Hy-vee 664.003/664at Rev2-au

Hy-vee 664.003/664at Rev2-au
SPL v2
SPL
SPL Set ID 4538029b-1ff9-080a-e063-6394a90ac9b7
Route
ORAL
Published
Effective Date 2025-12-05
Document Type 34390-5 HUMAN OTC DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients
Thymol (0.64 mg) Salicylic Acid (0.6 mg) Menthol (0.42 mg) Eucalyptol (0.92 mg)
Inactive Ingredients
Saccharin Sodium Alcohol Benzoic Acid Sorbitol Sodium Benzoate Water Fd&c Green No. 3 Poloxamer 407

Identifiers & Packaging

Marketing Status
OTC MONOGRAPH DRUG Active Since 2025-12-05

Description

Eucalyptol 0.092% Menthol 0.042% Methyl salicylate 0.060% Thymol 0.064%

Purpose

Antigingivitis, Antiplaque


Medication Information

Purpose

Antigingivitis, Antiplaque

Description

Eucalyptol 0.092% Menthol 0.042% Methyl salicylate 0.060% Thymol 0.064%

Use

helps control plaque that leads to gingivitis

Warnings

for this product

Directions

adults and children 12 years of age and older - vigorously swish 20 mL (2/3 FL OZ or 4 teaspoonfuls) between teeth twice a day for 30 seconds then spit out; do not swallow

children under 12 years of age - consult a dentist or doctor

  • this rinse is not intended to replace brushing or flossing
Disclaimer

*This product is not manufactured or distributed by Kenvue, Inc., distributor of CoolMint ® Listerine ® Antiseptic Mouthwash.

Do Not Use

if you have painful or swollen gums, pus from the gum line, loose teeth or increased spacing between the teeth. See your dentist immediately. These may be signs of periodontitis, a serious form of gum disease.

Adverse Reaction

DISTRIBUTED BY HY-VEE, INC.

5820 WESTOWN PARKWAY

WEST DES MOINES, IA 50266

DSP-TN-21091

DSP-MO-20087

smartlabel

Scan here for more information

SATISFACTION GUARANTEED OR PURCHASE PRICE REFUNDED, FOR INFORMATION CALL 1-800-289-8343 www.hy-vee.com

Other Information

cold weather may cloud this product. Its antiseptic properties are not affected. Store at room temperature (59°-77°F).

Active Ingredients

Eucalyptol 0.092%

Menthol 0.042%

Methyl salicylate 0.060%

Thymol 0.064%

Inactive Ingredients

water, alcohol 21.6%, sorbitol, poloxamer 407, benzoic acid, sodium saccharin, sodium benzoate, flavor, green 3

Principal Display Panel

COMPARE TO LISTERINE ®*

Hy-Vee ®

ANTISEPTIC MOUTHWASH

ANTIGINGIVITIS/ANTIPLAQUE

  • For better oral hygiene & fresher breath
  • Kills germs that cause bad breath, plaque & the gum disease gingivits

Blue Mint

1 L (1.05 QT) 33.8 FL OZ

Tamper Evident Statement

Sealed With Printed Neckband For Your Protection

Stop Use and Ask A Dentist If

gingivitis, bleeding, or redness persists for more than 2 weeks.

Keep Out of Reach of Children.

If more than used for rinsing is accidentally swallowed, get medical help or contact a Poison Control Center right away.


Structured Label Content

Use

helps control plaque that leads to gingivitis

Purpose

Antigingivitis, Antiplaque

Warnings

for this product

Directions

adults and children 12 years of age and older - vigorously swish 20 mL (2/3 FL OZ or 4 teaspoonfuls) between teeth twice a day for 30 seconds then spit out; do not swallow

children under 12 years of age - consult a dentist or doctor

  • this rinse is not intended to replace brushing or flossing
Disclaimer

*This product is not manufactured or distributed by Kenvue, Inc., distributor of CoolMint ® Listerine ® Antiseptic Mouthwash.

Do Not Use (Do not use)

if you have painful or swollen gums, pus from the gum line, loose teeth or increased spacing between the teeth. See your dentist immediately. These may be signs of periodontitis, a serious form of gum disease.

Adverse Reaction

DISTRIBUTED BY HY-VEE, INC.

5820 WESTOWN PARKWAY

WEST DES MOINES, IA 50266

DSP-TN-21091

DSP-MO-20087

smartlabel

Scan here for more information

SATISFACTION GUARANTEED OR PURCHASE PRICE REFUNDED, FOR INFORMATION CALL 1-800-289-8343 www.hy-vee.com

Other Information (Other information)

cold weather may cloud this product. Its antiseptic properties are not affected. Store at room temperature (59°-77°F).

Active Ingredients (Active ingredients)

Eucalyptol 0.092%

Menthol 0.042%

Methyl salicylate 0.060%

Thymol 0.064%

Inactive Ingredients (Inactive ingredients)

water, alcohol 21.6%, sorbitol, poloxamer 407, benzoic acid, sodium saccharin, sodium benzoate, flavor, green 3

Principal Display Panel

COMPARE TO LISTERINE ®*

Hy-Vee ®

ANTISEPTIC MOUTHWASH

ANTIGINGIVITIS/ANTIPLAQUE

  • For better oral hygiene & fresher breath
  • Kills germs that cause bad breath, plaque & the gum disease gingivits

Blue Mint

1 L (1.05 QT) 33.8 FL OZ

Tamper Evident Statement

Sealed With Printed Neckband For Your Protection

Stop Use and Ask A Dentist If (Stop use and ask a dentist if)

gingivitis, bleeding, or redness persists for more than 2 weeks.

Keep Out of Reach of Children. (Keep out of reach of children.)

If more than used for rinsing is accidentally swallowed, get medical help or contact a Poison Control Center right away.


Advanced Ingredient Data


Raw Label Data

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