NDC Code(s) : 0116-0175-16
Packager : Xttrium Laboratories, Inc.

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Chlorhexidine GluconateChlorhexidine Gluconate RINSE
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:0116-0175
Route of Administration ORAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
CHLORHEXIDINE GLUCONATE(UNII: MOR84MUD8E)
(CHLORHEXIDINE - UNII:R4KO0DY52L)
CHLORHEXIDINE GLUCONATE1.2 mg in 1 mL
Inactive Ingredients
Ingredient Name Strength
WATER(UNII: 059QF0KO0R)
ALCOHOL(UNII: 3K9958V90M)
GLYCERIN(UNII: PDC6A3C0OX)
PEG-40 SORBITAN DIISOSTEARATE(UNII: JL4CCU7I1G)
SACCHARIN SODIUM(UNII: SB8ZUX40TY)
FD&C BLUE NO. 1(UNII: H3R47K3TBD)
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:0116-0175-16473 mL in 1 BOTTLE, PLASTIC Type 0: Not a Combination Product18/06/2009
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA077789 06/18/2009

LABELER - Xttrium Laboratories, Inc.(007470579)

REGISTRANT - Xttrium Laboratories, Inc.(007470579)

Establishment
Name Address ID/FEI Business Operations
Xttrium Laboratories, Inc. 007470579 manufacture(0116-0175)

PRINCIPAL DISPLAY PANEL

NDC 59883-175-16

pro-denRx

oral rinse USP

0.12% chlorhexidine gluconate

Rx Only

Keep out of reach of children

To open, press in flat panels while turning cap. Ro reseal, turn cap past "clicks" until tightly locked.

DIRECTIONS FOR USE: Fill cap to the "fill line" (15 mL). Swish in mouth undiluted for 30 seconds, then spit out. Use after breakfast and before bedtime. Or, use as prescribed. NOTE: To minimize medicinal taste, do not rinse with water immediately after use.

INGREDIENTS: 0.12% chlorhexidine gluconate in a base containing water, 11.6% alcohol, glycerin, PEG-40 sorbitan diisostearate, flavor, sodium saccharin, and FD&C Blue No. 1.

1 Pint (473 mL)

1999DM16BLDLA

Denmat 1

Denmat 1

Denmat 1

Denmat 1