the bottom of the cap. Do not use if this ring is damaged or missing at the time of purchase.

Alcon Laboratories, Inc.
Fort Worth, TX 76134 USA

See Carton for Directions For Use.

Country of Origin: USA

LOT: EXP:

300068258-0824

Label

INDICATIONS & USAGE SECTION

LOINC: 34067-9Updated: 11/24/2021

Uses

  • for the temporary relief of burning and irritation due to dryness of the eye
  • for the temporary relief of discomfort due to minor irritations of the eye or to exposure to wind or sun

OTHER SAFETY INFORMATION

LOINC: 60561-8Updated: 11/24/2021

Other Information

  • Store at room temperature

OTC - PURPOSE SECTION

LOINC: 55105-1Updated: 11/24/2021

Active Ingredients

Purpose

Polyethylene Glycol 400 0.4%

Lubricant

Propylene Glycol 0.3%

Lubricant

OTC - ACTIVE INGREDIENT SECTION

LOINC: 55106-9Updated: 11/24/2021

OTC - STOP USE SECTION

LOINC: 50566-9Updated: 11/24/2021

Stop use and ask a doctor ifyou experience any of the following:

  • eye pain
  • changes in vision
  • continued redness or irritation of the eye
  • condition worsens or persists for more than 72 hours

INACTIVE INGREDIENT SECTION

LOINC: 51727-6Updated: 11/24/2021

Inactive ingredients

Aminomethylpropanol, boric acid, hydroxypropyl guar, potassium chloride, purified water, sodium chloride, sorbitol. May contain hydrochloric acid and/or sodium hydroxide to adjust pH.

WARNINGS SECTION

LOINC: 34071-1Updated: 11/24/2021

Warnings

For external use only

OTC - DO NOT USE SECTION

LOINC: 50570-1Updated: 11/24/2021

Do not use

  • if this product changes color or becomes cloudy
  • if you are sensitive to any ingredient in this product

OTC - WHEN USING SECTION

LOINC: 50567-7Updated: 11/24/2021

When using the product

  • do not touch tip of container to any surface to avoid contamination
  • replace cap after each use

OTC - KEEP OUT OF REACH OF CHILDREN SECTION

LOINC: 50565-1Updated: 11/24/2021

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

DOSAGE & ADMINISTRATION SECTION

LOINC: 34068-7Updated: 7/30/2025

Directions for Use:

  • Hold the bottle just below the cap and twist the cap to open. *BEFORE FIRST USE, hold the bottle upside down and dispense one drop of product to discard.
  • Shake the bottle downward to remove residual product (see picture).

Use Diagram

  • Place 1 or 2 drops in the affected eye(s) as needed and blink. *After use, shake the bottle downward to remove residual product that may be left on the tip (see picture above).
  • Replace cap after use.
  • Discard 90 days after opening.

OTC - QUESTIONS SECTION

LOINC: 53413-1Updated: 11/24/2021

Questions?

In the U.S. call 1-800-757-9195
alcon.medinfo@alcon.com
www.systane.com

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Systane Ultra Preservative Free - FDA Drug Approval Details