SIGNATURE SELECT PAIN RELIEVING- lidocaine hcl, benzalkonium chloride spray

Signature Select Pain Relieving by

Drug Labeling and Warnings

Signature Select Pain Relieving by is a Otc medication manufactured, distributed, or labeled by Safeway/Albartsons, Nantong Health & Beyond Hygienic Products Inc. Drug facts, warnings, and ingredients follow.

Drug Details [pdf]

Active ingredients 

Benzalkonium Cl 0.13% 

LidocaineHCI 4%

Purpose

First aid antiseptic 
Pain relieving 

Uses

First aid to help prevent bacterial contamination or skin infection and for temporary relief of pain and itching associated with

■ minor burns

■ sunburn

■ minor cuts

■scrapes

■ insect bites

■ minor skin irritations

Warnings

For external use only

When using this product

■ avoid contact w th eyes

■ do not use in large quantities, particularly over raw surfaces or blistered areas

Ask a doctor before use if you have

■deep or puncture wounds

■ animalbites

■ serious burns

Stop use and ask a doctor if

■ condition worsens

■ symptoms persist for more than 7 days

■symptoms clear up and occur again w thin a few days

Keep out of reach of children and pets.

If swallowed, get medical help or contact Poison Control Center (1-800-222-1222) right away.

Directions 

■Adults and children 2 years and older: Cleananddry affectedarea. Shake well;spray small amount on the area 1 to 3 times daily.
May be covered witha sterilebandage;let dry first.

■ Children under 2 years af age: ask a doctor

Other information

Avoid excessive heat

Inactive Ingredients

disodium EDTA, melaleuca alterniflia (tea Tree) leaf oil, octoxynol-9, propylene glycol, water

Questions or comments?

Call 1-866-1313

Label

INGREDIENTS AND APPEARANCE

SIGNATURE SELECT PAIN RELIEVING 
lidocaine hcl, benzalkonium chloride spray

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC: 21130-931
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	0.13 g  in 100 mL
LIDOCAINE HYDROCHLORIDE (UNII: V13007Z41A) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE	4 g  in 100 mL

Inactive Ingredients
Ingredient Name	Strength
WATER (UNII: 059QF0KO0R)
EDETATE DISODIUM ANHYDROUS (UNII: 8NLQ36F6MM)
OCTOXYNOL 9 (UNII: 7JPC6Y25QS)
MELALEUCA ALTERNIFOLIA (TEA TREE) LEAF OIL (UNII: VIF565UC2G)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 21130-931-01	148 mL in 1 BOTTLE, SPRAY; Type 0: Not a Combination Product	10/01/2025

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	M003	10/01/2025

Labeler - Safeway/Albartsons (009137209)

Registrant - Safeway/Albartsons (009137209)

Establishment
Name	Address	ID/FEI	Business Operations
Nantong Health & Beyond Hygienic Products Inc		421280161	manufacture(21130-931)