ANTICAVITY- sodium fluoride mouthwash 
Wal-Mart Stores, 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

Sodium fluoride 0.0221% (0.01% fluoride ion)

Purpose

Anticavity

Use aids in the prevention of dental cavities

Warning

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 a toothpaste
• vigorously swish 10 ml (2 teaspoonfuls) of rinse between your teeth for 1 minutes 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 - 25⁰C (68⁰ - 77⁰ F)
• cold weather may temporarily cloud this product

Inactive ingredients

water, sorbitol solution, alcohol (21.6%), flavors, poloxamer 407, sodium lauryl sulfate, phosphoric acid, dibasic sodium phosphate, sodium saccharin, surcalose, FD+C red 40, FD+C blue no.1

Sealed with printed neckband for your protection

Distributed by: Wal-Mart Stores, Inc.
Bentonville, AR 72716

This product is not manufactured or distributed by Johnson + Johnson Healthcare Products, distributor of Listerine Total Care

DSP-TN-1500
DSP-MO-34
SDS-TN-15012

Satisfaction guaranteed-for questions or comments please call 1-888-287-1915

966.000/966AA

IMPORTANT: READ DIRECTIONS FOR PROPER USE
Compare to the active ingredient in Listerine Icy Mint Total Care Anticavity Mouthwash
Anticavity Mouthwash
Multiple Benefits in One
• Helps prevent cavities
• Restores minerals to enamel
• Helps strengthen teeth
• Helps kill bad breath germs
• Freshens breath
• Leaves the mouth feeling clean
Sodium Fluorde and Acidulated Phosphate Topical Solution
ICE MNT
1 Liter (33.8 FL OZ)

image of principal display panel

ANTICAVITY 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:49035-966
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) SODIUM FLUORIDE0.02 kg  in 100 L
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
ALCOHOL (UNII: 3K9958V90M)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
SODIUM LAURYL SULFATE (UNII: 368GB5141J)  
PHOSPHORIC ACID (UNII: E4GA8884NN)  
SUCRALOSE (UNII: 96K6UQ3ZD4)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:49035-966-861 L in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product08/19/201006/15/2013
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart35508/19/201006/15/2013
Labeler - Wal-Mart Stores, Inc. (051957769)
Registrant - Vi-Jon, Inc (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, Inc790752542manufacture(49035-966)

Revised: 5/2020
Document Id: 4ab74dcc-0e14-4d39-bac2-359fcd2bd44c
Set id: ea82ae30-71d1-4c43-abd4-8909912e6be8
Version: 4
Effective Time: 20200501
 
Wal-Mart Stores, Inc.