GRACIE SQUARE HOSPITAL AMENITY- sodium monofluorophosphate 
ASP Global, LLc

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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Gracie Square Hospital Amenity Kit

Colgate® Anticavity Toothpaste

Drug Facts

Active ingredient

Sodium monofluorophosphate 0.76% (0.15%)w/v fluoride ion)

Purpose

Anticavity

Use

helps protect against cavities

Warnings

Keep out of the reach of children under 6 years of age.

If more than used for brushing is accidentally swallowed, get medical help or contact a Poison Control Center right away.

Directions

adults and children 2 years of age and olderbrush teeth thoroughly, preferably after each meal or at least twice a day, or as directed by a dentist or physician
children 2 to 6 yearsuse only a pea sized amount and supervise child's brushing and rinsing (to minimize swallowing)
children under 2 yearsask a dentist or physician

Inactive ingredients

dicalcium phosphate dihydrate, aqua(water), sorbitol, sodium lauryl sulfate, aroma(flavour), cellulose gum, tetrasodium pyrophosphate, sodium saccharin, limonene

Questions or comments?

Call toll-free 1-800-468-6502

Manufactured by:
COLGATE-PALMOLIVE
(THAILAND) Limited, Chonburi 20000, Thailand.

PRINCIPAL DISPLAY PANEL - 10 g Tube Label

Colgate®
Anticavity Toothpaste

Cavity
Protection

NET WT 10g

Principal Display Panel - 10 g Tube Label

PRINCIPAL DISPLAY PANEL - Kit Label

GRACIE
SQUARE
HOSPITAL

Item #: GSHAMEN01

Description: Amenity Kit

PO #:

Lot #: XMMDDFC

Exp: YYYY-MM-DD

Qty: 20 KIT/CS

Carton #: X of XX

Net Wt.: XX KG

Gross Wt.: XX KG

Cubic Dimensions: NN x NN x NN CM

Assembled in China

Components Made in China:

Component Made in Thailand:

GRACIE
SQUARE
HOSPITAL

We are pleased to
present this welcome kit
for your comfort and
convenience during your
stay.

Thank you for choosing
Gracie Square Hospital
for your healthcare!

Contents/Origins:

2.0 fl. oz. Shampoo/Conditioner
2.0 fl. oz. Body Wash
2.0 fl. oz. Body Lotion
2.2 fl. oz. Alcohol-Free Mouthwash
0.15 oz. net wt. Lip Balm
Hair Brush, Toothbrush, Ear Plugs,
and Kit Case: Made in China
Toothpaste: Made in Thailand

Lot #:
Exp:

Distributed by:
ASP Global, LLC
3450 Atlanta Industrial Parkway
Atlanta, GA 30331

GSHAMEN01 Rev 2

GRACIE
SQUARE
HOSPITAL

Principal Display Panel - Kit Label
GRACIE SQUARE HOSPITAL AMENITY 
sodium monofluorophosphate kit
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:59448-101
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:59448-101-001 in 1 BAG01/18/2016
Quantity of Parts
Part #Package QuantityTotal Product Quantity
Part 11 TUBE 10 g
Part 21 TUBE 59 mL
Part 31 TUBE 59 mL
Part 41 TUBE 59 mL
Part 51 TUBE 4.25 g
Part 61 BOTTLE, PLASTIC 65 mL
Part 1 of 6
COLGATE ANTICAVITY 
sodium monofluorophosphate paste, dentifrice
Product Information
Item Code (Source)NDC:42555-060
Route of AdministrationDENTAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Sodium Monofluorophosphate (UNII: C810JCZ56Q) (Fluoride Ion - UNII:Q80VPU408O) Fluoride Ion7.6 mg  in 1 g
Inactive Ingredients
Ingredient NameStrength
Dibasic Calcium Phosphate Dihydrate (UNII: O7TSZ97GEP)  
Water (UNII: 059QF0KO0R)  
Sorbitol (UNII: 506T60A25R)  
Sodium Lauryl Sulfate (UNII: 368GB5141J)  
Sodium Pyrophosphate (UNII: O352864B8Z)  
Saccharin Sodium (UNII: SB8ZUX40TY)  
Product Characteristics
ColorWHITEScore    
ShapeSize
FlavorMINTImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:42555-060-4510 g in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart35506/04/2009
Part 2 of 6
GILCHRIST AND SOAMES   BODY BUTTER
cleansing (cold creams, cleansing lotions, liquids, and pads)
Product Information
Route of AdministrationTOPICAL
Other Ingredients
Ingredient KindIngredient NameQuantity
INGRWater (UNII: 059QF0KO0R)  
INGRISOPROPYL PALMITATE (UNII: 8CRQ2TH63M)  
INGRCETOSTEARYL ALCOHOL (UNII: 2DMT128M1S)  
INGRGLYCERYL MONOSTEARATE (UNII: 230OU9XXE4)  
INGRCYCLOMETHICONE 5 (UNII: 0THT5PCI0R)  
INGRISOPROPYL MYRISTATE (UNII: 0RE8K4LNJS)  
INGRBENZYL ALCOHOL (UNII: LKG8494WBH)  
INGRPEG-100 STEARATE (UNII: YD01N1999R)  
INGRCARBOMER HOMOPOLYMER TYPE C (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: 4Q93RCW27E)  
INGRDEHYDROACETIC ACID (UNII: 2KAG279R6R)  
INGRSODIUM HYDROXIDE (UNII: 55X04QC32I)  
Product Characteristics
colorWHITEC48325
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
159 mL in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Cosmetic07/01/2013
Part 3 of 6
GILCHRIST AND SOAMES   HAIR 2 IN 1
shampoos (non-coloring)
Product Information
Route of AdministrationTOPICAL
Other Ingredients
Ingredient KindIngredient NameQuantity
INGRWater (UNII: 059QF0KO0R)  
INGRSODIUM LAURETH-3 SULFATE (UNII: BPV390UAP0)  
INGRSODIUM CHLORIDE (UNII: 451W47IQ8X)  
INGRGLYCERIN (UNII: PDC6A3C0OX)  
INGRCOCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
INGRCOCO MONOETHANOLAMIDE (UNII: C80684146D)  
INGRPOLYQUATERNIUM-7 (70/30 ACRYLAMIDE/DADMAC; 2600000 MW) (UNII: U1G23TFV1K)  
INGRCITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
INGRMAGNESIUM NITRATE (UNII: 77CBG3UN78)  
INGRMETHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
INGRMAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
INGRMETHYLPARABEN (UNII: A2I8C7HI9T)  
INGRPROPYLPARABEN (UNII: Z8IX2SC1OH)  
INGRMETHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
INGRFD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
INGRFD&C RED NO. 4 (UNII: X3W0AM1JLX)  
Product Characteristics
colorYELLOWC48330
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
159 mL in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Cosmetic07/01/2013
Part 4 of 6
GILCHRIST AND SOAMES   BODY REFRESHER--BODY WASH
skin fresheners
Product Information
Route of AdministrationTOPICAL
Other Ingredients
Ingredient KindIngredient NameQuantity
INGRWater (UNII: 059QF0KO0R)  
INGRSODIUM LAURETH-3 SULFATE (UNII: BPV390UAP0)  
INGRSODIUM CHLORIDE (UNII: 451W47IQ8X)  
INGRCOCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
INGRGLYCERIN (UNII: PDC6A3C0OX)  
INGRPOLYQUATERNIUM-7 (70/30 ACRYLAMIDE/DADMAC; 2600000 MW) (UNII: U1G23TFV1K)  
INGRCOCO MONOETHANOLAMIDE (UNII: C80684146D)  
INGRMAGNESIUM NITRATE (UNII: 77CBG3UN78)  
INGRCITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
INGRMETHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
INGRMAGNESIUM CHLORIDE (UNII: 02F3473H9O)  
INGRMETHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
INGRFD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
INGRFD&C RED NO. 4 (UNII: X3W0AM1JLX)  
INGRFD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Product Characteristics
colorGREENC48329
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
159 mL in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Cosmetic07/01/2013
Part 5 of 6
GILCHRIST AND SOAMES   MOISTURIZING LIP BALM
lipstick
Product Information
Route of AdministrationTOPICAL
Other Ingredients
Ingredient KindIngredient NameQuantity
INGRCERESIN (UNII: Q1LS2UJO3A)  
INGRETHYLHEXYL PALMITATE (UNII: 2865993309)  
INGRMINERAL OIL (UNII: T5L8T28FGP)  
INGRPETROLATUM (UNII: 4T6H12BN9U)  
INGRHYDROGENATED POLYBUTENE (1300 MW) (UNII: 7D1YQ9Y5EZ)  
INGRPOLYBUTENE (1400 MW) (UNII: 1NA5AO9GH7)  
INGRMICROCRYSTALLINE WAX (UNII: XOF597Q3KY)  
INGRCANDELILLA WAX (UNII: WL0328HX19)  
INGRSILICON DIOXIDE (UNII: ETJ7Z6XBU4)  
INGRPENTAERYTHRITOL TETRAKIS(3-(3,5-DI-TERT-BUTYL-4-HYDROXYPHENYL)PROPIONATE) (UNII: 255PIF62MS)  
INGRPROPYLPARABEN (UNII: Z8IX2SC1OH)  
INGRFD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
INGRACID BLUE 9 AMMONIUM (UNII: 86R7G3C26F)  
Product Characteristics
colorYELLOWC48330
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
14.25 g in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Cosmetic07/01/2013
Part 6 of 6
ASP GLOBAL, LLC   ALCOHOL-FREE
mouthwashes and breath fresheners (liquids and sprays)
Product Information
Route of AdministrationORAL
Other Ingredients
Ingredient KindIngredient NameQuantity
INGRWater (UNII: 059QF0KO0R)  
INGRGLYCERIN (UNII: PDC6A3C0OX)  
INGRPOLYSORBATE 20 (UNII: 7T1F30V5YH)  
INGRSODIUM BENZOATE (UNII: OJ245FE5EU)  
INGRMENTHOL, UNSPECIFIED FORM (UNII: L7T10EIP3A)  
INGRSACCHARIN SODIUM (UNII: SB8ZUX40TY)  
INGRCETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
INGRFD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Product Characteristics
colorBLUEC48333
flavorMINTC73404
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
165 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Cosmetic07/01/2013
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E01/18/2016
Labeler - ASP Global, LLc (080361159)
Establishment
NameAddressID/FEIBusiness Operations
Shengzhou Kingbird Travel Products Co., Ltd.560219293PACK(59448-101) , LABEL(59448-101) , REPACK(59448-101)
Establishment
NameAddressID/FEIBusiness Operations
Colgate-Palmolive (Thailand) LTD672044552MANUFACTURE(59448-101)

Revised: 9/2019
Document Id: 31ce9e14-a1b7-4d12-a76a-fc3873001bd7
Set id: 89d81053-6950-465e-a5b1-cbf841d7afcb
Version: 5
Effective Time: 20190913
 
ASP Global, LLc