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California Veterinary Supply distributed unapproved antimicrobial drugs intended for aquarium fish, including amoxicillin, azithromycin, ciprofloxacin, and other medically important antibiotics, without FDA approval or proper drug listing. The products were misbranded because they were not registered with FDA, had not undergone the required drug listing process, and lacked proper FDA-approved labeling in violation of the Federal Food, Drug, and Cosmetic Act. The company's website contained explicit disease treatment claims that established these products as drugs, making their distribution into interstate commerce illegal.