HILLYARD ALCOHOL FREE FOAMING INSTANT HAND SANITIZER- benzalkonium chloride liquid 
Hillyard GMP

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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Hillyard Alcohol Free Foaming Instant Hand Sanitizer

Active ingredient

Benzalkonium Chloride 0.10%

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 thoroughly 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 small amount of foam into palm of hand
Rub thoroughly over all surfaces of both hands
Rub hands together briskly until dry

Inactive Ingredients

Water, Cetrimonium Chloride, Laurtrimonium Chloride, Dihydroxyethyl Cocamine Oxide, Glycereth-17 Cocoate, Phenoxyethanol and Citric Acid.

Package/Label Principal Display Panel

Hillyard
Alcohol Free Foaming
Instant Hand Sanitizer

HIL0040303

affinity
DISPENSING SYSTEM

Place cartridge into dispenser, label facing back, and gently push pump into receiver until it clicks into place.

To remove the cartridge and pump, rotate the green ring clockwise and pull the pump out.

HILLYARD INDUSTRIES
PO Box 909,
St. Joseph, MO
64502-0909 U.S.A.
Telephone: 816-233-1321
www.hillyard.com

NET CONTENTS 1.25 L (42.3 FL. OZ.)
PEEL HERE

Carton Label

Carton Label

HILLYARD ALCOHOL FREE FOAMING INSTANT HAND SANITIZER 
benzalkonium chloride liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:76402-403
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE0.1 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
CETRIMONIUM CHLORIDE (UNII: UC9PE95IBP)  
LAURTRIMONIUM CHLORIDE (UNII: A81MSI0FIC)  
DIHYDROXYETHYL COCAMINE OXIDE (UNII: 8AR51R3BL5)  
GLYCERETH-17 COCOATE (UNII: 3057VPT0KC)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
ANHYDROUS CITRIC ACID (UNII: XF417D3PSL)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:76402-403-063785 mL in 1 JUG; Type 0: Not a Combination Product02/29/2012
2NDC:76402-403-031250 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product03/02/2012
3NDC:76402-403-021000 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product12/04/2012
4NDC:76402-403-82414 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product05/18/2012
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E02/29/2012
Labeler - Hillyard GMP (969081483)
Establishment
NameAddressID/FEIBusiness Operations
Hillyard GMP969081483MANUFACTURE(76402-403)

Revised: 1/2015
Document Id: a066bd4e-8f1d-4dfe-8754-fc7fd5ae48f9
Set id: a066bd4e-8f1d-4dfe-8754-fc7fd5ae48f9
Version: 1
Effective Time: 20150109
 
Hillyard GMP