Tamper Evident Statement

SEALED WITH PRINTED NECKBAND FOR YOUR PROTECTION

Active ingredient

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

Purpose

Anticavity

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, seep 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
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 years 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

Questions?

1-888-593-0593

Disclaimer

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

Adverse reactions

Distributed BY

Meijer Distribution, Inc.

Grand Rapids, MI 49544

www.meijer.com

Our Quality Guarantee

www.meijer.com/satisfcation

how2recycle.info

Principal Panel Display

NDC 41250-004-44

meijer®

Kids Anticavity Fluoride Rinse

Compare to ACT® ACTIVE INGREDIENT*

ALCOHOL FREE

BUBBLEGUM FLAVOR

Helps prevent cavities

Helps strengthen teeth

Sugar free

Fresh & clean

ADA Accepted

American Dental Association

Helps prevent cavities

IMPORTANT: read directions for proper use

18 FL OZ (1.12 PT) 532 mL

image description

ANTICAVITY RINSE
sodium fluoride mouthwash

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:41250-004
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O)	FLUORIDE ION	0.2 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
BENZYL ALCOHOL (UNII: LKG8494WBH)
EDETATE CALCIUM DISODIUM (UNII: 25IH6R4SGF)
CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)
EDETATE DISODIUM (UNII: 7FLD91C86K)
MEPREDNISONE DISODIUM PHOSPHATE (UNII: W80C977F6O)
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)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:41250-004-44	532 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product	06/27/2002

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	M021	06/27/2002

Labeler - Meijer Distribution, Inc. (006959555)

Registrant - Vi Jon, LLC (790752542)

Name	Address	ID/FEI	Business Operations
Establishment
Vi Jon, LLC		790752542	manufacture(41250-004)

Name	Address	ID/FEI	Business Operations
Establishment
Vi Jon, LLC		088520668	manufacture(41250-004)

Anticavity Fluoride Rinse, Bubble Gum004.002/004AE