FDA.reportPublic FDA data

ULTRA HIS MINT

Manufacturer
CROWN GENERAL AGENCY INC
Effective date
2021-10-22
Label type
Dietary Supplement
Version
2
Source
full-release
Hydrated at
2026-06-01 02:50:10

Label at a glance#

ProductULTRA HIS MINT
Active ingredientGREEN TEA LEAF, ACETYLCARNITINE HYDROCHLORIDE, ARGININE HYDROCHLORIDE, N-MONOACETYLCYSTINE, TRIBULUS TERRESTRIS FRUIT, MARITIME PINE, UBIDECARENONE, LYCOPENE
Label structure4 sections

Label contents#

Full prescribing information#

STATEMENT OF IDENTITY

STATEMENT OF IDENTITY SECTION

Dietary Supplement

Suggested Use

DOSAGE & ADMINISTRATION SECTION

Take two (2) capsules daily, after meal(s), or as directed by your healthcare provider. Do not exceed two (2) capsules daily.

Precaution

SAFE HANDLING WARNING SECTION

If reaction(s) occur, consult your physician. Consult your doctor before starting any dietary supplement regime. This product is a dietary supplement, not a prescription drug. Keep out of the reach of children. In case of accidental overdose, call a hospital or poison control center immediately. Do not use if safety seal is damaged or missing. Do not expose to excessive heat or moisture. Store at room temperature in a cool dry place. Keep out of sunlight.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

image descriptionimage description

image descriptionimage description

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
0ca1d589-929b-4b33-bc5b-1d84abdafa6aProduct name120150324
fc363c46-397b-4476-ac0f-70e43e8e4592Product name120150324
1681bc73-b05f-12c3-1075-382ae39f449cProduct name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
73489-005-01ULTRA HIS MINT30 in 1 BOTTLE, PLASTICCAPSULE302
73489-005-02ULTRA HIS MINT60 in 1 BOTTLE, PLASTICCAPSULE602

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
73489-005ULTRA HIS MINT (GREEN TEA LEAF, ACETYLCARNITINE HYDROCHLORIDE, ARGININE HYDROCHLORIDE, N-MONOACETYLCYSTINE, TRIBULUS TERRESTRIS FRUIT, MARITIME PINE, UBIDECARENONE , LYCOPENE) CAPSULE [CROWN GENERAL AGENCY INC]22 package rows20211023_0fc229f3-d734-446a-a088-231585fb6807.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
73489-005-01EA - Each73489-00571b1deae-6e66-43c6-82c3-991c1815016812021-01-08
73489-005-02EA - Each73489-005db789c47-0fa2-4d2d-ba27-a0cec0ea64e912021-01-08

Products#

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

DailyMed product names page 1 of 1 · 18 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
73489-00573489-005-01, 73489-005-02

Ingredients#

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

DailyMed ingredient rows page 1 of 1 · 14 matching rows.

Name, UNII, Kind table
NameUNIIKind
GREEN TEA LEAFW2ZU1RY8B0ACTIB
ACETYLCARNITINE HYDROCHLORIDENDW10MX58TACTIB
ARGININE HYDROCHLORIDEF7LTH1E20YACTIB
N-MONOACETYLCYSTINEYXO5V2CF3FACTIB
TRIBULUS TERRESTRIS FRUITQNL076V6EQACTIB
MARITIME PINE50JZ5Z98QYACTIB
UBIDECARENONEEJ27X76M46ACTIB
LYCOPENESB0N2N0WV6ACTIB
POWDERED CELLULOSESMD1X3XO9MIACT
MAGNESIUM STEARATE70097M6I30IACT
SILICON DIOXIDEETJ7Z6XBU4IACT
TITANIUM DIOXIDE15FIX9V2JPIACT
FD&C BLUE NO. 1H3R47K3TBDIACT
FD&C RED NO. 40WZB9127XOAIACT

Source Document#

Source XML

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
THEA SINENSISGREEN TEA LEAFBoiron3a74a057-3054-0486-e063-6294a90a2d9d2025-07-21WarningsName fallback
generic name: GREEN TEA LEAF
Thea sinensisGREEN TEA LEAFBoiron812a75f0-cc1b-1141-e053-2a91aa0af3392023-11-15Name fallback
generic name: GREEN TEA LEAF

Reported adverse events (FAERS/openFDA)#

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