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Promote well-being with PURELL Advanced Hand Sanitizer Foam, an effective solution capable of killing 99.99% of that may cause illness. Enhanced with a nourishing blend of four skin conditioners, PURELL Advanced Hand Sanitizer Foam is clinically proven to maintain skin health. The transparent refill allows teams to monitor hand sanitizer levels with just a look; each refill is factory-sealed to help eliminate contamination. 69% of people expect to see PURELL Hand Sanitizer in public places; show you care about well-being with PURELL Advanced Hand Sanitizer Foam refills for the ES4 Dispenser Ounce for ounce outperforms other leading hand sanitizers and is proven to kill 99.99% of most common that may cause illness Formulated with conditioners that are clinically proven to maintain skin health and keep hands feeling soft and healthy even after multiple uses Each PURELL Hand Sanitizer refill comes with a factory-sealed nozzle that helps eliminate the risk of contamination and ensures an effective formula that is safe and pleasant to use A certified Women-Owned Business manufactures this product Designed for use with your existing ES4 sanitizer dispenser. Cradle to Cradle Gold certified - reduced environmental impact from an overall lifecycle standpoint. Ranked in five tiers: Basic, Bronze, Silver, Gold, and Platinum. Less harsh chemicals - made with fewer harsh chemicals, or safer chemicals than typical alternatives, helping reduce your use of and exposure to substances that may be more harmful to your health and the environment.