PROVON MEDICATED FOAM HANDWASH WITH ADVANCED MOISTURIZERS AND TRICLOSAN - triclosan 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.

----------

PROVON Medicated Foam Handwash with Advanced Moisturizers and Triclosan

Active ingredient

Triclosan 0.3%

Purpose

Antimicrobial

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

Inactive ingredients

Water (Aqua), Propylene Glycol, Alcohol, Lauric Acid, Ethanolamine, Disodium Cocoamphodiacetate, Lactic Acid, Isopropyl Alcohol, PEG-4, Polyquaternium-10, Sodium Metabisulfite, Sodium Sulfite, Tetrasodium EDTA, Sodium Sulfate, Iodopropynyl Butylcarbamate

Product Label

PROVON MEDICATED FOAM HANDWASH WITH ADVANCED MOISTURIZERS AND TRICLOSAN  
triclosan liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21749-094
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN0.003 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
ALCOHOL (UNII: 3K9958V90M)  
LAURIC ACID (UNII: 1160N9NU9U)  
MONOETHANOLAMINE (UNII: 5KV86114PT)  
DISODIUM COCOAMPHODIACETATE (UNII: 18L9G3U51M)  
LACTIC ACID (UNII: 33X04XA5AT)  
ISOPROPYL ALCOHOL (UNII: ND2M416302)  
POLYETHYLENE GLYCOL 200 (UNII: R95B8J264J)  
POLYQUATERNIUM-10 (30000 MPA.S AT 2%) (UNII: C7RDC8Y4JS)  
SODIUM METABISULFITE (UNII: 4VON5FNS3C)  
SODIUM SULFITE (UNII: VTK01UQK3G)  
EDETATE SODIUM (UNII: MP1J8420LU)  
SODIUM SULFATE (UNII: 0YPR65R21J)  
IODOPROPYNYL BUTYLCARBAMATE (UNII: 603P14DHEB)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:21749-094-891200 mL in 1 BOTTLE; Type 0: Not a Combination Product01/01/2013
2NDC:21749-094-901250 mL in 1 BOTTLE; Type 0: Not a Combination Product01/01/2013
3NDC:21749-094-97700 mL in 1 BOTTLE; Type 0: Not a Combination Product01/01/2013
4NDC:21749-094-53535 mL in 1 PACKAGE; Type 0: Not a Combination Product01/01/2013
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E01/01/201312/01/2021
Labeler - GOJO Industries, Inc. (004162038)
Establishment
NameAddressID/FEIBusiness Operations
GOJO Industries, Inc.036424534manufacture(21749-094)

Revised: 11/2018
Document Id: 96bc9f23-ca49-4bc3-967e-9e4657d809aa
Set id: 8f9a87b8-0d39-41fb-a84d-429d3b160caf
Version: 2
Effective Time: 20181119
 
GOJO Industries, Inc.