Lexahist HCI DKL 9230902510A1 PT Molex Ayus 12 Kotak
46 Dexa-M 0,75 DKL 8505001010A1 PT DexaMedica 3 Kotak
47 Gralixa Furosemide 40mg DKL 9431104310B1 PT GrahaFarma 6 Kotak
48 Cydifar HCI DKL 9609206104A1 PT Ifars 1 Kotak
49 Carbidu

0,5 tablet DKL 9423403910A1 PT Sampharindo Perdana 3 Kotak
50 Carbidu 0,75 tablet DKL 9523403910B1 PT Sampharindo Perdana 2 Kotak

OT Tanpa Izin Edar
1 AkarTanjung TR 993202571 PJ AkarTanjung 3 Kotak

9520905004A240 Voltadex 50 DKL PT DexaMedica 26 Kotak8705002715B141 Captopril tablet 25 GKL PT Errita 2 Kotakmg 1106506310A1 Pharma42 Dexteem Plus tablet DKL PT Ermiplex 2 Kotak9306409410A143 Teosal DKL PT DexaMedica 1 Kotak8805004810A144 Neuralgin RX DKL PT Kalbe Farma 2 Kotak8511603809A145 Lexahist HCI DKL PT Molex Ayus 12 Kotak9230902510A146 DexaM 0,75 DKL PT DexaMedica 3 Kotak8505001010A147 Gralixa Furosemide DKL PT GrahaFarma 6 Kotak40mg 9431104310B148 Cydifar HCl DKL PT lIfars 1 Kotak9609206104A149 Carbidu

0,5 tablet DKL PT Sampharindo 3 Kotak9423403910A1 Perdana50 Carbidu 0,75 tablet DKL PT Sampharindo 2 Kotak9523403910B1 PerdanaOT Tanpa Izin Edar1 AkarTanjung TR 993202571 PJ AkarTanjung 3 Kotak Halaman 5 dari 57 Putusan Nomor 347/Pid.Sus/2020/PN Mg!

0,5 tablet DKL PT Sampharindo 3 Kotak9423403910A1 Perdana50 Carbidu 0,75 tablet DKL PT Sampharindo 2 Kotak9523403910B1 PerdanaOT Tanpa Izin Edar1 AkarTanjung TR 993202571 PJ AkarTanjung 3 KotakKosmetik TanpalzinEdar1 Hydroquinone RDL 9 KotakTritinoin Babyface 3 PharmaceuticalLaboratory, Inc.2 Walet 2 in 1 12 Kotak3 Diamond Cream 72 Kotak4 Cream KuningTanpa 24 TubeLabel5 Natural 99 King Reg 0299981716 36 Kotak6 aDHA NA PT KembangHati 2 Kotak181117002037 SP UV Special 24 KotakGinseng8 Green Tea Reg

0,5 tablet DKL PT Sampharindo 3 Kotak9423403910A1 Perdana50 Carbidu 0,75 tablet DKL PT Sampharindo 2 Kotak9523403910B1 Perdana OT Tanpa Izin Edar 1 AkarTanjung TR 993202571 PJ AkarTanjung 3 KotakKosmetik TanpalzinEdar1 Hydroquinone RDL 9 KotakTritinoin Babyface 3 PharmaceuticalLaboratory, Inc.2 Walet 2 in 1 12 Kotak3 Diamond Cream 72 Kotak4 Cream KuningTanpa 24 TubeLabel5 Natural 99 King Reg 0299981716 36 Kotak6 aDHA NA PT KembangHati 2 Kotak181117002037 SP UV Special 24 KotakGinseng8 Green Tea

CARBIDU 0,G (20 strips 10 tablet 200 tablet69. PROFUT 4 5 strips 10 tablet 50 tabletmg70. MELOXICAM 8 strips 10 tablet 30 tablet1571. MELOXICAM 6/4 strips 10 tablet 40 tablet7,572. BIOPLACENT 3 tube ON73. DEXACAP 25 /10 strips 6 tablet 60 tablet74. DEXACAP 8 strips 6 tablet 48 tablet12,575: PUROSEMID (4 strips 10 tablet 40 tabletE 4076. PROPANOLIL 7 strips 10 tablet 70 tablet1077. DOMPERIDO 5 strips 10 tablet 50 tabletN78. ANASTAN 6 strips 10 tablet 60 tablet79.

CARBIDU 20 strips 10 tablet 200 tablet0,G69. PROFUT 4 5 strips 10 tablet 50 tabletmg70. MELOXICAM 3 strips 10 tablet 30 tablet1571. MELOXICAM 4 strips 10 tablet 40 tablet7,572. BIOPLACENT 3 tube 3 tubeON73. DEXACAP 25 10 strips 6 tablet 60 tablet Hal. 10 dari 30 hal. Put. No. 1041 K/Pid.Sus/2012 74. DEXACAP 8 strips 6 tablet 48 tablet12,575. PUROSEMID (4 strips 10 tablet 40 tabletE 4076. PROPANOLIL 7 strips 10 tablet 70 tablet1077. DOMPERIDO 5 strips 10 tablet 50 tabletN78.

CARBIDU 0,G (20 strips 10 tablet 200 tablet69. PROFUT 4 5 strips 10 tablet 50 tabletmg70. MELOXICAM 8 strips 10 tablet 30 tablet1571. MELOXICAM 6/4 strips 10 tablet 40 tablet7,572. BIOPLACENT 3 tube ONPas DEXACAP 25 /10 strips 6 tablet 60 tablet74. DEXACAP 8 strips 6 tablet 48 tablet12,575. PUROSEMID /4 strips 10 tablet 40 tabletE 4076. PROPANOLIL 7 strips 10 tablet 70 tablet1077. DOMPERIDO 5 strips 10 tablet 50 tabletN78. ANASTAN 6 strips 10 tablet 60 tablet79.

CARBIDU 20 strips 10 tablet 200 tablet0,G69. PROFUT 4 5 strips 10 tablet 50 tabletmg70. MELOXICAM 3 strips 10 tablet 30 tablet1571. MELOXICAM 4 strips 10 tablet 40 tablet7572. BIOPLACENT 3 tube 3 tubeON73: DEXACAP 25 10 strips 6 tablet 60 tablet74. DEXACAP 8 strips 6 tablet 48 tablet12,575. PUROSEMID /4 strips 10 tablet 40 tabletE 4076. PROPANOLIL 7 strips 10 tablet 70 tablet1077. DOMPERIDO 5 strips 10 tablet 50 tabletN78. ANASTAN 6 strips 10 tablet 60 tablet79.

Puluh Tiga) Strip @10

14

Brocon

4 (Empat) Strip @10

15

Brochonsal

46 (Empat Puluh Enam) Strip @10

16

Erphacyp

8 (Delapan) Strip @10

17

Carbidu

0,5

44 (Empat Puluh Empat) Strip @10

18

Carbidu 0,75

48 (Empat Puluh Delapan) Strip @10

19

Captopril 25

96 (Sembilan Puluh Enam) Strip @10

20

Captropil 50

101 (Seratus Satu) Strip

Edar8 Antalgin 59 (Lima Puluh Sembilan) Strip @9 Tanpa Izin Edar9 Antidia 9 (Sembilan) Strip @10 Tanpa Izin Edar10 Alleron 64 (Enam Puluh Empat) Strip @10 Tanpa Izin Edar11 Alofar 300 10 (Sepuluh) Strip @10 Tanpa Izin Edar12 Amoxicilin 500 63 (Enam Puluh Tiga) Strip@ 10 Tanpa Izin Edar13 Bufacaryl 53 (Lima Puluh Tiga) Strip @10 Tanpa Izin Edar14 Brocon 4 (Empat) Strip @10 Tanpa Izin Edar15 Brochonsal 46 (Empat Puluh Enam) Strip @10 Tanpa Izin Edar16 Erphacyp 8 (Delapan) Strip @10 Tanpa Izin Edar17 Carbidu

0,5 44 (Empat Puluh Empat) Strip @10 Tanpa Izin Edar18 Carbidu 0,75 48 (Empat Puluh Delapan) Strip @10 Tanpa Izin Edar19 Captopril 25 96 (Sembilan Puluh Enam) Strip @10 Tanpa Izin Edar20 Captropil 50 101 (Seratus Satu) Strip @10 Tanpa Izin Edar21 = Cortidex 17 (Tujuh Belas) Strip @10 Tanpa Izin Edar22 Contrimoksazole 10 (Sepuluh) Blister @10 Tanpa Izin Edar23 Contrimosazole 78 (Tujuh Puluh Delapan) Blister @10 Tanpa Izin Edar24 Novabiotic 250 1 (Satu) Botol@100kap Tanpa Izin Edar25 Danasone 0.5

@ 105 Ampicilin 10 (Sepuluh) Strip @ 106 Ampicilin Trihydrate 78 (Tujuh Puluh Delapan) Strip @107 Anastan Forte 43 (Empat Puluh Tiga) Strip @ 108 Antalgin 59 (Lima Puluh Sembilan) Strip @99 Antidia 9 (Sembilan) Strip @1010 Alleron 64 (Enam Puluh Empat) Strip @1011 Alofar 300 10 (Sepuluh) Strip @ 1012 Amoxicilin 500 63 (Enam Puluh Tiga) Strip@ 1013 Bufacaryl 53 (Lima Puluh Tiga) Strip @1014 Brocon 4 (Empat) Strip @1015 Brochonsal 46 (Empat Puluh Enam) Strip @1016 Erphacyp 8 (Delapan) Strip @1017 Carbidu

barang bukti berupa:> Obat jenis Seledryl sebanyak 12 (dua belas) box, 6 (enam) keping6 (enam) butir, dengan jumlah keseluruhan 186 (Seratus delapan puluhenam) butir;> Obat jenis Grathazon (Dexamethasone) sebanyak 15 (lima belas)keping dengan jumlah keseluruhan 150 (seratus lima puluh) butir;> Obat jenis Teosal sebanyak 10 (sepuluh) keping dengan jumlahkeseluruhan 100 (seratus) butir;> Obat jenis Wiros Piroxicam sebanyak 3 (tiga) keping, denganjumlah keseluruhan 30 (tiga puluh) buitr;> Obat jenis Carbidu

Carbidu tablet 200 (dua ratus) tablet Obat Keras Faftar (G)66. Cimetidine tablet 100 (seratus) tablet Obat Keras Faftar (G)67. Omevomid Syrup 4 (empat) botol Obat Keras Faftar (G)68. Omectrim Syrup 8 (delapan) botol Obat Keras Faftar (G)69. Cefadroxil Syrup 3 (tiga) botol Obat Keras Faftar (G)Dirampas untuk dimusnahkan;4. Membebankan kepada Terdakwa membayar biaya perkara sejumlah Rp.2.000,- (dua ribu rupiah);

Carbidu tablet 200 (dua ratus) tablet Obat Keras Faftar (G)66. Cimetidine tablet 100 (seratus) tablet Obat Keras Faftar (G)67. Omevomid Syrup 4 (empat) botol Obat Keras Faftar (G)68. Omectrim Syrup 8 (delapan) botol Obat Keras Faftar (G)69.

Carbidu tablet 200 (dua ratus) tablet Obat Keras Faftar (G)66. Cimetidine tablet 100 (seratus) tablet Obat Keras Faftar (G)67..Omevomid Syrup 4 (empat) botol Obat Keras Faftar (G)68. Omectrim Syrup 8 (delapan) botol Obat Keras Faftar (G)69. Cefadroxil Syrup 3 (tiga) botol Obat Keras Faftar (G)Bahwa berdasarkan keterangan terdakwa Bosco P.

BAYCUTEN-N KRIM 1 TUBE RUMAH36 BETAMETHASONE VALERATE KRIM 24 TUBE RUMAH37 BETASON-N CREAM 2 TUBE RUMAH38 BIDAXTAM KAPLET 115 BUTIR RUMAH39 BIOPLACENTON JELLY 2 TUBE RUMAH40 BISOPROLOL FUMARATE 5 TABLET 40 BUTIR RUMAH41 BROADAMOX 500 KAPLET 40 BUTIR RUMAH42 BUFACARYL TABLET 20 BUTIR RUMAH43 BUFACORT-N KRIM 5 TUBE RUMAH44 BURNAZN KRIM 2 TUBE RUMAH45 CANDESARTAN CILEXETIL 8 TABLET 10 BUTIR RUMAH46 CAPTOPRIL 12,5 MG TABLET 100 BUTIR RUMAH47 CAPTOPRIL 50 MG TABLET 100 BUTIR RUMAH48 CARBIDU

0,5 TABLET 210 BUTIR RUMAH49 CARBIDU 0,75 TABLET 210 BUTIR RUMAH50 CARDIPIN 5 MG TABLET 90 BUTIR RUMAH51 CATAFLAM TABLET 15 BUTIR RUMAH52 CEFADROXIL KAPSUL 10 BUTIR RUMAH53 CEFIXIME TRIHYDRATE KAPSUL 10 BUTIR RUMAH54 CEFTRIAXONE SODIUM INJEKSI 2 VIAL RUMAH55 CENDO XITROL TETES 1 BOTOL RUMAH56 CETIRIZINE TABLET 180 BUTIR RUMAH57 CETROL 10 MG KAPLET 20 BUTIR RUMAH58 CIPROFLOXACIN TABLET 40 BUTIR RUMAH59 CITOPRIM KAPLET 50 BUTIR RUMAH60 COSTAN 500 MG KAPLET 90 BUTIR RUMAH61 CYANOCOBALAMIN

BETAMETHASONE KRIM 24 TUBE RUMAHVALERATE37 BETASONN CREAM 2 TUBE RUMAH38 BIDAXTAM KAPLET 115 BUTIR RUMAH39 BIOPLACENTON JELLY 2 TUBE RUMAH Halaman 2 dari 62 Putusan Nomor 110/Pid.Sus/2020/PN Mbn 40 BISOPROLOL FUMARATE TABLET 40 BUTIR RUMAH541 BROADAMOX 500 KAPLET 40 BUTIR RUMAH42 BUFACARYL TABLET 20 BUTIR RUMAH43 BUFACORTN KRIM 5 TUBE RUMAH44 BURNAZN KRIM 2 TUBE RUMAH45 CANDESARTAN CILEXETIL TABLET 10 BUTIR RUMAH846 CAPTOPRIL 12,5 MG TABLET 100 BUTIR RUMAH47 CAPTOPRIL 50 MG TABLET 100 BUTIR RUMAH48 CARBIDU

0,5 TABLET 210 BUTIR RUMAH49 CARBIDU 0,75 TABLET 210 BUTIR RUMAH50 CARDIPIN 5 MG TABLET 90 BUTIR RUMAH51 CATAFLAM TABLET 15 BUTIR RUMAH52 CEFADROXIL KAPSUL 10 BUTIR RUMAH53.

0,5 TABLET 210 BUTIR RUMAH49 CARBIDU 0,75 TABLET 210 BUTIR RUMAH50 CARDIPIN 5 MG TABLET 90 BUTIR RUMAH51 CATAFLAM TABLET 15 BUTIR RUMAH52 CEFADROXIL KAPSUL 10 BUTIR RUMAH53 CEFIXIME TRIHYDRATE KAPSUL 10 BUTIR RUMAH54 CEFTRIAXONE SODIUM INJEKSI 2 VIAL RUMAH Halaman 23 dari 62 Putusan Nomor 110/Pid.Sus/2020/PN Mbn 55 CENDO XITROL TETES 1 BOTOL RUMAH56 CETIRIZINE TABLET 180 BUTIR RUMAH57 CETROL 10 MG KAPLET 20 BUTIR RUMAH58 CIPROFLOXACIN TABLET 40 BUTIR RUMAH59 CITOPRIM KAPLET 50 BUTIR RUMAH60 COSTAN

0,5 TABLET 210 BUTIR RUMAH49 CARBIDU 0,75 TABLET 210 BUTIR RUMAH50 CARDIPIN 5 MG TABLET 90 BUTIR RUMAH51 CATAFLAM TABLET 15 BUTIR RUMAH52 CEFADROXIL KAPSUL 10 BUTIR RUMAH53 CEFIXIME TRIHYDRATE KAPSUL 10 BUTIR RUMAH54 CEFTRIAXONE SODIUM INJEKSI 2 VIAL RUMAH55 CENDO XITROL TETES 1 BOTOL RUMAH56 CETIRIZINE TABLET 180 BUTIR RUMAH57 CETROL 10 MG KAPLET 20 BUTIR RUMAH58 CIPROFLOXACIN TABLET 40 BUTIR RUMAH59 CITOPRIM KAPLET 50 BUTIR RUMAH60 COSTAN 500 MG KAPLET 90 BUTIR RUMAH61 CYANOCOBALAMIN INJEKSI 2

0,5 TABLET 210 BUTIR RUMAH49 CARBIDU 0,75 TABLET 210 BUTIR RUMAH50 CARDIPIN 5 MG TABLET 90 BUTIR RUMAH Halaman 46 dari 62 Putusan Nomor 110/Pid.Sus/2020/PN Mbn 51 CATAFLAM TABLET 15 BUTIR RUMAH52 CEFADROXIL KAPSUL 10 BUTIR RUMAH53 CEFIXIME TRIHYDRATE KAPSUL 10 BUTIR RUMAH54 CEFTRIAXONE SODIUM INJEKSI 2 VIAL RUMAH55 CENDO XITROL TETES 1 BOTOL RUMAH56 CETIRIZINE TABLET 180 BUTIR RUMAH57.

td >

7

ANDALAN PIL KB

PIL

1196

BUTIR

Obat Daftar G

8

CAPTOPIL 25 MG

TABLET

80

BUTIR

Obat Daftar G

9

CARBIDU

Menyatakan barang bukti berupa :JUMLAH PCsNO NAMA SEDIAAN BENTUK (Butir/Tube/ KET.Botol)1 ALLETROL TETES MATA 1 BOTOL Obat Daftar G2 ALLOPURINOL 100 MG TABLET 80 BUTIR Obat Daftar G3 ALOFAR 100 KAPLET 50 BUTIR Obat Daftar G4 AMLODIPIN BESILATE 10 MG TABLET 300 BUTIR Obat Daftar G5 AMLODIPIN BESILATE 5MG TABLET 50 BUTIR Obat Daftar G6 AMOXICILLIN 500 MG KAPLET 350 BUTIR Obat Daftar G7 ANDALAN PIL KB PIL 1196 BUTIR Obat Daftar G8 CAPTOPIL 25 MG TABLET 80 BUTIR Obat Daftar G9 CARBIDU 0,75 TABLET 180

kayu ruang belakang dalamToko Obat Salsabila yaitu: JUMLAH PCSNO NAMA SEDIAAN BENTUK (Butir/Tube/ KET.Botol)1 ALLETROL TETES MATA 1 BOTOL Obat Daftar G2 ALLOPURINOL 100 MG TABLET 80 BUTIR Obat Daftar G3 ALOFAR 100 KAPLET 50 BUTIR Obat Daftar G4 AMLODIPIN BESILATE 10 MG TABLET 300 BUTIR Obat Daftar G5 AMLODIPIN BESILATE 5 MG TABLET 50 BUTIR Obat Daftar G6 AMOXICILLIN 500 MG KAPLET 350 BUTIR Obat Daftar G7 ANDALAN PIL KB PIL 1196 BUTIR Obat Daftar G8 CAPTOPIL 25 MG TABLET 80 BUTIR Obat Daftar G9 CARBIDU

PCSNO NAMA SEDIAAN BENTUK (Butir/Tube/ KET.Botol)1 ALLETROL TETES MATA 1 BOTOL Obat Daftar G Halaman 17 dari 31 Putusan Nomor 138/Pid.Sus/2020/PN KLT 2 ALLOPURINOL 100 MG TABLET 80 BUTIR Obat Daftar G3 ALOFAR 100 KAPLET 50 BUTIR Obat Daftar G4 AMLODIPIN BESILATE 10MG TABLET 300 BUTIR Obat Daftar Gfs) AMLODIPIN BESILATE 5 MG TABLET 50 BUTIR Obat Daftar G6 AMOXICILLIN 500 MG KAPLET 350 BUTIR Obat Daftar G7 ANDALAN PIL KB PIL 1196 BUTIR Obat Daftar G8 CAPTOPIL 25 MG TABLET 80 BUTIR Obat Daftar G9 CARBIDU

terhadap barang bukti yang diajukan dipersidangan berupaJUMLAH PCsNO NAMA SEDIAAN BENTUK (Butir/Tube/ KET.Botol)1 ALLETROL TETES MATA 1 BOTOL Obat Daftar G2 ALLOPURINOL 100 MG TABLET 80 BUTIR Obat Daftar G3 ALOFAR 100 KAPLET 50 BUTIR Obat Daftar G4 AMLODIPIN BESILATE 10 MG TABLET 300 BUTIR Obat Daftar G5 AMLODIPIN BESILATE 5MG TABLET 50 BUTIR Obat Daftar G6 AMOXICILLIN 500 MG KAPLET 350 BUTIR Obat Daftar G7 ANDALAN PIL KB PIL 1196 BUTIR Obat Daftar G8 CAPTOPIL 25 MG TABLET 80 BUTIR Obat Daftar G9 CARBIDU

JUMLAH PCSNO NAMA SEDIAAN BENTUK (Butir/Tube/ KET.Botol)1 ALLETROL TETES MATA 1 BOTOL Obat Daftar G2 ALLOPURINOL 100 MG TABLET 80 BUTIR Obat Daftar G3 ALOFAR 100 KAPLET 50 BUTIR Obat Daftar G4 AMLODIPIN BESILATE 10 MG TABLET 300 BUTIR Obat Daftar G Halaman 27 dari 31 Putusan Nomor 138/Pid.Sus/2020/PN KLT 5 AMLODIPIN BESILATE 5 MG TABLET 50 BUTIR Obat Daftar G6 AMOXICILLIN 500 MG KAPLET 350 BUTIR Obat Daftar G7 ANDALAN PIL KB PIL 1196 BUTIR Obat Daftar G8 CAPTOPIL 25 MG TABLET 80 BUTIR Obat Daftar G9 CARBIDU

Indofarma Bekasi sebanyak 200 tablet, Carbidu 0,75 produksi PT. Sampharindo Perdana Semarang sebanyak 15 tablet, Cellacort 0,5 mg produksi Rocella Lab. Jakarta sebanyak 50 tablet, Chloracol Syrup produksi PT. Ifars Pharmaceutical Lab.Solo sebanyak 5 botol, Clonidine produksi PT. Kimia Farma Bandung sebanyak 40 tablet, Corstanal 500 produksi PT. Corsa Industries Tangerang sebanyak 60 kaplet, Cotrimoxazole 480 mg produksi PT.Indofarma Bekasi sebanyak 150 tablet, CTM Defemin produksi PT.

Indofarma Bekasi sebanyak 200 tablet,Carbidu 0,75 produksi PT. Sampharindo Perdana Semarang sebanyak 15tablet, Cellacort 0,5 mg produksi Rocella Lab. Jakarta sebanyak 50 tablet,Chloracol Syrup produksi PT. lfars Pharmaceutical Lab.Solo sebanyak 5botol, Clonidine produksi PT. Kimia Farma Bandung sebanyak 40 tablet,Corstanal 500 produksi PT. Corsa Industries Tangerang sebanyak 60kaplet, Cotrimoxazole 480 mg produksi PT.Indofarma Bekasi sebanyak 150tablet, CTM Defemin produksi PT.

KimiaFarma Bandung sebanyak 110 tablet, Captopril 25 mg produksi PT.Indofarma Bekasi sebanyak 200 tablet, Carbidu 0,75 produksi PT.Sampharindo Perdana Semarang sebanyak 15 tablet, Cellacort 0,5 mgproduksi Rocella Lab.

Indofarma Bekasi sebanyak 200 tablet, Carbidu 0,75 produksiPT. Sampharindo Perdana Semarang sebanyak 15 tablet, Cellacort 0,5 mgproduksi Rocella Lab. Jakarta sebanyak 50 tablet, Chloracol Syrup produksiPT. lfars Pharmaceutical Lab.Solo sebanyak 5 botol, Clonidine produksi PT.Kimia Farma Bandung sebanyak 40 tablet, Corstanal 500 produksi PT.Corsa Industries Tangerang sebanyak 60 kaplet, Cotrimoxazole 480 mgproduksi PT.Indofarma Bekasi sebanyak 150 tablet, CTM Defemin produksiPT.

Indofarma 20 Strip55 Carbidu PT. Sampharindo 79 Strip56 Chloramphenicol PT. Errita Farma 4 Botol57 Cimedine 200 Mg PT. Firsmedifarma 10 strip58 Cinolong / M PT. Capripharmido 4 tube59 Ciproploxacin PT. Nophapvarin 9 strip60 Cortidex PT. Sanbe 31 Strip61 Cotrimosasole PT. Nophapvarin 7 Strip62 Cotrimosasole PT. Nophapvarin 3 botol63 CTM PT. PIM 1000 Tab64 Dexaharsen PT. I Larsen 20 Strip65 Dexa-M PT. Dexa 10 Strip66 Dexamethason. 05 Mg PT.

Indofarma 20 Strip55 Carbidu PT. Sampharindo 80 Strip56 Chloramphenicol PT. Errita Farma 8 Botol57 Cimedine 200 Mg PT. 10 stripFirsmedifarma58 Cinolong /M PT. 3 tubeCapripharmido59 Ciproploxacin PT. Nophapvarin /10 strip60 Cortidex PT. Sanbe 30 Strip61 Cotrimosasole PT. Nophapvarin 10 Strip62 Cotrimosasole PT. Nophapvarin 8 botol63 CTM PT. PIM 1000 Tab64 Dexaharsen PT. Larsen 20 Strip65 DexaM PT. Dexa 10 Strip66 Dexamethason. /PT. Mega Esa 50 strip05 Mg Farma67 Dexamethason 05/PT.

Indofarma 20 Strip55 Carbidu PT. Sampharindo 80 Strip56 Chloramphenicol PT. Errita Farma 3 Botol57 Cimedine 200 Mg PT. Firsmedifarma10 strip58 Cinolong / M PT. 3 tubeCapripharmido59 Ciproploxacin PT. Nophapvarin /10 strip60 Cortidex PT. Sanbe 30 Strip61 Cotrimosasole PT. Nophapvarin 10 Strip62 Cotrimosasole PT. Nophapvarin 8 botol63 CTM PT. PIM 1000 Tab64 Dexaharsen PT. Larsen 20 Strip65 DexaM PT. Dexa 10 Strip66 Dexamethason. PT. Mega Esa 50 strip05 Mg Farma67 Dexamethason 05/PT.

Indofarma 20 Strip55 Carbidu PT. Sampharindo /79 Strip56 Chloramphenicol PT. Errita Farma 4 Botol57 Cimedine 200 Mg PT. Firsmedifarma 10 strip58 Cinolong /M PT. Capripharmido 4 tube59 Ciproploxacin PT. Nophapvarin 9 strip60 Cortidex PT. Sanbe 31 Strip61 Cotrimosasole PT. Nophapvarin 7 Strip62 Cotrimosasole PT. Nophapvarin 3 botol63 CTM PT. PIM 1000 Tab64 Dexaharsen PT. Larsen 20 Strip65 DexaM PT. Dexa 10 Strip66 Dexamethason. 05 PT. Mega Esa 60 stripMg Farma67 Dexamethason 05 /PT.

Indofarma 20 Strip55 Carbidu PT. Sampharindo 79 Strip56 Chloramphenicol PT.ErritaFarma 4 Botol57 Cimedine 200 Mg PT. Firsmedifarma /10 strip58 Cinolong /M PT. Capripharmido 4 tube59 Ciproploxacin PT. Nophapvarin 9 strip60 Cortidex PT. Sanbe 31 Strip61 Cotrimosasole PT. Nophapvarin 7 Strip62 Cotrimosasole PT. Nophapvarin 3 botol63 CTM PT. PIM 1000 Tab64 Dexaharsen PT. Larsen 20 Strip65 DexaM PT. Dexa 10 Strip66 Dexamethason. 05 PT. Mega Esa 60 stripMg Farma67 Dexamethason 05 PT.

Pil KB Harsen ktk 1011 Andalan Suntik Triyasa bt 5KB12 Aqua Pro Aditama vial 10Injeksi13 Asam Promedraharjo box 1Mefenamat14 Bimastan 500 Bima Mitra box 315 Bintamox 500 Hexpharm box 1mg16 Bioplacenton Kalbe F tube 7Jelly17 Broadamox 500 Sampharindo kapsul 27018 Broadamox Syr Sampharindo bt 2219 Broadapen 500Sampharindo kapsul 15020 Bufacipro Bufa box 121 Buscopan Borhringer tablet 5022 Captropil 25 ~Indofarma tablet 130mg23 Captropil 50 mg Indofarma box 224 Captropil 50 mg OGB Dexa tablet 3025 Carbidu

Andalan Pil Harsen ktk 10KB11 Andalan Triyasa btl 5Suntik KB12 Aqua Pro Aditama vial 10Injeksi13 Asam Promedraharjobox 1Mefenamat14 Bimastan 500 Bima Mitra box 315 Bintamox 500 Hexpharm box 1mg16 Bioplacenton Kalbe F tube 7Jelly17 Broadamox Sampharindo kapsul 27050018 Broadamox Sampharindo btl 22Syr19 Broadapen Sampharindo kapsul 15050020 Bufacipro Bufa box 121 Buscopan Borhringer tablet 5022 Captropil 25 Indofarma tablet 130mg23 Captropil 50 Indofarma box 2mg24 Captropil50 OGB Dexa tablet 30mg25 Carbidu

Harsen ktk 1011 Andalan Suntik Triyasa bt 5KB12 Aqua Pro Injeksi Aditama vial 1013 Asam Promedraharjo box 1Mefenamat 14 Bimastan 500 ~Bima Mitra box 315 Bintamox 500 Hexpharm box 1mg16 Bioplacenton Kalbe F tube 7Jelly17 Broadamox 500 Sampharindo kapsul 27018 Broadamox Syr Sampharindo /btl 2219 Broadapen 500 Sampharindo kapsul 15020 Bufacipro Bufa box 121 Buscopan Borhringer tablet 5022 Captropil 25 mg Indofarma tablet 13023 Captropil 50 mg Indofarma box 224 Captropil 50 mg OGB Dexa tablet 3025 Carbidu

Harsen ktk 10 11 Andalan Suntik /Triyasa bt 5KB12 Aqua Pro Injeksi Aditama vial 1013 Asam Promedraharjo box 1Mefenamat14 Bimastan 500 ~Bima Mitra box 315 Bintamox 500 Hexpharm box 1mg16 Bioplacenton Kalbe F tube 7Jelly17 Broadamox 500 Sampharindo kapsul 27018 Broadamox Syr Sampharindo /btl 2219 Broadapen 500 Sampharindo kapsul 15020 Bufacipro Bufa box 121 Buscopan Borhringer tablet 5022 Captropil 25 mg Indofarma tablet 13023 Captropil 50 mg Indofarma box 224 Captropil 50 mg OGB Dexa tablet 3025 Carbidu

kaplet, Teffacycline HCI sebanyak 50 kapsul, Costan Forte sebanyak 60kaplet, Pehastan 500 sebanyak 50 kaplet Mefinal 500 sebanyak 60 kaplet,Gartazon sebanyak 200 tablet, Sammoxin Forte sebanyak 30 kaplet, Microtinasebanyak 30 tablet, Rampicillin 500 sebanyak 100 kaplet, Xiltrop sebanyak 70kaplet, Emmer sebanyak 100 tablet, Spesidal sebanyak 70 tablet, Diometasebanyak 90 tablet, Ramavex sebanyak 40 tablet, NeuropyronV sebanyak 180kaplet Grafamic sebanyak 20 kaplet Asam Mefenamat sebanyak 180 kaplet,Carbidu

kaplet, Teffacycline HCIsebanyak 50 kapsul, Costan Forte sebanyak 60 kaplet, Pehastan 500 sebanyak 50kaplet Mefinal 500 sebanyak 60 kaplet, Gartazon sebanyak 200 tablet, SammoxinForte sebanyak 30 kaplet, Microtina sebanyak 30 tablet, Rampicillin 500sebanyak 100 kaplet, Xiltrop sebanyak 70 kaplet, Emmer sebanyak 100 tablet,Spesidal sebanyak 70 tablet, Diometa sebanyak 90 tablet, Ramavex sebanyak 40tablet, NeuropyronV sebanyak 180 kaplet Grafamic sebanyak 20 kaplet AsamMefenamat sebanyak 180 kaplet, Carbidu

Strip/ 10 45015 Ampi cilin tab Pharma Strip/ 10 40016 Antalgin tab Infarmid Tablet 100017 Anti dorin tab Sampharindo Tablet 35018 As mefenamat tab Bernofarm Strip/ 10 14019 As mefenamat tab Novapharin Strip/ 10 10020 Asam mefenamat Nova Strip/ 10 15021 Asma Soho Soho Strip/ 10 300022 Bimaflox 500 mg cap Strip/ 10 1023 Bimastan Strip/ 10 10024 Broadapen sirup Sampharindo Btl 525 Brudenfox tab Strip/ 10 10026 Bufacaryl tab - Strip/ 10 10027 Captopril 25 mg tab Strip/ 10 25028 Carbidu

Amxicillin tab PharmA Strip/ 10 45015 Ampi cilin tab Pharma Strip/ 10 40016 Antalgin tab Infarmid Tablet 100017 Anti dorin tab Sampharindo Tablet 35018 As mefenamat tab Bernofarm Strip/ 10 14019 As mefenamat tab Novapharin Strip/ 10 10020 Asam mefenamat Nova Strip/ 10 15021 Asma Soho Soho Strip/ 10 300022 Bimaflox 500 mg cap Strip/ 10 1023 Bimastan Strip/ 10 10024 Broadapen sirup Sampharindo Btl 525 Brudenfox tab Strip/ 10 10026 Bufacaryl tab Strip/ 10 10027 Captopril 25 mg tab Strip/ 10 25028 Carbidu

Amxicillin tab PharmA Strip/ 10 45015 Ampi cilin tab Pharma Strip/ 10 40016 Antalgin tab Infarmid Tablet 100017 Anti dorin tab Sampharindo Tablet 35018 As mefenamat tab Bernofarm Strip/ 10 14019 As mefenamat tab Novapharin Strip/ 10 10020 Asam mefenamat Nova Strip/ 10 15021 Asma Soho Soho Strip/ 10 300022 Bimaflox 500 mg cap Strip/ 10 1023 Bimastan Strip/ 10 10024 Broadapen sirup Sampharindo Btl 525 Brudenfox tab Strip/ 10 10026 Bufacaryl tab Strip/ 10 100 27 Captopril 25 mg tab Strip/ 10 25028 Carbidu

Amxicillin tab PharmA Strip/ 10 45015 Ampi cilin tab Pharma Strip/ 10 40016 Antalgin tab Infarmid Tablet 100017 Anti dorin tab Sampharindo Tablet 35018 As mefenamat tab Bernofarm Strip/ 10 140 18 19 As mefenamat tab Novapharin Strip/ 10 10020 Asam mefenamat Nova Strip/ 10 15021 Asma Soho Soho Strip/ 10 30002d Bimaflox 500 mg cap Strip/ 10 1023 Bimastan Strip/ 10 10024 Broadapen sirup Sampharindo Btl 525 Brudenfox tab Strip/ 10 10026 Bufacaryl tab Strip/ 10 10027 Captopril 25 mg tab Strip/ 10 25028 Carbidu

blister 95 Altran Imfarmind strip 56 Amlodipine Novella strip 27 Amlodipine 5 mg Hexpharm Jaya box 18 Amosterra Sejahtera Farma strip 79 Amoxicillin Pharma lab box 110 Amoxicillin Mersi strip 511 Ampicillin Pharma Lab strip 612 Andalan Laktasi Pil KB DKT blister 313 Andalan Pil KB Harsen box 114 Asam Mefenamat Hexpharm Jaya strip 515 Betason N KF tube 216 Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu

mg Indofarma blister 9g5 Altran Imfarmind strip 56 Amlodipine Novella strip 27 Amlodipine 5 mg Hexpharm Jaya box 18 Amosterra Sejahtera Farma strip 79 Amoxicillin Pharma lab box 110 Amoxicillin Mersi strip 511 Ampicillin Pharma Lab strip 612 Andalan Laktasi Pil KB DKT blister 313 Andalan Pil KB Harsen box 114 Asam Mefenamat Hexpharm Jaya strip 515 Betason N KF tube 216 Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu

Ampicillin Pharma Lab strip 612 Andalan Laktasi Pil KB DKT blister 3 Halaman 5 dari28 Putusan Nomor 86/Pid.Sus/2017/PNPLW 13 Andalan Pil KB Harsen box 114 Asam Mefenamat Hexpharm Jaya strip 515 Betason N KF tube 216 Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu Sampharindo strip 321 Cetrizin 10 mg Novella strip 422 Cetrizin 10 mg Novella blister 423 Chloramphenicol Yekatria botol 524 Ciprofloxacin Berno strip

Ampicillin Pharma Lab strip 612 Andalan Laktasi Pil KB DKT blister 313 Andalan Pil KB Harsen box 114 Asam Mefenamat Hexpharm Jaya strip 515 BetasonN KF tube 216 Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu Sampharindo strip 321 Cetrizin 10 mg Novella strip 422 Cetrizin 10 mg Novella blister 423 Chloramphenicol Yekatria botol a24 Ciprofloxacin Berno strip 725 Danasone Kalbe strip 526 Dexaharsen 0,5 mg Harsen

mg Indofarma blister q5 Altran Imfarmind strip 56 Amlodipine Novella strip 27 Amlodipine 5 mg Hexpharm Jaya box 18 Amosterra Sejahtera Farma strip 79 Amoxicillin Pharma lab box 110 Amoxicillin Mersi strip o11 Ampicillin Pharma Lab strip 612 Andalan Laktasi Pil KB DKT blister 313 Andalan Pil KB Harsen box 114 Asam Mefenamat Hexpharm Jaya strip 515 Betason N KF tube 216 Bioplacenton Kalbe tube 317 Broadamox Sampharindo strip 818 Bufacaryl Bufa Aneka box 119 Captopril 25 mg Hexpharm Jaya strip 820 Carbidu

Dos 20 Sampharindo25 Carbidu stripxi0 Perdana, PKL9523 499 tablet0.75 403910B1tablet semarangCarmeson mes 10 Sampharindo DKL26 A Strip x 10 Per dana 04234082 66 TabletTablet 10 AlDos 5 strip PT. Novartis DKL993027 Cataflam x40 tablet Indonesia 4og316B1 tabletNovellCefixim Dos 5 strip Pharmaceutic GKLO93328 trihydrate x 10 kapsul al 521201A1 90 KapsulLaboratories Halaman 3 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp Cendo .

Indofarma 916010A1 40 tablet Halaman 48 dari 96 Putusan Nomor 381/Pid.Sus/2020/PN Prp Dos 20Sampharindo 24 Carbidu 0.5 strip x10 Perdana, DKL9423 90 tablet403910A1tablet semaranga5 Carbidu stip x10 Perdana DKL9S23 490 tablet0.75 P > 403910B1tablet semarangDos 10 . DKL26 yameson Strip x 10 ee 04234082 66 TabletTablet 10 AtDos 5 strip PT.

Indofarma 916010A1 40 tablettabletDos 20 Sampharindo24 Carbidu 0.5 strip x10 Perdana, Bia Ses 90 tablet403910A1tablet semarangpg Gatbidu sino x0 dena DRIYS23 4190 tablet0.75 P > 403910B1tablet semarangDos 10 . DKL26 yarmeson Strip x 10 Samprennce 04234082 66 TabletTablet 10 AlDos 5 strip PT. Novartis DKL993027 Cataflam 40 tablet Indonesia 408316B1 ! tabletNovellCefixim Dos 5 strip Pharmaceutic GKLO93328 trihydrate x 10 kapsul al 521201A1 22 KapsulLaboratoriesCendo.

Indofarma 916010A1 40 tablettabletDos 20 Sampharindo24 Carbidu 0.5 strip x10 Perdana, DKL9423 90 tablet403910A1tablet semarangpg Gatbidu sino x0 dena DRIYS23 4190 tablet0.75 P > 403910B1tablet semarangDos 10 . DKL26 yameson Strip x 10 Sampnannco 04234082 66 TabletTablet 10 AlDos 5 strip PT. Novartis DKL993027 Cataflam 40 tablet Indonesia 408316B1 ! tabletNovellCefixim Dos 5 strip Pharmaceutic GKLO93328 trihydrate x 10 kapsul al 521201A1 22 KapsulLaboratoriesCendo.

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Danasone jumlah 8 (delapan) strip;

Ranitidine tablet jumlah 14 (empat belas) strip;

Neuralgin RX jumlah 3 (tiga) blister;

Irgapan 200 mg jumlah 10 (sepuluh) strip;

Ibuprofen 400 mg jumlah 10 (sepuluh) strip;

Alofar 100 mg jumlah 3 (tiga) strip;

Penisilin V jumlah 16 (enam belas) strip;

Zoralin jumlah 10 (sepuluh) strip;

Planatob jumlah 6 (enam) kotal;

Biomega jumlah 5 (lima) strip;

Carbidu

Carbidu 0,5 mg jumlah 16 (enam belas) strip.19. Acyclovir 400 mg jumlah 7 (tujuh) strip.20. Ampisillin 500 mg jumlah 7 (tujuh) strip.21. Rhemafar jumlah 10 (Sepuluh) strip.22. Farizol jumlah 3 (tiga) strip.23. Revaxin jumlah 7 (tujuh) strip.24. Piroxicam, 20 mg jumlah 3 (tiga) jumlah 3 (tiga) blister.25. Scopma plus jumlah 4 (empat) strip.26. Wiros Piroxicam jumlah 9 (Sembilan) strip.27. Omegesic jumlah 9 (Sembilan) strip.28. Tokasid jumlah 3 (tiga) strip.29.

Penisilin V jumlah 16 (enam belas) strip;15.Zoralin jumlah 10 (Sepuluh) strip;16.Planatob jumlah 6 (enam) kotal:;17.Biomega jumlah 5 (lima) strip;18.Carbidu 0,5 mg jumlah 16 (enam belas) strip;19. Acyclovir 400 mg jumlah 7 (tujuh) strip;20. Ampisilin 500 mg jumlah 7 (tujuh) strip;21.Rhemafar jumlah 10 (Sepuluh) strip;22.Farizol jumlah 3 (tiga) strip;23.Revaxin jumlah 7 (tujuh) strip;24. Piroxicam 20 mg jumlah 3 (tiga) blister;25.

strip,Alofar 300 mg jumlah (tujuh belas) strip, Meloxicam jumlah 3 (tiga) strip,Citostan forte jumlah 4 (empat) strip, Danasone jumlah 8 (delapan) strip,Ranitidine tablet jumlah 14 (empat belas) strip, Neuralgin RX jumlah 3 (tiga)blister, Irgapan 200 mg jumlah 10 (sepuluh) strip, Ibuprofen 400 mg jumlah 10(sepuluh) strip, Alofar 100 mg jumlah 3 (tiga) strip, Penisilin V jumlah 16(enam belas) strip, Zoralin jumlah 10 (Sepuluh) strip, Planatob jumlah 6 (enam)kotal, Biomega jumlah 5 (lima) strip, Carbidu

Carbidu 0,5 mg jumlah 16 (enam belas) strip;19. Acyclovir 400 mg jumlah 7 (tujuh) strip;20. Ampisilin 500 mg jumlah 7 (tujuh) strip;21. Rhemafar jumlah 10 (Sepuluh) strip;22. Farizol jumlah 3 (tiga) strip;23. Revaxin jumlah 7 (tujuh) strip;24. Piroxicam 20 mg jumlah 3 (tiga) blister;25. Scopma plus jumlah 4 (empat) strip;26. Wiros Piroxicam jumlah 9 (Sembilan) strip;27. Omegesic jumlah 9 (Sembilan) strip;28. Tokasid jumlah 3 (tiga) strip;29. Simvastatin 10 mg jumlah 7 (tujuh) strip;30.

Kimia Farma tube/5 er 2427 Binotal 1000 Bayer box/50tb 6828 Biomega Graha farma box/100 tb 18029 Bioplacenton jelly Kalbe tube/15 gr 1030 Bioplangel cream Nufarindo tube/5 gr 631 Bitrafarm 20 BMF box/100 tb 10032 Britamox Hexpham jaya box/100 tb 30033 Broadamox Sampharindo Sampharindo box/100 tb 10034 Broadomox Syr Sampharindo btl/60 ml 535 Bufacaryl Zenith box/100 tb 65036 Bufacort N cream Bufa Aneka tube/Ser 1137 Captopril Indofarma box/100tb 40038 Captropil 12.5 mg Indofarma Box/100 tb 110 39 Carbidu

Kimia Farma tube/5 gr 2427 Binotal 1000 Bayer box/S0tb 6828 Biomega Graha farma box/100 tb 18029 Bioplacenton jelly Kalbe tube/15 gr 1030 Bioplangel cream Nufarindo tube/5 gr 631 Bitrafarm 20 BMF box/100 tb 10032 Britamox Hexpham jaya box/100 tb 30033 Broadamox Sampharindo Sampharindo box/100 tb 10034 Broadomox Syr Sampharindo btl/60 ml 535 Bufacaryl Zenith box/100 tb 65036 Bufacort N cream Bufa Aneka tube/Ser 1137 Captopril Indofarma box/100tb 40038 Captropil 12.5 mg Indofarma Box/100 tb 11039 Carbidu

Kimia Farma tube/5 gr 2427 Binotal 1000 Bayer box/50tb 6828 Biomega Graha farma box/100 tb 18029 Bioplacenton jelly Kalbe tube/15 gr 1030 Bioplangel cream Nufarindo tube/5 gr 631 Bitrafarm 20 BMF box/100 tb 10032 Britamox Hexpham jaya box/100 tb 30033 Broadamox Sampharindo Sampharindo box/100 tb 10034 Broadomox Syr Sampharindo bt/60 ml 535 Bufacaryl Zenith box/100 tb 65036 Bufacort N cream Bufa Aneka tube/Ser 1137 Captopril Indofarma box/100tb 40038 Captropil 12.5 mg Indofarma Box/100 tb 11039 Carbidu

Kimia Farma tube/5 gr 2427 Binotal 1000 Bayer box/50tb 6828 Biomega Graha farma box/100 tb 18029 Bioplacenton jelly Kalbe tube/15 gr 1030 Bioplangel cream Nufarindo tube/5 gr 631 Bitrafarm 20 BMF box/100 tb 10032 Britamox Hexpham jaya box/100 tb 30033 Broadamox Sampharindo Sampharindo box/100 tb 10034 Broadomox Syr Sampharindo btl/60 ml 535 Bufacaryl Zenith box/100 tb 65036 BufacortN cream Bufa Aneka tube/Segr 1137 Captopril Indofarma box/100tb 40038 Captropil 12.5 mg Indofarma Box/100 tb 11039 Carbidu

Kimia Farma tube/5 gr 2427 Binotal 1000 Bayer box/50tb 6828 Biomega Graha farma box/100 tb 18029 Bioplacenton jelly Kalbe tube/15 gr 1030 Bioplangel cream Nufarindo tube/5 gr 631 Bitrafarm 20 BMF box/100 tb 10032 Britamox Hexpham jaya box/100 tb 30033 Broadamox Sampharindo Sampharindo box/100 tb 10034 Broadomox Syr Sampharindo btl/60 ml 535 Bufacaryl Zenith box/100 tb 65036 Bufacort N cream Bufa Aneka tube/Ser 1137 Captopril Indofarma box/100tb 40038 Captropil 12.5 mg Indofarma Box/100 tb 11039 Carbidu

Samco 3Farma77 Metisol 4 mg Strip Hexpharm Jaya 578 Hydrocortisone Tube Kalbe 479 Grathazon Strip Graha Farma 2380 Simvastatin Strip Mersi 381 Antidia Strip Bernofarm 482 Cataflam 50mg Blister PT Nowarlis 7Indonesia; Sampharindo83 Mexon Kaplet Strip Parana 1684 Neo Protifed Strip Graha Farma 23PT Universal85 Unigin Antalgin Strip Pharmaceutical 26Industries86 Carbidu 0.5 Tablet Strip Sampharindo gPerdana87 Ersolon Strip Erlimpex 4PT Surya88 Kloderma Tube Dermato Medica 3Laboratories89 Bromhexine

200mg Strip Parrnetarra 1188 Methylprednisolone Strip Hexpharm Jaya 2089 Ramoxyl 500 Strip Rama Emerald 1490 Neocenta Gel Tube Ifars 4Karung 4KEMASA PABRIK/NEGANO NAMA SEDIAAN N RA ASAL JUMLAH1 Etamoxul Strip Errita Pharma 302 Etagemycetin Strip Errita Pharma 43 Prostanac Strip Pyridam 94 FG Troches Meiji Strip Meiji Indonesia 55 Topcillin Strip Dankos Farma 66 Ramoxyl 500 Strip Rama Emerald 197 Ermethasone 0.5 Strip Erlimpex 98 Inflason Strip Berlice Billie 20Farma9 Omeproksil Strip Mutifa 910 Carbidu

Samco76 Samcovask Strip arma 377 Metisol 4 mg Strip Hexpharm Jaya 578 Hydrocortisone Tube Kalbe 479 Grathazon Strip Graha Farma 2380 Simvastatin Strip Mersi 381 Antidia Strip Bernofarm 482 Cataflam 50mg Blister eT NovartisIndonesia; Sampharindo83 Mexon Kaplet Strip Perdana 1684 Neo Protifed Strip Graha Farma 23PT Universal85 Unigin Antalgin Strip Pharmaceutical 26Industries86 Carbidu 0.5 Tablet Strip Sampranmag Perdana87 Ersolon Strip Erlimpex 4PT Surya88 Kloderma Tube Dermato Medica 3Laboratories89

200mg Strip Parrriciarnia 1188 Methylprednisolone Strip Hexpharm Jaya 2089 Ramoxyl 500 Strip Rama Emerald 1490 Neocenta Gel Tube Ifars 4Karung 4KEMASA PABRIK/NEGANO NAMA SEDIAAN N RA ASAL JUMLAH1 Etamoxul Strip Errita Pharma 302 Etagemycetin Strip Errita Pharma 43 Prostanac Strip Pyridam 94 FG Troches Meiji Strip Meiji Indonesia 55 Topcillin Strip Dankos Farma 66 Ramoxyl 500 Strip Rama Emerald 197 Ermethasone 0.5 Strip Erlimpex 98 Inflason Strip Berlice Malle 20Farma9 Omeproksil Strip Mutifa S10 Carbidu

Saris 3Farma77 Metisol 4 mg Strip Hexpharm Jaya 578 Hydrocortisone Tube Kalbe 479 Grathazon Strip Graha Farma 2380 Simvastatin Strip Mersi 381 Antidia Strip Bernofarm 482 Cataflam 50mg Blister ey Nowentis 7Indonesia; Sampharindo83 Mexon Kaplet Strip Perdana 1684 Neo Protifed Strip Graha Farma 23PT Universal85 Unigin Antalgin Strip Pharmaceutical 26Industries86 Carbidu 0.5 Tablet Strip saMipriahiigs 5Perdana87 Ersolon Strip Erlimpex 4PT Surya88 Kloderma Tube Dermato Medica 3Laboratories89 Bromhexine

TUBE

34 BROADAMOX 500 MG KAPLET 310 BUTIR

35 BUFACARYL KAPLET 400 BUTIR

36 CAPTOPRIL 12,5 MG TABLET 60 BUTIR

37 CAPTROPIL TABLET 80 BUTIR

38 CARBIDU

FORTE KERING 1 BOTOL23 AMPICILLIN 500 MG KAPLET 130 BUTIR24 ANDALAN PIL KB PIL 672 BUTIR25 ANTALGIN 500MG KAPLET 80 BUTIR26 ARMACORT5G CREAM 9 TUBEATORVASTATIN27 CALCIUM TABLET 30 BUTIR28 BENOSONN 5G CREAM 1 TUBEBETAMETHASONE29 VALERATE CREAM 6 TUBE30 BETASONN5G CREAM 1 TUBEBETHAHISTINE31 MESYLATE TABLET 20 BUTIR32 BIOMEGA KAPLET 80 BUTIR33 BIOPLACENTON JELLY 6 TUBE34 BROADAMOX 500 MG KAPLET 310 BUTIR35 BUFACARYL KAPLET 400 BUTIR36 CAPTOPRIL 12,5 MG TABLET 60 BUTIR37 CAPTROPIL TABLET 80 BUTIR38 CARBIDU

ARMACORT5G ERAN 9 rupe DK/s#o9208820aa7 AORN ATIN TABEET 30 Burin CKE1408517817828 BENOSONN 5G CREAM 1 fuse DKL7202341229a29 CeO ONE CREAN Ther GKL9912700129A30 BETASONN5G CRAM 1 Type PKL14127023208a1 BETHAHISTINE TABLET 20 Burin GKL053512910832 BIOMEGA CAPLET so Burma PXL9631106809833 BIOPLACENTON JELLY 6 TUBE PAE TATIOSBB2BA34 BROADAMOX500MG KAPLET 310 BUTIR Pe Oess0eonad35 BUFACARYL KAPLET soo putin PX7600914704836 CAPTOPRIL 12,5 MG TABLET 60 BUTIR rename37 CAPTROPIL TABLET so Burin GXL9719919410838 CARBIDU

VALERATE 30 BETASONN5G CREAM 1 TUBE31 MESYT ATE TABLET 20 BUTIR32 BIOMEGA KAPLET 80 BUTIR33 BIOPLACENTON JELLY 6 TUBE34 BROADAMOX 500 MG KAPLET 310 BUTIR35 BUFACARYL KAPLET 400 BUTIR36 CAPTOPRIL 12,5 MG TABLET 60 BUTIR37 CAPTROPIL TABLET 80 BUTIR38 CARBIDU 0,5 TABLET 250 BUTIR39 CAZETIN DROP SIRUP 4 BOTOL40 CEFADROXIL 500 MG KAPSUL 50 BUTIR41 CEFADROXIL DS SIRUP 2 BOTOL42 CEFIXIM 100 MG KAPSUL 200 BUTIR43 CEFIXIME P ERIN G 7 BUTIR44 CENDO XITROL MATA. 15 BOTOL45 CETIRIZINE HCL TABLET 440 BUTIRAG

BIOPLACENTON JELLY 6 TUBE34 BROADAMOX 500 MG KAPLET 310 BUTIR35 BUFACARYL KAPLET 400 BUTIR36 CAPTOPRIL 12,5 MG TABLET 60 BUTIR37 CAPTROPIL TABLET 80 BUTIR38 CARBIDU 0,5 TABLET 250 BUTIR39 CAZETIN DROP SIRUP 4 BOTOL40 CEFADROXIL 500 MG KAPSUL 50 BUTIR41 CEFADROXIL DS SIRUP 2 BOTOL42 CEFIXIM 100 MG KAPSUL 200 BUTIR43 CEFIXIME PERING 7 BUTIR44 CENDO XITROL MATA. 15 BOTOL45 CETIRIZINE HCL TABLET 440 BUTIRAG HPORAMBECORTE 10 CREAM 1 TUBE47 CIMETIDINE 200 MG TABLET 100 BUTIR48 CINOLONN 10G CREAM 1 TUBE49

Pid.Sus/2019/PN Pdg Keras 30 Novadium Novapharin 9 Strip ObatKeras31 Graniazen Graha Farma 13 Strip eatKeras32 Salbutamol Yarindo 5 Strip ObatKeras33 Novaxiean Novapharin 9 Strip OBatKeras34 NeWaHEX Novapharin 17 Strip ObatKerasCetirizine : Obat35 Hydrochloride Rama emerald 26 Strip Karas36 Novatlox Novapharin 11 Strip ObatKeras37 MalaeOnt Molex Ayus 38 Strip OBatKeras38 Novachlor Novapharin 14 Strip ObatKeras39 Novastan Novapharin 8 Strip OBalKerasAO Faxiden IFARS 19 Strip ObatIndonesia Keras41 Carbidu

Obat Keras61 Gricin 125 Novapharin 27 Strip Obat Keras62 Omegesic Mutifa 10 Strip Obat Keras63 Bufacaryl Zenith 32 Strip Obat Keras64 Neuralgin ERela 18 Strip Obat Keras65 Yekazone Yekatria Farma 8 Strip Obat Keras66 Renadinac Pratapa Nirmala 20 Strip Obat Keras67 Metronidazole Novapharin 15 Strip Obat Keras Halaman 22 dari 192 Putusan Nomor 283/Pid.Sus/2019/PN Pdg 68 Nexitra Ifars 5 Strip Obat Keras69 Molacort 0,5 Molex Ayus 10 Strip Obat Keras70 Molacort 0,75 Molex Ayus 19 Strip Obat Keras71 ~+ Carbidu

Obat Keras61 Gricin 125 Novapharin 27 Strip Obat Keras62 Omegesic Mutifa 10 Strip Obat Keras63 Bufacaryl Zenith 32 Strip Obat Keras Halaman 47 dari 192 Putusan Nomor 283/Pid.Sus/2019/PN Pdg 64 Neuralgin ERela 18 Strip Obat Keras65 Yekazone Yekatria Farma 8 Strip Obat Keras66 Renadinac Pratapa Nirmala 20 Strip Obat Keras67 Metronidazole Novapharin 15 Strip Obat Keras68 Nexitra Ifars 5 Strip Obat Keras69 Molacort 0,5 Molex Ayus 10 Strip Obat Keras70 Molacort 0,75 Molex Ayus 19 Strip Obat Keras71 + Carbidu

Metronidazole Novapharin 15 Strip Obat Keras68 Nexitra Ifars 5 Strip Obat Keras69 Molacort 0,5 Molex Ayus 10 Strip Obat Keras Halaman 189 dari 192 Putusan Nomor 283/Pid.Sus/2019/PN Pdg 70 Molacort 0,75 Molex Ayus 19 Strip Obat Keras71 Carbidu Sampharindo 12 Strip Obat Keras72 Histapan Sanbe Farma 4 Strip Obat Keras73 Roverton Ifars 9 Strip Obat Keras74 Cetirizin Novel 5 Blister Obat Keras75 Polofar Plus Ifars 10 Strip Obat Keras76 Ombrizol Bernofarm 9 Strip Obat Keras77 Pronam Harsen 6 Strip Obat

150 mg 49 tablet Obat Daftar G59 Gabiten 80 tablet Obat Daftar G60 Metformin 500 mg 70 tablet Obat Daftar G61 Trifason 25 tablet Obat Daftar G62 Omeproksil 76 tablet Obat Daftar G63 Cimetidine 200 mg 128 tablet Obat Daftar G64 Hufadon 80 tablet Obat Daftar G65 Irgapan 200 100 tablet Obat Daftar G66 Gludepatic 500 100 tablet Obat Daftar G67 Alofar 77 tablet Obat Daftar G68 Samrox 20 92 tablet Obat Daftar G69 Inflason 90 tablet Obat Daftar G70 Pratifar 40 44 tablet Obat Daftar G71 Carbidu

Daftar G58 Ranitidin 150 mg 49 tablet Obat Daftar G59 Gabiten 80 tablet Obat Daftar G60 Metformin 500 mg 70 tablet Obat Daftar G61 Trifason 25 tablet Obat Daftar G62 Omeproksil 76 tablet Obat Daftar G63 Cimetidine 200 mg 128 tablet Obat Daftar G64 Hufadon 80 tablet Obat Daftar G65 Irgapan 200 100 tablet Obat Daftar G66 Gludepatic 500 100 tablet Obat Daftar G67 Alofar 77 tablet Obat Daftar G68 Samrox 20 92 tablet Obat Daftar G69 Inflason 90 tablet Obat Daftar G70 Pratifar 40 44 tablet Obat Daftar G71 Carbidu