ANTIBACTERIAL- alcohol gel 
Custom Chemical Solutions

----------

77955-004

Active ingredients

Chloroxylenol 1%

Purpose

Antimicrobial

Uses

Warnings

For external use only: hands

When using this productavoid contact with eyes.

In case of contact, flush eyes with water.

Stop use and ask a doctorif irritation or redness develops, or if condition persists for more than 72 hours.

Keep out of reach of children.

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

Directions:

Wet hands

Apply product and work into a lather.

Rinse well with potable water and dry hands thoroughly.

Inactive ingredients:

Water, Propylene glycol, Ammonium Lauryl sulfate, Ammonium laureth sulfate, Tetrasodium EDTA, Sodium chloride, Glycerin, Citric acid.

container labelbcontainer labelf

ANTIBACTERIAL GEL SOAP

(NSF E2 Registered)

UniFirst Corporation #88UI 1L(1000ml., 33.8 US fl. oz)

ANTIBACTERIAL 
alcohol gel
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:77955-004
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
CHLOROXYLENOL (UNII: 0F32U78V2Q) (CHLOROXYLENOL - UNII:0F32U78V2Q) CHLOROXYLENOL0.01 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
AMMONIUM LAURETH-3 SULFATE (UNII: 896SJ235FN)  
SODIUM CHLORIDE (UNII: 451W47IQ8X)  
GLYCERIN (UNII: PDC6A3C0OX)  
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
AMMONIUM LAURYL SULFATE (UNII: Q7AO2R1M0B)  
EDETATE SODIUM (UNII: MP1J8420LU)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:77955-004-021000 mL in 1 BOTTLE; Type 0: Not a Combination Product01/19/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph Drug505G(a)(3)01/19/2021
Labeler - Custom Chemical Solutions (081096319)
Establishment
NameAddressID/FEIBusiness Operations
Kutol Products Company004236139manufacture(77955-004)

Revised: 1/2024
Document Id: 0f8c2417-ba38-f230-e063-6294a90aff78
Set id: b9492b5a-9097-4f3c-e053-2a95a90a6650
Version: 3
Effective Time: 20240122
 
Custom Chemical Solutions