12/case directions: allow lozenge to dissolve slowly in mouth. Children & adults: take one (1) lozenge as needed up to 4 times daily. If pregnant, nursing or taking any medications, consult a healthcare professional before use. Serving size: one (1) lozenge ingredients: vitamin c (as ascorbic acid) 60 mg zinc (as zinc gluconate) 5 mg organic black elder (berry) extract 12.5 mg standardized to bioactives from 800 mg of premium cultivar elderberries other ingredients: organic tapioca syrup, organic cane sugar, *** water, natural flavors. Usda organic/kosher/gluten free/vegetarian no artificial preservatives, flavors or colors 02/26/18