ALCOHOL FREE FOAM SANITIZER- benzalkonium chloride soap 
Afflink, 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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Alcohol Free Foam Sanitizer

Alcohol Free Foam Sanitizer

​Active Ingredient

Benzalkonium Chloride 0.13%

Alcohol Free Foam Sanitizer

Uses

Alcohol Free Foam Sanitizer

Warnings

Alcohol Free Foam Sanitizer

Directions

Alcohol Free Foam Sanitizer

Inactive Ingredients

Deionized ​Water, Sodium PCA, PEG/PPG-8/3 Laurate, Dimethicone, DMDM Hydantoin, PEG-3 Cocamide, Fragrance, Iodoproynyl Btylcarbamate, D&C Green #5.

Alcohol Free Foam Sanitizer

Purpose

Antiseptic

Alcohol Free Foam Sanitizer

KEEP OUT OF REACH OF CHILDREN

Alcohol Free Foam Sanitizer

AFFEX Cleaning Solutions

Alcohol Free Foam Sanitizer

Non Alcohol hand Sanitizer

Mediucal Emergency:

(800)424-9300

NET CONTENTS: 1000 mL

ITEM #304-60

Afflink 304.jpg

ALCOHOL FREE FOAM SANITIZER 
benzalkonium chloride soap
Product Information
Product Type HUMAN OTC DRUG Item Code (Source) NDC:54057-304
Route of Administration Topical DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE 1.3 mg  in 1 mL
Inactive Ingredients
Ingredient Name Strength
WATER (UNII: 059QF0KO0R)  
SODIUM PYRROLIDONE CARBOXYLATE (UNII: 469OTG57A2)  
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ)  
DIMETHICONE (UNII: 92RU3N3Y1O)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
PEG-6 COCAMIDE (UNII: YZ6NLA4O1E)  
IODOPROPYNYL BUTYLCARBAMATE (UNII: 603P14DHEB)  
D&C GREEN NO. 5 (UNII: 8J6RDU8L9X)  
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:54057-304-60 1000 mL in 1 BAG
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
OTC monograph not final part333A 11/12/2012
Labeler - Afflink, Inc. (023121150)
Registrant - Betco corporation, Ltd. (005050158)
Establishment
Name Address ID/FEI Business Operations
Betco Corporation, Ltd. 005050158 manufacture(54057-304)

Revised: 12/2012
Document Id: 98e03349-1f16-477f-bc4c-7af484a1f67a
Set id: 0642d886-702d-4990-8d4a-e0c56d565e41
Version: 2
Effective Time: 20121213
 
Afflink, Inc.