NDC Code(s) : 70905-0012-1
Packager : Dr. Althea

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Dr. Althea Pore-Control Charcoal MaskAdenosine LIQUID
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:70905-0012
Route of Administration TOPICAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ADENOSINE(UNII: K72T3FS567)
(ADENOSINE - UNII:K72T3FS567) 		ADENOSINE0.04 g in 100 g
Inactive Ingredients
Ingredient Name Strength
WATER(UNII: 059QF0KO0R)
BUTYLENE GLYCOL(UNII: 3XUS85K0RA)
LARICIFOMES OFFICINALIS FRUITING BODY(UNII: 7IFM8431X3)
ACTIVATED CHARCOAL(UNII: 2P3VWU3H10)
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:70905-0012-15 in 1 PACKAGE 12/01/2016
129 g in 1 POUCH Type 0: Not a Combination Product
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other 12/01/2016

PRINCIPAL DISPLAY PANEL

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