SERVO STAT BAC  - benzalkonium chloride liquid 
Enzyme Solutions, Inc.

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.

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Drug Facts

Active Ingredient

Benzalkonium Chloride 0.1%

Purpose

Antimicrobial

Uses

For hand sanitizing to decrease bacteria on the skin.

Recommended for repeated use.

Warnings

For external use only.

When using this product avoid contact with eyes.

In case of eye contact, flush eyes with water.

Stop use and ask a doctor if irritation or redness develops, or if condition persists for more than 72 hours.

Keep out of reach of children.

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

Directions

Pump a small amount of foam into palm of hand.

Rub thoroughly over all surfaces of both hands.

Rub hands to gether briskly until dry.

Inactive Ingredients

Water, dihydroxypropyl PEG-5 linoleammonium chloride, glycereth-2 cocoate, behentrimonium chloride, dihydroxyethyl cocamine oxide, fragrance.

Servo Stat BAC

Instant Foam Hand Sanitizer

WARNING: EYE IRRITANT

(SEE SIDE PANEL FOR DETAILS)

KEEP OUT OF REACH OF CHILDREN

ENZYME SOLUTIONS

wwww.enzymesolutions.com

1 Gallon  3.8 L

Servo Stat BAC is a non-alcohol formula

that is non-drying to the skin, which leaves

hands smooth and soft.

Foaming Formula

Storage: Store at Room Temperature.

Do NOT Mix with Other Chemicals.

Batch

Expiration Date

container label

SERVO STAT BAC  
benzalkonium chloride liquid
Product Information
Product Type HUMAN OTC DRUG Item Code (Source) NDC:76378-020
Route of Administration TOPICAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE 1 mg  in 1 mL
Inactive Ingredients
Ingredient Name Strength
WATER (UNII: 059QF0KO0R)  
DIHYDROXYPROPYL PEG-5 LINOLEAMMONIUM CHLORIDE (UNII: 0Y0NQR2GH1)  
GLYCERETH-2 COCOATE (UNII: JWM00VS7HC)  
BEHENTRIMONIUM CHLORIDE (UNII: X7GNG3S47T)  
DIHYDROXYETHYL COCAMINE OXIDE (UNII: 8AR51R3BL5)  
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:76378-020-01 1000 mL in 1 BAG
2 NDC:76378-020-02 3785 mL in 1 BOTTLE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
OTC monograph not final part333A 11/14/2013
Labeler - Enzyme Solutions, Inc. (004994559)
Establishment
Name Address ID/FEI Business Operations
Enzyme Solutions, Inc. 004994559 manufacture(76378-020)

Revised: 11/2013
Document Id: 135e864b-449f-4e9c-aaa8-16c1e9075fef
Set id: 383aef71-721d-47f5-914b-80b1de3f42a9
Version: 1
Effective Time: 20131114
 
Enzyme Solutions, Inc.