- Active ingredient
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- PRINCIPAL DISPLAY PANEL
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INGREDIENTS AND APPEARANCE
PROVON ANTIBACTERIAL PERINEAL WASH
triclosan liquidProduct Information Product Type HUMAN OTC DRUG Item Code (Source) NDC:21749-430 Route of Administration TOPICAL Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN 0.0015 mg in 1 mL Inactive Ingredients Ingredient Name Strength Water (UNII: 059QF0KO0R) Sodium Lactate (UNII: TU7HW0W0QT) Coco-Betaine (UNII: 03DH2IZ3FY) EDETATE DISODIUM (UNII: 7FLD91C86K) Lactic Acid (UNII: 33X04XA5AT) LAURAMINE OXIDE (UNII: 4F6FC4MI8W) POLYETHYLENE GLYCOL 200 (UNII: R95B8J264J) Iodopropynyl Butylcarbamate (UNII: 603P14DHEB) Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NDC:21749-430-08 236 mL in 1 PACKAGE; Type 0: Not a Combination Product 08/01/2010 Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date OTC monograph not final part333E 08/01/2010 12/01/2021 Labeler - GOJO Industries, Inc. (004162038) Establishment Name Address ID/FEI Business Operations GOJO Industries, Inc. 036424534 manufacture(21749-430)