Dial Complete antimicrobial foaming hand soap, 1 liter manual refill cartridge, helps remove unwanted dirt, residue, and bacteria from skin, and has a mild formula that makes it suitable for very frequent hand washing. This refill cartridge is for use with a push-button dispenser (sold separately). It is effective against both hospital-acquired and community-acquired MRSA (methicillin-resistant Staphylococcus aureus), and against VRE (vancomycin-resistant enterococci). It is certified by NSF International (formerly the National Sanitation Foundation) with an E-2 rating, meeting appropriate food safety regulations for hand-washing and sanitizing products.