ANTICAVITY FLUORIDE RINSE- sodium fluoride mouthwash 
Kmart Corporation

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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Drug Facts

Active ingredient
Sodium fluoride 0.05% (0.02% w/v fluoride ion)

Purpose
Anticavity rinse

Use aids in the prevention of dental cavities

Warning

Keep out of reach of children. If more than used for rinsing is accidentally swallowed, seek professional assistance or contact a Poison Control Center immediately.

Directions
• adults and children 6 years of age and older: use once a day after brushing your teeth with a toothpaste
• remove cap
• pour 10 milliliters (10 mL mark on the inside of cap); do not fill above the 10 mL mark
• vigorously swish 10 milliliters of rinse between your teeth for 1 minute then spit out
• do not swallow the rinse
• do not eat or drink for 30 minutes after rinsing
• instruct children under 12 years of age in good rinsing habits (to minimize swallowing)
• supervise children as necessary until capable of using without supervision
• children under 6 years of age: consult a dentist or doctor

Inactive ingredients benzyl alcohol, calcium disodium EDTA, cetylpyridinium chloride, disodium EDTA, disodium phosphate, flavor, green 3, menthol, methyl salicylate, poloxamer 407, polysorbate 20, potassium sorbate, propylene glycol, sodium benzoate, sodium phosphate, sodium saccharin, sorbitol, water, yellow 5

Other information • store at room temperature

The ADA Council on Scientific Affairs Acceptance of Kmart Mint Anticavity Fluoride rinse is based on its finding that the product is effective in helping to prevent and reduct tooth decay, when used as directed.

This product is not manufactured or distributed by Chattem, Inc, distributor of Act Anticavity Fluoride Rinse

Distributed by: Kmart Corporation
Hoffman Estates, IL 60179
Shop kmart.com
Thank You for purchasing this quality product. if you are unsatisfied for any reason,
return the unused portion to the store for a full refund or call 1-800-842-7886

Compare to the active ingredients of Act Anticavity Fluoride Rinse
Smartsense
Antiseptic
FLUORIDE
RINSE
Strong Cavity Protection
Alcohol Free
Sealed with Printed Neckband
for Your Protection
IMPORTANT:
READ DIRECTIONS FOR PROPER USE
MINT 
flavor
ADA
Accepted
American Dental Association
18 FL OZ (532 mL)

image of principal display panel

ANTICAVITY FLUORIDE RINSE 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:49738-213
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.05 kg  in 100 L
Inactive Ingredients
Ingredient NameStrength
BENZYL ALCOHOL (UNII: LKG8494WBH)  
CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
MENTHOL (UNII: L7T10EIP3A)  
METHYL SALICYLATE (UNII: LAV5U5022Y)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
POLYSORBATE 20 (UNII: 7T1F30V5YH)  
POTASSIUM SORBATE (UNII: 1VPU26JZZ4)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
SODIUM PHOSPHATE (UNII: SE337SVY37)  
SORBITOL (UNII: 506T60A25R)  
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:49738-213-44.532 L in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product09/28/201005/18/2017
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart35509/28/201005/18/2017
Labeler - Kmart Corporation (008965873)
Registrant - Vi-Jon (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon790752542manufacture(49738-213)

Revised: 5/2017
 
Kmart Corporation