Active Ingredient

Salicylic acid 2%

Purpose

Acne medication

Uses

for the treatment of acne
clears blackheads

Warnings

For external use only

When using this product

skin irritation and dryness is more likely to occur if you use another topical acne medication at the same time. If irritation occurs, only use one topical acne medication at a time.

Keep out of reach of children

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

Directions

wet hands and face. Squeeze scrub into hands and rub together. Apply to face and massage gently, avoiding contact with eyes. If contact occurs, rinse eyes thoroughly with water. Rinse face thoroughly.

Inactive ingredients

water, sodium laureth sulfate, synthetic wax, sodium chloride, acrylates copolymer, coco-betaine, cocamide MEA, glycerin, charcoal powder, citric acid, polyglycerin-10, polyglyceryl-10 myristate, polyglyceryl-10 stearate, PPG-5-ceteth-20, sodium hydroxide, trisodium ethylenediamine disuccinate, fragrance, lecithin, red 40 lake, blue 1 lake, yellow 6 lake

Quesitons

1-800-593-0593

*This product is not manufactured or distributed by Garnier LLC, distributor of Garnier Clean Blackhead Eliminating Scrub.

Distributed by: Meijer Distribution, Inc.

Grand Rapids, MI 69544

www.meijer.com

910.001/910AC rev 1

principal display panel

Meijer

Charcoal Blackhead Clearing Scrub

Salicylic Acid

Acne Medication

Oil-free
Clears Pores
With Charcoal

5 FL OZ (148 mL)

*Compare to Garnier Clean+ Blackhead Eliminating Scrub active ingredient

image description

CHARCOAL BLACKHEAD CLEARING SCRUB
salicylic acid cream

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:41250-912
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
SALICYLIC ACID (UNII: O414PZ4LPZ) (SALICYLIC ACID - UNII:O414PZ4LPZ)	SALICYLIC ACID	20.6 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)
SYNTHETIC WAX (1200 MW) (UNII: Q3Z4BCH099)
SODIUM CHLORIDE (UNII: 451W47IQ8X)
BUTYL ACRYLATE/METHYL METHACRYLATE/METHACRYLIC ACID COPOLYMER (18000 MW) (UNII: JZ1374NL9E)
coco-betaine (UNII: 03DH2IZ3FY)
COCO MONOETHANOLAMIDE (UNII: C80684146D)
glycerin (UNII: PDC6A3C0OX)
ACTIVATED CHARCOAL (UNII: 2P3VWU3H10)
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)
POLYGLYCERIN-10 (UNII: P9060O936A)
POLYGLYCERYL-10 STEARATE (UNII: 90TF85HH91)
PPG-5-CETETH-20 (UNII: 4AAN25P8P4)
SODIUM HYDROXIDE (UNII: 55X04QC32I)
TRISODIUM ETHYLENEDIAMINE DISUCCINATE (UNII: YA22H34H9Q)
HYDROGENATED SOYBEAN LECITHIN (UNII: H1109Z9J4N)
FD&C RED NO. 40 (UNII: WZB9127XOA)
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)
FD&C YELLOW NO. 6 (UNII: H77VEI93A8)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:41250-912-28	148 mL in 1 TUBE; Type 0: Not a Combination Product	03/01/2016

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part333D	03/01/2016

Labeler - Meijer Distribution, Inc. (006959555)

Registrant - Vi-Jon, LLC (790752542)

Name	Address	ID/FEI	Business Operations
Establishment
Vi-Jon, LLC		790752542	manufacture(41250-912)

Name	Address	ID/FEI	Business Operations
Establishment
Vi-Jon, LLC		088520668	manufacture(41250-912)

Charcoal Blackhead Clearing Scrub 910.001/910AC rev 1 910AD