Advanced foam formulation is clinically proven to improve healthcare worker skin hydration in 14 days with a synergistic moisturizing blend that offers advanced, broad-spectrum antimicrobial efficacy. Seven moisturizers deliver optimal skin conditioning. Advanced Skin Nourishing Instant Hand Sanitizer Foam outperforms other hand sanitizers ounce for ounce and kills more than 99.99 percent of most common germs that may cause illness. Fragrance-free, dye-free refill fits the PURELL LTX-7 Dispenser and is compatible with latex, nitrile and vinyl gloves and CHG. It is made from 100 percent naturally renewable ethanol. Hand sanitizer foam is Green Certified, meets CDC and APIC recommendations and meets EcoLogo hand sanitizer standard EL UL 2783 for environmental leadership and proven performance.