PERRICONE ACNE RELIEF CALMING AND SOOTHING CLAY MASK- salicylic acid lotion 
Bentley Laboratories, LLC

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.

----------

Perricone MD Acne Relief Calming and Soothing Clay Mask

Drug Facts

Active Ingredient

Salicylic Acid (2.0%)

Purpose
Acne Treatment

Use ■ For the treatment of acne.

Warnings
For external use only.

Keep out of eyes. If product enters the eyes,
wash out thoroughly with warm water.

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 ■ clean the skin thoroughly
before applying this product. ■ cover the
entire affected area with a thin layer morning
& evening. No rinsing is needed. Wait until
dry before applying treatment or moisturizer.
■ because excessive drying of the skin may
occur, start with one application daily, then
gradually increase to two or three times
daily if needed or as directed by a doctor.
■ if bothersome dryness or peeling occurs,
reduce application to once a day or every
other day.

Inactive ingredients Water/Aqua/Eau,
Glycerin, PEG-40 Hydrogenated Castor Oil,
Bentonite, Coco-Caprylate, Magnesium Aluminum
Silicate, Titanium Dioxide, Butylene Glycol,
Methyl Gluceth-20 Benzoate, Glyceryl Stearate,
Lactobacillus Ferment, Sodium Metabisulfite,
Tocopherol, Sodium Hydroxide, 1,2-Hexanediol,
Caprylyl Glycol, Polyacrylamide, Epilobium
Angustifolium Flower/Leaf/Stem Extract, C13-14
Isoparaffin, Succinic Acid, Xanthan Gum,
Lactic Acid, Allantoin, Laureth-7, Disodium
EDTA, Phenoxyethanol

Questions?1-888-823-7837

Product Label

Perricone MD

ACNE RELIEF

Calming &
Soothing
Clay Mask
Salicylic Acid Acne Treatment

Lactobacillus Ferment,
Willowherb, Bentonite Clay


℮ 59 mL / 2 US fl. oz.

Dist. By: NV Perricone LLC. Shepherdsville, KY
40165. Made in USA of foreign and domestic
components. Perricone MD, a THG brand THG
Beauty Limited Voyager House, M90 3DQ, UK
73 Rue Saint-Anne, 75002, Paris, FR. 651362
1 888 823 7837
perriconemd.com

59 nL Carton

156 ClayMask

156 ClayMask Tube

10 mL Packet

156-51 ClayMask Packet

res

PERRICONE ACNE RELIEF CALMING AND SOOTHING CLAY MASK 
salicylic acid lotion
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:54111-156
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SALICYLIC ACID (UNII: O414PZ4LPZ) (SALICYLIC ACID - UNII:O414PZ4LPZ) SALICYLIC ACID2.0 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
GLYCERIN (UNII: PDC6A3C0OX)  
POLYOXYL 40 HYDROGENATED CASTOR OIL (UNII: 7YC686GQ8F)  
BENTONITE (UNII: A3N5ZCN45C)  
COCO-CAPRYLATE (UNII: 4828G836N6)  
MAGNESIUM ALUMINUM SILICATE (UNII: 6M3P64V0NC)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
METHYL GLUCETH-20 (UNII: J3QD0LD11P)  
BENZOIC ACID (UNII: 8SKN0B0MIM)  
GLYCERYL MONOSTEARATE (UNII: 230OU9XXE4)  
LACTOBACILLUS FERMENTUM (UNII: 2C1F12C6AP)  
SODIUM METABISULFITE (UNII: 4VON5FNS3C)  
TOCOPHEROL (UNII: R0ZB2556P8)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
1,2-HEXANEDIOL (UNII: TR046Y3K1G)  
CAPRYLYL GLYCOL (UNII: 00YIU5438U)  
POLYACRYLAMIDE (10000 MW) (UNII: E2KR9C9V2I)  
EPILOBIUM ANGUSTIFOLIUM FLOWERING TOP (UNII: 08H094218D)  
C13-14 ISOPARAFFIN (UNII: E4F12ROE70)  
SUCCINIC ACID (UNII: AB6MNQ6J6L)  
XANTHAN GUM (UNII: TTV12P4NEE)  
LACTIC ACID (UNII: 33X04XA5AT)  
ALLANTOIN (UNII: 344S277G0Z)  
LAURETH-7 (UNII: Z95S6G8201)  
EDETATE DISODIUM ANHYDROUS (UNII: 8NLQ36F6MM)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:54111-156-501 in 1 CARTON12/01/2021
159 mL in 1 TUBE; Type 0: Not a Combination Product
2NDC:54111-156-5110 mL in 1 PACKET; Type 0: Not a Combination Product12/01/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart333D12/01/2021
Labeler - Bentley Laboratories, LLC (068351753)
Registrant - Bentley Laboratories, LLC (068351753)

Revised: 10/2021
Document Id: f99e3472-7e11-4394-a995-a92058db59fd
Set id: 5b2dfdc9-209e-4884-a7e6-c7916ab6c32e
Version: 2
Effective Time: 20211004
 
Bentley Laboratories, LLC