HAND SANITIZER- hand sanitizer foam bac spray 
Atlanta Supersource, 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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Supersource Hand Sanitizer Alcohol Free

Supersource Hand Sanitizer

Alcohol Free

Net Contents:3.4 FL OZ. (100mL)

NDC: 75056-009-34

Item No: CLE225

Atlanta Supersource, Inc.

3655 Kennesaw 75 Parkway, Suite 100

Kennesaw, GA 30144

Active Ingredient

Benzalkonium Chloride 0.1%

Purpose

Antimicrobial

Uses

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

Warnings

For external use only.

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 doctor

if irritation or rash occurs.

Keep out of reach of children

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

Directions

Place enough product on hands to cover all surfaces. Rub hands together until dry. Supervise children under 6 years of age when using this product to avoid swallowing.

Inactive Ingredients

Water, Cetrimonium Chloride, Laurtrimonium Chloride, Dihydroxyethyl Cocamine Oxide, Glycereth-17 Cocoate, Citric Acid Monohydrate, Fragrance.

Questions or Comments?

Call us at 833.423.0006

Signature Hand Sanitizer Alcohol Free

Item LabelNET CONTENTS: 3.4 OZ (100mL)

HAND SANITIZER 
hand sanitizer foam bac spray
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:75056-009
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE0.1 g  in 100 g
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R) 99.8703 g  in 100 g
DIHYDROXYETHYL COCAMINE OXIDE (UNII: 8AR51R3BL5) 0.0099 g  in 100 g
LAURTRIMONIUM CHLORIDE (UNII: A81MSI0FIC) 0.0099 g  in 100 g
CETRIMONIUM CHLORIDE (UNII: UC9PE95IBP) 0.0099 g  in 100 g
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:75056-009-34100 g in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product01/01/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333E01/01/2021
Labeler - Atlanta Supersource, Inc. (806786778)
Establishment
NameAddressID/FEIBusiness Operations
Atlanta Supersource, Inc.806786778manufacture(75056-009)

Revised: 12/2022
Document Id: f0d198cd-7657-59b3-e053-2995a90afec2
Set id: b2c23594-8c21-178b-e053-2a95a90aec87
Version: 3
Effective Time: 20221227
 
Atlanta Supersource, Inc.