PROVON ANTIBACTERIAL PERINEAL WASH (TRICLOSAN) LIQUID [GOJO INDUSTRIES, INC.]

PROVON ANTIBACTERIAL PERINEAL WASH (TRICLOSAN) LIQUID [GOJO INDUSTRIES, INC.]
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NDC 21749-430-08
Set ID 3862b0f6-9907-42f3-8f39-09ab3ab7e295
Category HUMAN OTC DRUG LABEL
Packager GOJO Industries, Inc.
Generic Name
Product Class
Product Number
Application Number PART333E
  • Active ingredient

    Triclosan 0.15 %

  • Purpose

    Antimicrobial

  • Use

    Cleans and helps reduce bacteria on the skin that could cause disease and odor

  • Warnings

    For external use only

    When using this product do not use in or near the eyes. In case of contact, rinse eyes thoroughly with water.

    Stop use and ask a doctor if irritation or rash appears and lasts

    Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

  • Directions

    • Remove excess fecal matter.

    • Apply product to warm damp wash cloth(s).

    • Gently clean entire perineal area, always wiping from front to back.

    • Repeat with additional washcloths as needed.

  • Inactive Ingredients

    Water (Aqua), Sodium Lactate, Coco-Betaine, Disodium EDTA, Lactic Acid, Lauramine Oxide, PEG-4, Fragrance (Parfum), Iodopropynyl Butylcarbamate

  • PRINCIPAL DISPLAY PANEL

    Product Label

  • INGREDIENTS AND APPEARANCE
    PROVON ANTIBACTERIAL PERINEAL WASH 
    triclosan liquid
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21749-430
    Route of AdministrationTOPICAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN0.0015 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    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 CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:21749-430-08236 mL in 1 PACKAGE; Type 0: Not a Combination Product08/01/2010
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC monograph not finalpart333E08/01/201012/01/2021
    Labeler - GOJO Industries, Inc. (004162038)
    Establishment
    NameAddressID/FEIBusiness Operations
    GOJO Industries, Inc.036424534manufacture(21749-430)

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