PATCHOLOGY BREAKOUT BOX 3-IN-1 ACNE TREATMENT- salicylic acid 
Iontera, Inc

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PATCHOLOGY BREAKOUT BOX 3-IN-1 ACNE TREATMENT KIT

Drug Facts

Active ingredient(s)

Salicylic Acid 0.5%

Purpose

Acne Treatment

Use

For the treatment of acne

Warnings

For external use only

When using this product skin irritation and dryness is likely to occur if you use another topical acne product at the same time. If irritation occurs, only one medication should be used.

Do not use if you are allergic to the dressing or to any of the components.

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

Directions

Inactive ingredients

Acrylates Copolymer, Vinyl Caprolactam/VP/Dimethylaminoethyl Methacrylate Copolymer, Water (Aqua/Eau), Alcohol Denat., Melaleuca Alternifolia (Tea Tree) Leaf Oil, Epilobium Angustifolium Flower/Leaf/Stem Extract, Volcanic Ash, Sodium Hyaluronate, Vitis Vinifera (Grape) Seed Extract, Sodium Metabisulfite, Butylene Glycol, Phytosphingosine, Phenoxyethanol, Polysorbate 80, PVP.

Questions or comments?

Call toll free 1-888-243-0646 24/7, 365

Report serious adverse reactions to: 83 Morse St. Suite 8A Norwood, MA 02062

Company Information

DIST. BY RARE BEAUTY BRANDS, INC.

NORWOOD, MA 02062

DESIGNED IN THE USA

MADE IN KOREA

Product Packaging

breakout box rev

PATCHOLOGY BREAKOUT BOX 3-IN-1 ACNE TREATMENT 
salicylic acid kit
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:72204-002
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:72204-002-011 in 1 BOX; Type 0: Not a Combination Product06/03/2019
Quantity of Parts
Part #Package QuantityTotal Product Quantity
Part 11 PATCH 0.5 g
Part 20 PACKET
Part 30 PACKET
Part 1 of 3
BLEMISH SHRINKING SALICYLIC ACID DOTS 
salicylic acid patch
Product Information
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SALICYLIC ACID (UNII: O414PZ4LPZ) (SALICYLIC ACID - UNII:O414PZ4LPZ) SALICYLIC ACID5 mg  in 1 g
Inactive Ingredients
Ingredient NameStrength
PHYTOSPHINGOSINE (UNII: GIN46U9Q2Q)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
POVIDONE (UNII: FZ989GH94E)  
BUTYL ACRYLATE/METHYL METHACRYLATE/METHACRYLIC ACID COPOLYMER (18000 MW) (UNII: JZ1374NL9E)  
ALCOHOL (UNII: 3K9958V90M)  
EPILOBIUM ANGUSTIFOLIUM FLOWERING TOP (UNII: 08H094218D)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
VITIS VINIFERA SEED (UNII: C34U15ICXA)  
BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
WATER (UNII: 059QF0KO0R)  
TEA TREE OIL (UNII: VIF565UC2G)  
SODIUM METABISULFITE (UNII: 4VON5FNS3C)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
124 in 1 PACKET
10.5 g in 1 PATCH; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM00606/03/2019
Part 2 of 3
DETOXIFYING CHARCOAL NOSE STRIPS 
other skin care preparations strip
Product Information
Route of AdministrationTOPICAL
Other Ingredients
Ingredient KindIngredient NameQuantity
INGRHAMAMELIS VIRGINIANA TOP (UNII: UDA30A2JJY)  
INGRCOPOVIDONE K25-31 (UNII: D9C330MD8B)  
INGRBENTONITE (UNII: A3N5ZCN45C)  
INGRACTIVATED CHARCOAL (UNII: 2P3VWU3H10)  
INGRPOVIDONE, UNSPECIFIED (UNII: FZ989GH94E)  
INGRWATER (UNII: 059QF0KO0R)  
INGRGLYCERIN (UNII: PDC6A3C0OX)  
INGRPOLYVINYL ALCOHOL, UNSPECIFIED (UNII: 532B59J990)  
INGRTITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
INGRKAOLIN (UNII: 24H4NWX5CO)  
INGRPHENOXYETHANOL (UNII: HIE492ZZ3T)  
INGRBUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
INGRPOTASSIUM SORBATE (UNII: 1VPU26JZZ4)  
INGR1,2-HEXANEDIOL (UNII: TR046Y3K1G)  
INGRALOE VERA LEAF (UNII: ZY81Z83H0X)  
INGRMENTHOL (UNII: L7T10EIP3A)  
INGRSODIUM HYDROXIDE (UNII: 55X04QC32I)  
INGRSODIUM DEHYDROACETATE (UNII: 8W46YN971G)  
INGRGLYCYRRHIZINATE DIPOTASSIUM (UNII: CA2Y0FE3FX)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
13 in 1 PACKET; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Cosmetic06/03/2019
Part 3 of 3
ABSORBING HYDROCOLLOID DOTS 
other skin care preparations patch
Product Information
Route of AdministrationTOPICAL
Other Ingredients
Ingredient KindIngredient NameQuantity
INGRCARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED FORM (UNII: K679OBS311)  
INGRPOLYISOBUTYLENE (1000 MW) (UNII: 5XB3A63Y52)  
INGRPOLYBUTENE (1400 MW) (UNII: 1NA5AO9GH7)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
124 in 1 PACKET; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
Cosmetic06/03/2019
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM00606/03/2019
Labeler - Iontera, Inc (004818058)
Registrant - Iontera, Inc (004818058)

Revised: 10/2023
Document Id: 07ecad62-3c24-b42d-e063-6294a90aee2a
Set id: 8a6c911b-5714-0884-e053-2a95a90a5d3c
Version: 3
Effective Time: 20231017
 
Iontera, Inc