ANTICAVITY RINSE- sodium fluoride mouthwash 
Family Dollar Services, Inc

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Anticavity Fluoride Rinse, Bubble Gum
004.002/004AE

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

Adults and children 6 year of age and older: 

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

Other information

Inactive ingredients

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

Disclaimer

*This product is not manufactured or distributed by Chattem, Inc., distributor of Act® Bubblegum Blow Out® Anticavity Kids Fluoride Rinse.

Adverse reaction

DISTRIBUTED BY:

MIDWOOD BRANDS, LLC

500 VOLVO PKWY

CHESAPEAKE, VA 23320 USA

NOT 100% SATISFIED?

Return within 30 days to the store of purchase for a refund (with receipt) or exchange.

MADE IN THE US WITH US AND FOREIGN COMPONENTS

Principal display panel

IMPORTANT: read directions for proper use.

sealed with printed neckband for your protection.

Do not use if band around cap is broken or missing.

FAMILY WELLNESS™

Compare to ACT® Bubblegum Blowout® Anticavity Kids Fluoride Rinse*

Children's ANTICAVITY FLUORIDE RINSE

BUBBLEGUM FLAVOR

18 FL OZ (1.12 PT) 532 mL

image description
ANTICAVITY RINSE 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:55319-004
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:55319-004-44532 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product08/02/2011
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM02108/02/2011
Labeler - Family Dollar Services, Inc (024472631)
Registrant - Vi Jon, LLC (088520668)
Establishment
NameAddressID/FEIBusiness Operations
Vi Jon, LLC790752542manufacture(55319-004)
Establishment
NameAddressID/FEIBusiness Operations
Vi Jon, LLC088520668manufacture(55319-004)

Revised: 12/2023
Document Id: d402acad-49cf-4ac8-a232-0aef7f2b6170
Set id: 32a92add-c9db-4733-8e35-613825fdf081
Version: 8
Effective Time: 20231208
 
Family Dollar Services, Inc