ANTIMICROBIAL SKIN CLEANSER- chlorhexidine gluconate 2% solution liquid 
Gojo Industries, Inc.

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GOJO FMX-TFX-Provon

Drug Facts

Active ingredient

Chlorhexidine gluconate 2% solution

Purpose

Antiseptic

Uses

Warnings

For external use only

Allergy alert:

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

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

Do not use

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

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

Healthcare personnel handwash:

Surgical hand scrub:

Inactive ingredients

citric acid, cocamide DEA, hydroxyethylcellulose, isopropyl alcohol, lauramine oxide, purified water

Questions or comments?

call 1-800-321-9647 Monday through Friday 8:30 AM to 5:00 PM

NDC 21749-106-89

Chlorhexidine Gluconate 2% Solution

Antimicrobial SKin Cleanser

Distributed by:

Gojo Industries, Inc.

Akron, OH 44309

330-255-6000

www.gojo.com

FMX

NDC 21749-106-89

Chlorhexidine Gluconate 2% Solution

Antimicrobial SKin Cleanser

Distributed by:

Gojo Industries, Inc.

Akron, OH 44309

330-255-6000

www.gojo.com

TFX

Back GOJO 1

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NDC 21749-106-32

PROVON BRAND

Antimicrobial Skin Cleanser

Chlorhexidine Gluconate

2% Solution

Antiseptic

Distributed by:

GOJO Industries, Inc.

Akron, OH 44309

Questions?

Tel. 800-321-9647

*330-255-6000

www.GOJO.com

©2018. All rights reserved.

2PROV32BTLLBL

4104-12

Net Contents: 32 fl oz (1qt) (946 mL)

PROV32 PDP

PROV32 Drug Facts 1

PROV32 Drug Facts 2

ANTIMICROBIAL SKIN CLEANSER 
chlorhexidine gluconate 2% solution liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21749-106
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
WATER (UNII: 059QF0KO0R)  
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)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:21749-106-891200 mL in 1 BOTTLE; Type 0: Not a Combination Product03/01/2008
2NDC:21749-106-32946 mL in 1 BOTTLE; Type 0: Not a Combination Product03/01/2008
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NDANDA01942203/01/2008
Labeler - Gojo Industries, Inc. (004162038)
Registrant - Xttrium Laboratories, Inc. (007470579)
Establishment
NameAddressID/FEIBusiness Operations
Xttrium Laboratories, Inc.007470579manufacture(21749-106)

Revised: 6/2019
Document Id: 8b9f34c8-0963-0da2-e053-2a95a90a4e2d
Set id: 759beac3-6fc8-40c6-e053-2a91aa0aab57
Version: 4
Effective Time: 20190618
 
Gojo Industries, Inc.