PROVON MEDICATED LTION S OAP WITH TRICLOSAN- triclosan liquid 
GOJO Industries, Inc.

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PROVON Medicated Lotion Soap with Triclosan

PRODUCT LABEL

PROVON MEDICATED LTION S OAP WITH TRICLOSAN 
triclosan liquid
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21749-402
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN.003 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
water (UNII: 059QF0KO0R)  
COCONUT ACID (UNII: 40U37V505D)  
SODIUM SULFATE (UNII: 0YPR65R21J)  
OLEIC ACID (UNII: 2UMI9U37CP)  
MONOETHANOLAMINE (UNII: 5KV86114PT)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
COCO MONOETHANOLAMIDE (UNII: C80684146D)  
COCO-BETAINE (UNII: 03DH2IZ3FY)  
Propylene Glycol (UNII: 6DC9Q167V3)  
VITAMIN A PALMITATE (UNII: 1D1K0N0VVC)  
EDETATE SODIUM (UNII: MP1J8420LU)  
.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)  
CORN OIL (UNII: 8470G57WFM)  
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)  
Methylchloroisothiazolinone (UNII: DEL7T5QRPN)  
Methylisothiazolinone (UNII: 229D0E1QFA)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:21749-402-101000 mL in 1 PACKAGE; Type 0: Not a Combination Product08/15/200006/30/2020
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
export only08/15/200006/30/2020
Labeler - GOJO Industries, Inc. (004162038)
Establishment
NameAddressID/FEIBusiness Operations
GOJO Industries, Inc036424534manufacture(21749-402)

Revised: 3/2024
Document Id: 2d9dac37-b8ff-4b21-b0c3-64a246ab2727
Set id: eaf9ae30-3326-41f3-9fd6-d57168780780
Version: 2
Effective Time: 20240322
 
GOJO Industries, Inc.