SKINPHARMACY ADVANCED ACNE THERAPY PORE REFINING FACIAL MASK- salicylic acid liquid 
CVS Health

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

Salicylic Acid 0.5%

Purpose

Acne

Use

for the management of acne

Warnings

For external use only

When using this product

  • using other topical acne medications at the same time or immediately following use of this product may increase dryness or irritation of the skin. If this occurs, only one medication should be used unless directed by a doctor.
  • avoid contact with eye. if contact occurs, flush thoroughly with water.
  • In case of accidental ingestion, get medical help or contact a Poison Control Center immediately.

Keep out of reach of children. Do not swallow. If swallowed, get medical help or contact a Poison Control Center right away.

Directions

Inactive ingredients

Water, Kaolin, Glycerin, Bentonite, Butylene Glycol, Cetearyl Alcohol, Methyl Methacrylate/Glycol Dimethacrylate Crosspolymer, Cocamidopropyl Betaine, PEG-100 Stearate, Magnesium Aluminum Silicate, Glyceryl Stearate, Phenoxyethanol, Ceteareth-20, Xanthan Gum, Chlorphenesin, Caffeine, Ethylhexylglycerin, Disodium EDTA, Citric Acid, Sodium Hydroxide, Tocopheryl Acetate, Retinyl Palmitate, Ascorbyl Palmitate, Bisabolol.

Microsponge® is a registered trademark of AMCOL International Corp.

Save carton for complete labeling since all warnings are not included on the inner package.

Distributed by: CVS Pharmacy, Inc.

One CVS Drive, Woonsocket, RI 02895

© 2016 CVS/pharmacy

CVS.com® 1-800-SHOP CVS

Made in the U.S.A. of U.S. and foreign components

V-13649

CVS® Quality

Money Back Guarantee

M050873CP

FP419

#742825

Principal Display Panel - Carton Label

SKIN+
PHARMACY

ADVANCED
ACNE
THERAPY

PORE REFINING
FACIAL MASK
with Microsponge
®
Technology

0.5% Salicylic Acid

DERMATOLOGIST TESTED

exclusively at
CVS/pharmacy

Actual Product Size
on Side Panel

3.3 FL OZ (99 mL)

Principal Display Panel - Carton Label

Principal Display Panel - Tube Label

SKIN+
PHARMACY

ADVANCED
ACNE
THERAPY

PORE REFINING
FACIAL MASK
with Microsponge
®
Technology

0.5% Salicylic Acid

DERMATOLOGIST TESTED

exclusively at
CVS/pharmacy

3.3 FL OZ (99 mL)

Principal Display Panel - Tube Label
SKINPHARMACY ADVANCED ACNE THERAPY PORE REFINING FACIAL MASK 
salicylic acid liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:69842-077
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
salicylic acid (UNII: O414PZ4LPZ) (salicylic acid - UNII:O414PZ4LPZ) salicylic acid5 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
water (UNII: 059QF0KO0R)  
kaolin (UNII: 24H4NWX5CO)  
glycerin (UNII: PDC6A3C0OX)  
bentonite (UNII: A3N5ZCN45C)  
butylene glycol (UNII: 3XUS85K0RA)  
cetostearyl alcohol (UNII: 2DMT128M1S)  
methyl methacrylate/glycol dimethacrylate crosspolymer (UNII: EG97988M5Q)  
cocamidopropyl betaine (UNII: 5OCF3O11KX)  
peg-100 stearate (UNII: YD01N1999R)  
magnesium aluminum silicate (UNII: 6M3P64V0NC)  
glyceryl monostearate (UNII: 230OU9XXE4)  
phenoxyethanol (UNII: HIE492ZZ3T)  
polyoxyl 20 cetostearyl ether (UNII: YRC528SWUY)  
xanthan gum (UNII: TTV12P4NEE)  
chlorphenesin (UNII: I670DAL4SZ)  
caffeine (UNII: 3G6A5W338E)  
ethylhexylglycerin (UNII: 147D247K3P)  
edetate disodium (UNII: 7FLD91C86K)  
citric acid monohydrate (UNII: 2968PHW8QP)  
sodium hydroxide (UNII: 55X04QC32I)  
.alpha.-tocopherol acetate (UNII: 9E8X80D2L0)  
vitamin a palmitate (UNII: 1D1K0N0VVC)  
ascorbyl palmitate (UNII: QN83US2B0N)  
levomenol (UNII: 24WE03BX2T)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:69842-077-011 in 1 CARTON07/01/2016
199 mL in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart333D07/01/2016
Labeler - CVS Health (062312574)
Registrant - AMCOL Health & Beauty Solutions, Inc. DBA (872684803)
Establishment
NameAddressID/FEIBusiness Operations
AMCOL Health & Beauty Solutions, Inc. DBA872684803ANALYSIS(69842-077) , MANUFACTURE(69842-077) , LABEL(69842-077) , PACK(69842-077)

Revised: 3/2017
Document Id: 94fc9904-3118-4e9f-8e1f-a640f2cfbfa8
Set id: 03bbb445-4c6b-4f54-bd95-9f5764eae4e4
Version: 1
Effective Time: 20170314
 
CVS Health