NDC Code(s) : 52007-101-04
Packager : Vectair Systems, Inc.

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

EZ-SAN Anti-Bacterial Foam HandTriclosan SOAP
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:52007-101
Route of Administration TOPICAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
TRICLOSAN(UNII: 4NM5039Y5X)
(TRICLOSAN - UNII:4NM5039Y5X) 		TRICLOSAN3.0 mg in 1 mL
Inactive Ingredients
Ingredient Name Strength
WATER(UNII: 059QF0KO0R)
SODIUM LAURETH SULFATE(UNII: BPV390UAP0)
PROPYLENE GLYCOL(UNII: 6DC9Q167V3)
SODIUM CUMENESULFONATE(UNII: 5798KA13PG)
SODIUM CHLORIDE(UNII: 451W47IQ8X)
CHLOROXYLENOL(UNII: 0F32U78V2Q)
DMDM HYDANTOIN(UNII: BYR0546TOW)
FD&C YELLOW NO. 5(UNII: I753WB2F1M)
FD&C BLUE NO. 1(UNII: H3R47K3TBD)
Product Characteristics
Color green Score
Shape Size
Flavor Imprint Code
Contains
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:52007-101-044 in 1 BOX 22/04/2016
11000 mL in 1 BOTTLE, PUMP Type 0: Not a Combination Product
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
OTC monograph not final part333E 04/22/2016 08/11/2018

PRINCIPAL DISPLAY PANEL

Case Label