ANTISEPTIC SKIN CLEANSER- chlorhexidine gluconate 4% solution 
Rite Aid

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4% Rite Aid 18oz FM

Active ingredient

Chlorhexidine gluconate 4% solution

Purpose

Antiseptic

Uses

healthcare personnel handwash: helps reduce bacteria that potentially can cause disease

skin wound and general skin cleansing

Warnings

For external use only

Allergy alert:

This product may cause a severe allergic reaction. Symptoms may include:

If an allergic reaction occurs, stop use and seek medical help right away.

Do not use

When using this product

Stop use and ask a doctor if

irritation, sensitization, or allergic reaction occurs. These may be signs of a serious condition.

Keep out of reach of children.

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

Directions

Healthcare personnel handwash:

Skin wound and general skin cleansing:

Other information

Inactive ingredients

cocamide DEA, fragrance, glucono-delta-lactone, hydroxyethylcellulose, isopropyl alcohol, lauramine oxide, PEG-75 lanolin, purified water, tridecyl alcohol

Questions or comments?

1-800-587-3721

Laundering/Cleaning Instructions: Chlorhexidine gluconate skin cleansers will cause stains if used with chlorine releasing products, such as chlorine bleach.

WARNING: CANCER - WWW.P65WARNINGS.CA.GOV

Compare to the active ingredient in Hibiclens®*

NDC 11822-0891-2

ANTISEPTIC/ANTIMICROBIAL

SKIN CLEANSER

CHLORHEXIDINE GLUCONATE

4% SOLUTION

dye free

for external use only

TAMPER-EVIDENT: DO NOT USE IF SHRINK SEAL NECKBAND IS BROKEN OR MISSING

18 FL OZ (532 mL)

4RA18FM1061LBLB

18 FM Rite Aid

*This product is not manufactured or distributed by Molnlycke Healthcare, owner of the registered trademark Hibiclens®.

DISTRIBUTED BY: RITE AID, 200 NEWBERRY COMMONS
ETTERS, PA 17319
www.riteaid.com
SATISFACTION GUARANTEE: If you’re not satisfied, we’ll happily refund your money.

ANTISEPTIC SKIN CLEANSER 
chlorhexidine gluconate 4% solution
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:11822-0891
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
CHLORHEXIDINE GLUCONATE (UNII: MOR84MUD8E) (CHLORHEXIDINE - UNII:R4KO0DY52L) CHLORHEXIDINE GLUCONATE4 g  in 100 mL
Inactive Ingredients
Ingredient NameStrength
DIHYDROXYETHYL LAURAMINE OXIDE (UNII: JD265DM4U6)  
PEG-75 LANOLIN (UNII: 09179OX7TB)  
HYDROXYETHYL CELLULOSE (2000 CPS AT 1%) (UNII: S38J6RZN16)  
WATER (UNII: 059QF0KO0R)  
TRIDECYL ALCOHOL (UNII: 8I9428H868)  
GLUCONOLACTONE (UNII: WQ29KQ9POT)  
ISOPROPYL ALCOHOL (UNII: ND2M416302)  
COCO DIETHANOLAMIDE (UNII: 92005F972D)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:11822-0891-2532 mL in 1 BOTTLE, PUMP; Type 0: Not a Combination Product04/14/2021
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NDANDA01912504/14/2021
Labeler - Rite Aid (014578892)
Registrant - Xttrium Laboratories, Inc. (007470579)
Establishment
NameAddressID/FEIBusiness Operations
Xttrium Laboratories, Inc007470579api manufacture(11822-0891)

Revised: 11/2023
Document Id: 09bce019-f905-6ea0-e063-6294a90ac036
Set id: bff185e2-b66f-9fa2-e053-2a95a90ab738
Version: 2
Effective Time: 20231109
 
Rite Aid