PRIME SOURCE ANTIBACTERIAL FOAM SO AP TRICLOSAN LIQUID- triclosan liquid 
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PRIME SOURCE® Antibacterial Foam Soap Triclosan Liquid

Product LabelProduct LabelProduct Label

PRIME SOURCE ANTIBACTERIAL FOAM SO AP TRICLOSAN LIQUID 
triclosan liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:66294-033
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:66294-033-421250 mL in 1 BOTTLE; Type 0: Not a Combination Product03/15/200608/31/2022
2NDC:66294-033-401200 mL in 1 BOTTLE; Type 0: Not a Combination Product03/15/200608/31/2022
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
export only03/15/200608/31/2022
Labeler - BUNZL (799540588)

Revised: 11/2021
Document Id: bc4f7db3-e975-4193-8bca-69b1bb97d0cd
Set id: 2a94c9a6-164c-4332-a789-257dfecadf6c
Version: 3
Effective Time: 20211119
 
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