PROVON ANTIMICROBIAL FOAM HANDWASH- chlorhexidine gluconate 2% solution 
Gojo Industries, Inc.

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Drug Facts

Active ingredient

chlorhexidine gluconate 2% solution

Purpose

surgical hand scrub

healthcare personnel handwash

Uses

Warnings

For external use only

Do not use

  • if you are allergic to chlorhexidine gluconate or any other ingredient in this product

​Allergy alert:

This product may cause a serious allergic reaction. Symptoms may include:

​If an allergic reaction occurs, stop use and seek medical help right away.

When using this product

Stop use and ask a doctor if irritation, sensitization or allergic reaction occurs. These may be signs of a serious condition.

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Directions

Surgical hand scrub:

  • wet hands and forearms with water
  • scrub for 3 minutes with 5 ml of solution and a wet brush paying close attention to the nails, cuticles, and interdigital space
  • a separate nail cleaner may be used
  • rinse thoroughly
  • wash for an additional 3 minutes with 5 ml of solution and rinse under running water
  • dry thoroughly

Healthcare personnel handwash:

  • wet hands with water
  • dispense 5 ml of solution (4 full strokes) into cupped hands, wash in a vigorous manner for 15 seconds, and rinse under running water
  • dry thoroughly

Other information

Inactive ingredients

citric add. cocamide DEA, hydroxyethylcellulose, isopropyl alcohol, lauramine oxide, purified water

Questions or comments?

call 1-800-321-9647 Monday through Friday 8 AM to 5 PM MST

PDPDrug Facts

NDC 21749-850-53

Chlorhexidine Gluconate 2% Solution

Antiseptic Foam Handwash

Distributed by:

Gojo Industries, Inc.

Akron, OH 60085 USA

330-255-6000

www.gojo.com

GOJO18BTLLBL

Gojo ® 2018

Net Wt 18 fl oz (535 mL)

PROVON ANTIMICROBIAL FOAM HANDWASH 
chlorhexidine gluconate 2% solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21749-850
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
CHLORHEXIDINE GLUCONATE (UNII: MOR84MUD8E) (CHLORHEXIDINE - UNII:R4KO0DY52L) CHLORHEXIDINE GLUCONATE20 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
HYDROXYETHYL CELLULOSE (2000 MPA.S AT 1%) (UNII: S38J6RZN16)  
ISOPROPYL ALCOHOL (UNII: ND2M416302)  
LAURAMINE OXIDE (UNII: 4F6FC4MI8W)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:21749-850-53535 mL in 1 BOTTLE; Type 0: Not a Combination Product05/01/2016
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NDANDA01942205/01/2016
Labeler - Gojo Industries, Inc. (004162038)
Registrant - Xttrium Laboratories, Inc. (007470579)

Revised: 12/2022
Document Id: 6bf3b3cd-a681-21b6-e053-2991aa0a517a
Set id: 365c3ac6-6c1f-594b-e054-00144ff88e88
Version: 2
Effective Time: 20221220
 
Gojo Industries, Inc.