SHOPKO ANTIBACTERIAL FOAMING HAND CLEANSER- triclosan solution 
Jets, Sets, & Elephants Beauty Corp.

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.

----------

SHOPKO® Anti-Bacterial Foaming Hand Soap - Merry Berry and Peppermint Twist

Active ingredient

Triclosan 0.3%

Purpose

Antibacterial

Use

Warnings

For external use only.

When using this product

avoid contact with eyes. If contact occurs, rinse thoroughly with water.

Stop use and ask a doctor

if irritation and redness develop.

Keep out of reach of children.

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

Directions

Inactive ingredients (Merry Berry)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Citric Acid, Cocamide DEA, Cocamidopropyl Betaine, Disodium EDTA, DMDM Hydantoin, Fragrance (Parfum), Methylchloroisothiazolinone, Methylisothiazolinone, Propylene Glycol, Red 33, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua), Yellow 5.

Inactive ingredients (Peppermint Twist)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Blue-1, Citric Acid, Cocamide DEA, Cocamidopropyl Betaine, Disodium EDTA, DMDM Hydantoin, Fragrance (Parfum), Methylchloroisothiazolinone, Methylisothiazolinone, Propylene Glycol, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua), Yellow 5

QUESTIONS?

1-800-FDA-1088

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

Merry Berry

ANTI-BACTERIAL FOAMING

HAND SOAP

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

Peppermint Twist

ANTI-BACTERIAL FOAMING

HAND SOAP

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

SHOPKO ANTIBACTERIAL FOAMING HAND CLEANSER 
triclosan solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-303
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN0.3 mL  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-303-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E07/02/2012
SHOPKO ANTIBACTERIAL FOAMING HAND CLEANSER 
triclosan solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-304
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN0.3 mL  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-304-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E07/02/2012
Labeler - Jets, Sets, & Elephants Beauty Corp. (243254039)
Establishment
NameAddressID/FEIBusiness Operations
Gold Orient International Limited679905914MANUFACTURE(50988-303, 50988-304)

Revised: 7/2012
Document Id: 327d20bb-2f16-4b3d-8106-d877f47d53e3
Set id: 327d20bb-2f16-4b3d-8106-d877f47d53e3
Version: 1
Effective Time: 20120709
 
Jets, Sets, & Elephants Beauty Corp.