MEDI-CLEAN ANTISEPTIC HAND CLEANER- chloroxylenol liquid
Formula 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.

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MEDI-CLEAN TM • Antiseptic Hand Cleaner

Active Ingredient

Chloroxylenol 0.6%

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, Sodium Laureth Sulfate, Cocamide DEA, Sodium Lauryl Sulfate, Propylene Glycol, Glycol Stearate, Tetrasodium EDTA, Salt, Citric Acid, Fragrance, Methylchloro isothiazolinone, Methyl isothiazolinone, Magnesium chloride, Magnesium nitrate, DandC Red 33

Product Labeling

BEFORE HANDLING OR USING, READ AND UNDERSTAND CURRENT MATERIAL SAFETY DATA SHEET FOR THIS PRODUCT.
FORTECH® MEDI-CLEAN™ is a ready-to-use pH balanced antiseptic hand cleaner.
MEDI-CLEAN™ incorporates a synergistic blend of cleaners and emollients providing mildness and superior cleaning.

NET CONTENTS
1 GALLON (3.78 Liters)
MSDS
Available Online
24 / 7 / 365

HEALTH
FLAMMABILITY
REACTIVITY
PERSONAL
PROTECTION
ITEM#
402-01

MEDI-CLEAN TM • Antiseptic Hand Cleaner

A Formula Corporation Product
Fortech PRoducts
4432 C Street NE • Auburn, WA 98002

www.formulacorp.com
MEDI-CLEAN
Antiseptic Hand Cleaner

handwashlabel

MEDI-CLEAN ANTISEPTIC HAND CLEANER
chloroxylenol liquid

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:55441-201
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
CHLOROXYLENOL (UNII: 0F32U78V2Q) (CHLOROXYLENOL - UNII:0F32U78V2Q)	CHLOROXYLENOL	6 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)
COCO DIETHANOLAMIDE (UNII: 92005F972D)
SODIUM LAURYL SULFATE (UNII: 368GB5141J)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
GLYCOL STEARATE (UNII: 0324G66D0E)
EDETATE SODIUM (UNII: MP1J8420LU)
SODIUM CHLORIDE (UNII: 451W47IQ8X)
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)
METHYLCHLOROISOTHIAZOLINONE (UNII: DEL7T5QRPN)
METHYLISOTHIAZOLINONE (UNII: 229D0E1QFA)
MAGNESIUM CHLORIDE (UNII: 02F3473H9O)
MAGNESIUM NITRATE (UNII: 77CBG3UN78)
D&C RED NO. 33 (UNII: 9DBA0SBB0L)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:55441-201-01	3785 mL in 1 BOTTLE; Type 0: Not a Combination Product	02/13/2012	12/31/2019

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	02/13/2012	12/31/2019

Labeler - Formula Corp. (040509648)

Registrant - Formula Corp. (040509648)

Name	Address	ID/FEI	Business Operations
Establishment
Formula Corp.		040509648	manufacture(55441-201)

Revised: 11/2019

Document Id: 9768e88d-ba3a-4f58-e053-2995a90a7346

Set id: b900ebe5-edfd-49b3-ac01-91d3865546d9

Version: 4

Effective Time: 20191115

Formula Corp.