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MEDISCA NETWORK INC. TECHNICAL SUPPORT SERVICES ...

MEDISCA NETWORK INC. TECHNICAL SUPPORT SERVICES formulation chemistry department TOLL-FREE: 866-333-7811 TELEPHONE: 514-905-5096 FAX: 514-905-5097 3/4/2015; Page 1 Suggested Formula Lidocaine 10%, Prilocaine 10%, Tetracaine 4% Dental Paste (Emulsion, 30 g) FIN F 006 065v2 SUGGESTED formulation Ingredient Listing Qty. Unit NDC # Supplier Lot Number Expiry Date Lidocaine, USP g Prilocaine, USP g Tetracaine, USP g Stevia Powder g Butylated Hydroxytoluene (BHT), NF g Bubble Gum Flavor mL MEDISCA OleaBase Plasticized g SPECIAL PREPARATORY CONSIDERATIONS Ingredient-Specific Information Narrow Therapeutic Index Lidocaine Eutectic Mixture when combined: Lidocaine, Prilocaine, Tetracaine Light sensitive (protect from light whenever possible): Tetracaine, Butylated Hydroxytoluene Hygroscopic (protect from moisture whenever possible): Stevia Powder Moisture sensitive (protect from humidity whenever possible).

MEDISCA® NETWORK INC. TECHNICAL SUPPORT SERVICES FORMULATION CHEMISTRY DEPARTMENT TOLL-FREE: 866-333-7811 TELEPHONE: 514-905-5096 FAX: 514-905-5097 technicalservices@medisca.net

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