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0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

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Page 1: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

Page 2: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

Page 3: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

Page 4: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

Page 5: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

Page 6: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

Page 7: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

Page 8: 0045- 0000-00 · N D C 5 0 5 8 0 -XXX-X X Nasal C ongestion Runny Nose Itchy Nose Sneezing Budesonide (glucocorticoid) 120 SPRAYS 3 X 0.285 fl oz (8.43 ml) in each bottle Nasal spray,

---------------------------------------------------------------------------------------------------------This is a representation of an electronic record that was signedelectronically and this page is the manifestation of the electronicsignature.---------------------------------------------------------------------------------------------------------/s/----------------------------------------------------

THERESA M MICHELE03/23/2015

Reference ID: 3720231

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