PUREVITA 80% HAND SANITIZER GEL- ethyl alcohol gel 
Davita Chemicals, LLC

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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This is a hand sanitizer manufactured according to the Temporary Policy for Preparation of Certain Alcohol-Based Hand Sanitizer Products During the Public Health Emergency (CoViD-19); Guidance for Industry.

The hand sanitizer is manufactured using only the following United States Pharmacopoeia (USP) grade ingredients in the preparation of the product (percentage in final product formulation) consistent with World Health Organization (WHO) recommendations:

  1. Alcohol (ethanol) (USP or Food Chemical Codex (FCC) grade) (80%, volume/volume (v/v)) in an aqueous solution denatured according to Alcohol and Tobacco Tax and Trade Bureau regulations in 27 CFR part 20.
  2. Glycerol (1.45% v/v).
  3. Hydrogen peroxide (0.125% v/v).
  4. Sterile distilled water or boiled cold water.

The firm does not add other active or inactive ingredients. Different or additional ingredients may impact the quality and potency of the product.

Active Ingredient(s)

Alcohol 80% v/v. Purpose: Antiseptic

Purpose

Antiseptic, Hand Sanitizer

Use

Hand Sanitizer to help reduce bacteria that potentially can cause disease. For use when soap and water are not available.

Warnings

For external use only. Flammable. Keep away from heat or flame

Do not use

When using this product keep out of eyes, ears, and mouth. In case of contact with eyes, rinse eyes thoroughly with water.
Stop use and ask a doctor if irritation or rash occurs. These may be signs of a serious condition.
Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Stop use and ask a doctor if irritation or rash occurs. These may be signs of a serious condition.

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

Directions

Other information

Inactive ingredients

glycerin, hydrogen peroxide, purified water USP

59 ML Label059 mL NDC: 78677-800-02

118 ML Label118 mL NDC: 78677-800-04

177 ML Label177 mL NDC: 78677-800-06

236 ML Label236 mL NDC: 78677-800-08

295 ML Label295mL NDC: 78677-800-10

354 ML Label354 mL NDC: 78677-800-12

473 Ml Label473 mL NDC: 78677-800-16

709 ML Label709 mL NDC: 78677-800-24

946 Ml Label946 mL NDC: 78677-800-32

1892 Ml Label1892 mL NDC: 78677-800-64

3875 ML Label3875 mL NDC: 78677-800-70

113562 ML Label113562 mL NDC: 78677-800-73

208198 ML Label208198 mL NDC: 78677-800-75

124919 ML Label124919 mL NDC: 78677-800-83

2271247 ML label2271247 mL NDC: 78677-800-99

PUREVITA 80% HAND SANITIZER GEL 
ethyl alcohol gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:78677-800
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ALCOHOL (UNII: 3K9958V90M) (ALCOHOL - UNII:3K9958V90M) ALCOHOL80 mL  in 100 mL
Inactive Ingredients
Ingredient NameStrength
HYDROGEN PEROXIDE (UNII: BBX060AN9V) 0.125 mL  in 100 mL
GLYCERIN (UNII: PDC6A3C0OX) 1.45 mL  in 100 mL
WATER (UNII: 059QF0KO0R) 18.425 mL  in 100 mL
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:78677-800-0259 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
2NDC:78677-800-04118 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
3NDC:78677-800-06177 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
4NDC:78677-800-08236 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
5NDC:78677-800-10295 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
6NDC:78677-800-12354 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
7NDC:78677-800-16473 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
8NDC:78677-800-24709 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
9NDC:78677-800-32946 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
10NDC:78677-800-641892 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product03/07/2020
11NDC:78677-800-703785 mL in 1 JUG; Type 0: Not a Combination Product03/07/2020
12NDC:78677-800-7311356 mL in 1 DRUM; Type 0: Not a Combination Product03/07/2020
13NDC:78677-800-75208198 mL in 1 DRUM; Type 0: Not a Combination Product03/07/2020
14NDC:78677-800-83124919 mL in 1 DRUM; Type 0: Not a Combination Product03/07/2020
15NDC:78677-800-992271247 mL in 1 TANK; Type 0: Not a Combination Product03/07/2020
16NDC:78677-800-713785 mL in 1 BOX, UNIT-DOSE; Type 0: Not a Combination Product03/07/2020
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333A03/07/2020
Labeler - Davita Chemicals, LLC (117478480)
Establishment
NameAddressID/FEIBusiness Operations
Davita Chemicals, LLC117478480manufacture(78677-800) , relabel(78677-800) , repack(78677-800) , label(78677-800)

Revised: 6/2020
Document Id: a865d212-caed-6388-e053-2a95a90a4563
Set id: a710ef17-cbde-5e97-e053-2a95a90a65bd
Version: 2
Effective Time: 20200618
 
Davita Chemicals, LLC