ANTICAVITY- sodium fluoride mouthwash 
Wal-Mart Stores, 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.

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Restoring Anticavity Fluoride Mouthwash
581.000/581AA-AC

TEP

Sealed With Printed Neckband For Your Protection

Active ingredient

Sodium fluoride 0.02% (0.009% w/v fluoride ion)

Purpose

anticavity

Use

aids in the prevention of dental cavities

Warning

For this product

Keep out of reach of children.

If more than used for rinsing is accidentally swallowed, get medical help or contact a Poison Control Center right away.

Directions

Adults and children 6 years of age and older:

Inactive ingredients

water, alcohol (11%), sorbitol, poloxamer 407, propylene glycol, sodium benzoate, flavor, sodium phosphate, polysorbate 20, sodium saccharin, cetylpyridinium chloride, disodium phosphate calcium disodium EDTA, blue 1

Questions

Call 1-888-287-1915

Adverse reaction

Satisfaction guaranteed - Or we'll replace it or give you your money back. For questions or comments or to report an undesired reaction or side effect, please call 1-888-287-1915.

DISTRIBUTED BY: Wal-Mart Stores, Inc., Bentonville, AR 72716

*This product is not manufactured or distributed by chattem Inc., owner of the registered mark Act Restoring Anticavity Fluoride Mouthwash Cool Mint.

Principal panel display

equate

Compare to Act® Restoring™ Anticavity Fluoride Mouthwash Active Ingredient*

Restoring Anticavity

Fluoride

Mouthwash

IMPORTANT: read directions for proper use.

Refreshing Mint

Made in the USA WITH 90% OR MORE US PARTS

Factory Certified

1 LITER (33.8 FL OZ)

image description

ANTICAVITY 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:49035-581
Route of Administrationoral
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) SODIUM FLUORIDE0.2 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
ALCOHOL (UNII: 3K9958V90M)  
SORBITOL (UNII: 506T60A25R)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
SODIUM PHOSPHATE (UNII: SE337SVY37)  
POLYSORBATE 20 (UNII: 7T1F30V5YH)  
SACCHARIN SODIUM (UNII: SB8ZUX40TY)  
CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)  
EDETATE CALCIUM DISODIUM ANHYDROUS (UNII: 8U5D034955)  
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:49035-581-861000 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product09/25/2016
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph finalpart35509/25/2016
Labeler - Wal-Mart Stores, Inc (051957769)
Registrant - Vi-Jon, LLC (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC790752542manufacture(49035-581)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC088520668manufacture(49035-581)

Revised: 7/2023
Document Id: 048e1eed-83ea-4fef-b4ab-c2509c40253e
Set id: af5b93e7-5cce-4e01-8df2-54494d8b2910
Version: 12
Effective Time: 20230727
 
Wal-Mart Stores, Inc