ANTISEPTIC SKIN CLEANSER- chlorhexidine gluconate 4% liquid 
Xttrium Laboratories, Inc.

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Walgreens 4% CHG

Active Ingredient

Chlorhexidine gluconate 4% Solution

Purpose

Antiseptic

Uses

Warnings

For external use only

Allergy alert:

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

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

Do not use

  • if you or the patient is allergic to chlorhexidine gluconate or any other ingredient in this product
  • in contact with meninges
  • in the genital area

When using this product

  • keep out of eyes, ears, and mouth. May cause serious and permanent eye injury if pemitted to ener and remain in the eye or may cause deafness when instilled in the middle eat through perforated eardrums..
  • if solution should contact these areas, rinse out promptly and thoroughly with water
  • wounds which involve more than the superficial layers of the skin should not be routinely treated
  • repeated general skin cleansing of large body areas should not be done except when advised by a health care provider

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:

Healthcare personnel handwash:

Skin wound and normal skin cleansing:

Other information

Inactive ingredients

cocamide DEA, fragrance, glucono-delta-lactone, hydroxyethylcellulose, isopropyl alcohol, lauramine oxide, PEG-75 lanolin, purified water, tridecyl alcohol.

Questions or comments?

call 1-800-925-4733

Laundering/Cleaning Instructions: Chlorhexidine gluconate skin cleansers will cause stains if used with chlorine-releasing products. Rinse completely and use only non-chlorine detergents.

WARNING: This product contains a chemical (cocamide DEA) known to the State of California to cause cancer.

‡Walgreens Pharmacist Survey Study, November 2014

‡‡This product is not manufactured or distributed by Mölnlycke Healthcare, owner of the registered trademark Hibiclens®.

Distributed by: Walgreen Co.

200 Wilmot RD., Deerfield, IL 60015

100% Satisfaction Guaranteed

walgreens.com

©2015 Walgreen Co. Made in USA

Package label and principal display panel

Walgreens

Compare to the Hibiclens® active ingredient

NDC 0363-1061-08

Dye-Free

Antiseptic Skin Cleanser

CHLORHEXIDINE GLUCONATE 4% SOLUTION / ANTISEPTIC / ANTIMICROBIAL SKIN CLEANSER

DYE FREE

TAMPER EVIDENT: DO NOT USE IF SAFETY SEAL IS BROKEN OR MISSING

8 FL OZ (237 mL)

WAL08 PDP

WAL08 DF1

WAL08 DF2

WAL08 DF3

VALUE SIZE

NDC 0363-1061-16

Walgreens

Compare to Hibiclens® active ingredient

Dye-Free Antiseptic Skin Cleanser

CHLORHEXIDINE GLUCONATE 4% SOLUTION / ANTISEPTIC / ANTIMICROBIAL SKIN CLEANSER

DYE FREE

Skin wound & general skin cleansing

TAMPER EVIDENT: DO NOT USE IF SAFETY SEAL IS BROKEN OR MISSING

16 FL OZ (473 mL)

WAL16 PDPWAL16 DF1

WAL16 DF2

WAL16 DF3

Carton

NDC 0363-1061-15

Walgreens, Co.

Chlorhexidine Gluconate 4% Solution

Antiseptic Skin Cleansing Kit

Distributed by:

Xttrium Laboratories, Inc.,

Mount Prospect, IL 60056

4WAL15INNERCTNA

0.5 FL OZ (15 mL)

CTN Page 1

CTN Page 2

CTN Page 3

Lidstock

NDC 0363-1061-15

Walgreens, Co.

Chlorhexidine Gluconate 4% Solution

Antiseptic Skin Cleansing Kit

Distributed by:

Xttrium Laboratories, Inc.,

Mount Prospect, IL 60056

4WAL15LIDSTOCKA

0.5 FL OZ (15 mL)

LDSK

Packet

NDC 0363-1061-15

Walgreens, Co.

Chlorhexidine Gluconate 4% Solution

Antiseptic Skin Cleansing Convenience Kit

Distributed by:

Xttrium Laboratories, Inc.,

Mount Prospect, IL 60056

4WAL15PACKETA
0.5 FL OZ (15 mL)

PP Page 1

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ANTISEPTIC SKIN CLEANSER 
chlorhexidine gluconate 4% liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0116-0161
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
CHLORHEXIDINE GLUCONATE (UNII: MOR84MUD8E) (CHLORHEXIDINE - UNII:R4KO0DY52L) CHLORHEXIDINE GLUCONATE4 mg  in 100 mL
Inactive Ingredients
Ingredient NameStrength
LAURAMINE OXIDE (UNII: 4F6FC4MI8W)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PEG-75 LANOLIN (UNII: 09179OX7TB)  
HYDROXYETHYL CELLULOSE (2000 CPS AT 1%) (UNII: S38J6RZN16)  
ISOPROPYL ALCOHOL (UNII: ND2M416302)  
WATER (UNII: 059QF0KO0R)  
TRIDECYL ALCOHOL (UNII: 8I9428H868)  
GLUCONOLACTONE (UNII: WQ29KQ9POT)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:0116-0161-08237 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product05/01/2011
2NDC:0116-0161-16473 mL in 1 BOTTLE, PUMP; Type 0: Not a Combination Product05/01/2011
3NDC:0116-0161-1515 mL in 1 KIT; Type 1: Convenience Kit of Co-Package01/01/2017
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NDANDA01912505/01/2011
Labeler - Xttrium Laboratories, Inc. (007470579)
Registrant - Xttrium Laboratories, Inc. (007470579)
Establishment
NameAddressID/FEIBusiness Operations
Xttrium Laboratories, Inc.007470579manufacture(0116-0161)

Revised: 10/2020
Document Id: b143c4c5-6666-9a9b-e053-2a95a90a7057
Set id: 4ab2cfc2-7adb-20c4-e054-00144ff8d46c
Version: 7
Effective Time: 20201009
 
Xttrium Laboratories, Inc.