NDC Code(s) : 21220-156-01, 21220-156-02
Packager : General Air Service & Supply Co

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Carbon Dioxide Oxygen MixtureCarbon Dioxide Oxygen Mixture GAS
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:21220-156
Route of Administration RESPIRATORY (INHALATION) DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
OXYGEN(UNII: S88TT14065)
(OXYGEN - UNII:S88TT14065) 		OXYGEN800 mL in 1 L
Inactive Ingredients
Ingredient Name Strength
CARBON DIOXIDE(UNII: 142M471B3J)200 mL in 1 L
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:21220-156-017101 L in 1 CYLINDER Type 0: Not a Combination Product01/01/1975
2NDC:21220-156-02707 L in 1 CYLINDER Type 0: Not a Combination Product01/01/1975
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA NDA205849 01/01/1975

LABELER - General Air Service & Supply Co(051227338)

Establishment
Name Address ID/FEI Business Operations
General Air Service & Supply Co 006686091 manufacture(21220-156)

PRINCIPAL DISPLAY PANEL

COMPRESSED GAS, OXIDIZING, N.O.S.
UN3156
OXYGEN CONTENT OVER 23.5%
Rx only. WARNING: Administration of this gas mixture may be hazardous or contraindicated. For use only by or under the supervision of a licensed practitioner who is experienced in the use and administration of gas mixtures, and is familiar with the indications, effects, dosages, methods and frequency and duration of administration, and with the hazards, contraindications and side effects, and the precautions to be taken. DANGER: MAY CAUSE OR INTENSIFY FIRE; OXIDIZER. CONTAINS GAS UNDER PRESSURE; MAY EXPLODE IF HEATED. MAY INCREASE RESPIRATION AND HEART RATE. Do not handle until all safety precautions have been read and understood. Keep and store away from clothing and other combustible materials. Keep valves and fittings free from grease and oil. Use and store only outdoors or in a well-ventilated place. In case of fire: Stop leak if safe to do so. Use a back flow preventive device in the piping. Use only with equipment of compatible materials of construction and rated for cylinder pressure. Use only with equipment cleaned for oxygen service. Open valve slowly. Close valve after each use and when empty. Protect from sunlight when ambient temperature exceeds 52 C (125 F). Read and follow the Safety Data Sheet (SDS) before use. CAS: OXYGEN 7782-44-7 CARBON DIOXIDE 124-38-9 DO NOT REMOVE THIS PRODUCT LABEL.
FILLED & INSPECTED BY
GENERAL AIR SERVICE & SUPPLY
1105 ZUNI ST
DENVER, CO 80204
303-892-7003 co2 o2