ANTICAVITY- sodium fluoride rinse 
Kroger Co

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Kroger 004.002/004AE
Anticavity Fluoride Rinse, Bubble Gum

Active ingredient

Sodium fluoride 0.05% (0.02% w/v fluoride ion)

Purpose

Anticavity rinse

Use

aids in the prevention of dental cavities

Warnings

for this product

Keep out of reach of children.

If more than used for rinsing is accidentally swallowed, seek professional assistance or contact a Poison Control Center immediately.

Directions

Children under 6 years of age: consult a dentist or doctor

Other information

Inactive ingredients

benzyl alcohol, calcium disodium EDTA, cetylpridinium chloride, disodium EDTA, disodium phosphate, flavor, poloxamer 407, polysorbate 80, propylene glycol, red 33, sodium benzoate, sodium phosphate, sodium saccharin, sorbitol, water

Questions or comments?

Call 1-800-632-6900

Disclaimer

*ACT® IS A REGISTERED TRADEMARK OF CHATTEM, INC. CHATTEM, INC. IS NOT AFFILIATED WITH THE KROGER CO. OR THIS PRODUCT.

Adverse reaction

DISTRIBUTED BY THE KORGER CO. CINCINNATI, OH 45202

Principal display panel

Compare to the active ingredient of ACT® Anticavity Kids Fluoride Rinse*

Kroger

bubblegum flavor

Kids

Anticavity Fluoride Rinse

IMPORTANT: read directions for proper use.

Sealed with printed neckband for your protection

16.9 FL OZ (500 mL)

image description

ANTICAVITY 
sodium fluoride rinse
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:30142-004
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.2 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZYL ALCOHOL (UNII: LKG8494WBH)  
EDETATE CALCIUM DISODIUM ANHYDROUS (UNII: 8U5D034955)  
CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
SODIUM PHOSPHATE (UNII: SE337SVY37)  
SACCHARIN SODIUM (UNII: SB8ZUX40TY)  
SORBITOL (UNII: 506T60A25R)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:30142-004-77500 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product01/18/2013
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM02101/18/2013
Labeler - Kroger Co (006999528)
Registrant - Consumer Product Partners, LLC (119091520)
Establishment
NameAddressID/FEIBusiness Operations
Consumer Product Partners, LLC119091514manufacture(30142-004)

Revised: 4/2024
Document Id: 15e92a3f-9508-c6ca-e063-6294a90a05d3
Set id: 27a98b64-8369-4f3d-b487-d7ce98abc69f
Version: 14
Effective Time: 20240412
 
Kroger Co