It takes two squirts of any other national brand to kill as many germs as one squirt of PURELL Advanced Refreshing Gel Hand Sanitizer. Formulation matters. PURELL Advanced Refreshing Gel Hand Sanitizer is skin friendly and mild on hands. It"s enhanced with four nourishing skin-conditioning agents. · Kills the most germs · More effective formula · Clinically proven effective in helping to maintain skin health · Enhanced with 4 nourishing skin-conditioning agents · Trusted and used by hospitals