Green Tea Blackhead Scrub 054.000/054AA

Blackhead scrub by

Drug Labeling and Warnings

Blackhead scrub by is a Otc medication manufactured, distributed, or labeled by Vi-Jon, LLC. Drug facts, warnings, and ingredients follow.

Drug Details [pdf]

BLACKHEAD SCRUB- salicylic acid (1%) cream 
Consumer Product Partners, LLC

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Green Tea Blackhead Scrub
054.000/054AA

ACTIVE INGREDIENT

sALICYLIC ACID (1%)

PURPOSE

Acne medication

use

• for treatment of acne

Warnings

For external use only

When using this product

• skin irritation and dryness is more likely to occur if you use another topical acne medication at the same time.  If irritation occurs, only se topical acne medication at a time.

Keep out of reach of children.

If swallowed, get medical help or contact a Poisone Control Center right away.

Directions

• moisten face with water.  Apply product with wet fingertips and massage over face.  Rinse well and pat dry.
• avoid contact with the eyes.  If contact occurs, flush throughly with water.

inactive ingredients

water, hydrated silica, glycerin, glyceryl stearate SE, cetearyl alcohol, cetyl alcohol, decyl glucoside, cocamidopropyl betaine, triethanolamine, glyceryl stearate, PEG-100 stearate, cetyl acetate, benzyl alcohol, fragrance, carbomer, acetylated lanolin alcohol, ceteareth-20, polysorbate 60, propylene glycol, disodium EDTA, benzoic acid, Camellia sinensis leaf extract, red 33, blue 1, yellow 5

Adverse reactions

This product is not manufactured or distributed by Unilever, distributo of St. Ives Blackhead Clearing Green Tea Scrub

Distributed by:

Vi-Jon, LLC

St. Louis MO 63114

principal display panel

SIMPLY

U

GREEN TEA

BLACKHEAD

SCRUB

SALICYLIC ACID ACNE

MEDICATION SCRUB

Helps clear blackheads

and soothe red skin

dermatologist

tested

paraben free

oil free

Compare to St. Ives

Blackhead Clearing

Green Tea Scrub

NET WT 6 OZ (170 g)

BLACKHEAD SCRUB 
salicylic acid (1%) cream

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC: 11344-054
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
SALICYLIC ACID (UNII: O414PZ4LPZ) (SALICYLIC ACID - UNII:O414PZ4LPZ)	SALICYLIC ACID	10 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
WATER (UNII: 059QF0KO0R)
HYDRATED SILICA (UNII: Y6O7T4G8P9)
GLYCERIN (UNII: PDC6A3C0OX)
GLYCERYL STEARATE SE (UNII: FCZ5MH785I)
CETOSTEARYL ALCOHOL (UNII: 2DMT128M1S)
DECYL GLUCOSIDE (UNII: Z17H97EA6Y)
COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)
TROLAMINE (UNII: 9O3K93S3TK)
GLYCERYL MONOSTEARATE (UNII: 230OU9XXE4)
PEG-100 STEARATE (UNII: YD01N1999R)
CETYL ACETATE (UNII: 4Q43814HXS)
BENZYL ALCOHOL (UNII: LKG8494WBH)
CARBOMER COPOLYMER TYPE A (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: 71DD5V995L)
ACETYLATED LANOLIN ALCOHOLS (UNII: SNN716810P)
POLYOXYL 20 CETOSTEARYL ETHER (UNII: YRC528SWUY)
POLYSORBATE 60 (UNII: CAL22UVI4M)
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)
EDETATE DISODIUM (UNII: 7FLD91C86K)
BENZOIC ACID (UNII: 8SKN0B0MIM)
GREEN TEA LEAF (UNII: W2ZU1RY8B0)
D&C RED NO. 33 (UNII: 9DBA0SBB0L)
FD&C BLUE NO. 1 (UNII: H3R47K3TBD)
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 11344-054-30	170 g in 1 TUBE; Type 0: Not a Combination Product	09/01/2020	01/07/2023

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC Monograph Drug	M006	09/01/2020	01/07/2023

Labeler - Consumer Product Partners, LLC (119091520)

Registrant - Consumer Product Partners, LLC (119091520)

Establishment
Name	Address	ID/FEI	Business Operations
Consumer Product Partners, LLC		119091514	manufacture(11344-054)

Revised: 1/2024

Document Id: 102e8dee-55d2-ed64-e063-6294a90a239f

34390-5

Set id: 6b6dad34-73ff-40ec-9dc5-05d6792b0f53

Version: 11

Effective Time: 20240130