FRUIT SMOOTHIES- dimethicone, octinoxate, and oxybenzone 
Blistex Inc.

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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Fruit Smoothies®

Drug Facts

Active ingredientsPurpose
Dimethicone 2.0% (w/w)Lip protectant
Octinoxate 7.5% (w/w)Sunscreen
Oxybenzone 2.5% (w/w)Sunscreen

Uses

Warnings

Skin Cancer/Skin Aging Alert

Spending time in the sun increases your risk of skin cancer and early skin aging. This product has been shown only to help prevent sunburn, not skin cancer or early skin aging.

For external use only

Do not use on damaged or broken skin

When using this product keep out of eyes. Rinse with water to remove.

Stop use and ask a doctor if rash occurs

PACKAGE WARNING

CHOKING HAZARD. Has removable cap. Not for children under 3 years.

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Directions

Inactive ingredients

alumina, bis-PEG-12 dimethicone beeswax, butylparaben, C20-40 pareth-3, ethylparaben, flavors, fruit extracts, glycerin, glyceryl stearate, hydrogenated castor oil, hydrogenated polyisobutene, isopropyl myristate, lecithin, methylparaben, microcrystalline wax, myristyl myristate, ozokerite, panthenol, pantothenic acid polypeptide, polybutene, polyhydroxystearic acid, propylparaben, purified water, silica, sodium saccharin, squalane, sucralose, tetrahexyldecyl ascorbate, titanium dioxide, tridecyl neopentanoate, triisononanoin May contain: blue 1 lake, red 30 lake, yellow 10.

Other information

PRINCIPAL DISPLAY PANEL - Kit Blister Pack

NDC 10157-9883-3

SPF 15

Blistex®

LIP PROTECTANT/SUNSCREEN

Fruit
Smoothies
®

3 Creamy Blends with Natural
Fruit Extracts, Flavors & Vitamins

3 STICKS NET WT. .10 oz (2.83g) EACH

Principal Display Panel - Kit Blister Pack
FRUIT SMOOTHIES 
dimethicone, octinoxate, and oxybenzone kit
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:10157-9883
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:10157-9883-31 in 1 BLISTER PACK
Quantity of Parts
Part #Package QuantityTotal Product Quantity
Part 11 CYLINDER 2.83 g
Part 21 CYLINDER 2.83 g
Part 31 CYLINDER 2.83 g
Part 1 of 3
FRUIT SMOOTHIES MELON MEDLEY 
dimethicone, octinoxate, and oxybenzone stick
Product Information
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Dimethicone (UNII: 92RU3N3Y1O) (Dimethicone - UNII:92RU3N3Y1O) Dimethicone2 g  in 100 g
Octinoxate (UNII: 4Y5P7MUD51) (Octinoxate - UNII:4Y5P7MUD51) Octinoxate7.5 g  in 100 g
Oxybenzone (UNII: 95OOS7VE0Y) (Oxybenzone - UNII:95OOS7VE0Y) Oxybenzone2.5 g  in 100 g
Inactive Ingredients
Ingredient NameStrength
aluminum oxide (UNII: LMI26O6933)  
C20-40 pareth-3 (UNII: 68103A23TQ)  
glycerin (UNII: PDC6A3C0OX)  
glyceryl monostearate (UNII: 230OU9XXE4)  
hydrogenated castor oil (UNII: ZF94AP8MEY)  
isopropyl myristate (UNII: 0RE8K4LNJS)  
microcrystalline wax (UNII: XOF597Q3KY)  
myristyl myristate (UNII: 4042ZC00DY)  
panthenol (UNII: WV9CM0O67Z)  
TRIISONONANOIN (UNII: XF4K22WN6T)  
silicon dioxide (UNII: ETJ7Z6XBU4)  
saccharin sodium (UNII: SB8ZUX40TY)  
squalane (UNII: GW89575KF9)  
sucralose (UNII: 96K6UQ3ZD4)  
tetrahexyldecyl ascorbate (UNII: 9LBV3F07AZ)  
titanium dioxide (UNII: 15FIX9V2JP)  
tridecyl neopentanoate (UNII: 3Z8H1DA7J5)  
water (UNII: 059QF0KO0R)  
FD&C blue no. 1 (UNII: H3R47K3TBD)  
D&C yellow no. 10 (UNII: 35SW5USQ3G)  
ceresin (UNII: Q1LS2UJO3A)  
PROPYLPARABEN (UNII: Z8IX2SC1OH)  
BUTYLPARABEN (UNII: 3QPI1U3FV8)  
ETHYLPARABEN (UNII: 14255EXE39)  
METHYLPARABEN (UNII: A2I8C7HI9T)  
Product Characteristics
ColorGREENScore    
ShapeSize
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
12.83 g in 1 CYLINDER
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC MONOGRAPH FINALpart34706/14/2013
Part 2 of 3
FRUIT SMOOTHIES TRIPLE TROPICAL 
dimethicone, octinoxate, and oxybenzone stick
Product Information
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Dimethicone (UNII: 92RU3N3Y1O) (Dimethicone - UNII:92RU3N3Y1O) Dimethicone2 g  in 100 g
Octinoxate (UNII: 4Y5P7MUD51) (Octinoxate - UNII:4Y5P7MUD51) Octinoxate7.5 g  in 100 g
Oxybenzone (UNII: 95OOS7VE0Y) (Oxybenzone - UNII:95OOS7VE0Y) Oxybenzone2.5 g  in 100 g
Inactive Ingredients
Ingredient NameStrength
aluminum oxide (UNII: LMI26O6933)  
C20-40 pareth-3 (UNII: 68103A23TQ)  
glycerin (UNII: PDC6A3C0OX)  
glyceryl monostearate (UNII: 230OU9XXE4)  
hydrogenated castor oil (UNII: ZF94AP8MEY)  
isopropyl myristate (UNII: 0RE8K4LNJS)  
microcrystalline wax (UNII: XOF597Q3KY)  
myristyl myristate (UNII: 4042ZC00DY)  
panthenol (UNII: WV9CM0O67Z)  
TRIISONONANOIN (UNII: XF4K22WN6T)  
silicon dioxide (UNII: ETJ7Z6XBU4)  
saccharin sodium (UNII: SB8ZUX40TY)  
squalane (UNII: GW89575KF9)  
sucralose (UNII: 96K6UQ3ZD4)  
tetrahexyldecyl ascorbate (UNII: 9LBV3F07AZ)  
titanium dioxide (UNII: 15FIX9V2JP)  
tridecyl neopentanoate (UNII: 3Z8H1DA7J5)  
water (UNII: 059QF0KO0R)  
D&C red no. 30 (UNII: 2S42T2808B)  
D&C yellow no. 10 (UNII: 35SW5USQ3G)  
ceresin (UNII: Q1LS2UJO3A)  
PROPYLPARABEN (UNII: Z8IX2SC1OH)  
BUTYLPARABEN (UNII: 3QPI1U3FV8)  
ETHYLPARABEN (UNII: 14255EXE39)  
METHYLPARABEN (UNII: A2I8C7HI9T)  
Product Characteristics
ColorYELLOWScore    
ShapeSize
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
12.83 g in 1 CYLINDER
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC MONOGRAPH FINALpart34706/14/2013
Part 3 of 3
FRUIT SMOOTHIES BERRY EXPLOSION 
dimethicone, octinoxate, and oxybenzone stick
Product Information
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Dimethicone (UNII: 92RU3N3Y1O) (Dimethicone - UNII:92RU3N3Y1O) Dimethicone2 g  in 100 g
Octinoxate (UNII: 4Y5P7MUD51) (Octinoxate - UNII:4Y5P7MUD51) Octinoxate7.5 g  in 100 g
Oxybenzone (UNII: 95OOS7VE0Y) (Oxybenzone - UNII:95OOS7VE0Y) Oxybenzone2.5 g  in 100 g
Inactive Ingredients
Ingredient NameStrength
aluminum oxide (UNII: LMI26O6933)  
C20-40 pareth-3 (UNII: 68103A23TQ)  
glycerin (UNII: PDC6A3C0OX)  
glyceryl monostearate (UNII: 230OU9XXE4)  
hydrogenated castor oil (UNII: ZF94AP8MEY)  
isopropyl myristate (UNII: 0RE8K4LNJS)  
microcrystalline wax (UNII: XOF597Q3KY)  
myristyl myristate (UNII: 4042ZC00DY)  
panthenol (UNII: WV9CM0O67Z)  
TRIISONONANOIN (UNII: XF4K22WN6T)  
silicon dioxide (UNII: ETJ7Z6XBU4)  
saccharin sodium (UNII: SB8ZUX40TY)  
squalane (UNII: GW89575KF9)  
sucralose (UNII: 96K6UQ3ZD4)  
tetrahexyldecyl ascorbate (UNII: 9LBV3F07AZ)  
titanium dioxide (UNII: 15FIX9V2JP)  
tridecyl neopentanoate (UNII: 3Z8H1DA7J5)  
water (UNII: 059QF0KO0R)  
FD&C blue no. 1 (UNII: H3R47K3TBD)  
D&C red no. 30 (UNII: 2S42T2808B)  
ceresin (UNII: Q1LS2UJO3A)  
PROPYLPARABEN (UNII: Z8IX2SC1OH)  
BUTYLPARABEN (UNII: 3QPI1U3FV8)  
ETHYLPARABEN (UNII: 14255EXE39)  
METHYLPARABEN (UNII: A2I8C7HI9T)  
Product Characteristics
ColorPINKScore    
ShapeSize
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
12.83 g in 1 CYLINDER
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC MONOGRAPH FINALpart34706/14/2013
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC MONOGRAPH FINALpart34706/14/2013
Labeler - Blistex Inc. (005126354)
Establishment
NameAddressID/FEIBusiness Operations
Blistex Inc.005126354MANUFACTURE(10157-9883)

Revised: 6/2013
Document Id: 73563d35-3cbd-49b1-810d-87a09ce849ef
Set id: 18442ef1-06a8-4fb1-bcb4-f75361254224
Version: 1
Effective Time: 20130618
 
Blistex Inc.