<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet href="http://www.accessdata.fda.gov/spl/stylesheet/spl.xsl" type="text/xsl"?>
<document xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3" xsi:schemaLocation="urn:hl7-org:v3 http://www.accessdata.fda.gov/spl/schema/spl.xsd">
   <id root="9aa3a56c-543b-325b-e053-2995a90ae86e"/>
   <code code="34390-5" codeSystem="2.16.840.1.113883.6.1" displayName="HUMAN OTC DRUG LABEL"/>
   <title>VALUMEDS LAXATIVE</title>
   <effectiveTime value="20191226"/>
   <setId root="6290de48-f30b-4e8d-a974-eb2cfed1d09a"/>
   <versionNumber value="2"/>
   <author>
      <time/>
      <assignedEntity>
         <representedOrganization>
            <id root="1.3.6.1.4.1.519.1" extension="179621011"/>
            <name>SPIRIT PHARMACEUTICALS LLC</name>
            <assignedEntity>
               <assignedOrganization>
                  <assignedEntity>
                     <assignedOrganization>
                        <id root="1.3.6.1.4.1.519.1" extension="037052099"/>
                        <name>TIME-CAP LABS, INC.</name>
                     </assignedOrganization>
                     <performance>
                        <actDefinition>
                           <code code="C43360" displayName="manufacture" codeSystem="2.16.840.1.113883.3.26.1.1"/>
                           <product>
                              <manufacturedProduct classCode="MANU">
                                 <manufacturedMaterialKind>
                                    <code code="68210-0312" codeSystem="2.16.840.1.113883.6.69"/>
                                 </manufacturedMaterialKind>
                              </manufacturedProduct>
                           </product>
                        </actDefinition>
                     </performance>
                  </assignedEntity>
               </assignedOrganization>
            </assignedEntity>
         </representedOrganization>
      </assignedEntity>
   </author>
   <component>
      <structuredBody>
         <component>
            <section>
               <id root="9aa3a740-cd6d-1719-e053-2a95a90a0586"/>
               <code code="48780-1" codeSystem="2.16.840.1.113883.6.1" displayName="SPL product data elements section"/>
               <effectiveTime value="20191226"/>
               <subject>
                  <manufacturedProduct>
                     <manufacturedProduct>
                        <code code="68210-0312" codeSystem="2.16.840.1.113883.6.69"/>
                        <name>BISACODYL</name>
                        <formCode code="C42905" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="TABLET, DELAYED RELEASE"/>
                        <asEntityWithGeneric>
                           <genericMedicine>
                              <name>BISACODYL</name>
                           </genericMedicine>
                        </asEntityWithGeneric>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="5C5403N26O" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>ACACIA</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="E934B3V59H" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>CALCIUM SULFATE ANHYDROUS</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="3SY5LH9PMK" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>ANHYDROUS LACTOSE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="R12CBM0EIZ" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>CARNAUBA WAX</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="ETJ7Z6XBU4" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>SILICON DIOXIDE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="O8232NY3SJ" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>STARCH, CORN</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="35SW5USQ3G" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>D&amp;C YELLOW NO. 10</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="H77VEI93A8" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>FD&amp;C YELLOW NO. 6</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="2G86QN327L" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>GELATIN</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="XM0M87F357" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>FERROSOFERRIC OXIDE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="EX438O2MRT" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>FERRIC OXIDE YELLOW</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="70097M6I30" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>MAGNESIUM STEARATE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="OP1R32D61U" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>MICROCRYSTALLINE CELLULOSE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="B697894SGQ" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>POLYETHYLENE GLYCOL 400</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="58QVG85GW3" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>POLYVINYL ACETATE PHTHALATE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="FZ989GH94E" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>POVIDONE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="46N107B71O" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>SHELLAC</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="5856J3G2A2" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>SODIUM STARCH GLYCOLATE TYPE A POTATO</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="4ELV7Z65AP" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>STEARIC ACID</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="C151H8M554" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>SUCROSE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="7SEV7J4R1U" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>TALC</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="IACT">
                           <ingredientSubstance>
                              <code code="15FIX9V2JP" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>TITANIUM DIOXIDE</name>
                           </ingredientSubstance>
                        </ingredient>
                        <ingredient classCode="ACTIB">
                           <quantity>
                              <numerator unit="mg" value="5"/>
                              <denominator unit="1" value="1"/>
                           </quantity>
                           <ingredientSubstance>
                              <code code="10X0709Y6I" codeSystem="2.16.840.1.113883.4.9"/>
                              <name>BISACODYL</name>
                              <activeMoiety>
                                 <activeMoiety>
                                    <code code="R09078E41Y" codeSystem="2.16.840.1.113883.4.9"/>
                                    <name>DEACETYLBISACODYL</name>
                                 </activeMoiety>
                              </activeMoiety>
                           </ingredientSubstance>
                        </ingredient>
                        <asContent>
                           <quantity>
                              <numerator value="100" unit="1"/>
                              <denominator value="1"/>
                           </quantity>
                           <containerPackagedProduct>
                              <code code="68210-0312-1" codeSystem="2.16.840.1.113883.6.69"/>
                              <formCode code="C43169" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="BOTTLE"/>
                           </containerPackagedProduct>
                           <subjectOf>
                              <characteristic>
                                 <code code="SPLCMBPRDTP" codeSystem="2.16.840.1.113883.1.11.19255"/>
                                 <value code="C112160" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="Type 0: Not a Combination Product" xsi:type="CV"/>
                              </characteristic>
                           </subjectOf>
                           <subjectOf>
                              <marketingAct>
                                 <code code="C53292" codeSystem="2.16.840.1.113883.3.26.1.1"/>
                                 <statusCode code="active"/>
                                 <effectiveTime>
                                    <low value="20170519"/>
                                 </effectiveTime>
                              </marketingAct>
                           </subjectOf>
                        </asContent>
                     </manufacturedProduct>
                     <subjectOf>
                        <approval>
                           <id extension="part334" root="2.16.840.1.113883.3.149"/>
                           <code code="C73604" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="OTC monograph not final"/>
                           <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="20170519"/>
                           </effectiveTime>
                        </marketingAct>
                     </subjectOf>
                     <subjectOf>
                        <characteristic classCode="OBS">
                           <code code="SPLCOLOR" codeSystem="2.16.840.1.113883.1.11.19255"/>
                           <value code="C48331" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="orange" xsi:type="CE">
                              <originalText/>
                           </value>
                        </characteristic>
                     </subjectOf>
                     <subjectOf>
                        <characteristic classCode="OBS">
                           <code code="SPLIMPRINT" codeSystem="2.16.840.1.113883.1.11.19255"/>
                           <value xsi:type="ST">TCL003</value>
                        </characteristic>
                     </subjectOf>
                     <subjectOf>
                        <characteristic classCode="OBS">
                           <code code="SPLSIZE" codeSystem="2.16.840.1.113883.1.11.19255"/>
                           <value unit="mm" value="6" xsi:type="PQ"/>
                        </characteristic>
                     </subjectOf>
                     <subjectOf>
                        <characteristic classCode="OBS">
                           <code code="SPLSCORE" codeSystem="2.16.840.1.113883.1.11.19255"/>
                           <value value="1" xsi:type="INT"/>
                        </characteristic>
                     </subjectOf>
                     <subjectOf>
                        <characteristic classCode="OBS">
                           <code code="SPLSHAPE" codeSystem="2.16.840.1.113883.1.11.19255"/>
                           <value code="C48348" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="ROUND" xsi:type="CE">
                              <originalText/>
                           </value>
                        </characteristic>
                     </subjectOf>
                     <consumedIn>
                        <substanceAdministration>
                           <routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="ORAL"/>
                        </substanceAdministration>
                     </consumedIn>
                  </manufacturedProduct>
               </subject>
            </section>
         </component>
         <component>
            <section ID="L28e41624-ac43-461d-aabb-aa4c406d7ccb">
               <id root="9aa3a56c-543c-325b-e053-2995a90ae86e"/>
               <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
               <text>
                  <paragraph>
                     <content styleCode="italics">
                        <content styleCode="bold">Drug Facts</content>
                     </content>
                  </paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="L69707e44-3e45-4421-8888-2e4f5bffe8fc">
               <id root="9aa3a56c-543d-325b-e053-2995a90ae86e"/>
               <code code="55106-9" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - ACTIVE INGREDIENT SECTION"/>
               <title>
                  <content styleCode="bold">Active ingredient 
       
 
  
       
 
  <br/>(in each tablet)
      

 
      

 </content>
               </title>
               <text>
                  <paragraph>Bisacodyl (USP) 5 mg</paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Lb0cc72fd-2730-413a-bb0c-3cf55a1230b6">
               <id root="9aa3a56c-543e-325b-e053-2995a90ae86e"/>
               <code code="55105-1" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - PURPOSE SECTION"/>
               <title>
                  <content styleCode="bold">Purpose</content>
               </title>
               <text>
                  <paragraph>Stimulant laxative</paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Lc5ee0f9e-d8fc-42a9-baf9-145d8a57e05e">
               <id root="9aa3a56c-543f-325b-e053-2995a90ae86e"/>
               <code code="34067-9" codeSystem="2.16.840.1.113883.6.1" displayName="INDICATIONS &amp; USAGE SECTION"/>
               <title>
                  <content styleCode="bold">Uses</content>
               </title>
               <text>
                  <list listType="unordered">
                     <item>for temporary relief of occasional constipation and irregularity</item>
                     <item>this product generally produces bowel movement in 6 to 12 hours</item>
                  </list>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="L4999a77d-3b41-48dd-b50f-bc902b512cbf">
               <id root="9aa3a56c-5440-325b-e053-2995a90ae86e"/>
               <code code="34071-1" codeSystem="2.16.840.1.113883.6.1" displayName="WARNINGS SECTION"/>
               <title>
                  <content styleCode="bold">Warnings</content>
               </title>
               <text>
                  <paragraph>
                     <content styleCode="bold">Do not use</content> if you cannot swallow without chewing
      

 
      

 </paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="L3c38e1cc-a596-449d-ba46-74e97fb6ed07">
               <id root="9aa3a56c-5441-325b-e053-2995a90ae86e"/>
               <code code="50569-3" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - ASK DOCTOR SECTION"/>
               <title>
                  <content styleCode="bold">Ask a doctor before use if you have</content>
               </title>
               <text>
                  <list listType="unordered">
                     <item>stomach pain, nausea or vomiting</item>
                     <item>a sudden change in bowel habits that lasts more than 2 weeks</item>
                  </list>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="L94d17472-2c11-4937-ae90-81bf5f4cedcc">
               <id root="9aa3a56c-5442-325b-e053-2995a90ae86e"/>
               <code code="50567-7" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - WHEN USING SECTION"/>
               <title>
                  <content styleCode="bold">When using this product</content>
               </title>
               <text>
                  <list listType="unordered">
                     <item>do not chew or crush tablet(s)</item>
                     <item>it may cause stomach discomfort, faintness and cramps</item>
                     <item>do not use within 1 hour after taking an antacid or milk</item>
                  </list>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Lfb4f6d98-e6d6-4d50-9af2-dd00ba0e6096">
               <id root="9aa3a56c-5443-325b-e053-2995a90ae86e"/>
               <code code="50566-9" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - STOP USE SECTION"/>
               <title>
                  <content styleCode="bold">Stop use and ask a doctor if</content>
               </title>
               <text>
                  <list listType="unordered">
                     <item>you have rectal bleeding or no bowel movement after using this product. These could be signs of a serious condition.</item>
                     <item>you need to use a laxative for more than 1 week</item>
                  </list>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="L2906be4d-7a5d-4635-af84-08cf66385d13">
               <id root="9aa3a56c-5444-325b-e053-2995a90ae86e"/>
               <code code="53414-9" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - PREGNANCY OR BREAST FEEDING SECTION"/>
               <text>
                  <paragraph>
                     <content styleCode="bold">if pregnant or breast-feeding,</content> ask a health professional before use.
      

 
      

 </paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Lc6631368-38e3-45e9-bb03-e09c36e18d28">
               <id root="9aa3a56c-5445-325b-e053-2995a90ae86e"/>
               <code code="50565-1" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - KEEP OUT OF REACH OF CHILDREN SECTION"/>
               <title>
                  <content styleCode="bold">Keep out of reach of children</content>
               </title>
               <text>
                  <paragraph>In case of overdose, get medical help or contact a Poison Control Center right away 1(800)222-1222</paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Lbe9dacc9-b68e-47d5-be3c-c6ccc0b7f984">
               <id root="9aa3a56c-5446-325b-e053-2995a90ae86e"/>
               <code code="34068-7" codeSystem="2.16.840.1.113883.6.1" displayName="DOSAGE &amp; ADMINISTRATION SECTION"/>
               <title>
                  <content styleCode="bold">Directions</content>
               </title>
               <text>
                  <paragraph>take with a glass of water</paragraph>
                  <table width="100%">
                     <caption/>
                     <tbody>
                        <tr>
                           <td> adults and children 12 years and over</td>
                           <td> 1 to 3 tablets in a single daily dose</td>
                        </tr>
                        <tr>
                           <td> children 6 to under 12 years of age   </td>
                           <td> 1 tablet in a single daily dose</td>
                        </tr>
                        <tr>
                           <td> children under 6 years of age   </td>
                           <td> ask a doctor</td>
                        </tr>
                     </tbody>
                  </table>
                  <paragraph/>
               </text>
               <effectiveTime value="20170515"/>
            </section>
         </component>
         <component>
            <section ID="L77a461c9-7a7e-4cb2-ae24-1b4c4bf90cc7">
               <id root="9aa3a56c-5447-325b-e053-2995a90ae86e"/>
               <code code="44425-7" codeSystem="2.16.840.1.113883.6.1" displayName="STORAGE AND HANDLING SECTION"/>
               <title>
                  <content styleCode="bold">Other information</content>
               </title>
               <text>
                  <list listType="unordered">
                     <item>
                        <content styleCode="bold">each tablet contains:</content> magnesium 5 mg
 
  
       
 
  </item>
                     <item>store at 20-25°C (68-77°F)</item>
                     <item>protect from excessive humidity</item>
                  </list>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Lb5eb8b68-cd68-4aec-a7ec-85aa2e46a4e6">
               <id root="9aa3a56c-5448-325b-e053-2995a90ae86e"/>
               <code code="51727-6" codeSystem="2.16.840.1.113883.6.1" displayName="INACTIVE INGREDIENT SECTION"/>
               <title>
                  <content styleCode="bold">Inactive ingredients</content>
               </title>
               <text>
                  <paragraph>Acacia, anhydrous calcium sulfate, anhydrous lactose, carnauba wax, colloidal silicon dioxide, corn starch, D&amp;C Yellow#10 Aluminum Lake, FD&amp;C Yellow#6 Aluminum Lake, gelatin, iron oxide, iron oxide black, iron oxide yellow (iron oxide ochre), magnesium stearate, microcrystalline cellulose, polyethylene glycol (PEG) 400, polyvinyl acetate phthalate, povidone, shellac, sodium starch glycolate, stearic acid, sugar, talc, titanium dioxide</paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Lc58e5ec2-45aa-48a4-9953-87c500173dcc">
               <id root="9aa3a56c-5449-325b-e053-2995a90ae86e"/>
               <code code="53413-1" codeSystem="2.16.840.1.113883.6.1" displayName="OTC - QUESTIONS SECTION"/>
               <title>
                  <content styleCode="bold">Questions or comments?</content>
               </title>
               <text>
                  <paragraph>
                     <content styleCode="bold">1-888-333-9792</content>
                  </paragraph>
               </text>
               <effectiveTime value="20170519"/>
            </section>
         </component>
         <component>
            <section ID="Le4daf438-9d4c-49a8-a1b8-8994ebca8c5f">
               <id root="9aa3a56c-544a-325b-e053-2995a90ae86e"/>
               <code code="42229-5" codeSystem="2.16.840.1.113883.6.1" displayName="SPL UNCLASSIFIED SECTION"/>
               <text>
                  <paragraph>Distributed By</paragraph>
                  <paragraph>Spirit Pharmaceuticals, LLC</paragraph>
                  <paragraph>Ronkonkoma, NY 11779</paragraph>
               </text>
               <effectiveTime value="20170515"/>
            </section>
         </component>
         <component>
            <section ID="Lc4dac065-755c-436f-9924-0ad991fef09d">
               <id root="9aa3a56c-544b-325b-e053-2995a90ae86e"/>
               <code code="51945-4" codeSystem="2.16.840.1.113883.6.1" displayName="PACKAGE LABEL.PRINCIPAL DISPLAY PANEL"/>
               <title>PRINCIPAL DISPLAY PANEL - 5 mg tablets bottle</title>
               <text>
                  <paragraph>
                     <content styleCode="bold">VALUMEDS</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Compare</content> to the 
      

 
      

 </paragraph>
                  <paragraph>active ingredient</paragraph>
                  <paragraph>in 
       
 
  
       
 
  <content styleCode="bold">DULCOLAX®*</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Laxative</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">BISACODYL USP 5 mg</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Gentle</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">Overnight Relief</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">100 TABLETS</content>
                  </paragraph>
                  <paragraph>
                     <content styleCode="bold">
                        <renderMultiMedia referencedObject="L2a9dbb42-a94a-402e-8360-4d9533f27c51"/>
                     </content>
                  </paragraph>
               </text>
               <effectiveTime value="20170515"/>
               <component>
                  <observationMedia ID="L2a9dbb42-a94a-402e-8360-4d9533f27c51">
                     <text>image description</text>
                     <value mediaType="image/jpeg" xsi:type="ED">
                        <reference value="VM Bisacodyl Tablets 5mg 100ct_441-01.jpg"/>
                     </value>
                  </observationMedia>
               </component>
            </section>
         </component>
      </structuredBody>
   </component>
</document>