NDC Code(s) : 0116-6720-04
Packager : Xttrium Laboratories, Inc.

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Acclean Chlorhexidine Gluconate 0.12% Oral RinseChlorhexidine Gluconate 0.12% Oral Rinse LIQUID
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:0116-6720
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
GLYCERIN(UNII: PDC6A3C0OX)
PEG-40 SORBITAN DIISOSTEARATE(UNII: JL4CCU7I1G)
ALCOHOL(UNII: 3K9958V90M)
SACCHARIN SODIUM(UNII: SB8ZUX40TY)
FD&C BLUE NO. 1(UNII: H3R47K3TBD)
WATER(UNII: 059QF0KO0R)
Product Characteristics
Color blue Score
Shape Size
Flavor MINT Imprint Code
Contains
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:0116-6720-04118 mL in 1 BOTTLE Type 0: Not a Combination Product22/08/2016
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA077789 02/01/2013

LABELER - Xttrium Laboratories, Inc.(007470579)

REGISTRANT - Xttrium Laboratories, Inc.(007470579)

Establishment
Name Address ID/FEI Business Operations
Xttrium Laboratories, Inc. 007470579 manufacture(0116-6720)

PRINCIPAL DISPLAY PANEL

NDC 0404-6720-04

REF 112-6720

ACCLEAN ®

Chlorhexidine Gluconate

0.12% Oral Rinse, USP

Anti-Microbial Rinse,

Mint

DIRECTIONS FOR USE: Swish 1 tablespoon (15 ml) 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.

KEEP OUT OF REACH OF CHILDREN

1999HS04EZCD

by HENRY SCHEIN®

4 oz. (118 ml)

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.

To open, press down while turning cap. To reseal, turn cap past "clicks" until tightly locked.

CAUTION, CONSULT ACCOMPANYING DOCUMENTS

Rx Only

Acclean PDP

Acclean PDP Acclean PDP Acclean PDP Acclean PDP Acclean PDP