ANTICAVITY FLUORIDE RINSE- sodium fluoride mouthwash 
ShopKo Stores Operating Co., LLC

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Anticavity Fluoride Rinse
163.005/163AF-AG 

Active ingredients

Sodium fluoride 0.0221% (0.01% w/v fluoride ion)

Purpose

Anticavity

Use

aids in the prevention of dental cavities

Warnings

Keep out of reach of children.

If more than used for rinsing is accidentally swallowed, get medical help or contact a Poison Control Center right away.

Directions

Adults and children 12 years of age and older:

  • use twice daily after brushing your teeth with toothpaste
  • vigorously swish 10 mL (2 teaspoonfuls) of rinse between your teeth for 1 minute and then spit out
  • do not swallow the rinse
  • do not eat or drink for 30 minutes after rinsing
  • supervise children as necessary until capable of using without supervision
  • children under 12 years of age: consult a dentist or doctor

Other information

  • store at controlled room temperature 20⁰ -25⁰ C (68⁰ - 77⁰ F)
  • cold weather may temporarily cloud this product

Inactive ingredients

water, alcohol (21.8%), sorbitol, poloxamer 407, eucalyptol, menthol,  phosphoric acid, sodium saccharin, thymol, dibasic sodium phosphate, sucralose, red no. 40, blue no. 1

adverse reaction

Sealed with printed neckband for your protection

*This product is not manufacturd or distributed by Johnson + Johnson Healthcare Products, distributor of Listerine Total Care Anticavity Mouthwash

Manufactured by Vi-Jon, LLC
One Swan Dr., Smyrna, TN 37167
For ShopKo Stores Operating Co., LLC
www.shopko.com
For consumer questions call 1-888-593-0593
SHOPKO Satisfaction Guaranteed By Refund Or Exchange

principal panel display

SHOPKO

Anticavity FLUORIDE RISE

Sodium Fluoride and Acidulated Phosphate Topical Solution

Eucalyptus Mint

Helps prevent cavities

Restores enamel

Helps strengthen teeth

Helps kill germs that cause bad breath

IMPORTANT: Read directions for proper use.

1 Liter (33.8 FL OZ)

image description

ANTICAVITY FLUORIDE RINSE 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:37012-163
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.1 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
alcohol (UNII: 3K9958V90M)  
SORBITOL (UNII: 506T60A25R)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
EUCALYPTOL (UNII: RV6J6604TK)  
METHYL SALICYLATE (UNII: LAV5U5022Y)  
MENTHOL (UNII: L7T10EIP3A)  
PHOSPHORIC ACID (UNII: E4GA8884NN)  
SACCHARIN SODIUM (UNII: SB8ZUX40TY)  
THYMOL (UNII: 3J50XA376E)  
SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)  
sucralose (UNII: 96K6UQ3ZD4)  
FD&C RED NO. 40 (UNII: WZB9127XOA)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:37012-163-861000 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product05/13/200607/05/2019
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM02105/13/200607/05/2019
Labeler - ShopKo Stores Operating Co., LLC (023252638)
Registrant - Vi-Jon, LLC (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC790752542manufacture(37012-163)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC088520668manufacture(37012-163)

Revised: 10/2023
 
ShopKo Stores Operating Co., LLC