PURELL HEALTHCARE HEALTHY SP 0.5 BAK ANTIMICROBIAL FOAM- benzalkonium chloride liquid 
GOJO Industries, 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.

----------

PURELL® Healthcare HEALTHY SOAP® 0.5% BAK Antimicrobial Foam

Active ingredient

Benzalkonium Chloride 0.5%

Purpose

Antimicrobial

Uses

• Handwash to help decrease bacteria on the skin

• Recommended for repeated use

Warnings

For external use only

When using this product do not use in or near the eyes. In case of contact, rinse eyes thoroughly with water.

Stop use and ask a doctor if irritation or rash appears and lasts

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

Directions

• Wet hands

• Apply a small amount of product and work into a lather

• Rinse well and dry hands completely

Inactive Ingredients

Water (Aqua), Propanediol, Glycerin, Cocamidopropyl Betaine, PEG-80 Sorbitan Laurate, Citric Acid, Ethylhexylglycerin, Lauramine Oxide, Polyquaternium-10, Trisodium Ethylenediamine Disuccinate, Fragrance (Parfum), Phenoxyethanol

Product LabelProduct Label

PURELL HEALTHCARE HEALTHY SP 0.5 BAK ANTIMICROBIAL FOAM 
benzalkonium chloride liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21749-687
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
Benzalkonium Chloride (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) Benzalkonium Chloride0.005 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
Water (UNII: 059QF0KO0R)  
PROPANEDIOL (UNII: 5965N8W85T)  
Glycerin (UNII: PDC6A3C0OX)  
Cocamidopropyl Betaine (UNII: 5OCF3O11KX)  
PEG-80 Sorbitan Laurate (UNII: 239B50Y732)  
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
Ethylhexylglycerin (UNII: 147D247K3P)  
Lauramine Oxide (UNII: 4F6FC4MI8W)  
POLYQUATERNIUM-10 (10000 MPA.S AT 2%) (UNII: PI1STR9QYH)  
TRISODIUM ETHYLENEDIAMINE DISUCCINATE (UNII: YA22H34H9Q)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:21749-687-401200 mL in 1 PACKAGE; Type 0: Not a Combination Product06/15/2019
2NDC:21749-687-421250 mL in 1 PACKAGE; Type 0: Not a Combination Product06/15/2019
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E06/15/2019
Labeler - GOJO Industries, Inc. (004162038)
Establishment
NameAddressID/FEIBusiness Operations
GOJO Industries, Inc.036424534manufacture(21749-687)
Establishment
NameAddressID/FEIBusiness Operations
GOJO Industries, Inc.088312414label(21749-687) , pack(21749-687)

Revised: 6/2019
Document Id: e8a7b8b3-7367-4f93-9bf2-7437e95b9ed4
Set id: 6f1b969e-77b9-46fd-8642-ffce87a73ecb
Version: 1
Effective Time: 20190615
 
GOJO Industries, Inc.