CO2 POLYMER MASK PACK- glycerin 
BUKWANG Co.,Ltd

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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Co2 Polymer Mask Pack

Co2 Polymer Mask Pack

mask pack

Glycerin

Skin Protectant

Keep out of reach of children
- Do not swallow. In case of accidental ingestion, get medical help or contact a Poison Control Center right away.

Moisturizes and soothes skin

For external use only
Do not use on damaged or broken skin
When using this product
- Avoid contact with eyes. If contact occurs, rinse eyes thoroughly with water.
Stop use and ask doctor if rash or irritation on skin develops and lasts.
Store at room temperature

1. Cleanse and dry face
2. Open tube and apply gel on face evenly
3. Apply sheet on face completely
4. Leave on face for 20-30 minutes
5. Remove the mask and wash face gently

Sheet. Water, Butylene Glycol, Portulaca Oleracea Extract, Carbomer, Citrus Aurantium Amara (Bitter Orange) Flower Extract, Sodium Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Isohexadecane, Polysorbate 80, Sodium Hyaluronate, Phenoxyethanol, Xanthan Gum, Caffeine
Tube. Water, Butylene Glycol, Sodium Bicarbonate, Phenoxyethanol, Xanthan Gum

CO2 POLYMER MASK PACK 
glycerin kit
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:69704-100
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:69704-100-021 in 1 BOX
Quantity of Parts
Part #Package QuantityTotal Product Quantity
Part 11 TUBE 20 g
Part 21 PATCH 20 g
Part 1 of 2
CO2 POLYMER MASK PACK - TUBE 
glycerin gel
Product Information
Item Code (Source)NDC:69704-101
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN0.1   in 20 g
Inactive Ingredients
Ingredient NameStrength
water (UNII: 059QF0KO0R)  
BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
PORTULACA OLERACEA WHOLE (UNII: D5J3623SV2)  
CARBOMER HOMOPOLYMER TYPE A (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: F68VH75CJC)  
CITRUS AURANTIUM FLOWER (UNII: O730ZX2Z83)  
SODIUM ACRYLATE (UNII: 7C98FKB43H)  
ISOHEXADECANE (UNII: 918X1OUF1E)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
XANTHAN GUM (UNII: TTV12P4NEE)  
CAFFEINE (UNII: 3G6A5W338E)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:69704-101-025 in 1 BOX
1NDC:69704-101-0120 g in 1 TUBE
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other03/27/2015
Part 2 of 2
CO2 POLYMER MASK PACK - SHEET 
glycerin patch
Product Information
Item Code (Source)NDC:69704-102
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
GLYCERIN (UNII: PDC6A3C0OX) (GLYCERIN - UNII:PDC6A3C0OX) GLYCERIN0.1   in 20 g
Inactive Ingredients
Ingredient NameStrength
water (UNII: 059QF0KO0R)  
butylene glycol (UNII: 3XUS85K0RA)  
SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
xanthan gum (UNII: TTV12P4NEE)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:69704-102-025 in 1 BOX
1NDC:69704-102-0120 g in 1 PATCH
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other03/27/2015
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart34703/27/2015
Labeler - BUKWANG Co.,Ltd (688437088)
Registrant - BUKWANG Co.,Ltd (688437088)
Establishment
NameAddressID/FEIBusiness Operations
BUKWANG Co.,Ltd688437088manufacture(69704-100)

Revised: 3/2015
Document Id: 63861869-1dcc-40a7-b379-28e2112768d8
Set id: 8d6907d1-0358-4eee-83e1-9bf8aa6e76ac
Version: 1
Effective Time: 20150327
 
BUKWANG Co.,Ltd