Triple
Active ingredient

Bacitracin zinc 400 units

Neomycin sulfate (5 mg equivalent to 3.5 mg Neomycin base)

Polymyxin B sulfate 5000 units

Triple
Purpose

First aid antibiotic

Triple
Uses

first aid to help prevent infection in:

minor cuts
scrapes
burns

Triple
Warnings

For external use only

Allergy alert: do not use if you are allergic to any of the ingredients

Do not use

in the eyes
over large areas of the body
Ask a doctor before use if you have
a deep or puncture wounds
animal bites
serious burns

Stop use and ask a doctor if

the condition persists or gets worse
a rash or other allergic reaction develops
you need to use longer than 1 week

Keep out of the reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

Triple
Directions

clean the affected area
apply a small amount of the product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily
may be covered with a sterile bandage

Triple
Other information

store at 15 0 to 25 0 C (59 0 to 77 0 F)
tamper evident sealed packets
do not use if packet is torn or opened

Triple
Inactive ingredient

petrolatum

Triple
Questions?

1-800-430-5490

BZK Wipe
Active ingredient

Benzalkonium chloride 0.13% w/v

BZK Wipe
Purpose

First aid antiseptic

BzK Wipe
Uses

Antiseptic cleansing of face, hands, and body without soap and water

BZK Wipe
Warnings

For external use only

Do not use

in the eyes or over large areas of the body
on mucous membranes
on irritated skin
in case of deep puncture wounds, animal bites or serious burns, consult a doctor
longer than 1 week unless directed by a doctor

Stop use and ask a doctor if

if irritation, redness or other symptoms develop
the condition persists or gets worse

Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

BZK Wipe
Directions

tear open packet and use as a washcloth

BZK Wipe
Other information

store at room temperature 15 0 to 30 0 C (59 0 - 86 0 F)
do not reuse towelette

BZK Wipe
Inactive ingredient

water

BZK Wipe
Questions

1-800-430-5490

Eyewash
Active ingredient

Sterile Water 99%

Eyewassh
Purpose

Eyewash

Eyewash
Uses

for flushing the eye to remove loose foreign material, air pollutants or chlorinated water

Eyewash
Warnings

For external use only

Obtain immediate medical treatment for all open wounds in or near eyes.
To avoid contamination, do not touch tip of container to any surface.
Do not reuse.
Once opened, discard.

Do not use

if solution changes color or becomes cloudy
if you have open wounds in or near the eyes, get medical help right away.

Stop use and ask a doctor if

you experience eye pain
changes in vision
continued redness or irritation of the eye
condition worsens or persists

Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

Eyeash
Directions

remove contacts before using
twist top to remove
flush the affected area as needed
control rate of flow by pressure on the bottle
if necessary, continue flushing with emergency eyewash or shower

Eyewash
Inactive ingredients

sodium chloride, sodium phosphate dibasic, sodium phosphate monobasic

Eyeash
Questions

Call 1-800-430-5490 Honeywell Safety Products USA, Inc. Smithfield, RI 02917

Hand Sanitizer
Active ingredient

Ethyl alcohol 62%

Hand Sanitizer
Purpose

Antiseptic handwash

Hand Sanitizer
Uses

for hand washing to decrease bacteria on skin
recommended for repeated use

Hand Sanitizer
Warnings

For external use only

Flammable, keep away from fire or flame

When using this product

do not use in the eyes
discontinue use if irritation and redness develops. If condition persists for more than 72 hours consult a doctor.

Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

Hand Sanitizer
Directions

wet hands thoroughly with product and allow to dry without wiping

Hand Sanitizer
Other information

store at 15 0 to 25 0 C (59 0 to 77 0 F)

Hand Sanitizer
Inactive ingredients

acrylates/C10-30 alkyl acrylate crosspolymer, aloe barbadensis leaf juice, dl-alpha tocopheryl acetate, fragrance, PEG-60 almond glycerides, propylene glycol, purified water, triisopropanolamine

Hand Sanitizer
Questions or Comments?

1-800-275-3433 info@waterjel.com www.waterjel.com

4314
Sf00004528 Kit Contents

1 1X3 PLASTIC 100/BOX

1 TRIPLE ANTIBIOTIC 10 PER

1 EYE DRESS PKT W/4 ADH STRIPS

1 TRIANGULAR BDG, NON-STERILE

2 GAUZE PADS, 3" X 3", 4 PER

1 GAUZE BANDAGE, 2" X 6 YD,2 PER

1 INSTANT COLD PACK 4" X 6"

1 BUFFERED EYE WASH 1 OZ BTL

1 WATER JEL DRESSING 4" X 4"

2 TOPICAL COOLING JEL

1 NITRILE GLOVES 2PR BBP

1 ANTIMCRBL ANTSPTC TWLETTS

1 ADHES TAPE W/P 1"X 2 1/2 YD

1 1FIRST AID GUIDE ASHIEMERGENCY SURVIVAL BLANKET

1 HAND SANITIZER 0.9G WJ 25/BX

2 BLOODSTOPPER

1 CPR FILTERSHIELD 77-100

1 F A KIT EMPTY BLANK 140

1 LBL STOCK 6-3/8"X4"

1 LBL STOCK 4"X2-7/8"

1 SCISSORS ANGLED 1EA IN BAG

4315
SF00004529 kit contents

1 1X3 PLASTIC 100/BOX

3 TRIPLE ANTIBIOTIC 10 PER

1 EYE DRESS PKT W/4 ADH STRIPS

1 GAUZE BANDAGE, 4" X 6 YD

1 TOURNIQUET AND FORCEPS 1 EA

2 TRIANGULAR BDG, NON-STERILE

4 GAUZE PADS, 3" X 3", 4 PER

2 GAUZE BANDAGE, 2" X 6 YD,2 PER

2 INSTANT COLD PACK 4" X 6"

2 WATER JEL DRESSING 4" X 4"

5 TOPICAL COOLING JEL

2 NITRILE GLOVES 2PR BBP

5 ANTIMCRBL ANTSPTC TWLETTS

2 ADHES TAPE W/P 1"X 2 1/2 YD

1 FIRST AID GUIDE ASHI

1 EMERGENCY SURVIVAL BLANKET

1 HAND SANITIZER 0.9G WJ 25/BX

4 BLOODSTOPPER

1 CPR FILTERSHIELD 77-100

1 4OZ BFS EYEWASH TRILINGUAL BOTTLE

1 180 EMPTY BLANK NO LOGO

1 SAM SPLINT 4.5"X36" ORNGE/BL

1 LBL STOCK 6-3/8"X4"

1 LBL STOCK 4"X2-7/8"

1 SCISSORS ANGLED 1EA IN BAG

Triple
Principal Display Panel

Triple Antibiotic

BZK Wipe
Principal Display Panel

Antiseptic Wipe

Eyewash
Principal Display Panel

Eyesaline

Hand Sanitizer
Principal Display Panel

Hand Sanitizer

4314 Kit Label
SF00004528

4314 label

4315 Kit Label
SF00004529

4315 label

4314 FIRST AID KIT
4314 first aid kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:0498-4314

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-4314-01	1 in 1 KIT	09/13/2018

Part #	Package Quantity	Total Product Quantity
Quantity of Parts
Part 1	1 BOTTLE	30 mL
Part 2	10 PACKET	9 g
Part 3	1 PACKET	1.4 mL
Part 4	25 BOTTLE, PLASTIC	22.5 mL

Part 1 of 4

EYESALINE EMERGENCY EYEWASH
purified water liquid

Product Information
Item Code (Source)	NDC:0498-0100
Route of Administration	OPHTHALMIC

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
WATER (UNII: 059QF0KO0R) (WATER - UNII:059QF0KO0R)	WATER	98.6 mL in 100 mL

Ingredient Name	Strength
Inactive Ingredients
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE (UNII: 593YOG76RN)
SODIUM CHLORIDE (UNII: 451W47IQ8X)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0100-01	30 mL in 1 BOTTLE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part349	12/18/2018

Part 2 of 4

TRIPLE ANTIBIOTIC
bacitracin zinc, polymyxin b sulfate, neomycin sulfate ointment

Product Information
Item Code (Source)	NDC:0498-0750
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
POLYMYXIN B SULFATE (UNII: 19371312D4) (POLYMYXIN B - UNII:J2VZ07J96K)	POLYMYXIN B	5000 [iU] in 1 g
BACITRACIN ZINC (UNII: 89Y4M234ES) (BACITRACIN - UNII:58H6RWO52I)	BACITRACIN	400 [iU] in 1 g
NEOMYCIN SULFATE (UNII: 057Y626693) (NEOMYCIN - UNII:I16QD7X297)	NEOMYCIN	3.5 mg in 1 g

Ingredient Name	Strength
Inactive Ingredients
PETROLATUM (UNII: 4T6H12BN9U)

Product Characteristics
Color	white	Score
Shape		Size
Flavor		Imprint Code
Contains

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0750-35	0.9 g in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part333B	09/19/2018

Part 3 of 4

ANTISEPTIC TOWELETTE
benzalkonium chloride liquid

Product Information
Item Code (Source)	NDC:0498-0501
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1.3 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0501-00	1.4 mL in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	12/22/2017

Part 4 of 4

INSTANT HAND SANITIZER
alcohol liquid

Product Information
Item Code (Source)	NDC:59898-420
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
ALCOHOL (UNII: 3K9958V90M) (ALCOHOL - UNII:3K9958V90M)	ALCOHOL	62 mL in 100 mL

Ingredient Name	Strength
Inactive Ingredients
ALOE VERA LEAF (UNII: ZY81Z83H0X)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
.ALPHA.-TOCOPHEROL ACETATE, DL- (UNII: WR1WPI7EW8)
TRIISOPROPANOLAMINE (UNII: W9EN9DLM98)
CARBOMER COPOLYMER TYPE A (UNII: 71DD5V995L)
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:59898-420-36	0.9 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	04/15/2010

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved drug other		09/13/2018

4315 FIRST AID KIT
4315 first aid kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:0498-4315

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-4315-01	1 in 1 KIT	09/13/2018

Part #	Package Quantity	Total Product Quantity
Quantity of Parts
Part 1	1 BOTTLE	118 mL
Part 2	30 PACKET	27 g
Part 3	5 PACKET	7 mL
Part 4	25 BOTTLE, PLASTIC	22.5 mL

Part 1 of 4

EYESALINE EMERGENCY EYEWASH
purified water liquid

Product Information
Item Code (Source)	NDC:0498-0100
Route of Administration	OPHTHALMIC

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
WATER (UNII: 059QF0KO0R) (WATER - UNII:059QF0KO0R)	WATER	98.6 mL in 100 mL

Ingredient Name	Strength
Inactive Ingredients
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE (UNII: 593YOG76RN)
SODIUM CHLORIDE (UNII: 451W47IQ8X)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0100-02	118 mL in 1 BOTTLE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part349	12/18/2018

Part 2 of 4

TRIPLE ANTIBIOTIC
bacitracin zinc, polymyxin b sulfate, neomycin sulfate ointment

Product Information
Item Code (Source)	NDC:0498-0750
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
POLYMYXIN B SULFATE (UNII: 19371312D4) (POLYMYXIN B - UNII:J2VZ07J96K)	POLYMYXIN B	5000 [iU] in 1 g
BACITRACIN ZINC (UNII: 89Y4M234ES) (BACITRACIN - UNII:58H6RWO52I)	BACITRACIN	400 [iU] in 1 g
NEOMYCIN SULFATE (UNII: 057Y626693) (NEOMYCIN - UNII:I16QD7X297)	NEOMYCIN	3.5 mg in 1 g

Ingredient Name	Strength
Inactive Ingredients
PETROLATUM (UNII: 4T6H12BN9U)

Product Characteristics
Color	white	Score
Shape		Size
Flavor		Imprint Code
Contains

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0750-35	0.9 g in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part333B	09/19/2018

Part 3 of 4

ANTISEPTIC TOWELETTE
benzalkonium chloride liquid

Product Information
Item Code (Source)	NDC:0498-0501
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1.3 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0501-00	1.4 mL in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	12/22/2017

Part 4 of 4

INSTANT HAND SANITIZER
alcohol liquid

Product Information
Item Code (Source)	NDC:59898-420
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
ALCOHOL (UNII: 3K9958V90M) (ALCOHOL - UNII:3K9958V90M)	ALCOHOL	62 mL in 100 mL

Ingredient Name	Strength
Inactive Ingredients
ALOE VERA LEAF (UNII: ZY81Z83H0X)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
.ALPHA.-TOCOPHEROL ACETATE, DL- (UNII: WR1WPI7EW8)
TRIISOPROPANOLAMINE (UNII: W9EN9DLM98)
CARBOMER COPOLYMER TYPE A (UNII: 71DD5V995L)
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:59898-420-36	0.9 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	04/15/2010

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved drug other		09/13/2018

Labeler - Honeywell Safety Products USA, Inc. (079287321)

Registrant - Honeywell Safety Products USA, Inc. (079287321)

Name	Address	ID/FEI	Business Operations
Establishment
Honeywell Safety Products USA, Inc		079287321	pack(0498-4314, 0498-4315)

Name	Address	ID/FEI	Business Operations
Establishment
Water-Jel Technologies		155522589	manufacture(0498-0750, 59898-420)

Name	Address	ID/FEI	Business Operations
Establishment
Honeywell Safety Products USA, Inc.		167518617	manufacture(0498-0100)

Name	Address	ID/FEI	Business Operations
Establishment
Changzhou Maokang Medical		421317073	manufacture(0498-0501)

4314, 4315 First Aid Kit (Triple, EW, BZK wipe, antiseptic hand gel- SF00004528, SF00004529)

Triple Active ingredient

Triple Purpose

Triple Uses

Triple Warnings

Do not use

Stop use and ask a doctor if

Keep out of the reach of children

Triple Directions

Triple Other information

Triple Inactive ingredient

Triple Questions?

BZK Wipe Active ingredient

BZK Wipe Purpose

BzK Wipe Uses

BZK Wipe Warnings

Do not use

Stop use and ask a doctor if

Keep out of reach of children

BZK Wipe Directions

BZK Wipe Other information

BZK Wipe Inactive ingredient

BZK Wipe Questions

Eyewash Active ingredient

Eyewassh Purpose

Eyewash Uses

Eyewash Warnings

Do not use

Stop use and ask a doctor if

Keep out of reach of children

Eyeash Directions

Eyewash Inactive ingredients

Eyeash Questions

Hand Sanitizer Active ingredient

Hand Sanitizer Purpose

Hand Sanitizer Uses

Hand Sanitizer Warnings

When using this product

Keep out of reach of children

Hand Sanitizer Directions

Hand Sanitizer Other information

Hand Sanitizer Inactive ingredients

Hand Sanitizer Questions or Comments?

4314 Sf00004528 Kit Contents

4315 SF00004529 kit contents

Triple Principal Display Panel

BZK Wipe Principal Display Panel

Eyewash Principal Display Panel

Hand Sanitizer Principal Display Panel

4314 Kit Label SF00004528

4315 Kit Label SF00004529

Triple
Active ingredient

Triple
Purpose

Triple
Uses

Triple
Warnings

Triple
Directions

Triple
Other information

Triple
Inactive ingredient

Triple
Questions?

BZK Wipe
Active ingredient

BZK Wipe
Purpose

BzK Wipe
Uses

BZK Wipe
Warnings

BZK Wipe
Directions

BZK Wipe
Other information

BZK Wipe
Inactive ingredient

BZK Wipe
Questions

Eyewash
Active ingredient

Eyewassh
Purpose

Eyewash
Uses

Eyewash
Warnings

Eyeash
Directions

Eyewash
Inactive ingredients

Eyeash
Questions

Hand Sanitizer
Active ingredient

Hand Sanitizer
Purpose

Hand Sanitizer
Uses

Hand Sanitizer
Warnings

Hand Sanitizer
Directions

Hand Sanitizer
Other information

Hand Sanitizer
Inactive ingredients

Hand Sanitizer
Questions or Comments?

4314
Sf00004528 Kit Contents

4315
SF00004529 kit contents

Triple
Principal Display Panel

BZK Wipe
Principal Display Panel

Eyewash
Principal Display Panel

Hand Sanitizer
Principal Display Panel

4314 Kit Label
SF00004528

4315 Kit Label
SF00004529