INSTA SAN- benzalkonium chloride liquid 
Anderson Chemical Company

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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Active Ingredient

Benzalkonium chlorinde, 0.1% w/v

Purpose

Antimicrobial

Use

Warning

For external use only.

When using this product

When using this product avoid contact with eyes. In case of eye contat, flush eyes with water.

Stop use and ask a doctor if

Stop use and ask a doctor if irritation or redness develops, or if conditions perist for more that 72 hours.

Keep out of reach of children

Keep out of reach of children. If swallowed, get medical help or contact a poison control center right away.

Directions

▪ Pump a small amount of foam into palm of hand

▪ Rub thoroughly over all surfaces of both hands

▪ Rub hands together briskly until dry

Water, dihydroxypropyl PEG-5 linoleammonium chloride, glycereth-2 cocoate, behentrimonium chloride, dihydroxyethyl cocamine oxide, fragrance

Questions

Question or comments? 320-693-2477

First Aid

Eye contact: Flush immediately with plenty of water for 15 minutes. Lift upper and lower eyelids for
complete rinsing. If irritation persists after rinsing, get medical attention.
Skin Contact: If irritation occurs, discontinue use. If irritation persists, call a physician.
Ingestion: Drink 1 or 2 glasses of water. Call a physician.

Principal Display Panel

Jug Label

INSTA SAN 
benzalkonium chloride liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:63131-1134
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE1 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
.BETA.-CITRONELLOL, (+/-)- (UNII: 565OK72VNF)  
BUTYLATED HYDROXYANISOLE (UNII: REK4960K2U)  
LAURTRIMONIUM CHLORIDE (UNII: A81MSI0FIC)  
CETRIMONIUM CHLORIDE (UNII: UC9PE95IBP)  
WATER (UNII: 059QF0KO0R)  
DIHYDROXYETHYL COCAMINE OXIDE (UNII: 8AR51R3BL5)  
CITRAL (UNII: T7EU0O9VPP)  
LINALOOL, (+/-)- (UNII: D81QY6I88E)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:63131-1134-17570 in 1 CASE04/17/2020
13785 mL in 1 JUG; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333A04/17/2020
Labeler - Anderson Chemical Company (006179220)
Establishment
NameAddressID/FEIBusiness Operations
Anderson Chemical Company006179220manufacture(63131-1134)

Revised: 6/2020
Document Id: a8d98511-f38f-76c3-e053-2a95a90a9bd3
Set id: a45cf83f-ec32-643d-e053-2a95a90ad8a6
Version: 2
Effective Time: 20200624
 
Anderson Chemical Company