Label: ANTICAVITY RINSE- sodium fluoride mouthwash

  • NDC Code(s): 55319-004-44
  • Packager: Family Dollar Services, Inc
  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None

Drug Label Information

Updated December 8, 2023

If you are a consumer or patient please visit this version.

  • Active ingredient

    Sodium Fluoride 0.05% (0.02% w/v fluoride ion)        

  • Purpose

    Anticavity Rinse

  • Use

    aids in the prevention of dental cavities

  • Warnings

    for this product

  • 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 year of age and older: 

    • use once a day after brushing your teeth with a toothpaste
    • vigorously swish 10 milliliters of rinse between your teeth for 1 minute and 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 year of age: consult a dentist or doctor

  • Other information

    • store at room temperature
  • Inactive ingredients

    benzyl alcohol, calcium disodium EDTA, cetylpyridinium chloride, disodium EDTA, disodium phosphate, flavor, poloxamer 407, polysorbate 80, propylene glycol, red 33, sodium benzoate, sodium phosphate, sodium saccharin, sorbitol, water

  • Disclaimer

    *This product is not manufactured or distributed by Chattem, Inc., distributor of Act® Bubblegum Blow Out® Anticavity Kids Fluoride Rinse.

  • Adverse reaction

    DISTRIBUTED BY:

    MIDWOOD BRANDS, LLC

    500 VOLVO PKWY

    CHESAPEAKE, VA 23320 USA

    NOT 100% SATISFIED?

    Return within 30 days to the store of purchase for a refund (with receipt) or exchange.

    MADE IN THE US WITH US AND FOREIGN COMPONENTS

  • Principal display panel

    IMPORTANT: read directions for proper use.

    sealed with printed neckband for your protection.

    Do not use if band around cap is broken or missing.

    FAMILY WELLNESS™

    Compare to ACT® Bubblegum Blowout® Anticavity Kids Fluoride Rinse*

    Children's ANTICAVITY FLUORIDE RINSE

    • Strong cavity protection
    • Alcohol free
    • Helps strengthen teeth
    • Helps prevent cavities

    BUBBLEGUM FLAVOR

    18 FL OZ (1.12 PT) 532 mL

    image description
  • INGREDIENTS AND APPEARANCE
    ANTICAVITY RINSE 
    sodium fluoride mouthwash
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:55319-004
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.2 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    BENZYL ALCOHOL (UNII: LKG8494WBH)  
    EDETATE CALCIUM DISODIUM ANHYDROUS (UNII: 8U5D034955)  
    CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
    EDETATE DISODIUM (UNII: 7FLD91C86K)  
    SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)  
    POLOXAMER 407 (UNII: TUF2IVW3M2)  
    POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
    PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
    D&C RED NO. 33 (UNII: 9DBA0SBB0L)  
    SODIUM BENZOATE (UNII: OJ245FE5EU)  
    SODIUM PHOSPHATE (UNII: SE337SVY37)  
    SACCHARIN SODIUM (UNII: SB8ZUX40TY)  
    SORBITOL (UNII: 506T60A25R)  
    WATER (UNII: 059QF0KO0R)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:55319-004-44532 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product08/02/2011
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC Monograph DrugM02108/02/2011
    Labeler - Family Dollar Services, Inc (024472631)
    Registrant - Vi Jon, LLC (088520668)
    Establishment
    NameAddressID/FEIBusiness Operations
    Vi Jon, LLC790752542manufacture(55319-004)
    Establishment
    NameAddressID/FEIBusiness Operations
    Vi Jon, LLC088520668manufacture(55319-004)