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Helium Oxygen Mixture

Dosage form: gas

OMPRESSED GAS, OXIDIZING, N.O.S.

(60% HELIUM USP, 40% OXYGEN USP)

UN3156

NON-FLAMMABLE GAS 2 834314 (02/17) OXIDIZER 5.1

DANGER: MAY CAUSE OR INTENSIFY FIRE: OXIDIZER CONTAINS GAS UNDER PRESSURE; MAY EXPLODE IF HEATED. Do not handle until all safety precautions have been read and understood. Use and store only outdoors or in a well-ventilated place. Use a back-flow preventative device in the piping. Use only with equipment of compatible materials of construction and rated for cylinder pressure. Close valve after each use and when empty. Protect from sunlight when ambient temperature exceeds 52oC/125oF. Read and follow the Safety Data Sheet (SDS) before use. WARNING: Rx only. 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 I 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. CAS OXYGEN 7782-44-7 HELIUM 7440-59-7 DO NOT REMOVE THIS PRODUCT LABEL

Airgas, Healthcare

An Air Liquide company

AIRGAS USA, LLC

Radnor, PA 19087-5283

Safety Data Sheets available at www. airgas.com

HELIUM, OXYGEN
helium, oxygen gas
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:11054-042
Route of Administration RESPIRATORY (INHALATION) DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HELIUM (HELIUM) HELIUM 600 mL in 1 L
OXYGEN (OXYGEN) OXYGEN 400 mL in 1 L
Packaging
# Item Code Package Description
1 NDC:11054-042-01 300 L in 1 CYLINDER
2 NDC:11054-042-02 500 L in 1 CYLINDER
3 NDC:11054-042-03 2260 L in 1 CYLINDER
4 NDC:11054-042-04 4000 L in 1 CYLINDER
5 NDC:11054-042-05 4500 L in 1 CYLINDER
6 NDC:11054-042-06 3539 L in 1 CYLINDER
7 NDC:11054-042-07 5663 L in 1 CYLINDER
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA authorized generic NDA205843 10/14/1997
Labeler - AIRGAS USA, LLC (078301808)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 003324498 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 006301766 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 032547507 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 072198059 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 079214355 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 079934743 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 620137799 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 790441885 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 827455879 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 879945632 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 946304797 manufacture(11054-042)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 947401071 manufacture(11054-042)
AIRGAS USA, LLC