Sampharindo Perdana strip @ 10 Tablet 3 Obat Daftar G

45 Ciprofloxacin 500 mg Novapharin strip @10 tablet 7 Obat Daftar G

46 Grathazon 0,5 Graha Farma strip @ 10 Tablet 3 Obat Daftar G

47 Flacoid 0,5 Yecatria Farma strip @ 10 Tablet 3 Obat Daftar G

48 Dexa-M 0,75 Dexa Medica strip @ 10 Tablet 16 Obat Daftar G

49 Faxiden 20 Ifars strip @ 10 Tablet 5 Obat Daftar G

50 Solinfec Ifars Tablet 16 Obat Daftar G

51 Bufacaryl Bufa Aneka strip @ 10 Tablet

IFARS strip (@10 tab) 9 Obat Obat Obat daftar G

113 Faxiden 20 Faxiden 20 strip (@10 tab) 18 Obat Obat Obat daftar G

114 Gricin 125 Novapharin strip (@10 tab) 11 Obat Obat Obat daftar G

115 Faxiden 10 PT. IFARS strip (@10 tab) 2 Obat Obat Obat daftar G

116 Piroxicam PT.

IFARS strip (@10 tab) 9 Obat daftar G

130 Amlodipine Besilate PT. Rama Emerald strip (@10 tab) 10 Obat daftar G

131 Renabetic PT. Pratapa Nirmala strip (@10 tab) 7 Obat daftar G

132 Bronex PT. Zenit Pharmaceutical strip (@10 tab) 10 Obat daftar G

133 Lopuric 100 PT. Yekatria Farma strip (@10 tab) 10 Obat daftar G

134 Carbidu 0.75 Pt.

IFARS strip (@10 tab) 5 Obat daftar G

152 Flacoid 0,5 Yekatria Farma strip @ 10 Tablet 1 Obat Daftar G

153 Xicalom 20 mg Solas strip @ 10 Tablet 8 Obat Daftar G

154 Alvita Zenith Pharmaceutical strip @ 10 Tablet 4 Obat Daftar G

155 Omegtamine PT. Mutifa strip @ 10 Tablet 13 Obat Daftar G

156 Omestan 500 PT.

Ifars strip @ 10 Tablet 3 Obat Daftar G

236 Alpara Molex Ayus Tablet 65 Obat Daftar G

237 Amoxicillin 500 mg Hexpharm Jaya strip @ 10 Tablet 8 Obat Daftar G

238 Triadene 20 PT. Yekatria Farma strip @ 10 Tablet 7 Obat Daftar G

239 Tifestan Forte Balatif strip @ 10 Tablet 6 Obat Daftar G

240 Samquinor 500 PT.

IFARS strip (@10 tab) 9 Obat Obat Obat daftar GFaxiden 20 Faxiden 20 strip (@10 tab) 18 Obat Obat Obat daftar GGricin 125 Novapharin strip (@10 tab) 11 Obat Obat Obat daftar GFaxiden 10 PT. IFARS strip (@10 tab) 2 Obat Obat Obat daftar GPiroxicam PT. Pharma Laboratories strip (@10 tab) 8 Obat Obat Obatdaftar GLanadexon 0.5 Landson strip (@10 tab) 27 Obat Obat Obat daftar GPil KB Kombinasi PT. Kimia Farma, tok strip(@28 tab) 95 Obat daftar GAllopurinol 100 PT.

IFARS strip (@10 tab) 9 Obat daftar GAmlodipine Besilate PT. Rama Emerald strip (@10 tab) 10 Obat daftar GRenabetic PT. Pratapa Nirmala strip (@10 tab) 7 Obat daftar GBronex PT. Zenit Pharmaceutical strip (@10 tab) 10 Obat daftar GLopuric 100 PT. Yekatria Farma strip (@10 tab) 10 Obat daftar GCarbidu 0.75 Pt. Sampharindo strip (@10 tab) 18 Obat daftar GKaditic PT. IFARS strip (@10 tab) 4 Obat daftar GTokasid PT. Graha Farma strip (@10 tab) 1 Obat daftar GPronicy PT.

Ifars

160

Kaplet

Obat Keras

3

Dexaharsen

PT. Harsen

210

Kaplet

Obat Keras

4

Amoxicillin 500

PT.

Ifars

180

Kaplet

Obat Keras

18

Ambroxol HCl

PT. Sampharindo Perdana

30

Tablet

Obat Keras

19

Gricin 125 mg

PT.

Ifars

40

Tablet

Obat Keras

54

Sammoxin Forte

PT. Samco

28

Kaplet

Obat Keras

55

Tetracycline HCl 250 mg

PT.

Ifars

18

Kaplet

Obat Keras

58

Griseofulvin 500

PT. Darya Varia

15

Tablet

Obat Keras

59

Corstanal 500

PT.

Ifars

18

Tablet

Obat Keras

68

Acyclovir 5%

PT. Kimia Farma

9

Tube

Obat Keras

69

Bethason-N

PT.

Ifars KapletKeras18 Ambroxol HCl PT. Sampharindo 30 ObatTabletPerdana Keras19 Gricin 125 mg 200 ObatPT. Novapharin TabletKeras20 Grafachlor 200 ObatPT. Graha Farma KapletKeras21 Incidal OD 11 ObatPT. Bayer KapsulKeras22 Voltadex 50 116 ObatPT. Dexa Medica TabletKeras23 Captopril 25 mg 310 ObatPT. Indofarma TabletKeras24 Methylprednisolon PT. Dexa Medica 100 Tablet Obat Halaman 2 dari 26 Putusan Nomor 394/Pid.Sus/2019/PN Bjb e4mg Keras25 Amlodipine 120 ObatPT.

Ifars TabletKeras54 Sammoxin Forte 28 ObatPT. Samco KapletKeras55 Tetracycline HCI; PT. Aditama Raya 21 ObatKapsul250 mg Farmindo Keras56 Novaxicam 20 mg 30 ObatPT. Novapharin KapsulKeras57 Yusimox 500 18 ObatPT. Ifars KapletKeras58 Griseofulvin 500 15 ObatPT. Darya Varia TabletKeras59 Corstanal 500 12 ObatPT. Corsa Industries KapletKeras60 Pronam 10 ObatPT. Harsen TabletKeras61 Ranitidine 150 mg 10 ObatPT. Dexa Medica TabletKeras62 Kalmethasone 10 ObatPT.

Ifars TabletKeras68 Acyclovir 5% PT. Kimia Farma 9 Tube Obat Halaman 4 dari 26 Putusan Nomor 394/Pid.Sus/2019/PN Bjb Keras69 BethasonN a 2 Tube ObatPT. Kimia Farma Keras DIRAMPAS UNTUK DIMUSNAHKAN4. Menetapkan agar Terdakwa membayar biaya perkara sebesar Rp. 2.000.

Ifars TabletKeras68 Acyclovir 5% a 9 Tube ObatPT. Kimia FarmaKeras69 BethasonN 2 Tube ObatPT.

Ifars KapletKeras18 Ambroxol HCl PT. Sampharindo 30 ObatTabletPerdana Keras19 Gricin 125 mg 200 ObatPT. Novapharin TabletKeras20 Grafachlor 200 ObatPT. Graha Farma KapletKeras21 Incidal OD 11 Kapsu ObatPT. Bayer Keras22 Voltadex 50 116 ObatPT. Dexa Medica TabletKeras23 Captopril 25 mg 310 ObatPT. Indofarma TabletKeras24 Methylprednisolon 100 ObatPT. Dexa Medica Tablete4mg Keras25 Amlodipine PT.

Gentalex Molex 3 tube 3.850 11.550 6Daftar50 Gricin Novapharin 70 tab 350 24.500 Glibenclamide Daftar51 Indo Farma AO tab 980 39.2005 mg Ga 100 Daftar52 Glidanil 5 Mersi 750 75.000tab GGlimepiride 2 Daftar53 Otto 80 tab 1.800 144.000mg G200 Daftar54 Grafachlor Graha F 380 76.000tab GDaftar55 Grafazol Graha F 70 tab 510 35.700 G100 Daftar56 Grazeo 20 Graha F 380 38.000tab GGriseofulvin 100 Daftar57 Daria Varia 1.900 190.000500 tab GDaftar58 Haemocain Galenium 1 tube 95.000 95.000 E Daftar59 Histigo Ifars

Daftar75 Quantum 700 140.000Prednisolon tab G100 Daftar76 Mexon Sampharindo 1.500 150.000tab GDaftar77 Mixalgin Erela 90 tab 800 72.000 G530 Daftar78 Molacort 0,75 Molex Ayus 240 127.200tab GDaftar79 = Muzoral Molex AO tab 1.700 68.000 tsDaftar80 Mycoral Kalbe 50 tab 5.200 260.000 E; Daftar81 Nebacetin Pharos 6 tube 24.000 144.000 GDaftar82 Neuropyron Harsen 10 tab 900 9.000 .100 Daftar83 Neuralgin Rx Kalbe 880 88.000tab G10 Daftar84 NeurobiontInj Merck 20.000 200.000amp G; Daftar85 Nisagon Cr Ifars

Daftar87 Novachlor Novapharin 100 10.000tab G12 Daftar88 Novagyl syrup Novapharin 12.000 144.000botol G400 Daftar89 Novamox Novapharin 1.200 480.000tab GDaftar90 Omegesic Mutifa 80 tab 800 64.000 G100 Daftar91 Opistan Otto 700 70.000tab G10 Daftar92 Oxytetracyclin KF 2.800 28.000tube GPaket 3 6 Daftar93 20.000 120.000macam paket G Daftar94 Penisilin V Erela 30 tab 300 9.000 Daftar95 Piroxicam 10 First Medika 20 tab 2.000 40.000 G5 Daftar96 Planotab Triyasa 7.000 35.000bliter GDaftar97 Roverton Ifars

AO tab 2.500 100.000 36Daftar35 Enbatic Errela sache 3.700 133.200 Gt36 Ereladerm Erela 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

Daftar76 Mexon Sampharindo 1.500 150.000tab GDaftar77 Mixalgin Erela 90 tab 800 72.000 530 Daftar78 Molacort 0,75 Molex Ayus 240 127.200tab GDaftar79 Muzoral Molex 4O tab 1.700 68.000 80 Mycoral Kalbe 50 tab 5.200 260.000 Daftar Halaman 11 dari 42 Putusan Nomor 57/Pid.Sus/2020/PN Mkm G Daftar81 Nebacetin Pharos 6 tube 24.000 144.000 6Daftar82 Neuropyron Harsen 10 tab 900 9.000 6100 Daftar83 Neuralgin Rx Kalbe 880 88.000tab G10 Daftar84 NeurobionInj Merck 20.000 200.000amp G; Daftar85 Nisagon Cr Ifars

Penicillin tab Prafa 41 box/100+ 60 strip5 Dexametasone tab Harsen Strip/10 2 box/200 + 61 strip6 Supertetra kapsul Darya Varia Strip/2 1 box + 18 kap7 Pondex Forte tab Dexa Medika Strip/10 1 box8 Erphacyp tab Erlimpek Strip/10 4 box + 24 strip9 Irgapan 200 tab Dexa Medika Strip/10 1 box + 9 strip10 Omestan tab Mutifa Strip/10 1 box + 5 strip11 Pronyci tab Kalbe Strip/10 4 box + 40 strip12 Moxigra 500 mg tab Gratia Strip/10 3 strip13 Novadium tab Novapharin Strip/10 8 strip14 Alofar tab Ifars

Strip/10 10 strip15 Rimastan Forte tab First M Strip/10 5 strip16 Polofar Plus tab Ifars Strip/10 4 strip17 Asma soho Soho Btl/1000 200 tab18 Novason tab Novapharin Btl/1000 70 tab19 Phenyl butazon tab Infarmindo Btl/1000 800 tab20 Ifison tab Infarmindo Btl/1000 200 tab21 Chlorphenon tab Zenith Btl/1000 800 tab22 Hufaxol tab Hufa Strip/10 7 strip23 Danasone tab Hexapharm Jaya Strip/10 13 strip24 Omegtamine tab Mutifa Strip/10 25 strip25 Captopril tab Indo F Strip/10 1 strip26 Glibenclamid

Strip/10 10 strip15 Rimastan forte First M Strip/10 5 striptab16 Polofar Plus tab Ifars Strip/10 4 strip17 Asma soho Soho Btl/100 200 tab18 Novason tab Novapharin Bul/100 70 tab19 Phenyl butazon Infarmindo Btl/100 800 tabtab20 Ifison tab Infarmindo Btl/100 200 tab21 Chlorphenon tab Zenith Btl/100 800 tab22, Hufaxol tab Hufa Strip/10 7 strip23 Danasone tab Hexapharm Jaya Strip/10 13 strip24 Omegtamine tab Mutifa Strip/10 25 strip2D Captopril tab Indo F Strip/10 1 strip26 Glibenclamid tab Indo F Strip

Novadium tab Novapharin Strip/10 8 strip14 Alofar tab Ifars Strip/10 10 strip15 Rimastan Forte tab First M Strip/10 5 strip16 Polofar Plus tab Ifars Strip/10 4 strip17 Asma soho Soho Btl/1000 200 tab18 Novason tab Novapharin Btl/1000 70 tab19 Phenyl butazon tab Infarmindo Btl/1000 800 tab20 Ifison tab Infarmindo Btl/1000 200 tab21 Chlorphenon tab Zenith Btl/1000 800 tab22 Hufaxol tab Hufa Strip/10 7 strip23 Danasone tab Hexapharm Jaya Strip/10 13 strip24 Omegtamine tab Mutifa Strip/10 25 strip25.

Novadium tab Novapharin Strip/10 8 strip14 Alofar tab Ifars Strip/10 10 strip15 Rimastan Forte tab First M Strip/10 5 strip16 Polofar Plus tab Ifars Strip/10 4 strip17 Asma soho Soho Btl/1000 200 tab18 Novason tab Novapharin Btl/1000 70 tab19 Phenyl butazon tab Infarmindo Btl/1000 800 tab20 Ifison tab Infarmindo Btl/1000 200 tab21 Chlorphenon tab Zenith Btl/1000 800 tab22 Hufaxol tab Hufa Strip/10 7 strip23 Danasone tab Hexapharm Jaya Strip/10 13 strip24 Omegtamine tab Mutifa Strip/10 25 strip25

Alofar tab Ifars Strip/10 10 strip15 Rimastan Forte tab First M Strip/10 5 strip16 Polofar Plus tab Ifars Strip/10 4 strip17.

Alofar tab Ifars Strip/10 10 strip15 Rimastan Forte tab First M Strip/10 5 strip16 Polofar Plus tab Ifars Strip/10 4 strip17. Asma soho Soho Btl/1000 200 tab18 Novason tab Novapharin Btl/1000 70 tab19 Phenyl butazon tab Infarmindo Btl/1000 800 tab20 Ifison tab Infarmindo Btl/1000 200 tab21 Chlorphenon tab Zenith Btl/1000 800 tab22 Hufaxol tab Hufa Strip/10 7 strip23 Danasone tab Hexapharm Jaya Strip/10 13 strip24 Omegtamine tab Mutifa Strip/10 25 strip25.

Ifars Pharmaceutical Solo, sebanyak 300 (tiga ratus) tablet ;4. Carbidu 0,75 mg, produksi PT. Sampharindo Semarang, sebanyak 260 (dua ratus enam puluh) tablet ;5. Omeprazole 20 mg, produksi PT. Sampharindo Semarang, sebanyak 30 (tiga puluh) tablet ;6. Nilatika, produksi PT. Nicolas, sebanyak 160 (seratus enam puluh) tablet ;7. Grafalin, produksi PT. Graha Farma Solo, sebanyak 90 (sembilan puluh) tablet ;8. Amoxilin 500 mg, produksi PT. Kimia Farma, sebanyak 100 (seratus) kaplet;9.

Ifars Solo, sebanyak 80 (delapan puluh) kaplet ;13. Bimadex 0,5, produksi PT. Bima Mitra Farmasi, sebanyak 120 (seratus dua puluh) kaplet ;14. Vertivom, produksi PT. Global, sebanyak 190 (seratus sembilan puluh) tablet;15. Mulapect, produksi Molex Ayus, sebanyak 90 (sembilan puluh) tablet ;16. Lexaparm, produksi PT. Molex Ayus, sebanyak 60 (enam puluh) tablet ;17. Erphacyp, produksi PT. Erlimpex, sebanyak 80 (delapan puluh) kaplet ;18. Dexamethasone 0,75, produksi PT.

Ifars, sebanyak 180 (seratus delapan puluh) tablet ;26. Griseofulvin, produksi PT. Indofarma, sebanyak 90 (sembilan puluh) tablet ;27. Omedexon, produksi PT. Harsen, sebanyak 140 (seratus empat puluh) tablet;28. Grafachlor, produksi Graha Frama, sebanyak 80 (delapan puluh) tablet ;29. Lanadexon, produksi PT. Landson, sebanyak 190 (seratus sembilan puluh) tablet ;30. Dexamethasone, produksi PT. Harsen, sebanyak 190 (seratus sembilan puluh) tablet ;31. Licostan, produksi PT.

Ifars, sebanyak 90 (sembilan puluh) tablet ;Dirampas untuk dimusnahkan.4. Membebankan kepada terdakwa untuk membayar biaya perkara sebesar Rp. 2.000,00 (dua ribu Rupiah) ;

Ermethasone Ifars Solo 80 Kaplet Obat keras13. Bimadex 0,5 PT. Bima Mitra 120 kaplet Obat kerasFarmasi14. Vertivom PT. Global 80 tablet Obat keras15. Mulapect PT. Molex Ayus 90 tablet Obat keras16. Lexaparm PT. Molex Ayus 60 tablet Obat keras17. Erphacyp PT. Erlimpex 80 kaplet Obat keras18. Dexamethasone PT. Harsen 260 tablet Obat keras0,7519. Carbidu 0,5 mg PT. 130 mg Obat kerasSampharindo20. Furosemide PT.Indofarma 180 kaplet Obat kerasBekasi21.

Ermethasone Ifars Solo 80 Kaplet Obat keras13. Bimadex 0,5 PT. Bima Mitra 120 kaplet Obat kerasFarmasi14. Vertivom PT. Global 80 tablet Obat keras15. Mulapect PT. Molex Ayus 90 tablet Obat keras16. Lexaparm PT. Molex Ayus 60 tablet Obat keras17. Erphacyp PT. Erlimpex 80 kaplet Obat keras18. Dexamethasone PT. Harsen 260 tablet Obat keras0,75 19. Carbidu 0,5 mgPT. 130 mg Obat kerasSampharindo20. Furosemide PT.Indofarma 180 kaplet Obat kerasBekasi21.

Ifars Solo, sebanyak 80 (delapanpuluh) kaplet ;13. Bimadex 0,5, produksi PT. Bima Mitra Farmasi, sebanyak120 (seratus dua puluh) kaplet ;14. Vertivom, produksi PT. Global, sebanyak 190 (seratussembilan puluh) tablet ;15. Mulapect, produksi Molex Ayus, sebanyak 90 (sembilanpuluh) tablet ;16. Lexaparm, produksi PT. Molex Ayus, sebanyak 60 (enampuluh) tablet ;17. Erphacyp, produksi PT. Erlimpex, sebanyak 80 (delapanpuluh) kaplet ;18. Dexamethasone 0,75, produksi PT.

Ifars Solo, sebanyak 80 (delapanpuluh) kaplet ;46. Bimadex 0,5, produksi PT. Bima Mitra Farmasi, sebanyak120 (seratus dua puluh) kaplet ;47. Vertivom, produksi PT. Global, sebanyak 190 (seratussembilan puluh) tablet ;48. Mulapect, produksi Molex Ayus, sebanyak 90 (sembilanpuluh) tablet ;49. Lexaparm, produksi PT. Molex Ayus, sebanyak 60 (enampuluh) tablet ;50. Erphacyp, produksi PT. Erlimpex, sebanyak 80 (delapanpuluh) kaplet ;51. Dexamethasone 0,75, produksi PT.

Erela 316310A1 80 tabletp . tabletotassiumDos 10 DKL153 Polofar Strip x 10 Ifars 96092067 120 TabletTablet 04 Al Halaman 10 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp Dos 10 Ponstan . . DKL8519154 strip x 10 Pfizer 20 tablet500 mg fetslet 807117A1Dos 10 Sampharindo155 Primodiar 2 strip x 10 Perdana, Lint woe: 48 tablet404610A1tablet semarangDos 15. . PT.

Ifars DKL920995 Farsiretic tin x 10 Pharmaceutic 204010A1 tablet Halaman 50 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp tablet alsLaboratoriesPT. lfars56 Faxiden 10 cme to Pharmaceutic DKL9609 44 ariesmg ie ot als 205504A1 PP LaboratoriesPT. lfars.

Sanbe DKL852280 Histapan strip x 10 Farma 045171 70 tablettablet; DKL81 Histigo Dos 5 Sinp Ifars 04092145 30 Tabletx 10 Tablet04 AtDos 10 PT. Gratia DKL82 Hufadine Strip x 10 Husada 95078051 90 TabletTablet Farma 09 Alg3 Mutaxol Botol Hosada DKLO607 2 SiruSirup 808937A1 PFarmaHydrocortis .3 PT. First GKL980784 one 2,9% Tube Medipharma 107029B1 3 CreamkrimPT.

Pratapa DKL163 50 Strip x 10 Nirmala / 91315031 70 TabletTablet Fahrenheit 15 AlDos 10 DKL164 Rhemafar Strip x 10 Ifars 98092084 30 TabletTablet 04 AlPT. Gratia DKL165 poo an Husada 04078087 232 TabletP g Farma 04 AtRinger PT. Widharta GKL9230165 Tt aktatintus 9!

Harsen 910809A1 85 Kaplet Halaman 90 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp kaplet Bfsurotronic PT Global DKL126 tcl P Vial 9 ml Multi 96107012 9 CairPharmalab 43 At; DKL127 Nexitra Hos Seti Ifars 07092171 20 Tabletx 10 Tablet04 AtPT. lfarsNisagon Pharmaceutic DKL9709128 Cream Tube als 207329h1 CreamLaboratoriesNocandis 2 DKL1006 ;129 Sospensi Botol PT.

l @ 60 ml Bactoprim Sirup DKL 8304116833 A1 PabrikCombiphar. 1 (satu) botol @ 60 ml Lexipron Sirup DKL 1009221038 A1 Pabrik Ifars. 1 (satu) box @ 100 tablet Kemoren 50 DKL 9030005915 B1 PabrikPhytokemo Agung. 3 (tiga) blister @ 10 Kaplet Neuralgin RX DKL 8511603809 A1 PabrikKalbe Farma. 1 (satu) box @ 100 tablet Molazol 500 DKL 8304104909 A1 PabrikMolex Ayus. 10 (Sepuluh) blister @ 10 kaplet Ponstelax 500 DKL 8304104909 A1Pabrik Combiphar. 1 (satu) box @ 10 stip @ 6 tablet Dexacap 25DKL 9105005310

Sus/2016/PN Mpw1 (satu) box @ 10 strip @ 10 tablet Rnemafar DKL 9809208404 A1Pabrik lfars. 1 (satu) box @ 10 strip @ 10 kaplet Sevotam 800 DKL 0809217801 A1Pabrik lfars. 2 (dua) box @ 100 kaplet Bintamox DKL 0108504704 A1 PabrikHexapharm. 1 (satu) box @ 50 kapsul lokev DKL 0309214201 A1 Pabrik Ifars. 9 (Sembilan) stip @ 10 tablet Prostanac 50 DKL 9221005907 B1 PabrikPyridam. 1 (satu) box @ 100 tablet Topallin 500 DKL 8504401404 A1 PabrikDankos. 2 (dua) vox @ 100 tablet Brodamox 500 DKL 9623404504

Sus/2016/PN MpwBahwa 19 (Sembilan belas) macam sediaan farmasi jenis obat kerastersebut antara lain:1.10.11.12.13.14.15.16.17.18.1 (satu) botol @ 60 ml Molapect Sirup DKL 9730904837 A1 Pabrik MolexAyus.1 (satu) botol @ 60 ml Bactoprim Sirup DKL 8304116833 A1 PabrikCombiphar.1 (satu) botol @ 60 ml Lexipron Sirup DKL 1009221038 A1 Pabrik Ifars.1 (satu) box @ 100 tablet Kemoren 50 DKL 9030005915 B1 PabrikPhytokemo Agung.3 (tiga) blister @ 10 Kaplet Neuralgin RX DKL 8511603809 A1 Pabrik KalbeFarma.1

tablet Dexacap 25DKL 9105005310 A1 PabrikDexa Medica.1 (satu) box @ 10 blister @ 10 tablet Gludepactic 500 DKL 9631512617 A1Pabrik Pratapa Nirmala.1 (satu) box @ 10 strip @10 tablet Fenaren DKL 9002314615 B1 PabrikBenofarm.1 (satu) box @ 10 strip @ 10 tablet Rnemafar DKL 9809208404 A1 Pabriklfars.1 (satu) box @ 10 strip @ 10 kaplet Sevotam 800 DKL 0809217801 A1Pabrik lfars.2 (dua) box @ 100 kaplet Bintamox DKL 0108504704 A1 PabrikHexapharm.1 (satu) box @ 50 kapsul lokev DKL 0309214201 A1 Pabrik Ifars

Sus/2016/PN Mpw> 10 (sepuluh ) blister @ 10 Kaplet Ponstelax 500 DKL 830410909 AlPabrik Combiphar;> 1(satu ) box @ 10 strip @ 6 tablet Dexacap 25 DKL 9105005310 AlPabrik Dexa Medica;> 1( satu ) box @ 10 blister @ 10 tablet Gludepatic 500 DKL Al PabrikPratapa Nirmala;> 1(satu ) box @ strip @ 10 tablet Fenaren DKL BI 9002314615 Pabrikbenofarm;> 1 (satu ) box @ 10 strip @ 10 tablet Rnemafar DKL Al 9809208404Pabrik lfars;> 1(satu ) box @ 10 strip @ 10 kaplet Sevotam 800 DKL Al 0809217809Pabrik iFars;

Memerintahkan barang bukti berupa :NO NAMA OBAT PABRIK KEMASAN JML1 Licostan Berlico Berlico box/100 tb 21 box2 Antidorin kapsul Ifars box/100 tb 3 box 3 Allopurinol 100 mg Hexphram Jaya Hexpharm Jaya box/100 tb 14 box4 Amoxillin 500 mg Pharma Lab Pharma Lab box/100 tb 4 box + 60 kapsul5 Ampicillin 500 mg Pharma Lab Pharma Lab box/100 tb 6 box + 90 tb6 Anastan Forte Gratia Gratia box/100 tb 4 box + 50 tb7 Andalan Pil Harsen Harsen strip 97 strip8 Antalgin tabet Universal Universal Box

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 box/100 tb 7 box38 Inflason tablet Berlico Berlico box/100 tb 4 box 39 Irgafan 200 Dexa M Dexa

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 Berlico Box/ 100 tb 4 box73 Prednison Mutifa Mutifa btl/ 1000 tb 6 btl74 Pronicy Kalbe Kalbe Box/ 100 tb 139 box75 Ranitidin Injeksi Bernofarm Bernofarm box/10 ampul 3 box 76 Salbutamol 4 mg Indofarma Indofarma box/100 tb 8 box77 Supertetra Darya Varia Darya Varia box/120 kapsul 2 box + 105 kapsul 78 Teosal Dexa M Dexa M box/100 tb 5 box 79 Tridexon Triman Triman btl/ 1000

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 Inflason tablet Berlico box/100 tb 4 boxBerlico39 Irgafan 200 Dexa M Dexa M box/100 tb 28 box40

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 26 Strip41 Amoxicillin 500 Mg PT. Bernofarm 14 strip42 Amoxicillin syrup PT. Novapharin 5 botol43 Ampicillin 500 Mg PT. Novapharin 10 strip44 Ampicilint syrup PT.. Phyto kemo agung 7 botol45 Anastan PT. Graha Husada Farma 30 strip46 Antalgin PT.. Phyto kemo agung 100 strip47 Antalgin PT. Aditama raya 10 strip48 Asam mefenamat PT. errita farma 23 strip49 Betametason CR PT. Kimia Farma 20 Tube50 Betametason CR PT. First Medipharma 2 Tube51 Betason N Cr PT.

Balatif 30 strip71 Eltazon PT. ifars 28 Blister72 Enamax 4 Mg PT. Actapis 129 strip73 Erpha syp PT. Erlimplex 43 strip74 Etamox 500 PT. Errita Farma 50 strip75 Etamox Susp PT. Errita Farma 4 Botol76 Fargetix PT. IFARS 38 Strip77 Farmoten 25 PT. Fratapa Nirwana 10 strip78 Farsiven 400 Mg PT. Ifars 40 strip79 Fasiden 10 Mg PT. Ifars 10 strip80 Faxiden PT. Ifars 48 strip81 Fimextan Forte PT. Firs Medi Farma 20 Strip82 Flucinonide Cream Made In China 30 Tube83 Genoint PT.

Ifars 20 Strip104 Lodia PT. Sanbe 10 Strip105 Medi-Klin PT.Surya Dermato Medica 3 Tube106 MethylPrednisolone PT. Dexa 30 Blister107 Metronidazol 500 Mg PT.Phyto kemo agung 10 Strip108 Mexon PT. Sampharindo Perdana 10 Strip109 Mixorga 500 PT. Graha Farma 20 Strip110 Molacort PT. Molex Ayus 40 Strip111 Mycetin Salep PT.Erela 3 Tube112 Neuralgin PT. Kalbe Farma 10 Strip113 Nisagon PT. Ifars 10 Tube114 Novastan PT. Novapharin 20 Strip115 Novaxicam PT. Novapharin 40 Strip116 Omekur 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. Hexpharm Jaya 10 Tube129 Soldextam PT. Solas 30 Strip130 Solpenox Syrup PT. Solas 3 Botol131 Tetracyclin PT. Dasa Esa Farma 1000 kap132 Tifestan Forte PT. Balatif 20 Strip133 Tobrosom Tetes Mata PT. Cendo 3 Strip134 Ucudexon 0.5 PT.

Balatif 20 strip71 Eltazon PT. ifars 20 Blister72 Enamax 4 Mg PT. Actapis 120 strip73 Erpha syp PT. Erlimplex 40 strip74 Etamox 500 PT. Errita Farma /40 strip15 Etamox Susp PT. Errita Farma 5 Botol76 Fargetix PT. IFARS 30 Strip77 Farmoten 25 PT. Fratapa 10 stripNirwana78 Farsiven 400 Mg PT. Ifars 40 strip79 Fasiden 10 Mg PT. lfars 10 strip80 Faxiden PT. lIfars 50 strip81 Fimextan Forte /PT. Firs Medi 20 StripFarma Halaman 11 dari 52 Putusan Nomor 36/Pid.B/2015/PN.

Balatif 20 strip71 Eltazon PT. ifars 20 Blister72 Enamax 4 Mg PT. Actapis 120 strip73 Erpha syp PT. Erlimplex 40 strip74 Etamox 500 PT. Errita Farma /40 strip15 Etamox Susp PT. Errita Farma 5 Botol76 Fargetix PT. IFARS 30 Strip77 Farmoten 25 PT. Fratapa 10 stripNirwana78 Farsiven 400 Mg PT. Ifars 40 strip79 Fasiden 10 Mg PT. lfars 10 strip80 Faxiden PT. lfars 50 strip81 Fimextan Forte /PT. Firs Medi 20 StripFarma82 Flucinonide Made In China 30 TubeCream83 Genoint PT.

Balatif 30 strip71 Eltazon PT. ifars 28 Blister72 Enamax 4 Mg PT. Actapis 129 strip73 Erpha syp PT. Erlimplex 43 strip74 Etamox 500 PT. Errita Farma 50 strip75 Etamox Susp PT. Errita Farma /4 Botol76 Fargetix PT. IFARS 38 Strip77 Farmoten 25 PT. Fratapa 10 stripNirwana Halaman 37 dari 52 Putusan Nomor 36/Pid.B/2015/PN. PKJ 3838 78 Farsiven 400 Mg PT. lfars 40 strip79 Fasiden 10 Mg PT. lfars 10 strip80 Faxiden PT. lfars 48 strip81 Fimextan Forte PT.

Balatif 30 strip71 Eltazon PT. ifars 28 Blister72 Enamax 4 Mg PT. Actapis 129 strip73 Erpha syp PT. Erlimplex 43 strip74 Etamox 500 PT. Errita Farma 50 strip75 Etamox Susp PT. Errita Farma /4 Botol76 Fargetix PT. IFARS 38 Strip Halaman 43 dari 52 Putusan Nomor 36/Pid.B/2015/PN. PKJ 4444 77 Farmoten 25 PT. Fratapa 10 stripNirwana78 Farsiven 400 Mg PT. lfars 40 strip79 Fasiden 10 Mg PT. lfars 10 strip80 Faxiden PT. lfars 48 strip81 Fimextan Forte PT.

Balatif 30 strip71 Eltazon PT. ifars 28 Blister72 Enamax 4 Mg PT. Actapis 129 strip73 Erpha syp PT. Erlimplex 43 strip74 Etamox 500 PT. Errita Farma 50 striptS Etamox Susp PT. Errita Farma 4 Botol76 Fargetix PT. IFARS 38 Strip77 Farmoten 25 PT. Fratapa 10 stripNirwana78 Farsiven 400 Mg PT. lfars 40 strip79 Fasiden 10 Mg PT. Ifars 10 strip80 Faxiden PT. lfars 48 strip81 Fimextan Forte PT. Firs Medi 20 StripFarma82 Flucinonide Cream Made In China 30 Tube83 Genoint PT.

strip 619 Neo Protifed Graha Farma strip 220 Captropil 12,5 Indo Farma strip 821 Omefulvin Mutifa strip 822 Polopor Plus Ifars strip 223 Tazimut 0,5 Balatif strip 624 Molacort 0,5 Molex Ayus strip 325 Landson Lanadexon strip 326 Dexaarsen 0,5 Harsen strip 1427 Norvom Ifars strip 828 Zoline Pyridam strip 1029 Salbutomol Graha Farma strip 930 Omeranin Mutifa strip 1031 Famotidin Indofarma strip 532 Rantidin Dexa strip 833 Grisefulvin Prafa strip 834 Amlodipin Mutifa

strip 335 Scopma Ifars strip 336 Teosal Dexa Medica strip 837 Inamid Nufarindo strip 938 Dexaharse 0,75 Harsen strip 2539 Zoline Pyridam strip 840 Famotidine 0,75 Indofarma strip 541 Omberzol Bernofarma strip 842 Omekur Mutifa strip 543 Novadium Novaphari strip 744 Lopadium Zenith strip 1045 Vesperum Ifars strip 446 Acylovir Indofarma strip 647 Loratadine Promedihrjo strip 448 Grafalin Grahafarm strip 749 Salbutamol Indofarma strip 150 Vilergi Mutifa

strip 951 Mycazol Erlimpex strip 652 Omezyteks Mutifa strip 553 Grinci 125 Novapharin strip 654 Lazol Ifars strip 155 Lansoprazol Hexpharm strip 256 Incitin Bernofarm strip 257 Omeprazole Guardian strip 58 Domperidon Hexapham strip 459 Acifar Ifars strip 360 Cetrol Solas strip 1261 Winatin Ifars strip 662 Larotadine Hexapharm strip 363 Mycoral Kalbe strip 264 Pronto Zenith strip 1065 Omegesic Mutifa strip 666 Hufanoxil 500 mg Gratia strip 467 Cefadroxil

strip 283 Licofel Berlico MF strip 884 Unigin Universal strip 1085 Kaditic Ifars strip 286 Methylprednisolone Dankos strip 887 Benoxicam Bernofarm strip 888 Alofar Ifars strip 989 Rosic Pyridam strip 590 Vadrol Novapharin strip 691 Omeric Mutifa strip 392 Zerion Balatif strip 593 Grazeo Graha F strip 894 Clidamycin 300 mg Indofarma strip 295 Irgafan 300 mg Dexa M strip 996 Bufacaryl Zenith strip 997 Irgafan 100 Dexa M strip 598 Mikrodiol 30 KF strip 1499

Inj Harsen Vial 5131 Pitogin Ethica Box 1132 Citoprim Sirup Ciubros Btl 1133 Alofar Ifars Strip 9134 Rosic Pyridam Strip 5135 Soldextam Salos 30 1136 Harsifen Ifars Kaplet 3137 Fargetik Ifars Box 4138 Ampicilin Rama Strip 2139 Provinas Sejahtera Strip 8140 Neurobion Ampul Sejahtera Strip 2141 Genelten Cream Ifars Ampul 9142 Gestin F1 Harsen Ktk 2143 Tricloven Tunggal Vial 2144 Ranitidin Bernofarm Vial 3145 Novamox Syrup Nova Ampul 1146 Livadrox

Strip/ 10 26044 Dexametasone tab Afi Strip/ 10 345 Dextraf tab 10046 Digoxin tab Indo F Strip/ 10 8047 Dramamin tab Soho Strip/ 10 5048 Enchepahol F tab Merk Strip/ 10 10049 Ephedrrin tab KF Strip/ 10 100050 Erphacyp tab Erlimpex Strip/ 10 2051 Etambutol cap 500 mg KF Strip/ 10 13052 Etamoxul sirup Eta Strip/ 10 553 Etason tab Otto Strip/ 10 5054 Fargetix tab Strip/ 10 26055 Farmoten 25 mg tab Pratapa Strip/ 10 40056 Farmoten 25 mg tab Fahreinheit Strip/ 10 9057 Faxiden 10 mg cap Ifars

248145 Simvastatin tab - Strip/ 10 60146 Soldextam tab Solas Strip/ 10 100147 Spasminal tab Hexapharm Strip/ 10 60148 Spesidal cap Strip/ 10 60149 Suldox tab Actavis Strip/ 10 42150 Supertetra cap Darya V Strip/ 10 440151 Suprabiotic cap Strip/ 10 290152 Teosal tab Dexa Strip/ 10 240153 Tramadol 50 mg tab Strip/ 10 90154 Trfestan tab F Strip/ 10 200155 Trifason tab Trifa Strip/ 10 100156 Trifason F tab Balatif Strip/ 10 30157 Unigin tab Universal Strip/ 10 510158 Vesperum tab Ifars

Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal tab Itrasal Strip/ 10 170163 Yusimox cap Ifars Strip/ 10 60164 Yusimox sirup Ifars Strip/ 10 3165 Zerion tab Balatif Strip/ 10 30166 Zonifar tab Strip/ 10 250167 Zoralin tab - Strip/ 10 170Dirampas untuk dimusnahkan 4.

mg/Harsen Strip/ 10 260tab44 Dexametasone tab Afi Strip/ 10 345 Dextraf tab 10046 Digoxin tab Indo F Strip/ 10 8047 Dramamin tab Soho Strip/ 10 5048 Enchepahol F tab Merk Strip/ 10 10049 Ephedrrin tab KF Strip/ 10 100050 Erphacyp tab Erlimpex Strip/ 10 2051 Etambutol cap 500 mg = KF Strip/ 10 13052 Etamoxul sirup Eta Strip/ 10 553 Etason tab Otto Strip/ 10 5054 Fargetix tab Strip/ 10 26055 Farmoten 25 mg tab Pratapa Strip/ 10 40056 Farmoten 25 mg tab Fahreinheit Strip/ 10 9057 Faxiden 10 mg cap Ifars

Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal tab Itrasal Strip/ 10 170163 Yusimox cap Ifars Strip/ 10 60164 Yusimox sirup Ifars Strip/ 10 5165 Zerion tab Balatif Strip/ 10 30166 Zonifar tab Strip/ 10 250167 Zoralin tab Strip/ 10 170 Dirampas untuk dimusnahkan.4 Menetapkan agar terdakwa membayar biaya perkara sebesar Rp. 5.000, (lima riburupiah).Telah mendengar pembelaan dari terdakwa secara lisan yang pada

Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal tab Itrasal Strip/ 10 170163 Yusimox cap Ifars Strip/ 10 60164 Yusimox sirup Ifars Strip/ 10 3165 Zerion tab Balatif Strip/ 10 30166 Zonifar tab Strip/ 10 250167 Zoralin tab Strip/ 10 170 Dan selanjutnya terhadap obatobat keras Daftar G tersebut dibuatkan Berita AcaraPenyitaan barang bukti yang ditandatangani Penyidik Pegawai Negeri Sipil pada BalaiBesar POM di

Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal tab Itrasal Strip/ 10 170163 Yusimox cap Ifars Strip/ 10 60164 Yusimox sirup Ifars Strip/ 10 3165 Zerion tab Balatif Strip/ 10 30166 Zonifar tab Strip/ 10 250167 Zoralin tab Strip/ 10 170 Barang bukti mana telah disita secara sah menurut hukum, sehingga dapat dipertimbangkandalam perkarang ini sebagai barang bukti yang sah menurut hukum ;Menimbang, bahwa terhadap

Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal tab Itrasal Strip/ 10 170163 Yusimox cap Ifars Strip/ 10 60164 Yusimox sirup Ifars Strip/ 10 3165 Zerion tab Balatif Strip/ 10 30166 Zonifar tab Strip/ 10 250167 Zoralin tab Strip/ 10 170 30Dirampas untuk dimusnahkan 314 Membebankan kepada terdakwa untuk membayar biaya perkara ini sebesar Rp.5.000, (lima ribu rupiah) ;Demikianlah diputuskan dalam rapat permusyawaratan

Tablet 5030 Proxona Harsen Tablet 5031 Lexahist Molex Tablet 40Ayua2 Opistan OTT Tablet 50 33 Omeprazole 20 Tablet 20mg34 Pronicy Kalbe Tablet 4035 Penicillin V Tablet 60Prafa36 Gabiten lfars Strip 237 Norvon lfars Strip 238 Omefulvin 125 Strip 3Mutiva39 Furosemid 40 Strip 19INF40 Neuropyron V Strip 4Harsen41 Novexicam Strip 5Novapharin42 Lokev lfars 7 Strip 143 Licostan Berlico Strip 244 INH Ciba Strip 345 Irgapan 200 Strip 9Dexa46 Lenadoxon 0,5 Strip 2Landson47 Ibuprofen Strip 3Promedrajo48 Lerzin ifars

Captropil 25 mg INF Tablet 13096 Allopurinol 100 Mutifa Strip 5mgCiprofloxacin Hexpharm Strip 5Hexpharm98 Cefadroxil Kapsul 17Pharma Lab99 Apicillin 500 Strip 11Rama100 Broadamox Btl 2SampahrindoPerdana101 Omestan Mutifa Btl 1102 Hufanoxil Gratia Btl 1103 Sultrimix Syr Bil 1Bernofarm104 Benostan 500 if Strip 8Bernofarm105 Bimapen 500 Tablet 6106 Bufacaryl Forte Strip 9107 Citostan Forte Strip 9108 Chilorampenicho Strip 3 250 INF109 Cimetidine Fito Strip 13110 Grafazol 500 GF Strip 91114 Fargetix Ifars

77mgHufanoxil Syr Tablet 11GratiaEtabiotic 500 Tablet 28Errita 13 10 Ambroxol Etercon Tablet 8011 Bimadex 0,5 Bima Tablet 130Mitra Farma12 Yusimox Tablet Tablet 7013 Omemox 500 Mu Tablet 7Mutifa14 'Voldiamer B6 Tablet 20Tunggal Idaman15 Stanza 500 Trifa Tablet 2016 Tifestan Forte Tablet 80Balatif17 Tifestan 500 Trifa Tablet 4018 Supertetra Darya Tablet 30Varia19 Spasmal Prafa Tablet 6020 Vosea Graha Tablet 701 Ranitidin 150 mg Tablet 115Hexpharm Jaya22, Salbutamol Tablet 45Indofarma23 Roverton Ifars

Tablet 10024 Miradene Tablet 20Sampharindo2) Bimatra 500 Bima Tablet 3026 Cimetidine Phyto Tablet 30Kemo Agung27 Bronex Zenith Tablet 2028 Piroxicam 20 mg Tablet 124Indofarma29 Omeroxol Mutifa Tablet 5030 Proxona Harsen Tablet 5031 Lexahist Molex Tablet 40Ayua Opistan OTT Tablet 5036 Omeprazole 20 Tablet 20mg34 Pronicy Kalbe Tablet 4035 Penicillin V Prafa Tablet 6036 Gabiten Ifars Strip pd dan terhadap barang bukti mana telah dikenal saksisaksi dan terdakwa sehingga dapatdigunakan untuk mendukung

5030 Proxona Harsen Tablet 5031 Lexahist Molex Tablet 40Ayua2 Opistan OTT Tablet 50 25 33 Omeprazole 20 Tablet 20mg34 Pronicy Kalbe Tablet 4035 Penicillin V Tablet 60Prafa36 Gabiten lfars Strip 237 Norvon lfars Strip 238 Omefulvin 125 Strip 3Mutiva39 Furosemid 40 Strip 19INF40 Neuropyron V Strip 4Harsen41 Novexicam Strip 5Novapharin42 Lokev lfars Strip 143 Licostan Berlico Strip 244 INH Ciba Strip 345 Irgapan 200 Strip 9Dexa46 Lenadoxon 0,5 Strip 2Landson47 Ibuprofen Strip 3Promedrajo48 Lerzin ifars

Gabiten, produksi Ifars Solo, sebanyak 80 (delapan puluh) kaplet;13. Grafamic, produksi Graha Farma Solo, sebanyak 80 (delapan pulu) kaplet;14. Piroxicam 20 mg, produksi Indofarma Bekasi, sebanyak 216 (dua ratus enam belas ) kapsul;15. Carbidu 0,5 , produksi Sampharindo Semarang, sebanyak 90 (sembilan puluh) tablet;16. Asmafar, produuksi Varse Medan, sebanyak 90 (sembilan puluh) tablet;17. Lanadexon, produksi Landson Bekasi, sebanyak 80 (delapan puluh) kaplet;18.

Gabiten Ifars Solo 80 Kaplet Obat kerasdaftar G13. Grafamic Graha Farma 80 Kaplet Obat kerasSolo daftar G14. Piroxicam 20 mgIndofarma 216 Kapsul Obat kerasBekasi daftar G15. Carbidu 0,5 Sampharindo 90 Tablet Obat kerasSemarang daftar G16. Asmafar Varse Medan 90 Tablet Obat kerasdaftar G17. Lanadexon Landson Bekasi 80 Kaplet Obat kerasdaftar G18. Penicilin V Prafa Bogor 17 tablet Obat keras daftar G Dirampas untuk dimusnahkan.4.

Gabiten Ifars Solo 80 Kaplet Obat kerasdaftar G13. Grafamic Graha Farma 80 Kaplet Obat kerasSolo daftar G14. Piroxicam 20 mgIndofarma 216 Kapsul Obat kerasBekasi daftar G15. Carbidu 0,5 Sampharindo 90 Tablet Obat kerasSemarang daftar G16. Asmafar Varse Medan 90 Tablet Obat kerasdaftar G17. Lanadexon Landson Bekasi 80 Kaplet Obat kerasdaftar G18.

Gabiten, produksi Ifars Solo, sebanyak 80 (delapan puluh)kaplet ;13: Grafamic, produksi Graha Farma Solo, sebanyak 80(delapan puluh) kaplet ;14. Piroxicam 20 mg, produksi Indofarma Bekasi, sebanyak 216(dua ratus enam belas) kapsul ;15. Carbidu 0,5, produksi Sampharindo Semarang, sebanyak90 (sembilan puluh) tablet ;16. Asmafar, produksi Varse Medan, sebanyak 90 (sembilanpuluh) tablet ;17. Lanadexon, produksi Landson Bekasi, sebanyak 80(delapan puluh) kaplet ;18.

Gabiten, produksi Ifars Solo, sebanyak 80 (delapan puluh)kaplet ;13. Grafamic, produksi Graha Farma Solo, sebanyak 80(delapan puluh) kaplet ;14. Piroxicam 20 mg, produksi Indofarma Bekasi, sebanyak 216(dua ratus enam belas) kapsul ;15. Carbidu 0,5, produksi Sampharindo Semarang, sebanyak90 (sembilan puluh) tablet ;16. Asmafar, produksi Varse Medan, sebanyak 90 (sembilanpuluh) tablet ;17. Lanadexon, produksi Landson Bekasi, sebanyak 80(delapan puluh) kaplet ;18.

Menetapkan barang bukti berupa :NO NAMA OBAT PABRIK KEMASAN JUMLAH1 Ranitidin Dexa M ktk/100 tb 12 Piroxicam 20 Balatif ktk/100 tb 13 Bufacaryl Zenith ktk/100 tb 14 Salbutamol INF strip 135 Grazeo Graha F ktk 16 Irgapan 200 Dexa M strip 127 Irgapan 100 Dexa M strip 88 Lanadexon Landson strip 49 Gricin 125 Novapharin strip 710 Captropil 25 mg INF strip 411 Kaditic 50 mg Ifars strip 112 Captropil Errita F strip 113 Dexa M 0,75 Dexa M strip 114 Licodexon Berlico strip 515 Teosal Dexa

M strip 216 Mexon Sampharindo strip 1117 Grafachlor GF strip 118 Bronchosal Ifars strip 419 Kaditic 50 Ifars strip 420 Polofar Plus Ifars strip 121 Griseofulvin 500 Prafa strip 422 Melanox Krim Surya Dermato tube 123 Chloramfecort H Krim KF tube 324 Betason N KF tube 425 Berloson N Berlico tube 526 Muzoral Krim Mugi tube 127 Novamox Syrup Novapharin btl 128 Novagyl Suspensi Novapharin btl 529 Erlamycetin Tetes Mata - btl 330 Yekapons Yekaria F tablet 8031 Ciprofloxacin Promedrajo

tablet 10032 Amoxicillin 500 mg Novapharin tablet 3033 Yefamox 500 mg Yekaria F tablet 8034 Ciprofloxacin 500 mg Novapharin tablet 2035 Metronidazol Novapharin tablet 5036 Novagyl Novapharin tablet 2037 Ampicillin Pharma lab tablet 6038 Asam Mefenamat Errita Pharma tablet 5039 Broadamox 500 Sampharindo tablet 1040 Novaflox 500 Novapharin tablet 9041 Spesidal 500 mg Holi Pharma tablet 1042 Rifampicin 600 mg KF tablet 7043 Omeprazole 20 mg Novapharin tablet 3044 Ginifar 500 mg Ifars tablet

2445 Pronam Harsen tablet 1046 Alofar Ifars tablet 5047 Norvom Ifars tablet 1548 Bioplacenton Jely Kalbe Farma tablet 1049 Microgynon Bayer strip 350 Andalan Laktasi Pil KB Merck strip 2551 Muzoral Mugi box 452 Incidal OD Bayer tablet 3053 Ketoconazole First tablet 4054 Binotal 500 Bayer tablet 3055 Dexamethasone 0,75 Harsen tablet 21056 FG Troches Meiji tablet 7057 Andalan Pil KB Harsen tablet 1058 Vitaquin Cream Surya Dermato tube 459 Pronicy Kalbe Farma tablet 3060 Mycoral 200

Novapharin Tablet 2037 Ampicillin Pharma lab Tablet 6038 Asam Errita Pharma Tablet 50Mefenamat39 Broadamox 500Sampharindo /Tablet 1040 Novaflox 500 Novapharin Tablet 9041 Spesidal 500 Holi Pharma Tablet 10mg42 Rifampicin 600 KF Tablet 70mg43 Omeprazole 20 Novapharin Tablet 30mg44 Ginifar 500 mg lfars Tablet 2445 Pronam Harsen Tablet 1046 Alofar lfars Tablet 5047 Norvom Ifars Tablet 1548 Bioplacenton Kalbe Farma /Tablet 10Jely49 Microgynon Bayer Strip 350 Andalan Merck Strip 25Laktasi Pil KB51 Muzoral

mengumpulkan dan mendata obatobat keras daftar G tersebutberdasarkan nama produk, pabrik, kemasan, serta jumlahnya sebagai mana terteradalam tabel sebagai berikut : NO NAMA OBAT PABRIK KEMASAN JUMLAH1 Ranitidin Dexa M ktk/100 tb 12 Piroxicam 20 Balatif ktk/100 tb 13 Bufacaryl Zenith ktk/100 tb 14 Salbutamol INF strip 135 Grazeo Graha F ktk 16 Irgapan 200 Dexa M strip 127 Irgapan 100 Dexa M strip 88 Lanadexon Landson strip 42 Gricin 125 Novapharin strip 710 Captropil 25 mg INF strip 411 Kaditic 50 mg Ifars

strip 112 Captropil Errita F strip 113 Dexa M 0,75 Dexa M strip 114 Licodexon Berlico strip 515 Teosal Dexa M strip 216 Mexon Sampharindo strip 1117 Grafachlor GF strip 118 Bronchosal Ifars strip 419 Kaditic 50 lfars strip 420 Polofar Plus lfars strip 121 Griseofulvin 500 Prafa strip 422 Melanox Krim Surya Dermato tube 123 Chloramfecort H Krim KF tube 3 24 Betason N KF tube 425 Berloson N Berlico tube 526 Muzoral Krim Mugi tube 127 Novamox Syrup Novapharin btl 128 Novagyl Suspensi Novapharin btl

Mexon Sampharindo strip 1117 Grafachlor GF strip 118 Bronchosal lfars strip 419 Kaditic 50 Ifars strip 420 Polofar Plus lfars strip 121 Griseofulvin 500 Prafa strip 422 Melanox Krim Surya Dermato tube 123 Chloramfecort H Krim KF tube 324 Betason N KF tube 425 Berloson N Berlico tube 326 Muzoral Krim Mugi tube 127 Novamox Syrup Novapharin btl 128 Novagyl Suspensi Novapharin btl 529 Erlamycetin Tetes Mata btl 330 Yekapons Yekaria F tablet 8031 Ciprofloxacin Promedrajo tablet 10032 Amoxicillin 500

Novapharin tablet 2037 Ampicillin Pharma lab tablet 6038 Asam Mefenamat Errita Pharma tablet 5039 Broadamox 500 Sampharindo tablet 1040 Novaflox 500 Novapharin tablet 9041 Spesidal 500 mg Holi Pharma tablet 1042 Rifampicin 600 mg KF tablet 7043 Omeprazole 20 mg Novapharin tablet 3044 Ginifar 500 mg Ifars tablet 2445 Pronam Harsen tablet 1046 Alofar lfars tablet 5047 Norvom lfars tablet 1548 Bioplacenton Jely Kalbe Farma tablet 1049 Microgynon Bayer strip 350 Andalan Laktasi Pil KB Merck strip 2551

Pharma 30 Tablet87 Rifampicin 600 PT Indofarma 40 Tablet88 Solinfec PT lfars 40 Tablet89 Solasic PT Solas 70 Kaplet90 Selespurin 100 PT Sejahtera Lestari F 90 Kaplet91 Soltralin 500 PT Solas 106 Kapsul92 Samrox 20 PT Samco Farma 50 Kapsul93 Renadinac 50 PT Pratapa Nirmala 70 Tablet94 Super Tetra PT Darya Varia 73 Kapsul95 Suprabiotic PT Zenith Pharm 80 Kapsul96 Scandexon PT Tempo Scan P 140 Tablet97 Salbutamol 4 PT First Medifarma 100 Tablet98 Salbutamol 2 PT Kimia Farma 60 Tablet99 Selvim 10 PT Ifars

Gralixa Graha Farma 80 Tablet149 Gricin 500 Novapharin 50 Tablet150 Griseofulvin PT Kimia Farma 80 Tablet151 Inamid Nufarindo 80 Tablet152 louprofen 400 mg PT Phyto Kemo Agung F. 90 Tablet153 lbuprofen PT Aditama Raya Farmindo 20 Tablet154 Hydrocortisone 2,5% PT Indofarma 9 Tube155 Inflason Berlico Mulia Farma 80 Kaplet156 Irgapan 200 PT Dexa Medica 50 Tablet157 Kemoren 50 PT Phyto Kemo Agung F. 110 Tablet158 Kalmethasone PT Kalbe Farma 150 Tablet159 Ketoconazole Novapharin 64 Tablet160 Kaditic PT Ifars

70 Tablet161 Licodexon 0,5 Berlico Mulia Farma 133 Kaplet162 Liflamal 400 Holi Pharma 70 Kaplet163 Licofel Berlico Mulia Farma 50 Kapsul164 Linogra 100 Graha Farma 140 Tablet165 Limaag 150 Holi Pharma 90 Tablet166 Lanadexon PT Pertiwi Agung 270 Kaplet167 Lafen PT Erela 50 Tablet168 Microtina Pyridam 100 Kapsul169 Megasonum Mega Esa Farma 150 Kaplet170 Miratrim Sampharindo Perdana 50 Tablet171 Muzoral PT Molex Ayus 118 Tablet Halaman 6 dari 38 Putusan Nomor 7/Pid.Sus/2017/PN Kgn 172 Megatic PT Ifars

Mecosin Indonesia 50 Tablet130 Mexon PT Sampharindo Perdana 60 Kaplet Halaman 12 dari 38 Putusan Nomor 7/Pid.Sus/2017/PN Kgn 131 Farsifen PT Ifars 100 Kaplet132 Floxifar PT lfars 80 Kaplet133 Fenamin 500 Zenith Pharm. 110 Kaplet134 Fargetix PT Ifars 60 Kaplet135 Hufanoxil PT Gratia Husada Farma 80 Kaplet136 Hufamycetin PT Gratia Husada Farma 63 Kapsul137 Grafamic Graha Farma 80 Kaplet138 Grathazon Graha Farma 100 Kaplet139 Grazeo Graha Farma 100 Tablet140 Grafachlor Graha Farma 100 Kaplet141 Hufadine

70 Tablet161 Licodexon 0,5 Berlico Mulia Farma 133 Kaplet162 Liflamal 400 Holi Pharma 70 Kaplet163 Licofel Berlico Mulia Farma 50 Kapsul164 Linogra 100 Graha Farma 140 Tablet165 Limaag 150 Holi Pharma 90 Tablet166 Lanadexon PT Pertiwi Agung 270 Kaplet Halaman 13 dari 38 Putusan Nomor 7/Pid.Sus/2017/PN Kgn 167 Lafen PT Erela 50 Tablet168 Microtina Pyridam 100 Kapsul169 Megasonum Mega Esa Farma 150 Kaplet170 Miratrim Sampharindo Perdana 50 Tablet171 Muzoral PT Molex Ayus 118 Tablet172 Megatic PT Ifars

Ifars Pharmaceutical Laboratories, 115 box @ 10 strip;

Molex Ayus, jumlah 4 botol;

, jumlah 10 botol;

tablet, produksi Schering, jumlah 16 box;

cream, produksi PT Ikapharmindo Putramas, jumlah 1 tube (expired date);

Ifars Pharmaceutical Laboratories,115 box @ 10 strip;9) AnastanForte Kaplet 500 mg, produksi PT.

Ifars 10 Botol25 Allopurinol tablet 100 PT. Mutifa 1 Boxmg26 Amoxicillin kaplet PT. Pharma Laboratories 3 Box500 mg27 Incidal OD kapsul PT. Actavis Indonesia 43 Box28 Lerzin kapsul PT. Ifars 3 Box29 Erlamycetin salep PT. Erela 2292 Tubemata30 Melanox cream PT. Surya Dermato 80 TubeMedica Laboratories31 Microgynon tablet Schering 16 Box32 Lanadexon kaplet 0,5 PT. Pertiwi Agung 2 Boxmg33 Omegtamine kaptab PT. Mutifa 2 Box34 Synalten cream PT. Ifars 13 Pak @ 10 tube35 Captopril 25 mg PT.

Yusimox sirup kering, produksi PT Ifars, jumlah 10 botol:;25. Allopurinol tablet 100 mg, produksi PT Mutifa, jumlah 1 box;26. Amoxicillin kKaplet 500 mg, produksi PT Pharma Laboratories, jumlah 3box;27. Incidal OD Kapsul, produksi PT Actavis Indonesia, jumlah 43 box;28. Lerzin kapsul, produksi PT Ifars, jumlah 3 box;29. Erlamycetin salep mata, produksi PT Erela, jumlah 2292 tube;Halaman 31 dari 45 Putusan Nomor 1020/Pid.Sus/2019/PN Bdg30.

Mionalgin kaplet, produksi PT Ifars, jumlah 20 box @ 10 strip;67. Tablet putin, jumlah 26 bungkus @ 5 tablet;68. Tablet putih, jumlah 5 bungkus @ 10 tablet;69. Tablet putin, jumlah 8 bungkus (remuk/ tidak utuh);70. Tramadol tablet 50 mg, produksi Holi Pharma, jumlah 39 tablet;71. Fotokopi perijinan, jumlah 3 lembar;72. Buku nota penjualan, jumlah 2 buku;73.

Ifars Pharmaceutical Laboratories, 115 box@ 10 strip;9) AnastanForte Kaplet 500 mg, produksi PT.

Clarifying Lotion, Rose White& Natural Cream, Sleek Make Up Matte Me Lip Cream, Stila LiquidEyeshadow, Tarte Lip Gloss, Tarte Lip Paint, Temulawak Day & NightCream, Temulawak Day & Night Cream (Pot Double), Temulawak Two WayCake, Temulawak Whitening Soap, Vaseline Lip Therapy Rosy Lip,Vaseline Repairing Jelly, Widya Temulawak Day Cream Night Cream (PotDouble), Kapsul Hijau Abuabu, Kapsul Hitam Merah, Kapsul Merah UnguTua, Qiang Jin Wei Ge Wang, Stelan Dalam Plastik, Vimax, Alofar 100Ifars, Alofar 300 Ifars

Soap, Rose Clarifying Lotion, Rose White & NaturalCream, Sleek Make Up Matte Me Lip Cream, Stila Liquid Eyeshadow,Tarte Lip Gloss, Tarte Lip Paint, Temulawak Day & Night Cream,Temulawak Day & Night Cream (Pot Double), Temulawak Two WayCake, Temulawak Whitening Soap, Vaseline Lip Therapy Rosy Lip,Vaseline Repairing Jelly, Widya Temulawak Day Cream Night Cream(Pot Double), Kapsul Hijau Abuabu, Kapsul Hitam Merah, KapsulMerah Ungu Tua, Qiang Jin Wei Ge Wang, Stelan Dalam Plastik,Vimax, Alofar 100 Ifars

, Alofar 300 Ifars, Ampicilin 500 mg(meprofarm), Andalan Pil KB, Baquinor Forte, Biothicol 500, CendoXitrol, Ciprofloxacin 500 mg, Costan Forte Mefenamic Acid 500 mg,Dexteem Plus, Domestrium Suspensi 60 ml, ErphazonPhenylbutazone 200 mg, Eryra Forte Erythromycin, IfidexHalaman 7 dari putusan Nomor 717 /PID.

8 TabletAlofar 300 Ifars 5 TabletAmpicilin 500 mg (meprofarm) 90 KapletAndalan Pil KB 2 KotakBaquinor Forte 3 KapletBiothicol 500 4 KapsulCendo Xitrol 1 PcsHalaman 17 dari putusan Nomor 717 /PID.

Vimax 60 Kapsul111.Alofar 100 Ifars 8 Tablet112.Alofar 300 Ifars 5 Tablet113.Ampicilin 500 mg (meprofarm) 90 Kaplet114.Andalan Pil KB 2 Kotak115.Baquinor Forte 3 Kaplet116. Biothicol 500 4 Kapsul117.Cendo Xitrol 1 Pcs118. Ciprofloxacin 500 mg 100 ~=Kaplet119.Costan Forte Mefenamic Acid500 mg 400 Kaplet120.Dexteem Plus AO Tablet121.Domestrium Suspensi 60 ml 11 BotolHalaman 23 dari putusan Nomor 717 /PID.

1000 1 dus @5 strip51 Alopurinol 300 Seles 6 dus @ 10 strip52 Gifas plus 1 dus @ 5strip53 Amoxsan 500 seles 1 dus @ 10 strip54 Salbutamol 4 mg 8 dus @10 strip55 Antalgin 500 50 strip56 Bioplacenton 10 dus57 Acyclovir krim 10 dus58 As Mefenamat 500 Holypharma 1 dus @ 10 strip59 Simvastatin tab 6 strip60 Ciprofloxacin 500 1 dus @ 10 strip61 Teosal tab 3 dus 10 strip +10strip62 Genointment Gentamycin salep 1 dus @ 24 tube63 Gricin 125 mg AO strip64 Piroxicam 20 3 dus 10 strip65 Allopurinol 100 mg Ifars

Piroxicam 7,5 Dexa 7 strip110 Trimenza 5 strip111 Renadinac 5 strip112 Alloppruinol Seles 11 strip113 Interhistin 7 strip114 Novadium 2mg 1 dus @ 10 strip115 Dextamin Phapros 10 bliser116 Captopril IF 1 dus@ 10 strip117 Ketokenazole 200 Dexa 5 strip118 Loratadine Dexa 1 dus @ 5 strip119 Cetirizine Guardian 1 dus @ 5strip120 Lopamide 1 dus @ 10 strip121 Omeprazole Nova A strip122 Ambrozol Seles 5 strip123 Acyclovir 200 KF 5 strip124 Acyclovir 400 Dexa 1 dus@ 5 strip125 Falmigra Graha A strip126 Histigo Ifars

Flamar 25, Novadium, Formyco,Floxifar, Mehylprednisolon 8 mg, Loradexon 0,5 mg, Mycroginon, Glucodex,Lasix 40 mg, Imodium tab, Amlodipin Besykol 10 mg, Incidal, Neurosanbeplus, Cetrizine, AS Mefenamat 500 Nova, Thiamycin 1000, Alopurinol 300Seles, Gifas plus, Amoxsan 500 seles, Salbutamol 4 mg, Antalgin 500,Bioplacenton, Acyclovir krim, AS Mefenamat 500 Holypharma, Simvastatintab, Ciprofloxacin 500 Prome, Teosal tab, Genointment Gentamycin salep,Gricin 125 mg, Piroxicam 20 FM, Allopurinol 100 mg Ifars

Flamar 25, Novadium, Formyco,Floxifar, Mehylprednisolon 8 mg, Loradexon 0,5 mg, Mycroginon, Glucodex,Lasix 40 mg, Imodium tab, Amlodipin Besykol 10 mg, Incidal, Neurosanbeplus, Cetrizine, AS Mefenamat 500 Nova, Thiamycin 1000, Alopurinol 300Seles, Gifas plus, Amoxsan 500 seles, Salbutamol 4 mg, Antalgin 500,Bioplacenton, Acyclovir krim, As Mefenamat 500 Holypharma, Simvastatintab, Ciprofloxacin 500 Prome, Teosal tab, Genointment Gentamycin salep,Gricin 125 mg, Piroxicam 20 FM, Allopurinol 100 mg Ifars

1000 1 dus @5 strip51 Alopurinol 300 Seles 6 dus @ 10 strip52 Gifas plus 1 dus @ 5 strip53 Amoxsan 500 seles 1 dus @ 10 strip54 Salbutamol 4 mg 8 dus @10 strip55 Antalgin 500 50 strip56 Bioplacenton 10 dus57 Acyclovir krim 10 dus58 As Mefenamat 500 Holypharma 1 dus @ 10 strip59 Simvastatin tab 6 strip60 Ciprofloxacin 500 1 dus @ 10 strip61 Teosal tab 3 dus 10 strip +10 strip62 Genointment Gentamycin salep 1 dus @ 24 tube63 Gricin 125 mg 40 strip64 Piroxicam 20 3 dus 10 strip65 Allopurinol 100 mg Ifars

Pronazol 200 Promedrahjo 50 Obat Kerassukabumi3 Incidal OD Bayer schering 30 Obat KerasIndo4 Mecofed Tab Mecosin 300 Obat Keras5 Polofar Plus Ifars 40 Obat Keras6 Alloporinil 100 Inf 100 Obat KerasMg7 Carbidu 0,75 Sampharindo 170 Obat KerasSolas8 Calidum Solas 50 Obat Keras9 Supertetra Daryavarian 138 Obat Keras10 Irgapan 200 Dexamedica 130 Obat Keras11 Licostan Bertico belia 80 Obat Keras12 Opistan Otto 40 Obat Keraspharmacheutica13 Tokasid Graha farma 40 Obat Keras14 Panicilin Prafa 170 Obat Keras15

Negeri Sipildari Balai Besar POM menemukan obatobat keras (daftar G) yang dikumpulkan dalamkotak kardus yang ada didalam Toko Obat Fajar Baru milik terdakwa sebanyak 25 (duapuluh lima) macam, semuanya dihitung berdasarkan jenis dan jumlahnya, obatobat tersebut antara lain :No Nama obatobat Pabrik Jumlah (tablet) Keterangan1 Antalgin Megaesafarma 90 Obat Keras2 Pronazol 200 Promedrahjo 50 Obat Kerassukabumi3 Incidal OD Bayer schering 30 Obat KerasIndo4 Mecofed Tab Mecosin 300 Obat Keras5 Polofar Plus Ifars

keluarga;e Terdakwa mengakui terus terang perbuatannya;e Terdakwa menyesali perbuatanya dan berjanji tidak akan mengulangiperbuatannya;Terdakwa belum pernah dihukum;Menimbang, bahwa mengenai barang bukti berupa : No Nama obatobat Pabrik Jumlah (tablet) Keterangan1 Antalgin Megaesafarma 90 Obat Keras2 Pronazol 200 Promedrahjo 50 Obat Kerassukabumi3 Incidal OD Bayer schering 30 Obat KerasIndo Halaman 13 dari 16 Putusan No. 114/Pid.B/2012/PN.BT.14 4 Mecofed Tab Mecosin 300 Obat Keras5 Polofar Plus Ifars

Ifars 15 KotakML 0509215237A Pharmaceutica1 LaboratoriesSolo Ind36 Ifidex 0,5 DKL PT 20 Botol8809602604B ImfarmindFar1 masi37 Prednisone 5mg GKL Hoil Pharma 5 Botol9817104510A238 Opistan 500 DKL PT Pertiwi 18 Kotak8818033909A Agung139 GlibenclamideKa GKL PT Indofarma 9 Kotakptab 5mg 9520905004A240 Voltadex 50 DKL PT 26 Kotak8705002715B DexaMedica Halaman 7 dari 50 halamanPutusan Nomor: 172/Pid./2020/ PT TJK 1 41 Captopril tablet GKL PT Errita 2 Kotak25 mg 1106506310A Pharma142 Dexteem Plus DKL PT

Ermiplex 2 Kotaktablet 9306409410A143 Teosal DKL PT 1 Kotak8805004810A DexaMedica144 Neuralgin RX DKL PT Kalbe 2 Kotak8511603809A Farma145 Lexahist HCI DKL PT Molex Ayus 12 Kotak9230902510A146 DexaM 0,75 DKL PT 3 Kotak8505001010A DexaMedica147 Gralixa DKL PT 6 KotakFurosemide 9431104310B GrahaFarma40mg 148 Cydifar HCl DKL PT Ifars 1 Kotak9609206104A149 Carbidu 0,5 tablet DKL PT 3 Kotak9423403910A Sampharindo1 Perdana50 Carbidu 0,75 DKL PT 2 Kotaktablet 9523403910B Sampharindo1 PerdanaOT Tanpa Izin

Ifars 1 Kotak0509215301A Pharmaceutica1 LaboratoriesSolo Ind31 Ampicillin Kaplet GKL PT. Meprofarm 4 Kotak500 mg 1017110904A132 Salbutamol GKL Kimia Farma 30 KotakSulfate 4 mg 8912512010ATablet 133 Captopril 25 mg GKL PT. Rama 4 Kotak Halaman32 dari 50 halamanPutusan Nomor: 172/Pid./2020/ PT TJK 33 1728912619A Emerald1 Surabaya Ind34 Captopril 25 mg GKL Kimia Farma 3 Kotak9812516010B135 LerzinSirup 60 DKL PT.

Ifars Pharmaceutical 1 Kotak0509215301A1 Laboratories Solo Ind31 Ampicillin Kaplet 500 GKL PT. Meprofarm 4 Kotakmg 1017110904A132 Salbutamol Sulfate 4 GKL Kimia Farma 30 Kotakmg Tablet 8912512010A133 Captopril 25 mg GKL PT. Rama Emerald Surabaya 4 Kotak1728912619A1 Ind34 Captopril 25 mg GKL Kimia Farma 3 Kotak9812516010B135 LerzinSirup 60 ML DKL PT.