NORTHSIDE HOSPITAL GREY AMENITY KIT- sodium monofluorophospate kit

Northside Hospital Grey Amenity Kit by

Drug Labeling and Warnings

Northside Hospital Grey Amenity Kit by is a Otc medication manufactured, distributed, or labeled by ASP Global, LLC, ALLIANCE FORMULATIONS. Drug facts, warnings, and ingredients follow.

Drug Details [pdf]

Instant Hand Antiseptic

DRUG FACTS

Active Ingredient

Ethyl Alcohol I.P. : 70.0% v/v Gel base

USES

Hand Sanitization to decrease bacteria on the skin.

For use when soap and water are not available.

WARNINGS

Flammable. Keep away from fire or flame.

For external use only. Recommended for repeated use.

WHEN USING THE PRODUCT

Do not use in or near the eyes.

In case of contact, rinse eyes thoroughly with water.

STOP USE AND ASK A DOCTOR IF

Irritation or rash appears, Keep out of reach of children. If swallowed, get medical help or call a poison control center.

DIRECTIONS

Not recommended for infants. Wet hands thoroughly with product & allow to self dry. Children under 6 years of agae should be supervised when using this product.

OTHER INFORMATION

Avoid freezing, Do not store above 40°C ( 104°F ).

INGREDIENTS

Ultrez - 20. Glycerin, Propylene Glycol, Ethyl Alcohol, Aloe Vera Juice, Fragrance & Purified Water.

SPL UNCLASSIFIED SECTION

DISTRIBUTED BY:

ASP GLOBAL, LLC
7800 THIRD FLAG PARKWAY,
AUSTELL, GA 30168, USA

DeCure Toothpaste

Drug Facts

Active Ingredient

Sodium Monofluorophosphate 0.76%

Purpose

Anticavity (Total Fluoride Content - 1000 ppm Approx.)

Uses

Regular brushing with Fluoride toothpaste helps protect teeth roots against cavities.

Warnings

Keep out of reach of children under 6 years of age.

Don't use if irritation occurs and persists. If more than used for brushing is accidentally swallowed, get medical help, or contact a Poison Control Center right away.

Directions

Adults & 6+ Children	Brush teeth thoroughly after meals or at least twice a day or use as directed by a dentist or physician
Children under 6 yrs.	To minimize swallowing use a pea - sized amount and supervise brushing.
Children under 2 yrs.	Ask a dentist or physician.	NDC NO. 84132-100-10

Inactive Ingredients

Calcium Carbonate, Water, Sorbitol, Silica, Sodium Lauryl Sulphate, Flavor, Sodium Silicate, Tetra Sodium Pyrophosphate, Cellulose Gum, Xanthan Gum, Benzyl Alcohol, Sodium Saccharin, Sodium Benzoate

PRINCIPAL DISPLAY PANEL - 53 mL Bottle Label

ASP
GLOBAL

INSTANT

Hand
Antiseptic

70.0% Ethyl Alcohol

1.9 FL OZ / 53 mL

PRINCIPAL DISPLAY PANEL - 10 g Tube Label

DeCure

Net Weight 10gms / 0.35oz

Toothpaste

With Fluoride Anticavity Protection

PRINCIPAL DISPLAY PANEL - Kit Label

NORTHSIDE
HOSPITAL

Creating a Healing Environment

We provide our patients with the essentials
they need to stay well rested.
This is an important part of healing,
both here and at home.

Storage: Do not store above 40°C (104°F).
Avoid direct exposure to sunlight.

Lot #: XMMDDFC
Exp: YYYY-MM-DD

Contents/Origins:

2.0 fl. oz. Shampoo
2.0 fl. oz. Hair Conditioner
2.0 fl. oz. Shower Gel
2.0 fl. oz. Body Lotion
0.15 oz. net wt. Lip Balm
1.9 fl. oz. Hand Sanitizer
Toothbrush, Toothpaste and Kit Case: Made in India
Spiral Hair Tie: Made in China

Lot #: XMMDDFC
Exp: YYYY-MM-DD

Distributed by:
ASP Global, LLC
7800 Third Flag Parkway,
Austell, GA 30168, USA

REV 00

NORTHSIDE
HOSPITAL

Item #: NSAMK-05
Description: KIT, NORTHSIDE GREY AMENITY

PO #: XXXXXXXXX
Lot #: XMMDDFC
Exp: YYYY-MM-DD
Qty: 20 BAGS/CS
Carton #: XXXX of XXXX
Net Wt.: XX.X KG
Gross Wt.: XX.X KG
Cubic Dimensions: 42.0 x 30.0 x 28.0 CM

Components made in India:

• Shampoo
• Hair Conditioner
• Shower Gel
• Body Lotion
• Toothbrush
• Toothpaste
• Hand Sanitizer
• Lip Balm
• Kit Case

Component made in China:

• Spiral Hair Tie

Assembled in India

NSAMK-05-MC REV 00

NORTHSIDE HOSPITAL

INGREDIENTS AND APPEARANCE

NORTHSIDE HOSPITAL GREY AMENITY KIT 
sodium monofluorophospate kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC: 59448-213

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 59448-213-00	1 in 1 KIT	04/01/2025

Quantity of Parts
Part #	Package Quantity	Total Product Quantity
Part 1	1 BOTTLE, PLASTIC	53 mL
Part 2	1 TUBE	10 g
Part 3	1 BOTTLE, PLASTIC	60 mL
Part 4	1 BOTTLE, PLASTIC	60 mL
Part 5	1 BOTTLE, PLASTIC	60 mL
Part 6	1 TUBE	4.25 g
Part 7	1 BOTTLE, PLASTIC	60 mL

Part 1 of 7

ETHYL ALCOHOL 
alcohol gel

Product Information
Item Code (Source)	NDC: 59448-011
Route of Administration	TOPICAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
ALCOHOL (UNII: 3K9958V90M) (ALCOHOL - UNII:3K9958V90M)	ALCOHOL	70 mL  in 100 mL

Inactive Ingredients
Ingredient Name	Strength
Water (UNII: 059QF0KO0R)
Aloe Vera Leaf (UNII: ZY81Z83H0X)
Glycerin (UNII: PDC6A3C0OX)
Propylene Glycol (UNII: 6DC9Q167V3)
ACRYLATES/C10-30 ALKYL ACRYLATE CROSSPOLYMER (60000 MPA.S AT 0.5%) (UNII: YY2HMJ9NZF)
FRAGRANCE 13576 (UNII: 5EM498GW35)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 59448-011-01	53 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC monograph drug	M003	03/02/2025

Part 2 of 7

DECURE 
sodium monofluorophosphate paste, dentifrice

Product Information
Item Code (Source)	NDC: 84132-100
Route of Administration	DENTAL

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
SODIUM MONOFLUOROPHOSPHATE (UNII: C810JCZ56Q) (Fluoride Ion - UNII:Q80VPU408O)	Fluoride Ion	7.6 mg  in 1 g

Inactive Ingredients
Ingredient Name	Strength
Calcium Carbonate (UNII: H0G9379FGK)
Water (UNII: 059QF0KO0R)
Sorbitol (UNII: 506T60A25R)
Sodium Lauryl Sulfate (UNII: 368GB5141J)
SODIUM PYROPHOSPHATE (UNII: O352864B8Z)
SACCHARIN SODIUM (UNII: SB8ZUX40TY)
SILICON DIOXIDE (UNII: ETJ7Z6XBU4)
Sodium Silicate (UNII: IJF18F77L3)
CARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED (UNII: K679OBS311)
Xanthan Gum (UNII: TTV12P4NEE)
Benzyl Alcohol (UNII: LKG8494WBH)
Sodium Benzoate (UNII: OJ245FE5EU)
METHYL SALICYLATE (UNII: LAV5U5022Y)

Product Characteristics
Color	WHITE	Score
Shape		Size
Flavor	MINT	Imprint Code
Contains

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC: 84132-100-10	10 g in 1 TUBE; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC monograph drug	M021	01/01/2025

Part 3 of 7

ALGARD  LOTION
cleansing (cold creams, cleansing lotions, liquids, and pads) [skin care preparations (creams, lotions, powder, and sprays)]

Product Information

Other Ingredients
Ingredient Kind	Ingredient Name	Quantity
INGR	Water (UNII: 059QF0KO0R)
INGR	Edetate Disodium (UNII: 7FLD91C86K)
INGR	Xanthan Gum (UNII: TTV12P4NEE)
INGR	Glycerin (UNII: PDC6A3C0OX)
INGR	Titanium Dioxide (UNII: 15FIX9V2JP)
INGR	Petrolatum (UNII: 4T6H12BN9U)
INGR	Glyceryl Monostearate (UNII: 230OU9XXE4)
INGR	LIGHT MINERAL OIL (UNII: N6K5787QVP)
INGR	DIMETHICONE, UNSPECIFIED (UNII: 92RU3N3Y1O)
INGR	.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)
INGR	Phenoxyethanol (UNII: HIE492ZZ3T)
INGR	TROLAMINE (UNII: 9O3K93S3TK)
INGR	Sodium Lauroyl Lactylate (UNII: 7243K85WFO)
INGR	Butylated Hydroxytoluene (UNII: 1P9D0Z171K)
INGR	CETOSTEARYL ALCOHOL (UNII: 2DMT128M1S)
INGR	FRAGRANCE 13576 (UNII: 5EM498GW35)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1		60 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
COSMETIC		01/01/2025

Part 4 of 7

ALGARD  SHAMPOO
shampoos (non-coloring), leave-on [hair preparations (non-coloring)]

Product Information

Other Ingredients
Ingredient Kind	Ingredient Name	Quantity
INGR	Water (UNII: 059QF0KO0R)
INGR	Edetate Disodium (UNII: 7FLD91C86K)
INGR	GLYCERIN (UNII: PDC6A3C0OX)
INGR	Disodium Laureth Sulfosuccinate (UNII: D6DH1DTN7E)
INGR	COCO MONOETHANOLAMIDE (UNII: C80684146D)
INGR	GLYCOL DISTEARATE (UNII: 13W7MDN21W)
INGR	BUTYL ACRYLATE/METHYL METHACRYLATE/METHACRYLIC ACID COPOLYMER (18000 MW) (UNII: JZ1374NL9E)
INGR	COCO DIETHANOLAMIDE (UNII: 92005F972D)
INGR	SODIUM LAURYL SARCOSINATE (UNII: 5PGH842FAU)
INGR	COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)
INGR	PHENOXYETHANOL (UNII: HIE492ZZ3T)
INGR	OLIVE OIL (UNII: 6UYK2W1W1E)
INGR	OLEA EUROPAEA (OLIVE) LEAF POWDER (UNII: MJ95C3OH47)
INGR	POLYQUATERNIUM-39 (35/35/30 ACRYLIC ACID/ACRYLAMIDE/DADMAC; 1500000 MW) (UNII: EOD3UE785A)
INGR	POLYQUATERNIUM-73 (UNII: VRL7GP5AGE)
INGR	POLYQUATERNIUM-10 (20000 MPA.S AT 2%) (UNII: N2GK4S7X4T)
INGR	TROLAMINE (UNII: 9O3K93S3TK)
INGR	FRAGRANCE 13576 (UNII: 5EM498GW35)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1		60 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
COSMETIC		01/01/2025

Part 5 of 7

ALGARD  BODY WASH--SHOWER GEL
skin fresheners [skin care preparations (creams, lotions, powder, and sprays)]

Product Information

Other Ingredients
Ingredient Kind	Ingredient Name	Quantity
INGR	Water (UNII: 059QF0KO0R)
INGR	EDETATE DISODIUM (UNII: 7FLD91C86K)
INGR	Xanthan Gum (UNII: TTV12P4NEE)
INGR	Glycerin (UNII: PDC6A3C0OX)
INGR	BUTYL ACRYLATE/METHYL METHACRYLATE/METHACRYLIC ACID COPOLYMER (18000 MW) (UNII: JZ1374NL9E)
INGR	DISODIUM LAURETH SULFOSUCCINATE (UNII: D6DH1DTN7E)
INGR	SODIUM LAURYL SARCOSINATE (UNII: 5PGH842FAU)
INGR	COCO DIETHANOLAMIDE (UNII: 92005F972D)
INGR	COCAMIDOPROPYL BETAINE (UNII: 5OCF3O11KX)
INGR	PHENOXYETHANOL (UNII: HIE492ZZ3T)
INGR	POLYSORBATE 20 (UNII: 7T1F30V5YH)
INGR	TROLAMINE (UNII: 9O3K93S3TK)
INGR	FRAGRANCE 13576 (UNII: 5EM498GW35)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1		60 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
COSMETIC		01/01/2025

Part 6 of 7

ASP  LIP BALM
lipsticks and lip glosses [makeup preparations (not eye)(other than makeup preparations for children)]

Product Information

Other Ingredients
Ingredient Kind	Ingredient Name	Quantity
INGR	2-ETHYLHEXYL ISOHEXADECANOATE (UNII: E1RR6O4O9S)
INGR	MEDIUM-CHAIN TRIGLYCERIDES (UNII: C9H2L21V7U)
INGR	POLYISOBUTYLENE (2300 MW) (UNII: DSQ2V1DD1K)
INGR	YELLOW WAX (UNII: 2ZA36H0S2V)
INGR	HIGH DENSITY POLYETHYLENE (UNII: UG00KM4WR7)
INGR	SHEA BUTTER (UNII: K49155WL9Y)
INGR	.ALPHA.-TOCOPHEROL ACETATE (UNII: 9E8X80D2L0)
INGR	PHENOXYETHANOL (UNII: HIE492ZZ3T)
INGR	FRAGRANCE 13576 (UNII: 5EM498GW35)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1		4.25 g in 1 TUBE; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
COSMETIC		01/01/2025

Part 7 of 7

ALGARD  HAIR CONDITIONER
shampoos (non-coloring), leave-on [hair preparations (non-coloring)]

Product Information

Other Ingredients
Ingredient Kind	Ingredient Name	Quantity
INGR	Water (UNII: 059QF0KO0R)
INGR	GLYCERIN (UNII: PDC6A3C0OX)
INGR	CETOSTEARYL ALCOHOL (UNII: 2DMT128M1S)
INGR	SHEA BUTTER (UNII: K49155WL9Y)
INGR	CETRIMONIUM CHLORIDE (UNII: UC9PE95IBP)
INGR	BEHENTRIMONIUM CHLORIDE (UNII: X7GNG3S47T)
INGR	ALMOND OIL (UNII: 66YXD4DKO9)
INGR	JOJOBA OIL (UNII: 724GKU717M)
INGR	FRAGRANCE 13576 (UNII: 5EM498GW35)
INGR	GLYCERYL STEARATE/PEG-100 STEARATE (UNII: RD25J5V947)
INGR	POLYQUATERNIUM-7 (76/24 ACRYLAMIDE/DADMAC; 120000 MW) (UNII: AAJ238UT03)
INGR	POLYQUATERNIUM-73 (UNII: VRL7GP5AGE)
INGR	ARGAN OIL (UNII: 4V59G5UW9X)
INGR	BUTYLATED HYDROXYTOLUENE (UNII: 1P9D0Z171K)
INGR	EDETATE DISODIUM (UNII: 7FLD91C86K)
INGR	TROLAMINE (UNII: 9O3K93S3TK)
INGR	POLYQUATERNIUM-39 (35/35/30 ACRYLIC ACID/ACRYLAMIDE/DADMAC; 1500000 MW) (UNII: EOD3UE785A)
INGR	PHENOXYETHANOL (UNII: HIE492ZZ3T)

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1		60 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
COSMETIC		01/01/2025

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC monograph drug	M003	04/01/2025

Labeler - ASP Global, LLC (080361159)

Establishment
Name	Address	ID/FEI	Business Operations
ALLIANCE FORMULATIONS		738530875	MANUFACTURE(59448-213) , PACK(59448-213) , LABEL(59448-213)