Active ingredients

(in each gram)

Bacitracin Zinc (400 units Bacitracin)

Neomycin sulfate (3.5 mg Neomycin)

Polymyxin B Sulfate (Polymyxin B 5000 units)

Purpose

First aid antibiotic

first aid to help prevent infection in minor cuts, scrapes and burns

For external use only

internally
in eyes
over large areas of the body or on puncture wounds, animal bites or serious burns
for more than 1 week unless directed by a doctor
if you are allergic to any of the ingredients

If ingested, contact a Poison Control Center right away.

petrolatum

Triple Antibiotic
Ointment

The Provision
First Aid
Line™

0.5 g
(1/57 oz.)

Principal Display Panel – 0.5g Pouch Label

TRIPLE ANTIBIOTIC
bacitracin zinc, neomycin sulfate, polymyxin b sulfate ointment

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BACITRACIN ZINC (UNII: 89Y4M234ES) (BACITRACIN - UNII:58H6RWO52I)	BACITRACIN ZINC	400 [iU] in 1 g
NEOMYCIN SULFATE (UNII: 057Y626693) (NEOMYCIN - UNII:I16QD7X297)	NEOMYCIN SULFATE	3.5 mg in 1 g
POLYMYXIN B SULFATE (UNII: 19371312D4) (POLYMYXIN B - UNII:J2VZ07J96K)	POLYMYXIN B	5000 [iU] in 1 g

Ingredient Name	Strength
Inactive Ingredients
PETROLATUM (UNII: 4T6H12BN9U)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:69103-5603-1	0.5 g in 1 POUCH; Type 0: Not a Combination Product	07/25/2022

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	M004	07/25/2022

Labeler - Provision Medical (036936831)

Name	Address	ID/FEI	Business Operations
Establishment
Safetec of America, Inc.		874965262	manufacture(69103-5603)