CLEAN CHOICE FOODSERVICE ANTIBACTERIAL- benzalkonium chloride liquid 
Deb USA, Inc.

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

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Drug Facts

Active ingredient

Benzalkonium Chloride, 1.30%

Purpose

Antibacterial

Uses

For hand washing to reduce bacteria on the skin

Warnings

For external use only

When using this product

avoid contact with eyes.  In case of eye contact, flush with water.

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

Directions

Apply to dry hands

Add water

Lather hands for 30 seconds

Rinse and dry hands thoroughly

Inactive ingredients

Water, Cocamidopropyl Betaine, Undeceth-7, Cocamidopropylamine Oxide, Lauramine Oxide, Tetrasodium EDTA, Citric Acid, Magnesium Nitrate, Methylchloroisothiazolinone, Magnesium Chloride, Methylisothiazolinone

0617377-1L CC FS Antibac Foam Soap-Front-V7.jpg0617377-1L CC FS Antibac Foam Soap-SF-Back-V7.jpg

Clean Choice Foodservice Antibacterial Foam Soap

1 L

33.8 fl. oz.

Part #0617377

Distributed by Fastenal Co.

Winona, MN  55987

2013 fastenal.com

Made in U.S.A.

0617377

Foodservice AntiBac Soap

Rev. 08-13-11

0617377-1L CC FS Antibac Foam Soap-Front-V7.jpg0617377-1L CC FS Antibac Foam Soap-SF-Back-V7.jpg

CLEAN CHOICE FOODSERVICE ANTIBACTERIAL 
benzalkonium chloride liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:11084-255
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE.13 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
UNDECETH-7 (UNII: R6B5PCO2JN)  
COCAMIDOPROPYLAMINE OXIDE (UNII: M4SL82J7HK)  
LAURAMINE OXIDE (UNII: 4F6FC4MI8W)  
EDETATE SODIUM (UNII: MP1J8420LU)  
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
MAGNESIUM NITRATE (UNII: 77CBG3UN78)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
MAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:11084-255-271000 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product07/20/201312/31/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333A07/20/201312/31/2021
Labeler - Deb USA, Inc. (607378015)
Establishment
NameAddressID/FEIBusiness Operations
Deb USA, Inc.078805627manufacture(11084-255)

Revised: 12/2018
Document Id: 0ae7c7b8-6828-4618-9f0d-e5cca7a547b9
Set id: 6e9a48ae-fa17-462c-97a4-0497c6283d6e
Version: 5
Effective Time: 20181218
 
Deb USA, Inc.