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

----------

PROVON Medicated Lotion Soap with Triclosan

image description

PROVON MEDICATED LTION S OAP WITH TRICLOSAN 
triclosan liquid
Product Information
Product Type HUMAN OTC DRUG Item Code (Source) NDC:21749-402
Route of Administration TOPICAL
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN .003 mg  in 1 mL
Inactive Ingredients
Ingredient Name Strength
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 Code Package Description Marketing Start Date Marketing End Date
1 NDC:21749-402-10 1000 mL in 1 PACKAGE; Type 0: Not a Combination Product 08/15/2000
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
export only 08/15/2000
Labeler - GOJO Industries, Inc. (004162038)
Establishment
Name Address ID/FEI Business Operations
GOJO Industries, Inc 036424534 manufacture(21749-402)

Revised: 7/2017
Document Id: b6bf9e96-1d1a-490d-a1d9-6364945a17d3
Set id: eaf9ae30-3326-41f3-9fd6-d57168780780
Version: 1
Effective Time: 20170730
 
GOJO Industries, Inc.