ULTRA HIS MINT: Package Insert and Label Information

ULTRA HIS MINT- green tea leaf, acetylcarnitine hydrochloride, arginine hydrochloride, n-monoacetylcystine, tribulus terrestris fruit, maritime pine, ubidecarenone and lycopene capsule
CROWN GENERAL AGENCY INC

STATEMENT OF IDENTITY

Dietary Supplement

Suggested Use

Take two (2) capsules daily, after meal(s), or as directed by your healthcare provider. Do not exceed two (2) capsules daily.

Precaution

If reaction(s) occur, consult your physician. Consult your doctor before starting any dietary supplement regime. This product is a dietary supplement, not a prescription drug. Keep out of the reach of children. In case of accidental overdose, call a hospital or poison control center immediately. Do not use if safety seal is damaged or missing. Do not expose to excessive heat or moisture. Store at room temperature in a cool dry place. Keep out of sunlight.

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ULTRA HIS MINT
green tea leaf, acetylcarnitine hydrochloride, arginine hydrochloride, n-monoacetylcystine, tribulus terrestris fruit, maritime pine, ubidecarenone , lycopene capsule
Product Information
Product Type Item Code (Source) NDC:73489-005
Route of Administration ORAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
GREEN TEA LEAF (GREEN TEA LEAF) GREEN TEA LEAF 50 mg
ACETYLCARNITINE HYDROCHLORIDE (ACETYLCARNITINE) ACETYLCARNITINE HYDROCHLORIDE 400 mg
ARGININE HYDROCHLORIDE (ARGININE) ARGININE HYDROCHLORIDE 400 mg
N-MONOACETYLCYSTINE (N-MONOACETYLCYSTINE) N-MONOACETYLCYSTINE 100 mg
TRIBULUS TERRESTRIS FRUIT (TRIBULUS TERRESTRIS FRUIT) TRIBULUS TERRESTRIS FRUIT 100 mg
MARITIME PINE (TRIBULUS TERRESTRIS FRUIT) MARITIME PINE 100 mg
UBIDECARENONE (UBIDECARENONE) UBIDECARENONE 200 mg
LYCOPENE (LYCOPENE) LYCOPENE 10 mg
Inactive Ingredients
Ingredient Name Strength
POWDERED CELLULOSE
MAGNESIUM STEARATE
SILICON DIOXIDE
TITANIUM DIOXIDE
FD&C BLUE NO. 1
FD&C RED NO. 40
Product Characteristics
Color white Score no score
Shape capsule Size 19mm
Flavor MINT Imprint Code
Contains
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:73489-005-01 30 CAPSULE in 1 BOTTLE, PLASTIC None
2 NDC:73489-005-02 60 CAPSULE in 1 BOTTLE, PLASTIC None
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
dietary supplement 11/29/2019
Labeler — CROWN GENERAL AGENCY INC (067373836)
Registrant — CROWN GENERAL AGENCY INC (067373836)

Revised: 11/2019 CROWN GENERAL AGENCY INC

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