PHOSPHA 250™ NEUTRAL

Manufacturer
American Health Packaging
Effective date
2019-05-17
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
4
Source
legacy-cache
Hydrated at
2026-08-02 00:23:58

Label at a glance#

ProductDibasic Sodium Phosphate, Monobasic Potassium Phosphate and Monobasic Sodium Phosphate
Active ingredientSODIUM PHOSPHATE, DIBASIC, ANHYDROUS, POTASSIUM PHOSPHATE, MONOBASIC, SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE
Label structure15 sections

Indications and uses

PHOSPHA 250 TM NEUTRAL increases urinary phosphate and pyrophosphate. As a phosphorus supplement, each tablet supplies 25% of the U.S. Recommended Daily Allowance (U.S. RDA) of phosphorus for adults and children over 4 years of age.

Dosage and administration

PHOSPHA 250 TM NEUTRAL tablets should be taken with a full glass of water, with meals and at bedtime. Adults: One or two tablets, four times daily; Pediatric patients over 4 years of age: One tablet four times daily. Pediatric Patients under 4 years of age: Use only as directed by physician.

Storage and handling

Store at controlled room temperature 20°-25°C (68°-77°F). FOR YOUR PROTECTION: Do not use if blister is torn or broken. Rx only

Label contents#

Full prescribing information#

8276425/1115OS

SPL UNCLASSIFIED SECTION

Rx only

PHOSPHA 250™ NEUTRAL
Supplies 250 mg of phosphorus per tablet

DESCRIPTION

DESCRIPTION SECTION

Each tablet contains 852 mg dibasic sodium phosphate anhydrous, 155 mg monobasic potassium phosphate, and 130 mg monobasic sodium phosphate monohydrate. Each tablet yields approximately 250 mg of phosphorus, 298 mg of sodium (13.0 mEq) and 45 mg of potassium (1.1 mEq).

OTHER INGREDIENTS

SPL UNCLASSIFIED SECTION

Purified Water, Lactose Monohydrate, Sodium Starch Glycolate, Polyvinyl Pyrrolidone, Magnesium Stearate, Hydroxypropyl methylcellulose, Polyethylene Glycol 400, Titanium dioxide.

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

Phosphorus has a number of important functions in the biochemistry of the body. The bulk of the body's phosphorus is located in the bones, where it plays a key role in osteoblastic and osteoclastic activities.
Enzymatically catalyzed phosphate-transfer reactions are numerous and vital in the metabolism of carbohydrate, lipid and protein, and a proper concentration of the anion is of primary importance in assuring an orderly biochemical sequence. In addition, phosphorus plays an important role in modifying steady-state tissue concentrations of calcium. Phosphate ions are important buffers of the intracellular fluid, and also play a primary role in the renal excretion of the hydrogen ion.

Oral administration of inorganic phosphates increases serum phosphate levels. Phosphates lower urinary calcium levels in idiopathic hypercalciuria.

In general, in adults, about two thirds of the ingested phosphate in absorbed from the bowel, most of which is rapidly excreted into the urine.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

PHOSPHA 250 TM NEUTRAL increases urinary phosphate and pyrophosphate. As a phosphorus supplement, each tablet supplies 25% of the U.S. Recommended Daily Allowance (U.S. RDA) of phosphorus for adults and children over 4 years of age.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

This product is contraindicated in patients with infected phosphate stones, in patients with severely impaired renal function (less than 30% of normal) and in the presence of hyperphosphatemia.

PRECAUTIONS

PRECAUTIONS SECTION

General:

GENERAL PRECAUTIONS SECTION

This product contains potassium and sodium and should be used with caution if regulation of these elements is desired. Occasionally, some individuals may experience a mild laxative effect during the first few days of phosphate therapy. If laxation persists to an unpleasant degree reduce the daily dose until this effect subsides or, if necessary, discontinue the use of the product.

Caution should be exercised when prescribing this product in the following conditions: Cardiac disease (particularly in digitalized patients); severe adrenal insufficiency (Addison's disease); acute dehydration; severe renal insufficiency; renal function impairment or chronic renal disease; extensive tissue breakdown (such as severe burns); myotonia congenita; cardiac failure; cirrhosis of the liver or severe hepatic disease; peripheral or pulmonary edema; hypernatremia; hypertension; toxemia of pregnancy; hypoparathyroidism; and acute pancreatitis. Rickets may benefit from phosphate therapy, but caution should be exercised. High serum phosphate levels may increase the incidence of extra-skeletal calcification.

Information for Patients:

INFORMATION FOR PATIENTS SECTION

Patients with kidney stones may pass old stones when phosphate therapy is started and should be warned of this possibility. Patients should be advised to avoid the use of antacids containing aluminum, magnesium, or calcium which may prevent the absorption of phosphate.

Laboratory:

LABORATORY TESTS SECTION

Careful monitoring of renal function and serum calcium, phosphorus, potassium, and sodium may be required at periodic intervals during phosphate therapy. Other tests may be warranted in some patients, depending on conditions.

Drug Interactions:

DRUG INTERACTIONS SECTION

The use of antacids containing magnesium, aluminum, or calcium in conjunction with phosphate preparations may bind the phosphate and prevent its absorption. Concurrent use of antihypertensives, especially diazoxide, guanethidine, hydralazine, methyldopa, or rauwolfia alkaloid; or corticosteroids, especially mineralocorticoids or corticotropin with sodium phosphate may result in hypernatremia. Calcium-containing preparations and/or Vitamin D may antagonize the effects of phosphates in the treatment of hypercalcemia. Potassium-containing medication or potassium-sparing diuretics may cause hyperkalemia. Patients should have serum potassium level determinations at periodic intervals.

Carcinogenesis, Mutagenesis, Impairment of Fertility:

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

No long term or reproduction studies in animals or humans have been performed with PHOSPHA 250 TM NEUTRAL to evaluate its carcinogenic, mutagenic, or impairment of fertility potential.

Pregnancy:

PREGNANCY SECTION

Teratogenic Effects. Pregnancy Class C. Animal reproduction studies have not been conducted with PHOSPHA 250 TM NEUTRAL. It is also not known whether this product can cause fetal harm when administered to a pregnant woman or can affect reproductive capacity.

This product should be given to a pregnant woman only if clearly needed.

Nursing Mothers:

NURSING MOTHERS SECTION

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when this product is administered to a nursing woman.

ADVERSE REACTIONS:

ADVERSE REACTIONS SECTION

Gastrointestinal upset (diarrhea, nausea, stomach pain, and vomiting) may occur with phosphate therapy. Also, bone and joint pain (possible phosphate-induced osteomalacia) could occur. The following adverse effects may be observed (primarily from sodium or potassium): headaches; dizziness; mental confusion; seizures; weakness or heaviness of legs; unusual tiredness or weakness; muscle cramps; numbness, tingling, pain or weakness of hands or feet; numbness or tingling around lips; fast or irregular heartbeat; shortness of breath or troubled breathing; swelling of feet or lower legs; unusual weight gain; low urine output; unusual thirst.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

PHOSPHA 250 TM NEUTRAL tablets should be taken with a full glass of water, with meals and at bedtime.

Adults: One or two tablets, four times daily;

Pediatric patients over 4 years of age: One tablet four times daily.

Pediatric Patients under 4 years of age: Use only as directed by physician.

HOW SUPPLIED

HOW SUPPLIED SECTION

White, film-coated, capsule-shaped tablet, debossed with RIS 104 on each tablet.
Unit dose packages of 30 (5 x 6) NDC 68084-764-25.

STORAGE

STORAGE AND HANDLING SECTION

Store at controlled room temperature 20°-25°C (68°-77°F).

FOR YOUR PROTECTION: Do not use if blister is torn or broken.

Rx only

IDENTITY:

SPL UNCLASSIFIED SECTION

Phospha 250 TM Neutral is an orally administered medical food for use only under medical supervision for the dietary management of hypophosphatemia.

PACKAGING INFORMATION

SPL UNCLASSIFIED SECTION

American Health Packaging unit dose blisters (see How Supplied section) contain drug product from Rising Pharmaceuticals, Inc. as follows:
(250 mg / 30UD) NDC 68084-764-25 packaged from NDC 64980-104

Distributed by:
American Health Packaging
Columbus, OH 43217

8276425/1115OS

Package/Label Display Panel – Carton – 250 mg

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Phospha 250 Neutral Supplement CartonPhospha 250 Neutral Supplement Carton

NDC 68084- 764-25

Phospha 250 TM
Neutral

250 mg

30 Tablets (5 x 6)               Rx Only

Phosphorus supplement which supplies 250 mg per tablet.

DESCRIPTION: Each tablet contains 852 mg dibasic sodium
phosphate anhydrous, 155 mg monobasic potassium phosphate,
and 130 mg monobasic sodium phosphate monohydrate. Each
tablet yields approximately 250 mg of phosphorus, 298 mg sodium
(13.0 mEq), and 45 mg of potassium (1 .1 mEq).

OTHER INGREDIENTS: Purified Water, Lactose, Monohydrate,
Sodium Starch Glycolate, Polyvinyl Pyrrolidone, Magnesium
Stearate, Hydroxypropyl methylcellulose, Polyethylene Glycol 400,
Titanium dioxide.

DOSAGE AND ADMINISTRATION: Phospha 250™ Neutral
tablets should be taken with a full glass of water, with meals and at
bedtime. See package insert for full prescribing information.
Adults: One or two tablets four times daily; Pediatric Patients
over 4 years of age:
One tablet four times daily. For Pediatric
Patients under 4 years of age, use only as directed by a physician.

STORAGE: Store at controlled room temperature, 20° to 25°C (68°
to 77°F).

IDENTITY: Phospha 250™ Neutral is an orally administered
medical food for use only under medical supervision for the dietary
management of hypophosphatemia.

To report a serious adverse event contact American Health
Packaging at: 1-800-707-4621.

Keep this and all drugs out of reach of children.

FOR YOUR PROTECTION: Do not use if blister is torn or broken.

The drug product contained in this package is from
NDC # 64980-104, Rising Pharmaceuticals, Inc.

Packaged and Distributed by:
American Health Packaging
Columbus, Ohio 43217

076425
0276425/0119

Package/Label Display Panel – Blister – 250 mg

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Phospha 250 Neutral Supplement BlisterPhospha 250 Neutral Supplement Blister

Phospha 250 TM Neutral
phosphorus supplement
which supplies

250 mg

per tablet

Product Linked Resources#

Resource, Code type, Value table
ResourceCode typeValueEquivalent identifiersSource image
BarcodeDataBar Limited(01)00368084764257GTIN-14: 00368084764257
GTIN-12: 368084764257
UPC-A: 368084764257
EAN-13: 0368084764257
GTIN storage (14 digits): 00368084764257
Phospha 250 Neutral Supplement Carton.jpg

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
68084-764-25EA - Each68084-7645b315cbe-a6fb-4bd6-a061-36dbb62cfdfb12014-07-02
68084-764-95EA - Each68084-764a0df5feb-1950-4863-96d1-99fee75faed812014-07-02
64980-104-01EA - Each64980-104dee9f175-0864-43c2-8e6e-92abb64805b612012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
POTASSIUM PHOSPHATE, MONOBASICACTIVE INGREDIENT4J9FJ0HL511
SODIUM PHOSPHATE, DIBASIC, ANHYDROUSACTIVE INGREDIENT22ADO53M6F1
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATEACTIVE INGREDIENT593YOG76RN1
PHOSPHATE IONACTIVE MOIETYNK08V8K8HR1
HYPROMELLOSE 2910 (15000 MPA.S)INACTIVE INGREDIENT288VBX44JC1
LACTOSE MONOHYDRATEINACTIVE INGREDIENTEWQ57Q8I5X1
MAGNESIUM STEARATEINACTIVE INGREDIENT70097M6I301
POLYETHYLENE GLYCOL 400INACTIVE INGREDIENTB697894SGQ1
POVIDONE K30INACTIVE INGREDIENTU725QWY32X1
SODIUM STARCH GLYCOLATE TYPE A POTATOINACTIVE INGREDIENT5856J3G2A21
TITANIUM DIOXIDEINACTIVE INGREDIENT15FIX9V2JP1
WATERINACTIVE INGREDIENT059QF0KO0R1

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 13 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
68084-76468084-764-95, 68084-764-25
64980-104

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 11 matching rows.

Source Document#

Source XML

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 1 · 6 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredientIID ingredientUNIIDosage form / routePotencyMaximum daily exposureMatch
LACTOSE MONOHYDRATELACTOSE MONOHYDRATEEWQ57Q8I5XTABLET / ORAL4384 mgExact identifier — unii+route+dosage form
TITANIUM DIOXIDETITANIUM DIOXIDE15FIX9V2JPTABLET / ORAL232 mgExact identifier — unii+route+dosage form
POVIDONE K30POVIDONE K30U725QWY32XTABLET / ORAL2828 mgExact identifier — unii+route+dosage form
POLYETHYLENE GLYCOL 400POLYETHYLENE GLYCOL 400B697894SGQTABLET / ORAL193 mgExact identifier — unii+route+dosage form
HYPROMELLOSE 2910 (15000 MPA.S)HYPROMELLOSE 2910 (15000 MPA.S)288VBX44JCTABLET / ORAL29 mgExact identifier — unii+route+dosage form
MAGNESIUM STEARATEMAGNESIUM STEARATE70097M6I30TABLET / ORAL980 mgExact identifier — unii+route+dosage form

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 2 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
Dibasic Sodium Phosphate, Monobasic Potassium Phosphate and Monobasic Sodium PhosphateDIBASIC SODIUM PHOSPHATE, MONOBASIC POTASSIUM PHOSPHATE AND MONOBASIC SODIUM PHOSPHATERising Pharma Holdings, Inc.b01eac95-dbe3-4b21-a922-187e0fc8ad232026-04-07Adverse reactionsExact identifier
ndc (product): 64980-104
89162207-508f-55c0-e053-2a95a90ae36f09b3fdc2-38de-4a37-ac9b-d7eabb6db0f92019-05-17Adverse reactionsExact identifier
spl id: 89162207-508f-55c0-e053-2a95a90ae36f
spl set id: 09b3fdc2-38de-4a37-ac9b-d7eabb6db0f9

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.