X0306 4 2018-10-20 0001739104 Elanco Animal Health Inc ELAN 0001752437 Cabral Ramiro Martin C/O ELANCO ANIMAL HEALTH INCORPORATED 2500 INNOVATION WAY GREENFIELD IN 46140 0 1 0 0 See Remarks Common Stock 2018-10-20 4 A 0 6979 0 A 7979 D Non-Qualified Stock Option (Right-to-Buy) 31.61 2018-10-20 4 A 0 21086 A 2028-10-20 Elanco Animal Health Inc. Common Stock 21086 21086 D Grant of restricted stock units pursuant to the 2018 Elanco Stock Plan on October 20, 2018, vesting on October 20, 2021. Grant of stock option pursuant to the 2018 Elanco Stock Plan on October 20, 2018, vesting on October 20, 2021. Executive Vice Presideent, Elanco International and Global Customer Value. Exhibit 24 - Power of Attorney for Ramiro Cabral /s/ Michael-Bryant Hicks, as Attorney-in-Fact for Ramiro M. Cabral 2018-10-23