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   <title>
      <content styleCode="bold"> </content>
   </title>
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   <versionNumber value="10"/>
   <author>
      <time/>
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         <representedOrganization>
            <id extension="966985624" root="1.3.6.1.4.1.519.1"/>
            <name>Elanco US Inc.</name>
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               <assignedOrganization/>
            </assignedEntity>
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   </author>
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               <subject>
                  <manufacturedProduct>
                     <manufacturedProduct>
                        <code code="58198-0507" codeSystem="2.16.840.1.113883.6.69"/>
                        <name>Component E-C With Tylan</name>
                        <formCode code="C42942" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="IMPLANT"/>
                        <asEntityWithGeneric>
                           <genericMedicine>
                              <name>progesterone, estradiol benzoate, tylosin tartrate</name>
                           </genericMedicine>
                        </asEntityWithGeneric>
                        <ingredient classCode="ACTIB">
                           <quantity>
                              <numerator unit="mg" value="100"/>
                              <denominator unit="1" value="1"/>
                           </quantity>
                           <ingredientSubstance>
                              <code code="4G7DS2Q64Y" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>progesterone</name>
                              <activeMoiety>
                                 <activeMoiety>
                                    <code code="4G7DS2Q64Y" codeSystem="2.16.840.1.113883.4.9"/>
                                    <name>progesterone</name>
                                 </activeMoiety>
                              </activeMoiety>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="ACTIB">
                           <quantity>
                              <numerator unit="mg" value="10"/>
                              <denominator unit="1" value="1"/>
                           </quantity>
                           <ingredientSubstance>
                              <code code="1S4CJB5ZGN" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>estradiol benzoate</name>
                              <activeMoiety>
                                 <activeMoiety>
                                    <code code="4TI98Z838E" codeSystem="2.16.840.1.113883.4.9"/>
                                    <name>estradiol</name>
                                 </activeMoiety>
                              </activeMoiety>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="ACTIB">
                           <quantity>
                              <numerator unit="mg" value="29"/>
                              <denominator unit="1" value="1"/>
                           </quantity>
                           <ingredientSubstance>
                              <code code="5P4625C51T" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>tylosin tartrate</name>
                              <activeMoiety>
                                 <activeMoiety>
                                    <code code="YEF4JXN031" codeSystem="2.16.840.1.113883.4.9"/>
                                    <name>tylosin</name>
                                 </activeMoiety>
                              </activeMoiety>
                           </ingredientSubstance>
                        </ingredient>
                        <asContent>
                           <quantity>
                              <numerator unit="1" value="20"/>
                              <denominator value="1"/>
                           </quantity>
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                              <formCode code="C43183" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="CARTRIDGE"/>
                              <asContent>
                                 <quantity>
                                    <numerator unit="1" value="1"/>
                                    <denominator value="1"/>
                                 </quantity>
                                 <containerPackagedProduct>
                                    <code/>
                                    <formCode code="C43200" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="POUCH"/>
                                    <asContent>
                                       <quantity>
                                          <numerator unit="1" value="5"/>
                                          <denominator value="1"/>
                                       </quantity>
                                       <containerPackagedProduct>
                                          <code code="58198-0507-2" codeSystem="2.16.840.1.113883.6.69"/>
                                          <formCode code="C43182" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="CARTON"/>
                                       </containerPackagedProduct>
                                    </asContent>
                                 </containerPackagedProduct>
                              </asContent>
                           </containerPackagedProduct>
                        </asContent>
                     </manufacturedProduct>
                     <subjectOf>
                        <approval>
                           <id extension="NADA110315" root="2.16.840.1.113883.3.150"/>
                           <code code="C73593" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="NADA"/>
                           <author>
                              <territorialAuthority>
                                 <territory>
                                    <code code="USA" codeSystem="2.16.840.1.113883.5.28"/>
                                 </territory>
                              </territorialAuthority>
                           </author>
                        </approval>
                     </subjectOf>
                     <subjectOf>
                        <marketingAct>
                           <code code="C53292" codeSystem="2.16.840.1.113883.3.26.1.1"/>
                           <statusCode code="active"/>
                           <effectiveTime>
                              <low value="20131209"/>
                           </effectiveTime>
                        </marketingAct>
                     </subjectOf>
                     <consumedIn>
                        <substanceAdministration>
                           <routeCode code="C38299" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="SUBCUTANEOUS"/>
                        </substanceAdministration>
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         <component>
            <section ID="s1">
               <id root="609c5586-0669-4df5-8845-7080755c7af1"/>
               <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
               <text>
                  <paragraph>
                     <content styleCode="bold">
                        <content styleCode="italics">Elanco</content>
                     </content>™ </paragraph>
                  <paragraph>
                     <content styleCode="bold">
                        <content styleCode="italics">Component</content>
                     </content>™ </paragraph>
                  <paragraph>
                     <content styleCode="bold">
                        <content styleCode="italics">E-C with Tylan</content>
                     </content>™ </paragraph>
                  <paragraph>
                     <content styleCode="bold">(progesterone and estradiol benzoate and tylosin tartrate implant)</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">
                        <content styleCode="italics">BEEF CALVES 45 DAYS OF AGE AND OLDER</content>
                     </content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">
                        <content styleCode="italics">AND WEIGHING UP TO 400 LBS</content>
                     </content>
                  </paragraph>
                  <paragraph>Each implant consists of 100 mg progesterone USP and 10 mg estradiol benzoate and 29 mg tylosin tartrate</paragraph>
                  <paragraph>Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian.</paragraph>
                  <paragraph>
                     <content styleCode="bold">IMPLANTS FOR BEEF CALVES 45 DAYS OF AGE AND OLDER AND WEIGHING UP TO 400 LBS</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Use with a Component Implanter</content>
                  </paragraph>
               </text>
               <effectiveTime value="20250114"/>
            </section>
         </component>
         <component>
            <section ID="s2">
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               <code code="34089-3" codeSystem="2.16.840.1.113883.6.1" displayName="DESCRIPTION SECTION"/>
               <title>DESCRIPTION: </title>
               <text>
                  <paragraph>Each cartridge belt holds 20 doses of Component E-C with Tylan (progesterone and estradiol benzoate and tylosin tartrate implant) Implants. Each dose of 5 pellets consists of 4 pellets containing a total of 100 mg progesterone USP and 10 mg estradiol benzoate plus 1 pellet containing 29 mg tylosin tartrate as a local antibacterial.</paragraph>
               </text>
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            </section>
         </component>
         <component>
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               <code code="34067-9" codeSystem="2.16.840.1.113883.6.1" displayName="INDICATIONS &amp; USAGE SECTION"/>
               <title>INDICATIONS FOR USE: </title>
               <text>
                  <paragraph>For increased rate of weight gain in beef calves 45 days of age and older and weighing up to 400 lbs.</paragraph>
                  <paragraph>This implant is not approved for repeated implantation (reimplantation) with this or any other cattle ear implant as safety and effectiveness has not been evaluated.</paragraph>
                  <paragraph>Do not use in calves less than 45 days of age or veal calves because effectiveness and safety have not been evaluated.</paragraph>
                  <paragraph>Do not use in animals intended for subsequent breeding, or in dairy cows.</paragraph>
               </text>
               <effectiveTime value="20250114"/>
            </section>
         </component>
         <component>
            <section ID="ID_71e4edbb-3075-44f3-a353-cd695366001e">
               <id root="fcff80b5-8965-45fc-81f4-4a27a09455f8"/>
               <code code="34068-7" codeSystem="2.16.840.1.113883.6.1" displayName="DOSAGE &amp; ADMINISTRATION SECTION"/>
               <title>DIRECTIONS:</title>
               <text>
                  <paragraph>Administer 1 implant - the entire contents of one cartridge cell (5 pellets) - subcutaneously in the back of the middle third of the ear. Study and carefully follow at all times the "IMPLANTING INSTRUCTIONS" presented below, avoiding short cuts. Skin infection can be avoided by properly preparing implant site and implanter. During fly season use fly repellent on implant site. One designated team member should always do the implanting. Cleanliness of hands and instruments is important at all times.</paragraph>
                  <table styleCode="Noautorules" width="100%">
                     <col width="100%"/>
                     <tbody>
                        <tr>
                           <td align="center" valign="top">
                              <paragraph>
                                 <content styleCode="bold">Withdrawal Periods and Residue Warnings</content>
                              </paragraph>
                              <paragraph>No withdrawal period is required when used according to labeling.</paragraph>
                              <paragraph>Do not use in beef calves less than 45 days of age, dairy calves, and veal calves. Do not use in bull calves intended for reproduction. A withdrawal period has not been established for this product in pre-ruminating calves. </paragraph>
                              <paragraph>Do not use in dairy cows or in animals intended for subsequent breeding. Use in these cattle may cause drug residues in milk and/or in calves born to these cows. </paragraph>
                              <paragraph>Implant pellets subcutaneously in ear only. Any other location is a violation of Federal law. Do not attempt salvage of implanted site for human or animal food.</paragraph>
                           </td>
                        </tr>
                     </tbody>
                  </table>
               </text>
               <effectiveTime value="20250114"/>
            </section>
         </component>
         <component>
            <section ID="ID_66d660c0-d12d-4f45-ac6d-f21ef327f105">
               <id root="732456b8-f5ea-46a1-ae4c-ce1ee7793c30"/>
               <code code="54433-8" codeSystem="2.16.840.1.113883.6.1" displayName="USER SAFETY WARNINGS SECTION"/>
               <title>USER SAFETY WARNINGS: </title>
               <text>
                  <paragraph>Not for use in humans. Keep out of reach of children.</paragraph>
                  <paragraph>Restricted Drug (California) – Use Only as Directed</paragraph>
               </text>
               <effectiveTime value="20250114"/>
            </section>
         </component>
         <component>
            <section ID="ID_74e8304b-359e-46fb-8d87-01749dbf4e6d">
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               <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
               <title>ANIMAL SAFETY WARNINGS: </title>
               <text>
                  <paragraph>Bulling has occasionally been reported in implanted steers and heifers. Vaginal and rectal prolapse, udder development, ventral edema and elevated tailheads have occasionally been reported in heifers administered Component E-C with Tylan Implants.</paragraph>
               </text>
               <effectiveTime value="20250114"/>
            </section>
         </component>
         <component>
            <section ID="s5">
               <id root="734edc48-dfb4-464e-95cd-414fd4912f52"/>
               <code code="34071-1" codeSystem="2.16.840.1.113883.6.1" displayName="WARNINGS SECTION"/>
               <title>WARNINGS: </title>
               <text>
                  <paragraph>This product is intended for use in cattle at high risk of developing ear abscesses. Not recommended for use in cattle at low risk of developing ear abscesses (e.g., dry, clean cattle).</paragraph>
                  <paragraph>The benefit of using a cattle ear implant containing a tylosin tartrate pellet when animals receive a concomitant antimicrobial product has not been evaluated.</paragraph>
               </text>
               <effectiveTime value="20250114"/>
            </section>
         </component>
         <component>
            <section ID="s6">
               <id root="4ab52af8-c3ef-44bb-acf5-6e860bb6842a"/>
               <code code="59845-8" codeSystem="2.16.840.1.113883.6.1" displayName="INSTRUCTIONS FOR USE SECTION"/>
               <title>IMPLANTING INSTRUCTIONS:</title>
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               <component>
                  <section ID="s7">
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                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Loading the Implanter </title>
                     <text>
                        <paragraph>Load the implanter following the instructions supplied with each implanter. </paragraph>
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                     </text>
                     <effectiveTime value="20250114"/>
                     <component>
                        <observationMedia ID="mm01">
                           <text>Figure
</text>
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                              <reference value="com06-0004-01.jpg"/>
                           </value>
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               <component>
                  <section ID="s8">
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                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Restrain the Animal </title>
                     <text>
                        <paragraph>Speed of implantation as well as safety of handlers is best achieved by restraining animal in a squeeze chute using head restraint. </paragraph>
                        <renderMultiMedia ID="f02" referencedObject="mm02"/>
                     </text>
                     <effectiveTime value="20250114"/>
                     <component>
                        <observationMedia ID="mm02">
                           <text>Figure
</text>
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                              <reference value="com06-0004-02.jpg"/>
                           </value>
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               <component>
                  <section ID="s9">
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                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Prepare the Implant Site </title>
                     <text>
                        <paragraph>Scrub the back side of the ear (implant site) with a piece of clean absorbent cotton or brush which has been soaked with topical germicidal solution. Follow manufacturer's directions on germicide for correct strength and preparation of solution. Avoid getting disinfectant in animal's eyes. </paragraph>
                     </text>
                     <effectiveTime value="20250114"/>
                  </section>
               </component>
               <component>
                  <section ID="s10">
                     <id root="57470e63-52d2-457b-832e-8a140d709648"/>
                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Where to Implant </title>
                     <text>
                        <paragraph>The full contents of one cartridge cell should be implanted beneath the skin on the back side of the middle one-third of the ear as illustrated in the drawing. The implant must not be closer to the head than the edge of the auricular cartilage ring farthest from the head. The location for insertion of the needle is a point toward the tip of the ear and at least a needle length away from the intended deposition site. Avoid injuring the large arteries, veins and cartilage of the ear. </paragraph>
                        <renderMultiMedia ID="f03" referencedObject="mm03"/>
                     </text>
                     <effectiveTime value="20250114"/>
                     <component>
                        <observationMedia ID="mm03">
                           <text>Figure
</text>
                           <value mediaType="image/jpeg" xsi:type="ED">
                              <reference value="com06-0004-03.jpg"/>
                           </value>
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               <component>
                  <section ID="s11">
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                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Insert the Needle </title>
                     <text>
                        <paragraph>With one hand firmly grasp the ear. With the other hand insert needle point through the skin and ease forward on a lateral plane until the entire length of the needle is under the skin. </paragraph>
                        <renderMultiMedia ID="f04" referencedObject="mm04"/>
                     </text>
                     <effectiveTime value="20250114"/>
                     <component>
                        <observationMedia ID="mm04">
                           <text>Figure
</text>
                           <value mediaType="image/jpeg" xsi:type="ED">
                              <reference value="com06-0004-04.jpg"/>
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                  <section ID="s12">
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                     <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
                     <title>Implant the Pellets </title>
                     <text>
                        <paragraph>After inserting the needle fully in the correct implant position, squeeze the trigger fully as the needle is withdrawn from the ear. This properly deposits the implant in the needle track. This procedure should prevent breakage or crushing of pellets if otherwise forced into contact with tough fibrous-tissue underlying the skin. The length and total contact area of a single dose are designed to permit absorption of the hormones after implantation to stimulate good weight gain. Broken or crushed pellets may lead to undesirable side effects such as bulling, rectal and vaginal prolapse, etc., as noted in the <linkHtml href="#s5">WARNINGS</linkHtml>.</paragraph>
                     </text>
                     <effectiveTime value="20250114"/>
                  </section>
               </component>
            </section>
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         <component>
            <section ID="s14">
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               <code code="44425-7" codeSystem="2.16.840.1.113883.6.1" displayName="STORAGE AND HANDLING SECTION"/>
               <title>STORAGE CONDITIONS:</title>
               <text>
                  <paragraph>Store at controlled room temperature 15° to 30°C (59° to 86°F) DO NOT refrigerate – avoid excessive heat and humidity. Discard open foil pouches.</paragraph>
                  <paragraph>Approved by FDA under NADA # 110-315</paragraph>
                  <paragraph>Manufactured by a non-sterilizing process.</paragraph>
                  <paragraph>Component E-C with Tylan (progesterone and estradiol benzoate and tylosin tartrate implants) is covered by U.S. Patent No. 5,874,098 </paragraph>
                  <paragraph>Component, Tylan, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates. </paragraph>
                  <paragraph>© 2023 Elanco or its affiliates</paragraph>
                  <paragraph>Distributed by Elanco US Inc., Greenfield, IN 46140, USA </paragraph>
                  <paragraph>Tylosin: Product of United Kingdom </paragraph>
                  <paragraph>Revised: June 2023</paragraph>
                  <paragraph>PA104028X            AH0507</paragraph>
               </text>
               <effectiveTime value="20250114"/>
            </section>
         </component>
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            <section ID="s15">
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               <code code="51945-4" codeSystem="2.16.840.1.113883.6.1" displayName="PACKAGE LABEL.PRINCIPAL DISPLAY PANEL"/>
               <title>Principal Display Panel - Component E-C With Tylan Cartridge Label </title>
               <text>
                  <paragraph>
                     <content styleCode="bold">Elanco™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Component™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">E-C with Tylan™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(progesterone and estradiol benzoate and tylosin tartrate implants)</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">BEEF CALVES 45 DAYS OF AGE AND OLDER </content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">AND WEIGHING UP TO 400 LBS</content>
                  </paragraph>
                  <renderMultiMedia ID="id-16231216" referencedObject="FBC99A1D-FEB1-4C14-95D1-8AD9F007CEB4"/>
               </text>
               <effectiveTime value="20250114"/>
               <component>
                  <observationMedia ID="FBC99A1D-FEB1-4C14-95D1-8AD9F007CEB4">
                     <text>Cartridge Label</text>
                     <value mediaType="image/jpeg" xsi:type="ED">
                        <reference value="com06-0004-05.jpg"/>
                     </value>
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               </component>
            </section>
         </component>
         <component>
            <section ID="s16">
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               <code code="51945-4" codeSystem="2.16.840.1.113883.6.1" displayName="PACKAGE LABEL.PRINCIPAL DISPLAY PANEL"/>
               <title>Principal Display Panel - Component E-C With Tylan Pouch Label </title>
               <text>
                  <paragraph>
                     <content styleCode="bold">Elanco™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Component™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">E-C with Tylan™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(progesterone and estradiol benzoate and tylosin tartrate implant)</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">BEEF CALVES 45 DAYS OF AGE AND OLDER</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">AND WEIGHING UP TO 400 LBS</content>
                  </paragraph>
                  <paragraph>Each implant consists of 100 mg progesterone USP<br/>and 10 mg estradiol benzoate and 29 mg tylosin tartrate</paragraph>
                  <paragraph>Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian.</paragraph>
                  <paragraph>
                     <content styleCode="bold">IMPLANTS FOR BEEF CALVES 45 DAYS OF AGE AND OLDER AND WEIGHING UP TO 400 LBS</content>
                  </paragraph>
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               </text>
               <effectiveTime value="20250114"/>
               <component>
                  <observationMedia ID="D78FE315-1B48-4931-BEA9-31DCBD0CA500">
                     <text>Figure 3</text>
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                        <reference value="com06-0004-06.jpg"/>
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            </section>
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               <code code="51945-4" codeSystem="2.16.840.1.113883.6.1" displayName="PACKAGE LABEL.PRINCIPAL DISPLAY PANEL"/>
               <title>Principal Display Panel - Component E-C With Tylan Carton Label </title>
               <text>
                  <paragraph>
                     <content styleCode="bold">Elanco™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Component™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">E-C with Tylan™</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">(progesterone and estradiol benzoate and tylosin tartrate implants)</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">BEEF CALVES 45 DAYS OF AGE AND OLDER</content>
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                     <content styleCode="bold">AND WEIGHING UP TO 400 LBS</content>
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