![PROVON MEDICATED LTION S OAP WITH TRICLOSAN (TRICLOSAN) LIQUID [GOJO INDUSTRIES, INC.]](https://medic.hrt.org//dailymed/images/eaf9ae30-3326-41f3-9fd6-d57168780780/b6bf9e96-1d1a-490d-a1d9-6364945a17d3.jpg)
- PRINCIPAL DISPLAY PANEL
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INGREDIENTS AND APPEARANCE
PROVON MEDICATED LTION S OAP WITH TRICLOSAN
triclosan liquidProduct 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)
