ANTICAVITY RINSE- sodium fluoride mouthwash 
Meijer Distribution, Inc.

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Kids Anticavity Fluoride Rinse (Watermelon Flavor)
201.000/201AA

TEP

SEALED WITH PRINTED NECKBAND FOR YOUR PROTECTION

Active ingredient

Sodium fluoride 0.05% (0.02% w/v fluoride ion)

Purpose

Anticavity rinse

Use

aids in the prevention of dental cavities

Warnings

for this product

Keep out of reach of children.

If more than used for rinsing is accidentally swallowed, seeK professional assistance or contact a Poison Control Center immediately.

Directions

Adults and children 6 years of age and older:

Children under 6 years of age: consult a dentist or doctor

Other information

Store at room temperature

Inactive ingredients

benzyl alcohol, calcium disodium EDTA, cetylpyridinium chloride, disodium EDTA, disodium phosphate, flavor, green 3, poloxamer 407, polysorbate 80, propylene glycol, sodium benzoate, sodium phosphate, sorbitol, sucralose, water, yellow 5

Questions?

 1-888-593-0593

Disclaimer

*This product is not manufactured or distributed by Chattem, Inc., distributor of Act® Wild Watermelon Anticavity Kids Fluoride Rinse.

Adverse reactions

DISTRIBUTED BY

MEIJER DISTRIBUTIONS, INC.

GRAND RAPIDS, MI 49544

www.meijer.com

OUR QUALITY GUARANTEE

The Meijer Family

WWW.MEIJER.COM/SATISFACTION

Principal display panel

NDC 79481-0201-1

meijer®

KIDS

Anticavity

Fluoride Rinse

Compare to ACT® ACTIVE INGREDIENT*

ALCOHOL FREE

WATERMELON FLAVOR

Helps prevent cavities

Helps strengthen teeth

Sugar free

18 fl oz (1.12 pt) 532 mL

IMPORTANT: Read directions for proper use.

image description

ANTICAVITY RINSE 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:79481-0201
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.2 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZYL ALCOHOL (UNII: LKG8494WBH)  
EDETATE CALCIUM DISODIUM (UNII: 25IH6R4SGF)  
CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
MEPREDNISONE DISODIUM PHOSPHATE (UNII: W80C977F6O)  
FD&C GREEN NO. 3 (UNII: 3P3ONR6O1S)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
SODIUM PHOSPHATE (UNII: SE337SVY37)  
SORBITOL (UNII: 506T60A25R)  
SUCRALOSE (UNII: 96K6UQ3ZD4)  
WATER (UNII: 059QF0KO0R)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:79481-0201-1532 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product07/14/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM02107/14/2021
Labeler - Meijer Distribution, Inc. (006959555)
Registrant - Vi Jon, LLC (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi Jon, LLC790752542manufacture(79481-0201)
Establishment
NameAddressID/FEIBusiness Operations
Vi Jon, LLC088520668manufacture(79481-0201)

Revised: 10/2023
Document Id: cc4c89dc-081a-44b5-babe-8ddd39a163f6
Set id: b17f7a5d-272e-446d-803b-46a6d8e5f18f
Version: 6
Effective Time: 20231031
 
Meijer Distribution, Inc.