PROVAULT COOLING ROLL ON- menthol, camphor gel 
Sombra Cosmetics 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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Provault Cooling Roll on

Active Ingredients

Menthol USP 8%, Camphor USP 2%

Purpose

Purpose
External Analgesic

Keep out of reach of children

Keep out of reach of children

Uses

Temporary relief of monor aches and pains of muscles and joints associated with strains, bruises and sprains.

Warnings

For external use only.

Directions

Apply to affected area not more than 3 to 4 times daily. After each application, wash hands with soap and water (unless applying to hands). Children under the age of 18, consult a doctor before use.

Inactive Ingredients

Aloe Baradensis (Aloe) Leaf Juice, Aqua/Purified Water, Arnica Montana (Arnica) Flower Extract, Cannabidiol (CBD), Chamomilla Recutita (Chamomile) Flower Extract, Gluconolactone, Glycerin (Kosher Vegetable), Hemp Seed Oil, Lonicera Japonica (Honeysuckle) Flower Extract, Mentha Arvensis (mint) Leaf Oil, Rosmarinus Officinalis (Rosemary) Leaf Oil, Tocopherol (Natural Vitamin E), Xanthan Gum.

Questions or Comments

Call 866 419 0043

Label

unit Carton

PROVAULT COOLING ROLL ON 
menthol, camphor gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:61577-6100
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
MENTHOL (UNII: L7T10EIP3A) (MENTHOL - UNII:L7T10EIP3A) MENTHOL.08 g  in 1 g
CAMPHOR (NATURAL) (UNII: N20HL7Q941) (CAMPHOR (NATURAL) - UNII:N20HL7Q941) CAMPHOR (NATURAL).02 g  in 1 g
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
CANNABIDIOL (UNII: 19GBJ60SN5)  
TOCOPHEROL (UNII: R0ZB2556P8)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
GLUCONOLACTONE (UNII: WQ29KQ9POT)  
glycerin (UNII: PDC6A3C0OX)  
XANTHAN GUM (UNII: TTV12P4NEE)  
ARNICA MONTANA FLOWER WATER (UNII: U7L2JP51PR)  
ROSEMARY OIL (UNII: 8LGU7VM393)  
CHAMOMILE (UNII: FGL3685T2X)  
HEMP (UNII: TD1MUT01Q7)  
LONICERA JAPONICA FLOWER (UNII: 4465L2WS4Y)  
MENTHA ARVENSIS FLOWER OIL (UNII: Q129Z1W6Y2)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:61577-6100-188.7 g in 1 BOTTLE; Type 0: Not a Combination Product10/19/2022
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart34810/19/2022
Labeler - Sombra Cosmetics Inc (097464309)
Establishment
NameAddressID/FEIBusiness Operations
Sombra Cosmetics097464309manufacture(61577-6100) , label(61577-6100)

Revised: 10/2022
Document Id: 2c25ea4f-a456-46eb-8fab-0509facaaa2c
Set id: 5197b446-e4b3-40f3-9457-285f4e4b849a
Version: 1
Effective Time: 20221019
 
Sombra Cosmetics Inc