MedPath

Antispetic

Swan 664.003/664AT rev2-AU Blue Mint Antiseptic Mouthrinse

Approved
Approval ID

8bdbfc38-7c14-4162-8d5f-c0bbb7765ea1

Product Type

HUMAN OTC DRUG LABEL

Effective Date

May 12, 2025

Manufacturers
FDA

Vi-Jon, LLC

DUNS: 088520668

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Eucalyptol, menthol, methyl salicylate, thymol

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code0869-0664
Application Number505G(a)(3)
Product Classification
M
Marketing Category
C200263
G
Generic Name
Eucalyptol, menthol, methyl salicylate, thymol
Product Specifications
Route of AdministrationORAL
Effective DateMay 12, 2025
FDA Product Classification

INGREDIENTS (12)

WATERInactive
Code: 059QF0KO0R
Classification: IACT
ALCOHOLInactive
Code: 3K9958V90M
Classification: IACT
SORBITOLInactive
Code: 506T60A25R
Classification: IACT
POLOXAMER 407Inactive
Code: TUF2IVW3M2
Classification: IACT
BENZOIC ACIDInactive
Code: 8SKN0B0MIM
Classification: IACT
SACCHARIN SODIUMInactive
Code: SB8ZUX40TY
Classification: IACT
SODIUM BENZOATEInactive
Code: OJ245FE5EU
Classification: IACT
FD&C GREEN NO. 3Inactive
Code: 3P3ONR6O1S
Classification: IACT
METHYL SALICYLATEActive
Quantity: 0.6 mg in 1 mL
Code: LAV5U5022Y
Classification: ACTIB
THYMOLActive
Quantity: 0.64 mg in 1 mL
Code: 3J50XA376E
Classification: ACTIB
EUCALYPTOLActive
Quantity: 0.92 mg in 1 mL
Code: RV6J6604TK
Classification: ACTIB
MENTHOLActive
Quantity: 0.42 mg in 1 mL
Code: L7T10EIP3A
Classification: ACTIB

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 5/12/2025

principal display panel

Sealed With Printed Neckband For Your Protection

NDC 0869-0664-77

Swan ®

ANTISEPTIC

MOUTH RINSE

ice mint ®

Kills Germs that Cause Bad Breath, Plaque & the Gum Disease Gingivitis

Compare to active ingredients of Listerine ®*

ADA Accepted

American Dental Association

500 mL (16.9 FL OZ)

image descriptionimage description

INDICATIONS & USAGE SECTION

LOINC: 34067-9Updated: 5/12/2025

Use

helps control plaque that leads to gingivitis

ADVERSE REACTIONS SECTION

LOINC: 34084-4Updated: 5/12/2025

Distributed by: Vi-Jon

One Swan Drive

Smyrna, TN 37167

DSP-TN-15000

DSP-MO-34 SDS-TN-15012

OTC - ACTIVE INGREDIENT SECTION

LOINC: 55106-9Updated: 5/12/2025

Active Ingredients

Eucalyptol 0.092%

Menthol 0.042%

Methyl salicylate 0.060%

Thymol 0.064%

OTC - PURPOSE SECTION

LOINC: 55105-1Updated: 5/12/2025

Purpose

Antigingivitis, antiplaque

WARNINGS SECTION

LOINC: 34071-1Updated: 5/12/2025

Warnings

for this product

OTC - DO NOT USE SECTION

LOINC: 50570-1Updated: 5/12/2025

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.

OTC - STOP USE SECTION

LOINC: 50566-9Updated: 5/12/2025

Stop use and ask a dentist if

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

OTC - KEEP OUT OF REACH OF CHILDREN SECTION

LOINC: 50565-1Updated: 5/12/2025

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.

DOSAGE & ADMINISTRATION SECTION

LOINC: 34068-7Updated: 5/12/2025

Directions

adults and children 12 years of age and older - vigorously swish 20 mL (2/3 FL OZ or 4 teaspoonfuls) between teeth 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

STORAGE AND HANDLING SECTION

LOINC: 44425-7Updated: 5/12/2025

Other information

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

INACTIVE INGREDIENT SECTION

LOINC: 51727-6Updated: 5/12/2025

Inactive ingredients

water, alcohol 21.6%, sorbitol solution, flavor, poloxamer 407, benzoic acid, sodium saccharin, sodium benzoate, FD&C green no.3

SPL UNCLASSIFIED SECTION

LOINC: 42229-5Updated: 5/12/2025

Disclaimer

*This product is not manufactured or distributed by Johnson & Johnson Healthcare Products, distributor of Cool Mint Listerine Antiseptic Mouthwash.

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Antispetic - FDA Drug Approval Details