NDC Code(s) : 42637-821-01
Packager : Jakemans (Confectioners) Ltd.

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Jakemans BlueberryMenthol LOZENGE
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:42637-821
Route of Administration ORAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
MENTHOL(UNII: L7T10EIP3A)
(MENTHOL - UNII:L7T10EIP3A) 		MENTHOL5 mg in 100 mg
Inactive Ingredients
Ingredient Name Strength
CORN SYRUP(UNII: 9G5L16BK6N)
BLUEBERRY(UNII: 253RUG1X1A)
SUCROSE(UNII: C151H8M554)
WATER(UNII: 059QF0KO0R)
Product Characteristics
Color blue Score no score
Shape ROUND Size 18 mm
Flavor Imprint Code
Contains
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:42637-821-0130 in 1 PACKAGE
1100 mg in 1 CAPSULE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
OTC monograph final part341 01/01/2014

PRINCIPAL DISPLAY PANEL

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