PACIFIC BLUE ULTRA- benzalkonium chloride soap 
Georgia Pacific Consumer Products

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

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Pacific Blue Ultra Antimicrobial Foam Soap
572.000/572AB/AC

Active ingredient

Benzalkonium chloride 0.13% w/w

Purpose

Antiseptic

Uses

Handwash to help reduce bacteria that potentially can cause disease.

Warnings

For external use only

When using this product Avoid contact with eyes.  In case of eye contact, flush with water.

Stop use and ask a doctor if irritation or redness develops.  If condition persists for more than 72 hours consult a doctor.

Keep our of reach of children.

If swallowed, seek immediate medical attention or call a poison control center.

Directions

Wet hands, apply soap, rub hand together vigorously for at least 20 seconds.  Rinse and dry hand thoroughly with a disposable paper towel.

Inactive ingredients

Water, Glycerin, Lauramine Oxide, Cocamidopropyl Betaine, PEG-150 Distearate, Aloe Barbadensis Leaf Juice, Cocamide MEA, Citric Acid, Tetrasodium EDTA, DMDM Hydantoin

Additional rear label text for manual dispensers

Pacific Blue Ultra

Antimicrobial Foam Soap

Fragrance Free

SKU 43818

Manufactured for Georgia-Pacific Consumer Products LP. Atlanta, GA 30303

Quesitons? Call 1-866-HELLOGP (435-5647)

or visit us online at www.gppro.com

(c) Georgia Pacific Consumer Products LP.  All rights reserved.

43818-1 PRDRevA16 L0015809BA

Additional rear label text for automatic dispensers

Pacific Blue Ultra

automated Antimicrobial Foam Soap

Fragrance Free

SKU 43822

Manufactured for Georgia-Pacific Consumer Products LP. Atlanta, GA 30303

Quesitons? Call 1-866-HELLOGP (435-5647)

or visit us online at www.gppro.com

(c) Georgia Pacific Consumer Products LP.  All rights reserved.

43822-V1 PRDRevA L0017076BA

principal display panel

Antimicrobial Foam Soap

1200 mL (40.5 FL OZ)

image description

572.000/572AB

PACIFIC BLUE ULTRA 
benzalkonium chloride soap
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:54622-572
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y) BENZALKONIUM CHLORIDE1.3 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
GLYCERIN (UNII: PDC6A3C0OX)  
LAURAMINE OXIDE (UNII: 4F6FC4MI8W)  
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)  
PEG-150 DISTEARATE (UNII: 6F36Q0I0AC)  
ALOE VERA LEAF (UNII: ZY81Z83H0X)  
COCO MONOETHANOLAMIDE (UNII: C80684146D)  
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
EDETATE SODIUM (UNII: MP1J8420LU)  
DMDM HYDANTOIN (UNII: BYR0546TOW)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:54622-572-011200 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product05/25/2016
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart333A05/25/2016
Labeler - Georgia Pacific Consumer Products (806142217)
Registrant - Vi-Jon, Inc (790752542)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC790752542manufacture(54622-572)
Establishment
NameAddressID/FEIBusiness Operations
Vi-Jon, LLC088520668manufacture(54622-572)

Revised: 3/2021
Document Id: 5a8868c5-d427-4583-ba03-e0d43ee0ed67
Set id: 7ea3f69f-e150-4beb-af1e-04ffc5a3b795
Version: 10
Effective Time: 20210329
 
Georgia Pacific Consumer Products