Refreshing gel. Kills more than 99.99% of most common germs that may cause illness. Outperforms other hand sanitizers ounce-for-ounce?. Clinically-proven to maintain skin health?. America?s #1 Instant Hand Sanitizer?. 1. Healthcare Personnel Handwash Study #110103-101 April 5 2011 and #100907-101 Jan 6th 2011 BioScience Laboratories Bozeman MT. 2. Clinical field study #2011-F10233 April 2011. 3. IRI 52wks ending 9/8/13 with HPIS sales data from May 2013.