X: Package Insert and Label Information

X — theophylline powder
AX Pharmaceutical Corp

opy of label
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X
theophylline powder
Product Information
Product Type BULK INGREDIENT Item Code (Source) NDC:62157-048
Route of Administration NOT APPLICABLE DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
THEOPHYLLINE (THEOPHYLLINE) THEOPHYLLINE 495 g in 500 g
Inactive Ingredients
Ingredient Name Strength
WATER
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:62157-048-01 500 g in 1 BOTTLE None
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BULK INGREDIENT FOR ANIMAL DRUG COMPOUNDING 02/15/2015
Labeler — AX Pharmaceutical Corp (202924858)
Establishment
Name Address ID/FEI Operations
AX Pharmaceutical Corp 202924858 repack (62157-048), relabel (62157-048)

Revised: 12/2015 AX Pharmaceutical Corp

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