HYDROGEN PEROXIDE- hydrogen peroxide solution 
Shopko Stores Operating Co, 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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Shopko 871.001/871AA Hydrogen Peroxide

Active ingredient

Hydrogen peroxide (stabilized) 3%

Purpose

First aid antiseptic

Oral debriding agent

Uses

Warnings

For external use only

Do not use 

Ask a doctor before use if you have

deep or puncture wounds, animal bites or serious burns

Stop use and ask a doctor if

Keep out of reach of children.

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

Directions

First Aid

Oral debriding agent adults and children over 2 years of age:

Other information

Keep tightly closed and at controlled room temperature.  Do not shake bottle.  Hold away from face when opening.

Inactive ingredient

purified water

Manufactured by Vi-Jon, LLC,  for Shopko Stores Operating Co.LLC

Made in the USA www.shopko.com

principal display panel

SHOPKO

Hydrogen Peroxide 3% Topical Solution USP

First Aid Antiseptic

Oral Debriding Agent

For Treatment of Minor Cuts and Abrasions

Do not use if printed seal under cap is broken or missing

16 FL OZ (1 PT) 473 mL

image description

HYDROGEN PEROXIDE 
hydrogen peroxide solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:37012-871
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HYDROGEN PEROXIDE (UNII: BBX060AN9V) (HYDROGEN PEROXIDE - UNII:BBX060AN9V) HYDROGEN PEROXIDE30 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:37012-871-43473 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product01/22/2009
2NDC:37012-871-45946 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product01/22/2009
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333A01/22/2009
Labeler - Shopko Stores Operating Co, LLC (023252638)
Registrant - Vi Jon, LLC (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC790752542manufacture(37012-871)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC088520668manufacture(37012-871)

Revised: 4/2022
Document Id: a8480a5a-7010-4d78-96cb-565751932ad4
Set id: b9ee2b88-8ebd-416a-8c97-85188d4d4222
Version: 13
Effective Time: 20220421
 
Shopko Stores Operating Co, LLC