HighMark Antibacterial Foam Soap 572.002/572AD

Antibacterial Foam by

Drug Labeling and Warnings

Antibacterial Foam by is a Otc medication manufactured, distributed, or labeled by Office Max, Vi-Jon, LLC.. Drug facts, warnings, and ingredients follow.

Drug Details [pdf]

ANTIBACTERIAL FOAM- benzalkonium chloride solution 
Office Max

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HighMark Antibacterial Foam Soap 572.002/572AD

Active ingredient

Benzalkonium chloride 0.13% w/w

Purpose

Antiseptic

Uses

Handwash to help reduce bacteria that potentially can cause disease.

Warnings

For external use only

When using this product

Avoid contact with eyes. In case of eye contact, flush with water.

Stop use and ask a doctor

if irritation or redness develops.  If condition persists for more than 72 hours consult a doctor.

Keep out of reach of children.

If swallowed, seek immediate medical attention or call a poison control center.

Directions

Wet hands, apply soap, rub hand together vigorously for at least 20 seconds. Rinse and dry hand thoroughly with a disposable paper towel.

Inactive ingredients

Water, Glycerin, Lauramine Oxide, Cocamidopropyl Betaine, PEG-150 Distearate, Aloe Barbadensis Leaf Juice, Cocamide MEA, Citric Acid, Tetrasodium EDTA, DMDM Hydantoin

Additional rear label text for manual dispensers

HIGHMARK MANUAL DISPENSER REFILL

MANUAL DISPENSER REFILL

ANTIMICROBIAL FOAM SOAP

FRAGRANCE FREE

Distributed by: Office Depot, LLC

6600 N. Military Trail, Boca Raton, FL 33496 USA

Highmark is a trademark or requisted trademark of OMX, Inc.

©2021 Office Depot, LLC.  All Rights Reserved/

Made in USA woth foreign and domestic materials

Questions? Call 1-877-674-0688

40.6 FL OZ (1200 mL)

L0019535BA/000/00

Item 9909824

Additional rear label text for automated refill

HM

HIGHMARK

AUTOMATED DISPENSER REFILL

ANTIMICROBIAL FOAM SOAP

FRAGRANCE FREE

Distributed by: Office Depot, LLC

6600 N. Military Trail, Boca Raton, FL 33496 USA

Highmark is a trademark or registered trade of OMX, inc.

© 2021 Office Depot, LLC. All Rights Reserved.

Made in USA with foreign and domestic materials

Question?  Call 1-877-674-0688

40.6 FL OZ (1200 mL)

L0019536BA

5000011614/000/00

ITEM 9931373

principal display panel

HM

MANUAL DISPENSER REFILL

ANTIMICROBIAL

FOAM SOAP

FRAGRANCE FREE

40.6 FL OZ (1200 mL)

L0019535FA

5000011610/000/00

ITEM 9909824

principal display panel

HM

AUTOMATED DISPENSER REFILL

ANTIMICROBIAL

FOAM SOAP

FRAGRANCE FREE

40.6 FL OZ (1200 mL)

L0019536FA

5000011613/000/00

ITEM 9931373

ANTIBACTERIAL FOAM 
benzalkonium chloride solution

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC: 61139-572
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1.3 mg  in 1 mL

Inactive Ingredients
Ingredient Name	Strength
WATER (UNII: 059QF0KO0R)	Â
GLYCERIN (UNII: PDC6A3C0OX)	Â
LAURAMINE OXIDE (UNII: 4F6FC4MI8W)	Â
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)	Â
PEG-150 DISTEARATE (UNII: 6F36Q0I0AC)	Â
ALOE VERA LEAF (UNII: ZY81Z83H0X)	Â
COCO MONOETHANOLAMIDE (UNII: C80684146D)	Â
CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)	Â
EDETATE SODIUM (UNII: MP1J8420LU)	Â
DMDM HYDANTOIN (UNII: BYR0546TOW)	Â

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 61139-572-37	1200 mL in 1 BOTTLE, DISPENSING; Type 0: Not a Combination Product	12/02/2020	12/15/2023

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	505G(a)(3)	12/02/2020	12/15/2023

Labeler - Office Max (009073099)

Registrant - Vi-Jon, LLC. (088520668)

Establishment
Name	Address	ID/FEI	Business Operations
Vi-Jon, LLC.		088520668	manufacture(61139-572)

Establishment
Name	Address	ID/FEI	Business Operations
Vi-Jon, LLC.		790752542	manufacture(61139-572)

Revised: 2/2024

Document Id: 114b6349-01f0-41b3-e063-6294a90ab5f9

34390-5

Set id: 558687fe-1cfd-46f7-8d11-5c5a7a0f9fd5

Version: 6

Effective Time: 20240213

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