SERVO STAT-FOAM- alcohol 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

Ethyl Alcohol 62% v/v

Purpose

Antiseptic

Use

for hand-washing to decrease bacteria on the skin

If hands are visibly soiled, use regular soap and water

Recommended for repeated use

Warnings

Flammable, keep away from fire and flames

For external use only

When using this product

do not get into eyes

if contact occurs, rinse eyes thoroughly with water

Stop use and ask a doctor if

irritation and redness develop

Keep out of reach of children.

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

Directions

apply to hands and rub lightly until dry without wiping or rinsing

Inactive Ingredients

water, DEA-C8-18 perfluoro-alkylethyl phosphate, propylene glycol

Servo

Stat-Foam

Waterless

Antiseptic

Item #: 11125R-FM4

1000ML 33.8 FL. OZ.

container label

SERVO STAT-FOAM 
alcohol liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:76378-011
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ALCOHOL (UNII: 3K9958V90M) (ALCOHOL - UNII:3K9958V90M) ALCOHOL62 mL  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
DIETHANOLAMINE BIS(C8-C18 PERFLUOROALKYLETHYL)PHOSPHATE (UNII: 4J55VM509S)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:76378-011-0159 mL in 1 BOTTLE; Type 0: Not a Combination Product12/07/2018
2NDC:76378-011-02473 mL in 1 BOTTLE; Type 0: Not a Combination Product12/07/2018
3NDC:76378-011-031000 mL in 1 BAG; Type 0: Not a Combination Product12/07/2018
4NDC:76378-011-0450 mL in 1 BOTTLE; Type 0: Not a Combination Product12/07/2018
5NDC:76378-011-053785 mL in 1 BOTTLE; Type 0: Not a Combination Product11/16/2020
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333A02/01/2011
Labeler - Enzyme Solutions, Inc. (004994559)
Establishment
NameAddressID/FEIBusiness Operations
Enzyme Solutions, Inc.004994559manufacture(76378-011)

Revised: 11/2020
Document Id: b4b97458-19b5-3dc2-e053-2995a90a2e73
Set id: a4535b70-04cb-4227-81d3-4dd55086ba7a
Version: 4
Effective Time: 20201122
 
Enzyme Solutions, Inc.