HAND SANITIZER- alcohol gel 
Fareva Morton Grove, 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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HAND SANITIZER GEL SPRING DROPS

This is a hand sanitizer manufactured according to the Temporary Policy for Preparation of Certain Alcohol-Based Hand Sanitizer Products During the Public Health Emergency (CoViD-19); Guidance for Industry.

  1. Alcohol (ethanol) (USP or Food Chemical Codex (FCC) grade) (77%, volume/volume (v/v)) in an aqueous solution denatured according to Alcohol and Tobacco Tax and Trade Bureau regulations in 27 CFR part 20.
  2. WATER (AQUA)
    c. GLYCERIN
    d. FRAGRANCE (PARFUM)
    e. ACRYLATES/C10-30 ALKYL ACRYLATE CROSSPOLYMER
    f. MANNITOL
    g. ALOE BARBADENSIS LEAF JUICE
    h. AMINOMETHYL PROPANOL
    i. MICROCRYSTALLINE CELLULOSE
    j. TOCOPHERYL ACETATE
    k. CHROMIUM HYDROXIDE GREEN (CI 77289)
    l. HYDROXYPROPYL METHYLCELLULOSE
    m. CITRIC ACID
    n. SODIUM BENZOATE
    o. POTASSIUM SORBATE

Active Ingredient(s)

Alcohol 77% v/v. Purpose: Antiseptic

Purpose

Antiseptic

Use

Hand Sanitizer to help reduce bacteria that potentially can cause disease. For use when soap and water are not available.

Warnings

For external use only. Flammable. Keep away from heat or flame

Do not use

When using this product keep out of eyes, ears, and mouth. In case of contact with eyes, rinse eyes thoroughly with water.

Stop use and ask a doctor if irritation and redness develops and persists.


Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Stop use and ask a doctor if irritation and redness develops and persists.

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Directions

Other information

Inactive ingredients

ACRYLATES/C10-30 ALKYL ACRYLATE CROSSPOLYMER, ALOE BARBADENSIS LEAF JUICE, AMINOMETHYL PROPANOL, CHROMIUM HYDROXIDE GREEN (CI 77289), CITRIC ACID, FRAGRANCE (PARFUM), GLYCERIN, HYDROXYPROPYL METHYLCELLULOSE, MANNITOL, MICROCRYSTALLINE CELLULOSE, POTASSIUM SORBATE, SODIUM BENZOATE, TOCOPHERYL ACETATE, WATER (AQUA).

Package Label - Principal Display Panel

50 mL NDC: 72686-189-05

HAND SANITIZER GEL_SPRING DROPS.jpg

HAND SANITIZER 
alcohol gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:72686-189
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ALCOHOL (UNII: 3K9958V90M) (ALCOHOL - UNII:3K9958V90M) ALCOHOL77 mL  in 100 mL
Inactive Ingredients
Ingredient NameStrength
AMINOMETHYLPROPANOL (UNII: LU49E6626Q)  
MICROCRYSTALLINE CELLULOSE (UNII: OP1R32D61U)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
GLYCERIN (UNII: PDC6A3C0OX)  
FRAGRANCE FLORAL ORC0902236 (UNII: R66Z4YW3X0)  
WATER (UNII: 059QF0KO0R)  
CHROMIUM HYDROXIDE GREEN (UNII: RV8FT8XF5R)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
MANNITOL (UNII: 3OWL53L36A)  
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
CARBOMER INTERPOLYMER TYPE A (55000 CPS) (UNII: 59TL3WG5CO)  
HYPROMELLOSES (UNII: 3NXW29V3WO)  
POTASSIUM SORBATE (UNII: 1VPU26JZZ4)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:72686-189-0550 mL in 1 TUBE; Type 0: Not a Combination Product02/22/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333A02/22/2021
Labeler - Fareva Morton Grove, Inc. (116752326)
Establishment
NameAddressID/FEIBusiness Operations
Fareva Morton Grove, Inc.116752326manufacture(72686-189) , analysis(72686-189) , label(72686-189) , pack(72686-189) , relabel(72686-189) , repack(72686-189)

Revised: 2/2021
Document Id: bbf0302c-bfab-56cc-e053-2a95a90acbfe
Set id: bbf0ebca-2846-6fcd-e053-2995a90a0c42
Version: 1
Effective Time: 20210222
 
Fareva Morton Grove, Inc.