JACK BLACK THE TRIPLE PLAY- avobenzone, octinoxate lotion 
Jack Black L.L.C

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Active Ingredients

Avobenzone 2.2%

Octinoxate 7.5%

Purpose

Sunscreen

Use

Moisturizes and helps prevent sunburn

Warnings

For external use only.

Do not use on damaged or broken skin.

Stop use and ask doctor if rash occurs.

When using this product keep out of eyes. Rinse with water to remove

Keep out of reach of children.

• If swallowed, get medical help or contact Poison Control Center right away.

Directions

Apply liberally after cleansing and shaving and 15 minutes before sun exposure. • Use a water-resistant sunscreen if swimming or sweating. • Reapply at least every two hours. • Children under 6 months: Ask a doctor. Sun Protection Measures • Spending time in the sun increases your risk of skin cancer and early skin aging. To decrease this risk, use sunscreen with a broad spectrum SPF 15 or higher. • Limit time in the sun, especially from 10 a.m. – 2 p.m. • Wear long-sleeved shirts, pants, hats, and sunglasses.

Inactive Ingredients

Water, Cyclopentasiloxane, Octyldodecyl Neopentanoate, Phenethyl Benzoate, Dimethicone, Glycereth-26, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Phenoxyethanol, Hydroxypropyl Starch Phosphate, Cetearyl Glucoside, Carbomer, Pyrus Malus (Apple) Fruit Extract, Butylene Glycol, Sodium Hydroxide, Disodium EDTA, Sodium Hyaluronate, Lavandula Angustifolia (Lavender) Oil, Iodopropynyl Butylcarbamate, Pelargonium Graveolens Flower Oil, Rosmarinus Officinalis (Rosemary) Leaf Oil, Lecithin, Melissa Officinalis Extract, Haslea Ostrearia Extract, Palmaria Palmata Extract, Calendula Officinalis Flower Extract*, Glycerin, Leontopodium Alpinum (Edelweiss) Extract*, Retinyl Palmitate, Tocopheryl Acetate, Anthemis Nobilis Flower Oil, Peucedanum Ostruthium Leaf Extract*, Buddleja Davidii Leaf Extract*, Artemisia Umbelliformis Extract*.

* Certified Organic

Other information

• Protect product from excessive heat and direct sunlight • You may report a serious adverse reaction from using this product to Jack Black at 1-877-766-3388.

Questions?

1-877-766-3388 www.getJackBlack.com

Double Duty

JACK BLACK THE TRIPLE PLAY 
avobenzone, octinoxate lotion
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:66738-661
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OCTINOXATE (UNII: 4Y5P7MUD51) (OCTINOXATE - UNII:4Y5P7MUD51) OCTINOXATE7.5 g  in 100 mL
AVOBENZONE (UNII: G63QQF2NOX) (AVOBENZONE - UNII:G63QQF2NOX) AVOBENZONE2.2 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
OCTYLDODECYL NEOPENTANOATE (UNII: X8725R883T)  
CYCLOMETHICONE 5 (UNII: 0THT5PCI0R)  
CORN OIL (UNII: 8470G57WFM)  
PHENETHYL BENZOATE (UNII: 0C143929GK)  
PALMARIA PALMATA (UNII: 7832HOY4ZQ)  
GLYCERIN (UNII: PDC6A3C0OX)  
ROSEMARY OIL (UNII: 8LGU7VM393)  
CALENDULA OFFICINALIS FLOWER (UNII: P0M7O4Y7YD)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
CHAMAEMELUM NOBILE FLOWER OIL (UNII: UB27587839)  
BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
EDETATE DISODIUM ANHYDROUS (UNII: 8NLQ36F6MM)  
HASLEA OSTREARIA (UNII: Y87200QHN9)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
CETEARYL GLUCOSIDE (UNII: 09FUA47KNA)  
POLYSORBATE 60 (UNII: CAL22UVI4M)  
GLYCERETH-26 (UNII: NNE56F2N14)  
SODIUM HYDROXIDE (UNII: 55X04QC32I)  
ALCOHOL (UNII: 3K9958V90M)  
DIMETHICONE (UNII: 92RU3N3Y1O)  
LEUCONOSTOC/RADISH ROOT FERMENT FILTRATE (UNII: D2QHA03458)  
SORBITAN ISOSTEARATE (UNII: 01S2G2C1E4)  
HYDROXYETHYL ACRYLATE/SODIUM ACRYLOYLDIMETHYL TAURATE COPOLYMER (45000 MPA.S AT 1%) (UNII: 86FQE96TZ4)  
MELISSA OFFICINALIS (UNII: YF70189L0N)  
LEONTOPODIUM ALPINUM FLOWERING TOP (UNII: QQC1AK06RK)  
BUDDLEJA DAVIDII LEAF (UNII: X380815D32)  
PELARGONIUM GRAVEOLENS FLOWER OIL (UNII: 3K0J1S7QGC)  
APPLE (UNII: B423VGH5S9)  
ARTEMISIA UMBELLIFORMIS FLOWER (UNII: 91OLL9AJ7D)  
PHOSPHATIDYLCHOLINE, SOYBEAN (UNII: 1T6N4D9YV6)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
PEUCEDANUM OSTRUTHIUM LEAF (UNII: 86P27YRR6Y)  
CARBOMER HOMOPOLYMER, UNSPECIFIED TYPE (UNII: 0A5MM307FC)  
WATER (UNII: 059QF0KO0R)  
HYDROXYPROPYL DISTARCH PHOSPHATE, HIGH AMYLOSE CORN (UNII: 9F8ET54T05)  
LAVENDER OIL (UNII: ZBP1YXW0H8)  
IODOPROPYNYL BUTYLCARBAMATE (UNII: 603P14DHEB)  
Product Characteristics
Color    Score    
ShapeSize
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:66738-661-4044 mL in 1 KIT; Type 1: Convenience Kit of Co-Package09/30/202006/01/2024
Image of Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM02009/30/202006/01/2024
Labeler - Jack Black L.L.C (847024036)
Establishment
NameAddressID/FEIBusiness Operations
Swiss American CDMO080170933manufacture(66738-661)

Revised: 4/2024
Document Id: 16c93738-524a-d646-e063-6394a90aaab0
Set id: b0935c41-8d65-66ba-e053-2995a90a89d4
Version: 2
Effective Time: 20240423
 
Jack Black L.L.C