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.