Putusan PN BATUSANGKAR
62/Pid.Sus/2023/PN Bsk

Putusan PN BATUSANGKAR Nomor 62/Pid.Sus/2023/PN Bsk
Tanggal 3 Agustus 2023 —Penuntut Umum:
Gilang Olla Rahmadhan, S.H., M.Kn.
Terdakwa:
Fajri Surya Ika Putra Pgl. Ari

MENGADILI:

1. Menyatakan Terdakwa FAJRI SURYA IKA PUTRA Panggilan ARI tersebut di atas, telah terbukti secara sah dan meyakinkan bersalah melakukan tindak pidana ?Dengan sengaja mengedarkan sediaan farmasi yang tidak memiliki perizinan berusaha? sebagaimana dalam dakwaan alternatif kesatu;
2. Menjatuhkan pidana kepada Terdakwa oleh karena itu dengan pidana penjara selama 1 (satu) tahun dan 3 (tiga) bulan dan denda sejumlah Rp5.000.000,00 (lima juta rupiah) dengan ketentuan bahwa jika denda tidak dibayar harus diganti pidana kurungan selama 3 (tiga) bulan;
3. Menetapkan masa penahanan yang telah dijalani Terdakwa dikurangkan seluruhnya dari pidana yang dijatuhkan;
4. Menetapkan Terdakwa tetap ditahan;
5. Menetapkan barang bukti berupa 25 (dua puluh lima) dus besar berisi Obat-obatan berklasifikasi Obat Keras dan Obat Tradisional Tanpa Izin Edar berbagai macam merk dengan rincian:

Karung 1
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Polofar Plus PT Ifars 12 Box Obat Keras
2 Deximox Forte PT Dexa Medica 4 Box Obat Keras
3 Sammoxin PT Samco Farma 5 Box Obat Keras
4 Bintamox 500 PT Sampharindo 3 Box Obat Keras
5 Floxifar PT Ifars 2 Box Obat Keras
6 Amosterra PT Sejahtera Lestari Farma 1 Box Obat Keras
7 Mixalgin PT Erela 20 Box Obat Keras
8 Ciprofloxacin PT Hexapharm Jaya 1 Box Obat Keras
9 Microtina PT Pyridam 1 Box Obat Keras
10 Cefixim Trihydrate PT Dankos 4 Box Obat Keras
11 Samquinor PT Samco Farma 7 Box Obat Keras
12 Molazol PT Molex Ayus 1 Box Obat Keras
13 Sultrimmik DS PT Bernofarm 1 Box Obat Keras
14 Cipromid PT Amida Farma 3 Box Obat Keras
15 Cefixim Trihydrate PT Pharma Lab 3 Box Obat Keras
16 Lostacef PT Ifars 1 Box Obat Keras
17 Cefadroksil Monohydrate PT Bernofarm 2 Box Obat Keras
18 Infantrim PT Molex Ayus 1 Box Obat Keras
19 Brodamox PT Sampharindo 1 Box Obat Keras
20 Novabiotic PT Novapharm 2 Box Obat Keras
21 Bimactrim PT Lyoid Pharma 1 Box Obat Keras
22 Etamoxul PT Errita Pharma 1 Box Obat Keras
23 Etaflox PT Errita Pharma 1 Box Obat Keras
24 Levofloxacin Hemidrate PT Hexpharm Jaya 3 Strip Obat Keras
25 Citicoline PT Dankos 2 Strip Obat Keras

Karung 2
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Vibramox Pyridam 6 Box Obat Keras
2 Lanadexon Landson 5 Box Obat Keras
3 Lopamid Harsen 5 Box Obat Keras
4 Simvastatin Novapharin 5 Box Obat Keras
5 Cetirizine Hydrocloride Novapharin 9 Box Obat Keras
6 Bidaxtam Llyoid 5 Box Obat Keras
7 Omegesic Mutifa 6 Box Obat Keras
8 Kaditic Ifars 5 Box Obat Keras
9 Histigo Ifars 6 Box Obat Keras
10 Bintamox Kalbe 2 Box Obat Keras
11 ortisone Cream Hexpham Jaya 2 Box Obat Keras
12 Anosterra Sejahtera Lestari 6 Box Obat Keras
13 Amoxicillin Trihidrate Hexpham Jaya 9 Box Obat Keras
14 Solpenox Solas 2 Box Obat Keras
15 Refaquin Surya Dermanto 4 ktk Obat Keras
16 Inflason Berlico 4 Box Obat Keras
17 Piroxicam First Medipharma 6 Box Obat Keras
18 Grafalin Graha Farma 6 Box Obat Keras
19 Glimepirid Hexpharm Jaya 5 Box Obat Keras
20 Dextaf Belatif 5 Box Obat Keras
21 Biropyron Llyod Pharma 5 Box Obat Keras
22 OT TIE 1 Kantong OT TIE
23 Hydrocortison Kimia Farma 19 tube Obat Keras
24 Acetylcystein Mahakam 1 Box Obat Keras
25 Lansoprazole Bernofarm 1 Box Obat Keras

Karung 3
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Anastan Forte PT Gratia Husada 8 Box Obat Keras
2 Pronto PT Zenith 2 Box Obat Keras
3 Fargetix PT Ifars 11 Box Obat Keras
4 Opistan PT Pertiwi Agung 3 Box Obat Keras
5 Cefadroxil PT Dexa Medica 4 Box Obat Keras
6 Ketokonazol PT Hexpharm Jaya 8 Box Obat Keras
7 Histapan Sanbe Farma 5 Box Obat Keras
8 Ketokonazol PT Nova Pharin 1 Box Obat Keras
9 Neurophyron-V PT Harsen 1 Box Obat Keras
10 Pritagesic PT Molex Ayus 1 Box Obat Keras
11 Dexymox F Dexa Medica 5 Box Obat Keras
12 Metamidazole PT Mega Esa Farma 1 Box Obat Keras
13 Novachlor PT Nova Pharin 1 Box Obat Keras
14 Repass Erela 3 Box Obat Keras
15 Ginitar PT Ifars 1 Box Obat Keras
16 Methylprednisolone Dexa Medica 9 Box Obat Keras
17 Ampicillin Trihydrate PT Pharma Lab 5 Box Obat Keras
18 Tifestan Bolatif 3 Box Obat Keras
19 Nemic PT Triman 2 Box Obat Keras
20 Vesperum PT Ifars 2 Box Obat Keras
21 Gabiten PT Ifars 2 Box Obat Keras
22 Grazeo PT Graha Farma 4 Box Obat Keras
23 Gratazon PT Graha Farma 2 Box Obat Keras
24 Cefixim Trihydrate PT Hexpharm Jaya 2 Box Obat Keras
25 Grafamic PT Graha Farma 1 Box Obat Keras
26 Ginifar PT Ifars 1 Box Obat Keras
27 Costan PT Samco 1 Box Obat Keras
28 Molasic PT Molex Ayus 1 Box Obat Keras
29 Scopma PT Ifars 1 Box Obat Keras
30 Etaneural PT Errita 1 Box Obat Keras
31 Lansoprazole Dankos 1 Box Obat Keras
32 Witranal PT Itrasal 1 Box Obat Keras
33 Novadium PT Nova Pharin 1 Box Obat Keras

Karung 4
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Ketocanazole PT Novapharin 47 Box Obat Keras
2 Ketocanazole PT Ferron 10 Box Obat Keras
3 Gabiten PT Ifar 1 Box Obat Keras
4 Molacort PT Molex Ayus 3 Box Obat Keras
5 Ketocanazole PT Hexapharm Jaya 8 Box Obat Keras
6 Flacoid PT Yekatria Farma 2 Box Obat Keras
7 Kaditic PT Ifars 4 Box Obat Keras
8 Gludapetic PT Yarindo Farmatama 4 Box Obat Keras
9 Farmoten PT Pratapa Nirmala 2 Box Obat Keras
10 Dexaharsen PT Harsen 4 Box Obat Keras
11 Hufadexta M PT Gratia Husada Farma 3 Box Obat Keras
12 Renabetic PT Pratapa Nirmala 3 Box Obat Keras
13 Metyl Prednisolone PT Dexa Medica 20 Box Obat Keras

Karung 5
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Yusimox Sirup PT Ifars 8 btl Obat Keras
2 Hufanoxil Sirup PT Gratia Husada Farma 2 btl Obat Keras
3 Mexon Sirup PT Sampharindo 8 btl Obat Keras
4 Mexon Beta Sirup PT Sampharindo 31 btl Obat Keras
5 Zemoxil Sirup PT Zenith Pharmaceutical 9 btl Obat Keras
6 Trisela sirup PT Errela 5 btl Obat Keras
7 Roverton PT Ifars 19 btl Obat Keras
8 Gitri Suspensi PT Holi Pharma 8 btl Obat Keras
9 Licidal Sirup PT Holi Pharma 9 btl Obat Keras
10 Bufacetin Suspensi PT Bufa Aneka 5 btl Obat Keras
11 Holimicetine PT Holi Pharma 3 btl Obat Keras
12 Vasperum PT Ifars 8 btl Obat Keras
13 Broadamox PT Sampharindo 3 btl Obat Keras
14 Omegtamine PT Mutifa 3 btl Obat Keras
15 Nuvopec PT Novapharin 4 btl Obat Keras
16 Mirapect PT Sampharindo 9 btl Obat Keras
17 Erlamycetin ear drop PT Erela 8 btl Obat Keras
18 Sucralfate Sirup PT Meprofarm 3 btl Obat Keras
19 Salep 1 kantong Obat Keras
20 Supertetra PT Darya Varia 18 Strip Obat Keras
21 Novadex PT Novapharin 7 btl Obat Keras
22 Clobetasol Propionate PT Etercon Farma 10 tube Obat Keras
23 Kopi Jantan 2 ktk OT TIE
24 Pi Kang Suang 11 tube OT TIE
25 Fluocinonide 3 tube Obat TIE

Keranjang 6
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Obat Keras Eceran 2 keranjang Obat Keras

DUS 7
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Grazeo Graha Farma 24 Strip Obat Keras
2 Salbutamol Kimia Farma 6 Strip Obat Keras
3 Loratadine Promedrahardjo 4 Strip Obat Keras
4 Bidium Lloyd Pharma 2 Strip Obat Keras
5 Ambroxol Infarmind 13 Strip Obat Keras
6 Molacort Molex Ayus 46 Strip Obat Keras
7 Meloxicam OTTo 20 Strip Obat Keras
8 Novadex Novapharmin 17 Strip Obat Keras
9 Grathazon Graha Farma 56 Strip Obat Keras
10 Methylprednisolon Molex Ayus 22 Strip Obat Keras
11 Dexanel Nellco 9 Strip Obat Keras
12 Papaverine HCl Novapharin 8 Strip Obat Keras
13 Bidaxtam Lloyd Pharma 18 Strip Obat Keras
14 Carbidu Sampharindo 61 Strip Obat Keras
15 Dexamethasone Novapharmin 14 Strip Obat Keras
16 Erphaflam Erlimpex 8 Strip Obat Keras
17 Meloxicam Dankos 9 Strip Obat Keras
18 Novadium Novapharin 9 Strip Obat Keras
19 Gricin Novapharin 10 Strip Obat Keras
20 Danasone Hexpharm Jaya 38 Strip Obat Keras
21 Ucodexon Berlico 20 Strip Obat Keras
22 Meloxicam Novapharin 9 Strip Obat Keras
23 Nuvopee Novapharin 20 Strip Obat Keras
24 Methylprednisolon Novapharin 5 Strip Obat Keras
25 Obat Keras eceran Plastik 1 pak Obat Keras
26 Obat Keras eceran Plastik 1 pak Obat Keras
27 Obat Keras eceran Plastik 1 pak Obat Keras
28 Obat Keras eceran Plastik 1 pak Obat Keras
29 Obat Keras eceran Plastik 1 pak Obat Keras
30 Obat Keras eceran Plastik 1 pak Obat Keras

DUS 8
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Pil Tupai Jantan - 28 bks OT TIE
2 Andalan Pil KB PT. Harsen 13 Ktk Obat Keras
3 Omestan PT Mutiara Multi Farma 3 Strip Obat Keras
4 Amlodipine Besilate PT Beta Pharmaton 37 Strip Obat Keras
5 MethylPrednisolon PT Beta Pharmaton 2 Box Obat Keras
6 Cetirizin PT Hexapharm Jaya 9 Strip Obat Keras
7 Bimastan 500 PT Loyd Pharma Indonesia 7 Strip Obat Keras
8 Erlapect PT Erela 10 Strip Obat Keras
9 Trifacort PT Trifa 10 Strip Obat Keras
10 CTM PT PIM 3 btl Obat Keras
11 Novadex PT Novapharin 1 btl Obat Keras
12 Nisagon PT Ifars 2 Box Obat Keras
13 Skizon PT Kalbe Farma 3 Box Obat Keras
14 King Gorila Black 10 Sachet OT TIE
15 Spider 10 Sachet OT TIE
16 Buaya Jantan 12 Sachet OT TIE
17 Viagra X 7 Sachet OT TIE
18 Luwak Cobra 10 bks OT TIE
19 Madu Muda 5 Ktk OT TIE
20 Kopi Ginseng Siberia 8 Sachet OT TIE
21 Ramuan Dayak 12 bks OT TIE
22 Urat Kuda 27 bks OT TIE
23 Jaguar 6 blister OT TIE
24 Urat Madu 20 Sachet OT TIE
25 Chang San 3 bks OT TIE
26 King Sex 5 bks OT TIE
27 Beruang Putih 9 Sachet OT TIE
28 Montalin 25 Sachet OT TIE
29 Tawon Liar 13 Sachet OT TIE
30 Semut Jantan 4 Sachet OT TIE
31 Big Penis 3 ktk OT TIE
32 Africa Black Ant 2 Sachet OT TIE
33 Super Jantan 2 Sachet OT TIE
34 Sinatren 3 Sachet OT TIE
35 Neurobion Inj 2 amp Obat Keras

DUS 9
NO Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Hydrocortison Kimia Farma 15 Tube Obat Keras
2 Piroxicam PT First Medipharma 19 blister Obat Keras
3 Aspilet PT Medifarma Lab 7 Strip Obat Keras
4 Novamox PT. Novapharin 16 Strip Obat Keras
5 Supertetra PT Darya Varia 14 Strip Obat Keras
6 Methylprednisolone PT Beta Pharmacon 87 blister Obat Keras
7 Amlodipine Besilate PT Beta Pharmacon 35 blister Obat Keras
8 Glibenklamid PT Indofarma 21 Strip Obat Keras
9 Sammoxin PT Samco Farma 6 Strip Obat Keras
10 Thyrozol Merck 6 blister Obat Keras
11 Pronicy PT Sejahtera lestari 4 blister Obat Keras
12 Polafofar PT Ifar 24 Strip Obat Keras
13 Tifestan PT Bolatif 17 Strip Obat Keras
14 Betason Kimia Farma 22 Tube Obat Keras
15 Methylprednisolone PT Hexapharm Jaya 25 Strip Obat Keras
16 Andalan PT Harsen 10 blister Obat Keras
17 Planotab PT Triyasa 16 Obat Keras
18 Ampicillin Trihydrate PT Pharmalaboratories 9 Strip Obat Keras
19 Bio Placenton PT Kalbe Farma 6 Tube Obat Keras
20 Allopurinol PT Novapharin 10 Strip Obat Keras
21 Lexigo PT Molex Ayus 2 Strip Obat Keras
22 Microgynon PT Bayer 3 blister Obat Keras
23 Cetirizin PT Novel 7 blister Obat Keras
24 Pondex Forte PT Dexamedica 10 blister Obat Keras
25 Aciclovir PT Indofarma 13 Tube Obat Keras
26 Atorvastatin Calcium PT Dexamedica 5 Strip Obat Keras
27 Megatic PT Ifars 14 blister Obat Keras
28 Methylprednisolone PT Infion 30 Strip Obat Keras
29 Bisoprolol Fumarat PT Etercon Farma 6 Strip Obat Keras
30 Bimastan PT Lloyd Pharma 3 Strip Obat Keras
31 Voltadex PT Beta Pharmacon 16 Strip Obat Keras
32 Gludepatic PT Yarindo 14 blister Obat Keras
33 Methylprednisolone PT Infion 11 blister Obat Keras
34 Furosemid PT Yarindo 3 Strip Obat Keras
35 Simvastatin PT Hexapharm Jaya 3 blister Obat Keras
36 Amlodipine Besilate PT Dexamedica 10 blister Obat Keras
37 Eltazon PT Ifars 5 blister Obat Keras
38 CTM PT Pim 3 btl Obat Keras
39 Chloramphenicol PT Holi 2 btl Obat Keras
40 Glucodex PT Dexamedica 7 blister Obat Keras
41 Oxytetracyclin PT Kimia Farma 4 Tube Obat Keras
42 Pi Kang Shuang 12 Tube OT TIE
43 Kopi Jantan Indosehat Abadi 1 ktk OT TIE
44 Benostan PT Bernofarm 5 Strip Obat Keras
45 Gatot K-ca 1 ktk OT TIE
46 Jak-Ban 3 Strip OT TIE
47 Ginseng Kian Pi 5 ktk OT TIE
48 Super Jantan 1 ktk OT TIE
49 Fly Kunchongfen 1 ktk OT TIE
50 69 lak Gau 1 ktk OT TIE
51 Ringer Lactate 1 btl Obat Keras

Dus 10
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Methyl Prednisolon 4 mg Dexa Medica 20 Box Obat Keras
2 Yusimox Ifars 5 Box Obat Keras
3 Novamox Novapharm 5 Box Obat Keras
4 Amoxicillin Trihydrate Novapharm 3 Box Obat Keras
5 Ampicillin Trihydrate Phama Laboratories 3 Box Obat Keras
6 Polofar Plus Ifars 5 Box Obat Keras
7 Mexon Sampharindo Perdana 5 Box Obat Keras
8 Amlodipin Besilate Dexa Medica 10 Box Obat Keras
9 Samcofenac Samco Farma 5 Box Obat Keras
10 Etamox 500 Errita Pharma 5 Box Obat Keras
11 Voltadex Dexa Medica 16 Box Obat Keras
12 Farizol Ifars 3 Box Obat Keras
13 Sammoxin Samco 5 Box Obat Keras

Dus 11
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Fenaren Bernofarm 8 Box Obat Keras
2 Cazetin Ifars 9 Box Obat Keras
3 Molacort Molex Ayus 6 Box Obat Keras
4 Simvastatin Hexpharm Jaya 12 Box Obat Keras
5 Mexon Sampharindo Perdana 3 Box Obat Keras
6 Cefrin Kalbe Farma 3 Box Obat Keras
7 Dexteem Plus Erlimpex 4 Box Obat Keras
8 Bidaxtam lloyd Pharma 10 Box Obat Keras
9 Methil Prednisolon Hexpharm Jaya 3 Box Obat Keras
10 Methil Prednisolon Inflon 5 Box Obat Keras
11 Bisoprolol Funarate Beta Pharmacon 3 Box Obat Keras
12 Captopril Errita Pharma 3 Box Obat Keras
13 Ermathasone Erlimpex 4 Box Obat Keras
14 Glibenclamide Indofarma 5 Box Obat Keras
15 Amlodipine Besilate Dexa Medica 4 Box Obat Keras
16 Candesartan Cilexetil Dexa Medica 5 Box Obat Keras
17 Trisela Erela 2 Box Obat Keras
18 Methil Prednisolon Dexa Medica 2 Box Obat Keras
19 Proris Suppos Pharos 3 Box Obat Keras
20 Relaxon Erela 2 Box Obat Keras
21 Fluocinamide Cream 30 Kotak Obat Keras
22 Cardipir Sampharindo Perdana 1 Box Obat Keras
23 Trifacort Trifa Raya Laboratories 1 Box Obat Keras
24 Ketoconazole Hexpharm Jaya 1 Box Obat Keras
25 Dexaharsen Harsen 20 Strip Obat Keras
26 Alpentin Actavis 1 Box Obat Keras
27 Glimepirid Dexa Medica 1 Box Obat Keras
28 Fargoxin Fahren Heiit 1 Box Obat Keras
29 Mycoral Kalbe 1 Box Obat Keras
30 Taumut Balatif 1 Box Obat Keras
31 Antidia Bernofarm 1 Box Obat Keras
32 Captopril Dexa Medica 1 Box Obat Keras
33 Simvastatin Tropica 1 Box Obat Keras
34 Gabilen Ifars 1 Box Obat Keras
35 Fandexon Ifars 1 Box Obat Keras
36 Salbror Dankos Farma 1 Box Obat Keras
37 Cydifar Ifars 1 Box Obat Keras
38 Grafachlor Graha Farma 17 Strip Obat Keras
39 Gentamicin Sulfat Kimia Farma 7 Tube Obat Keras
40 Omeranin Muhfa 1 Box Obat Keras
41 Inerson Interbat 1 Tube Obat Keras

Dus 12
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Bioplacenton 18 Tube Obat Keras
2 Bidaxtam 13 Box Obat Keras
3 Ifison 21 Botol Obat Keras
4 Remacort Prednisone 7 Tube Obat Keras
5 Decyclin 4 Tube Obat Keras
6 Tridexon 2 Botol Obat Keras
7 CTM 4 Botol Obat Keras
8 Ifidex 1 Botol Obat Keras
9 Chloramphenicol 1 Botol Obat Keras
10 Tetracycline HCl 1 Botol Obat Keras
11 Vitamin K4 Diacetate 1 Botol Obat Keras
12 Novabiotic 1 Tube Obat Keras
13 Defemin 1 Botol Obat Keras
14 Gentamicin Sulfate 1 Box Obat Keras
15 Novadex 4 Botol Obat Keras
16 Testomin-H3 2 Botol TIE
17 Sinatren 1 Bungkus TIE
18 JT Cap Panan Tiga 1 Box TIE
19 Bugarin 1 Box TIE

Dus 13
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Lerzin 25 Botol Obat Keras
2 Lerzin Kapsul 3 Box Obat Keras
3 Teosal 19 Box Obat Keras
4 Sammoxin 2 Box Obat Keras
5 Ampicilin Trihidrate 5 Box Obat Keras
6 Pronicy 8 Box Obat Keras
7 Helixim 5 Botol Obat Keras
8 Gabiten 2 Box Obat Keras
9 Bidaxtam 2 Box Obat Keras
10 Kaditic 2 Box Obat Keras
11 Sevos 3 Box Obat Keras
12 Noryom 5 Botol Obat Keras
13 Renabetic 5 Box Obat Keras
14 Sucralfale 3 Botol Obat Keras
15 Selebrox 3 Box Obat Keras
16 Etafen 2 Box Obat Keras
17 Erphaplair 3 Box Obat Keras
18 Salbron 3 Box Obat Keras
19 Novabiotic 2 Box Obat Keras
20 Novamox 2 Box Obat Keras
21 Bufacanyl 4 Box Obat Keras
22 Etamex 5 Botol Obat Keras
23 Piroxicam 4 Box Obat Keras
24 Methyl Prednisolon 10 Box Obat Keras
25 Ramoxyl 5 Botol Obat Keras
26 Dexaharsen 3 Box Obat Keras
27 Norvom Kaplet 2 Box Obat Keras
28 Roverton Drop 11 Kotak Obat Keras
29 Gasela 10 Box Obat Keras
30 Vesferum 5 Kotak Obat Keras
31 Alerun 5 Box Obat Keras
32 Etazon 4 Box Obat Keras
33 Dextaf 7 Box Obat Keras
34 Meloxicam 9 Box Obat Keras
35 Zevask 4 Box Obat Keras
36 Opistan 5 Box Obat Keras
37 Cazetin 3 Kotak Obat Keras
38 Andalan Pil KB 1 Box Obat Keras
39 Renadinac 1 Box Obat Keras
40 Lopamid 1 Box Obat Keras
41 Betason-N 1 Box Obat Keras
42 Carbidu 1 Box Obat Keras
43 Danasone 1 Box Obat Keras
44 Neuralgin 1 Box Obat Keras
45 Cefixime 1 Box Obat Keras
46 Farizol 2 Box Obat Keras
47 Cefadroxil Monohydrate 1 Box Obat Keras
48 Loratadine 1 Box Obat Keras
49 Flacoid 1 Box Obat Keras
50 Renoxicam 1 Box Obat Keras
51 Nufadex M 1 Box Obat Keras
52 Zoralin 1 Box Obat Keras
53 Inflason 1 Box Obat Keras
54 Vosea 1 Box Obat Keras

Dus 14
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Tifestan Forte Balatif Pharmaceutical 10 Strip Obat Keras
2 Clindamycin HCl PT. Rama Emerald Multi Sukses 10 Strip Obat Keras
3 Quantidex PT. Ifars 10 Strip Obat Keras
4 Incidal-OD PT. Actavis Indonesia 4 Strip Obat Keras
5 Neo Protifed Graha Farma 10 Strip Obat Keras
6 Tazimut 0,75 Balatif Pharmaceutical 10 Strip Obat Keras
7 Benoson-N Krim PT. Bernofarm 10 Strip Obat Keras
8 Betason-N Krim PT. Kimia Farma 24 Strip Obat Keras
9 Fluocinonide Cream 10 Strip Obat Keras TIE
10 Tazimut 0,5 Balatif Pharmaceutical 10 Strip Obat Keras
11 Holicos Holi Pharma 10 Strip Obat Keras
12 Cortidex PT. Sanbe Farma 20 Strip Obat Keras
13 Bisoprolol Fumarate Hexpharm Jaya 5 Strip Obat Keras
14 Simvastatin 10 mg Hexpharm Jaya 10 Strip Obat Keras
15 Selvim 20 PT. Ifars 10 Strip Obat Keras
16 Selvim 10 PT. Ifars 10 Strip Obat Keras
17 Sonamin Hexpharm Jaya 20 Strip Obat Keras
18 Tidifar 200 PT. Ifars 10 Strip Obat Keras
19 Metformin Hcl 500 mg Hexpharm Jaya 20 Strip Obat Keras
20 Piracetam 800 mg Hexpharm Jaya 10 Strip Obat Keras
21 Cetirizine HCl Hexpharm Jaya 20 Strip Obat Keras
22 Grafalin 2 Graha Farma 30 Strip Obat Keras
23 Glimepiride Dexa Medica 60 Strip Obat Keras
24 Amlodipine Besilate 5 mg Hexpharm Jaya 20 Strip Obat Keras
25 Amlodipine Besilate 10 mg PT. Dexa Medica 10 Strip Obat Keras
26 Methylprednisolone 4 mg PT. Dexa Medica 10 Strip Obat Keras
27 Methylprednisolone 4 mg Hexpharm Jaya 160 Strip Obat Keras
28 Seremig 10 PT. Ifars 15 Strip Obat Keras
29 Dexymox Forte PT. Bernofarm 20 Strip Obat Keras
30 Novaxicam Novapharin 30 Strip Obat Keras
31 Renadinac 50 PT. Pratapa Nirmala 60 Strip Obat Keras
32 Licodexon 0,5 PT. Berlico 100 Strip Obat Keras
33 Faxiden 20 PT. Ifars 80 Strip Obat Keras
34 Erphacyp PT. Erlimpex 60 Strip Obat Keras
35 Bronchosal PT. Ifars 100 Strip Obat Keras

Dus 15
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Citoprim PT. Ciubros 21 Botol Obat Keras
2 Yusimox PT. Ifars 4 Box Obat Keras
3 Omeprazol PT. Ifars 7 Box Obat Keras
4 Samcofenac PT. Samco Farma 14 Box Obat Keras
5 Zelona PT. Zenith Farma 2 Box Obat Keras
6 Etadex PT. Errita Pharma 3 Box Obat Keras
7 Albothyl PT. Pharos 5 Botol Obat Keras
8 Mexon PT. Sampharindo Perdana 4 Box Obat Keras
9 Bufacaryl PT. Bufa Aneka 5 Box Obat Keras
10 Rhemator PT. Ifars 1 Box Obat Keras
11 Farsorbit PT. Pratapa Nirmala 1 Box Obat Keras
12 Dextaco PT. Berlico Mulia Farma 6 Botol Obat Keras
13 Etamoxul PT. Errita Pharma 2 Botol Obat Keras
14 Fitaguin PT. Surya Dermato Medica 3 Tube Obat Keras
15 Erlapect PT. Erela 1 Box Obat Keras
16 Farsorbit PT. Pratapa Nirmala 1 Box Obat Keras
17 Simvastatin PT. Tropica Mas 1 Box Obat Keras
18 Synalten Cream PT. Ifars 23 Tube Obat Keras
19 Genalten PT. Ifars 10 Tube Obat Keras
20 Synarcus PT. Ifars 10 Tube Obat Keras
21 Erlamycetin Plus PT. Erela 6 Botol Obat Keras
22 Scabimite PT. Galenium 6 Tube Obat Keras
23 Kloderma PT. Surya Dermato Medica 4 Tube Obat Keras
24 Cinolon-N PT. Sanbe Farma 8 Tube Obat Keras
25 Montalin PJ Air Madu 21 Kotak Obat Keras
26 Bugasun PJ. Mahkota Mas 17 Kotak OT TIE
27 Urat Kuda PJ. Kuda Mas 12 Kotak OT TIE
28 Testomin -H3 5 Botol OT TIE
29 Gali-gali PT. Intigo Abadi 1 Kotak OT TIE
30 Madu Muda PT. Krisna Duta Atmoja 1 Kotak OT TIE
31 Pi Kang Suang PT. Saras Sutor Ayu 60 Tube OT TIE
32 Samyun Wan 4 Botol OT TIE
33 Sinatren 11 Sachet OT TIE
34 Kopi Eleng CV Jamu Moro Sehat 2 Sachet OT TIE

Dus 16
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Metamizole Sodium Mega Esa Farma 10 Strip Obat Keras
2 Etalgin PT. Errita Pharma 10 Strip Obat Keras
3 Etafen 400 PT. Errita Pharma 10 Strip Obat Keras
4 Salfenal Forte PT. Itrasal 10 Strip Obat Keras
5 Spironolactone PT. Beta Pharmacon 2 Strip Obat Keras
6 Sucralfate PT. Dexa Medica 6 Strip Obat Keras
7 Dexamethasone Novapharin 10 Strip Obat Keras
8 Amlodipine Besilate Hexapharm Jaya 20 Strip Obat Keras
9 Ampicillin Trihydrate PT. Pharma 40 Strip Obat Keras
10 Ranitidine HCl 150 mg Hexpharm Jaya 70 Strip Obat Keras
11 Liflamal 400 Holi Pharma 50 Strip Obat Keras
12 Novadium Novapharin 50 Strip Obat Keras
13 Lansoprazole Nufarindo 27 Strip Obat Keras
14 Omeprazole 20 mg Hexpharm Jaya 120 Strip Obat Keras
15 Amoxicillin Trihydrate Novapharin 30 Strip Obat Keras
16 Limaag 150 Holi Pharma 30 Strip Obat Keras

Dus 17
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Ringer Lactate PT. Widatra Bhakti 5 Botol Obat Keras

Dus 18
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Klorfeson Krim PT. Molex Ayus 18 Kotak Obat Keras
2 Skizon PT. Kalbe Farma 19 Kotak Obat Keras
3 Trifamycetin Trifa Raya Laboratories 10 Kotak Obat Keras
4 Desoximetasone Combiphar 18 Kotak Obat Keras
5 Erlamycetin PT. Erela 8 Kotak Obat Keras
6 Neocenta PT. Ifars 4 Kotak Obat Keras
7 Scabimite Galenium Pharmasia 2 Kotak Obat Keras
8 Elomox PT. Ifars 6 Kotak Obat Keras
9 Gentalex PT. Molex Ayus 11 Kotak Obat Keras
10 Gentamicin Sulfate PT. Molex Ayus 5 Kotak Obat Keras
11 Bevalex PT. Molex Ayus 3 Kotak Obat Keras
12 Klorfeson PT. Molex Ayus 3 Kotak Obat Keras
13 Synarcus PT. Ifars 5 Kotak Obat Keras
14 Nisagon PT. Ifars 10 Kotak Obat Keras
15 Synalten PT. Ifars 10 Kotak Obat Keras
16 Fexazol PT. Molex Ayus 3 Kotak Obat Keras
17 Trifacyclin Trifa Raya Laboratories 2 Kotak Obat Keras
18 Visancort Sanbe 2 Kotak Obat Keras
19 Haemocaine Galenium Pharmasia 1 Kotak Obat Keras
20 Vitaquin Surya Dermato Medica 1 Kotak Obat Keras
21 Aciclovir PT. Firs Medipharma 1 Kotak Obat Keras
22 Terikortin PT. Ifars 1 Kotak Obat Keras
23 Genalten PT. Ifars 1 Kotak Obat Keras
24 Novamox Novapharin 1 Botol Obat Keras
25 Darung 7 Kotak OT TIE
26 Pikang Shuang 3 Kotak OT TIE

Dus 19
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Helixim Sirup Kering PT. Ifars 1 Botol Obat Keras
2 Lostacef 250 Sirup Kering PT. Ifars 2 Botol Obat Keras
3 Hufabethamin Syrup PT. Gratia Husada Farma 41 Botol Obat Keras
4 Lostacef 125 Sirup Kering PT. Ifars 19 Botol Obat Keras
5 Lifadrox Sirup Kering PT. Meprofarm 20 Botol Obat Keras
6 Broadamox 125mg/5ml Sampharindo Perdana 4 Botol Obat Keras
7 Broadamox 250mg/5ml Sampharindo Perdana 1 Botol Obat Keras
8 sammoxin Dry Syrup PT. Samco Farma 5 Botol Obat Keras
9 Yusimox Sirup Kering PT. Ifars 11 Botol Obat Keras

Kardus 20
No. Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Amsterra Sejahtera Lestari Farma 12 box Obat Keras
2 Hufadine Gratia Husada Farma 9 box Obat Keras
3 Alvita Zenith Pharmaceutical 20 strip Obat Keras
4 Lansoprazole Bernofarm 30 strip Obat Keras
5 Omberzole Bernofarm 15 strip Obat Keras
5 Zoline Pyridam 10 strip Obat Keras
6 Neuro Pyramine Pyridam 4 strip Obat Keras

Kardus 21
No. Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Sucrolfate Dexa Medica 9 strip Obat keras
2 Glikos Ifars Parmaceutical 10 strip Obat keras
3 Retapyl SR Kimia Farma 5 strip Obat keras
4 Gabiten 50 mg Ifars Parmaceutical 10 strip Obat keras
5 Atorvastatin Etercon Farma 3 strip Obat keras
6 Novadex Novapharam 10 strip Obat keras
7 Infantrim Forte Molex Ayus 10 strip Obat keras
8 Lexafarm Molex Ayus 10 strip Obat keras
9 Samcovask 5 mg Samco Farma 3 strip Obat keras
10 Flasirox Ifars 3 strip Obat keras
11 Zelona Zenith 10 strip Obat keras
12 Genflam 50 Mulia Farma 5 strip Obat keras
13 Neuralgin Kalbe Farma 50 strip Obat keras
14 Carana Forte Shamarindo 9 strip Obat keras
15 Aciclovirr Phapros 9 strip Obat keras
16 Miniaspi 80 Mersi Farma 4 strip Obat keras
17 Biropyron Lloyd Farma 10 strip Obat keras
18 Mexon Sampharindo 40 strip Obat keras
19 Rhenafor Ifars 40 strip Obat keras
20 Papaverin Novapharin 20 strip Obat keras
21 Faridexon Ifars 30 strip Obat Keras
22 Farsiretic Ifars 50 strip Obat Keras
23 Gratheos Graha Farma 40 strip Obat Keras
24 Ketokonazole Hexapharm 30 strip Obat Keras
25 Pronam Harsen 40 strip Obat keras
26 Grathazon Graha Farma 80 strip Obat keras
27 Revorton Ifars 90 strip Obat keras
28 Oxicobal Ifars 65 strip Obat keras
29 Solinvec Ifars 40 strip Obat keras
30 Selisnizol Sejahtera Lestari 28 strip Obat keras
31 Muzoral Menarini Indria 10 strip Obat keras
32 Arastan Forte Gratia Husada 39 strip Obat keras
33 Piroxicam 20 Dexa Medica 18 strip Obat keras
34 Etamox 500 Eritta 36 strip Obat Keras
35 Hites 5 Triman 20 strip Obat Keras
36 Cendo xitrol Cebdo 3 botol Obat keras
37 Erlamycetin plus Erella 4 botol Obat Keras
38 Cendo xitrol Cendo 10 strip Obat Keras

Kardus 22
No. Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Erlamycetin Erela 10 tube Obat keras
2 Gentamicin Molex Ayus 7 tube Obat keras
3 Fexazol Molex Ayus 7 tube Obat keras
4 Desoximetasone Combhipar 4 tube Obat keras
5 Synarcus Ifars 11 tube Obat keras
6 Zensoderm Bufa 20 tube Obat keras
7 Hemocaine Galenium 2 tube Obat keras
8 Neocenta ifars 2 tube Obat keras
9 Erlamycetin plus Erella 2 tube Obat keras
10 Mycrogynon Bayer 2 tube Obat keras
11 Scabimite Galenium 2 tube Obat keras
12 Gentalex Molex Ayus 2 tube Obat keras
13 Benzolac Surya Dermato Medica 2 tube Obat keras
14 Klorfeson Molex Ayus 9 tube Obat keras
15 Erlamycetin Erella 2 tube Obat keras
16 Bevalec Molex Ayus 2 tube Obat keras
17 Visancort Surya Dermato Medica 1 tube Obat keras
18 Nebacetin Sanbe Farma 1 tube Obat keras
19 Nebacetin Pharos 1 tube Obat keras
20 Genalten Ifars 1 tube Obat keras
21 Elomox Ifars 1 tube Obat Keras
22 Skizon Kalbe Farma 1 tube Obat Keras
23 Faxiden Ifars 1 tube Obat Keras
24 Darling 2 tube OT TIE

Kardus 23
No. Nama Sediaan Pabrik Jumlah Kemasan Ket
1 Samrox 20 Samco Farma 4 Box Obat keras
2 Piroxicam Firs 28 Strip Obat keras
3 Salbutamol Mulia Farma 5 Box Obat keras
4 Salbutamol Yarindo 8 Box Obat keras
5 Lanadexon Lansond 8 Box Obat keras
6 Cetirizine Futamed 4 Box Obat keras
7 Dextaco Berlico 3 Box Obat keras
8 Vadrol Novapharin 3 Box Obat keras
9 Ifitson Infarmind 8 Botol Obat keras
10 Licodexon Berlico 1 Box Obat keras
11 Cetirizine Novapharin 1 Box Obat keras
12 Furosemid Yarindo 1 Botol Obat keras

Kardus 24
No. Nama Sediaan Jumlah Kemasan Ket
1 Gorila 20 pack OT TIE
2 Madu Muda 2 ktk OT TIE
3 Wantong 4 ktk OT TIE
4 F[y Kunchongfen 1 pach OT TIE
5 Kopi Bapak 2 ktk OT TIE
6 Urat Kuda 8 bks OT TIE
7 USA DH2O 4 btl OT TIE
8 Urat Madu 5 ktk OT TIE
9 Gali Gali asli 2 ktk OT TIE
10 Gali Gali Blue 5 ktk OT TIE

Dus 25
No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Voltadex 50 PT. Beta Pharmacon 58 Kotak Obat Keras
2 Amlodipine Besilate 5 mg PT. Dexa Medica 10 Kotak Obat Keras
3 Methylprednisolone PT. Dexa Medica 10 Kotak Obat Keras
4 Unigin PT. Universal 50 Strip Obat Keras
5 Cefixime PT. Dexa Medica 10 Strip Obat Keras
6 Glikos PT. Ifars 10 Strip Obat Keras
7 Sammoxin Sirup PT. Samco 8 Botol Obat Keras
8 Lostacef Sirup PT. Ifars 12 Botol Obat Keras
9 Novamox Sirup Novapharin 10 Botol Obat Keras
10 Nexzine Sirup PT. Imfarmind Farmasi Industri 7 Botol Obat Keras
11 Dextaco Sirup PT. Berlico 4 Botol Obat Keras
12 Novapec Sirup Novapharin 2 Botol Obat Keras
13 Hufafoal Sirup PT. Gratia Husada 5 Botol Obat Keras

No. Nama Sediaan Pabrik Jumlah Kemasan Keterangan
1 Dokumen 1

dimusnahkan

6. Membebankan kepada Terdakwa membayar biaya perkara sejumlah Rp5.000,00 (lima ribu rupiah);