Label: PROVON MEDICATED FOAM HANDWASH WITH ADVANCED MOISTURIZERS AND TRICLOSAN- triclosan liquid

  • NDC Code(s): 21749-094-53, 21749-094-89, 21749-094-90, 21749-094-97
  • Packager: GOJO Industries, Inc.
  • Category: HUMAN OTC DRUG LABEL

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Drug Label Information

Updated November 19, 2018

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  • Active ingredient

    Triclosan 0.3%

  • Purpose

    Antimicrobial

  • Use

    • Handwash to help decrease bacteria on the skin before and after contact with a person under medical care or treatment
    • 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, Alcohol, Lauric Acid, Ethanolamine, Disodium Cocoamphodiacetate, Lactic Acid, Isopropyl Alcohol, PEG-4, Polyquaternium-10, Sodium Metabisulfite, Sodium Sulfite, Tetrasodium EDTA, Sodium Sulfate, Iodopropynyl Butylcarbamate

  • PRINCIPAL DISPLAY PANEL

    Product Label

  • INGREDIENTS AND APPEARANCE
    PROVON MEDICATED FOAM HANDWASH WITH ADVANCED MOISTURIZERS AND TRICLOSAN  
    triclosan liquid
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21749-094
    Route of AdministrationTOPICAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN0.003 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    WATER (UNII: 059QF0KO0R)  
    PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
    ALCOHOL (UNII: 3K9958V90M)  
    LAURIC ACID (UNII: 1160N9NU9U)  
    MONOETHANOLAMINE (UNII: 5KV86114PT)  
    DISODIUM COCOAMPHODIACETATE (UNII: 18L9G3U51M)  
    LACTIC ACID (UNII: 33X04XA5AT)  
    ISOPROPYL ALCOHOL (UNII: ND2M416302)  
    POLYETHYLENE GLYCOL 200 (UNII: R95B8J264J)  
    POLYQUATERNIUM-10 (30000 MPA.S AT 2%) (UNII: C7RDC8Y4JS)  
    SODIUM METABISULFITE (UNII: 4VON5FNS3C)  
    SODIUM SULFITE (UNII: VTK01UQK3G)  
    EDETATE SODIUM (UNII: MP1J8420LU)  
    SODIUM SULFATE (UNII: 0YPR65R21J)  
    IODOPROPYNYL BUTYLCARBAMATE (UNII: 603P14DHEB)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:21749-094-891200 mL in 1 BOTTLE; Type 0: Not a Combination Product01/01/2013
    2NDC:21749-094-901250 mL in 1 BOTTLE; Type 0: Not a Combination Product01/01/2013
    3NDC:21749-094-97700 mL in 1 BOTTLE; Type 0: Not a Combination Product01/01/2013
    4NDC:21749-094-53535 mL in 1 PACKAGE; Type 0: Not a Combination Product01/01/2013
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC monograph not finalpart333E01/01/201312/01/2021
    Labeler - GOJO Industries, Inc. (004162038)
    Establishment
    NameAddressID/FEIBusiness Operations
    GOJO Industries, Inc.036424534manufacture(21749-094)