| NDC Code | 63083-2118-2 |
| Package Description | 59 mL in 1 BOTTLE, DROPPER (63083-2118-2) |
| Product NDC | 63083-2118 |
| Product Type Name | HUMAN OTC DRUG |
| Proprietary Name | Dissociative Disorders Formula |
| Proprietary Name Suffix | 2118 |
| Non-Proprietary Name | Dissociative Disorders Formula |
| Dosage Form | LIQUID |
| Usage | ORAL |
| Start Marketing Date | 19840815 |
| Marketing Category Name | UNAPPROVED HOMEOPATHIC |
| Manufacturer | Professional Complementary Health Formulas |
| Substance Name | DATURA METEL FLOWER; HYOSCYAMUS NIGER; SEPIA ESCULENTA BONE; THUJA OCCIDENTALIS LEAF |
| Strength | 30; 200; 6; 3 |
| Strength Unit | [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL; [hp_X]/59mL |