SUMMIT 367 ANTIBACTERIAL FOAM- benzalkonium chloride solution

Active Ingredient

Benzalkonium Chloride 0.1%
Purpose

Antibacterial
Use

For hand washing to help reduce bacteria on the skin
Warnings

For external use only.

When using this product avoid contact with eyes. In case of eye contact, flush eyes with water.

Stop use and ask a doctor if irritation or redness develops, or if condition persists for more than 72 hours.

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.
Directions
- Pump a small amount of foam into palm of hand.
- Scrub thoroughly for at least 15 seconds.
- Rinse completely and dry.
Inactive Ingredients

Water, Lauramine Oxide, Glycerin, PEG-120 Methyl Glucose Dioleate, Phenoxyethanol, Fragrance, Citric Acid, Red 40, Blue 1
PRINCIPAL DISPLAY PANEL

INGREDIENTS AND APPEARANCE

SUMMIT 367 ANTIBACTERIAL FOAM
benzalkonium chloride solution

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
GLYCERIN (UNII: PDC6A3C0OX)
PEG-120 METHYL GLUCOSE DIOLEATE (UNII: YM0K64F20V)
WATER (UNII: 059QF0KO0R)
FD&C RED NO. 40 (UNII: WZB9127XOA)
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)
PHENOXYETHANOL (UNII: HIE492ZZ3T)
LAURAMINE OXIDE (UNII: 4F6FC4MI8W)
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)

Product Characteristics
Color	pink (dispensed as a white foam)	Score
Shape		Size
Flavor		Imprint Code
Contains

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC: 23590-200-10	850 mL in 1 BOTTLE, PUMP; Type 0: Not a Combination Product	04/29/2026

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC Monograph Drug	505G(a)(3)	04/29/2026

Labeler - R.L. Williams Company (099976362)