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Purell is the most trusted and used hand sanitizer by hospitals and clinically proven effective in maintaining skin health.One squirt of Purell kills as many germs as two squirts of any other national brand.Formulated with four nourishing skin-conditioning agents for a skin-friendly hand sanitizer that soothes your skin and prevents dryness.Proven to kill 99.99% of germs on hands to keep you healthy in the most demanding environments.Sanitary-sealed refill bottle for LTX dispenser (sold separately) includes dispensing valve to reduce germ exposure. Non-Returnable item