Advanced gel hand sanitizer refills are designed for PURELL ES4 Push-Style Hand Sanitizer Dispensers for healthcare environments. Sanitizer kills more than 99.99 percent of most common germs that may cause illness in a healthcare setting. PURELL Healthcare Advanced Hand Sanitizer Gel exceeds FDA healthcare personnel handwash requirements with just 1.1 ml. of product. It is hypoallergenic, dermatologist-tested and dye-free. Hand sanitizer is enhanced with a nourishing blend of four skin conditioners and clinically proven to maintain skin health. It is compatible with nitrile, vinyl and latex gloves as well as Chlorhexidine Gluconate. AT-A-GLANCE refill design lets you monitor soap levels with just one look. Sanitary Sealed PET refill is easily recycled.