NDC Code(s) : 63433-894-94, 63433-894-07
Packager : DHC USA Incorporated

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

DHC Salicylic Acne WashSalicylic Acid LOTION
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:63433-894
Route of Administration TOPICAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Salicylic Acid(UNII: O414PZ4LPZ)
(Salicylic Acid - UNII:O414PZ4LPZ) 		Salicylic Acid30 mg in 1.5 mL
Inactive Ingredients
Ingredient Name Strength
Water(UNII: 059QF0KO0R)
AMMONIUM LAURYL SULFATE(UNII: Q7AO2R1M0B)
Cetyl Alcohol(UNII: 936JST6JCN)
Glycol Distearate(UNII: 13W7MDN21W)
Cocamidopropyl Betaine(UNII: 5OCF3O11KX)
Coco Monoethanolamide(UNII: C80684146D)
Trolamine(UNII: 9O3K93S3TK)
Phenoxyethanol(UNII: HIE492ZZ3T)
Steareth-20(UNII: L0Q8IK9E08)
Edetate Disodium(UNII: 7FLD91C86K)
rosemary oil(UNII: 8LGU7VM393)
Butylene Glycol(UNII: 3XUS85K0RA)
Allantoin(UNII: 344S277G0Z)
Green Tea Leaf(UNII: W2ZU1RY8B0)
Royal Jelly(UNII: L497I37F0C)
Scutellaria Baicalensis Root(UNII: 7J95K7ID2S)
Perilla Frutescens Leaf(UNII: T4L5881Y68)
Houttuynia Cordata Flowering Top(UNII: RH041UUZ22)
Aloe Vera Leaf(UNII: ZY81Z83H0X)
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:63433-894-94120 mL in 1 BOTTLE, PLASTIC Type 0: Not a Combination Product01/08/2011
2NDC:63433-894-072 mL in 1 CELLO PACK Type 0: Not a Combination Product01/08/2011
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
OTC MONOGRAPH FINAL part333D 08/01/2011 06/15/2018

PRINCIPAL DISPLAY PANEL

Salicylic
Acne Wash

DHC

PRINCIPAL DISPLAY PANEL - 120 ml Bottle Label