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 mg ifars tablet 3755 Faxiden 20 mg ifars box 256 FG Troches Meiji tablet 22057 Floxifar 500 mg Ifars box 158 Floxigra graha Graha box 159 Furosemide Indofarma tablet 90Indofarma60 Gavistal Meprofarm ampul 1561 Gentiderm Dankos tube 9cream Halaman3 dari 29 Putusan Nomor: 148/Pid.Sus/2014

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 10 mgIfars tablet 3755 Faxiden 20 mgIfars box 256 FG Troches Meiji tablet 22057 Floxifar 500 Ifars box 1mg58 Floxigra grahaGraha box 159 Furosemide Indofarma tablet 90Indofarma60 Gavistal Meprofarm ampul 1561 Gentiderm Dankos tube 9cream62 Gestin F 1 Harsen Ampul 1163 Glibenclamid 5KF tablet

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 mg ifars tablet 3755 Faxiden 20 mg ifars box 256 FG Troches Meiji tablet 22057 Floxifar 500 mg Ifars box 158 Floxigra graha Graha box 159 Furosemide Indofarma tablet 90Indofarma60 Gavistal Meprofarm ampul 1561 Gentiderm Dankos tube 9cream62 Gestin F 1 Harsen Ampul 1163 Glibenclamid 5 KF

box 148 Fargoxin 0,25 = Pratapa N tablet 9049 Farizol Syr Ifars bt 1750 Farizol tablet Ifars box 151 Farmoten 12,5 Pratapa N tablet 190 mg Halaman 23 dari 29 Putusan Nomor: 148/Pid.Sus/2014/PN.BKN 52 Farmoten 25 mg Pratapa N tablet 10053 Farsifen 400 mg Ifars box 254 Faxiden 10 mg lfars tablet 3/755 Faxiden 20 mg ifars box 256 FG Troches Meiji tablet 22057 Floxifar 500 mgifars box 158 Floxigra graha Graha box 159 Furosemide Indofarma tablet 90Indofarma60 Gavistal Meprofarm ampul 1561 Gentiderm Dankos

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 Botol /1000tb 200177 Vitaquine CreamSurya Tube 2178 Vosea Graha F Tablet 26179 Xiltrop Syr Tropica Mas Botol 20180 Xiltrop Syr Tropica Mas Botol 9181 Yusimox Tablet /lfars Box 1 182 Yusimox Syr Ifars Botol 8183 Yusimox Syr Ifars Botol 2184 Zemoxil Syr Zenith Botol 20185 Zoline Caplet Pyridam Box 1 e Bahwa terdakwa

Ifars 8 Strip Obat Daftar G10 Alofar 100 PT. Ifars 7 Strip Obat Daftar G11 = Floxifar PT. Ifars 38 Strip Obat Daftar G26012 Salbutamol 2 Firts Medi Farma Strip Obat Daftar G13 Simvastatin 10 Kimia Farma 40 Strip Obat Daftar G14 Captopril 25 Indo Farma 60 Strip Obat Daftar GPT. Candra15 Nutrahis Nusantara 8 Strip Obat Daftar G16 Allopurinol Nova Pharin 4 Strip Obat Daftar G17 Gralixa 40 Graha Farma 21 Strip Obat Daftar G18 Teosal PT.

Ifars 27 Botol Obat Daftar G Halaman 5 dari 20 halaman Putusan Nomor 433/Pid.Sus/2020/PN Kdi 41 Xiltrop DS PT. Tropica Mex 42 Botol Obat Daftar G42 Ramoxyl DS PT. Rama 52 botol Obat Daftar G43 Lifadrox DS PT. Mepro Farma 20 Botol Obat Daftar G44 Ratrim Susp PT. Rama 37 Botol Obat Daftar GOmenizol45 PT. Mutifa 14 Botol Obat Daftar GSuspensi46 Novatrim 60 ml PT. Mutifa 9 Botol Obat Daftar G47 Omeroxol Syr PT. Mutifa 1 Botol Obat Daftar G48 Omedom Susp PT.

Ifars 8 Strip Halaman 10 dari 20 halaman Putusan Nomor 433/Pid.Sus/2020/PN Kdi 10 Alofar 100 PT. Ifars 7 Strip11 Floxifar PT. Ifars 38 Strip12 Salbutamol 2 Firts Medi Farma 260 Strip13 Simvastatin 10 Kimia Farma AO Strip14 Captopril 25 Indo Farma 60 Sirip15 Nutrahis PT. Candra Nusantara 8 Strip16 Allopurinol Nova Pharin 4 Strip17 Gralixa 40 Graha Farma 21 Strip18 Teosal PT. Dexa Medica 5 Strip19 Orphen Solas 3 Strip20 Andalan Pil KB PT.

Ifars 9 Strip35 Amoxicilin DS PT.Phyto Kemo 21 Botol36 Ventolin Inhalen PT. Gloxo 1 Botol37 Omegirim Susp PT. Multifa 6 Botol38 Yekaprim DS PT. Yekatria Farma 5 Botol39 Primavon DS PT. Zenith 17 Botol40 Fasiprim PT. Ifars 27 Botol41 Xiltrop DS PT. Tropica Mex 42 Botol42 Ramoxyl DS PT. Rama 52 botol43 Lifadrox DS PT. Mepro Farma 20 Botol44 Ratrim Susp PT. Rama 37 Botol45 Omenizol Suspensi PT. Mutifa 14 Botol46 Novatrim 60 ml PT. Mutifa 9 Botol47 Omeroxol Syr PT.

Zenith 7 strip eatKeras74 Samrox Samco 8 strip ObatKerasPiroxicam First j Obati Medipharma . strip Keras76 Flasicox IFARS 5 strip ObatKeras77 Lopamid Harsen 15 strip ObatKeras7e berzin IFARS 7 strip batKerasAmlodipin Besilate : Obat79 10 Novell 4 strip Keras80 Amlodipin Besilate 5 Novell 6 strip ObatKeras81 Sulmimix Bernofarm 6 strip OBalKerasg2 Alofar IFARS 5 strip batKeras83 Ketoconazole Dexa A strip ObatKeras84 Histapan Sanbe 9 strip ObatKeras85 Tidifar 200 IFARS 9 strip ObatKeras86 Nifedipine

Keras19 Alofar IFARS : 50 Tablet ObatIndonesia Keras20 Farsycol IFARS .

Indofarma 140 Tablet ObstKeras10 Grafachlor Graha farma 80 Tablet ObatKeras11 Kaditic IFARS .

Obat82 IFARS 5 strip Karas83 Ketoconazole Dexa 4 strip ObatKeras84 Histapan Sanbe 9 strip ObatKeras85 Tidifar 200 IFARS 9 strip ObatKeras86 Nifedipine 7 strip ObatKeras87 Pil KB Andalan Harsen 10 kotak ObatKeras88 Conidex Sanbe 6 strip ObatKeras89 Cetlrizine Novell 6 blister ObatKerasGrazeo 20 .

Alovar 100

Ifars

7

Strip

4

Alovar 300

Ifars

11

Strip

5.

Strip

35

Digoxin 0,25 mg

Yarindo

14

Strip

36

Divoltar 50 mg

Kalbe Farma

11

Strip

37

Eltazon

Ifars

13

Strip

38

Etamox syrup

Errita

10

Botol

39

Fexiden 20

Ifars

7

Strip

40

FG Troches

Meiji

3

Strip

41

Rurosemide

Indofarma

4

Strip

42

Genalten Cream

Ifars

3

Tube

3

Box

88

Seremig 10 mg

Ifars

2

Strip

89

Sinvastatin

KF

4

Strip

90

Spasminal

13 Strip38 Etamox syrup Errita 10 Botol39 Fexiden 20 Ifars 7 Strip Halaman 2 dari 28 Putusan Nomor 128/Pid.Sus/2018/PN.

Tbh 40 FG Troches Meiji 3 Strip41 Rurosemide Indofarma 4 Strip42 Genalten Cream Ifars S Tube43 Gentamicin salep kulit 0,1 Kimia Farma 8 Tube%44 Gludepatic 500 Fahrenheit 3 Strip45 Grafalin Graha Farma 33 Strip46 Gricin 125 Novapharin 4 Strip47 Griseofulsin 500 mg Prafa 4 Strip48 Hufadin Hufa 10 Strip49 Hydrocortisone 2,5 % krim First M 4 Tube50 Ibuprofen 400 Novapharin 9 Strip51 Inflason Berlico 3 Strip52 Kalmicetine Kalbe 3 Strip53 Lerzin syrup Ifars 7 Botol54 Methyplrednisolone Nulab 13 Strip55

3 Box88 Seremig 10 mg Ifars 2 Strip89 Sinvastatin KF 4 Strip Halaman 3 dari 28 Putusan Nomor 128/Pid.Sus/2018/PN.

syrup Ifars 7 Botol54 Methyplrednisolone Nulab 13 Strip55 Methyplrednisolone OGB Dexa 26 Strip56 Mexon Sampharindo 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 Strip Halaman 20 dari 28 Putusan Nomor 128/Pid.Sus/2018/PN.

Tbh 84 Scabimite Permetherin 5 Galenium 3 Tube%85 Selespurin 300 Sejahtera 2 Strip86 Selpyron Sejahtera 8 Strip87 Selvim Ifars 3 Box88 Seremig 10 mg Ifars 2 Strip89 Sinvastatin KF 4 Strip90 Spasminal Hexpharm 1 BoxJaya91 Supertetra Darya Varia 1 Box92 Teosal Dexa Medica 9 Strip93 Vadrol Novapharin 2 Box94 Voltadex 50 Dexa Medica 9 Strip95 Yekaprim Yekaprim 5 Strip96 Zonifar lfars 4 Stripbox97 Zelona Zenith 1 Box98 Alodan 300 Dankos 2 Box99 Selvim Ifars 2 Box100 Lanadexon Landson 2 Box101 Farmalat

IFARS 4 STRIP Rp 34.000 Obat Daftar G6 SOLINFEC PT. IFARS 4 STRIP Rp 94.000 Obat Daftar G7 RENABETIC PT. PRATAPA 6 STRIP Rp 14.400 Obat Daftar GNIRMALA8 DIVOLTAR PT.KALBE 3 STRIP Rp 24.900 Obat Daftar G9 RHEMAFAR PT.IFARS 13 STRIP Rp 208.000 Obat Daftar G10 SIMVASTATIN PT. HEXPHARM STRIP Rp 19.200 Obat Daftar G11 SELVIM 10 PT. IFARS 3 STRIP Rp 34.500 Obat Daftar G12 SIMVASTATIN PT. QUANTUM 1 STRIP Rp 8.000 Obat Daftar GLABS13 OMELLEGAR PT.

IFARS 9 STRIP Rp 139.500 Obat Daftar G24 ETAMOXUL PT. ERRITA , STRIP Rp 58.100 Obat Daftar GPHARMA25 OXICOBAL PT. IFARS g STRIP Rp 118.800 Obat Daftar G26 FLASICOX 15 PT. IFARS 4 STRIP Rp 116.000 Obat Daftar G27 HUFADEXTAMIN PT. GRATIA = STRIP Rp 13.500 Obat Daftar GHUSADA FARMA28 FARMOTEN 25 PT. PRATAPA i, STRIP Rp 95.700 Obat Daftar GNIRMALA29 FARGETIX PT. IFARS 6 STRIP Rp 46.200 Obat Daftar G30 HISTIGO PT.

IFARS 9 STRIP Rp Obat Daftar G139.50024 ETAMOXUL PT. ERRITA 7 STRIP Rp Obat Daftar GPHARMA 58.10025 OXICOBAL PT. IFARS 9 STRIP Rp Obat Daftar G118.80026 FLASICOX 15 PT. IFARS A STRIP Rp Obat Daftar G116.00027 HUFADEXTAMIN PT. GRATIA 5 STRIP Rp Obat Daftar GHUSADA FARMA 13.50028 FARMOTEN 25 PT. PRATAPA 11 STRIP Rp Obat Daftar GNIRMALA 95.70029 FARGETIX PT. IFARS 6 STRIP Rp Obat Daftar G46.20030 HISTIGO PT.

Jumlah JumlahNo Nama Barang Produsen / Importir Satuan Harga Ket1 SAMCOFENAC 50 PT SAMCO FARMA 11 STRIP Rp 132.000 Obat Daftar G2 LERZIN PT IFARS 12 STRIP Rp 168.000 Obat Daftar G3 HUFANOXIL 500 PT. GRATIA 9 STRIP Rp 99.000 Obat Daftar GHUSADA FARMA4 LEXACORT PT MOLEX 6 STRIP Rp 12.000 Obat Daftar G5 KADITIC 50 PT. IFARS 4 STRIP Rp 34.000 Obat Daftar G6 SOLINFEC PT. IFARS 4 STRIP Rp 94.000 Obat Daftar G7 RENABETIC PT.

IFARS 9 STRIP Rp 139.500 Obat Daftar G24 ETAMOXUL PT. ERRITA 7 STRIP Rp 58.100 Obat Daftar GPHARMA25 OXICOBAL PT. IFARS 9 STRIP Rp 118.800 Obat Daftar G26 FLASICOX 15 PT. IFARS 4 STRIP Rp 116.000 Obat Daftar G27 HUFADEXTAMIN PT. GRATIA 5 STRIP Rp 13.500 Obat Daftar GHUSADA FARMA28 FARMOTEN 25 PT. PRATAPA 11 STRIP Rp 95.700 Obat Daftar GNIRMALA29 FARGETIX PT. IFARS 6 STRIP Rp 46.200 Obat Daftar G30 HISTIGO PT.

Ifars 5 Tube OPat Keras64 Nisagon Cream PT. Ifars 6 Tube Obat KerasDaftar G65 Synalten PT. Ifars 14 Obat KerasTube Daftar G66 Faxiden 20 PT. Ifars 7 Strip OPat Keras67 Lanadexon 0,5 mg PT. Pertiwi Agung Seip Opat Keras68 Novaxicam PT. Novapharin 5 Strip Tatura69 Hufanoxil kaplet PT. Gratia Husada Farma 3 Strip oeiaee,70 Zoratin Laboratories. Strip Daftar71 Rifampicin PT. Kimia Farma 1 Strip Opat Keras72 Farsifen 400 PT. Ifars 2 Strip Opat Keras73 Pharma Mox 500 PT.

Ifars 2 Box oeiaee,7 Hufanoxil PT. Gratia Husada Farma 2 Box Opar cers8 Dextaf PT. Balatif 4 Box Opat eras9 Lostacef PT Ifars 3 Box Opat eras10 Butacary! Shanreceubtcals a Bex Datiar11 Carbidu 0,75 mg PT. Sampharindo Perdana 2 Box Opat Keras12 Wiros 20 mg PT. Itrasal 9 Box Shakar13 Latibet Ifars 3 Box orete oe14 Dexaharsen 0,75 mg PT. Harsen 2 Box Opat Keras15 Remafar PT. Ifars 4 Box Opat eras16 Dexaharsen 0,5 mg PT. Harsen 3 Box Opat Keras17 Grathazon PT.

Ifars 9 Tube Opar cers60 Genalten PT. lfars 12 Tube Opat eras. Obat Keras61 Acifar Cream PT. Ifars 4 Tube Daftar G62 Muzoral PT. Mugi Laboratories 12 Tube Opar cers63 Dexigen PT. Ifars 5 Tube Tatura64 Nisagon Cream PT. Ifars 6 Tube Obat KerasDaftar G65 Synalten PT. lfars 14 Tube Obat KerasDaftar G66 Faxiden 20 PT. Ifars 7 Strip Opat Keras67 Lanadexon 0,5 mg PT. Pertiwi Agung 20 Strip Opat Keras68 Novaxicam PT. Novapharin 5 Strip Oparseras69 Hufanoxil kaplet PT.

Ifars 5 Tube Opat Keras64 Nisagon Cream PT. Ifars 6 Tube Obat KerasDaftar G65 Synalten PT. Ifars 14 Tube Obat KerasDaftar G66 Faxiden 20 PT. Ifars 7 Strip ie67 Lanadexon 0,5 mg PT. Pertiwi Agung 20 Strip orete oe68 Novaxicam PT. Novapharin 5 Strip Opat Keras69 Hufanoxil kaplet PT. Gratia Husada Farma 3 Strip Opat Keras70 Zoran rr wecikon Prima 14 stip bat Reras71 = Rifampicin PT. Kimia Farma 1 Strip Oparseras72 Farsifen 400 PT. Ifars 2 Strip Tatura73 Pharma Mox 500 PT.

Ifars 1 Box Opat Keras Salbutamol 4 mg PT. Yarindo Farmatama 1 Box Oparseras. Rhinofed PT. Dexa Medica 2 Blister Cnckae aInfatrim Forte PT. Molex Ayus 5 Strip oeiaee, Benostan PT. Bernofarm 9 Strip OPat Kerasy Farizol PT. Ifars 25 Tablet Opat Keras% Novadex 0.5 PT. Novapharin 14 Strip Opat Keras0 Norvom Kaplet PT. Ifars 25 Strip Opar cers7 Metformin 500 mg PT. Hexpharm Jaya 4 Strip Opat Keras> Fasiprim Forte PT. Ifars 3 Strip Onckae a11 Mecobalamin PT.

drops Botol Ifars 519 Roverton Botol Ifars 420 Ventolin Inhaler Botol Glaxo 521 Vespetum Botol Ifars 322 Kandistatin Botol Metiska Farma 223 Inpepsa Botol Fahrenheit 224 Phenytoin Sodium Botol Ikapharmindo 225 Acetylcysteine Strip Etercon Pharma 1926 Bronchosal Strip Ifars 2027 Mefenamic Acid Strip Rama Emerald 728 Alodan 100mg Strip Hexa Pharma 1729 Roverton Strip Ifars 1030 Glibenclamide 5mg Strip Indofarma 1231 Mycoral Strip Kalbe 532 Gasela Strip Erela 2233 Pronto Strip Zenith 1634 Tidifar 200

Strip Ifars 1035 Lexagin Strip Molex Ayus 1036 Dextamine Strip Phapros 6af Ranitidine Strip Hexpharm 838 Farsifen Strip Ifars 1039 Graseric Strip Graha 1040 Denicam Strip Erlinpex 10Al Flaxiden 20 Strip Ifars 1642 Molacort 0.5 Strip Molex Ayus 443 Selvim Strip Ifars 544 Tifestan Forte Strip Balatif 645 Etafenim Strip Errita Pharma 1046 Latibet 5mg Strip Ifars 2047 Eltazon Strip Ifars 1048 Moloco Strip Darya Farma 549 Propanolol Strip Dexa 750 Biropyron Strip Lloyd Pharma 951 Salbron 2mg Strip Dankos

Strip Ifars 1035 Lexagin Strip Molex Ayus 1036 Dextamine Strip Phapros 637 Ranitidine Strip Hexpharm 838 Farsifen Strip Ifars 1039 Graseric Strip Graha 1040 Denicam Strip Erlinpex 10Al Flaxiden 20 Strip Ifars 1642 Molacort 0.5 Strip Molex Ayus 443 Selvim Strip Ifars 544 Tifestan Forte Strip Balatif 645 Etafenim Strip Errita Pharma 1046 Latibet 5mg Strip Ifars 2047 Eltazon Strip Ifars 1048 Moloco Strip Darya Farma 549 Propanolol Strip Dexa 750 Biropyron Strip Lloyd Pharma 951 Salbron 2mg Strip Dankos

Ranitidine 100 Tablet Bernopharm Obat keras daftar (G)8 Polofar Plus 100 Tablet Ifars Obat keras daftar (G)9. Interhistin 100 Tablet Interbat Obat keras daftar (G)10. Bintamox 500 100 Tablet Hexpharm Jaya Obat keras daftar (G)11. Erphacyp 200 Tablet Erlompex Obat keras daftar (G)12. Faxiden 20 mg 100 Tablet Ifars Obat keras daftar (G)13. Irgapan 200 Tablet Dexa Medica Obat keras daftar (G)14. Pritasma 100 Tablet Molex Ayus Obat keras daftar (G)15.

Ranitidine 100 Tablet Bernopharm Obat keras daftar (G)8 Polofar Plus 100 Tablet Ifars Obat keras daftar (G)9. Interhistin 100 Tablet Interbat Obat keras daftar (G)10. Bintamox 500 100 Tablet Hexpharm Jaya Obat keras daftar (G)11. Erphacyp 200 Tablet Erlompex Obat keras daftar (G)12. Faxiden 20 mg 100 Tablet lfars Obat keras daftar (G)13. Irgapan 200 Tablet Dexa Medica Obat keras daftar (G)14. Pritasma 100 Tablet Molex Ayus Obat keras daftar (G)15.

Ranitidine 100 Tablet Bernopharm Obat keras daftar (G)8 Polofar Plus 100 Tablet Ifars Obat keras daftar (G)9. Interhistin 100 Tablet Interbat Obat keras daftar (G)10. Bintamox 500 100 Tablet Hexpharm Jaya Obat keras daftar (G)11. Erphacyp 200 Tablet Erlompex Obat keras daftar (G)12. Faxiden 20 mg 100 Tablet Ifars Obat keras daftar (G) Halaman21 dari 22 Putusan Nomor 63/Pid.Sus/2014/PN Slk. 22 13.14.15.16.17.18.19.20.

Ifars Obat Keras5 Broadamox 500 100 Tablet Sampharindo Obat Keras6 Novachlor 250 100 Tablet Novapharin Obat Keras7 Neuralgin 100 Tablet Kalbe Farma Obat Keras8 Rifampicin 200 Tablet Hexpharm Jaya Obat Keras9 Captopril 400 Tablet Hexpharm Jaya Obat Keras10 Salbutamol 4 mg 300 Tablet Indo Farma Obat Keras11 Novacycline 250 200 Tablet Novapharin Obat Keras12 Danasone 200 Tablet Hexpharm Jaya Obat Keras13 Pronam 100 Tablet Harsen Obat Keras14 Lexapram 100 Tablet Molex Ayus Obat Keras15 Yusimox

100 Tablet Ifars Obat Keras16 Dolodon 500 100 Tablet Mecisin Obat Keras17 Ketokonazole 150 Tablet Hexpharm Jaya Obat Keras18 Amoxicillin 1000 Tablet Hexpharm Jaya Obat Keras19 Tramadol 200 Tablet Novapharin Obat Keras20 Farmoten 300 Tablet Pratapa Nirmala Obat Kerasdirampas untuk dimusnahkan; 4.

Ifars Obat Keras5 Broadamox 500 100 Tablet Sampharindo Obat Keras6 Novachlor 100 Tablet Novapharin Obat Keras7 Neuralgin 100 Tablet Kalbe Farma Obat Keras8 Rifampicin 200 Tablet Hexpharm Jaya Obat Keras9 Captopril 400 Tablet Hexpharm Jaya Obat Keras10 Salbutamol 4 = 300 Tablet Indo Farma Obat Kerasmg11 Novacycline 200 Tablet Novapharin Obat Keras25012 Danasone 200 Tablet Hexpharm Jaya Obat Keras13 Pronam 100 Tablet Harsen Obat Keras14 Lexapram 100 Tablet Molex Ayus Obat Keras15 Yusimox 100 Tablet

Ifars Obat Keras16 Dolodon 500 100 Tablet Mecisin Obat Keras17 Ketokonazole 150 Tablet Hexpharm Jaya Obat Keras18 Amoxicillin 1000 Tablet Hexpharm Jaya Obat Keras19 Tramadol 200 Tablet Novapharin Obat Keras20 Farmoten 300 Tablet Pratapa Nirmala Obat Keras dirampas untuk dimusnahkan;4 Menetapkan supaya Terdakwa dibebani membayar biaya perkara sebesar Rp.2.000,00 (dua ribu rupiah); Setelah mendengar permohonan Terdakwa yang disampaikan secara lisan padapersidangan tanggal 11 Desember 2014 yang pada

Ifars Obat Keras Hal. 3 dari 24 Putusan Nomor 90/Pid.Sus/2014/PN Mrj 5 Broadamox 500 100 Tablet Sampharindo Obat Keras6 Novachlor 100 Tablet Novapharin Obat Keras7 Neuralgin 100 Tablet Kalbe Farma Obat Keras8 Rifampicin 200 Tablet Hexpharm Jaya Obat Keras9 Captopril 400 Tablet Hexpharm Jaya Obat Keras10 Salbutamol 4 = 300 Tablet Indo Farma Obat Kerasmg11 Novacycline 200 Tablet Novapharin Obat Keras25012 Danasone 200 Tablet Hexpharm Jaya Obat Keras13 Pronam 100 Tablet Harsen Obat Keras14 Lexapram

100 Tablet Molex Ayus Obat Keras15 Yusimox 100 Tablet Ifars Obat Keras16 Dolodon 500 100 Tablet Mecisin Obat Keras17 Ketokonazole 150 Tablet Hexpharm Jaya Obat Keras18 Amoxicillin 1000 Tablet Hexpharm Jaya Obat Keras19 Tramadol 200 Tablet Novapharin Obat Keras20 Farmoten 300 Tablet Pratapa Nirmala Obat Keras Bahwa Terdakwa telah menyediakan obat keras tersebut sejak awal tahun 2013dan menyediakan untuk menjualnya kepada orang atau masyarakat yang datangmembeli dengan membawa contoh obat ke toko obat

Ifars Obat Keras16 Dolodon 500 100 Tablet Mecisin Obat Keras17 Ketokonazole 150 Tablet Hexpharm Jaya Obat Keras 18 Amoxicillin 1000 Tablet Hexpharm Jaya Obat Keras19 Tramadol 200 Tablet Novapharin Obat Keras20 Farmoten 300 Tablet Pratapa Nirmala Obat KerasMenimbang, bahwa barang bukti tersebut telah disita secara sah menurut hukumdan telah pula diperlihatkan dan dibenarkan oleh Terdakwa dan saksisaksi dipersidangan, sehingga barang bukti tersebut dapat digunakan untuk pembuktian dalamperkara ini

Bernofarm box/100 tb 12073 Ethambutol Indofarma box/100 tb 7074 Faridexon 0,75mg Ifars box/100kpt 20075 Farizol 500 Ifars ktk/100 tb 30076 Farizol syr Ifars ktk/60 ml 677 Farmoten 25 Ifars box/100 tb 10078 Fargoxin 0,25 Ifars box/100tb 30 tb79 Farsifen Ifars box/100 tb 10080 FG TROCHES Meiji box/100 tb 10081 Flamigra Graha farma ktk/50 tb 150 82 Gabiten Ifars box/100 tb 20083 Genalten cream Ifars tube/5 er 1084 Glibenclamide Indofarma box/100tb 30085 Glucobex Dexa M box/100tb 10086 Gludepatic 500

Bernofarm box/100 tb 12073 Ethambutol Indofarma box/100 tb 7074 Faridexon 0,75mg Ifars box/100kpt 20075 Farizol 500 Ifars ktk/100 tb 30076 Farizol syr Ifars ktk/60 ml 677 Farmoten 25 Ifars box/100 tb 10078 Fargoxin 0,25 Ifars box/100tb 30 tb79 Farsifen Ifars box/100 tb 10080 FG TROCHES Mejji box/100 tb 10081 Flamigra Graha farma ktk/50 tb 15082 Gabiten Ifars box/100 tb 20083 Genalten cream Ifars tube/5 gr 1084 Glibenclamide Indofarma box/100tb 30085 Glucobex Dexa M box/100tb 10086 Gludepatic 500

Ethambutol Bernofarm box/100 tb 12073 Ethambutol Indofarma box/100 tb 7074 Faridexon 0,75mg Ifars box/100kpt 20075 Farizol 500 Ifars ktk/100 tb 30076 Farizol syr Ifars ktk/60 ml 677 Farmoten 25 Ifars box/100 tb 10078 Fargoxin 0,25 Ifars box/100tb 30 tb79 Farsifen Ifars box/100 tb 10080 FG TROCHES Mejji box/100 tb 10081 Flamigra Graha farma ktk/50 tb 15082 Gabiten Ifars box/100 tb 20083 Genalten cream Ifars tube/5 gr 1084 Glibenclamide Indofarma box/100tb 30085 Glucobex Dexa M box/100tb 10086 Gludepatic

Bernofarm box/100 tb 12073 Ethambutol Indofarma box/100 tb 7074 Faridexon 0,75mg Ifars box/100kpt 20075 Farizol 500 Ifars ktk/100 tb 30076 Farizol syr Ifars ktk/60 ml 677 Farmoten 25 Ifars box/100 tb 10078 Fargoxin 0,25 Ifars box/100tb 30 tb79 Farsifen Ifars box/100 tb 10080 FG TROCHES Meiji box/100 tb 10081 Flamigra Graha farma ktk/50 tb 15082 Gabiten Ifars box/100 tb 20083 Genalten cream Ifars tube/5 gr 10 27 84 Glibenclamide Indofarma box/100tb 30085 Glucobex Dexa M box/100tb 10086 Gludepatic

Ifars 100 tab -sda-12. Xicalom 20 mg DKL0033401004A1 022020TBXB5 PT. Solas 40 tab -sda-13. Saltrim DKL9810902804 A1 507035/07.20 PT. Itrasal 70 kapl -sda-14. Novaflox 500 mg DKL 0634006009A1 160122/01.20 PT. Novapharin 70 kapl -sda-15. Gratheos 50 mg DKL 9231103417B1 VL 272A/12.19 PT. Graha Farma 50 tab -sda-16. Wiros 20 mgl DKL 9110901801B1 602011209017/02.20 PT. Itrasal 40 tab -sda-17. Alofar 100 mg DKL 9709207004A1 60307/07.20 PT. Ifars 190 kapl -sda-18.

Ifars 110 kapl -sda-29. Xicallom 20 mg DKL 0033401004 A1 TBX85/05.20 PT. Solas 110 kapl -sda-30. Grathazone 0,5 mg DKL 9131102004A2 FK3946/11.20 PT. Graha Farma 70 kapl -sda-31. Soldextam 0,5 mg DKL0033400704 A1 TPX 59/04.21 PT. Solas 200 kapl -sda-32. Glibenclamide 5 mg GKL 9520905004A2 1601009/03.20 PT. Indo Farma 40 kapl -sda-33. Ibuprofen 400 mg GKL 9907110710 A1 007060/03.20 PT. FM 50 tab -sda-34. Molacort 0,75 mg DKL 9330903210 A1 YA043/04/21 PT. Molex Ayus 220 tab -sda-35.

Ifars 10 tab -sda-40. Pronicy 4 mg DKL9211614909A2 73C478/10.18 Kalbe Farma 20 tab -sda-41. Methyl prednisolone GKL0305035210 A1 47C0324/03.20VC1271/03.20 PT. Dexa Medika 90 tab -sda-42. Ranitidine 50 mg DKL9131598116 A1 VC1271/03.20 Fahrenheit 30 kapl -sda-43. Farsiten DKL9409204409 A1 90807/02.19 PT. Ifars 10 kapl -sda-44. Floxikam 500 mg DKL 0409214409A2 61101/01.20 PT. Ifars 20 kapl -sda-45. Erlamycetine TM DKL 0408311646 A1 D1151007/10.17 Erella 3 botol -sda-46.

Ifars 100 tab sda9909210 05.18110 Al12. Xicalom 20 mg DKLOO3 022020 PT. Solas 40 tab sda3401004 TBXBSAl13. Saltrim DKL981 507035 PT. Itrasal 70 kapl sda0902804 /07.20Al14. Novaflox 500 mg DKL 160122 PT. Novapharin 70 kapl sda0634006 /01.20QO9A115. Gratheos 50 mg DKL VL PT. Graha 50 tab sda9231103 272A/1 Farma417B1 2.1916. Wiros 20 mg DKL 602011 PT. Itrasal 40 tab sda9110901 209017801B1 /02.2017. Alofar 100 mg DKL 60307/ PT. Ifars 190 kapl sda9709207 07.20004A 118. Neuropyron V DKL 6B35B1 PT.

Ifars 10 tab sda9216504 11.19Al40. Pronicy 4mg DKL921 73C47 Kalbe Farma 20 tab sda1614909 8/10.1A2 841. Methyl prednisolone GKLO30 47C03 PT. Dexa 90 tab sda5035210 24/03. MedikaAl 20VC1271/032042. Ranitidine 50 mg DKL913 VC127 Fahrenheit 30 kapl sda1598116 1/03.2Al 043. Farsiten DKL940 90807/ PT. Ifars 10 kapl sda9204409 02.19Al44. Floxikam 500 mg DKL 61101/ PT. Ifars 20 kapl sda0409214 01.20409A245. Erlamycetine TM DKL D115 Erella 3 botol sda0408311 007/10646 Al 1746.

Ifars 10 tab sda9216504 11.19Al40. Pronicy 4mg DKL921 73C47 Kalbe Farma 20 tab sda1614909 8/10.1A2 84. Methyl prednisolone GKLO30 47C03 PT. Dexa 90 tab sda5035210 24/03. MedikaAl 20VC1271/03.2042. Ranitidine 50 mg DKL913 VC127 Fahrenheit 30 kapl sda1598116 1/03.2Al 043. Farsiten DKL940 90807/ PT. Ifars 10 kapl sda9204409 02.19Al44. Floxikam 500 mg DKL 61101/ PT. Ifars 20 kapl sda0409214 01.20409A245. Erlamycetine TM DKL D115 Erella 3 botol sda0408311 007/10646 Al 1746.

Ifars 10 tab sda9216504 11.19Al40. Pronicy 4mg DKL921 73C47 Kalbe Farma 20 tab sda1614909 8/10.1A2 841. Methyl prednisolone GKLO30 47C03 PT. Dexa 90 tab sda5035210 24/03. MedikaAl 20VC1271/03.2042. Ranitidine 50 mg DKL913 VC127 Fahrenheit 30 kapl sda1598116 1/03.2Al 043. Farsiten DKL940 90807/ PT. Ifars 10 kapl sda9204409 02.19Al44. Floxikam 500 mg DKL 61101/ PT. Ifars 20 kapl sda0409214 01.20409A245. Erlamycetine TM DKL D115 Erella 3 botol sda0408311 007/10646 Al 1746.

Ifars

50

Kaplet

Obat Keras

7

Allopurinol 100

PT. Triman

50

Tablet

Obat Keras

8

Amlodipine Besilate 10 mg

PT. Promedrahardjo

40

Tablet

Obat Keras

9

Bufacaryl

PT. Bufa Aneka

60

Kaplet

Obat Keras

10

Betamethasone valerate

PT.

Ifars

30

Kaplet

Obat Keras

27

Faxiden 20

PT. Ifars

30

Kaplet

Obat Keras

28

FG troches meiji

PT. Meiji Indonesia

105

Tablet

Obat Keras

29

Fimestan Vorte

PT. First Medipharma

100

Kaplet

Obat Keras

30

Furosemide 40 mg

PT.

Ifars

40

Tablet

Obat Keras

45

Lansoprazole 30 mg

PT. Novell

20

Kapsul

Obat Keras

46

Lansoprazole 30 mg

PT. Hexpham jaya

40

Kapsul

Obat Keras

47

Lerzin

PT. Ifars

70

Kapsul

Obat Keras

48

Lexcomet

PT. Molex Ayus

100

Tablet

Obat Keras

49

Lanadexon

PT.

Ifars

30

Tablet

Obat Keras

51

Zoline

PT. Pyridam Farma

80

Kaplet

Obat Keras

52

Yusimox

PT. Ifars

50

Kaplet

Obat Keras

53

Wiros 20

PT. Itrasal

40

Kapsul

Obat Keras

54

Vastigo

PT. Dexa Medica

10

Tablet

Obat Keras

55

Vadrol

Pt.

Ifars

30

Kaplet

Obat Keras

62

Selvim 20

PT.

Ifars 30 Kap! Obat Keras62 Selvim 20 PT. Ifars 10 9! obat keras63 Simvastatin 20 mg PT Kimia Farma 40 Ta Obat Keras64 Simvastatin 10 mg a tedeeee 30 Ta Obat Keras65 Stanza 500 PT Kalbe Farma 80 Kap! Obat Keras66 a Sulfate PT Kimia Farma 80 a0) Obat Keras67 Spasminal PT Kalbe Farma 80 ta Obat Keras68 Samcofenac PT Samco Farma 90 Ta Obat Keras69 Rhemafar PT Ifars 110 Kap!

Ifars 40 Tap Obat Keras45 Lansoprazole 30 mg PT. Novell 20 nape Obat Keras46 Lansoprazole 30 mg PT. Hexpham jaya 40 Kaps Obat Keras47 Lerzin PT. Ifars 70 Kaps Obat Keras48 Lexcomet PT. Molex Ayus 100 tap Obat Keras49 Lanadexon PT. Pertiwi Agung 60 Kap! Obat Keras50 Latibet 5mg PT. Ifars 30 ap Obat Keras51 Zoline PT. Pyridam Farma 80 Kap! Obat Keras52 Yusimox PT. Ifars 50 Kap! Obat Keras53 Wiros 20 PT. Itrasal 40 Kaps Obat Keras54 Vastigo PT. Dexa Medica 10 Tap Obat Keras55 Vadrol Pt.

Ifars 30 Kap! Obat Keras62 Selvim 20 PT. Ifars 10 TP! obat keras63 Simvastatin 20 mg PT Kimia Farma 40 Tap Obat Keras64 Simvastatin 10 mg Adee 30 ia Obat Keras65 Stanza 500 PT Kalbe Farma 80 Kap! Obat Keras66 ac silt PT Kimia Farma 80 ap Obat Keras67 Spasminal PT Kalbe Farma 80 Tap Obat Keras68 Samcofenac PT Samco Farma 90 Tap Obat Keras69 Rhemafar PT Ifars 110 Kap!

Ifars 40 ap Obat Keras45 Lansoprazole 30 mg PT. Novell 20 Kaps Obat Keras46 Lansoprazole 30 mg PT. Hexpham jaya 40 Kaps Obat Keras47 Lerzin PT. Ifars 70 Kaps Obat Keras48 Lexcomet PT. Molex Ayus 100 tap Obat Keras49 Lanadexon PT. Pertiwi Agung 60 Kap! Obat Keras50 Latibet 5mg PT. Ifars 30 tap Obat Keras51 Zoline PT. Pyridam Farma 80 Kap! Obat Keras52 Yusimox PT. Ifars 50 Kap! Obat Keras53 Wiros 20 PT. Itrasal 40 Kaps Obat Keras54 Vastigo PT. Dexa Medica 10 ah Obat Keras55 Vadrol Pt.

/td> 22 Dexaharsen Harsen Strip 35 23 Dexa-M Dexamedika Strip 100 24 Digoxin Yekati Strip 2 25 Duvadilan KF Strip 2 26 Farizol IFARS

Strip 6 27 Farizol Ifars Strip 20 28 Farnorormin Fahrenheit Strip 20 29 Furosemid First Medipharma Strip 40 30 Furosemide First Strip 9

Strip 3 38 Metra Ifars Strip 3 39 Mexon Mutifa Strip 10 40 Mexon Sampharindo Strip 18 41 Muzoral Mugi Lab Pcs 2 42

>Muzoral Molex Ayus Strip 10 43 Neuropyron Harsen Strip 5 44 Nexitra Ifars Strip 5 45 Nizoral Jansen Strip 1 46 Norvom Ifars Strip 10

47 Norvom Ifars Strip 20 48 Novabiotic Novapharin Strip 12 49 Novabiotic 500 Novapharin Strip 20 50 Novadium Ifars Strip 10 51 Novadium

Muzoral Molex Ayus Strip 1043 Neuropyron Harsen Strip 544 Nexitra Ifars Strip 545 Nizoral Jansen Strip 146 Norvom Ifars Strip 1047 Norvom Ifars Strip 2048 Novabiotic Novapharin Strip 1249 Novabiotic 500 Novapharin Strip 2050 Novadium Ifars Strip 1051 Novadium Novapharin Strip 1352 Novaflox 500 Novapharin Strip 1053 Novaflox 500 Novaphrin Strip 654 Novatrim Syr Novaphari Botol 155 Omedom Yarindo Strip 256 Omedom Derxa Strip 1057 Omegtrim Syrup Mutifa Botol 158 Omemox Syrup Mutifa Botol 1359 Omeprazole

544 Nexitra Ifars Strip 545 Nizoral Jansen Strip 146 Norvom Ifars Strip 1047 Norvom Ifars Strip 2048 Novabiotic Novapharin Strip 1249 Novabiotic 500 Novapharin Strip 2050 Novadium Ifars Strip 1051 Novadium Novapharin Strip 1352 Novaflox 500 Novapharin Strip 1053 Novaflox 500 Novaphrin Strip 654 Novatrim Syr Novaphari Botol 155 Omedom Yarindo Strip 256 Omedom Derxa Strip 1057 Omegtrim Syrup Mutifa Botol 158 Omemox Syrup Mutifa Botol 1359 Omeprazole Erita Strip Z60 Omeroxol syrup Mutifa Botol 161 Omevulfin

Nexitra Ifars Strip 545 Nizoral Jansen Strip 146 Norvom Ifars Strip 1047 Norvom Ifars Strip 2048 Novabiotic Novapharin Strip 1249 Novabiotic 500 Novapharin Strip 2050 Novadium Ifars Strip 1051 Novadium Novapharin Strip 1352 Novaflox 500 Novapharin Strip 1053 Novaflox 500 Novaphrin Strip 654 Novatrim Syr Novaphari Botol 155 Omedom Yarindo Strip 256 Omedom Derxa Strip 1057 Omegtrim Syrup Mutifa Botol 158 Omemox Syrup Mutifa Botol 1359 Omeprazole Erita Strip 260 Omeroxol syrup Mutifa Botol 161 Omevulfin

Norvom

Ifars

Box

1

37.

Novaxicam

Novapharin

Strip

18

38.

Rexavin

Ifars

Box

1

53.

Rhemafar

Ifars

Box

1

54.

Synalten Cream

Ifars

Tube

2

64.

Teosal

Dexa M

Box

3

65.

Winatin

Ifars

Strip

14

69.

Yusimox Syr

Ifars

Botol

6

70.

Zavask 5

Ifars

Box + Strip

1 + 2

Dirampas untuk dimusnahkan ;

1. Membebani Terdakwa untuk membayar biaya perkara sebesar
2. . 5.000,00.(lima ribu rupiah) ;

RX Kalbe 1BoxNorvom Ifars 1StripNovaxicam Novapharin 18BoxOmegtamina Mutifa 1Omegzole Mutifa Box 1BoxOmemox Mutifa 1BotolOmemox Syrum Mutifa 7BoxOmeprazole Errita 2StripOmestan Mutifa 10Ometilson Mutifa Box 2BoxOpistan Pertiwi 2StripPenicilin V 50.000 Erela 10 Halaman 5 dari 19 halamanPutusan Nomor 304/PID.SUS/2018/PTPBR Blister Planotab Pil KB Triyasa 6TubeProdermis Cream Ifars 12Box + SiripPronisy Kalbe 34+5Box + SiripRanitidine Holifarma 3+4BoxRenadinac Pratapa 3BoxRexavin Ifars 1Rhemafar Ifars

Rexavin Ifars Box 153. Rhemafar Ifars Box 154. Sambutomol Graha Farma Strip 755. Samcofack 5 Samco Box 156. Sammoxin Forte Samco Strip 857. Simvastatin Promedraharjo Strip 158. Simvastatin 20 Graha F Box 159. Skizon Cream Hexpharm Tube 1560. Suldox Actafis Box 161. Supertetra Darya Varia Strip 2562. Supertetra Interbat Strip 2063. Synalten Cream Ifars Tube 264. Teosal Dexa M Box 365. Unigin Universal Strip 3866. Vadrol Novapharin Box67. Voltadex 50 Dexa M Strip 468. Winatin Ifars Strip 1469.

Norvom Ifars Box 137. Novaxicam Novapharin Strip 1838. Omegtamina Mutifa Box 139. Omegzole Mutifa Box 140. Omemox Mutifa Box 141. Omemox Syrum Mutifa Botol 742. Omeprazole Errita Box 243. Omestan Mutifa Strip 1044. Ometilson Mutifa Box 245. Opistan Pertiwi Box 246. Penicillin V 50,000 Ereka Strip 1047. Planotab Pil KB Triyasa Blister 648. Prodermis Cream Ifars Tube 1249. Pronisy Kalbe Box + Strip 34+550. Ranitidine Holifarma Box + Sirip 3+451. Renadinac Pratapa Box 352. Rexavin Ifars Box 153.

Winatin Ifars Strip 1469. Yusimox Syr Ifars Botol 670. Zavask 5 Ifars Box + Strip 1+2 Dirampas untuk Dimusnahkan;4. Membebankan Terdakwa untuk membayar biaya perkara sebesar Rp.2.000,00 (dua ribu Rupiah);Menimbang, bahwa atas putusan Pengadilan Negeri Rengat Nomor353/Pid.SUS/2018/PN.Rgt tanggal 1 Oktober 2018, Penuntut Umum telahmengajukan permohonan banding dengan Akta Nomor : 8/Akta.

Winatin Ifars Strip 1469. Yusimox Syr Ifars Botol 670. Zavask 5 Ifars Box + Strip 1+2 Dirampas untuk dimusnahkan ;4. Membebani Terdakwa untuk membayar biaya perkara sebesarRp. 5.000,00.

Norvom

Ifars

Box

1

37.

Novaxicam

Novapharin

Strip

18

38.

Rexavin

Ifars

Box

1

53.

Rhemafar

Ifars

Box

1

54.

Synalten Cream

Ifars

Tube

2

64.

Teosal

Dexa M

Box

3

65.

Winatin

Ifars

Strip

14

69.

Yusimox Syr

Ifars

Botol

6

70.

Zavask 5

Ifars

Box + Strip

1 + 2

Dimusnahkan;

4. Membebankan Terdakwa untuk membayar biaya perkara sebesarRp. 2.000,- (dua ribu rupiah);

Synalten Cream Ifars Tube 264. Teosal Dexa M Box 365. Unigin Universal Strip 3866. Vadrol Novapharin Box 167. Voltadex 50 Dexa M Strip 468. Winatin lfars Strip 1469. Yusimox Syr Ifars Botol 670. Zavask 5 Ifars Box + Strip 1+2 Dirampas untuk dimusnahkan;4.

Box + Strip 3+451 Renadinac Pratapa Box 352 Rexavin Ifars Box 153 Rhemafar Ifars Box 154 Sambutomol Graha Farma Strip 755 Samcofask 5 Samco Box 156 Sammoxin Forte Samco Strip 857 Simvastatin Promedraharjo Strip 158 Simvastatin 20 Graha F Box 159 Skizon Cream Hexpharm Tube 1560 Suldox Actafis Box 161 Supertetra Darya Varia Strip 2562 Supertetra Interbat Strip 2063 Synalten Cream Ifars Tube 264 Teosal Dexa M Box 365 Unigin Universal Strip 3866 Vadrol Novapharin Box 167 Voltadex 50 Dexa M Strip 468

Winatin Ifars Strip 1469 Yusimox Syr Ifars Botol 670 Zavask 5 Ifars Box + Strip 1 +2 Bahwa kemudian ditanyakan kepada Terdakwa dari mana Terdakwamendapatkan obat keras daftar G tersebut dan Terdakwa menjelaskanmendapatkan Obat Keras Daftar G tersebut dari Sales Kanvas Obat yangtidak Terdakwa kenal yang datang menawarkan obat keras daftar G tersebutkepada Terdakwa di toko SINAR JAYA milik Terdakwa dan terdakwa sendiriyang melakukan pemesanan / pembelian obat keras daftar G denganpembayaran kredit

Synalten Cream Ifars Tube 264. Teosal Dexa M Box 365. Unigin Universal Strip 3866. Vadrol Novapharin Box 167. Voltadex 50 Dexa M Strip 468. Winatin lfars Strip 1469. Yusimox Syr Ifars Botol 670.

Yusimox Syr Ifars Botol 670.

Ifars 200 Tabletmg Al21 Broxal Kaplet DKL PT. 150 Kaplet9702323710A1 Bernofarm22 Bufacaryl Kaplet DKLO600914709 PT.

Ifars 140 KapletAl Halaman 3 dari 42 Putusan Nomor 37/Pid.Sus/2019/PN Mt. HakimKetua HakimAnggotaHakimanggota 49 Fargoxin Tablet DKL8831500510 PT. Pratapa 70 TabletAl Nirmala50 Farizol Syrup DKL PT. lfars 2 Botol0609216133A151 Farsifen kaplet DTL PT. IFARS 60 kaplet9509204409A152 Farsifen 400 Tablet DKL9409204409 PT. Ifars 140 Tabletmg Al53 Fenamin 500 Kaplet DKL PT. Zenith 60 Kaplet8627903309A1 Pharmaceutical54 FG Troches Kaplet DKL PT.

Ifars 140 KapletAl49 Fargoxin Tablet DKL8831500510 PT. Pratapa 70 TabletAl Nirmala50 Farizol Syrup DKL PT. lfars 2 Botol0609216133A151 Farsifen kaplet DTL PT. IFARS 60 kaplet9509204409A152 Farsifen 400 Tablet DKL9409204409 PT. Ifars 140 Tabletmg Al53 Fenamin 500 Kaplet DKL PT. Zenith 60 Kaplet8627903309A1 Pharmaceutical54 FG Troches Kaplet DKL PT. Meiji 120 KapletMeiji 7215303612A1 Indonesia55 Fimestan Forte Kaplet DKL9807103809 PT.

Ifars 14 Kaplet1 049 Fargoxin Tablet DKL8831500510A PT. Pratapa 70 Tablet1 Nirmala50 Farizol Syrup DKL PT. lfars 2 Botol0609216133A151 Farsifen kaplet DTL PT. IFARS 60 kaplet9509204409A152 Farsifen 400 Tablet DKL9409204409A PT. Ifars 14 Tabletmg 1 053 Fenamin 500 Kaplet DKL PT. Zenith 60 Kaplet8627903309A1 Pharmaceutica54 FG Troches Kaplet DKL PT. Meiji 12 KapletMeiji 7215303612A1 Indonesia 055 Fimestan Forte Kaplet DKL9807103809A PT.

Ifars 14 Kapletil 049 Fargoxin Tablet DKL8831500510A PT. Pratapa 70 Tabletil Nirmala50 Farizol Syrup DKL PT. lfars 2 Botol0609216133A151 Farsifen kaplet DTL PT. IFARS 60 kaplet9509204409A152 Farsifen 400 Tablet DKL9409204409A PT. Ifars 14 Tabletmg 1 053 Fenamin 500 Kaplet DKL PT. Zenith 60 Kaplet8627903309A1 Pharmaceutica54 FG Troches Kaplet DKL PT. Meiji 12 KapletMeiji 7215303612A1 Indonesia 055 Fimestan Forte Kaplet DKL9807103809A PT.

Ifars Dafiar G; 140 Kaplet Obat Keras192 Floxigra PT Graha Farma Daftar G; 250 Kaplet Obat Keras193 Fargetix PT Ifars Daftar G; 180 Kaplet Obat Keras194 Farsifen 400 PT.

4 Botol Opar ners138 Dionicol PT Ifars 7 Botol Oates139 Lostacef PT Ifars 5 Botol Opa ners140 Yusimox PT Ifars 16 Botol OPat eras14 Brot Tecra Boel cba tens1 aon aratetina > O Oba1s omedon etre, = Bot Shakers144 Vesperum PT Ifars 10 Botol Opa eras145 Earizol PT Ifars 7 Botol Opa eras146 Lostacet PT Ifars 4 Botol Opa eras147 Thiamfilex PT Molex Ayus 3 Botol Opa eras148 Chlorexol PT Ifars 4 Botol Opa eras149 Fasiprim PT Ifars 3 Botol pate:150 Etamoxul PT Errita 3 Botol Obat Keras Halaman 42 dari 61

/2020/PN Kgn 138 Dionicol PT Ifars 7 Botol Opa eras139 Lostacet PT Ifars 5 Botol Oper ke as140 Yusimox PT me 16 Botol pa141 Boot leaner Boel Chace.1 aon ee ee es1s omedon aera, 5 Boot bates144 Vesperum PT Ifars 10 Botol OPat eras145 Earizol PT Ifars 7 Botol Opar eras146 Lostacet PT Ifars 4 Botol Opa eras147 Thiamfilex PT Molex Ayus 3 Botol Opa eras148 Chlorexol PT Ifars 4 Botol Opa eras149 Fasiprim PT Ifars 3 Botol Opa eras150 Etro cee * Bm Onete151 Dexycol 500 Nod. 90 Kapsul Oper ee .152Dolotiobion

1000 Kaplet Opa eras179 Faxiden PT Ifars 300 Kaplet Opar ners180 Farizol PT Ifars 150 Isaplet Oates181 Farmoten 25 ON saG Tablet Opa ners182 Faxiden 20 PT Ifars 210 Kaplet OPat eras188 Festa reg 0 Kavi Oba Kors184 Farsiretic PT Ifars a7G Tablet Opa nes185 Farsorbid 10mg Wie 220 Tablet Opa eras186 Flasicox 15 PT Ifars 180 Kaplet Opa eras187 Eirinol PT Imfarmind 260 Tablet Obat KerasFarmasi Daftar G188 Faridexon Forte PT Ifars 160 Ikaplet Opa eras189 Flacoid 0,5 pr veratria 185 Tablet Opa eras190 Floxifar

500mg PT Ifars 140 Kaplet Opa eras191 Fasiprim Forte PT.

>

No

Nama

Nomor Pendaftaran

Produsen/ Importir

Jumlah

Taksiran Nilai (Rp)

1

ALOFAR 100

DKL9709207004A1

IFARS

130

Tab

65000

2

ALOFAR 300

DKL0509207004B1

IFARS

80

Tab

40000

3

AMLODIPINE BESYLATE

GKL1506506910A1

/p>

Tab

5000

10

BIMASTAN 500

DKL0431407209A1

BIMA MITRA FARMA

530

Kaplet

344500

11

BRONCHOSAL

DKL9709207704A1

IFARS

23

Strip

46000

33

GRISEOVULFIN 125

GKL8912509810A2

KIMIA FARMA

10

Tab

7000

34

HISTIGO

DKL0409214504A1

IFARS

75

Tab

37500

37

LICOSTAN

DKL9632500304A1

BERLICO MULIA FARMA

30

Tab

18000

38

LOXIFAR

DKL0409214409A2

IFARS

Sus/2019/PN Tmt Taksiran Nomor . wo:No Nama Pandafkaran Produsen/ Importir Jumlah Nilai(Rp)1 ALOFAR 100 DKL9709207004A1 IFARS 13 Tab 6500002 ALOFAR 300 DKLO509207004B1 IFARS 80 Tab 400003 AMLODIPINE GKL1506506910A1 ERRITA PHARMA 80 Tab 96000BESYLATE4 AMOXICILLIN GKLO506503604A1 ERRITA PHARMA 80 Tab 400005 AMPICILLIN GKLO634007304A1 NOVAPHARIN 13 Tab 65000TRIHYDRATE 06 ANTALGIN GKL9807100404A1 FIRST MEDIPHARMA 25 Tab 10000007 ARFEN DKLO733404204A1 SOLAS 10 Tab 10000008 ASAM MEFENAMAT GKLO506504004A1

HEXPHARM JAYA 29 Tab 139200053 SOLDEXTAM DKLO033400704A1 SOLAS 25 Tab 500054 Solinfec DKL9909210110A1 PT Ifars 12 Tab 36000055 SUPER TETRA DKL8304501502A1 DARYA VARIA 66 Tab 6600056 TEOSAL DKL8805004810A1 DEXA MEDICA 10 Tab 300057 Tifatrim DKLO601802510A1 BALATIF 20 Tab 400058 TIFESTAN FORTE DKLO301801909A1 BALATIF 68 Strip 27200059 TRIDEXON DKL872590210421 TRIMAN 16 Strip 32000A2 PHARMACEUTICAL60 TRIFASTAN DKL9425802004A1 TRIFA 19 Strip 3800061 VESPERUM DKL9909210510A1 IFARS 42 Strip 84000KM HK

Sus/2019/PN TmtParaf 47 PRONICY DKL9211614909A2 KALBE FARMA 14 Tab 42000048 RANITIDIN GKLO308509017A1 HEXPHARM JAYA 12 Strip 3600049 ROVERTON DKLO509214904A1 IFARS 22 Tab 110000050 SELESPURIN 100 DKLO636701604A1 SEJAHTERA LESTARI 20 Tab 10000FARMA51 SIMVASTATIN GKLO602339309A1 BERNOFARM 30 Tab 900052 SIMVASTATIN 10 GKLO108504917A1 HEXPHARM JAYA 29 Tab 139200053 SOLDEXTAM DKLO033400704A1 SOLAS 25 Tab 500054 Solinfec DKL9909210110A1 PT Ifars 12 Tab 36000055 SUPER TETRA DKL8304501502A1 DARYA VARIA 66

Menetapkan barang bukti berupa: TaksiranNomor weeNo Nama Pendaftaran Produsen/ Importir Jumlah Nilai(Rp)1 ALOFAR 100 DKL9709207004A1 IFARS 13 Tab 6500002 ALOFAR 300 DKLO509207004B1 IFARS 80 Tab 400003.

Sus/2019/PN TmtParaf 34 HISTIGO DKLO409214504A1 IFARS 10 Tab 200035 IRGAPAN 200 DKLO305034217A1 DEXA MEDICA 10 Tab 70000036 KETOCONAZOLE 200 GKLO208506310A1 HEXPHARM JAYA 75 Tab 3750037 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 DKLO0616909310A1 PT MUTIFA 42 Tab 425000542 Omestan 500 DKL9316905609A1 PT Mutifa

Antalgin 500 Universal 500 Obat keras Daftar (G)3 Quantidex Ifars Pharmaceutical 150 Obat keras Daftar (G)4 Dexamethason 0,5 Harsen 320 Obat keras Daftar (G)5 Tetracylin Novapharin 1000 Obat keras Daftar (G)6 Incidal OD Bayer 60 Obat keras Daftar (G)7 Piroxicam 20 Balatif 180 Obat keras Daftar (G)8 Piroxicam caps Indo farma 100 Obat keras Daftar (G)9 Pronicy Kalbe farma 200 Obat keras Daftar (G)10 Mionologin Ifars 240 Obat keras Daftar (G)11 Dexametahason 0,5 Harsen 230 Obat keras Daftar

(G)12 Gricin 125 Novapharin 150 Obat keras Daftar (G)13 Rexafin 500 Ifars 70 Obat keras Daftar (G)14 Rifampicin Indo farma 70 Obat keras Daftar (G)15 Grafazol Graha farma 80 Obat keras Daftar (G)16 Cortidek Sanbe 160 Obat keras Daftar (G)17 Roferton Ifars 140 Obat keras Daftar (G)18 Grouteus 50 Graha farma 70 Obat keras Daftar (G)19 Samquinor Samco 80 Obat keras Daftar (G)20 Renadinac Fahrenheit 100 Obat keras Daftar (G)21 Amphicilin 5000 Rama emerald 80 Obat keras Daftar (G)22 FG

Troces meiji Meiji indo 70 Obat keras Daftar (G)23 Salbutamol Indo farma 200 Obat keras Daftar (G)24 SPASMINAL Hexapharm 110 Obat keras Daftar (G)25 Teosal Dexa medica 90 Obat keras Daftar (G)26 Novadium Novapharin 60 Obat keras Daftar (G)27 Cimetidine First medipharma 80 Obat keras Daftar (G)28 ZONIFAR Ifars 60 Obat keras Daftar (G)29 Mezac Mepopram 90 Obat keras Daftar (G)30 Proxona Harsen 140 Obat keras Daftar (G)31 Amoxilin Rama emerald 60 Obat keras Daftar (G)32 Neoropyron-V

Antalgin 500 Universal 500 Obat keras Daftar(G)3 Quantidex Ifars 150 Obat keras DaftarPharmaceutical (G)4 Dexamethason 0,5 Harsen 320 Obat keras Daftar(G)5 Tetracylin Novapharin 1000 Obat keras Daftar(G)6 Incidal OD Bayer 60 Obat keras Daftar(G)7 Piroxicam 20 Balatif 180 Obat keras Daftar(G)8 Piroxicam caps Indo farma 100 Obat keras Daftar(G)9 Pronicy Kalbe farma 200 Obat keras Daftar(G)10 Mionologin Ifars 240 Obat keras Daftar(G)11 Dexametahason Harsen 230 Obat keras Daftar0,5 (G)12 Gricin 125 Novapharin

150 Obat keras Daftar(G)13 Rexafin 500 Ifars 70 Obat keras Daftar(G)14 Rifampicin Indo farma 70 Obat keras Daftar(G)15 Grafazol Graha farma 80 Obat keras Daftar(G)16 Cortidek Sanbe 160 Obat keras Daftar(G)17 Roferton Ifars 140 Obat keras Daftar(G)18 Grouteus 50 Graha farma 70 Obat keras Daftar(G)19 Samauinor Samco 80 Obat keras Daftar(G)20 Renadinac Fahrenheit 100 Obat keras Daftar(G)21 Amphicilin 5000 Rama emerald 80 Obat keras Daftar(G)22 FG Troces meiji Meiji indo 70 Obat keras Daftar(G)23 Salbutamol

Indo farma 200 Obat keras Daftar(G)24 SPASMINAL Hexapharm 110 Obat keras Daftar(G)25 Teosal Dexa medica 90 Obat keras Daftar(G)26 Novadium Novapharin 60 Obat keras Daftar(G)27 Cimetidine First medipharma 80 Obat keras Daftar(G)28 ZONIFAR Ifars 60 Obat keras Daftar(G)29 Mezac Mepopram 90 Obat keras Daftar(G) Halaman 3 dari 16 Halaman Putusan No.05/Pid.B/2013/PN.LB.BS. 30 Proxona Harsen 140 Obat keras Daftar(G)31 Amoxilin Rama emerald 60 Obat keras Daftar(G)32 NeoropyronV Harsen 80 Obat keras Daftar

Antalgin 500 Universal 500 Obat keras Daftar(G)3 Quantidex Ifars 150 Obat keras DaftarPharmaceutical (G)4 Dexamethason 0,5 Harsen 320 Obat keras Daftar(G)5 Tetracylin Novapharin 1000 Obat keras Daftar(G)6 Incidal OD Bayer 60 Obat keras Daftar(G)7 Piroxicam 20 Balatif 180 Obat keras Daftar(G)8 Piroxicam caps Indo farma 100 Obat keras Daftar(G)9 Pronicy Kalbe farma 200 Obat keras Daftar(G)10 Mionologin Ifars 240 Obat keras Daftar(G)11 Dexametahason Harsen 230 Obat keras Daftar0,5 (G) Halaman 5 dari

16 Halaman Putusan No.05/Pid.B/2013/PN.LB.BS. 12 Gricin 125 Novapharin 150 Obat keras Daftar(G)13 Rexafin 500 Ifars 70 Obat keras Daftar(G)14 Rifampicin Indo farma 70 Obat keras Daftar(G)15 Grafazol Graha farma 80 Obat keras Daftar(G)16 Cortidek Sanbe 160 Obat keras Daftar(G)17 Roferton Ifars 140 Obat keras Daftar(G)18 Grouteus 50 Graha farma 70 Obat keras Daftar(G)19 Samauinor Samco 80 Obat keras Daftar(G)20 Renadinac Fahrenheit 100 Obat keras Daftar(G)21 Ampbhicilin 5000 Rama emerald 80 Obat keras

kepada Terdakwa oleh karena itu dengan pidana penjara selama 1 (satu) bulan dan denda sejumlah Rp 5.000.000,- (lima juta rupiah) dengan ketentuan apabila denda tersebut tidak dibayar diganti dengan pidana kurungan selama 2 (dua) bulan;