SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER- triclosan gel 
Jets, Sets, & Elephants Beauty Corp.

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.

----------

SHOPKO® Anti-Bacterial Foaming Hand Soap - Cherry Blossom, Ocean Breeze, Warm Vanilla Sugar, Dark Raspberry, Red Pomegranate, Autumn Orange, Enchanted Woods

Active ingredient

Triclosan 0.3%

Purpose

Antibacterial

Use

Warnings

For external use only.

When using this product

avoid contact with eyes. If contact occurs, rinse 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

Inactive ingredients (Cherry Blossom)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Cocamide DEA, Cocamidopropyl Betaine, Citric Acid, Disodium EDTA, DMDM Hydantoin, Methylchloroisothiazolinone, Methylisothiazolinone, Fragrance (Parfum), Propylene Glycol, Red 33, Retinyl Palmitate, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua), Yellow 5.

Inactive ingredients (Ocean Breeze)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Blue 1, Cocamide DEA, Cocamidopropyl Betaine, Citric Acid, Disodium EDTA, DMDM Hydantoin, Methylchloroisothiazolinone, Methylisothiazolinone, Fragrance (Parfum), Propylene Glycol, Red 33, Retinyl Palmitate, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua).

Inactive ingredients (Warm Vanilla Sugar)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Cocamide DEA, Cocamidopropyl Betaine, Citric Acid, Disodium EDTA, DMDM Hydantoin, Methylchloroisothiazolinone, Methylisothiazolinone, Fragrance (Parfum), Propylene Glycol, Red 33, Retinyl Palmitate, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua), Yellow 5.

Inactive ingredients (Dark Raspberry)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Blue 1, Citric Acid, Cocamide DEA, Cocamidopropyl Betaine, Disodium EDTA, DMDM Hydantoin, Methylchloroisothiazolinone, Methylisothiazolinone, Fragrance (Parfum), Propylene Glycol, Red 33, Retinyl Palmitate, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua), Yellow 5.

Inactive ingredients (Red Pomegranate)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Blue 1,Cocamide DEA, Cocamidopropyl Betaine, Citric Acid, Disodium EDTA, DMDM Hydantoin, Methylchloroisothiazolinone, Methylisothiazolinone, Parfum, Propylene Glycol, Red 33, Retinyl Palmitate, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua), Yellow 5.

Inactive ingredients (Autumn Orange)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Citric Acid, Cocamide DEA, Cocamidopropyl Betaine, Disodium EDTA, DMDM Hydantoin, Fragrance (Parfum), Methylchloroisothiazolinone, Methylisothiazolinone, Propylene Glycol, Red 33, Retinyl Palmitate, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua), Yellow 5.

Inactive ingredients (Enchanted Woods)

Aloe Barbadensis Leaf Juice, Benzophenone-4, Blue 1, Citric Acid, Cocamide DEA, Cocamidopropyl Betaine, Disodium EDTA, DMDM Hydantoin, Fragrance (Parfum), Methylchloroisothiazolinone, Methylisothiazolinone, Propylene Glycol, Red 33, Retinyl Palmitate, Sodium Laureth Sulfate, Tocopheryl Acetate, Water (Aqua).

QUESTIONS?

1-800-FDA-1088

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

CHERRY BLOSSOM

anti-bacterial foaming hand soap

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

OCEAN BREEZE

anti-bacterial foaming hand soap

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

WARM VANILLA SUGAR

anti-bacterial foaming hand soap

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

DARK RASPBERRY

anti-bacterial foaming hand soap

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

RED POMEGRANATE

anti-bacterial foaming hand soap

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

limited edition
autumn orange

anti-bacterial foaming hand soap

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

PACKAGE/LABEL PRINCIPAL DISPLAY PANEL

bath·body·etc®

limited edition
enchanted woods

anti-bacterial foaming hand soap

10.1 fl.oz

Made in China

Distributed by Jets, Sets & Elephants Beauty Corp.

For ShopKo Stores Operating Co., LLC

Green Bay, WI 54307, U.S.A

©2012 ShopKo Stores Operating Co., LLC

SATISFACTION GUARANTEED BY REFUND OR EXCHANGE

Bottle Label

Bottle Label

SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER 
triclosan gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-296
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-296-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E08/07/2012
SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER 
triclosan gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-297
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-297-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E08/07/2012
SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER 
triclosan gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-298
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-298-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E08/07/2012
SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER 
triclosan gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-299
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-299-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E08/07/2012
SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER 
triclosan gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-300
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-300-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E08/07/2012
SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER 
triclosan gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-301
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-301-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E08/07/2012
SHOPKO ANTIBACTERIAL FOAMING HAND SANITIZER 
triclosan gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:50988-302
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)  
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)  
ACETYL TRIETHYLHEXYL CITRATE (UNII: 150CTM9A3J)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SULISOBENZONE (UNII: 1W6L629B4K)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:50988-302-00300 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E08/07/2012
Labeler - Jets, Sets, & Elephants Beauty Corp. (243254039)
Establishment
NameAddressID/FEIBusiness Operations
Gold Orient International Limited679905914MANUFACTURE(50988-296, 50988-297, 50988-298, 50988-299, 50988-300, 50988-301, 50988-302)

Revised: 8/2012
Document Id: b6057e65-e3dd-4996-900b-33ad600ccfe8
Set id: b6057e65-e3dd-4996-900b-33ad600ccfe8
Version: 1
Effective Time: 20120807
 
Jets, Sets, & Elephants Beauty Corp.