Penuntut Umum:
1.Ivana Novartis Putri.,SH.
2.AHMAD ANUGRAH KHARISMA PUTRA, S.H.
Terdakwa:
TRI AKHADI Bin SURADI

2.Ivana Novartis Putri.,SH.
Terdakwa:
HERVANSYAH Als IVAN Bin JAPRI (Alm)

2.Ivana Novartis Putri.,SH.
Terdakwa:
KAMARUDIN Als UDIN LOMBOK Bin (Alm) AMA'ROH

Penuntut Umum:
1.Ivana Novartis Putri.,SH.
2.FATRIRANIL JUSAR, S.H., M.H.
Terdakwa:
SUPIAN Alias UTUH Bin Alm KADRI

td>

Botol / 200 kapsul

Obat Tanpa Izin Edar

28

Duphalac 667 mg/ml

Cair

Abbott

1

Botol/667 mg/ml

Obat Tanpa Izin Edar

29

Exforge 10 mg

Padat

NOVARTIS

280

Blister/14

Obat Tanpa Izin Edar

30

EXFORGEHCT 5mg/160mg/12.5mg

Padat

Novartis Corporation (Malaysia) Sdn.Bhd

112

Blister / 7 tablet

Obat Tanpa Izin Edar

31

blister/15 Tablet

Obat Tanpa Izin Edar

84

Refresh Tears

Cair

Allergan

2

Botol/15 ml

Obat Tanpa Izin Edar

85

Vitalux plus Time Release

Padat

Novartis

BhdDiamicron Mr 60 Blister/1 (Obat Tanpa Izin26 Padat SERVIER 420mg 5 EdarBotol /og Obat Tanpa Izin27 Dilantin 100mg Padat Malaysia 200 (200EdarkapsulDuphalac 667 Botol/66 Obat Tanpa Izin28 Cair Abbott 1mg/ml 7 mg/ml EdarBlister/L (Obat Tanpa Izin29 Exforge 10mg sCW(Paadat NOVARTIS 280A EdarNovartisEXFORGEHCTCorporation Blister / Obat Tanpa Izin30 5mg/160mg/12.5 Padat 112(Malaysia) 7 tablet (Edarm8 Sdn.BhdBlister/L (Obat Tanpa Izin31 Felocor 10 mg Padat HEXAL AG 5000 EdarFlutiform 125Obat Tanpa Izin32

Izin79 Simvastatin 40 Padat 60Malaysia Tablet EdarMgAApoClopidogrel apotex Inc blister/10 Obat Tanpa Izin80 Padat 21075 mg Totonto Canadal Tablet Edarblister/7 Obat Tanpa Izin81 Esoz 40 mg Padat Ranbaxy 182Tablet EdarCozaar XQ Hanmi Pharm, blister/10 Obat Tanpa Izin82 Padat 605/100mg Co., Ltd Tablet EdarGlucophage XR blister/15) Obat Tanpa Izin83 Padat Merck Malaysia 120750 mg Tablet EdarBotol/15 Obat Tanpa Izin84 Refresh Tears Cair Allergan 2ml Edar; , botol/30Vitalux plus Time Suplemen85 Padat Novartis

Obat Tanpa79 Padat Pharma 6040 mg Tablet Izin EdarMalaysiaapotexApoClopidogrel 75 Inc blister/10 Obat Tanpa80 Padat 210mg Totonto Tablet Izin EdarCanadablister/7 Obat Tanpa81 Esoz 40 mg Padat Ranbaxy 182Tablet Izin EdarHanmiblister/10 Obat Tanpa82 Cozaar XQ 5/100mg Padat Pharm, 60Tablet Izin EdarCo., LtdGlucophage XR 750 Merck blister/15 Obat Tanpa83 Padat 120mg Malaysia Tablet Izin EdarBotol/15 Obat Tanpa84 Refresh Tears Cair Allergan 2ml Izin Edar; . botol/30Vitalux plus Time Suplemen85 Padat Novartis

Nomor 235/Pid.Sus/2021/PN Rhl Pharma 40 mg Tablet EdarMalaysiaapotexApoClopidogrel 75 Inc blister/L0 Obat Tanpa Izin80 Padat 210mg Totonto Tablet EdarCanadablister/7 Obat Tanpa Izin81 Esoz 40 mg Padat Ranbaxy 182Tablet EdarHanmiblister/10 Obat Tanpa Izin82 Cozaar XQ 5/100mg Padat Pharm, 60Tablet EdarCo., LtdGlucophage XR 750 Merck blister/15 Obat Tanpa Izin83 Padat 120mg Malaysia Tablet EdarBotol/15 Obat Tanpa Izin84 Refresh Tears Cair Allergan 2ml Edar; , botol/30Vitalux plus Time Suplemen85 Padat Novartis

Obat Tanpa Izin79 Padat Pharma 6040 mg Tablet EdarMalaysiaapotexApoClopidogrel 75 Inc blister/1L0 Obat Tanpa Izin80 Padat 210mg Totonto Tablet EdarCanadablister/7 Obat Tanpa Izin81 Esoz 40 mg Padat Ranbaxy 182Tablet EdarHanmiblister/10 Obat Tanpa Izin82 Cozaar XQ 5/100mg Padat Pharm, 60Tablet EdarCo., LtdGlucophage XR 750 Merck blister/15 Obat Tanpa Izin83 Padat 120mg Malaysia Tablet EdarBotol/15 Obat Tanpa Izin84 Refresh Tears Cair Allergan 2ml Edar; . botol/30Vitalux plus Time Suplemen85 Padat Novartis

3.Ivana Novartis Putri.,SH.
Terdakwa:
MUHAMMAD SANDI Als DOYOK Bin ALIANSYAH

2.Ivana Novartis Putri.,SH.
3.NOVITASARI, S.H., M.H.
Terdakwa:
IRWANSYAH Als IWAN Bin ARDIANSYAH

2.Ivana Novartis Putri.,SH.
Terdakwa:
MUHAMMAD SYARWANI Als WAWAN Bin H.AHMAD HUSAINI

2.Ivana Novartis Putri.,SH.
Terdakwa:
EDY KURNIA ROHMATULLAH Als. EDY Als. Dr. ADELIA Binti HARIRI

2.Ivana Novartis Putri.,SH.
3.NOVITASARI, S.H., M.H.
Terdakwa:
MUHAMMAD ARIANTO Als ARI Bin SAFRUDIN

Penuntut Umum:
1.Ivana Novartis Putri.,SH.
2.Kemal Kahfianto.,SH.
Terdakwa:
1.M DENNY IRAWAN BIN HADAL (Alm)
2.BASRI BIN SAMSUDIN

2.Ivana Novartis Putri.,SH.
3.NOVITASARI, S.H., M.H.
Terdakwa:
AKMAD RIADY Als AMAT Bin MUHAMMAD SAAT

Novartis 8 Strip Opat Keras32 Methylprednisolone PT. Molex Ayus 2 Box Opat Keras33 Selvim 10 PT. Ifars 2Box Opat Keras34 Amlodipine Besylate PT. Pertiwi Agung 6 Box oeiaee,35 Glibenclamide Indofarma 5 Box OPat Keras36 Captopril PT. Phapros 3 Box Opat Keras37 Allopurinol 100 mg PT. Hexpharm Jaya 2 Box Opat Keras38 Allopurinol 100 mg PT. Pertiwi Agung 1 Box Opat Keras39 Grafalin PT.

Novartis 8 Strip Oparseras32 Methylprednisolone PT. Molex Ayus 2 Box Cnckae a33 Selvim 10 PT, Ifars 2 Box oeiaee,34 Amlodipine Besylate PT. Pertiwi Agung 6 Box OPat Keras35 Glibenclamide Indofarma 5 Box Opat Keras36 Captopril PT. Phapros 3 Box Opat Keras37 Allopurinol 100 mg PT. Hexpharm Jaya 2 Box Opar cers38 Allopurinol 100 mg PT. Pertiwi Agung 1 Box Opat Keras39 Grafalin PT.

Novartis 8 Strip Opat Keras32 Methylprednisolone PT. Molex Ayus 2 Box Opat Keras33 Selvim 10 PT. Ifars 2 Box Oparseras34 Amlodipine Besylate PT. Pertiwi Agung 6 Box Cnckae a35 Glibenclamide Indofarma 5 Box oeiaee,36 Captopril PT. Phapros 3 Box OPat Keras37 Allopurinol 100 mg PT. Hexpharm Jaya 2 Box Opat Keras38 Allopurinol 100 mg PT. Pertiwi Agung 1 Box Opat Keras39 Grafalin PT.

42

Captopril 25mg Tablet

PT Indofarma

80

Tablet

43

Simvastatin 10mg Tablet

PT Pertiwi Agung

50

Tablet

44

Voltaren 25 Tablet

PT Novartis

TabletTablet34 Ibuprofen Tablet PT Aditama Raya 60 Tablet35 Griseofulvin 500mg Tablet PTPrafa 80 Tablet36 Renadinac 50 Tablet 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 TabletA3 Simvastatin 10mg Tablet PT Pertiwi Agung 50 TabletA4 Voltaren 25 Tablet PT Novartis

TabletTablet34 Ibuprofen Tablet PT Aditama Raya 60 Tablet35 Griseofulvin 500mg Tablet PTPrafa 80 Tablet36 Renadinac 50 Tablet 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

Tablet34 Ibuprofen Tablet PT Aditama Raya 60 Tablet35 Griseofulvin 500mgPTPrafa 80 ~TabletTablet36 Renadinac 50 Tablet 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

TabletTablet34 Ibuprofen Tablet PT Aditama Raya 60 Tablet35 Griseofulvin 500mg Tablet PTPrafa 80 Tablet36 Renadinac 50 Tablet 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

valerateSkizonGlucophageMetformin HclNovacycline 250Candesartan Cilexetil 8 mgVitaquinInersonVoltarenKarung 2NAMA SEDIAANYekazoneHistapanGentamicinMefinal 500SolinfecNovaxicamMefenamic acidRexavin 500Zoline CapletEthambutol 500mgBidaxtam DexamethasoneOmefulvinFargeticPolofar PlusRematofBlisterStripStripStripStripStripTubeStripStripStripStripStripBlisterBlisterStripVialVialTubeTubeBlisterStripBlisterBlisterTubeTubeBlisterKEMASANStripStripStripStripStripStripStripStripStripStripStripStripStripStripStripPT Novartis

Strip Dexa Medica 453 Kloderma Tube Surya Dermato 454 Voltadex 50 Kotak Dexa Medica 1555 Genalten cream 5 gr Tube Ifars 1556 Glimepiride 3mg Strip Hexpharm 3857 Samcovask 10 Strip Samco Farma 558 samcovask 5 Strip Samco Farma 3Clindamycin ;59 Hydrochlorida Strip Novell 460 Lanadexon 0.5mg Strip Lanadexon 1561 Vastigo Strip Ferron Pharma 1162 Novadium Strip Novapharin 963 Farsirotic Strip Ifars 664 Mertigo Strip Dexa Medica 865 Diabit Strip Hexpharm 1266 Nisagon Tube Ifars 967 Cataflam 25mg Strip Novartis

Dexa 98 mg Medica, ; PT Surya105 Vitaquin Tube Derma Medica 2 Halaman 39 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj Laboratories106 Inerson Tube PT Interbat 2107 Voltaren Blister Novartis 5Karung 2KEMASA PABRIK/NEGANO NAMA SEDIAAN N RA ASAL JUMLAH1 Yekazone Strip Yekatria Farma 132 Histapan Strip Sanbe Farma 153 Gentamicin Strip Kimia Farma 84 Mefinal 500 Strip Caprifarmindo 165 Solinfec Strip Ifars 56 Novaxicam Strip Novapharin 297 Mefenamic acid Strip Hexpharm Jaya 198 Rexavin 500 Strip Ifars

spied PT Harsen 1898 wen Suntikan KB 3 ji) PT Harsen 3599 Betamethasone Tube PT Kimia Farma 93valerate Tbk100 Skizon Tube PT Kalbe Farm 101 Glucophage Blister PT Merck Tbk 10102 Metformin Hcl Strip Hexpharm Jaya 5 Halaman 70 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj Novapharin103 Novacycline 250 Blister Pharmaceutical 6Industries104 Candesartan Cilexetil Blister PT Dexa 98 mg MedicaPT Surya105 Vitaquin Tube Derma Medica 2Laboratories106 Inerson Tube PT Interbat 2107 Voltaren Blister Novartis

spied PT Harsen 1898 wen Suntikan KB 3 ji) PT Harsen 3599 Betamethasone Tube PT Kimia Farma 93valerate Tbk100 Skizon Tube PT Kalbe Farm 101 Glucophage Blister PT Merck Tbk 10102 Metformin Hcl Strip Hexpharm Jaya 5 Halaman 86 dari 99 Putusan Nomor 134/Pid.Sus/2020/PN PIj Novapharin103 Novacycline 250 Blister Pharmaceutical 6Industries104 Candesartan Cilexetil Blister PT Dexa 98 mg MedicaPT Surya105 Vitaquin Tube Derma Medica 2Laboratories106 Inerson Tube PT Interbat 2107 Voltaren Blister Novartis

3.Ivana Novartis Putri.,SH.
Terdakwa:
SAHMANI Als ISAH Bin SABRIANSYAH

2.Ivana Novartis Putri.,SH.
3.NOVITASARI, S.H., M.H.
Terdakwa:
ASRULLAH Als BACO Bin SUPPU

2.Ivana Novartis Putri.,SH.
3.NOVITASARI, S.H., M.H.
Terdakwa:
ASMADINOR Als AAS Bin Alm. SAMSUDIN

Penuntut Umum:
Ivana Novartis Putri.,SH.
Terdakwa:
1.SURYA PANI ZIBAR Bin Alm H. MARHAN
2.KAMSIAH Als AKAM Binti (Alm) H. MARHAN

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 . DKL7203 .29 Xitrol Tetes Botol Cendo 809746A1 4 CairMataCetirizine Novell. Dos 5strip Pharmaceutic GKL0O53330 Hydrochlori x 10 tablet al 513317A1 60 tabletde .LaboratoriesChloramfec ,PT.

Novartis DKL993027 Cataflam x 10tablet Indonesia 40831681 " tabletNovellCefixim Dos 5 strip Pharmaceutic GKLO93328 trinydrate x 10 kapsul al 521201A1 22 KapsulLaboratoriesCendo. DKL7203 ;29 Xitrol Tetes Botol Cendo 809746A1 4 CairMataCetirizine Novell. Dos 5 strip Pharmaceutic GKLO53330 Hydrochlori x 10 tablet al 513317A1 60 tabletde .Laboratories31 otHowem Tube eis Rimta PRIA le 4 CreamFarma 416829A110gDos 10Chloramph . GKL942032 enicol 250 strip x 12 PT.

Novartis DKL993027 Cataflam 40 tablet Indonesia 408316B1 ! tabletNovellCefixim Dos 5 strip Pharmaceutic GKLO93328 trihydrate x 10 kapsul al 521201A1 22 KapsulLaboratoriesCendo. DKL7203 .29 Xitrol Tetes Botol Cendo 809746A1 4 CairMataCetirizine Navel. Dos 5 strip Pharmaceutic GKLO53330 Hydrochlori 10 tablet al 513317A1 60 tabletde .Laboratories31 ot awen Tube Pl. Nima DL Ae Le 4 Creamu Farma 416829A110gDos 10Chloramph .; GKL942032 enicol 250 strip x 12 PT.

Novartis DKL993027 Cataflam 40 tablet Indonesia 408316B1 ! tabletNovellCefixim Dos 5 strip Pharmaceutic GKLO93328 trihydrate x 10 kapsul al 521201A1 22 KapsulLaboratoriesCendo. DKL7203 .29 Xitrol Tetes Botol Cendo 809746A1 4 CairMataCetirizine Navel. Dos 5 strip Pharmaceutic GKLO53330 Hydrochlori 10 tablet al 513317A1 60 tabletde .Laboratories31 ot awen Tube Pl. Nima DL Ae Le 4 Creamu Farma 416829A110gDos 10Chloramph . GKL942032 enicol 250 Kepsul PT.