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Page 1 of 8 1. IDENTIFICATION OF THE SUBSTANCE/MIXTURE AND THE COMPANY/UNDERTAKING Product Identifier Trade Name: Synonyms: Chemical Family: Not established 50% Dextrose Injection, USP Concentrated Dextrose for Intravenous Administration; CONCENTRATED DEXTROSE FOR INTRAVENOUS ADMINISTRATION TO INFANTS Mixture Relevant Identified Uses of the Substance or Mixture and Uses Advised Against Intended Use: Pharmaceutical product used for electrolyte replacement Details of the Supplier of the Safety Data Sheet Hospira, A Pfizer Company 275 North Field Drive Lake Forest, Illinois 60045 1-800-879-3477 Emergency telephone number: CHEMTREC (24 hours): 1-800-424-9300 Contact E-Mail: pfizer-msds@pfizer.com Hospira UK Limited Horizon Honey Lane Hurley Maidenhead, SL6 6RJ United Kingdom Emergency telephone number: International CHEMTREC (24 hours): +1-703-527-3887 2. HAZARDS IDENTIFICATION Classification of the Substance or Mixture GHS - Classification Not classified as hazardous Label Elements Signal Word: Hazard Statements: Not Classified Not classified in accordance with international standards for workplace safety. Other Hazards Note: An Occupational Exposure Value has been established for one or more of the ingredients (see Section 8). This document has been prepared in accordance with standards for workplace safety, which requires the inclusion of all known hazards of the product or its ingredients regardless of the potential risk. The precautionary statements and warning included may not apply in all cases. Your needs may vary depending upon the potential for exposure in your workplace.

Page 2 of 8 3. COMPOSITION / INFORMATION ON INGREDIENTS Hazardous Ingredient CAS Number EU GHS Classification % EINECS/ELINCS List SODIUM HYDROXIDE 1310-73-2 215-185-5 Skin Corr. 1A (H314) ** 7647-01-0 231-595-7 Skin Corr.1B (H314) STOT SE 3 (H335) ** Ingredient CAS Number EU GHS Classification % EINECS/ELINCS List Water for injection 7732-18-5 231-791-2 * Dextrose, monohydrate 5996-10-1 25-50 Additional Information: * Proprietary ** to adjust ph Ingredient(s) indicated as hazardous have been assessed under standards for workplace safety. In accordance with 29 CFR 1910.1200, the exact percentage composition of this mixture has been withheld as a trade secret. For the full text of the CLP/GHS abbreviations mentioned in this Section, see Section 16 4. FIRST AID MEASURES Description of First Aid Measures Eye Contact: Skin Contact: Ingestion: Inhalation: If irritation occurs or persists, get medical attention. Flush eyes with water as a precaution If irritation occurs, wash exposed area with soap and water, remove contaminated clothing and obtain medical assistance. Never give anything by mouth to an unconscious person. Wash out mouth with water. Do not induce vomiting unless directed by medical personnel. Seek medical attention immediately. Not an expected route of exposure. Most Important Symptoms and Effects, Both Acute and Delayed Symptoms and Effects of Exposure: Medical Conditions None known Aggravated by Exposure: Indication of the Immediate Medical Attention and Special Treatment Needed Notes to Physician: None 5. FIRE FIGHTING MEASURES Extinguishing Media: Extinguish fires with CO2, extinguishing powder, foam, or water. Special Hazards Arising from the Substance or Mixture Hazardous Combustion Formation of toxic gases is possible during heating or fire. May include oxides of carbon Products: sodium Fire / Explosion Hazards: Not applicable

Page 3 of 8 Advice for Fire-Fighters During all fire fighting activities, wear appropriate protective equipment, including self-contained breathing apparatus. 6. ACCIDENTAL RELEASE MEASURES Personal Precautions, Protective Equipment and Emergency Procedures Personnel involved in clean-up should wear appropriate personal protective equipment (see Section 8). Minimize exposure. Environmental Precautions Place waste in an appropriately labeled, sealed container for disposal. Care should be taken to avoid environmental release. Methods and Material for Containment and Cleaning Up Measures for Cleaning / Contain the source of spill if it is safe to do so. Collect spill with absorbent material. Clean spill Collecting: area thoroughly. Additional Consideration for Large Spills: Non-essential personnel should be evacuated from affected area. Report emergency situations immediately. Clean up operations should only be undertaken by trained personnel. 7. HANDLING AND STORAGE Precautions for Safe Handling No special handling requirements for normal use of this material. Conditions for Safe Storage, Including any Incompatibilities Storage Conditions: Store as directed by product packaging. Incompatible Materials: None Specific end use(s): Pharmaceutical drug product 8. EXPOSURE CONTROLS / PERSONAL PROTECTION Control Parameters Refer to available public information for specific member state Occupational Exposure Limits. SODIUM HYDROXIDE ACGIH Ceiling Threshold Limit: 2 mg/m 3 Australia PEAK 2 mg/m 3 Austria OEL - MAKs 2 mg/m 3 Bulgaria OEL - TWA 2.0 mg/m 3 Czech Republic OEL - TWA 1 mg/m 3 Estonia OEL - TWA 1 mg/m 3 France OEL - TWA 2 mg/m 3 Greece OEL - TWA 2 mg/m 3 Hungary OEL - TWA 2 mg/m 3 Japan - OELs - Ceilings 2 mg/m 3 Latvia OEL - TWA 0.5 mg/m 3 OSHA - Final PELS - TWAs: 2 mg/m 3 Poland OEL - TWA 0.5 mg/m 3 Slovakia OEL - TWA 2 mg/m 3 Slovenia OEL - TWA 2 mg/m 3 Sweden OEL - TWAs 1 mg/m 3 Switzerland OEL -TWAs 2 mg/m 3 ACGIH Ceiling Threshold Limit:

Page 4 of 8 8. EXPOSURE CONTROLS / PERSONAL PROTECTION Australia PEAK 7.5 mg/m 3 Austria OEL - MAKs Belgium OEL - TWA Bulgaria OEL - TWA 8.0 mg/m 3 Cyprus OEL - TWA Czech Republic OEL - TWA Estonia OEL - TWA Germany - TRGS 900 - TWAs 3 mg/m 3 Germany (DFG) - MAK 3.0 mg/m 3 Greece OEL - TWA 7 mg/m 3 Hungary OEL - TWA Ireland OEL - TWAs Italy OEL - TWA Japan - OELs - Ceilings 3.0 mg/m 3 Latvia OEL - TWA Lithuania OEL - TWA Luxembourg OEL - TWA Malta OEL - TWA Netherlands OEL - TWA Poland OEL - TWA 5 mg/m 3 Portugal OEL - TWA Romania OEL - TWA Slovakia OEL - TWA 8.0 mg/m 3 Slovenia OEL - TWA Spain OEL - TWA 7.6 mg/m 3 Switzerland OEL -TWAs 3.0 mg/m 3 Vietnam OEL - TWAs 5 mg/m 3 Exposure Controls Engineering Controls: Personal Protective Equipment: Engineering controls should be used as the primary means to control exposures. Refer to applicable national standards and regulations in the selection and use of personal protective equipment (PPE).

Page 5 of 8 8. EXPOSURE CONTROLS / PERSONAL PROTECTION Hands: Eyes: Skin: Respiratory protection: Not required for the normal use of this product. Wear safety glasses or goggles if eye contact is possible. Not required for the normal use of this product. None required under normal conditions of use. 9. PHYSICAL AND CHEMICAL PROPERTIES Physical State: Odor: Molecular Formula: Liquid None Mixture Color: Odor Threshold: Molecular Weight: Colorless. Mixture Solvent Solubility: Water solubility: 7.8 g/100 g @18C Water Solubility: ph:. Melting/Freezing Point ( C): Boiling Point ( C):. Partition Coefficient: (Method, ph, Endpoint, Value) Water for injection SODIUM HYDROXIDE Dextrose, monohydrate Decomposition Temperature ( C):. Evaporation Rate (Gram/s): Vapor Pressure (kpa): Vapor Density (g/ml): Relative Density: Viscosity: Flammablity: Autoignition Temperature (Solid) ( C): Flammability (Solids): Flash Point (Liquid) ( C): Upper Explosive Limits (Liquid) (% by Vol.): Lower Explosive Limits (Liquid) (% by Vol.): 10. STABILITY AND REACTIVITY Reactivity: Chemical Stability: Possibility of Hazardous Reactions Oxidizing Properties: Conditions to Avoid: Incompatible Materials: Hazardous Decomposition Products: Stable None None

Page 6 of 8 11. TOXICOLOGICAL INFORMATION Information on Toxicological Effects General Information: The information included in this section describes the potential hazards of the individual ingredients. Acute Toxicity: (Species, Route, End Point, Dose) Rat Oral LD 50 238-277 mg/kg Acute Toxicity Comments: A greater than symbol (>) indicates that the toxicity endpoint being tested was not achievable at the highest dose used in the test. Genetic Toxicity: (Study Type, Cell Type/Organism, Result) Bacterial Mutagenicity (Ames) Salmonella Negative In Vivo Micronucleus Rat Negative Carcinogen Status: IARC: None of the components of this formulation are listed as a carcinogen by IARC, NTP or OSHA. Group 3 (Not Classifiable) 12. ECOLOGICAL INFORMATION Environmental Overview: Toxicity: Persistence and Degradability: Bio-accumulative Potential: Mobility in Soil: Releases to the environment should be avoided. No acute toxicity to aquatic organisms is expected 13. DISPOSAL CONSIDERATIONS Waste Treatment Methods: Dispose of waste in accordance with all applicable laws and regulations. Member State specific and Community specific provisions must be considered. Considering the relevant known environmental and human health hazards of the material, review and implement appropriate technical and procedural waste water and waste disposal measures to prevent occupational exposure and environmental release. It is recommended that waste minimization be practiced. The best available technology should be utilized to prevent environmental releases. This may include destructive techniques for waste and wastewater.

Page 7 of 8 14. TRANSPORT INFORMATION The following refers to all modes of transportation unless specified below. Not regulated for transport under USDOT, EUADR, IATA, or IMDG regulations. 15. REGULATORY INFORMATION Safety, Health and Environmental Regulations/Legislation Specific for the Substance or Mixture Water for injection CERCLA/SARA 313 Emission reporting California Proposition 65 Inventory - United States TSCA - Sect. 8(b) Australia (AICS): REACH - Annex IV - Exemptions from the obligations of Register: EU EINECS/ELINCS List 231-791-2 SODIUM HYDROXIDE CERCLA/SARA 313 Emission reporting CERCLA/SARA Hazardous Substances 1000 lb and their Reportable Quantities: 454 kg California Proposition 65 Inventory - United States TSCA - Sect. 8(b) Australia (AICS): Standard for the Uniform Scheduling Schedule 5 for Drugs and Poisons: Schedule 6 EU EINECS/ELINCS List 215-185-5 CERCLA/SARA 313 Emission reporting 1.0 % CERCLA/SARA Hazardous Substances 5000 lb and their Reportable Quantities: 2270 kg CERCLA/SARA - Section 302 Extremely Hazardous 500 lb TPQs CERCLA/SARA - Section 302 Extremely Hazardous 5000 lb Substances EPCRA RQs California Proposition 65 Inventory - United States TSCA - Sect. 8(b) Australia (AICS): Standard for the Uniform Scheduling Schedule 5 for Drugs and Poisons: Schedule 6 EU EINECS/ELINCS List 231-595-7

Page 8 of 8 15. REGULATORY INFORMATION Dextrose, monohydrate CERCLA/SARA 313 Emission reporting California Proposition 65 EU EINECS/ELINCS List 16. OTHER INFORMATION Text of CLP/GHS Classification abbreviations mentioned in Section 3 Skin corrosion/irritation-cat.1a; Skin corrosion/irritation-cat.1b; H314 - Causes severe skin burns and eye damage Specific target organ toxicity, single exposure; Respiratory tract irritation-cat.3; H335 - May cause respiratory irritation Data Sources: Reasons for Revision: Revision date: Prepared by: Publicly available toxicity information. Updated Section 1 - Identification of the Substance/Preparation and the Company/Undertaking. 01-Dec-2016 Product Stewardship Hazard Communication Pfizer Global Environment, Health, and Safety Operations Pfizer Inc believes that the information contained in this Material Safety Data Sheet is accurate, and while it is provided in good faith, it is without warranty of any kind, expressed or implied. If data for a hazard are not included in this document there is no known information at this time. End of Safety Data Sheet