• Mutifa 185 kaplet Opar erasOe eipisteilets pharmaceutieal n20 Kapiet Cafiar CG 67 Omegtamin PT. Mutifa 450 Kaptab Opa eras68 al eprazole PT. Errita Pharma 40) Kapsul Opa eras69 Oxicobal PT. lfars 70 Kapsul Opa eras70 Ometilson PT. Mutifa 180 tablet Opa eras74 Negrostan BT Nichols AO Kaplet Opa eras72 nen PT. Novapharin 55 tablet Opar eras73 Potaflam 50 PT. Belicom Mulia 260 kaplet Obat Keras Halaman 4 dari 61 Putusan Pidana Nomor 34/Pid.Sus/2020/PN Kgn Fharma Daftar GPT.

  Mutifa 185 kaplet Opa eras66 opistan 500 Pharmaceutical 20 Rep iet Daftar CG 67 Omegtamine PT. Mutifa a5G Imaplen OPar ne ce .68 Omeprazole 20 PT. Errita 40 Kapsul Obat Keras Halaman 22 dari 61 Putusan Pidana Nomor 34/Pid.Sus/2020/PN Kgn Pharma Daftar G; 70 Kapsul Obat Keras69 Oxicobal PT. lfars Daftar G; ; 140 tablet Obat Keras70 Ometilson PT. Mutifa Daftar G; ; 40 Kaplet Obat Keras71 Nichostan 500 PT. Nicholas Daftar G; 55 tablet Obat Keras72 Novaxifen 400 PT. Novapharin Daftar GPT.

  Mutifa aS Naplet Opa eras66 spisian S06 Pharmanautical nfo Raper Deiter G 67 Omegtamine PT. Mutifa aed (Rapten Oper ee GC .68 Omeprazole 20 ma Erita 40 Kepsul Oper ke GC .69 Oxicobal PT. Ifars 7a Teast! OPar ne ce .70 Ometilson PT. Mutifa 140 tablet Obat Keras Halaman 39 dari 61 Putusan Pidana Nomor 34/Pid.Sus/2020/PN Kgn Daftar G ; ; 40 Kaplet Obat Keras71 Nichostan 500 PT. Nicholas Daftar G; ; 55 tablet Obat Keras72 Novaxifen 400 PT. Novapharin Daftar GPT.

  Mutifa 185 kaplet Opar erase6 Spica 200 eHerManeiicel nfo Raper Dattar S 67 Omegtamine PT. Mutifa 480 Kaplan Opa eras68 Omeprazole 20 amelie 40 Kapsul Oper ke eS .69 Oxicobal PT. Ifars 70 Kapsul Opa eras70 Ometilson PT. Mutifa 1a0 Tablet Opa eras71 Nichostan 500 PT. Nicholas Wale Opa eras72 Novaxifen 400 PT. Novapharin a8 faplel Opar ners7a Potatiamso wmigehaona ane Oba tes74 Pyradexon pT Pyrigam 170 kaplet Opa ners75 Polofar Plus PT. lfars 200 saplel OPat eras76 Proceles PT.

  Erlimpex 100 tablet Obat Kerasmg Daftar G Halaman 59 dari 61 Putusan Pidana Nomor 34/Pid.Sus/2020/PN Kgn 274 Omekur PT Mutifa a@ fable!

• Menyatakan barang bukti berupa :KARDUS 1PABRIK/NEGARA JUMLA KENO NAMA SEDIAAN KEMASANASAL H T1 MIXALGIN STRIP ERELA 1372 ZOLINE STRIP PYRIDAM FARMA 1973 OMEGZOLE STRIP MUTIFA 554 SOLINFEC STRIP IFARS 315 ZORALIN STRIP MEDIKON 57MAHAKAM BETA6 MELOXICAM 7.5 STRIP 24FARMA7 PRONAM STRIP PT HARSEN 26MELOXICAM 158 AG STRIP MUTIA FARMA SUCI 219 NEUROPYRON V STRIP PT HARSEN 3010 RHEMAFAK STRIP IFARS 6111 INTERHISTIN STRIP INTERBAT 5612 HISTIGO STRIP IFARS 65PHARMA13 GRISEOFULVIN STRIP 35LABORATORIES14 FARGETIX

  MUTIFA MEDANi2 STRIP 29DOMPERIDONE INDONESIAALLOPURINOL PT.

  Nomor 135/Pid.Sus/2020/PN Plj 8 OVISKINN KRIM Tube KALBE FARMA 10ACYCLOVIR FIRST9 Tube 31KRIM 5 % MEDIPHARMA10 NISAGON G KRIM Tube IFARS 2811 OVISKIN KRIM Tube KALBE FARMA 1212 BEVALEX KRIM Tube MOLEX AYUS 5KARDUS 16PABRIK/NEGARA JUMLA KENO NAMA SEDIAAN KEMASANASAL H TFG TROCHES1 STRIP MEIJI 43MEIJILOKEV2 STRIP IFARS 22OMEPRAZOLEFIRST3 FUROSEMIDE STRIP 55MEDIPHARMA4 RANITIDINE HCL STRIP HEXPHARM JAYA 975 RANITIDINE HCL STRIP DEXA MEDICA 120CLINDAMYCIN6 STRIP NOVELL 40HIDOCLORIDEAMLODIPINEYi STRIP MUTIFA

  MUTIFA MEDAN12 STRIP 29DOMPERIDONE INDONESIAALLOPURINOL 100 PT.

• Mutifa, sebanyak 100(seratus) tablet.5. Novaflox 500, produksi Novapharin, sebanyak 100(seratus) tablet.6. Faxiden 10 mg, produksi Ifars, sebanyak 80(delapan puluh) tablet.7. Gricin 125, produksi Novapharin, sebanyak 80(delapan puluh) tablet.8. Erphacyp, produksi PT. Erlimpex, sebanyak 80(delapan puluh) tablet.9. Dexahamethasone 0,75, produksi Harsen, sebanyak 150b (seratus lima puluh) tablet.10. Farsifen 400, produksi Ifars, sebanyak 100 (seratus) tablet.Dirampas untuk dimusnahkan.4.

  Mutifa, sebanyak 100(seratus)tablet.5. Novaflox 500, produksi Novapharin, sebanyak 100(seratus)tablet.6. Faxiden 10 mg, produksi Ifars, sebanyak 80(delapan puluh)tablet.7. Gricin 125, produksi Novapharin, sebanyak 80(delapan puluh)tablet.8. Erphacyp, produksi PT. Erlimpex, sebanyak 80(delapan puluh)tablet.9. Dexahamethasone 0,75, produksi Harsen, sebanyak 150(seratus lima puluh) tablet.10.

  Mutifa, sebanyak 100(seratus)tablet.. Novaflox 500, produksi Novapharin, sebanyak 100(seratus)tablet.. Faxiden 10 mg, produksi Ifars, sebanyak 80(delapan puluh)tablet.. Gricin 125, produksi Novapharin, sebanyak 80(delapan puluh)tablet.. Erphacyp, produksi PT. Erlimpex, sebanyak 80(delapan puluh)tablet.129. Dexahamethasone 0,75, produksi Harsen, sebanyak 150(seratus lima puluh) tablet.10.

  Mutifa, sebanyak 100(seratus) tablet.Novaflox 500, produksi Novapharin, sebanyak 100(seratus) tablet.Faxiden 10 mg, produksi lfars, sebanyak 80(delapan puluh) tablet.Gricin 125, produksi Novapharin, sebanyak 80(delapan puluh) tablet.Erphacyp, produksi PT.

• Strip/108 Harsen 20 Strip Obat Kerasen 0,75 tabStrip/109 Dextaf tab Balatif 10 Strip Obat Kerasa Putusan 48/Pid.Sus/19/PN.Pnn Page 4 of 58FirstSalbutam Strip/1010 Medip 10 Strip Obat Kerasol tabharmaAmpicillin Strip/1011 Mersi 10 Strip Obat Keras500 tabPharmAmoxicilli Strip/10 a12 10 Strip Obat Kerasn tab LaboratoriesStrip/1013 Xicalom eh Solas 10 Strip Obat KerasaStrip/10 Dexam14 Dexa M 14 Strip Obat Kerastab edicaPratapFarmoten Strip/10 a15 10 Strip Obat Keras25 tab NirmalaStrip/1016 Omecidal tab Mutifa

  Tupai Nyony Sediaan Farmasibks 3 17 Bungku13 Jantan a (OT) Tanpa Izintablet 8 SsAsli Market EdaringKarung 7JuNo Nama Kemasan Pabrik ml Keteranganah1 Metformin dus/10 Hexap 16 Dus Obat Kerasstrip harm Putusan 48/Pid.Sus/19/PN.PnnPage 14 of 58 jayaAmpicillin dus/10 Pharm2 10 Dus Obat Keras500 strip a LabFirstSalbutam dus/103 Medip 12 Dus Obat Kerasol 4mg stripharmaFirstSalbutam dus/104 Medip 3 Dus Obat Kerasol 2 mg stripharma dus/10 Interba5 Interhistin 8 Dus Obat Kerasstrip tdus/106 Omecidal fr Mutifa

  37 botol Obat Keras11 Omeroxol botol Mutifa 32 botol Obat KerasDus/1012 Ponstan Pfizer 3 dus Obat KerasblisterGrafidHufabetha13 botol Husad 9 botol Obat Kerasmina14 Lerzin botol IFARS 12 botol Obat KerasMegabotol/100015 Alleron Esa 6 botol Obat KerasapFarmaOttoMeloxica dus/ 5 Pharm16 4 dus Obat Kerasm strip aceuticaldus/5 Kalbe17 Mycoral 2 dus Obat Kerasblister FarmaDus/1018 Alofar 300 tri IFARS 3 dus Obat Kerasstrip Putusan 48/Pid.Sus/19/PN.PnnPage 18 of 58 HollChloramp Botol/25019 Pharm 2 botol

  ma Putusan 48/Pid.Sus/19/PN.PnnPage 19 of 58 Nufadex Dus/10 Nufarin10 4 dus Obat KerasM strip dooo Dus/10 DexamNifedipine 2 dus Obat Keras11 strip edicaZenithDus/1012 Zentarim Pharm 15 dus Obat KerasstripaHoliPrednison Botol/10013 Pharm 14 botol Obat Keras5mg tabaNovaxifen Dus/10 Novap14 5 dus Obat Keras400 strip harinDexa M Dus/50 Dexam15 5 dus Obat Keras75 Blister edicaPropranol Dus/10 Dexam16 5 dus Obat Kerasol 10mg blister edicaDus/10 Nufarin17 Inamid 5 dus Obat Kerasstrip doDus/1018 Omedom Mutifa

  37 botol Obat Keras11 Omeroxol botol Mutifa 32 botol Obat KerasDus/1012 Ponstan Pfizer 3 dus Obat KerasblisterGrafidHufabetha13 botol Husad 9 botol Obat Kerasmina14 Lerzin botol IFARS 12 botol Obat KerasMegabotol/100015 Alleron Esa 6 botol Obat KeraskapFarma16 Meloxica dus/ 5 Otto 4 dus Obat Kerasm strip Pharmaceutic Putusan 48/Pid.Sus/19/PN.PnnPage 40 of 58 aldus/5 Kalbe17 Mycoral 2 dus Obat Kerasblister FarmaDus/1018 Alofar 300 IFARS 3 dus Obat KerasstripHoliChloramp Botol/25019 Pharm 2 botol

• MUTIFA 7 STRIP Rp 52.500 Obat Daftar GLORATALINE14 POTAFLAM 50 PT. BERLICO 7 STRIP Rp 105.000 Obat Daftar GMULIA FARMA15 FENAREN PT. BERNOFARM STRIP Rp 94.500 Obat Daftar GDICLOFENAC 7SODIUM 50 MG16 ANASTAN FORTE. PT. GRATIA STRIP Rp 30.000 Obat Daftar GMEFENAMIC ACID HUSADA FARMA 5500 MG17. CETIRIZINE HCL PT. PRIMAN STRIP Rp 144.000 Obat Daftar G10 MG 718 CETIRIZINE HCL PT.

  PHARMA 6 STRIP Rp 38.400 Obat Daftar G71 XICALOM PT SOLAS 3 STRIP Rp 23.100 Obat Daftar G72 PIROXICAM 20 MG PT TRIFA RAYA 6 STRIP Rp 14.400 Obat Daftar GLABORATORIES73 ZORALIN PT MEDIKON STRIP Rp 280.000 Obat Daftar GPRIMA 874 GRISEOFULFIN PT DARYA VARIA i STRIP Rp 203.500 Obat Daftar G50075 AMLODIPINE PT BERNOFARM 10 STRIP Rp 144.000 Obat Daftar G76 LATIBET PT IFARS STRIP Rp 27.500 Obat Daftar GGLIBENCIAMIDE 5 ibMG77 ASAM PT ERRITA 1g STRIP Rp 59.200 Obat Daftar GMEFENAMAT 500 PHARMA78 OMEPROXIL PT MUTIFA

  11.100 Obat Daftar G811 ANDALAN PIL KB PT HARSEN 15 STRIP Rp 90.000 Obat Daftar G912 OMETILSON PT MUKHTI FARMA 9 STRIP Rp 247.500 Obat Daftar G012 BUFACARYL PT ZENITH GROUP 10 STRIP Rp 47.000 Obat Daftar G112 DANASONE PT HEXPHARM STRIP Rp 9.000 Obat Daftar G32 JAYA12 TIDIFAR 200 PT IFARS 2 STRIP Rp 11.000 Obat Daftar G312 INFALGIN PT GRAHA FARMA 2 STRIP Rp 8.400 Obat Daftar G412 WIROS PT ITRASEL 1 STRIP Rp 9.000 Obat Daftar G512 NOVAXICAM PT NOVAPHARIN 1 STRIP Rp 5.000 Obat Daftar G612 OMEDESON PT MUTIFA

  MUTIFA 7 STRIP Rp Obat Daftar GLORATALINE 52.50014 POTAFLAM 50 PT. BERLICO MULIA 7 STRIP Rp Obat Daftar GFARMA 105.00015 FENAREN PT. BERNOFARM STRIP Rp Obat Daftar GDICLOFENAC 7 94.500SODIUM 50 MG16 ANASTAN FORTE PT. GRATIA STRIP Rp Obat Daftar GMEFENAMIC ACID HUSADA FARMA 5 30.000500 MG17 CETIRIZINE HCL 10 PT. PRIMAN 12 STRIP Rp Obat Daftar GMG 144.00018 CETIRIZINE HCL 10 PT.

  MUTIFA 7 STRIP Rp 52.500 Obat Daftar GLORATALINE14 POTAFLAM 50 PT. BERLICO MULIA STRIP Rp 105.000 Obat Daftar G7FARMA15 FENAREN PT. BERNOFARM STRIP Rp 94.500 Obat Daftar GDICLOFENAC 7SODIUM 50 MG16 ANASTAN FORTE PT. GRATIA STRIP Rp 30.000 Obat Daftar GMEFENAMIC ACID HUSADA FARMA 5500 MG17 CETIRIZINE HCL 10 PT. PRIMAN 12 STRIP Rp 144.000 Obat Daftar GMG18 CETIRIZINE HCL 10 PT.

• ARIN OTO DAFT1 LARG1 NOVADEX KAPLET DKLO334001904 NOVAPH 156 B OBAT9 05 Al ARIN 0 UTIR DAFT2 ARG1 NOVADEX KAPLET DKLO334001904 NOVAPH 535 B OBAT9 0,75 B1 ARIN UTIR DAFT3 ARG1 NOVADIU TABLET DKLO434003810 NOVAPH 200. 8B OBAT9 M Al ARIN UTIR DAFT4 AR G1 NOVATRI TABLET DKLO334002810 NOVAPH 60 B OBAT9 M Al ARIN UTIR DAFT5 ARG1 NOVAXIC KAPSUL DKLO334002201 NOVAPH 60.B OBAT9 AM Al ARIN UTIR DAFT6 ARG1 NYSTATIN TABLET GKL8919909416 PHAPRO 30 B OBAT9 Al S TBK UTIR DAFT7 ARG1 OMECIDA KAPLET DKLO916910504 MUTIFA

  140 B OBAT9 fL Al UTIR DAFT8 ARG1 OMEDOM TABLET DKLO516908210 MUTIFA 50 B OBAT9 Al UTIR DAFT9 ARG2 OMEFULV TABLET DKLO616909310 MUTIFA 35 B OBATo IN B1 UTIR DAFT0 ARG2 OMEGTA KAPLET DKL9516906504 MUTIFA 150 8B OBATO MINE Al UTIR DAFT Putusan Nomor :42/Pid.Sus/2019/PN SrlHalaman 19 dari 46 halaman AR G 12 OMEOIDA KAPLET DKLO916910504 MUTIFA 260 B OBATO L Al UTIR DAFT2 AR G2 OMERETI KAPSUL DKL9216905301 MUTIFA 110 B OBAT0 K Al UTIR DAFT3 AR G2 OMERIC TABLET DKL9216905510 MUTIFA 240 B OBATO 100 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

• 10 60077 Kemoren tab Phytokemo Strip 1078 Kemoren tab 50 mg Phyto Strip/ 10 10079 Lanadexon tab Strip/ 10 23080 Lansoprazole 30 mg cap Novell Strip/ 10 2081 Lexapharm tab Molex ayus Strip/ 10 4082 Licodexon tab Berlico 11083 Licostan cap Berlico Strip/ 10 11084 Lokev tab Ifar Strip/ 10 5085 Malacort 0,75 mg tab Molex Axus Strip/ 10 10086 Meloxocam 15 mg tab Indo F Strip/ 10 5087 Metformin tab Hexapharm Strip/ 10 5088 Methyl prednisolon tab Medikon Strip/ 10 10089 Metronizadol Mutifa

  Strip/ 10 7090 Mexon tab Mutifa Strip/ 10 6091 Molacort 0,5 mg tab Mutifa Strip/ 10 20092 Molacort 0,5 mg tab Otto Strip/ 10 10093 Muzarol tab Indo F 894 Mycoral tab Prafa Strip/ 10 15595 Mygrogynon tab PT.

  kuning orange Strip/ 10 60077 Kemoren tab Phytokemo Strip 1078 Kemoren tab 50 mg Phyto Strip/ 10 10079 Lanadexon tab Strip/ 10 23080 Lansoprazole 30 mg cap Novell Strip/ 10 2081 Lexapharm tab Molex ayus Strip/ 10 4082 Licodexon tab Berlico 11083 Licostan cap Berlico Strip/ 10 11084 Lokev tab Ifar Strip/ 10 5085 Malacort 0,75 mg tab Molex Axus Strip/ 10 10086 Meloxocam 15 mgtab Indo F Strip/ 10 5087 Metformin tab Hexapharm Strip/ 10 5088 Methyl prednisolon tab Medikon Strip/ 10 10089 Metronizadol Mutifa

  Strip/ 10 7090 Mexon tab Mutifa Strip/ 10 6091 Molacort 0,5 mg tab Mutifa Strip/ 10 20092 Molacort 0,5 mg tab Otto Strip/ 10 10093 Muzarol tab Indo F 894 Mycoral tab Prafa Strip/ 10 15595 Mygrogynon tab PT.

  Strip/ 10 7090 Mexon tab Mutifa Strip/ 10 60 29 91 Molacort 0,5 mg tab Mutifa Strip/ 10 20092 Molacort 0,5 mg tab Otto Strip/ 10 10093 Muzarol tab Indo F 894 Mycoral tab Prafa Strip/ 10 15595 Mygrogynon tab PT.

• Hexapharma Obat Kerasjaya4 FG troches Meiji Indonesia Obat Keras5 AALLOPURINOL Indofarma Obat Keras6 Dexametasone Harsen Obat Keras0,57 DexaM 0,75 Dexa Medika Obat Keras8 Gratheos 50 Graha farma Obat Keras9 Lexahits Molex ayus Obat Keras10 Postan 500 Frizer Obat Keras11 Chloramphenicol Indofarma Obat Keras250 12 Antidorin Samphindobeka Obat KerasSi13 Ampicillin 500 = Indofarma Obat Kerasmg14 Histapan Sanbe Farma Obat Keras15 Faxiden 10 mg lfars Obat Keras16 Grafachlor Graha farma Obat Keras17 Omegesic Mutifa

  Hexapharma Obat Kerasjaya4 FG troches Meiji Indonesia Obat Keras5 AALLOPURINOL Indofarma Obat Keras6 Dexametasone Harsen Obat Keras0,57 DexaM 0,75 Dexa Medika Obat Keras8 Gratheos 50 Graha farma Obat Keras9 Lexahits Molex ayus Obat Keras10 Postan 500 Frizer Obat Keras11 Chloramphenicol Indofarma Obat Keras25012 Antidorin Samphindobeka Obat KerasSi13 Ampicillin 500 = Indofarma Obat Kerasmg14 Histapan Sanbe Farma Obat Keras15 Faxiden 10 mg Ifars Obat Keras16 Grafachlor Graha farma Obat Keras17 Omegesic Mutifa

  Hexapharma Obat Kerasjaya4 FG troches Meiji Indonesia Obat Keras5 IAALLOPURINOL Indofarma Obat Keras6 DexametasoneHarsen Obat Keras0,57 DexaM 0,75 Dexa Medika Obat Keras8 Gratheos 50 Graha farma Obat Keras9 Lexahits Molex ayus Obat Keras10 Postan 500 Frizer Obat Keras11 Chloramphenicol Indofarma Obat Keras25012 Antidorin Samphindobeka Obat KerasSi13 Ampicillin 500 = Indofarma Obat Kerasmg14 Histapan Sanbe Farma Obat Keras15 Faxiden 10 mg Ifars Obat Keras16 Grafachlor Graha farma Obat Keras17 Omegesic Mutifa

  Obat Kerasjaya 22 4 FG troches Meiji Indonesia Obat Keras5 IAALLOPURINOL Indofarma Obat Keras6 DexametasoneHarsen Obat Keras0,57 DexaM 0,75 Dexa Medika Obat Keras8 Gratheos 50 Graha farma Obat Keras9 Lexahits Molex ayus Obat Keras10 Postan 500 Frizer Obat Keras11 Chloramphenicol Indofarma Obat Keras25012 Antidorin Samphindobeka Obat KerasSi13 Ampicillin 500 = Indofarma Obat Kerasmg14 Histapan Sanbe Farma Obat Keras15 Faxiden 10 mg lfars Obat Keras16 Grafachlor Graha farma Obat Keras17 Omegesic Mutifa

  Indonesia 120 Obat Keras5 ALLOPURINOL Indofarma 190 Obat Keras6 Dexametasone Harsen 100 Obat Keras0,57 DexaM 0,75 Dexa Medika 70 Obat Keras8 Gratheos 50 Graha farma 30 Obat Keras9 Lexahits Molex ayus 20 Obat Keras10 Postan 500 Frizer 20 Obat Keras 25 11 Chloramphenicol Indofarma 96 Obat Keras25012 Antidorin Samphindobekasi 40 Obat Keras13 Ampicillin 500 mg Indofarma 220 Obat Keras14 Histapan Sanbe Farma 100 Obat Keras15 Faxiden 10 mg Ifars 80 Obat Keras16 Grafachlor Graha farma 10 Obat Keras17 Omegesic Mutifa

• Omeproksil 6 box Mutifa Obat keras daftar (G)12. Omeprazol 5 box Yarindo armatama Obat keras daftar (G)13. Licostan 5 box Berlico Mulia farma Obat keras daftar (G)14. Piroxicam 10 8 box First Medifarma Obat keras daftar (G)15. Dexharsen 0,5 6 box Harsen Obat keras daftar (G)16. Methylprednisolone 6 box Dankos/Hexpharm Jaya Obat keras daftar (G)17. Lansoprazole 30 Mg 9 box Novell Obat keras daftar (G)18. Pondex Forte 4 box Daxa medica Obat keras daftar (G)19.

  Omeproksil 6 box Mutifa Obat kerasdaftar (G)12: Omeprazol 5 box Yarindo Obat kerasarmatama daftar (G)13. Licostan 5 box Berlico Mulia Obat kerasfarma daftar (G) 14. Piroxicam 10 8 box First Medifarma Obat kerasdaftar (G)15. Dexharsen 0,5 6 box Harsen Obat kerasdaftar (G)16. Methylprednisol 6 box Dankos/ Obat kerasone Hexpharm Jaya daftar (G)17. Lansoprazole 9 box Novell Obat keras30 Mg daftar (G)18. Pondex Forte 4 box Daxa medica Obat kerasdaftar (G)19.

  Omeproksil 6 box Mutifa Obat kerasdaftar (G)12. Omeprazol 5 box Yarindo Obat kerasarmatama daftar (G)13. Licostan 5 box Berlico Mulia Obat kerasfarma daftar (G)14. Piroxicam 10 8 box First Medifarma Obat kerasdaftar (G)15. Dexharsen 0,5 6 box Harsen Obat kerasdaftar (G)16. Methylprednisol 6 box Dankos/ Obat kerasone Hexpharm Jaya daftar (G)17. Lansoprazole 9 box Novell Obat keras30 Mg daftar (G)18. Pondex Forte 4 box Daxa medica Obat kerasdaftar (G)19.

  Omeproksil 6 box Mutifa Obat kerasdaftar (G)12. Omeprazol 5 box Yarindo Obat kerasarmatama daftar (G)13. Licostan 5 box Berlico Mulia Obat kerasfarma daftar (G) 14. Piroxicam 10 8 box First Medifarma Obat kerasdaftar (G)15. Dexharsen 0,5 6 box Harsen Obat kerasdaftar (G)16. Methylprednisol 6 box Dankos/ Obat kerasone Hexpharm Jaya daftar (G)17. Lansoprazole 9 box Novell Obat keras30 Mg daftar (G)18. Pondex Forte 4 box Daxa medica Obat kerasdaftar (G)19.

  Omeproksil 6 box Mutifa Obat kerasdaftar (G)12. Omeprazol 5 box Yarindo Obat kerasarmatama daftar (G)13. Licostan 5 box Berlico Mulia Obat kerasfarma daftar (G)14. Piroxicam10 8 box First Medifarma Obat kerasdaftar (G)15. Dexharsen 0,5 6 box Harsen Obat kerasdaftar (G) 16. Methylprednisol 6 box Dankos/ Obat kerasone Hexpharm Jaya daftar (G)17. Lansoprazole 9 box Novell Obat keras30 Mg daftar (G)18. Pondex Forte /4 box Daxamedica /Obatkerasdaftar (G)19.

• Metyl Prednisolon (Dexa), Milorin, Mitaderm cream, Mixalgin, Mocort 0.5, Molacort 0,75 mg, Moxigra 500 mg, Mucos 60 ml, Myatin tetes telinga, Mycoral, Mycoral 200 mg, Mycotin Ear Drops, Mytoderm Cream, Nebacetim Ointment, Neuradex (Dexa), Nexitra Ifars, Novabiotic 500 mg, Novacort Cream, Novamox, Novamox Dry Syrup 60 ml, Novastan 500 mg, Novastan 60ml, Novatium, Novatrim, novaxicam 20 mg, Novostan 500mg, Omedom 10 mg, Omedon Syrup 60 ml, Omefulvin 125 mg, Omekur, Omeprazole 20 mg, Omeric 100 mg (Mutifa

  Mutiara M), Metyl Prednisolon (Dexa), Milorin,Mitaderm cream, Mixalgin, Mocort 0.5, Molacort 0,75 mg, Moxigra 500mg, Mucos 60 ml, Myatin tetes telinga, Mycoral, Mycoral 200 mg, MycotinEar Drops, Mytoderm Cream, Nebacetim Ointment, Neuradex (Dexa),Nexitra Ifars, Novabiotic 500 mg, Novacort Cream, Novamox, NovamoxDry Syrup 60 ml, Novastan 500 mg, Novastan 60ml, Novatium, Novatrim,novaxicam 20 mg, Novostan 500mg, Omedom 10 mg, Omedon Syrup 60ml, Omefulvin 125 mg, Omekur, Omeprazole 20 mg, Omeric 100 mg(Mutifa

  Mutiara M), Metyl Prednisolon (Dexa), Milorin,Mitaderm cream, Mixalgin, Mocort 0.5, Molacort 0,75 mg, Moxigra 500 mg,Mucos 60 ml, Myatin tetes telinga, Mycoral, Mycoral 200 mg, Mycotin Ear Drops,Mytoderm Cream, Nebacetim Ointment, Neuradex (Dexa), Nexitra Ifars,Novabiotic 500 mg, Novacort Cream, Novamox, Novamox Dry Syrup 60 ml,Novastan 500 mg, Novastan 60ml, Novatium, Novatrim, novaxicam 20 mg,Novostan 500mg, Omedom 10 mg, Omedon Syrup 60 ml, Omefulvin 125 mg,Omekur, Omeprazole 20 mg, Omeric 100 mg (Mutifa

  M), Metyl Prednisolon (Dexa), Milorin, Mitaderm cream, Mixalgin,Mocort 0.5, Molacort 0,75 mg, Moxigra 500 mg, Mucos 60 ml, Myatin tetestelinga, Mycoral, Mycoral 200 mg, Mycotin Ear Drops, Mytoderm Cream,Nebacetim Ointment, Neuradex (Dexa), Nexitra Ifars, Novabiotic 500 mg,Novacort Cream, Novamox, Novamox Dry Syrup 60 ml, Novastan 500 mg,Novastan 60mlI, Novatium, Novatrim, novaxicam 20 mg, Novostan 500mg,Omedom 10 mg, Omedon Syrup 60 ml, Omefulvin 125 mg, Omekur,Omeprazole 20 mg, Omeric 100 mg (Mutifa

• Mutifa Daftar G: ; 40 Kaplet ObatKeras71 Nichostan 500 PT. Nicholas Daftar G. . 55 tablet ObatKeras72 Novaxifen 400 PT. Novapharin Daftar GPT. 260 kaplet73 Potaflam 50 BelicomMuliaFhar Olaiisetas7a Daftar G. 170 kaplet ObatKeras74 Pyradexon PT. PyridamFarma Daftar G200 kaplet ObatKeras75 Polofar Plus PT. Ifars Daftar G50 tablet ObatKeras76 Proceles PT. Meprofarm Daftar G. 230 kaplet ObatKeras77 Pycameth PT.

  Mutifa Daftar G. PT. Otto 120 Kaplet ObatKeras66 opistan 500 Pharmaceutical Daftar G5 450 Kaptab ObatKeras67 Omegtamine PT. Mutifa Daftar GOmeprazole 40 Kapsul ObatKeras68 20 PT. Errita Pharma Daftar G: 70 Kapsul ObatKeras69 Oxicobal PT. Ifars Daftar G : 140 tablet ObatKeras70 Ometilson PT. Mutifa Daftar G. : 40 Kaplet ObatKeras71 Nichostan 500 PT. Nicholas Daftar G. . 55 tablet ObatKeras72 Novaxifen 400 PT.

  Erlimpex Daftar G. 30 tablet ObatKeras274 Omekur PT Mutifa Daftar GYekapons 500 20 Tablet ObatKeras275 mg PT YekatriaFarma Daftar G276 Amlodipine PT Hexpharm 40 Tablet ObatKerasbesilate Jaya Daftar G; PT Hexpharm 20 Tablet ObatKeras277 SpasminalJaya Daftar G Glibenclamid PT First 60 Tablet ObatKeras5 mg Medipharma Daftar G20 Kaplet ObatKeras279 Benostan PT BernofarmDaftar GFG troches 42 Tablet ObatKeras280 .

  Mutifa Daftar G. PT. Otto 120 Kaplet ObatKeras66 Gpistan 800 Pharmaceutical Daftar G Halaman 28 dari 51 Putusan Pidana Nomor 61/PID.SUS/2020/PT BJM . . 450 Kaptab ObatKeras67 Omegtamine PT. Mutifa Daftar GOmeprazole . 40 Kapsul ObatKeras68 20 PT. Errita Pharma Daftar G 70 Kapsul ObatKeras69 Oxicobal PT. Ifars Daftar G. . 140 tablet ObatKeras70 Ometilson PT. Mutifa Daftar G. . 40 Kaplet ObatKeras71 Nichostan 500 PT. Nicholas Daftar G 55 tablet Obat Keras72 Novaxifen 400 PT.

  Erlimpex Daftar G. 30 tablet ObatKeras274 Omekur PT Mutifa Daftar GYekapons 500 : 20 Tablet ObatKeras275 mg PT YekatriaFarma Daftar G276 Amlodipine PT Hexpharm 40 Tablet ObatKerasbesilate Jaya Daftar G; PT Hexpharm 20 Tablet ObatKeras277 SpasminalJaya Daftar G578 Glibenclamid PT First 60 Tablet ObatKeras5 mg Medipharma Daftar G20 Kaplet ObatKeras279 Benostan PT BernofarmDaftar GFG troches 42 Tablet ObatKeras280 .

• 500 mg 18 Box Novapharin OBAT KERAS21 Ketokonazole 72 Box Dexa OBAT KERAS22 Salbutamol 2 mg 49 Box Phapros OBAT KERAS23 Amlodipine 5 mg 96 Box Phapros OBAT KERAS24 Phytomenodione injeksi 5 Box OBAT KERAS25 Grazeo 20 mg 50 Box Grahafarm OBAT KERAS26 Lanadexon 0,5 mg 340 box Pertiwi Agunf OBAT KERAS27 Omemox 500 mg 30 box PT.MUtifa OBAT KERAS28 Pharmamox 50 box Pharmalab OBAT KERAS29 Andalan Pil KB 20 Box Harsen OBAT KERAS30 Molacort 0,75 60 Box Molex Ayus OBAT KERAS31 Omekur 137 Box Mutifa

  KERAS20 Novamox 500 mg 18 Box Novapharin OBAT KERAS21 Ketokonazole 72 Box Dexa OBAT KERAS22 Salbutamol 2 mg 49 Box Phapros OBAT KERAS23 Amlodipine 5 mg 96 Box Phapros OBAT KERAS24 Phytomenodione injeksi 5 Box OBAT KERAS25 Grazeo 20 mg 50 Box Grahafarm OBAT KERAS26 Lanadexon 0,5 mg 340 box Pertiwi Agunf OBAT KERAS27 Omemox 500 mg 30 box PT.MUtifa OBAT KERAS28 Pharmamox 50 box Pharmalab OBAT KERAS29 Andalan Pil KB 20 Box Harsen OBAT KERAS30 Molacort0,75 60 Box Molex Ayus OBAT KERAS31 Omekur 137 Box Mutifa

  KERAS20 Novamox 500 mg 18 Box Novapharin OBAT KERAS21 Ketokonazole 72 Box Dexa OBAT KERAS22 Salbutamol 2 mg 49 Box Phapros OBAT KERAS23 Amlodipine 5 mg 96 Box Phapros OBAT KERAS24 Phytomenodione injeksi 5 Box OBAT KERAS25 Grazeo 20 mg 50 Box Grahafarm OBAT KERAS26 Lanadexon 0,5 mg 340 box Pertiwi Agunf OBAT KERAS27 Omemox 500 mg 30 box PT.MUtifa OBAT KERAS28 Pharmamox 50 box Pharmalab OBAT KERAS29 Andalan Pil KB 20 Box Harsen OBAT KERAS30 Molacort 0,75 60 Box Molex Ayus OBAT KERAS31 Omekur 137 Box Mutifa

  Ketokonazole 72 Box Dexa OBAT KERAS22 Salbutamol 2 mg 49 Box Phapros OBAT KERAS23 Amlodipine 5 mg 96 Box Phapros OBAT KERAS24 Phytomenodione injeksi 5 Box OBAT KERAS25 Grazeo 20 mg 50 Box Grahafarm OBAT KERAS26 Lanadexon 0,5 mg 340 box Pertiwi Agunf OBAT KERAS27 Omemox 500 mg 30 box PT.MUtifa OBAT KERAS28 Pharmamox 50 box Pharmalab OBAT KERAS29 Andalan Pil KB 20 Box Harsen OBAT KERAS Halaman 10 dari 18 Putusan Nomor 91/Pid.Sus/2016/PN Bkt 30 Molacort 0,75 60 Box Molex Ayus OBAT KERAS31 Omekur 137 Box Mutifa

• Mutifa 290 Kaplet.54. Methylprednisolone PT. Dexa Medica 60 Tablet.55. Zoraline Fr. Medikon 115 Tablet.56. Cellacort 0,5 mg PIT. Rocella 130 Tablet.57. Novaflox 500 mg PT. Novapharin 30 Kaplet.58. Cetirizine 10 mg PT. Novell 50 Tablet.59. Fimestan Forte PT. First Medipharma 20 Kaplet.60. Novaxifen 400 mg PT. Novapharin 15 Tablet.61. Lanadexon PT. Pertiwi Agung 50 Kaplet.62. Stanza 500 mg PT. Hexpharm 90 Kaplet.63. Asam Mefenamat PT. Promedrahardjo 40 Kaplet.64. Selvim 10 mg PT.

  Mutifa 290 Kaplet.Methylprednisolone PT. Dexa Medica 60 Tablet.Zoraline Fr. Medikon 115 Tablet.Cellacort 0,5 mg PT. Rocella 130 Tablet.Novaflox 500 mg PT. Novapharin 30 Kaplet.Cetirizine 10 mg PT. Novell 50 Tablet.Fimestan Forte PT. First Medipharma 20 Kaplet.Novaxifen 400 mg PT. Novapharin 15 Tablet.Lanadexon PT. Pertiwi Agung 50 Kaplet.Stanza 500 mg PT. Hexpharm 90 Kaplet.Asam Mefenamat PT. Promedrahardjo 40 Kaplet.Selvim 10 mg PT. Ifars 20 Kaplet.Cimetidine 200 mg PT.

  Mutifa 290Kaplet.Methylprednisolone PT. Dexa Medica 60Tablet.Zoraline Fr. Medikon 115 Tablet.Cellacort 0,5 mgHalaman 12 dari 43 Putusan Nomor 41/Pid.Sus/2016/PN MtpPT. Rocella 130 Tablet.Novaflox 500 mg PT. Novapharin 30Kaplet.Cetirizine 10 mg PT. Novell 50 Tablet.FimestanForte PT. First Medipharma 20 Kaplet.Novaxifen 400 mgPT. Novapharin 15 Tablet.Lanadexon PT. Pertiwi Agung 50Kaplet.Stanza 500 mg PT. Hexpharm 90 =Kaplet.AsamMefenamat PT.

  Mutifa 290Kaplet.Methylprednisolone PT. Dexa Medica 60Tablet.Zoraline Fr. Medikon 115 Tablet.Cellacort 0,5 mgPT. Rocella 130 Tablet.Novaflox 500 mg PT. Novapharin 30Kaplet.Cetirizine 10 mg PT. Novell 50 Tablet.FimestanForte PT. First Medipharma 20 Kaplet.Novaxifen 400 mgPT. Novapharin 15 Tablet.Lanadexon PT. Pertiwi Agung 50Kaplet.Stanza 500 mg PT. Hexpharm 90 =Kaplet.AsamMefenamat PT.

  Mutifa 290 Kaplet.Methylprednisolone PT.Dexa Medica 60 Tablet.Zoraline Fr. Medikon 115 Tablet.Cellacort0,5 mg PT. Rocella 130 Tablet.Novaflox 500 mg PT. Novapharin 30Kaplet.Cetirizine 10 mg PT. Novell 50 Tablet.Fimestan Forte PT.First Medipharma 20 Kaplet.Novaxifen 400 mg PT. Novapharin 15Tablet.Lanadexon PT. Pertiwi Agung 50 Kaplet.Stanza 500 mg PT.Hexpharm 90 Kaplet.Asam Mefenamat PT Promedrahardjo 40Kaplet.Selvim 10 mg PT.

  Mutifa 290 Kaplet.Methylprednisolone PT.Dexa Medica 60 Tablet.Zoraline Fr. Medikon 115 Tablet.Cellacort0,5 mg PT. Rocella 130 Tablet.Novaflox 500 mg PT. Novapharin 30Kaplet.Cetirizine 10 mg PT. Novell 50 Tablet.Fimestan Forte PT.First Medipharma 20 Kaplet.Novaxifen 400 mg PT. Novapharin 15Tablet.Lanadexon PT. Pertiwi Agung 50 Kaplet.Stanza 500 mg PT.Hexpharm 90 Kaplet.Asam Mefenamat PT ss Promedrahardjo 40Kaplet.Selvim 10 mg PT.

• Pdt.G/ 2019/PA.Rgt. tanggal 16 Desember 2019 Miladiyah bertepatan dengan tanggal 18 Rabiulakhir 1441 Hijriyah, dengan perbaikan amarnya sehingga berbunyi sebagai berikut:

1. Mengabulkan gugatan Penggugat ;
2. Menjatuhkan talak satu bain sughra Tergugat (Supangat bin Suwito Rejo) terhadap Penggugat (Tatik Siswati binti Darsis);
3. Menetapkan 5 (lima) orang anak-anak Penggugat dan Tergugat yang benama:

3.1. Mutifa

Rama Aditya Saputra bin Supangat,.Adelia Selviani binti Supangat dan Muhamad Zaky Algibran sudah tepat danbenar, namun Majelis Hakim Tingkat Banding tidak sependapat denganpertimbangan Majelis Hakim Tingkat Pertama yang menolak menetapkan anakyang pertama nama Mutifa Mafrianti berada dibawah asuhan (hadhanah)Terbanding dengan alasan tidak dihadirkan kepersidangan meskipun adanyaSurat pernyataan anak tersebut memilin dibawah hadhanah ibunya(Terbanding).

Oleh karena itu Majelis HakimTingkat Banding berpendapat anak pertama nama Mutifa Mafriyanti bintiSupangat ditetapkan di bawah hadhanah Terbanding;Menimbang, bahwa Majelis Hakim Tingkat Banding memandang perlumenambahkan pertimbangan bahwa Terbanding harus memberikan akseskepada Pembanding untuk bertemu dengan anakanaknya untuk dimasukkandalam dictum putusan, mengingat Majelis Hakim Tingkat Pertama tidakmemberikan pertimbangan tentang hal tersebut baik dalam pertimbanganhukumnya maupun dalam dictum

Mutifa Mafrianti binti Supangat, jenis kelamin perempuan lahirtanggal 6 Mei 2000 (19 Tahun);Halaman 11 dari14 halaman Putusan No.20/Pdt.G/2020/PTA.Pbr3.2. Yulia Tantri binti Supangat, jenis kelamin perempuan lahir tanggal24 Juli 2002;3.3. Rama Aditya Saputra bin Supangat, jenis kelamin lakilaki, lahirtanggal 17 Oktober 2004;3.4.

• Primadex Syr 193 btl Pyridam Obat Keras18 Roverton Syr 131 btl Ifars Obat Keras19 Farizol syr 121 btl Ifars Obat Keras20 Norvom Syr 138 btl Ifars Obat Keras21 Omegtrim Syr 200 btl Mutifa Obat Keras22 Saltrim 1000 tab Itrasal Obat Keras23 Captopril 25 mg 1000 tab Indofarma Obat Keras24 Grafazol 500 500 tab Graha Farma Obat Keras25 Etaflox 500 tab Errita Farma Obat Keras26 Novagly 500 1000 tab PT.

  Primadex Syr 193 bl Pyridam Obat Keras18 Roverton Syr 131 bl fars Obat Keras19 Farizol syr 121 bil fars Obat Keras20 Norvom Syr 138 bl fars Obat Keras21 Omegtrim Syr 200 bil Mutifa Obat Keras22 Saltrim 1000 tab ltrasal Obat Keras23 Captopril 25 mg 1000 tab Indofarma Obat Keras24 Grafazol 500 500 tab Graha Farma Obat Keras25 Etaflox 500 tab Errita Farma Obat Keras26 Novagly 500 1000 tab = PT.

  Pyridam Obat Keras18 Roverton Syr 131 bl lfars Obat Keras19 Farizol syr 121 bil lfars Obat Keras20 Norvom Syr 138 bil lfars Obat Keras21 Omegirim Syr 200 bil Mutifa Obat Keras22 Saltrim 1000 tab ltrasal Obat Keras23 Captopril 25 mg 1000 tab Indofarma Obat Keras24 Grafazol 500 500 tab Graha Farma Obat Keras25 Etaflox 500 tab Errita Farma Obat Keras26 Novagly 500 1000 tab PT.

  Primadex Syr 193 bl Pyridam Obat Keras18 Roverton Syr 131 bl lfars Obat Keras19 Farizol syr 121 bl lfars Obat Keras20 Norvom Syr 138 bil lfars Obat Keras21 Omegirim Syr 200 bil Mutifa Obat Keras22 Saltrim 1000 tab trasal Obat Keras23 Captopril 25 mg 1000 tab Indofarma Obat Keras24 Grafazol 500 500 tab Graha Farma Obat Keras25 Etaflox 500 tab Errita Farma Obat Keras26 Novagly 500 1000 tab PT.

  Primadex Syr 193 bl Pyridam Obat Keras18 Roverton Syr 131 bl lfars Obat Keras19 Farizol syr 121 bl lfars Obat Keras20 Norvom Syr 138 bl lfars Obat Keras21 Omegirim Syr 200 bil Mutifa Obat Keras22 Saltrim 1000 tab ltrasal Obat Keras23 Captopril 25 mg 1000 tab Indofarma Obat Keras24 Grafazol 500 500 tab Graha Farma Obat Keras25 Etaflox 500 tab Errita Farma Obat Keras26 Novagly 500 1000 tab PT.

  Pyridam Obat Keras18 Roverton Syr 131 bl lfars Obat Keras19 Farizol syr 121 bl lfars Obat Keras20 Norvom Syr 138 bil fars Obat Keras21 Omegirim Syr 200 bil Mutifa Obat Keras22 Saltrim 1000 tab ltrasal Obat Keras23 Captopril 25 mg 1000 tab Indofarma Obat Keras24 Grafazol 500 500 tab Graha Farma Obat Keras25 Etaflox 500 tab Errita Farma Obat Keras26 Novagly 500 1000 tab PT.

• Kaldexon 0,5 Promed 8 Strip36 Kalmethasone Kalbe 18 Strip37 Lerzin lfars 19 Strip38 Lexacort Molex Ayus 4 Strip39 Licodexon Berlico 16 Strip40 Lopadium Zenith 4 Strip41 Loratadine 10 mg Indofarma 4 Strip42 Mexon Sampharindo 5 Strip43 Midix Itrasal 4 Strip44 Muzoral Molex 3 Strip45 Muzoral 200 mg Molex Ayus 4 Box46 Mycoral tablat Kalbe 2 Strip47 Neuralgin Kalbe 2 Strip48 Nichostan 500 Nicholas 4 Tablet49 Nizoral Medikon 8 Strip50 Norvom Syrup lfars 1 Bil51 Novagy Novapharin 60 Tablet52 Omegluphage Mutifa

  6 Strip53 Omegzole Mutifa Strip54 Omeprazole 20 mg Hexpharm Strip55 Omestan Syrup Mutifa 4 Bil56 Phenylbutazone Harsen 300 Tablet57 Potaflam 50 Berlico 8 Strip58 Prednisone Errita 100 Tablet59 Primavon Zenith 19 Strip60 Primodiar 2 Samparindo 2 Strip61 Pritagesic Molex Ayus Strip62 Propanolol 40 mg Dexa Strip63 Ranitidin Holi Pharma 1 Strip64 Ranitidine Dexa 3 Strip65 Salbron 4 Dankos 7 Strip66 Samquinor Samcopharma 60 Kaplet67 Scoma Plus lfars 4 Strip68 Scopamin Otto 4 Strip69 Simvastatin Promed

• Strip ObatKerasA7 Natrium Diklofenac Novell 12 Strip ObatKeras48 ease Erela 9 Strip eatKeras49 Repass Ibuprofen Erela 6 strip ObatKeras5g Reventon IFARS 16 strip ObatKerasCetirizine HCL Guardian : Obat54 Pharmatama 10 strip Keras52 Ambroxol etercon pharma 8 strip ObatKeras53 Ciprofloxacin Novapharin 13 strip ObatKeras54 Lostacef IFARS 20 strip CbatKeras55 Omeprazole Novell 6 strip ObatKeras56 Intibrox Pharmindo 26 strip ObatIntijaya Keras57 Mlonalgin IFARS 6 strip batKeras58 Amlodipine Besylate Mutifa

  Erlimpex 31 Strip Obat Keras23 Fimestan First 18 Blister Obat KerasMedipharma24 Faxiden 10 lfars 8 Strip Obat Keras25 Spasminal Hexapharm Jaya 8 Strip Obat Keras26 Samquinor Samco Farma 10 Strip Obat Keras Halaman 20 dari 192 Putusan Nomor 283/Pid.Sus/2019/PN Pdg 27 ~+ Piroxicam 10 Promed harjo 10 Strip Obat Keras28 Prodex Promed harjo 30 Strip Obat Keras29 Ciprofloxacin Novapharin 10 Strip Obat Keras30 Simvastatin 20 Ifars 5 Strip Obat Keras31 Dexclosan Ramaemerald 9 Strip Obat Keras32 Omeric Mutifa

  KerasMedipharma39 Omestan Mutiara Mukti 8 Strip Obat KerasFarma40 Andalann Harsen 10 Blister Obat Keras41 Mixalgin Erela 6 Strip Obat Keras42 Samrex 20 Samco Farma 10 Strip Obat Keras43 Loperamid 2 Ifars 9 Strip Obat Keras44 Milasic Molex Ayus 30 Strip Obat Keras45 Fargetik Ifars 20 Strip Obat Keras46 Mefenamic Acid Mersifarma 10 Strip Obat Keras47 Lazol Ifars 2 Strip Obat Keras Halaman 21 dari 192 Putusan Nomor 283/Pid.Sus/2019/PN Pdg 48 Neuralgin Kalbe Farma 10 Strip Obat Keras49 Simvastatin 10 Mutifa

  Strip Obat Keras51 Andalam FE Harsen 15 Blister Obat Keras52 Acyclovir Novel 24 Strip Obat Keras53 Loperamid 2 First 7 Strip Obat KerasMedipharma54 Clindamycin Novel 5 Blister Obat Keras55 Methylprednisolon Dexamedica 21 Strip Obat Keras56 Alofar 300 Ifars 30 Strip Obat Keras57 Methylprednisolon Quantum Labs 20 Strip Obat Keras58 Dextaco Berlico 30 Strip Obat Keras59 Dextaf Balatif 35 Strip Obat Keras60 Meloxicam Bernofarm 20 Strip Obat Keras61 Gricin 125 Novapharin 27 Strip Obat Keras62 Omegesic Mutifa

  Obat51 Pharmatama 10 strip Keras52 Ambroxol etercon pharma 8 strip ObatKeras53 Ciprofloxacin Novapharin 13 strip ObatKeras5a Lestacet IFARS 20 strip ObatKeras55 Omeprazole Novell 6 strip ObatKeras Halaman 36 dari 192 Putusan Nomor 283/Pid.Sus/2019/PN Pdg 56 Intibrox Pharmindo 26 strip ObatIntijaya Keras57 Mionalgin IFARS 6 strip ObatKeras58 Amlodipine Besylate Mutifa 6 strip Obat10 Kerasgg Madi IFARS 10 strip ObatKeras60 Amlodipine 10 Bernofarm 17 blister ObatKeras61 Alleparinel Indofarma 9 blister

• G61/Natrium Tablet IPT Dexa GKL 9005008110 A1 Tablet Obat KerasDiclofenak 50 Medica Daftar G62Neuralgin RX Kaplet PT Kalbe DKL 8511603809 Al Kaplet Obat KerasFarma Daftar G63Neuromec Kaplet IPT Mecosin DKL 8714501604 A1 Kaplet Obat KerasDaftar G64Neuropyron V Kaplet IPT Harsen DKL 9507910809 A1 Kaplet Obat KerasDaftar G65Nifedipine Tablet IPT Dexa GKL 9005008110 A1 Tablet Obat KerasMedica Daftar G66Novachlor Capsul PT DKL 0434004801 A1 Capsul Obat KerasINovapharin Daftar G67Omemox 500 Kaplet PT Mutifa

  G61Natrium Tablet IPT Dexa GKL 9005008110 A1 Tablet Obat KerasDiclofenak 50 Medica Daftar G62Neuralgin RX Kaplet IPT Kalbe DKL 8511603809 A1 Kaplet Obat KerasFarma Daftar G63Neuromec Kaplet IPT Mecosin DKL 8714501604 A1 Kaplet Obat KerasDaftar G64Neuropyron V Kaplet PT Harsen DKL 9507910809 Al Kaplet Obat KerasDaftar G65Nifedipine Tablet IPT Dexa GKL 9005008110 A1 Tablet Obat KerasMedica Daftar G 66Novachlor Capsul PT DKL 0434004801 A1 Capsul Obat KerasINovapharin Daftar G67Omemox 500 Kaplet PT Mutifa

  G61/Natrium Tablet IPT Dexa GKL 9005008110 A1 Tablet Obat KerasDiclofenak 50 Medica Daftar G62Neuralgin RX Kaplet IPT Kalbe DKL 8511603809 A1 Kaplet Obat KerasFarma Daftar G63Neuromec Kaplet IPT Mecosin DKL 8714501604 A1 Kaplet Obat KerasDaftar G64Neuropyron V Kaplet IPT Harsen DKL 9507910809 A1 Kaplet Obat KerasDaftar G65Nifedipine Tablet IPT Dexa GKL 9005008110 A1 Tablet Obat KerasMedica Daftar G66Novachlor Capsul PT DKL 0434004801 A1 Capsul Obat KerasINovapharin Daftar G67Omemox 500 Kaplet PT Mutifa

  G61Natrium Tablet PT Dexa GKL 9005008110 A1 Tablet Obat KerasDiclofenak 50 Medica Daftar G62Neuralgin RX iKaplet PT Kalbe DKL 8511603809 A1 Kaplet Obat KerasFarma Daftar G 22 63 Neuromec iKaplet PT Mecosin DKL 8714501604 A1 Kaplet Obat KerasDaftar G64 Neuropyron V iKaplet PT Harsen DKL 9507910809 A1 Kaplet Obat KerasDaftar G65 Nifedipine (Tablet PT Dexa GKL 9005008110 A1 Tablet JObat KerasMedica Daftar G66 Novachlor Capsul PT DKL 0434004801 A1 Capsul Obat KerasNovapharin Daftar G67Omemox 500 iKaplet PT Mutifa

• Omeroxol 60 Ml Syr DKL 0416908037A1 0913891/09.188 Mutifa 2 botol -sda-4. Cetirizine 10 mg DKL 0408511617A1 605088/05.19 Hexpharming 50 tablet -sda-5. Reco tetes telinga DKL 96101701678A1 0101115001/01.18 Global multi farma lab 2 botol -sda-6. Obat tanpa identitas warna hijau - - - 7 bungkus -sda-7. Obat tanpa identitas warna kuning - - - 4 bungkus -sda-8. Obat tanpa identitas warna orange - - - 28 bungkus -sda-9. Suntik KB DKL 0831528643A1 - Fahrenheit 1 amp -sda-10.

  Omeroxol 60 MI Syr DKL 091389 Mutifa 2 botol sda0416908 1/09.1037A1 884. Cetirizine 10 mg DKL 605088 Hexpharming 50 sda0408511 /05.19 tablet617A15. Reco tetes telinga DKL 010111 Global multi 2 botol sda9610170 5001/0 farma lab1678A1 1.186. Obat tanpa identitas 7 sdawarna hijau bungkus7. Obat tanpa identitas 4 sdawarna kuning bungkus8. Obat tanpa identitas 28 sdawarna orange bungkus9. Suntik KB DKL Fahrenheit lamp sda0831528643A110. Fimestan forte DKL 020464 PT.

  Omeroxol 60 MI Syr DKL 091389 Mutifa 2 botol sda0416908 1/09.1037A1 884. Cetirizine 10 mg DKL 605088 Hexpharming 50 sda0408511 /05.19 tablet617A5. Reco tetes telinga DKL 010111 Global multi 2 botol sda9610170 5001/0 farma lab1678A1 1.186. Obat tanpa identitas 7 sdawarna hijau bungkus7: Obat tanpa identitas 4 sdawarna kuning bungkus8. Obat tanpa identitas 28 sdawarna orange bungkus9. Suntik KB DKL Fahrenheit lamp sda0831528643A110. Fimestan forte DKL 020464 PT.

  Novatrim DKL 1603 Novapharin 2 botol sda0334002 0385A/033A1 03.203: Omeroxol 60 MI Syr DKL 091389 Mutifa 2 botol sda0416908 1/09.1037A1 884. Cetirizine 10 mg DKL 605088 Hexpharming 50 sda0408511 /05.19 tablet617A15. Reco tetes telinga DKL 010111 Global multi 2 botol sda9610170 5001/0 farma lab1678A1 1.186. Obat tanpa identitas 7 sdawarnda hijau bungkus7: Obat tanpa identitas 4 sdawarna kuning bungkus8. Obat tanpa identitas 28 sdawarnd orange bungkus9.

• Mutifa 10 Strip117 Otolin PT. Kalbe Farma 3 Botol118 Pil KB Andalan PT. Harsen 20 Blister119 Pil KB I Kombinasi PT. Harsen 50 Blister120 Pil KB I Kombinasi PT.Triyasa Nagamas Farma 130 Blister121 Pil KB I Kombinasi PT. Fahrenheit 380 Blister122 Folofar Plus PT. Ifars 30 Strip123 Pronicy PT. Kalbe Farma 20 Strip124 Ranitidin PT. Pertiwi Agung 20 Strip125 Reco Tetes Mata PT. Global Multi 2 Pot126 Salbutamol PT. Indofarma 50 Strip127 SF PKS Cream Made In China 20 Tube128 Skizon PT.

  Mutifa 10 Strip117 Otolin PT. Kalbe Farma 3 Botol118 Pil KB Andalan PT. Harsen 20 Blister119 Pil KB PT. Harsen 50 BlisterKombinasi120 Pil KB PT.Triyasa 130 BlisterKombinasi Nagamas Farma121 Pil KB PT. Fahrenheit 380 BlisterKombinasi122 Folofar Plus PT. lfars 30 Strip123 Pronicy PT. Kalbe Farma 20 Strip124 Ranitidin PT. Pertiwi Agung 20 Strip125 Reco Tetes Mata PT. Global Multi 2 Pot126 Salbutamol PT. Indofarma 50 Strip127 SF PKS Cream Made In China 20 Tube128 Skizon PT.

  Mutifa 10 Strip117 Otolin PT. Kalbe Farma 3 Botol118 Pil KB Andalan PT. Harsen 20 Blister 13 119 Pil KB KombinasiPT. Harsen 50 Blister120 Pil KB Kombinasi/PT. Triyasa 130 BlisterNagamas Farma121 Pil KB Kombinasi/PT. Fahrenheit 380 Blister122 Folofar Plus PT. lfars 30 Strip123 Pronicy PT. Kalbe Farma 20 Strip124 Ranitidin PT. Pertiwi Agung 20 Strip125 Reco Tetes Mata PT. Global Multi 2 Pot126 Salbutamol PT. Indofarma 50 Strip127 SF PKS Cream Made In China 20 Tube128 Skizon PT.

  Mutifa 10 Strip117 Otolin PT. Kalbe Farma 3 Botol118 Pil KB Andalan PT. Harsen 20 Blister119 Pil KB KombinasiPT. Harsen 50 Blister120 Pil KB Kombinasi/PT.Triyasa 130 BlisterNagamas Farma121 Pil KB KombinasiPT. Fahrenheit 380 Blister122 Folofar Plus PT. lfars 30 Strip123 Pronicy PT. Kalbe Farma 20 Strip124 Ranitidin PT. Pertiwi Agung 20 Strip125 Reco Tetes Mata PT. Global Multi 2 Pot126 Salbutamol PT. Indofarma 50 Strip 19 127 SF PKS Cream Made In China 20 Tube128 Skizon PT.

  Mutifa 8 Strip117 Otolin PT. Kalbe Farma /4 Botol118 Pil KB Andalan PT. Harsen 22 Blister119 Pil KB Kombinasi PT. Harsen 57 Blister120 Pil KB Kombinasi PT.Triyasa 139 BlisterNagamas Farma121 Pil KB Kombinasi PT. Fahrenheit 380 Blister122 Folofar Plus PT. lfars 39 Strip123 Pronicy PT. Kalbe Farma = /20 Strip124 Ranitidin PT. Pertiwi Agung /21 Strip125 Reco Tetes Mata PT. Global Multi 2 Pot126 Salbutamol PT. Indofarma 50 Strip127 SF PKS Cream Made In China 20 Tube128 Skizon PT.

  Mutifa 10 Strip117 Otolin PT. Kalbe Farma 3 Botol118 Pil KB Andalan PT. Harsen 20 Blister119 Pil KB Kombinasi PT. Harsen 50 Blister120 Pil KB Kombinasi PT.Triyasa 130 BlisterNagamas Farma121 Pil KB Kombinasi PT. Fahrenheit 380 Blister122 Folofar Plus PT. lfars 30 Strip123 Pronicy PT. Kalbe Farma 20 Strip124 Ranitidin PT. Pertiwi Agung 20 Strip125 Reco Tetes Mata PT. Global Multi 2 Pot126 Salbutamol PT. Indofarma 50 Strip127 SF PKS Cream Made In China 20 Tube128 Skizon PT.