Label: SANI-FOAM FOAMING NON-ALCOHOL HAND SANITIZER- benzalkonium chloride solution

  • NDC Code(s): 62767-103-33, 62767-103-37
  • Packager: Multi-Clean
  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None

Drug Label Information

Updated December 21, 2023

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  • Active Ingredient

    Benzalkonium Chloride 0.1%

  • Purpose

    Antimicrobial

  • Uses

    • For handwashing to decrease bacteria on skin.
    • Recommended for repeated use.
  • Warnings

    For external use only.

    When using this product, avoid contact with eyes. In case of eye contact, flush eyes with water.

    Stop use and ask a doctor if irritation or redness develops, or if condition persists for more than 72 hours.

  • KEEP OUT OF REACH OF CHILDREN

    Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

  • Directions

    • Apply one pump of foam onto hands.
    • Rub thoroughly over all surfaces of both hands.
    • Rub hands together briskly until dry.
  • Inactive Ingredients

    Water, Cocamidopropyl PG-Dimonium Chloride Phosphate, Dihydroxyethyl Cocamine Oxide, Acetamidoethoxyethanol, Citric Acid

  • Questions?

    651-481-1900 Monday - Friday 8:00 to 5:00 CT

  • PRINCIPAL DISPLAY PANEL

    Product Label - 1 Gallon Pour Bottle

  • INGREDIENTS AND APPEARANCE
    SANI-FOAM FOAMING NON-ALCOHOL HAND SANITIZER 
    benzalkonium chloride solution
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:62767-103
    Route of AdministrationTOPICAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE1 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
    WATER (UNII: 059QF0KO0R)  
    COCAMIDOPROPYL PG-DIMONIUM CHLORIDE PHOSPHATE (UNII: H2KVQ74JM4)  
    DIHYDROXYETHYL COCAMINE OXIDE (UNII: 8AR51R3BL5)  
    ACETAMIDOETHOXYETHANOL (UNII: LVX2APC4XR)  
    Product Characteristics
    Colorwhite (water white - colorless, dispensed as white foam) Score    
    ShapeSize
    FlavorImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:62767-103-333785 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product12/18/2023
    2NDC:62767-103-37208198 mL in 1 DRUM; Type 0: Not a Combination Product12/18/2023
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC Monograph Drug505G(a)(3)12/18/2023
    Labeler - Multi-Clean (005115852)
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