MONOGRAM ANTIBACTERIAL PLUM FOAM HANDWASH- benzalkonium chloride liquid 
US Foods, 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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MONOGRAM® Antibacterial Plum Foam Handwash

Active ingredient

Benzalkonium Chloride 0.5%

Purpose

Antimicrobial

Uses

• Handwash to help decrease bacteria on the skin

• Recommended for repeated use

Warnings

For external use only

When using this product do not use in or near the eyes. In case of contact, rinse eyes thoroughly with water.

Stop use and ask a doctor if irritation or rash appears and lasts

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

Directions

• Wet hands

• Apply a small amount of product and work into a lather

• Rinse well and dry hands completely

Inactive Ingredients

Water (Aqua), Propylene Glycol, Glycerin, Cocamidopropyl Betaine, PEG-80 Sorbitan Laurate, Citric Acid, Ethylhexylglycerin, Lauramine Oxide, Polyquaternium-10, Fragrance (Parfum), Phenoxyethanol, Blue 1 (CI 42090), Red 33 (CI 17200)

Product Label

MONOGRAM ANTIBACTERIAL PLUM FOAM HANDWASH 
benzalkonium chloride liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:71789-400
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Benzalkonium Chloride (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) Benzalkonium Chloride0.005 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
Water (UNII: 059QF0KO0R)  
Propylene Glycol (UNII: 6DC9Q167V3)  
Glycerin (UNII: PDC6A3C0OX)  
Cocamidopropyl Betaine (UNII: 5OCF3O11KX)  
PEG-80 Sorbitan Laurate (UNII: 239B50Y732)  
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
Ethylhexylglycerin (UNII: 147D247K3P)  
Lauramine Oxide (UNII: 4F6FC4MI8W)  
POLYQUATERNIUM-10 (10000 MPA.S AT 2%) (UNII: PI1STR9QYH)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:71789-400-23700 mL in 1 PACKAGE; Type 0: Not a Combination Product04/15/201712/31/2023
2NDC:71789-400-401200 mL in 1 PACKAGE; Type 0: Not a Combination Product04/15/201712/31/2023
3NDC:71789-400-421250 mL in 1 PACKAGE; Type 0: Not a Combination Product04/15/201712/31/2023
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E04/15/201712/31/2023
Labeler - US Foods, Inc. (795140433)

Revised: 12/2020
 
US Foods, Inc.