SALICYLIC ACID- salicylic acid cream 
Vi-Jon, LLC

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Charcoal Blackhead Scrub
910.001/910AC Rev 1-AD

Active Ingredient

Salicylic acid 2%

Purpose

Acne medication

Uses

  • for the treatment of acne
  • clears blackheads

Warnings

For external use only

When using this product

  • skin irritation and dryness is more likely to occur if you use another topical acne medication at the same time.  If irritation occurs, only use one topical acne medication at a time.

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

Directions

  • wet hands and face.  Squeeze scrub into hands and rub together.  Apply to face and massage gently, avoiding contact with eyes.  If contact occurs, rinse eyes thoroughly with water.  Rinse face thoroughly.

Inactive ingredients

water, sodium laureth sulfate, synthetic wax, sodium chloride, acrylates copolymer, coco-betaine, cocamide MEA, glycerin, charcoal powder, citric acid, polyglycerin-10, polyglyceryl-10 myristate, polyglyceryl-10 stearate, PPG-5-ceteth-20, sodium hydroxide, trisodium ethylenediamine disuccinate, fragrance, lecithin, red 40 lake, blue 1 lake, yellow 6 lake

*This product is not manufatured or distributed by Garnier LLC, distributor of Garnier Clean Blackhead Eliminating Scrub

Manufactured by:  Vi-Jon, Inc.

St. Louis, MO 63114

Questions or Comments 1-888-593-0593

Made in the USA with US and foreign parts.

principal display panel

SIMPLY U

CHARCOAL BLACKHAD SCRUB

SALICYLIC ACID ACNE MEDICATION

for oily skin

clears pores

oil free

Compare to Garnier Clean Blackhead Eliminating Scrub*

5 FL OZ (148 mL)

mm03

principal display panel

mountain falls

*Compare to Garnier

clears pores & clarifies skin

salicylic acid acne treatment

dermatologist tested

for oily skin

exfoliating charcoal scrub

acne medication

5 FL OZ (148 mL)

mm02

SALICYLIC ACID 
salicylic acid cream
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0869-0910
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SALICYLIC ACID (UNII: O414PZ4LPZ) (SALICYLIC ACID - UNII:O414PZ4LPZ) SALICYLIC ACID20.6 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
SODIUM LAURETH SULFATE (UNII: BPV390UAP0)  
SYNTHETIC WAX (1200 MW) (UNII: Q3Z4BCH099)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
BUTYL ACRYLATE/METHYL METHACRYLATE/METHACRYLIC ACID COPOLYMER (18000 MW) (UNII: JZ1374NL9E)  
COCO-BETAINE (UNII: 03DH2IZ3FY)  
COCO MONOETHANOLAMIDE (UNII: C80684146D)  
GLYCERIN (UNII: PDC6A3C0OX)  
ACTIVATED CHARCOAL (UNII: 2P3VWU3H10)  
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
POLYGLYCERIN-10 (UNII: P9060O936A)  
POLYGLYCERYL-10 STEARATE (UNII: 90TF85HH91)  
PPG-5-CETETH-20 (UNII: 4AAN25P8P4)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
TRISODIUM ETHYLENEDIAMINE DISUCCINATE (UNII: YA22H34H9Q)  
EGG PHOSPHOLIPIDS (UNII: 1Z74184RGV)  
FD&C RED NO. 40 (UNII: WZB9127XOA)  
FD&C BLUE NO. 1 ALUMINUM LAKE (UNII: J9EQA3S2JM)  
FD&C YELLOW NO. 6 (UNII: H77VEI93A8)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:0869-0910-28148 mL in 1 TUBE; Type 0: Not a Combination Product03/01/201604/23/2023
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM00603/01/201604/23/2023
Labeler - Vi-Jon, LLC (088520668)
Registrant - Vi-Jon, LLC (088520668)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC790752542manufacture(0869-0910)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC088520668manufacture(0869-0910)

Revised: 2/2024
Document Id: 10f6d525-8bf3-da93-e063-6394a90a8ec6
Set id: 1ffa46d1-4c84-435d-87b4-bff1fffc08c7
Version: 18
Effective Time: 20240209
 
Vi-Jon, LLC