, Fenicol Chloramphenicol Suspensi produksi PT Armoxindo Farma Cianjur Indonesia sebanyak 1 botol, Trimeta Syrup Rasa Apel produksi Intijaya Ratna Pharmindo Semarang Indonesia sebanyak 1 botol, Primavon Cotrimoxazole Sirup produksi Zenith Pharmaceuticals Semarang Indonesia sebanyak 1 botol, Etamoxul Cotrimoxazole Suspensi produksi PT Errita Pharma Bandung Indonesia sebanyak 1 botol, Ponstan FCT produksi PT Errita Pharma Bandung Indonesia sebanyak 52 Tablet salut, Erlamycetin Salep Mata produksi Erela

Semarang Indonesia sebanyak 19 tube, Hydrocortison 2,5% Krim produksi Indofarma Bekasi Indonesia sebanyak 25 tube, Gentamicin 0,1% Salep Kulit produksi Indofarma Bekasi Indonesia sebanyak 18 tube, Faxiden Gel produksi PT Ifars Pharmaceutical Laboratories Solo Indonesia sebanyak 6 kotak, Oxytetracycline 3% Salep Kulit produksi Indofarma Bekasi Indonesia sebanyak 2 tube, Synalten Cream produksi PT Ifars Pharmaceutical Laboratories Solo Indonesia sebanyak 6 kotak, Erlamycetin Tetes Mata produksi Erela

Semarang Indonesia sebanyak 4 kotak, Erla Neo Hydrocort Cream produksi Erela Semarang Indonesia sebanyak 3 kotak, Erlamycetin Tetes Telinga produksi Erela Semarang Indonesia sebanyak 2 kotak, Gentamicin Tetes Mata Steril 0,3% produksi Indofarma Bekasi Indonesia sebanyak 2 kotak, Etamox 500 mg produksi PT Errita Pharma Bandung Indonesia sebanyak 10 kaplet, Lanadexon Tablet produksi PT Pertiwi Agung Bekasi Indonesia sebanyak 10 kaplet, Chloramphenicol Tetes Telinga 3% produksi PT Kimia Farma Watudakon

Erlamycetin Tetes Erela Semarang 4 kotak Obat KerasMata Indonesia17. ErlaNeo Hydrocort /Erela Semarang 3 kotak Obat KerasCream Indonesia18. Erlamycetin Tetes Erela Semarang 2 kotak Obat KerasTelinga Indonesia19. Gentamicin Tetes PT. Indofarma Bekasi 2 kotak Obat KerasMata Steril 0,3% Indonesia20. Etamox 500 mg PT Errita Pharma 10 kaplet Obat KerasBandung Indonesia21. Lanadexon Tablet PT Pertiwi Agung 10 kaplet Obat KerasBekasi Indonesia22.

Erlamycetin Tetes Mata Erela Semarang 4 kotak Obat KerasIndonesia17. Erla Neo Hydrocort Erela Semarang 3 kotak Obat KerasCream Indonesia18. Erlamycetin Tetes Erela Semarang 2 kotak Obat KerasTelinga Indonesia19. Gentamicin Tetes Mata PT. Indofarma Bekasi 2 kotak Obat KerasSteril 0,3% Indonesia20. Etamox 500 mg PT Errita Pharma 10 kaplet Obat KerasBandung Indonesia21. Lanadexon Tablet PT Pertiwi Agung Bekasi 10 kaplet Obat Keras Indonesia22.

Indonesia sebanyak 4 kotak, Erla Neo HydrocortCream produksi Erela Semarang Indonesia sebanyak 3 kotak, ErlamycetinTetes Telinga produksi Erela Semarang Indonesia sebanyak 2 kotak,Gentamicin Tetes Mata Steril 0,3% produksi Indofarma Bekasi Indonesiasebanyak 2 kotak, Etamox 500 mg produksi PT Errita Pharma BandungIndonesia sebanyak 10 kaplet, Lanadexon Tablet produksi PT PertiwiAgung Bekasi Indonesia sebanyak 10 kaplet, Chloramphenicol TetesTelinga 3% produksi PT Kimia Farma Watudakon Indonesia sebanyak

Semarang Indonesia sebanyak 4 kotak, Erla Neo HydrocortCream produksi Erela Semarang Indonesia sebanyak 3 kotak, ErlamycetinTetes Telinga produksi Erela Semarang Indonesia sebanyak 2 kotak,Gentamicin Tetes Mata Steril 0,3% produksi Indofarma Bekasi Indonesiasebanyak 2 kotak, Etamox 500 mg produksi PT Errita Pharma BandungIndonesia sebanyak 10 kaplet, Lanadexon Tablet produksi PT PertiwiAgung Bekasi Indonesia sebanyak 10 kaplet, Chloramphenicol TetesTelinga 3% produksi PT Kimia Farma Watudakon Indonesia

Indonesia sebanyak 4 kotak, Erla Neo HydrocortCream produksi Erela Semarang Indonesia sebanyak 3 kotak, ErlamycetinTetes Telinga produksi Erela Semarang Indonesia sebanyak 2 kotak,Gentamicin Tetes Mata Steril 0,3% produksi Indofarma Bekasi Indonesiasebanyak 2 kotak, Etamox 500 mg produksi PT Errita Pharma BandungIndonesia sebanyak 10 kaplet, Lanadexon Tablet produksi PT PertiwiAgung Bekasi Indonesia sebanyak 10 kaplet, Chloramphenicol Tetes14Telinga 3% produksi PT Kimia Farma Watudakon Indonesia

Berlico box 110 Berotec Boehringer btl 211 Betalgin Balatif strip 1812 Betason N KF tube 413 Bioplacenton Jelly Kalbe tube 914 Broxal Syrup Bernofarm btl 315 Captropil Indofarma strip 616 Cefadroxil 500 mg Bernofarm box 117 Cetrizine Indo strip 818 Clindamcyn 300 OGB Dexa blister 719 Dexaharsen 0,75 mg Harsen Strip 320 Dexamethasone Inj Bernofarm ampul 7021 Dextaco Berlico box 122 Dextaf Balatif strip 1923 Dolo Licobion Berlico box 124 Domperino 10 mg Novell tablet 3025 Erlamycetin tetes telinga Erela

Gralixa 40 Graha F Strip 1136 Graperide Graha Box 137 Gratheos Graha F Strip 238 Gricin 125 Novapharin Box 139 Histigo Ifars Box 140 Ibuprapen Promed Strip 541 Kanamycin Meiji Vail 542 Katitra Yekatria Strip 543 Lanosprazole Bernofarm Strip 644 Latibet 5 mg Ifars box 145 Lerzin Syr Ifars Botol 646 Licofel Berlico Strip 747 Licoprima Berlico Btl 948 Licovir cream Berlico Tube 449 Lostacef Ifars Strip 150 Lostacef syr Ifars Btl 551 Lotharson Nufarindo Box 152 Metolon Inj Bernofarm Strip 253 Mixalgin Erela

Strip 1054 Mixalgin Erela Box 155 Neuralgin RX Kalbe Strip 856 Neuropyron V Harsen Strip 757 Neurotropic Injeksi Global box 158 Nocandis Erlimpex Btl 259 Norvom Syr Ifars Btl 660 Novachlor Nofa Strip 761 Novachlor syr Novapharin Btl 462 Novadium Novapharin Strip 1263 Novartrim Novapharin Strip 564 Novastan syrp Novapharin Btl 4965 Omeroxol Mutifa Box 166 Oxibiotik Benapen Vial 367 Pehacain Inj Phapros ampul 3368 Pil KB 1 Kombinasi KF Ktk 169 Piroxicam 20 mg Trifa Strip 2770 Prednison Intijaya btl

2016/PN.Bls 10 Berotec Boehringer btl 211 Betalgin Balatif strip 1812 Betason N KF tube 413 Bioplacenton Jelly Kalbe tube g14 Broxal Syrup Bernofarm btl 315 Captropil Indofarma strip 616 Cefadroxil 500 mg Bernofarm box 117 Cetrizine Indo strip 818 Clindamcyn 300 OGB Dexa blister 719 Dexaharsen 0,75 mg Harsen Strip 320 Dexamethasone Inj Bernofarm ampul 7021 Dextaco Berlico box 122 Dextaf Balatif strip 1923 Dolo Licobion Berlico box 124 Domperino 10 mg Novell tablet 3025 Erlamycetin tetes telinga Erela

Strip 1054 Mixalgin Erela Box 155 Neuralgin RX Kalbe Strip 856 Neuropyron V Harsen Strip 757 Neurotropic Injeksi Global box 158 Nocandis Erlimpex Bil 259 Norvom Syr lfars Bil 660 Novachlor Nofa Strip 761 Novachlor syr Novapharin Bil 462 Novadium Novapharin Strip 1263 Novartrim Novapharin Strip 564 Novastan syrp Novapharin Bil 4965 Omeroxol Mutifa Box 166 Oxibiotik Benapen Vial 367 Pehacain Inj Phapros ampul 3368 Pil KB 1 Kombinasi KF Ktk 169 Piroxicam 20 mg Trifa Strip 2770 Prednison Intijaya btl

19 Cendo Xitrol Cendo Cendo btl/ 5 ml 31 btl20 Chloramfecort H Cream KF KF tube/ 10 gr 42 tube21 Ciprofloxacin 500 mg Bernofarm Bernofarm box/100 tb 2 box + 80 tb22 CTM PIM PIM btl/ 1000 tb 4 btl 23 Dexamethasone 0,5 mg Harsen Harsen box/200 tablet 21 box + 150 tb 24 Dexamethasone 0,75 mg Harsen Harsen box/100 tb 160 tb25 Dexamethasone Injeksi - box/100 ampul 2 box + 94 ampul26 Divoltar Kalbe Kalbe box/50 tb 1 box27 Dramamine 50 mg Soho Soho box/100 tb 3 box28 Erlamyceti tetes Mata Erela

Erela btl/10 ml 6 btl29 Erlamycetin Ear Drops Erela Erela btl/10 ml 28 btl 30 Fargetix Ifars Ifars box/100 tb 5 box + 90 tb31 FG Troches tablet Meiji Meiji box/ 120 tb 2 box + 110 tb32 Glibenclamid Indofarma Indofarma box/100 tb 7 box33 Grafamic Graha Farma Graha Farma box/100 tablet 10 box + 90 tb34 Grafazol 500 mg Graha Graha box/100 tb 2 box35 Griseofulvin 125 mg Indofarma Indofarma box/ 100 tb 3 box36 Griseofulvin Prafa Prafa box/100 tablet 160 tb37 Hufanoxil 500 mg Gratia Gratia

Novachlor Novapharin Novapharin btl/ 1000 tb 1 btl 55 Omefulvin 500 mg Mutifa Mutifa box/100 tb 2 box56 Omenizol Mutifa Mutifa box/ 100 tb 790 tb57 Omeproxil Mutifa Mutifa box/100 tb 5 box + 90 kapsul58 Omeric 100 mg Mutifa Mutifa box/100 tb 20 box 59 Omesip Mutifa Mutifa box/100 kpt 2 box + 60 tb60 Omestan 500 mg Mutifa Mutifa Box/100 tb 5 box61 Oxytetracycline 3 % Indofarma Indofarma box/ 25 tube 47 tube62 Panstop Armoxindo F Armoxindo F box/100 tb 190 tb63 Penicillin V 50000 Erela

Erela box/20 strip 5 box 64 Pil KB Kombinasi Harsen Harsen strip 90 strip 65 Pil KB Kombinasi I KF KF box/ 100 strip 160 strip 66 Pil KB Kombinasi I Sunthi Sepuri Sunthi box/ 100 strip 2 box + 3 strip 67 Pil KB Kombinasi Pratapa Nirmala Pratapa strip 85 strip68 Pil KB Kombinasi Triyasa nagamas Triyasa strip 180 strip69 Piroxicam 20 mg Indofarma Indofarma box/120 kapsul 5 box70 Polofar Plus Ifars Ifars box/100 tb 9 box71 Ponstan FCT 500 mg Pfizer Pfizer box/100 tb 120 tb72 Potaflam Berlico

Bernofarm btl/ 60 ml 20 btlBernofarm19 Cendo Xitrol Cendo Cendo btl/ 5 ml 31 btl20 ChloramfecortH KF tube/ 10 gr 42 tubeCream KF21 Ciprofloxacin 500 Bernofarm box/100 tb 2 box + 80 tbmg Bernofarm22 CTM PIM PIM btl/ 1000 tb 4btl23 Dexamethasone 0,5 Harsen box/200 tablet 21 box + 150 tbmg Harsen24 Dexamethasone Harsen box/100 tb 160 tb0,75 mg Harsen25 Dexamethasone box/100 ampul 2 box + 94 ampulInjeksi26 Divoltar Kalbe Kalbe box/50 tb 1 box27Dramamine 50 mg Soho box/100 tb 3 boxSoho28 Erlamyceti tetes Erela

btl/10 ml 6 btlMata Erela29 Erlamycetin Ear Erela btl/10 ml 28 btlDrops Erela30 Fargetix Ifars Ifars box/100 tb 5 box + 90 tb31 FG Troches tablet Meiji box/ 120 tb 2 box + 110 tbMeiji32 Glibenclamid Indofarma box/100 tb 7 boxIndofarma33 Grafamic Graha Graha Farma box/100 tablet 10 box + 90 tbFarma34 Grafazol 500 mg Graha box/100 tb 2 boxGraha35 Griseofulvin 125 mg Indofarma box/ 100 tb 3 boxIndofarma36 Griseofulvin Prafa Prafa box/100 tablet 160 tb37 Hufanoxil 500 mg Gratia box/100 tb 7 boxGratia38

/100 tablet 160 tbNovapharin54 Novachlor Novapharin btl/ 1000 tb 1 btlNovapharin55 Omefulvin 500 mg Mutifa box/100 tb 2 boxMutifa56 Omenizol Mutifa Mutifa box/ 100 tb 790. tb57 Omeproxil Mutifa Mutifa box/100 tb 5 box + 90 kapsul58 Omeric 100 mg Mautifa box/100 tb 20 boxMutifa59Omesip Mutifa 2 box + 60 tbMutifa box/100 kpt60 Omestan 500 Mutifa Box/100 tb 5 boxmg Mutifa61 Oxytetracycli Indofarma box/ 25 tube 47 tubene 3 %Indofarma62 Panstop Armoxindo F box/100 tb 190 tbArmoxindo F63 Penicillin V Erela

btl/10 ml 6 btlMata Erela29 Erlamycetin Ear Erela btl/10 ml 28 btlDrops Erela30 Fargetix Ifars Tfars box/100 tb 5 box + 90 tb31 FG Troches tablet Meiji box/ 120 tb 2 box + 110 tbMeiji32 Glibenclamid Indofarma box/100 tb 7 boxIndofarma33 Grafamic Graha Graha Farma box/100 tablet 10 box + 90 tbFarma34 Grafazol 500 mg Graha box/100 tb 2 boxGraha35 Griseofulvin 125 mg Indofarma box/ 100 tb 3 boxIndofarma36 Griseofulvin Prafa Prafa box/100 tablet 160 tb37 Hufanoxil500 mg = Gratia box/100 tb 7 boxGratia38

btl/10 ml 6 btlMata Erela29 Erlamycetin Ear Erela btl/10 ml 28 btlDrops Erela 23 30 Fargetix Ifars Tfars box/100 tb 5 box + 90 tb31 FG Troches tablet Meiji box/ 120 tb 2 box + 110 tbMeiji32 Glibenclamid Indofarma box/100 tb 7 boxIndofarma33 Grafamic Graha Graha Farma box/100 tablet 10 box + 90 tbFarma34 Grafazol 500 mg Graha box/100 tb 2 boxGraha35 Griseofulvin 125 mg Indofarma box/ 100 tb 3 boxIndofarma36 Griseofulvin Prafa Prafa box/100 tablet 160 tb37 Hufanoxil500 mg = Gratia box/100 tb 7 boxGratia38

NAMA BARANG PABRIK KEMASAN JUMLAH1 Acifar cream Ifars tube 52 Acyclovir Indofarma tube 23 Alletrol Erela botol 24 Allopurinol 100 mg Indofarma blister 95 Altran Imfarmind strip 56 Amlodipine Novella strip 27 Amlodipine 5 mg Hexpharm Jaya box 18 Amosterra Sejahtera Farma strip 79 Amoxicillin Pharma lab box 110 Amoxicillin Mersi strip 511 Ampicillin Pharma Lab strip 612 Andalan Laktasi Pil KB DKT blister 313 Andalan Pil KB Harsen box 114 Asam Mefenamat Hexpharm Jaya strip 515 Betason

N KF tube 216 Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu Sampharindo strip 321 Cetrizin 10 mg Novella strip 422 Cetrizin 10 mg Novella blister 423 Chloramphenicol Yekatria botol 524 Ciprofloxacin Berno strip 725 Danasone Kalbe strip 526 Dexaharsen 0,5 mg Harsen strip 1527 Dexaharsen 0,75 mg Harsen box 128 Dextaf Balatif strip 929 Draston Ifars strip 130 Erlamycetin plus Erela botol 331

Erlamycetin Salep mata Erela tube 432 Fargetic Ifars box 133 Gabiten Ifars strip 934 Genalten Ifars tube 335 Gentamicin KF tube 236 Glibenclamide 5 mg Indofarma strip 437 Gludepatic Pratapa box 138 Gludepatic Pratapa blister 639 Grandilex 2 Graha Farma strip 640 Gricin 125 Nova strip 341 Gricin 125 Nova box 142 Hufadine Gratia strip 643 Hufaxol Gratia botol 344 Hufralgin Gratia box 145 Irgapan 200 Dexa box 146 Lanadexon Landson box 447 Lerzin Ifars strip 348 Methyl prednisone Guardian

P strip 749 Mexon Sampharindo strip 750 Microgynon bayer box 351 Microtina Pyridam kapsul 2952 Microtina - strip 153 Muzoral Molex Ayus strip 354 Muzoral Krim Mugi tube 455 Mycetin Erela botol 556 Neuralgin Kalbe strip 357 Neuromec Mecosin box 258 Neuropyron Harsen strip 559 Nilaren 50 Nicholas strip 1560 Norvom Ifars strip 561 Novachlor Novapham botol 262 Novastan Novapharin strip 663 Novaxicam Novapharin box 164 Novaxicam Novapharm box 165 Omefulvin 125 mg Mutifa strip 266 Omegesic

Mutifa strip 667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3 % Erela tube 571 Penicillin Erela strip 772 Pil KB Kombinasi KF strip 1173 Polofars plus Ifars strip 874 Polofars plus Ifars box 175 Prednisone Holi Pharma strip 1076 Prednisone Phapros strip 1077 Pritagesic Molex Ayus strip 578 Pronam Harsen strip 379 Pronazol Promed strip 280 Pronicy Kalbe box 181 Ranitidine 150 mg Dexa strip 782 Reco Tetes mata Global botol 7

Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu Sampharindo strip 321 Cetrizin 10 mg Novella strip 422 Cetrizin 10 mg Novella blister 423 Chloramphenicol Yekatria botol 524 Ciprofloxacin Berno strip 725 Danasone Kalbe strip 526 Dexaharsen 0,5 mg Harsen strip 152/7 Dexaharsen 0,75 mg Harsen box 128 Dextaf Balatif strip 929 Draston fars strip 130 Erlamycetin plus Erela botol 331 Erlamycetin Salep mata Erela tube

botol 556 Neuralgin Kalbe strip 357 Neuromec Mecosin box 258 Neuropyron Harsen strip 559 Nilaren 50 Nicholas strip 1560 Norvom lfars strip 561 Novachlor Novapham botol 262 Novastan Novapharin strip 663 Novaxicam Novapharin box 164 Novaxicam Novapharm box 165 Omefulvin 125 mg Mutifa strip 266 Omegesic Mutifa strip 667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3% Erela tube 571 Penicillin Erela strip 772 PilKB Kombinasi KF strip 1173 Polofars

125 mg Mutifa strip 266 Omegesic Mutifa strip 667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3% Erela tube 571 Penicillin Erela strip 772 PilKB Kombinasi KF strip 1173 Polofars plus lfars strip 874 Polofars plus lfars box 175 Prednisone Holi Pharma strip 1076 Prednisone Phapros strip 1077 Pritagesic Molex Ayus strip 578 = Pronam Harsen strip 379 Pronazol Promed strip 280 Pronicy Kalbe box 181 Ranitidine 150 mg Dexa strip 782 Reco Tetes mata

125 mg Mutifa strip 266 Omegesic Mutifa strip 667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3% Erela tube 571 Penicillin Erela strip 772 PilKB Kombinasi KF strip 1173 Polofars plus fars strip 874 Polofars plus fars box75 Prednisone Holi Pharma strip 10 Halaman 14 dari 28 Putusan Nomor 86/Pid.Sus/2017/PNPLW 76 Prednisone Phapros strip 1077 Pritagesic Molex Ayus strip 578 = Pronam Harsen strip 379 Pronazol Promed strip 280 Pronicy Kalbe box

Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu Sampharindo strip 321 Cetrizin 10 mg Novella strip 422 Cetrizin 10 mg Novella blister 423 Chloramphenicol Yekatria botol 524 Ciprofloxacin Berno strip 725 Danasone Kalbe strip 526 Dexaharsen 0,5 mg Harsen strip 1527 Dexaharsen 0,75 mg Harsen box 128 Dextaf Balatif strip 9g29 Draston lfars strip 130 Erlamycetin plus Erela botol 331 Erlamycetin Salep mata Erela tube

Novapharin Obat Keras60 Floxifar 5 ktk Ifars Obat Keras61 Suprabiotik 5 ktk Zenith Obat Keras62 Inamid 5 ktk Nufarindo Obat Keras63 Samquinor 10 ktk Samco Farma Obat Keras64 Pharmamox 20 ktk Pharma Lab Obat Keras65 Pronam 10 ktk Harsen Obat Keras66 Afitazon 10 btl /@ 1000 tab AFI Farma Obat Keras67 Sammoxin 10 ktk Samco Farma Obat Keras68 Dexclosan 10 ktk Rama Emeral Obat Keras69 Pehacain 4 ktk Phapros Obat Keras70 Grasela 110 ktk Erela Obat Keras71 Glukosa 5 % 40 btl Widatra bakti Obat

Keras72 Mixalgin 2000 tab Erela Obat Keras73 Bufacaryl 1000 tab Bufa Aneka Obat Keras74 Novaxidin 150 mg 1000 tab PT.

Novapharin Obat Keras75 Vosea 1000 tab Graha Farma Obat Keras76 Propanolol 10 mg 1000 tab Dexa Medica Obat Keras77 Voltadex 50 500 tab Dexa Medica Obat Keras78 Trifacyclin 1000 kap Trifa Obat Keras79 Dialet 960 tab Erela Obat Keras80 Erlamycetin 24 tube Erela Obat Keras81 Ampicillin 500 5000 tab Pharma Lab Obat Keras82 Amoxan Syr 25 btl Caprifarmindo Obat Keras83 Kandistatin Syr 43 btl Metiska Farma Obat Keras84 Novastan 120 btl Obat Keras85 Novapen Syr 48 btl PT.

Novapharin Obat Keras88 Erlamycetin 37 btl Erela Obat Keras89 Muzoral 160 tube PT Musi Lab Obat Kerasdirampas untuk dimusnahkan4. Membebankan kepada Terdakwamembayar biaya perkara sejumlahRp 2.000,- (dua ribu rupiah);

2000 tab Erela Obat Keras73 Bufacaryl 1000 tab = Bufa Aneka Obat Keras74 Novaxidin 150mg 1000 tab PT.

tab Erela Obat Keras73 Bufacaryl 1000 tab Bufa Aneka Obat Keras74 Novaxidin 150 mg 1000 tab = PT.

2000 tab Erela Obat Keras73 Bufacaryl 1000 tab Bufa Aneka Obat Keras74 Novaxidin 150 mg 1000 tab PT.

2000 tab Erela Obat Keras73 Bufacaryl 1000 tab Bufa Aneka Obat Keras74 Novaxidin 150 mg 1000 tab = PT.

2 tube 17.000 34.000 6Erelamycetin Daftar37 Erela 1 bil 40.000 40.000plus G11 Daftar38 Erlamycetincr Erela 10.500 115.500tube GErlamycetin 2 Daftar39 Erela 9.000 27.000Tetes Telinga botol Ga Daftar40 Etabiotic 500 Errita 80 tab 1.520 121.600 .800 Daftar41 Etadex errita F 300 240.000tab G42 Etaflox Errita 110 113 12.430 Daftar Halaman 3 dari 42 Putusan Nomor 57/Pid.Sus/2020/PN Mkm tab GDaftar43 Fargetix lfars 50 tab 530 26.500 6Pratapa Daftar44 Farmalat 10 90 tab 600 54.000Nirmala G100 Daftar45 Faxiden

2 tube 17.000 34.000 Daftar Halaman 9 dari 42 Putusan Nomor 57/Pid.Sus/2020/PN Mkm G Erelamycetin Daftar37 Erela 1 bil 40.000 40.000plus G11 Daftar38 Erlamycetincr Erela 10.500 115.500tube GErlamycetin 2 Daftar39 Erela 9.000 27.000Tetes Telinga botol Ga Daftar40 Etabiotic 500 Errita 80 tab 1.520 121.600 G800 Daftar41 Etadex errita F 300 240.000tab G110 Daftar42 Etaflox Errita 113 12.430tab GDaftar43 Fargetix Ifars 50 tab 530 26.500 GPratapa Daftar44 Farmalat 10 90 tab 600 54.000Nirmala G100 Daftar45

17.000 34.000tube GErelamycetin Daftar37 Erela 1 btl 40.000 40.000plus G11 Daftar38 Erlamycetincr Erela 10.500 115.500tube GErlamycetin 3 Daftar39 Erela 9.000 27.000Tetes Telinga botol Ga 80 Daftar4O Etabiotic 500 Errita 1.520 121.600tab G800 DaftarAl Etadex errita F 300 240.000tab G110 Daftar42 Etaflox Errita 113 12.430tab G50 Daftar43 Fargetix Ifars 530 26.500tab GPratapa 90 Daftar44 Farmalat 10 600 54.000Nirmala tab G100 Daftar45 Faxiden 10 lfars 350 35.000tab G170 Daftar46 Faxiden 20 Ifars 50

2 tube 17.000 34.000 GErelamycetin Daftar37 Erela 1 bil 40.000 40.000plus G11 Daftar38 Erlamycetincr Erela 10.500 115.500tube GErlamycetin 2 Daftar39 Erela 9.000 27.000Tetes Telinga botol Ga Daftar40 Etabiotic 500 Errita 80 tab 1.520 121.600 G800 Daftar41 Etadex errita F 300 240.000tab G110 Daftar42 Etaflox Errita 113 12.430tab G43 Fargetix Ifars 50 tab 530 26.500 Daftar Halaman 31 dari 42 Putusan Nomor 57/Pid.Sus/2020/PN Mkm G Pratapa Daftar44 Farmalat 10 90 tab 600 54.000Nirmala G100 Daftar45

2 tube 17.000 34.000 6Erelamycetin Daftar37 Erela 1 bil 40.000 40.000plus G11 Daftar38 Erlamycetincr Erela 10.500 115.500tube GErlamycetin 2 Daftar39 Erela 9.000 27.000Tetes Telinga botol Ga Daftar40 Etabiotic 500 Errita 80 tab 1.520 121.600 .800 Daftar41 Etadex errita F 300 240.000tab G42 Etaflox Errita 110 113 12.430 Daftar Halaman 37 dari 42 Putusan Nomor 57/Pid.Sus/2020/PN Mkm tab GDaftar43 Fargetix lfars 50 tab 530 26.500 6Pratapa Daftar44 Farmalat 10 90 tab 600 54.000Nirmala G100 Daftar45

Erela 4 TubeAl43 ErladermN Cream DKL1006312329 PT. Erela 9 TubeAl44 Erlamycetin TetesTe DKL7206308448 PT. Erela 22 Botollinga Al45 Erphacyp Kaplet DKL9206404708 PT. Erlimpex 150 KapletAl46 Ertensi Tablet DKL PT. Erlimpex 10 Tablet1106414710A147 Etamox 500 Kaplet DKL PT. 60 Kaplet0206502104A1 Erritafarma48 Fargetix Kaplet DKL9509204604 PT. Ifars 140 KapletAl Halaman 3 dari 42 Putusan Nomor 37/Pid.Sus/2019/PN Mt. HakimKetua HakimAnggotaHakimanggota 49 Fargoxin Tablet DKL8831500510 PT.

Erela 4 TubeAl43 ErladermN Cream DKL1006312329 PT. Erela 9 TubeAl Halaman 10 dari 42 Putusan Nomor 37/Pid.Sus/2019/PN Mt. HakimKetua HakimAnggotaHakimanggota 44 Erlamycetin TetesTeling DKL7206308448 PT. Erela 22 Botola Al45 Erphacyp Kaplet DKL9206404708 PT. Erlimpex 150 KapletAl46 Ertensi Tablet DKL PT. Erlimpex 10 Tablet1106414710A147 Etamox 500 Kaplet DKL PT. 60 Kaplet0206502104A1 Erritafarma48 Fargetix Kaplet DKL9509204604 PT. Ifars 140 KapletAl49 Fargoxin Tablet DKL8831500510 PT.

Erela 4 Tubeil43 ErladermN Cream DKL1006312329A PT. Erela 9 Tubei44 Erlamycetin TetesTe DKL7206308448A PT. Erela 22 Botollinga 145 Erphacyp Kaplet DKL9206404708A PT. Erlimpex 15 Kapleti 046 Ertensi Tablet DKL PT. Erlimpex 10 Tablet1106414710A147 Etamox 500 Kaplet DKL PT. Erritafarma 60 Kaplet0206502104A148 Fargetix Kaplet DKL9509204604A PT. Ifars 14 Kapletil 049 Fargoxin Tablet DKL8831500510A PT.

Erela 4 Tube143 ErladermN Cream DKL1006312329A PT. Erela 9 Tube144 Erlamycetin TetesTeli DKL7206308448A PT. Erela 22 Botolnga 145 Erphacyp Kaplet DKL9206404708A PT. Erlimpex 15 Kaplet1 046 Ertensi Tablet DKL PT. Erlimpex 10 Tablet1106414710A147 Etamox 500 Kaplet DKL PT. Erritafarma 60 Kaplet0206502104A148 Fargetix Kaplet DKL9509204604A PT. Ifars 14 Kaplet1 049 Fargoxin Tablet DKL8831500510A PT.

Erela 4 Tubeil43 ErladermN Cream DKL1006312329A PT. Erela 9 Tubeil44 Erlamycetin TetesTeli DKL7206308448A PT. Erela 22 Botolnga 145 Erphacyp Kaplet DKL9206404708A PT. Erlimpex 15 Kapletil 046 Ertensi Tablet DKL PT. Erlimpex 10. Tablet1106414710A147 Etamox 500 Kaplet DKL PT. Erritafarma 60 Kaplet0206502104A148 Fargetix Kaplet DKL9509204604A PT. Ifars 14 Kapletil 049 Fargoxin Tablet DKL8831500510A PT.

Pharmaceutic DKL142442 Dramamine strip x 10 al Indonesia 403810A1 52 tablettabletTbkErlamycetin ORL43 lates mata Tube 10 ml Erela 72063084 2 Tube48 AtErlamycetin DKL720644 Salep Mata Tube PT. Erela 313731AI 5 SalepDos 1045 Ersolon strip x 10 PT. Erlimpex EINE Oe 40 tablettablet 414410A146 Etabiotic KAPLET PT. Errita DKLO406 4 Kaplet Halaman 4 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp Pharma 502704A1Etabiotic .. PT.

Erela 312617A1 21 tablettabletGenoint DKL930665 Salep Kulit Tube PT. Erela 308330A1 4 SalepGenoint DKLO206 .66 Tetes Mata Botol PT. Erela 311246A1 4 CairDos 10Glibenclami . GKL952067 de 5 mg strip x 10 PT. Indofarma 905004A2 35 tablettabletPT. lfarsDos 10. . Pharmaceutic DKLO60968 Glikos ae ne als 315609A1 110 KapletB LaboratoriesGludepatic Dos 10 PT. Pratapa DKL963169 500 Stnip.e10 Nirmala 512617A1 7 tablettabletGlukosa PT.

Erela 312617A1 21 tablettabletGenoint DKL930665 Salep Kulit Tube PT. Erela 308330A1 4 SalepGenoint DKLO206 .66 Tetes Mata Botol PT. Erela 3112461 4 CairDos 10Glibenclami . GKL952067 de 5 mg strip x 10 PT. Indofarma 905004A2 35 tablettabletPT. lfarsDos 10. . Pharmaceutic DKLO60968 Glikos sp ne als 315609A1 110 KapletP LaboratoriesGludepatic Dos 10 PT. Pratapa DKL963169 500 strip x 10 Nirmala 512617A1 7 tablet Halaman 72 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp tablet 70 Glukosa Botol PT.

Pharmaceutic DKL142442 Dramamine en al Indonesia 403810A1 52 tabletTbkErlamycetin BAL43 y Tube 10 ml Erela 72063084 2 Tubetetes mata48 AtErlamycetin DKL720644 Salep Mata Tube PT. Erela 313731A1 5 SalepDos 1045 Ersolon strip x 10 PT. Erlimpex DKL1006 40 tablet414410A1tableta. PT.

Erela 312617A1 21 tablet Halaman 86 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp tablet Genoint DKL930665 Salep Kulit Tube PT. Erela 308330A1 4 SalepGenoint DKLO206 .66 Tetes Mata Botol PT. Erela 311246A1 4 CairDos 10Glibenclami . GKL952067 de 5 mg strip x 10 PT. Indofarma 905004A2 35 tablettabletPT. lfarsDos 10. . Pharmaceutic DKLO60968 Glikos a a als 215609A1 110 KapletP LaboratoriesGludepatic es 1 PT. Pratapa DKL963169 500 sinip.10 Nirmala 512617A1 7 tablettabletGlukosa PT.

First Medipharma 7 Box Box18 Farizol Ifars 6 Botol Botol19 Amoxicilin Erita Pharma 1 Box Box20 Neuropyron v Harsen 1 Box Box21 Solpenox Soles 15 Strip Box22 Omemox 500 Mutifa 1 Box Box23 Oxilobal Ifars 7 Strip Box24 Etagemycetin Erita Pharma 1 Box BoxKardus 3No Nama Pabrik Jumlah Kemasan1 Metamizole Sodium Met 3 Box Box2 Etafenin Errits Pharma 10strip+46strip Boxa Fargetix Ifars Astrip+3b0x Box4 Ginifar Ifars 1box+4box Box5 Fenamin Zenith 27strip Box6 Omegesic Mutifa 29 Strip Box7 Gasela Ranitidine Erela

Putusan Nomor 45/PID.SUS/2020/PT PDG 27 Tidifar Ifars 29strip Box28 Mixalgin Erela 35 Strip Box29 Omeranin Mutifa 2 Box Box30 Bimasten Bima Mitra Farma 28strip Box31 Linogra Graha Farma 2b0x Box32 Selebrox Sejahtera Lestari 39strip Box33 Costan Samco 31strip Box34 Eltazon Ifars 2b0x Box35 Berotec Boehringer 2kotak Box36 Ventolin Inhaler Glaxo 2kotak Box37 Ventolin Rebules Glaxo 2buah Box38 Omeprazole Hexpharm Jasa 4 Strip BoxTriyasa Nagamas39 Planotab Farma 20+16 Blister Box40 Neuralgin Kalbe 23strip

Box41 Omerahin Mutifa 6 Strip Box42 Pil Kb Hersen 16blister Box43 Pronicy Kalbe 1box Box44 Cimetidine Holo Pharma 8strip Box45 Mefentan 500 Kalbe 17strip Box46 Dexametason 0,75 Dexamedica 21strip Box47 Lansoprazol Exelthis 1box Box48 Cortidex Sanbe 1box Box49 Dexahersen Hersen 1box Box50 Pil Kb Hersen 1box Box51 Broxal Bernofam 5strip BoxKardus 4No Nama Pabrik Jml Kemasan1 Zensoderm Zenith Pharmaceutical 4 Tube2 Erlamycetin Erela Semarang 5 Botol3 Oxytetracycline Hcl Kimia Farma 28 Tube4 Oxytocin

Kimia Farma 14 Tube35 Acyclovit 5% Pt Indofarma 31 Tube36 Erlamycetin Pt Erela 11 BotolKardus 5No Nama Pabrik Jmli KemasanIndarmid Farmasi1 Ifidex 0,5 Industri 5 Buah Botol2 Ctm Pt Pim 2 Buah Botol3 Novades 0,5 Novapharin 4 Buah BotolAditama Raya4 Antalgin Farmindo 3 Buah Botol5 Remacort Novapharin 3 Botol Botol6 Vitamin k Arela 1 Botol Botol7 Danason Hexpham Jasa 4 Box BoxMethyl Predrisolone8 4mg Dexa 55 Strip BoxMethyl Prednisolone9 dmg Molex Aryus 4box BoxMethyl Prednisolon10 4mg Erela 2b0x BoxMethyl

Jasa 4 Box BoxMethyl Predrisolone8 4mg Dexa 55 Strip BoxMethyl Prednisolone9 4mg Molex Aryus 4box BoxMethyl Prednisolon10 4mg Erela 2b0x BoxMethyl Prednisolone11 8mg Quantum Labs 6strip BoxKardus 6No Nama Pabrik Jml Kemasan1 Suspensi Gitri Holi Pharma 25 BotolBandungIndonesia2 Sirup Roverton Pt Ifars 6 BotolAmbroxol Hcl PharmaceuticalLaboratories3 Cotrim Suspensi 4 BotolTrimethroprimSulfamethoxazole Pyridam Farma Hal. 14 dari 29 Hal.

Ambroxol 30 PT Indofarma 40 Tablet12 Ambroxol 30 PT Erela 30 Tablet13 Asonfen PT Intijiaya Meta Ratna 50 Kaptab14 Amlodipine 5 PT Dexa Medica 40 Tablet15 Amlodipine 5 PT Phapros 10 Tablet16 Acyclovir 5% PT Indofarma 6 Tube17 Antalgin PT Corsa 170 Tablet18 Andalan Pil KB PT Harsen 19 Strip19 Bioplacenton PT Kalbe Farma 6 Tube20 Betason N PT Kimia Farma 6 Tube21 Betametason PT Kimia Farma 13 Tube22 Brodapen 500 Sampharindo Perdana 45 Kaplet23 Biomega Graha Farma 90 Kaplet24 Bufacaryl Zenith Pharm.

6 Tube181 Erla Mycetin PT Erela 2 Cair182 Etamoxul PT Errit Pharma 2 Botol183 Trimeta PT Intijiaya Meta Ratna 2 Botol184 Miradon PT Sampharindo Perdana 1 Botol185 Miratadin PT Sampharindo Perdana 1 Botol186 Holimicetine PT Holi Pharma 1 Botol187 Novachlor PT Novapharin 1 Botol188 Pritamox PT Molex Ayus 3 Botol189 Hufabethamin PT Gratia Husada Farma 2 Botol190 Solpenox PT Solas 2 Botol191 Reco Tetes Telinga PT Global Multi 5 Cair192 Alletrol PT Erela 3 Cair193 Cendo Xitrol PT Cendo 1 Cair194 Trinordiol

Erla Mycetin PT Erela 2 Cair182 Etamoxul PT Errit Pharma 2 Botol183 Trimeta PT Intijiaya Meta Ratna 2 Botol184 Miradon PT Sampharindo Perdana 1 Botol185 Miratadin PT Sampharindo Perdana 1 Botol186 Holimicetine PT Holi Pharma 1 Botol187 Novachlor PT Novapharin 1 Botol188 Pritamox PT Molex Ayus 3 Botol189 Hufabethamin PT Gratia Husada Farma 2 Botol190 Solpenox PT Solas 2 Botol191 Reco Tetes Telinga PT Global Multi 5 Cair192 Alletrol PT Erela 3 Cair193 Cendo Xitrol PT Cendo 1 Cair194 Trinordiol 28

Erla Mycetin PT Erela 2 Cair182 Etamoxul PT Errit Pharma 2 Botol183 Trimeta PT Intijiaya Meta Ratna 2 Botol184 Miradon PT Sampharindo Perdana 1 Botol185 Miratadin PT Sampharindo Perdana 1 Botol186 Holimicetine PT Holi Pharma 1 Botol187 Novachlor PT Novapharin 1 Botol Halaman 37 dari 38 Putusan Nomor 7/Pid.Sus/2017/PN Kgn 188 Pritamox PT Molex Ayus 3 Botol189 Hufabethamin PT Gratia Husada Farma 2 Botol190 Solpenox PT Solas 2 Botol191 Reco Tetes Telinga PT Global Multi 5 Cair192 Alletrol PT Erela

Indofarma box 224 Captropil 50 mg OGB Dexa tablet 3025 Carbidu 0,5 mg Sampharindo tablet 240 26 Cefadroxil 500 Pharma tablet 20mg27 Cefadroxil Syr lfars bt 34Ifars28 Cimetidin Promedrajo box 129 Costan samco box 130 Cyclofem SuntikTunggal bt 14KB31 Danasone Hexpharm tablet 15032 Dexamethason Dexa Medika box 1e 0,75 mg33 Dexamethason Harsen box 2e 0,75 mg34 Dexamethason Pharos ampul 25Injeksi35 Dextamine Pharos tablet 440tablet36 Divoltar 50 mg Kalbe box 137 Durammycin Pyridam box 138 Erlamycetin Erela

ktk 3tetes mata39 Erlamycetin Erela ktk 17tetes telinga40 Etabiotic 500 Errita tablet 18041 Etabiotic Syr /Errita bt 10042 Etagemicetin /Errita tablet 22043 Etagemycetin /Errita bt 31Syr44 Etambutol Indofarma box 145 Etamox 500 Errita tablet 14046 Ethiferan Injeksi box 247 Fargetix Ifars box 148 Fargoxin0,25 Pratapa N tablet 9049 Farizol Syr Ifars bt 1750 Farizol tablet Ifars box 151 Farmoten 12,5 Pratapa N tablet 190mg52 Farmoten 25 = Pratapa N tablet 100mg53 Farsifen 400 mglfars box 254 Faxiden

Tablet 100161 Simvastan KF Tablet 70162 Solpenox Solas Tablet 210163 Solpenox Syr Solas Botol 26164 Spasminal Hexpharm Tablet 70165 Spirinolactone OGB Dexa Tablet 100166 Strepmycin Meiji Botol 14Sulfat167 Sulprim Syr Prafa Botol 9168 Suprabiotic Zenith Box 1169 Suprabiuotic Zenith Tablet 100170 Suprazid F Armoxindo F Tablet 120171 Terramycin Pfize Botol 3Injeksi172 Tidifar 400 mg lfars Tablet 80173 Tidifar Ifars Tablet 20174 Vesperum Ifars Tablet 160175 Vibramox Syr Pyridam Botol 18176 Vit K4 10 mg Erela

ktk 3tetes mata39 Erlamycetin Erela ktk 17tetes telinga40 Etabiotic 500 Errita tablet 18041 Etabiotic Syr Errita btl 10042 Etagemicetin Errita tablet 22043 Etagemycetin Errita btl 31Syr44 Etambutol Indofarma box 145 Etamox 500s*/Errita tablet 14046 Ethiferan box 2Injeksi47 Fargetix Ifars box 148 Fargoxin 0,25 Pratapa N tablet 9049 Farizol Syr Ifars btl 1750 Farizol tablet Ifars box 151 Farmoten 12,5Pratapa N tablet 190mg52 Farmoten25 Pratapa N tablet 100mg53 Farsifen 400 Ifars box 2mg54 Faxiden

ktk 3tetes mata39 Erlamycetin Erela ktk 17tetes telinga40 Etabiotic 500 Errita tablet 18041 Etabiotic Syr Errita bt 10042 Etagemicetin /Errita tablet 22043 Etagemycetin /Errita bt 31Syr44 Etambutol Indofarma box 145 Etamox 500 Errita tablet 14046 Ethiferan Injeksi box 247 Fargetix Ifars box 148 Fargoxin0,25 Pratapa N tablet 9049 Farizol Syr Ifars bt 1750 Farizol tablet Ifars box 151 Farmoten 12,5 Pratapa N tablet 190mg52 Farmoten 25 Pratapa N tablet 100mg53 Farsifen 400 mglfars box 254 Faxiden 10

OBAT1 Al OTO DAFTLARG7 DICLOFE TABLET GKLO408511017 HEXPHA 50 B OBAT2 NAC Al RM JAYA UTIR DAFTPOTASSIU ARGM507 DIONICOL SUSPEN DKLO0609216038 IFARS 1 B OBAT3 SI Al OTO DAFTLARG7 DIVOLTAR TABLET DKL8811606915 KALBE 70 8B OBAT4 50MG B1 FARMA UTIR DAFTARG7 DOBRIZO KAPSUL DKLO709217003 /IFARS 130 8B OBAT5 b Al UTIR DAFTARG7 DRAMAMI TABLET DKL1424403810 TAISHO 37 8B OBAT6 NE50MG Al PHARMA UTIR DAFTCEUTICA ARGL7 ELTAZON KAPLET DKLO409214604 IFARS 130 8B OBAT7 Al UTIR DAFTARG7 ENBATIC SALEP DKL9206308130 ERELA

B OBAT0 Al x UTIR DAFTARG8 ERLANEO KRIM REG D 2019682 ERELA 7 TU OBAT1 HYDROC BE DAFTORT ARG Putusan Nomor :42/Pid.Sus/2019/PN SrlHalaman 12 dari 46 halaman 8 ERLADER KRIM DKL1006312329 ERELA 3 TU OBAT2 M Al BE DAFTAR G8 ERLAMYC SALEP DKL7206313731 ERELA 9 TU OBAT3 ETIN Al BE DAFTAR G8 ERLAMYC TETES DKL7206316546 ERELA 15 B OBAT4 ETIN MATA Al OTO DAFTL AR G8 ERLAMYC TETES DKLO406311646 ERELA 6 B OBAT5 ETIN MATA Al OTO DAFTPLUS L ARG8 ERLAPEC TABLET DKL1006312710 ERELA 60 B OBAT6 T Al UTIR DAFTAR

IFARS 2 TU OBAT0 Al BE DAFT1 AR G1 FAXIDEN KAPLET DKL9609205504 IFARS 280 B OBAT0 20 Bi UTIR DAFT2 AR G1 FG TABLET DKL7218550124 MEIJI 90 B OBAT0 TROCES Al UTIR DAFT3 AR G1 FIMESTAN KAPLET DKL9807103809 FIRST 200 B OBAT0 Al MEDIPH UTIR DAFT4 ARMA AR G1 FLACOID TABLET DKLO227508404 YEKATRI 45 B OBAT0 0,5 Al A FARMA UTIR DAFT5 AR G1 FLASICOX KAPLET DKLO609216204 IFARS 125 B OBAT0 15 Bi UTIR DAFT6 AR G1 FUCILEX KRIM DKLO930909429 MOLEX 8 TU OBAT0 Al AYUS BE DAFT7 AR G1 GASELA TABLET DKL1006312617 ERELA

200 B OBAT0 Al UTIR DAFT8 AR G1 GENOINT SALEP DKL9306308330 ERELA 11 TU OBAT0 Al BE DAFT9 AR G1 GENOINT SALEP DKL9306308431 ERELA 4 TU OBAT1 MATA Al BE DAFT0 AR G1 GENOINT TETES DKLO206311246 ERELA 2 B OBAT1 MATA Al OTO DAFT1 L AR G1 GENTAMI SALEP GKL9912700630 PT KIMIA 9 TU OBAT1 SIN Al FARMA BE DAFT2 AR G1 GITARAMI KAPLET DKL9618205809 NUFARIN 20 B OBAT1 N Al DO UTIR DAFT3 AR G1 GLIBENCL KAPTAB GKL9520905004 INDOFA 150 B OBAT1 AMIDE A2 RMA UTIR DAFT4 AR G1 GLIMEPIR TABLET GKLO508512710 HEXPHA

Al UTIR DAFT4 AR G2 OMETILS TABLET DKLO416908110 MUTIFA 50 B OBAT0 ON4MG Al UTIR DAFT5 AR G2 OMEZYRT KAPLET DKLO616909410 MUTIFA 70 B OBAT0 EKS Al UTIR DAFT6 AR G2 OPISTAN KAPLET DKL8818803909 PERTIWI 90 B OBAT0 500 Al AGUNG UTIR DAFT7 AR G2 OTILON TETES DKLO922246148 SANBE 1 B OBAT0 TELINGA Al FARMA OTO DAFT8 L AR G2 OVTELIS TABLET DKL1625904010 TRIMAN, 57 B OBAT0 20 Al BANDUN UTIR DAFT9 G AR G2 OXICOBA KAPSUL DKLO709217201 IFARS 60 B OBAT1 L Al UTIR DAFT0 AR G2 PENICILLI KAPSUL GKL7206316310 ERELA

170

Tab

136000

26

FLACOID 0,5

DKL0227508404A1

YEKATRIA FARMA

30

Tab

6000

27

GASELA

DKL1006312617A1

ERELA

20

Tab

4000

28

GASELA

DKL1006312617A1

ERELA

6

Strip

18000

29

GLAFACHLOR

DKL9131102604A1

/p>

Kaplet

603000

43

PANSTONAL

DKL9016003904A1

INTIJAYA METARATNA

10

Tab

9000

44

PENICILLIN V

GKL7206316310A1

ERELA

ESA FARMA 12 Tab 240000,5 019 DEXAMETHASONE GKL8715201210B1 MEGA ESA FARMA 40 Tab 80000,7520 DEXTAF DKLO701802910A1 BALATIF 78 Strip 15600021 Dexteem Plus DKL9306409410A1 ERLIMPEX 55 Tab 275000022 Ermethasone 0,5 mg DKL8506404910A1 ERLIMPEX 43 Tab 129000023 ERPHACYP DKL9206404708A1 ERLIMPEX 50 Tab 2500024 ETADEXTA DKL9906501104A1 ERRITA PHARMA 12 Strip 2400025 FARMOTEN 25 DKL9131501810A1 FAHRENHEIT 17 Tab 136000026 FLACOID 0,5 DKLO227508404A1 YEKATRIA FARMA 30 Tab 600027 GASELA DKL1006312617A1 ERELA

20 Tab 400028 GASELA DKL1006312617A1 ERELA 6 Strip 1800029 GLAFACHLOR DKL9131102604A1 GRAHA FARMA 36 Strip 10800030 GLAFALIN 2 DKL9331103610A1 GRAHA FARMA 23 Strip 4600031 GLIBENCLAMIDE 5 GKL9520905004A2 INDOFARMA 35 Tab 35000032 GRATHAZON DKL9131102004A2 GRAHA FARMA 23 Strip 4600033 GRISEOVULFIN 125 GKL8912509810A2 KIMIA FARMA 10 Tab 700034 HISTIGO DKLO409214504A1 IFARS 10 Tab 200035 IRGAPAN 200 DKLO305034217A1 DEXA MEDICA 10 Tab 70000036 KETOCONAZOLE 200 GKLO208506310A1 HEXPHARM JAYA 75 Tab 3750037

Sus/2019/PN TmtParaf 40 NEURALGIN RX DKL8511603809A1 KALBE FARMA 70 Tab 6300041 Omefulvin 15 mg DKL0616909310A1 PT MUTIFA 42 Tab 425000542 Omestan 500 DKL9316905609A1 PT Mutifa 67 Kaple 6030000 t43 PANSTONAL DKL9016003904A1 INTJAYA METARATNA 10 Tab 900044 PENICILLIN V GKL7206316310A1 ERELA 21 Tab 108000645 PIL KB I KOMBINASI GKLO607917616A1 HARSEN 25 Bliste 50000r46 PIROXICAM GKL9807103901B1 FIRST MEDIPHARMA 30 Tab 600047 PRONICY DKL9211614909A2 KALBE FARMA 14 Tab 42000048 RANITIDIN GKLO308509017A1

LICOSTAN DKL9632500304A1 BERLICO MULIA 30 Tab 18000FARMA38 LOXIFAR DKLO409214409A2 IFARS 4 Strip 800039 Molacort 0,5 mg DKL9730903210B1 Molex Ayus 39 Tab 117000040 NEURALGIN RX DKL8511603809A1 KALBE FARMA 70 Tab 6300041 Omefulvin 15 mg DKLO616909310A1 PT MUTIFA 42 Tab 425000542 Omestan 500 DKL9316905609A1 PT Mutifa 67 Kaple 6030000 t43 PANSTONAL DKL9016003904A1 INTIJAYA METARATNA 10 Tab 900044 PENICILLIN V GKL7206316310A1 ERELA 21 Tab 108000645 PIL KB I KOMBINASI GKLO607917616A1 HARSEN 25 Bliste

20 Tab 400028 GASELA DKL1006312617A1 ERELA 6 Strip 1800029 GLAFACHLOR DKL9131102604A1 GRAHA FARMA 36 Strip 10800030 GLAFALIN 2 DKL9331103610A1 GRAHA FARMA 23 Strip 4600031 GLIBENCLAMIDE 5 GKL9520905004A2 INDOFARMA 35 Tab 35000032 GRATHAZON DKL9131102004A2 GRAHA FARMA 23 Strip 4600033 GRISEOVULFIN 125 GKL8912509810A2 KIMIA FARMA 10 Tab 7000KM HK 1 HK 2Halaman 21 dari 23 Putusan Nomor 60/Pid.

Ambroxol 30 mg

Indofarma

16

Strip

6

Amlodipine Besyllate 10 mg

OGB Dexa

9

Strip

7

Amoxicillin 500 mg

Rama Erela

8

Strip

70

Poistan 500

Otto

3

Strip

71

Oxytetracycline salep mata 1%

KF

13

Tube

72

Penicillin V 50000

Erela

Strip

110

Yasmin

Bayer

4

Kotak

111

Melanox cream

SDM

6

Tube

112

Erlamycetin tetes telinga

erela

Nama Barang Pabrik Jumlah Kemasan1 Acyclovir 22 mg Indofarma 1 Strip2 Acyclovir Krim Indofarma 38 Tube3 Alovar 100 lfars 7 Strip4 Alovar 300 Ifars 11 Strip5 Ambroxol 30 mg Indofarma 16 Strip6 Amlodipine Besyllate 10 mg OGB Dexa 9 Strip7 Amoxicillin 500 mg Rama Erela 8 Strip8 Amoxicillin syrup Holi Pharma 6 Botol9 Ampicillin 500 Errita 2 Strip10 Andalan Laktasi DKT Indonesia 9 Strip11 Andalan Pil KB DKT Harsen 28 Strip12 Andalan Suntik KB DKT Indonesia 22 Vial13 Antalgin Universal 39 Strip14 Asam

5 box57 Microgynon Bayer 5 Strip58 Mikrodiol 50 KF 7 Strip59 Miradon syrup Sampharindo 4 Botol60 Molacort 0,5 Molex Ayus 8 Box61 Muzoral 200 mg Molex Ayus 1 Strip62 Muzoral krim Mugi 2 Tube63 Neuralgin Rama Kalbe 7 Strip64 Nexitra Ifars 5 Strip65 Novadium Novapharin 23 Strip66 Novalox 500 Novapharin 3 Strip67 Novatrim syrup Nova 6 Botol68 Novaxicam 20 mg Novapharin 7 Strip69 Omeprazole Indofarma 2 Strip70 Poistan 500 Otto 3 Strip71 Oxytetracycline salep mata KF 13 Tube1%72 = Penicillin V 50000 Erela

1 Box98 Alodan 300 Dankos 2 Box99 Selvim Ifars 2 Box100 Lanadexon Landson 2 Box101 Farmalat 19 Fahreinheit 9 Strip102 Propranolol 40 mg Kimia Farama 9 Strip103 Ambroxol 30 mg Kimia Farma 1 Box104 Loratadine 10 mg Indofarma 7 Strip105 Farmoten 25 mg Fahreinheit 7 Strip106 Renabetic 5 mg Fahreinheit 17 Strip107 Metformin 500 mg Indofarma 11 Strip108 Isosorbide Dinitrat 5 mg Indofarma 9 Strip109 Omedom Mutifa 12 Strip110 Yasmin Bayer 4 Kotak111 Melanox cream SDM 6 Tube112 Erlamycetin tetes telinga Erela

Nama Barang Pabrik Jumlah Kemasan1 Acyclovir 22 mg Indofarma 1 Strip2 Acyclovir Krim Indofarma 38 Tube3 Alovar 100 Ifars 7 Strip4 Alovar 300 Ifars 11 Strip5 Ambroxol 30 mg Indofarma 16 Strip6 Amlodipine Besyllate 10 mg OGB Dexa 9 Strip7 Amoxicillin 500 mg Rama Erela 8 Strip8 Amoxicillin syrup Holi Pharma 6 Botol9 Ampicillin 500 Errita 2 Strip10 Andalan Laktasi DKT Indonesia 9 Strip11 Andalan Pil KB DKT Harsen 28 Strip12 Andalan Suntik KB DKT Indonesia 22 Vial13 Antalgin Universal 30 Strip14 Asam

5 box57 Microgynon Bayer 5 Strip58 Mikrodiol 50 KF 7 Strip59 Miradon syrup Sampharindo 4 Botol60 Molacort 0,5 Molex Ayus 8 Box61 Muzoral 200 mg Molex Ayus 1 Strip62 Muzoral krim Mugi 2 Tube63 Neuralgin Rama Kalbe 7 Strip64 Nexitra Ifars 5 Strip65 Novadium Novapharin aS Strip66 Novalox 500 Novapharin 3 Strip67 Novatrim syrup Nova 6 Botol68 Novaxicam 20 mg Novapharin 7 Strip69 Omeprazole Indofarma 2 Strip70 Poistan 500 Otto 3 Strip71 Oxytetracycline salep mata KF 13 Tube1%72 = Penicillin V 50000 Erela

biji) Glibendamide 5 mg (lima milligram), 54 pcs (lima puluh empat biji) Incidal OD Bayer, 40 (empat puluh) blister Irgapan 200 (dua ratus) Dexa, 2 pcs (dua biji) Kalcinoi N Cream, 177 kaps (seratus tujuh puluh tujuh kaplet) Kalmicetine 250 mg (dua ratus lima puluh milligram), 20 pcs (dua puluh biji) Kemicetine, 200 tab (dua ratus tablet) Lanadexon, 90 pcs (smbilan puluh biji) Mefinal 250 mg (dua ratus lima puluh milligram) capsul, 1 pcs (satu biji) Melanox Cream, 200 pcs (dua ratus biji) Mixalgin Erela

Dexaton 0,75 mg;Halaman 2 dari 29 Putusan Nomor 542/Pid.Sus/2018/PN Byw3 botol Dexaton eye Drop ;290 tab Dextamin;18 pcs Dramamine 50 mg ;3 botol Erlamycetin Eye Drop ;5 tube Erlamycetin salep mata ;1 pak Fenfluramine ;84 cap Fenodn e 125 mg ;160 pcs Glibendamide 5 mg;54 pcs Incidal OD Bayer40 (empat puluh) blister Irgapan 200 Dexa ;2 pcs (dua biji) Kalcinoi N Cream ;177 kaps Kalmicetine 250 mg ;20 pcs Kemicetine;200 tab Lanadexon;90 pcs Mefinal 250 mg capsul:;1 pcs Melanox Cream ;200 pcs Mixalgin Erela

542/Pid.Sus/2018/PN BywAndalan Laktasi, Antalgin FM, Asam Mefenamat 500 mg (Nova), Binotal1000 mg, Captopril Errita 25 mg Dexa, Captopril OGB 25 mg Dexa,Cataflam 50 mg Novartis, Daonil, Decatrim, Dexaton 0,75 mg, Dexatoneye Drop, Dextamin, Dramamine 50 mg, Erlamycetin Eye Drop,Erlamycetin salep mata, Fenfluramine , Fenocin e 125 mg ,Glibenclamide 5 mg , Incidal OD Bayer , Irgapan 200 Dexa , Kalcinol NCream, Kalmicetine 250 mg, Kemicetine , Lanadexon, Mefinal 250 mgcapsul, Melanox Cream, Mixalgin Erela

Ampicillin ETA 500 mg,Andalan Laktasi, Antalgin FM, Asam Mefenamat 500 mg (Nova), Binotal1000 mg, Captopril Errita 25 mg Dexa, Captopril OGB 25 mg Dexa,Cataflam 50 mg Novartis, Daonil, Decatrim, Dexaton 0,75 mg, Dexatoneye Drop, Dextamin, Dramamine 50 mg, Erlamycetin Eye Drop,Erlamycetin salep mata, Fenfluramine , Fenocin e 125 mg ,Glibenclamide 5 mg , Incidal OD Bayer , Irgapan 200 Dexa , Kalcinol NCream, Kalmicetine 250 mg, Kemicetine , Lanadexon, Mefinal 250 mgcapsul, Melanox Cream, Mixalgin Erela

puluh biji) Glibendamide 5 mg (limamilligram);54 pcs (lima puluh empat biji) Incidal OD Bayer40 (empat puluh) blister Irgapan 200 (dua ratus) Dexa ;2 pcs (dua biji) Kalcinoi N Cream ;177 kaps (Seratus tujuh puluh tujuh kaplet) Kalmicetine 250 mg(dua ratus lima puluh milligram);20 pcs (dua puluh biji) Kemicetine;200 tab (dua ratus tablet) Lanadexon;90 pcs (smbilan puluh biji) Mefinal 250 mg (dua ratus lima puluhmilligram) capsul;1 pcs (satu biji) Melanox Cream ;200 pcs (dua ratus biji) Mixalgin Erela

Sus/2018/PN BywKalcinoi N Cream, 177 kaps (Seratus tujuh puluh tujuh kaplet) Kalmicetine 250mg (dua ratus lima puluh milligram), 20 pcs (dua puluh biji) Kemicetine, 200 tab(dua ratus tablet) Lanadexon, 90 pcs (smbilan puluh biji) Mefinal 250 mg (duaratus lima puluh milligram) capsul, 1 pcs (satu biji) Melanox Cream, 200 pcs(dua ratus biji) Mixalgin Erela, 7 (tujuh) box @ 28 tab Mycroginon, 150 pcs(seratus lima puluh biji) Neuralgin, 90 cap!

Alofar Ifars Strip 1147 Allopurinol Mutifa Strip 648 Omeric 100 Mutifa Strip 1549 Etabiotic Syrup Errita Botol 450 Primadex Syrup Pyridam Botol 451 Sultrimix Syrup Bernofarm Botol 252 Pronicy Kalbe Strip 1053 Co Amoxiclov Indofarma Strip 554 Mucogard Syrup Soho Botol 355 Mycoral cream Kalbe Farma Tube 856 Muzoral tablet Molex Ayus Strip 757 Acyclovir Cream Indofarma Tube 2358 Scandexon Scan Strip 2359 Glibenclamid 5 mg First Strip 1660 Suldox Actavis Strip 1661 Penicillin V 50000 Erela

Strip 3462 Oxytetracyclin 1 % salepmata Kimia Farma Tube 1763 Oxytetracyclin 3 % Cream KimaFarma Tube 1864 Yusimox Syrup Ifars Botol 365 Lexafram Syrup Molex Ayus Botol 566 Vesperum Syrup Ifars Botol 667 Lostacef Syrup Ifars Botol 968 Farizol Syrup Ifars Botol 969 Mucera Syrup OTTO Botol 870 Erlamycetintetsmata Erela Botol 571 Omeroxol syrup Mutifa Botol 1272 Mucera Drop OTTO Botol 373 Cefixime syrup Pharma Lab Botol 474 Genoint 0,3 % Erela Tube 875 GenointSalepKulit Erela Tube 876

botol 566 Vesperum Syrup lfars botol 667 Lostacef Syrup lfars botol 968 Farizol Syrup lfars botol 969 Mucera Syrup OTTO botol 870 Erlamycetintetsmata Erela botol 5 Halaman 3 dari 35 Putusan Nomor 163/Pid.Sus/2017/PN.Prp 71 Omeroxol syrup Mutifa botol 1272 Mucera Drop OTTO botol 373 Cefixime syrup Pharma Lab botol 474 Genoint 0,3 % Erela Tube 875 GenointSalepKulit Erela Tube 876 Amoxsan 500 SanbeFarma Strip 677 Bevalex Cream Molex Ayus Tube 1178 Chloramphenicol 250 mg Indofarma Box 279 DexaM 0,75

1864 Yusimox Syrup lfars botol 365 Lexafram Syrup Molex Ayus botol 566 Vesperum Syrup lfars botol 667 Lostacef Syrup lfars botol 968 Farizol Syrup lfars botol 969 Mucera Syrup OTTO botol 870 Erlamycetintetsmata Erela botol 571 Omeroxol syrup Mutifa botol 1272 Mucera Drop OTTO botol 373 = Cefixime syrup Pharma Lab botol 474 Genoint 0,3 % Erela Tube 875 GenointSalepKulit Erela Tube 876 Amoxsan 500 SanbeFarma Strip 677 Bevalex Cream Molex Ayus Tube 1178 Chloramphenicol 250 mg Indofarma Box 279 DexaM

Penicillin V 50000 Erela strip 3462 Oxytetracyclin 1% saleomata Kimia Farma tube 1763 Oxytetracyclin 3 % Cream KimaFarma tube 1864 Yusimox Syrup lfars botol 365 Lexafram Syrup Molex Ayus botol 566 Vesperum Syrup lfars botol 667 Lostacef Syrup lfars botol 968 Farizol Syrup lfars botol 969 Mucera Syrup OTTO botol 870 Erlamycetintetsmata Erela botol 571 Omeroxol syrup Mutifa botol 1272 Mucera Drop OTTO botol 373 = Cefixime syrup Pharma Lab botol 474 Genoint 0,3 % Erela tube 875 GenointSalepKulit Erela

strip 3462 Oxytetracyclin 1% saleomata Kimia Farma tube 1763 Oxytetracyclin 3 % Cream KimaFarma tube 1864 Yusimox Syrup lfars botol 365 Lexafram Syrup Molex Ayus botol 566 Vesperum Syrup lfars botol 667 Lostacef Syrup lfars botol 968 Farizol Syrup lfars botol 969 Mucera Syrup OTTO botol 870 Erlamycetintetsmata Erela botol 571 Omeroxol syrup Mutifa botol 1272 Mucera Drop OTTO botol 373 = Cefixime syrup Pharma Lab botol 474 Genoint 0,3 % Erela tube 875 GenointSalepKulit Erela tube 876 Amoxsan 500

botol 566 Vesperum Syrup lfars botol 667 Lostacef Syrup lfars botol 968 Farizol Syrup lfars botol 969 Mucera Syrup OTTO botol 870 Erlamycetintetsmata Erela botol 571 Omeroxol syrup Mutifa botol 1272 Mucera Drop OTTO botol 373 Cefixime syrup Pharma Lab botol 474 Genoint 0,3 % Erela tube 875 GenointSalepKulit Erela tube 876 Amoxsan 500 SanbeFarma strip 6 Halaman28 dari 35 Putusan Nomor 163/Pid.Sus/2017/PN.Prp 77 Bevalex Cream Molex Ayus tube 1178 Chloramphenicol 250 mg Indofarma box 279 DexaM 0,75

tablet Obat Daftar Gtablet Medan DKLO616909310A188 Lerzin PT IFARS 50 tablet Obat Daftar GKapsul Solo DKLO509215301A189 Bufacaryl PT Bufa Aneka 100 kaplet Obat Daftar GKaplet Semarang DKLO6009147O9A190 Soldextam Solas 200 kaplet Obat Daftar GBandung DKLO033400704A191 Dextaf Balatif 200 tablet Obat Daftar GPharmaceutica DKLO7018029 10A192 Mefinal 500 PT Sanbe 64 kaplet Obat Daftar GFarma DKL83222004Bandung 04A193 Amoxan PT Sanbe 20 kapsul Obat Daftar G500 Kapsul Farma DKL08324017Bandung 01B194 Gasela Erela

GKL96107013Injeksi Pharmalab 43A1160 Penicillin G PT Meiji 12 vial Obat Daftar GMeiji Indonesia DKL7215302544A1161 Terramycin Pfizer 10 vial Obat Daftar G50 mg/ml DKL7219809043A1162 Cendo Cendo 15 pcs Obat Daftar GXitrol Bandung DKL72038097Minidose 46A1163 Cendo Cendo 20 pcs Obat Daftar GCatarlent Bandung DTL76038116Minidose 46A1164 Cendo Cendo 2 minidose Obat Daftar GCenfresh Bandung DTLO2038087Minidose 46A1165 Gentamicin Kimia Farma 59 tube Obat Daftar Gsalep 0,1 % GKL9912700630A1166 Erlamycetin Erela

3 tube Obat Daftar Gcream 15g Semarang DKL9306308330A1186 Cendo Cendo 12 fls Obat Daftar GXitrol Bandung DKL7203809746A1187 Garamycin PT = Schering 2 tube Obat Daftar GSalep 5g Plough DKL7406605930A1188 Genalten PT IFARS 1 tube Obat Daftar Gcream Solo DKL9809209629A1189 Genoint Erela 1 fls Obat Daftar GTeteas Semarang DKLO2063112Mata 46A1 Hal 21 dari hal 66 Pidana Nomor :17Pid.B/2017/PTBna 190 Erlamycetin Erela 1 fls Obat Daftar GPlus TM Semarang DKL0406311646A1 kemudian saksi Naila S.Si, Apt dan

3 tube Obat Daftar Gcream 15g Semarang DKL93063083 Hal 42 darihal 66 Pidana Nomor :17Pid.B/2017/PTBna 30A1186 Cendo Cendo 12 fls Obat Daftar GXitrol Bandung DKL7203809746A1187 Garamycin PT Schering 2 tube Obat Daftar GSalep 5g Plough DKL7406605930A1188 Genalten PT IFARS 1 tube Obat Daftar Gcream Solo DKL9809209629A1189 Genoint Erela 1 fis Obat Daftar GTeteas Semarang DKLO2063112Mata 46A1190 Erlamycetin Erela 1 fls Obat Daftar GPlus TM Semarang DKLO0406311646A1 Dirampas untuk dimusnahkan;4.

3 tube Obat Daftar Gcream 15g Semarang DKL9306308330A1186 Cendo Cendo 12 fls Obat Daftar GXitrol Bandung DKL7203809746A1187 Garamycin PT Schering 2 tube Obat Daftar GSalep 5g Plough DKL7406605930A1188 Genalten PT IFARS 1 tube Obat Daftar Gcream Solo DKL9809209629A1189 Genoint Erela 1 fis Obat Daftar GTeteas Semarang DKLO2063112Mata 46A1190 Erlamycetin Erela 1 fls Obat Daftar GPlus TM Semarang DKL0406311646A1 Kesemuanya dirampas untuk dimusnahkan;Hal 62 darihal 66 Pidana Nomor :17Pid.B/2017/PTBna

A Tube ObatIndonesia Keras21 Erlamycetin tetes mata Erela A Botol ObatKeras22 Skizon Cream Hexpharm Jaya 10 Tube ObatKeras23 Erlamycetin salep mata Ereia 5 Tube ObatKeras> Karung 8Nama Barang.

Obat43 Darya Varia 7 Strip KarasAA Loperamide HCI IFARS 7 Strip ObatIndonesia Keras45 BEneHEX Bernofarm 9 Strip ObatKeras46 Captopril Errita Farma 20 Strip ObatKerasA7 Natrium Diklofenac Novell 12 Strip ObatKeras48 Gasela Erela 9 Strip OBatKeras49 Repass Ibuprofen Erela 6 strip ObatKerasgp Reverton IFARS 16 strip ObatKerasCetirizine HCL Guardian .

A Tube ObatIndonesia Keras21 Erlamycetin tetes mata Erela A Botol ObatKeras22 skizon Cream Hexpharm Jaya 10 Tube ObatKeras23 Erlamycetin salep mata Erela 5 Tube ObatKeras> Karung 8Nama Barang.

Obat4 Indonesia 7 Strip Keras45 Baniodex Bernofarm 9 Strip hatKeras Halaman 183 dari 192 Putusan Nomor 283/Pid.Sus/2019/PN Pdg CaptoprilObat 46 Errita Farma 20 StripKerasA7 Natrium Diklofenac Novell 12 Strip ObatKerasGasela Obat48 Erela 9 Strip iCoras49 Repass Ibuprofen Erela 6 strip ObatKeras59 Roverton IFARS 16 strip ObatKerasCetirizine HCL Guardian . Obata.

STRIP Rp 25.000 Obat Daftar G200 MG KALBE COMPANY36 PENICILLIN V PT ERELA STRIP Rp 85.000 Obat Daftar G50000 a437 RENADINAC 50 PT PRATAPA 14 STRIP Rp 116.200 Obat Daftar GMG NIRMALA38 SUPER TETRA PT DARYA VARIA 9g STRIP Rp 70.200 ObatDaftarG39 PRONAM PT HARSEN 6 STRIP Rp 21.000 ObatDaftarG40 ARTIMATIC PT HOLI PHARMA 5 STRIP Rp 24.500 ObatDaftarG41 AMOXICILLIN 500 PTDANKOS STRIP Rp 46.000 Obat Daftar G10FARMA42 GRAFACHLOR PTGRAHAFARMA 2 STRIP Rp 7.400 Obat Daftar G43.

ERRITA , BOTO Rp 15.600 Obat Daftar GPHARMA L85 HUFABETAMIN PT GRATIA > BOTO Rp 20.000 Obat Daftar GHUSADA FARMA L86 LERZIN 60ml PT IFARS 3 BOTO Rp 45.600 Obat Daftar GL87 FARIDEXON PT IFARS i> STRIP Rp 39.600 Obat Daftar GFORTE 0.7588 MEGASONUM 0.75 PT MEGAESA STRIP Rp 2.000 Obat Daftar G1FARMA89 NOVADEX 0.75 PT NOVAPHARIN 3 STRIP Rp 9.300 Obat Daftar G90 CARBIDU 0.75 PT SAMPHARINDO , STRIP Rp 68.400 Obat Daftar GPERDANA91 GLIBENCLAMIDE PT INDOFARMA 7 STRIP Rp 13.300 Obat Daftar G92 TRISELA PT ERELA

G94 ELTAZON PT IFARS 5 STRIP Rp 23.000 Obat Daftar G95 AMLODIPINE PT RAMA 9 STRIP Rp 205.200 Obat Daftar G EMERALD MULTI Halaman 5 dari 22 Putusan Nomor 1/Pid.S/2020/P N Kph SUKSES 96 MEXON PT SAMPHARINDO 11 STRIP Rp 126.500 Obat Daftar GPERDANA97 VADROL PT NOVAPHARIN 10 STRIP Rp 120.000 Obat Daftar G98 CARBIDU 0.5 PT SAMPHARINDO 10 STRIP Rp 58.000 Obat Daftar GPERDANA99 ETADEXTA PT ERRITA 8 STRIP Rp 49.600 Obat Daftar GPHARMA10 LICODEXON PT BERLICO 9 STRIP Rp 26.100 Obat Daftar G010 MYCETIN PT ERELA

Rp 92.500 Obat Daftar G9 RANITIDINE11 GLUCODEX PT DEXA MEDICA 3 STRIP Rp 18.900 Obat Daftar G011 VOLTADEX PT DEXA MEDICA 2 KOTA Rp 70.000 Obat Daftar G1 K11 GENALTEN PT IFARS 1 TUBE Rp 9.700 Obat Daftar G211 PHI KANG SUANG PT SANGO GRATIA 1 TUBE Rp 12.500 Obat Daftar G3 PHARMA11 ENBATIC PT ERELA 5 BKS Rp 16.000 Obat Daftar G411 METHYLPREDMIS PT HEXPHARM 10 STRIP Rp 66.000 Obat Daftar G5 OLONE JAYA11 OXYTETRACYCLI KIMIA FARMA 6 TUBE Rp 26.400 Obat Daftar G6 NE HCL 1%11 ACYLOFIR PT PHAPROS 2 TUBE

STRIP Rp 7.200 Obat Daftar GJAYA109 GASELARANITIDINE PT ERELA 5 STRIP Rp 92500 Obat Daftar G110 GLUCODEX PT DEXA MEDICA 3.

24000 29 DEXA METHASONE 0,5 GKL8515201210A1 MEGA ESA FARMA 380 tab 10 tab 152000 30 DEXA METHASONE 0,75 GKL8715201210B1 MEGA ESA FARMA 280 TAB 10 TAB 140000 31 DEXA METHASONE 0,75 DKL1307919504B1 HARSEN 2000 TAB 10 TAB 1000000 32 DEXCLOSAN DKL9728909110A1 RAMA EMERALD 100 tab 10 tab 70000 33 ERPHACYP DKL9206404708A1 ERLIMPEX 940 tab 10 tab 470000 34 FARIZOL DKL9509205104B1 IFARS 10 KAPLET 10 KAPLET 6000 35 FULCIN DKL9508900710B1 BOEHRINGER INGELHEIN 13 tab 9 tab 195000 36 GASELA DKL1006312617A1 ERELA

Hexpharm Jaya 70 tab 10 tab 25000 59 MOLAcort 0,75 mg DKL9330903210A1 Molex Ayus 2400 tab 10 tab 720000 60 MYCORAL DKL8711605817A1 KALBE FARMA 50 TAB 10 TAB 250000 61 NUFAPREG DKL9918211510A1 NUFARINDO 48 TAB 10 TAB 240000 62 OMEGESIK DKL9216905410A1 MUTIFA 220 KAPSUL 10 KAPSUL 110000 63 OMEPRAZOLE 20 GKL1209222401A1 IFARS 60 KAPSUL 10 KAPSUL 36000 64 OMEROXOL DKL0416907910A1 MUTIFA 60 TAB 10 TAB 39000 65 Omestan 500 DKL9316905609A1 PT Mutifa 260 Kaplet 10 Kaplet 156000 66 PENICILLIN V GKL7206316310A1 ERELA

ESA FARMA 12 Tab 240000,5 019 DEXAMETHASONE GKL8715201210B1 MEGA ESA FARMA 40 Tab 80000,7520 DEXTAF DKLO701802910A1 BALATIF 78 Strip 15600021 Dexteem Plus DKL9306409410A1 ERLIMPEX 55 Tab 275000022 Ermethasone 0,5 mg DKL8506404910A1 ERLIMPEX 43 Tab 129000023 ERPHACYP DKL9206404708A1 ERLIMPEX 50 Tab 2500024 ETADEXTA DKL9906501104A1 ERRITA PHARMA 12 Strip 2400025 FARMOTEN 25 DKL9131501810A1 FAHRENHEIT 17 Tab 136000026 FLACOID 0,5 DKLO227508404A1 YEKATRIA FARMA 30 Tab 600027 GASELA DKL1006312617A1 ERELA

20 Tab 400028 GASELA DKL1006312617A1 ERELA 6 Strip 1800029 GLAFACHLOR DKL9131102604A1 GRAHA FARMA 36 Strip 10800030 GLAFALIN 2 DKL9331103610A1 GRAHA FARMA 23 Strip 4600031 GLIBENCLAMIDE 5 GKL9520905004A2 INDOFARMA 35 Tab 35000032 GRATHAZON DKL9131102004A2 GRAHA FARMA 23 Strip 4600033 GRISEOVULFIN 125 GKL8912509810A2 KIMIA FARMA 10 Tab 700034 HISTIGO DKLO409214504A1 IFARS 10 Tab 200035 IRGAPAN 200 DKLO305034217A1 DEXA MEDICA 10 Tab 70000036 KETOCONAZOLE 200 GKLO208506310A1 HEXPHARM JAYA 75 Tab 3750037

Sus/2019/PN Tmt 542 Omestan 500 DKL9316905609A1 PT Mutifa 67 Kaple 6030000 t43 PANSTONAL DKL9016003904A1 INTJAYA METARATNA 10 Tab 900044 PENICILLIN V GKL7206316310A1 ERELA 21 Tab 108000645 PIL KB!

80 tab 10 tab 24000mg29 DEXA GKL8515201210A1 MEGAESA 380 tab 10 tab 152000METHASONE FARMA0,530 DEXA GKL8715201210B1 MEGAESA 280 TAB 10 TAB 140000METHASONE FARMA0,7531 DEXA DKL1307919504B1 HARSEN 200 TAB 10 TAB 100000METHASONE 0 00,7532 DEXCLOSAN DKL9728909110A1 RAMA 100 tab 10 tab 70000EMERALD33 ERPHACYP DKL9206404708A1 ERLIMPEX 940 tab 10 tab 47000034 FARIZOL DKL9509205104B1 IFARS 10 KAPLET 10 KAPLET 600035 FULCIN DKL9508900710B1 BOEHRINGER 13 tab 9 tab 195000INGELHEIN36 GASELA DKL1006312617A1 ERELA

Hexpharm Jaya 70 tab 10 tab 2500059 MOLAcort DKL9330903210A1 Molex Ayus 240 tab 10 tab 7200000,75 mg 060 MYCORAL DKL8711605817A1 KALBE FARMA 50 TAB 10 TAB 25000061 NUFAPREG DKL9918211510A1 NUFARINDO 48 TAB 10 TAB 24000062 OMEGESIK DKL9216905410A1 MUTIFA 220 KAPSUL 10 KAPSUL 11000063 OMEPRAZOL GKL1209222401A1 IFARS 60 KAPSUL 10 KAPSUL 36000E 2064 OMEROXOL DKLO416907910A1 MUTIFA 60 TAB 10 TAB 3900065 Omestan 500 DKL9316905609A1 PT Mutifa 260 Kaplet 10 Kaplet 15600066 PENICILLIN V GKL7206316310A1 ERELA