) Dexaton 0,75 mg (nol koma tjuh puluh lima milligram), 3 (tiga) botol Dexaton eye Drop, 290 tab (dua ratus Sembilan puluh tablet) Dextamin, 18 pcs (delapan belas biji) Dramamine 50 mg (lima puluh milligram), 3 (tiga) botol Erlamycetin Eye Drop, 5 (lima) tube Erlamycetin salep mata, 1 (satu) pak Fenfluramine, 84 cap (delapan puluh empat kaplet) Fenodn e 125 mg (seratus dua puluh lima milligram), 160 pcs (seratus enam puluh biji) Glibendamide 5 mg (lima milligram), 54 pcs (lima puluh empat biji) Incidal

Laktasi;20 tab Antalgin FM ;136 pcs Asam Mefenamat 500 mg (Nova);4 pcs Binotal 1000 mg;210 tab Captopril Errita 25 mg Dexa ;227 pcs Captopril OGB 25 mg Dexa ;8 pcs Cataflam 50 mg Novartis;10 pcs Daonil;66 pcs Decatrim;60 tab Dexaton 0,75 mg;Halaman 2 dari 29 Putusan Nomor 542/Pid.Sus/2018/PN Byw3 botol Dexaton eye Drop ;290 tab Dextamin;18 pcs Dramamine 50 mg ;3 botol Erlamycetin Eye Drop ;5 tube Erlamycetin salep mata ;1 pak Fenfluramine ;84 cap Fenodn e 125 mg ;160 pcs Glibendamide 5 mg;54 pcs Incidal

Acyclovir Cream, Adalat 30, Aletrol, Amlodipin 5 mg,Amoxicillin 500 mg (Rama), Amoxsan 500 Mg, Ampicillin ETA 500 mg,Halaman 6 dari 29 Putusan Nomor 542/Pid.Sus/2018/PN BywAndalan Laktasi, Antalgin FM, Asam Mefenamat 500 mg (Nova), Binotal1000 mg, Captopril Errita 25 mg Dexa, Captopril OGB 25 mg Dexa,Cataflam 50 mg Novartis, Daonil, Decatrim, Dexaton 0,75 mg, Dexatoneye Drop, Dextamin, Dramamine 50 mg, Erlamycetin Eye Drop,Erlamycetin salep mata, Fenfluramine , Fenocin e 125 mg ,Glibenclamide 5 mg , Incidal

Cytotec 200 mg, Pi Kang Shuang, Ancom,Sulfanilamide, Acyclovir Cream, Adalat 30, Aletrol, Amlodipin 5 mg,Amoxicillin 500 mg (Rama), Amoxsan 500 Mg, Ampicillin ETA 500 mg,Andalan Laktasi, Antalgin FM, Asam Mefenamat 500 mg (Nova), Binotal1000 mg, Captopril Errita 25 mg Dexa, Captopril OGB 25 mg Dexa,Cataflam 50 mg Novartis, Daonil, Decatrim, Dexaton 0,75 mg, Dexatoneye Drop, Dextamin, Dramamine 50 mg, Erlamycetin Eye Drop,Erlamycetin salep mata, Fenfluramine , Fenocin e 125 mg ,Glibenclamide 5 mg , Incidal

Sus/2018/PN Byw160 pcs (Seratus enam puluh biji) Glibendamide 5 mg (limamilligram);54 pcs (lima puluh empat biji) Incidal OD Bayer40 (empat puluh) blister Irgapan 200 (dua ratus) Dexa ;2 pcs (dua biji) Kalcinoi N Cream ;177 kaps (Seratus tujuh puluh tujuh kaplet) Kalmicetine 250 mg(dua ratus lima puluh milligram);20 pcs (dua puluh biji) Kemicetine;200 tab (dua ratus tablet) Lanadexon;90 pcs (smbilan puluh biji) Mefinal 250 mg (dua ratus lima puluhmilligram) capsul;1 pcs (satu biji) Melanox Cream

tablet) Dexaton 0,75 mg (nol koma tjuh puluh limamilligram), 3 (tiga) botol Dexaton eye Drop, 290 tab (dua ratus Sembilan puluhtablet) Dextamin, 18 pcs (delapan belas biji) Dramamine 50 mg (lima puluhmilligram), 3 (tiga) botol Erlamycetin Eye Drop, 5 (lima) tube Erlamycetin salepmata, 1 (Satu) pak Fenfluramine, 84 cap (delapan puluh empat kaplet) Fenodn e125 mg (seratus dua puluh lima milligram), 160 pcs (Seratus enam puluh biji)Glibendamide 5 mg (lima milligram), 54 pcs (lima puluh empat biji) Incidal

item, Dexa-M 1 item, Dextamin 1 item, Diclofenat 1 item, Dolodon 1 item, Domperidon 1 item, Dumocycline 1 item, Eltazon 1 item, Erythromycin 1 item, Exluton 1 item, Farmalat 1 item, Farmoten 1 item, Fenamin 1 item, FG Troches Meiji 1 item, Flamigra 1 item, Forbetes 1 item, Furosemide 1 item, Genalten 1 item, Genoint 1 item, gentamycin 1 item, Ginifar 1 item, Glibenclamide 1 item, Gludepatic 1 item, Grafalin 1 item, Grathazon 1 item, Griseopulvin 1 item, Hydrocortizone 1 item, Ibuprofen 1 item, incidal

0,5Mg 1 item,Dexaharsen 2 item, DexaM 1 item, Dextamin item, Diclofenat 1item, Dolodon item, Domperidon 1 item, Dumocycline 1 item, Eltazon item,Erythromycin 1 item, Exluton 1 item, Farmalat 1 item, Farmoten 1 item,Fenamin item, FG Troches Meiji 1 item, Flamigra 1 item, Forbetes 1 item,Furosemide item, Genalten 1 item, Genoint item, gentamycin item, Ginifar1 item, Glibenclamide 1 item, Gludepatic 1 item, Grafalin 1 item, Grathazon 1item, Griseopulvin item, Hydrocortizone item, Ibuprofen 1 item, incidal

Mg 1item,Dexaharsen 2 item, DexaM 1 item, Dextamin 1 item, Diclofenat 1item, Dolodon item, Domperidon item, Dumocycline 1 item, Eltazon 1item, Erythromycin 1 item, Exluton 1 item, Farmalat 1 item, Farmoten 1item, Fenamin item, FG Troches Meiji item, Flamigra 1 item, Forbetes 1item, Furosemide 1 item, Genalten item, Genoint 1 item, gentamycin 1item, Ginifar 1 item, Glibenclamide item, Gludepatic 1 item, Grafalin 1item, Grathazon 1 item, Griseopulvin 1 item, Hydrocortizone 1 item,Ibuprofen 1 item, incidal

Deksametason 0,5 Mg 1 item,Dexaharsen 2 item, DexaM 1 item, Dextamin 1item, Diclofenat 1 item, Dolodon item, Domperidon item, Dumocycline item,Eltazon 1 item, Erythromycin item, Exluton 1 item, Farmalat item, Farmoten item, Fenamin item, FG Troches Meiji 1 item, Flamigra item, Forbetes item,Furosemide item, Genalten 1 item, Genoint item, gentamycin item, Ginifar 1item, Glibenclamide 1 item, Gludepatic 1 item, Grafalin 1 item, Grathazon item,Griseopulvin 1 item, Hydrocortizone item, Ibuprofen 1 item, incidal

Deksametason 0,5 Mg 1 item,Dexaharsen 2 item, DexaM 1 item, Dextamin 1item, Diclofenat 1 item, Dolodon item, Domperidon item, Dumocycline item,Eltazon 1 item, Erythromycin item, Exluton 1 item, Farmalat item, Farmoten item, Fenamin item, FG Troches Meiji 1 item, Flamigra item, Forbetes item,Furosemide item, Genalten 1 item, Genoint 1 item, gentamycin item, Ginifar item, Glibenclamide 1 item, Gludepatic 1 item, Grafalin 1 item, Grathazon item,Griseopulvin 1 item, Hydrocortizone item, Ibuprofen 1 item, incidal

Deksametason 0,5Mg item,Dexaharsen 2 item, DexaM 1 item, Dextamin item, Diclofenat item, Dolodon item, Domperidon 1 item, Dumocycline 1 item, Eltazon item,Erythromycin 1 item, Exluton 1 item, Farmalat 1 item, Farmoten 1 item,Fenamin item, FG Troches Meiji 1 item, Flamigra 1 item, Forbetes 1 item,Furosemide item, Genalten 1 item, Genoint item, gentamycin item, Ginifar1 item, Glibenclamide item, Gludepatic 1 item, Grafalin 1 item, Grathazon 1item, Griseopulvin item, Hydrocortizone item, Ibuprofen 1 item, incidal

Menetapkan barang bukti berupa :NO NAMA OBAT KEMASAN JUMLAH1 Ciprofloxacin tab Cap 422 Neuralgin DX tab Tab 603 Neoropyron V tab Tab 1504 Ciprofloxacin tab Tab 605 Omestan 500 mg tab Tab 906 Novachlor cap Cap 807 Andalan Pil Pil 1808 Hufadin tab Tab 99 Lanadexon tab Tab 6010 Amoxycillin tab Tab 40011 Licostan tab Tab 21012 Pronam tab Tab 5013 Ampicillin 500 tab Tab 3014 Etabiotic tab Tab 2015 Ranitidin tab Tab 11016 Incidal OD cap Cap 4017 Ibu Profen tab Tab 9018 Dexamethason

.25.000.000 (dua puluh Ilima juta rupiah) subsidair 6 (enam) bulan kurungan;3 Menyatakan barang bukti berupa : NO NAMA OBAT KEMASAN JUMLAH 1 Ciprofloxacin tab Cap 422 Neuralgin DX tab Tab 603 Neoropyron V tab Tab 1504 Ciprofloxacin tab Tab 605 Omestan 500 mg tab Tab 906 Novachlor cap Cap 807 Andalan Pil Pil 1808 Hufadin tab Tab 99 Lanadexon tab Tab 6010 Amoxycillin tab Tab 40011 Licostan tab Tab 21012 Pronam tab Tab 5013 Ampicillin 500 tab Tab 3014 Etabiotic tab Tab 2015 Ranitidin tab Tab 11016 Incidal

) item yangdisimpan oleh Terdakwa diruang kamar belakang dalam toko obat miliknya tersebut, yangterdiri dari : NO NAMA OBAT KEMASAN JUMLAH1 Ciprofloxacin tab Cap 42Z Neuralgin DX tab Tab 603 Neoropyron V tab Tab 1504 Ciprofloxacin tab Tab 605 Omestan 500 mg tab /Tab 906 Novachlor cap Cap 807 Andalan Pil Pil 1808 Hufadin tab Tab 99 Lanadexon tab Tab 6010 Amoxycillin tab Tab 40011 Licostan tab Tab 21012 Pronam tab Tab 5013 Ampicillin 500 tab Tab 3014 Etabiotic tab Tab 2015 Ranitidin tab Tab 11016 Incidal

untuk itu.Menimbang, bahwa dalam persidangan telah diperlihatkan Barang bukti yangdiajukan Penuntut Umum berupa10 NONAMA OBAT KEMASAN JUMLAH1 Ciprofloxacin tab Cap 42Z Neuralgin DX tab Tab 603 Neoropyron V tab Tab 1504 Ciprofloxacin tab Tab 605 Omestan 500 mg tab Tab 906 Novachlor cap Cap 807 Andalan Pil Pil 1808 Hufadin tab Tab 99 Lanadexon tab Tab 6010 Amoxycillin tab Tab 40011 Licostan tab Tab 21012 Pronam tab Tab 5013 Ampicillin 500 tab Tab 3014 Etabiotic tab Tab 2015 Ranitidin tab Tab 11016 Incidal

Pelalawan menjual obat keras sebagai berikut : NONAMA OBAT KEMASAN JUMLAH1 Ciprofloxacin tab Cap 42Z Neuralgin DX tab Tab 603 Neoropyron V tab Tab 1504 Ciprofloxacin tab Tab 605 Omestan 500 mg tab Tab 906 Novachlor cap Cap 807 Andalan Pil Pil 1808 Hufadin tab Tab 99 Lanadexon tab Tab 6010 Amoxycillin tab Tab 40011 Licostan tab Tab 21012 Pronam tab Tab 5013 Ampicillin 500 tab = Tab 3014 Etabiotic tab Tab 2015 Ranitidin tab Tab 11016 Incidal OD cap Cap 4017 Ibu Profen tab Tab 9018 Dexamethason tab

tersebut tidak dibayar diganti dengan pidana kurungan selama 3 (tiga)bulan;3 Menetapkan barang bukti berupa : NONAMA OBAT KEMASAN JUMLAH1 Ciprofloxacin tab Cap 42Z Neuralgin DX tab Tab 60 181919 3 Neoropyron V tab Tab 1504 Ciprofloxacin tab Tab 605 Omestan 500 mg tab Tab 906 Novachlor cap Cap 807 Andalan Pil Pil 1808 Hufadin tab Tab 99 Lanadexon tab Tab 6010 Amoxycillin tab Tab 40011 Licostan tab Tab 21012 Pronam tab Tab 5013 Ampicillin 500 tab = Tab 3014 Etabiotic tab Tab 2015 Ranitidin tab Tab 11016 Incidal

15 g (Kalbe)Neuropyron V (Harsen)Dexteem Plus (Erlimpex)Mycoral 200 mg (Kalbe)Glibenclamide INF 5 mgTerracortril salep 5 g (Pfizer)Terramycin salep mata 3,5 g (Pfizer)Piroxicam 20 mg (KF)Melanox Cream 15 g (SDM)Cendo DexatonMetronidazol (Nova)Daonil 5 mg (Aventis)Marvelon 28 (Organon)Betason N Cream (KF)Excluton 28 (Organon)Alupen Aerosol 10 mg (Boehringer)Voltadex (Dexa)Ketokonazol (FM)Gricin 125 mg (Nova)Vitacid Cream (SDM)Inerson 15 g (Interbat)Garamycin 15 g (Schering)Garamycin 5 g (Schering)Incidal

Voltadex (Dexa) tabletKetokonazol (FM) tablet13Gricin 125 mg (Nova)Vitacid Cream (SDM)Inerson 15 g (Schering)Garamycin 15g (Schering)Garamycin 5 g (Schering)Incidal OD (Bayer)Intersol ( interbat)Vitaquin Cream 15 g (SDM)Dynamic 10 g (combiphar)Kalcinol N Cream 10 g (kalbe)Kalcinol N.

Plus (Erlimpex) boxMycoral 200 mg (Kalbe) tabletGlibenclamide INF 5 mg bijiTerracortril salep 5 g (Pfizer) tubeTerramycin salep mata 3,5 g (Pfizer) tubePiroxicam 20 mg (KF) tabletMelanox Cream 15 g (SDM) tube20Cendo DexatonMetronidazol (Nova)Daonil 5 mg (Aventis)Marvelon 28 (Organon)Betason N Cream (KF)Excluton 28 (Organon)Alupen Aerosol 10 mg (Boehringer)Voltadex (Dexa)Ketokonazol (FM)Gricin 125 mg (Nova)Vitacid Cream (SDM)Inerson 15 g (Interbat)Garamycin 15 g (Schering)Garamycin 5 g (Schering)Incidal

Glibenclamide INF 5 mgTerracortril salep 5 g (Pfizer)Terramycin salep mata 3,5 g (Pfizer)Piroxicam 20 mg (KF)Melanox Cream 15 g (SDM)Cendo DexatonMetronidazol (Nova)Daonil 5 mg (Aventis)Marvelon 28 (Organon)Betason N Cream (KF)Excluton 28 (Organon)Alupen Aerosol 10 mg (Boehringer)box1 tubekapletboxtabletbijitubetubetablettubebotoltablettabletboxtubeboxbotol 37Voltadex (Dexa)Ketokonazol (FM)Gricin 125 mg (Nova)Vitacid Cream (SDM)Inerson 15 g (Interbat)Garamycin 15 g (Schering)Garamycin 5 g (Schering)Incidal

10strip32 Thiamycin 500 1 dus @ 10strip33 Tremenza 1 dus @ 10 strip Halaman 3 dari 36 Perkara Nomor 354/PID.SUS/2019/PT SBY 34 Ocuson tab 2 dus @ 5 strip35 Flamar 25 1 dus @10 strip36 Novadium 1 dus @10 strip37 Formyco 1 dus @ 10 strip38 Floxifar 1 dus @ 10 strip39 Mehylprednisolon 8 mg 3 dus @ 10 strip40 Loradexon 0,5 mg 4 dus @ 10 strip41 Mycroginon 2 dus + 20 blister42 Glucodex 1 dus @ 10 strip43 Lasix 40 mg 1 dus @ 10 strip44 Imodium tab 1 dus @ 10 strip45 Amlodipin Besykol 10 mg 1 dus @ 10 strip46 Incidal

Errita, Novamox 500, Dexaharsen0,75 mg, Binotal 1000, Ponstan 500, Neuralgin, Pronicy 4 mg, Cataflam 50mg, Amoxicillin 500, Na Diklofenak 50 mg, Apexol 30 mg, Novachlor 250 mg,Dexycol 500, Super tetra, XFlam 50, Neuropyron, Mycoral 200, Furosemide40, Cortidex 0,5, Cotrimoksazole, Trichodazol tab 500, Mefinal 500,Thiamycin 500, Tremenza, Ocuson tab, Flamar 25, Novadium, Formyco,Floxifar, Mehylprednisolon 8 mg, Loradexon 0,5 mg, Mycroginon, Glucodex,Lasix 40 mg, Imodium tab, Amlodipin Besykol 10 mg, Incidal

Errita, Novamox 500, Dexaharsen0,75 mg, Binotal 1000, Ponstan 500, Neuralgin, Pronicy 4 mg, Cataflam50 mg, Amoxicillin 500, Na Diklofenak 50 mg, Apexol 30 mg, Novachlor 250mg, Dexycol 500, Super tetra, XFlam 50, Neuropyron, Mycoral 200,Furosemide 40, Cortidex 0,5, Cotrimoksazole, Trichodazol tab 500, Mefinal500, Thiamycin 500, Tremenza, Ocuson tab, Flamar 25, Novadium, Formyco,Floxifar, Mehylprednisolon 8 mg, Loradexon 0,5 mg, Mycroginon, Glucodex,Lasix 40 mg, Imodium tab, Amlodipin Besykol 10 mg, Incidal

Mefinal 500 : 1 dus @ 10strip32 Thiamycin 500 : 1 dus @ 10strip33 Tremenza : 1 dus @ 10 strip34 Ocuson tab : 2 dus @ 5strip35 Flamar 25 : 1 dus @10 strip36 Novadium : 1 dus @10 strip37 Formyco : 1 dus @ 10 strip38 Floxifar : 1 dus @ 10 strip39 Mehylprednisolon 8 mg : 3. dus @ 10 stripAO Loradexon 0,5 mg : 4 dus @ 10 stripAl Mycroginon : 2 dus + 20 blister42 Glucodex : 1 dus @ 10 strip43 Lasix 40 mg : 1 dus @ 10 strip44 Imodium tab : 1 dus @ 10 strip45 Amlodipin Besykol 10 mg : 1 dus @ 10 strip46 Incidal

Trichodazol 1 dus @ 10 strip31 Mefinal 500 1 dus @ 10strip32 Thiamycin 500 1 dus @ 10strip33 Tremenza 1 dus @ 10 strip34 Ocuson tab 2 dus @ 5strip35 Flamar 25 1 dus @10 strip36 Novadium 1 dus @10 strip37 Formyco 1 dus @ 10 strip38 Floxifar 1 dus @ 10 strip39 Mehylprednisolon 8 mg 3 dus @ 10 stripAO Loradexon 0,5 mg 4 dus @ 10 stripAl Mycroginon 2 dus + 20 blister42 Glucodex 1 dus @ 10 strip43 Lasix 40 mg 1 dus @ 10 strip44 Imodium tab 1 dus @ 10 strip45 Amlodipin Besykol 10 mg 1 dus @ 10 strip46 Incidal

Dua Purba Salam, dan obat keras (daftar G) yang tidak memilikiizin edar sebanyak 79 (tujuh puluh sembilan) item antara lain : FimestanForte, Asam Mefenamat 500, Bimastan 500, Neuralgin RX, OxytetracyclineSalep Kulit, Hydrocorticone 2,5 % Salep Kulit, Betametasone salep kullit,Betametasone Velerat, Oxytetracycline Zalf Mata, Oxytetracycline Zalf Kullit,Tetracycline Kapsul, Acyclovir Krim 5 %, Supertetra, Pronicy, Hydrocortisone2,5 %, Voltadex 50, Kalmatesone, Soldextam, Histachlor, Dexamhetasone,Incidal

belas) tube Oxytetracycline Zalf Mata 27 (dua puluh tujuh) tube Oxytetracycline Zalf Kulit 120 (Seratus dua puluh) biji Tetracycline Kapsul 9(sembilan) tube Acyclovir Krim 5 90 (sembilan puluh) biji Supertetra 200 (dua ratus) biji Pronicy 20 (dua puluh) tube Hydrocortisone 2,5 40 (empat puluh) biji Voltadex 50 50 (lima puluh) biji Kalmetasone 50 (lima puluh) biji SoldextamHal. 6 dari 16 putusan No. 23/PID.SUS/2016/PT.Mks40 (empat puluh) biji Histachlor20 (dua ratus) biji Dexamethasone7 (tujuh) biji Incidal

23/PID.SUS/2016/PT.Mks11.12.13.14.15.16.17.18.19.20.21.22.23.24.25.26.27.28.29.30.31.32.33.34.35.36.37.38.39.40.41.42.43.44.45.120 (seratus dua puluh) biji Tetracycline Kapsul;9 (Sembilan) tube Acyclovir Krim 5 %;90 (Sembilan puluh) biji Supertetra;200 (dua ratus) biji Pronicy;20 (dua puluh) tube Hydrocortisone 2,5 %;40 (empat puluh) biji Voltadex 50;50 (lima puluh) biji Kalmetasone;50 (lima puluh) biji Soldextam;40 (empat puluh) biji Histachlor;200 (dua ratus) biji Dexamethasone;7 (tujuh) biji Incidal

>

Tablet

45

Iboprofen Tablet

PT Aditama Raya

50

Tablet

46

Piroxicam 10mg Tablet

PT Promedrahardjo

110

Tablet

47

Incidal

Novapharin 20 Tablet38 Salbutamol 4mg Tablet PT Kimia Farma 60 Tablet39 Ketoconazole Tablet PT Novapharin 30 (Kaplet40 Cimetidine Tablet PT Novapharin 30 TabletA1 Acyclovir 200 Tablet PT Indofarma 60 TabletA2 Captopril 25mg Tablet PT Indofarma 80 TabletA3 Simvastatin 10mg Tablet PT Pertiwi Agung 50 TabletA4 Voltaren 25 Tablet PT Novartis 37 Tablet45 lboprofen Tablet PT Aditama Raya 50 TabletA6 Piroxicam 10mg Tablet PT Promedrahardjo 110 Tablet Halaman 2 dari 23 Putusan Nomor 111/Pid.Sus/2018/PN Bjb A7 Incidal

PT Pratapa Nirmala 20 Tablet37 Gricin 125 Tablet PT Novapharin 20 Tablet38 Salbutamol 4mg Tablet PT Kimia Farma 60 Tablet39 Ketoconazole Tablet PT Novapharin 30 (Kaplet40 Cimetidine Tablet PT Novapharin 30 TabletA1 Acyclovir 200 Tablet PT Indofarma 60 TabletA2 Captopril 25mg Tablet PT Indofarma 80 Tablet43 Simvastatin 10mg Tablet PT Pertiwi Agung 50 TabletA4 Voltaren 25 Tablet PT Novartis 37 Tablet45 Iboprofen Tablet PT Aditama Raya 50 Tablet6 Piroxicam 10mg Tablet PT Promedrahardjo 110 Tablet47 Incidal

Grathazon.40(empat puluh)tablet Teosal.60(enam puluh) tablet Piralen.20(dua puluh)tablet Amlodipine Besylate.60(enam puluh)tablet Ibuprofen.80(delapan puluh) tablet Griseofilvin 500mg.20(dua puluh)tablet Renadinac.20(dua puluh)tablet Gricin 125.60(enam puluh)tablet Salbutamol.30(tiga puluh) tablet Ketoconazole.30(tiga puluh) tablet Cimetidine.60(enam puluh)tablet Acyclovir.80(delapan puluh) Captopril 25mg.50(lima puluh)tablet Ibuprofen.110(saratus sepuluh) tablet Piroxicam 10mg.17(tujun beas)kapsul Incidal

PT PratapaNirmala 20 Tablet37 Gricin 125 Tablet PT Novapharin 20 Tablet38 Salbutamol 4mg TabletPT Kimia Farma 60 Tablet39 Ketoconazole Tablet PT Novapharin 30 Kaplet40 Cimetidine Tablet PT Novapharin 30 TabletA1 Acyclovir 200 Tablet PT Indofarma 60 TabletA2 Captopril 25mg Tablet PT Indofarma 80 TabletA3 Simvastatin 10mg/PT Pertiwi Agung 50 ~s*sTabletTabletA4 Voltaren 25 Tablet PT Novartis 37 Tablet5 lboprofen Tablet PT Aditama Raya 50 Tablet6 Piroxicam 10mg TabletPT Promedrahardjo 110 TabletA7 Incidal

Pratapa Nirmala 20 Tablet37 Gricin 125 Tablet PT Novapharin 20 Tablet38 Salbutamol 4mg Tablet = PT Kimia Farma 60 Tablet39 Ketoconazole Tablet PT Novapharin 30 (Kaplet40 Cimetidine Tablet PT Novapharin 30 TabletA1 Acyclovir 200 Tablet PT Indofarma 60 TabletA2 Captopril 25mg Tablet PT Indofarma 80 Tablet43 Simvastatin 10mg Tablet PT Pertiwi Agung 50 /TabletA4 Voltaren 25 Tablet PT Novartis 37 Tablet5 lboprofen Tablet PT Aditama Raya 50 TabletA6 Piroxicam 10mg Tablet PT Promedrahardjo 110 TabletA7 Incidal

/100 tablet 30 tablet3 Andalan Pil KB DKT Ind Strip 14 strip4 Antalgin Universal Strip /10 tablet 20 tablet5 Antidorin Sampharindo Strip/10 tablet 60 kapsul6 Asam Mefenamat Bernofarm Strip/10 tablet 69 tablet7 Betason N Kimia Farma Tube / 5 gr 7 tube8 Bufacaryl Zenith Strip/10 tablet 80 tablet9 Dexamethasone 0,5 mg Harsen Box/200 tablet 180 tablet10 Dexamethasone 0,75 mg Harsen Box/200 tablet 370 tablet11 Dextamine Phapros Strip/10 tablet 80 tablet12 FG Troches Meiji Strip/10 tablet 47 tablet13 Incidal

No. 123/Pid.Sus/2013/PTR 8 Bufacaryl Zenith Strip/10 tablet 80 tablet9 Dexamethasone 0,5 mg Harsen Box/200 tablet 180 tablet10 Dexamethasone 0,75 mg Harsen Box/200 tablet 370 tablet11 Dextamine Phapros Strip/10 tablet 80 tablet12 FG Troches Meiji Strip/10 tablet 47 tablet13 Incidal OD Bayer Box / 50 tablet 69 tablet14 Kapsul Hijau Putih 75 kapsul15 Kapsul Merah Hitam 100 kapsul16 Lanadexson Landson Strip/10 tablet 90 tablet17 Micgrogynon Bayer Strip 1 strip18 Muzoral Mugi Strip/10 tablet 46 tablet19

32

GRISIOFULVIN 500

TABLET

30

BUTIR

Obat Daftar G

33

HISTIGO BETAHISTINE

KAPLET

350

BUTIR

Obat Daftar G

34

INCIDAL

TABLET 40 BUTIR Obat Daftar G25 FARMOTEN 25 MG TABLET 40 BUTIR Obat Daftar G Halaman 2 dari 31 Putusan Nomor 138/Pid.Sus/2020/PN KLT 26 FARSIFEN 40 G KAPLET 70 BUTIR Obat Daftar G27 FERGETIK KAPLET 40 BUTIR Obat Daftar G28 GASELA TABLET 380 BUTIR Obat Daftar G29 GLIBENCLAMIDE 5 MG TABLET 140 BUTIR Obat Daftar G30 GRAFACHLOR KAPLET 10 BUTIR Obat Daftar G31 GRICIN 125 TABLET 310 BUTIR Obat Daftar G32 GRISIOFULVIN 500 TABLET 30 BUTIR Obat Daftar G33 HISTIGO BETAHISTINE KAPLET 350 BUTIR Obat Daftar G34 INCIDAL

ELTAZON KAPLET 110 BUTIR Obat Daftar G24 FARMALAT 10 MG TABLET 40 BUTIR Obat Daftar G25 FARMOTEN 25 MG TABLET 40 BUTIR Obat Daftar G26 FARSIFEN 40 G KAPLET 70 BUTIR Obat Daftar G27 FERGETIK KAPLET 40 BUTIR Obat Daftar G28 GASELA TABLET 380 BUTIR Obat Daftar G29 GLIBENCLAMIDE 5 MG TABLET 140 BUTIR Obat Daftar G30 GRAFACHLOR KAPLET 10 BUTIR Obat Daftar G31 GRICIN 125 TABLET 310 BUTIR Obat Daftar G32 GRISIOFULVIN 500 TABLET 30 BUTIR Obat Daftar G33 HISTIGO BETAHISTINE KAPLET 350 BUTIR Obat Daftar G34 INCIDAL

TABLET 40 BUTIR Obat Daftar G25 FARMOTEN 25 MG TABLET 40 BUTIR Obat Daftar G26 FARSIFEN 40 G KAPLET 70 BUTIR Obat Daftar G27 FERGETIK KAPLET 40 BUTIR Obat Daftar G28 GASELA TABLET 380 BUTIR Obat Daftar G29 GLIBENCLAMIDE 5 MG TABLET 140 BUTIR Obat Daftar G30 GRAFACHLOR KAPLET 10 BUTIR Obat Daftar G Halaman 18 dari 31 Putusan Nomor 138/Pid.Sus/2020/PN KLT 31 GRICIN 125 TABLET 310 BUTIR Obat Daftar G32 GRISIOFULVIN 500 TABLET 30 BUTIR Obat Daftar G33 HISTIGO BETAHISTINE KAPLET 350 BUTIR Obat Daftar G34 INCIDAL

Menetapkan barang bukti berupa : NO Nama Barang Nama Pabrik Jumlah Keterangan1 Incidal Kapsul PT. Bayer Indonesia 20 Kapsul2 Dexamethasone 0,75 PT. Harsen 180 Kaplet3 Nifedipine PT. Dexa Medica 50 Tablet4 Dumocycline 250 mg PT. Actavis 250 Kapsul5 Wiros 20 mg PT. Itrasel 40 Tablet6 Cotrimox 480 mg PT. Indofarma 90 Kaplet7 Dexamethasone 0,5 mg PT. Harsen 200 Tablet8 Pil KB Planotab PT. Triyasa Nagamas Farma 5 Blister9 Nizoral Tablet PT. Bristol Myers Squibb 35 Tablet10 Ponstan PT.

Menyatakan barang bukti berupa : NO Nama Barang Nama Pabrik Jumlah Keterangan1 Incidal Kapsul PT. Bayer Indonesia 20 Kapsul2 Dexamethasone 0,75 PT. Harsen 180 Kaplet3 Nifedipine PT. Dexa Medica 50 Tablet4 Dumocycline 250 mg PT. Actavis 250 Kapsul5 Wiros 20 mg PT. Itrasel 40 Tablet6 Cotrimox 480 mg PT. Indofarma 90 Kaplet7 Dexamethasone 0,5 PT. Harsen 200 Tabletmg8 Pil KB Planotab PT. Triyasa Nagamas Farma 5 Blister9 Nizoral Tablet PT. Bristol Myers Squibb 35 Tablet10 Ponstan PT.

Suryawati menghubungiTerdakwa lewat telepon, dari pembicaraan tersebut Terdakwa Giauw Lukas Gunadiselaku pemilik Toko Obat Sari Sehat telah mengetahui dan memberi jin untuk dilakukanpemeriksaan, selanjutnya Tim Gabungan melakukan pemeriksaan dan penggeledahanterhadap Toko Obat Sari Sehat yang dikelola oleh Terdakwa, dari hasil penggeledahanpetugas menemukan 40 (empat puluh) macam obatobatan yang termasuk obat keras yangdisimpan dalam toko Terdakwa yaitu : NO Nama Barang Nama Pabrik Jumlah Keterangan1 Incidal

pemeriksa tersebut tidak memiliki keahlian dankewenangan dari pihak yang berwenang.Perbuatan Terdakwa sebagaimana diatur dan diancam Pidana Pasal 82 ayat (1) huruf dUndangundang RI Nomor 23 Tahun 1992 tentang Kesehatan.Menimbang, bahwa terhadap Dakwaan diatas, Terdakwa menyatakan mengerti atas isiDakwaan tersebut dan tidak mengajukan keberatan (eksepsi);Menimbang, bahwa untuk membuktikan Dakwaannya tersebut, Penuntut Umum telahmenyerahkan barang bukti berupa : NO Nama Barang Nama Pabrik Jumlah1 Incidal

KUHP maka oleh karenaTerdakwa telah menyesali perbuatannya tersebut dan Majelis mendapati bahwa Terdakwamasih dapat diharapkan untuk memperbaiki dirinya di masa yang akan datang maka Majelissependapat dengan tuntutan pidana yang dimohonkan oleh Penuntut Umum, namun lamanyamasa pemidanaan dan besarnya denda patut untuk dikurangi karena Terdakwa telahmenyesali perbuatannya tersebut ;Menimbang, bahwa mengenai barang bukti berupa : NO Nama Barang Nama Pabrik Jumlah Keterangan1 Incidal Kapsul PT.

Menetapkan barang bukti berupa : NO Nama Barang Nama Pabrik Jumlah Keterangan1 Incidal Kapsul PT. Bayer Indonesia 20 Kapsul2 Dexamethasone 0,75 PT. Harsen 180 Kaplet3 Nifedipine PT. Dexa Medica 50 Tablet4 Dumocycline 250 mg PT. Actavis 250 Kapsul5 Wiros 20 mg PT. Itrasel 40 Tablet6 Cotrimox 480 mg PT. Indofarma 90 Kaplet7 Dexamethasone 0,5 PT. Harsen 200 Tabletmg8 Pil KB Planotab PT. Triyasa Nagamas 5 BlisterFarma9 Nizoral Tablet PT. Bristol Myers Squibb 35 Tablet10 Ponstan PT.

100 tablet 30 tablet3 Andalan Pil KB DKT Ind Strip 14 strip4 Antalgin Universal Strip /10 tablet /20 tablet5 Antidorin Sampharindo Strip/10 tablet 60 kapsul6 Asam Mefenamat Bernofarm Strip/10 tablet 69 tablet7 Betason N Kimia Farma Tube /5 gr 7 tube8 Bufacaryl Zenith Strip/10 tablet /80 tablet9 Dexamethasone 0,5 mg Harsen Box/200 tablet 180 tablet10 Dexamethasone 0,75 mg Harsen Box/200 tablet 370 tablet11 Dextamine Phapros Strip/10 tablet 80 tablet12 FG Troches Meiji Strip/10 tablet 47 tablet13 Incidal

tablet /30 tablet3 Andalan Pil KB DKT Ind Strip 14 strip4 Antalgin Universal Strip /10 tablet 20 tablet5 Antidorin Sampharindo = Strip/10 tablet (60 kapsul6 Asam Mefenamat Bernofarm Strip/10 tablet 69 tabletL Betason N Kimia Farma Tube / 5 gr 7 tube8 Bufacaryl Zenith Strip/10 tablet 80 tablet9 Dexamethasone 0,5 mg Harsen Box/200 tablet /180 tablet10 Dexamethasone 0,75 mg Harsen Box/200 tablet /370 tablet11 Dextamine Phapros Strip/10 tablet 80 tablet12 FG Troches Meiji Strip/10 tablet 47 tablet13 Incidal

23 Cataflam 50 mg 39 tablet 55 Amboxol sirup 3 botol24 Allupurinol 100 mg 70 tablet 56 Cefixime 100 mg 10 kapsul25 Zoralin 84 tablet 57 Nystatin 5 tablet26 Rinabetic 5 mg 20 tablet 58 Amplodipin 5 mg 10 tablet27 Renabetic 5 mg 20 tablet 59 Damaben 10 mg 10 tablet28 Betametason krim 3 tube 60 Glucedex 80 mg 10 tablet29 Interpril mg 15 tablet 61 Mefinal 500 mg 8 tablet30 Griseofulvin 125 mg 10 tablet 62 Vosedom 10 mg 8 tablet31 Piracetam 400 20 kapsul 63 Hydrocortison 1 tube32 Incidal

mg 1Otablet,10tablet, 60 Glucodex 80mg 10tablet,20 piracetam 800 mgj 61 Mefinal 500 mg 8tablet,10kaplet, 62 Vosedon 10 mg 8tablet,21 Teosal 20 tablet, 63 Hydrocortison 1tube,22 Tramadol 50 mg10kapsul,23 Cataflam 50 mg39tablet,24 ~=Allopurinol 100 mg70tablet,25 Zoralin 84tablet,26 =Rifampiein 600 mgStablet,27 Renabetic 5 mg20tablet,28 betametason krim 3tube,29 interpril mg 15tablet,30 Griseofulvin 125 mg10tablet,31 Piracetam 400 Halaman 3 dari 29 Putusan Nomor 250/Pid.Sus/2015/PN Mkd 20kapsul,32 Incidal

Amoxicillin 3 botol50 mg DS23 Cataflam 39 tablet 55 Amboxol 3 botol50 mg sirup24 Allupurinol 70 tablet 56 Cefixime /10 kapsul100 mg 100 mg 25 Zoralin 84 tablet 57 Nystatin 5 tablet26 Rinabetic 520 tablet 58 Amplodipin 10 tabletmg 5 mg27 Renabetic 20 tablet 59 Damaben 10 tablet5 mg 10 mg28 Betametas 3 tube 60 Glucedex /10 tableton krim 80 mg29 Interpril mg 15 tablet 61 Mefinal 8 tablet500 mg30 Griseofulvi 10 tablet 62 Vosedom 8 tabletn 125 mg 10 mg31 Piracetam 20 kapsul 63 Hydrocortis1 tube400 on32 Incidal

3 botol50 mg sirup24 Allupurinol 70 tablet 56 Cefixime /10 kapsul100 mg 100 mg25 Zoralin 84 tablet 57 Nystatin 5 tablet26 Rinabetic 520 tablet 58 Amplodipin 10 tabletmg 5 mg27 Renabetic 20 tablet 59 Damaben 10 tablet5 mg 10 mg28 Betametas 3 tube 60 Glucedex /10 tableton krim 80 mg29 Interpril mg15 tablet 61 Mefinal 8 tablet500 mg30 Griseofulvi 10 tablet 62 Vosedom 8 tablet Halaman 27 dari 29 Putusan Nomor 250/Pid.Sus/2015/PN Mkd n 125 mg 10 mg31 Piracetam 20 kapsul 63 Hydrocortis1 tube400 on32 Incidal

Novapharin 150 21 Irgapan 200 Tablet PT. dexa Medica 200 22 Incidal OD Kapsul PT. Bayer 30 23 Kalmethasone Tablet PT. Kalbe Farma 160 24 Kemoren 50 Tablet PT. Phyto Kemo Agung 190 25 Lanadexon Kaplet PT. Pertiwi Agung 100 26 Molacort 0,75 Tablet PT. Molex Ayus 250 27 Mefinal 500 Kaplet PT. sanbe Farma 93 28 Mycoral Tablet PT. Kalbe Farma 46 29 Maxicam Kapsul PT. Hexpharm Jaya 10 30 Nizoral Tablet PT. taisho Pharm 24 31 Neuralgin Rx Kaplet PT.

Novapharin 15021 Irgapan 200 Tablet PT. dexa Medica 200 22 = Incidal OD Kapsul PT. Bayer 3023 Kalmethasone Tablet PT. Kalbe Farma 16024 Kemoren 50 Tablet PT. Phyto Kemo Agung /19025 Lanadexon Kaplet PT. Pertiwi Agung 10026 Molacort 0,75 Tablet PT. Molex Ayus 25027 Mefinal 500 Kaplet PT. sanbe Farma 9328 Mycoral Tablet PT. Kalbe Farma 4629 Maxicam Kapsul PT. Hexpharm Jaya 1030 Nizoral Tablet PT. taisho Pharm 2431 Neuralgin Rx Kaplet PT.

Novapharin 15021 Irgapan 200 Tablet PT. dexa Medica 20022 Incidal OD Kapsul PT. Bayer 3023 Kalmethasone Tablet PT. Kalbe Farma 160 24 Kemoren 50 Tablet PT. Phyto Kemo Agung 19025 Lanadexon Kaplet PT. Pertiwi Agung 10026 Molacort 0,75 Tablet PT. Molex Ayus 25027 Mefinal 500 Kaplet PT. sanbe Farma 9328 Mycoral Tablet PT. Kalbe Farma 4629 Maxicam Kapsul PT. Hexpharm Jaya 1030 Nizoral Tablet PT. taisho Pharm 2431 Neuralgin Rx Kaplet PT. Kalbe Farma 22832 Opistan 500 Kaplet PT.

Novapharin 15021 Irgapan 200 Tablet PT. dexa Medica 20022 Incidal OD Kapsul PT. Bayer 3023 Kalmethasone Tablet PT. Kalbe Farma 16024 Kemoren 50 Tablet PT. Phyto Kemo Agung 19025 Lanadexon Kaplet PT. Pertiwi Agung 10026 Molacort 0,75 Tablet PT. Molex Ayus 25027 Mefinal 500 Kaplet PT. sanbe Farma 9328 Mycoral Tablet PT. Kalbe Farma 4629 Maxicam Kapsul PT. Hexpharm Jaya 1030 Nizoral Tablet PT. taisho Pharm 2431 Neuralgin Rx Kaplet PT. Kalbe Farma 22832 Opistan 500 Kaplet PT.

Arab, Tongkat Asli Madura, Tulang Sehat, Tusuk JariAsam Urat, Urat madu, Urat Seribu, Urat Seribu, Wan Tong Gatal & Eksim,Wan Tong Pegal Linu, Yaostein, Yaostein BS, Allopurinol, AmoxicillinTrinydrate Novapharin, Amoxicillin Trinydrate PT Mersifarma, AmpicillinTrihydrate Novapharin, Andalan Pil KB, Antalgin, Bioplacenton, Captopril,Cataflam Novartis, Catarlent, Cendo Xitrol, Dexaharsen, Dexamethasone,Dexteem Plus, Etagemycetin, Flunarizine HCl, Glibenclamide,Glibenclamide, Imodium loperamide HCl, Incidal

Arab, Tongkat Asli Madura, Tulang Sehat, Tusuk JariAsam Urat, Urat madu, Urat Seribu, Urat Seribu, Wan Tong Gatal & Eksim,Wan Tong Pegal Linu, Yaostein, Yaostein BS, Allopurinol, AmoxicillinTrihydrate Novapharin, Amoxicillin Trinydrate PT Mersifarma, AmpicillinTrihydrate Novapharin, Andalan Pil KB, Antalgin, Bioplacenton, Captopril,Cataflam Novartis, Catarlent, Cendo Xitrol, Dexaharsen, Dexamethasone,Dexteem Plus, Etagemycetin, Flunarizine HCl, Glibenclamide,Glibenclamide, Imodium loperamide HCl, Incidal

tiga) pcs. bertuliskan Catarlent; 2 (dua) pcs. bertuliskan Cendo Xitrol; 250 (dua ratus lima puluh) tablet bertuliskan DexaharsenDexamethasone; 290 (dua ratus sembilan puluh) tablet bertuliskan DexteemPlus; 60 (enam puluh) tablet bertuliskan Etagemycetin; 20 (dua puluh) tablet bertuliskan Flunarizine HCl; 10 (Sepuluh) tablet bertuliskan Glibenclamide; 60 (enam puluh) tablet bertuliskan Glibenclamide; 35 (tiga puluh lima) tablet bertuliskan Imodium loperamideHCl; 30 (tiga puluh) tablet bertuliskan Incidal

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 50 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 30 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. Ifars 20 Strip104 Lodia PT. Sanbe 10 Strip105 MediKlin PT. Surya 3 TubeDermato Medica106 MethylPrednisolone PT. Dexa 30 Blister107 Metronidazol 500 Mg PT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 50 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 30 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. Ifars 20 Strip104 Lodia PT. Sanbe 10 Strip105 MediKlin PT.Surya Dermato 3 TubeMedica106 MethylPrednisolone PT.

Informind 3000 Tab Hal. 16 dari 38 hal, Put.No.265/PID/2015/PT.Mks 95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 50 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 30 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. Ifars 20 Strip104 Lodia PT. Sanbe 10 Strip105 MediKlin PT.Surya Dermato 3 TubeMedica106 MethylPrednisolone PT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 55 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 10 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. Ifars 20 Strip104 Lodia PT. Sanbe 10 Strip105 MediKlin PT.Surya Dermato 3 Tube Hal. 20 dari 38 hal, Put.No.265/PID/2015/PT.Mks Medica106 MethylPrednisolone PT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 55 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 10 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. lfars 20 Strip104 Lodia PT. Sanbe 10 Strip105 MediKlin PT.Surya Dermato 3 TubeMedica106 MethylPrednisolone PT.

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, Ampicilin 500 mg (meprofarm), Andalan Pil KB,Baquinor Forte, Biothicol 500, Cendo Xitrol, Ciprofloxacin 500 mg, CostanForte Mefenamic Acid 500 mg, Dexteem Plus, Domestrium Suspensi 60 ml,Erphazon Phenylbutazone 200 mg, Eryra Forte Erythromycin, IfidexDexamethasone 0,5 mg, Incidal

SUS/2020/PT SBY.Dexamethasone 0,5 mg, Incidal OD Cetrizine dihydrochloride,Lanaxedon, Levofloxacin HCI, Mefinal 500 Mefenamic acid 500 mg,Methylprednisolone, Microgynon, Molacort 0,75, Mycoral 20 ml,Novadex Dexamethasone 0,5 mg, Omedom Domperidone,Omeprazole 20 mg, Pikang Shuang Krim, Pronicy CyproheptadineHCl, Ratidine HCI 150 mg, Remacort Prednisone 5 mg, Samcofenac50 Diclofenac Sodium, Samrox 20 Piroxicam 20 mg, Selvim 20,Spasminal, Super Tetra, Teosal, Thiampenicol 500 mg, Thiamycin 500Thiampenicol

Vaseline Repairing Jelly,Widya Temulawak Day Cream Night Cream (Pot Double), Kapsul HijauAbuabu, Kapsul Hitam Merah, Kapsul Merah Ungu Tua, Qiang Jin WeiGe Wang, Stelan Dalam Plastik, Vimax, Alofar 100 Ifars, Alofar 300Ifars, Ampicilin 500 mg (meprofarm), Andalan Pil KB, Baquinor Forte,Biothicol 500, Cendo Xitrol, Ciprofloxacin 500 mg, Costan ForteMefenamic Acid 500 mg, Dexteem Plus, Domestrium Suspensi 60 ml,Erphazon Phenylbutazone 200 mg, Eryra Forte Erythromycin, IfidexDexamethasone 0,5 mg, Incidal

Ifidex Dexamethasone 0,5mg 800125.Incidal OD Cetirizine dihydrochloride 130126.Lanadexon 70127.Levofloxacin HCl 208128.Mefinal 500 Mefenamic acid 500 mg 20129.Methylprednisolone 100130.Microgynon131.Molacort 0,75132.Mycoral 20 ml133.Novadex Dexamethasone 0,5 mg 900134.0medom Domperidone 100135.Omeprazole 20 mg 226KapletKapletKapsulTabletTabletTabletTablet3 Kotak70 Tablet30 TabletKapletTabletKapsul136.Pikang Shuang Krim 1 Pcs137.Pronicy Cyproheptadine HCl 198138.Ranitidine HCL 150mg 550139.Remacort

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 55 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 10 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. Ifars 20 Strip104 Lodia PT. Sanbe 10 Strip105 Medi-Klin PT.Surya Dermato Medica 3 Tube106 MethylPrednisolone PT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 50 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 80 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. lfars 20 Strip104 Lodia PT. Sanbe 10 Strip105 MediKlin PT.Surya 3 TubeDermato Medica106 MethylPrednisolo PT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 50 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma /80 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung 30 strip103 Latibat PT. lfars 20 Strip104 Lodia PT. Sanbe 10 Strip105 MediKlin PT.Surya 3 TubeDermato Medica106 MethylPrednisolonPT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 55 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 34 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwiagung (29 strip103 Latibat PT. lfars 20 Strip104 Lodia PT. Sanbe 6 Strip105 MediKlin PT.Surya Dermato 38 TubeMedica106 MethylPrednisolone PT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 55 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kalbe Farma 34 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwi agung (29 strip103 Latibat PT. lfars 20 Strip104 Lodia PT. Sanbe 6 Strip105 MediKlin PT.Surya Dermato 3 TubeMedica106 MethyPrednisolone PT.

Informind 3000 Tab95 Incidal OD PT. Bayer 20 Strip96 Inerson Ointment PT. Interbat 2 Tube97 Interhistin PT. interbat 55 strip98 Interhistin syrup PT. Interbat 3 botol99 Irgapan PT. Dexa 80 Strip100 Kalmetashon PT. Kaloe Farma 34 Blister101 Ketoconasole PT. Dexa 100 Strip102 Lanadesone PT. Pertiwiagung (29 strip103 Latibat PT. lfars 20 Strip104 Lodia PT. Sanbe 6 Strip105 MediKlin PT.Surya Dermato 3 TubeMedica106 MethylPrednisolone PT.

CREAM 6 TUBE

104 IBUPROFEN 400MG TABLET 100 BUTIR

105 INAMID TABLET 30 BUTIR

106 INCIDAL

Putusan Pidana Nomor 118/Pid.Sus/2019/PN Snt. 103 HYDROCORTISONE CREAM 6 TUBE104 IBUPROFEN 400MG TABLET 100 BUTIR105 INAMID TABLET 30 BUTIR106 INCIDAL OD TABLET 20 BUTIR107 INERSON 15G SALEP 2 TUBE108 INFLASON KAPLET 200 BUTIR109 INTERHISTIN TABLET 70 BUTIR110 ISOSORBIDE DINITRATE TABLET 100 BUTIR5 MG111 KADITIC 50 TABLET 110 BUTIR112 KALMETHASONE 0,5 TABLET 170 BUTIR113 KALMICETINE KAPSUL 20 BUTIR114 KALMICETINE 15G eeIT 1 TUBE115 KALNEX 500 MG TABLET 90 BUTIR116 KANDISTATIN SUSPENSI SIRUP 1 BOTOL117

PNNPOCBOOBO1OA105 INAMID TABLET 30 putin PXL89182031178106 INCIDAL OD Err BUTIR DKL9902001301A107 INERSON 15G SALEP 2 TUBE Peet ze0ses0 8108 INFLASON KAPLET 200 Burin PKL9516908210A109 INTERHISTIN TABLET 70 BUTIR Pet 7eeesOiio ISOSORBIDE DINITRATE 74 p57 poy too puria CKL983270537445 MG 1111 KADITIC 50 TABLET Mo BUTIR.

GLIBENCLAMIDE5 MG KAPTAB 410 BUTIR91 GLIMEPIRIDE 2 MG TABLET 80 BUTIR92 GLUCODEX TABLET 100 BUTIR93 GRAFACHLOR KAPLET 35 BUTIR94 GRATHAZON 0,5 MG KAPLET 150 BUTIR95 GRATHEOS TABLET 60 BUTIR96 GRATHEOS 50 TABLET 40 BUTIR97 GRAZEO 10 MG TABLET 80 BUTIR98 GRAZEO 20 MG TABLET 80 BUTIR99 GRISEOFULVIN TABLET 200 BUTIR100 GRISEOFULVIN 500 MGs TABLET 80 BUTIR101 HUFAFURAL SIRUP 4 BOTOL102 HUFANOXIL o ERIN G 10 BOTOL103 HYDROCORTISONE CREAM 6 TUBE104 IBUPROFEN 400MG TABLET 100 BUTIR105 INAMID TABLET 30 BUTIR106 INCIDAL

GLIBENCLAMIDE5 MG KAPTAB 410 BUTIR91 GLIMEPIRIDE 2 MG TABLET 80 BUTIR92 GLUCODEX TABLET 100 BUTIR93 GRAFACHLOR KAPLET 35 BUTIR94 GRATHAZON 0,5 MG KAPLET 150 BUTIR95 GRATHEOS TABLET 60 BUTIR96 GRATHEOS 50 TABLET 40 BUTIR97 GRAZEO 10 MG TABLET 80 BUTIR98 GRAZEO 20 MG TABLET 80 BUTIR99 GRISEOFULVIN TABLET 200 BUTIR100 GRISEOFULVIN 500 MGs TABLET 80 BUTIR101 HUFAFURAL SIRUP 4 BOTOL102 HUFANOXIL ERIN G 10 BOTOL103 HYDROCORTISONE CREAM 6 TUBE104 IBUPROFEN 400MG TABLET 100 BUTIR105 INAMID TABLET 30 BUTIR106 INCIDAL

box @ 10 strip;

Cefradroxil 500 mg kapsul, produksi Dexa Medica, jumlah 2 box @ 10strip;21) Glibenclamide 5 mg Tablet, produksi PT Indofarma, jumlah 7 box @ 10Blister;22) Amoxicillin Tryhydrate kaplet 500 mg, produksi PT Dankos Farma,jumlah 35 box;23) Primperan Sirup, PT Soho Industri Pharmasi, jumlah 9 botol;24) Yusimox sirup kering, produksi PT lIfars, 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

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. Indofarma 16 Boxtablet36 Captopril 25 mg PT. Phapros Tbk 3 Boxtablet37 Acyclovir 400 mg PT.

Pil KB, Allopurinol Tablet 100 mg, Sulfadiazine Tablet,AnastanForte Kaplet 500 mg, Potaflam 50 Kaplet, Antalgin Kaplet 500 mg,ChloramfecortH Cream, Neuralgin RX Kaplet, Fimestan Forte Kaplet,Prednison 5 mg Tablet, Gemfibrozil 300 mg Kapsul, Neuropyron VKaplet, Infatrim 50 ml Suspensi, Isosorbide Dinitrate 5 mg Tablet,Cefradroxil 500 mg Kapsul, Glibenclamide 5 mg Tablet, AmoxicillinTryhydrate kaplet 500 mg, Primperan Sirup, Yusimox sirup kering,Allopurinol tablet 100 mg, Amoxicillin kaplet 500 mg, Incidal

Pil KB, Allopurinol Tablet 100 mg, Sulfadiazine Tablet,AnastanForte Kaplet 500 mg, Potaflam 50 Kaplet, Antalgin Kaplet 500 mg,ChloramfecortH Cream, Neuralgin RX Kaplet, Fimestan Forte Kaplet,Prednison 5 mg Tablet, Gemfibrozil 300 mg Kapsul, Neuropyron V Kaplet,Infatrim 50 ml Suspensi, Isosorbide Dinitrate 5 mg Tablet, Cefradroxil 500 mgKapsul, Glibenclamide 5 mg Tablet, Amoxicillin Trynydrate kaplet 500 mg,Primperan Sirup, Yusimox sirup kering, Allopurinol tablet 100 mg, Amoxicillinkaplet 500 mg, Incidal

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. Melanox cream, produksi PT Surya Dermato Medica Laboratories,jumlah 80 tube;31. Microgynon tablet, produksi Schering, jumlah 16 box;32. Lanadexon kaplet 0,5 mg, produksi PT Pertiwi Agung; jumlah 2 box;33.

Acyclovir 200 mg 80 tablet5 Renadinac 50 mg 20 tablet 6 Metformin 500 mg 80 tablet7 Piroxicam 10 mg (indofarma) 120 kapsul 8 Piroxican 10 mg (Novell) 40 tablet9 Kalium diklofenak 50 mg 35 tablet 10 Hydrocortisone cream 1 tube11 Gentasolon cream 1 tube 12 Indosone cream 1 tube13 Inerson 3 tube 14 Sogestam 3 tube15 Topcort 1 tube 16 Kalmicetine intment 1 tube17 Carmed 1 tube 18 Ponstan 20 kaplet19 Super Tetra 28 kapsul 20 Incidal OD 10 tablet21 Mefinal 500 mg 58 tablet 22 Histigo 40 tablet

Acyclovir 80 tablet0,15 mg 200 mg5 Renadinac 50 20 tablet 6 Metformin 80 tabletmg 500 mg7 Piroxicam 10 120 kapsul 8 Piroxican 10 40 tabletmg mg (Novell)(indofarma)9 Kalium 35 tablet 10 Hydrocortiso 1 tubediklofenak 50 ne creammg11 Gentasolon 1 tube 12 Indosone 1 tubecream cream13 Inerson 3 tube 14 Sogestam 3 tubeig Topcort 1 tube 16 Kalmicetine 1 tubeintment17 Carmed 1 tube 18 Ponstan 20 kaplet19 Super Tetra 28 kapsul 20 Incidal OD 10 tablet21 Mefinal 500 58 tablet 22 Histigo 40 tabletmg23 New Skelan

Acyclovir 200 80 tabletmg mg5 Renadinac 50 20 tablet 6 Metformin 80 tabletmg 500 mg7 Piroxicam 10 120 kapsul 8 Piroxican 10 40 tabletmg mg (Novell)(indofarma) 17 9 Kalium 35 tablet 10 Hydrocortison 1 tubediklofenak 50 e creammg11 Gentasolon 1 tube 12 Indosone 1 tubecream cream13 Inerson 3 tube 14 Sogestam 3 tube15 Topcort 1 tube 16 Kalmicetine 1 tubeintment17 Carmed 1 tube 18 Ponstan 20 kaplet19 Super Tetra 28 kapsul 20 Incidal OD 10 tablet21 Mefinal 500 58 tablet 2d Histigo 40 tabletmg23 New Skelan