![PROVON MEDICATED FOAM HANDWASH WITH ADVANCED MOISTURIZERS (TRICLOSAN) LIQUID [GOJO INDUSTRIES, INC.]](https://medic.hrt.org//dailymed/images/98c8d26c-07d6-478d-b664-dba6b083f99e/5f0ba97c-ac1d-4284-bf55-3b4948d28ae4.jpg)
| NDC | 21749-534-89, 21749-534-90 |
| Set ID | 98c8d26c-07d6-478d-b664-dba6b083f99e |
| Category | HUMAN OTC DRUG LABEL |
| Packager | GOJO Industries, Inc. |
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INGREDIENTS AND APPEARANCE
PROVON MEDICATED FOAM HANDWASH WITH ADVANCED MOISTURIZERS
triclosan liquidProduct Information Product Type HUMAN OTC DRUG Item Code (Source) NDC:21749-534 Route of Administration TOPICAL Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength TRICLOSAN (UNII: 4NM5039Y5X) (TRICLOSAN - UNII:4NM5039Y5X) TRICLOSAN 0.003 mg in 1 mL Inactive Ingredients Ingredient Name Strength WATER (UNII: 059QF0KO0R) PROPYLENE GLYCOL (UNII: 6DC9Q167V3) ALCOHOL (UNII: 3K9958V90M) LAURIC ACID (UNII: 1160N9NU9U) MONOETHANOLAMINE (UNII: 5KV86114PT) DISODIUM COCOAMPHODIACETATE (UNII: 18L9G3U51M) LACTIC ACID (UNII: 33X04XA5AT) ISOPROPYL ALCOHOL (UNII: ND2M416302) POLYETHYLENE GLYCOL 200 (UNII: R95B8J264J) POLYQUATERNIUM-10 (30000 MPA.S AT 2%) (UNII: C7RDC8Y4JS) SODIUM METABISULFITE (UNII: 4VON5FNS3C) SODIUM SULFITE (UNII: VTK01UQK3G) EDETATE SODIUM (UNII: MP1J8420LU) SODIUM SULFATE (UNII: 0YPR65R21J) IODOPROPYNYL BUTYLCARBAMATE (UNII: 603P14DHEB) Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NDC:21749-534-89 1200 mL in 1 BOTTLE; Type 0: Not a Combination Product 05/30/2008 10/31/2022 2 NDC:21749-534-90 1250 mL in 1 BOTTLE; Type 0: Not a Combination Product 03/15/2006 10/31/2022 Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date export only 03/15/2006 10/31/2022 Labeler - GOJO Industries, Inc. (004162038) Establishment Name Address ID/FEI Business Operations GOJO Industries, Inc. 036424534 manufacture(21749-534)
