PUTRA ERLANGGA JAYA, lawan POKJA PEMILIHAN PBJ PEKERJAAN NORMALISASI RUNWAY STRIP BANDAR UDARA REMBELE TAKENGON PADA ULP WILAYAH III

Menetapkan agar barang bukti berupa : - 8 (delapan) butir Amoxsan, 2 (dua) butir Mefinal,9 (sembilan) strip Teosal, 9 (sembilan) strip Farsorbid, 2 (dua) strip Pedab, 6 (enam) strip Salbutamol, 2 (dua) strip Natrium Diklofenak, 2 (dua) strip Glimepiride 1, 3 (tiga) strip Cimetidine, 2 (dua) strip 6 (enam) butir Bisoprolol, 3 (tiga) strip Clindamycin, 4 (empat) Strip Ambroxol, 4 (empat) strip Molacort, 8 (delapan) strip Renabetic, 1 (satu) strip Incidal-OD, 2 (dua) strip Divoltar, 4 (empat) strip

5 (butir) Acyclovir, 3 (tiga) strip 5 (lima) butir Metronidasole, 1 (satu) strip Ranitidine, 3 (tiga) strip Glucodex, 2 (dua) strip Amlodipine, 10 (sepuluh) strip Omegzole, 5 (lima) strip Gratazone, 6 (enam) strip Pramamine, 4 (empat) strip Dextamine, 3 (tiga) strip 5 (lima) butir Alopurinol, 6 (enam) strip Metformin, 4 (empat) strip Anastan Forte, 2 (dua) strip Ketoconazole, 8 (delapan) strip Gralixa, 1 (satu) strip Voltaren 50 mg, 5 (lima) strip Histigo, 5 (lima) strip 5 (lima) butir Isosorbide

Dinitrade, 12 (dua belas) strip Omegtamine, 9 (sembilan) strip Ampicilia, 2 (dua) strip 5 (lima) butir Propranolol, 2 (dua) strip Amoxcillin, 10 (sepuluh) strip Omeric Allopurinol, 1 (satu) strip Ometilson, 8 (delapan) strip Asam Mefenamat, 4 (empat) strip Polofar Plus, 1 (satu) strip Omeprazole, 10 (sepuluh) strip Piroxicam, 8 (delapan) strip Nifedifine, 2 (dua) strip Cataflam 50 mg, 5 (lima)strip Methylprednisolone, 8 (delapan) strip Furosenide, 10 (sepuluh) strip Kemoren, 6 (enam) strip Glibenclamide

, 5 (lima) strip Cetirizine, 1 (satu) strip Aludona, 6 (enam) strip Sulfadiazin, 4 (empat) strip Captopril, 1 (satu) strip Cortidex, 2 (dua) strip Alerdex, 1(satu) strip Flagyl Forte 500 mg, 4 (empat) strip Pronicy, 4(empat) strip 4 (empat) butir Neuralgin, 5 (lima) strip Afi Rheuma, 5 (lima) strip Calmethasone, 6 (enam) strip Fimestan, 3 (tiga) strip Latibet, 10 (sepuluh) strip 9 (sembilan) butir Neuropyron, 8 (delapan) strip Ciprofloxacin, 1 (satu) strip Alofar, 8 (delapan) strip 7 (tujuh) butir

Ravalgin, 2 (dua) strip 5 (lima) butir Wiros Piroxicam, 4 (empat) strip Omegadiar, 4 (empat) strip Lopamid, 2 (dua) strip Hufagrip, 3 (tiga) strip Stileran, 1 (satu) strip Thephidron, 1 (satu) strip Anaton, 1 (satu) strip Mefinal, 1 (satu) strip Lansoprazole, 1 (satu) strip Perifas, 1 (satu) strip Opistan, 1 (satu) strip 2 (dua) butir Nonflamin, 7 (tujuh) butir Grafazole), 43 (empat puluh tiga) butir Dumocycline, 8 (delapan) butir Zulfadiazine, 5 (lima) butir Invitex, 32 (tiga puluh dua) butir Primperan

.15.1 (satu) strip IncidalOD.16.2 (dua) strip Divoltar.17.4 (empat) strip 5 (butir) Acyclovir.18.3 (tiga) strip 5 (lima) butir Metronidasole.19.1 (satu) strip Ranitidine.20.3 (tiga) strip Glucodex.21.2 (dua) strip Amlodipine.22.10 (sepuluh) strip Omegzole.23.5 (lima) strip Gratazone.24.6 (enam) strip Pramamine.25.4 (empat) strip Dextamine.26.3 (tiga) strip 5 (lima) butir Alopurinol.27.6 (enam) strip Metformin.28.4 (empat) strip Anastan Forte.29.2 (dua) strip Ketoconazole;30.8 (delapan) strip Gralixa

50 mg.46.5 (lima)strip Methylprednisolone.47.8 (delapan) strip Furosenide.48.10 (sepuluh) strip Kemoren.49.6 (enam) strip Glibenclamide.50.5 (lima) strip Cetirizine.51.1 (satu) strip Aludona.52.6 (enam) strip Sulfadiazin.53.4 (empat) strip Captopril.54.1 (satu) strip Cortidex.55.2 (dua) strip Alerdex.56.1(satu) strip Flagyl Forte 500 mg.57.4 (empat) strip Pronicy.58.4(empat) strip 4 (empat) butir Neuralgin.559.5 (lima) strip Afi Rheuma.60.5 (lima) strip Calmethasone.61.6 (enam) strip Fimestan.62.3

(tiga) strip Latibet.63.10 (sepuluh) strip 9 (sembilan) butir Neuropyron.64.8 (delapan) strip Ciprofloxacin.65.1 (satu) strip Alofar.66.8 (delapan) strip 7 (tujuh) butir Ravalgin.67.2 (dua) strip 5 (lima) butir Wiros Piroxicam.68.4 (empat) strip Omegadiar.69.4 (empat) strip Lopamid.70.2 (dua) strip Hufagrip.71.3 (tiga) strip Stileran.72.1 (Satu) strip Thephidron.73.1 (satu) strip Anaton.74.1 (Satu) strip Mefinal.75.1 (satu) strip Lansoprazole.76.1 (satu) strip Perifas.77.1 (satu) strip Opistan.78.1

.9 (sembilan) strip Ampicilia.2 (dua) strip 5 (lima) butir Propranolol.2 (dua) strip Amoxcillin.10 (sepuluh) strip Omeric Allopurinol.1 (satu) strip Ometilson.8 (delapan) strip Asam Mefenamat.4 (empat) strip Polofar Plus.1 (satu) strip Omeprazole.10 (sepuluh) strip Piroxicam.8 (delapan) strip Nifedifine.2 (dua) strip Cataflam 50 mg.5 (lima)strip Methylprednisolone.8 (delapan) strip Furosenide.10 (sepuluh) strip Kemoren.6 (enam) strip Glibenclamide.5 (lima) strip Cetirizine.1 (satu) strip Aludona.6

(sepuluh) strip Omeric Allopurinol.1 (satu) strip Ometilson.8 (delapan) strip Asam Mefenamat.4 (empat) strip Polofar Plus.1 (satu) strip Omeprazole.10 (sepuluh) strip Piroxicam.8 (delapan) strip Nifedifine.332 (dua) strip Cataflam 50 mg.5 (lima)strip Methylprednisolone.8 (delapan) strip Furosenide.10 (sepuluh) strip Kemoren.6 (enam) strip Glibenclamide.5 (lima) strip Cetirizine.1 (satu) strip Aludona.6 (enam) strip Sulfadiazin.4 (empat) strip Captopril.1 (satu) strip Cortidex.2 (dua) strip Alerdex

Menetapkan barang bukti berupa :- Pil Andalan sebanyak 1 strip ;- Antalgin sebanayk 14 strip ;- Mexon sebanyak 8 strip ;- Dexteem Plus sebanyak 3 box + 9 strip ;- Neurofyron V sebanyak 2 box + 6 strip ;- Ginifar sebanyak 1 box + 3 strip ;- Metronidazole sebanyak 8 strip ;- Ketokonazole sebanyak 1 Box + 1 strip;- Erlami ycetin tetes telinga sebanyak 2 botol ;- Grafalin 2 sebanyak 1 box + 8 strip ;- Grafalin 4 sebanyak 1 box + 9 strip ;- Glibencalmid 5 sebanyak 2 box + 8 strip ;- Metformin

sebanyak 5 strip ;- Grathazon sebanyak 1 box + 18 strip ;- Rhemafar sebanyak 2 box ;- Teosal sebanyak 1 box + 7 strip ;- Acyclovir 400 mg sebanayk 5 strip ;- Histigi sebanyak 1 box 2 strip ;- Pondex 500 mg sebanyak 1 box + 8 strip ;- Voltadex 50 mg sebanyak 1 strip ;- Dexa Harsen 0,75 mg sebanyak 29 strip ;- Salbu tamol 4 mg sebanyak 16 strip ;- Anastan sebanyak 5 strip ;- Vosea sebanyak 1 box + 6 strip ;- Omezyrtex sebanyak 3 strip ;- Amoxicilin 500 mg sebanyak 16 strip ;- 27, Linogra

500 mg sebanyak 6 strip ;- Adrome sebanyak 9 strip ;- Asam Mefenamad 500 mg sebanyak 6,5 strip ;- Dexycol 500 sebanyak 1 box ;- Primavon sebanyak 8 strip ;- Acyclovir 5 % sebanyak 12 tube ;- Hufralgin sebanyak 4 strip ;- Grafachlor sebanyak 15 strip ;- Latibet Glibenclamide 5 mg sebanyak 9 strip;- Ermethason 0,5 sebanyak 8 strip ;- Bufacomb 5 mg sebanyak 2 tube ;- Erlamicetin 3,5 mg sebanyak 2 tube ;- 39, Alletrol sebanyak 10 botol ;- Bufacort N 5 mg sebanyak 2 tube ;- Renaldinac

50 sebanyak 3 strip ;- Piricam 20 sebanyak 3 strip ;- Simvastatin 10 sebanyak 3 strip ;- Rhemafar 4 mg sebanyak 3 strip ;- Rheumacap 200 mg sebanyak 0,5 strip ;- Trifacart 5 mg sebanyak 0,75 strip ;- Cargesic 500 mg sebanyak 1 strip ;- Wiros 20 mg sebanyak 1 strip ;- Erlamycetin plus TM sebanyak 1 botol ;- Vastigo sebanyak 5 strip ;Dirampas untuk Negara ; 4.

Metformin sebanyak 5 strip ;14. Grathazon sebanyak 1 box + 18 strip ;15. Rhemafar sebanyak 2 box ;16. Teosal sebanyak 1 box + 7 strip ;17. Acyclovir 400 mg sebanayk 5 strip ;18. Histigi sebanyak 1 box 2 strip ;19. Pondex 500 mg sebanyak 1 box + 8 strip ;20. Voltadex 50 mg sebanyak 1 strip ;21. Dexa Harsen 0,75 mg sebanyak 29 strip ;22. Salbu tamol 4 mg sebanyak 16 strip ;23. Anastan sebanyak 5 strip ;24. Vosea sebanyak 1 box + 6 strip ;25. Omezyrtex sebanyak 3 strip ;26.

Harsen 0,75 mgsebanyak 29 strip, Salou tamol 4 mg sebanyak 16 strip, Anastan sebanyak 5strip, Vosea sebanyak 1 box + 6 strip, Omezyrtex sebanyak 3 strip, Amoxicilin500 mg sebanyak 16 strip, Linogra 500 mg sebanyak 6 strip, Adromesebanyak 9 strip, Asam Mefenamad 500 mg sebanyak 6,5 strip, Dexycol 500sebanyak 1 box, Primavon sebanyak 8 strip, Acyclovir 5 % sebanyak 12 tube,Hufralgin sebanyak 4 strip, Grafachlor sebanyak 15 strip, LatibetGlibenclamide 5 mg sebanyak 9 strip, Ermethason 0,5 sebanyak 8

;Antalgin sebanayk 14 strip ;Mexon sebanyak 8 strip ;Dexteem Plus sebanyak 3 box + 9 strip ;Neurofyron V sebanyak 2 box + 6 strip ;Ginifar sebanyak 1 box + 3 strip ;Metronidazole sebanyak 8 strip ;ON eaPproeonh =Ketokonazole sebanyak 1 Box + 1 strip;9.

mg sebanyak 1box + 8 strip, Voltadex 50 mg sebanyak 1 strip, Dexa Harsen 0,75 mgsebanyak 29 strip, Salou tamol 4 mg sebanyak 16 strip, Anastan sebanyak 5strip, Vosea sebanyak 1 box + 6 strip, Omezyrtex sebanyak 3 strip, Amoxicilin500 mg sebanyak 16 strip, Linogra 500 mg sebanyak 6 strip, Adromesebanyak 9 strip, Asam Mefenamad 500 mg sebanyak 6,5 strip, Dexycol 500sebanyak 1 box, Primavon sebanyak 8 strip, Acyclovir 5 % sebanyak 12 tube,Hufralgin sebanyak 4 strip, Grafachlor sebanyak 15 strip, LatibetGlibenclamide

+ 18 strip,Rhemafar sebanyak 2 box, Teosal sebanyak 1 box + 7 strip, Acyclovir 400 mgsebanayk 5 strip, Histigi sebanyak 1 box 2 strip, Pondex 500 mg sebanyak 1box + 8 strip, Voltadex 50 mg sebanyak 1 strip, Dexa Harsen 0,75 mgsebanyak 29 strip, Salou tamol 4 mg sebanyak 16 strip, Anastan sebanyak 5strip, Vosea sebanyak 1 box + 6 strip, Omezyrtex sebanyak 3 strip, Amoxicilin500 mg sebanyak 16 strip, Linogra 500 mg sebanyak 6 strip, Adromesebanyak 9 strip, Asam Mefenamad 500 mg sebanyak 6,5 strip,

Menyatakan barang bukti berupa :- Bandelox sebanyak 11 Strip,- Ambroxol sebanyak13 Strip,- Pronicy sebanyak17 Strip,- Paridexon sebanyak11 Strip,- Fimestan Forte sebanyak 19 Strip,- Etadex 0,75 sebanyak17 Strip,- Dexaharsen sebanyak17 Strip,- Etadex sebanyak 9 Strip,- Furisemid 40 mg sebanyak 21 Strip,- Penicillin V.50000 iu sebanyak 18 Strip,- Profut sebanyak 14 Strip,- Domperidon sebanyak 10 Strip,- Unigin sebanyak 13 Strip,- Kemeren sebanyak 12 Strip,- Cydifar sebanyak 12 Strip,

- Grathazon sebanyak 14 Strip,- Tridexon sebanyak 13 Strip,- Amoxillin sebanyak 9 Strip,- Asam Mefanamat sebanyak 13 Strip,- Novacixam sebanyak 10 Strip,- Saltalin sebanyak 8 Strip,- Declosan sebanyak 14 Strip,- Grafachlor sebanyak 12 Strip,- Dexteem Plus sebanyak10 Strip,- Pondex Forte sebanyak 8 Strip,Kesemuanya dirampas untuk dimusnahkan;4.

Bandelox Shampindo 11 Strip Obat Kerasdaftar (G)2. Ambroxol INF 13 Strip3. Pronicy Kalbe 17 Strip Obat Kerasdaftar (G)4. Paridexon lfars 11 Strip Obat Kerasdaftar (G)5. Fimestan First 19 Strip Obat Keras Halaman 3 dari 16 Putusan Nomor 195/Pid.Sus/2016/PN Pmn Forte daftar (G)6. Etadex 0,75 Eta 17 Strip Obat Kerasdaftar (G)7. Dexaharsen Harsen 17 Strip Obat Kerasdaftar (G)8. Etadex Eta 9 Strip Obat Kerasdaftar (G)9. Furisemid 40 INF 21 Strip Obat Kerasmg daftar (G)10.

Penicillin Erela 18 Strip Obat KerasV.50000 iu daftar (G)11. Profut Mecosin 14 Strip Obat Kerasdaftar (G)12. Domperidon Novapharin 10 Strip Obat Kerasdaftar (G)13. Unigin Universal 13 Strip Obat Kerasdaftar (G)14. Kemeren Phyto kemo 12 Strip Obat Kerasagung daftar (G)15. Cydifar lfars 12 Strip Obat Kerasdaftar (G)16. Grathazon Grahafarma 14 Strip Obat Kerasdaftar (G)17. Tridexon Triman 13 Strip Obat Kerasdaftar (G)18. Amoxillin Phyto kemo agug 9 Strip Obat Kerasdaftar (G)19.

Asam Afifarma 13 Strip Obat KerasMefanamat daftar (G)20. Novacixam Nova 10 Strip Obat Kerasdaftar (G)21. Saltalin Itrasal 8 Strip Obat Kerasdaftar (G)22. Declosan Rama 14 Strip Obat Kerasdaftar (G)23. Grafachlor Graha Farma 12 Strip Obat Keras Halaman 4 dari 16 Putusan Nomor 195/Pid.Sus/2016/PN Pmn daftar (G)24. Dexteem Plus Erlimpex 10 Strip Obat Kerasdaftar (G)25.

Menyatakan barang bukti berupa : Bandelox sebanyak 11 Strip, Ambroxol sebanyak13 Strip, Pronicy sebanyak17 Strip, Paridexon sebanyak11 Strip, Fimestan Forte sebanyak 19 Strip, Etadex 0,75 sebanyak17 Strip, Dexaharsen sebanyak17 Strip, Etadex sebanyak 9 Strip, Furisemid 40 mg sebanyak 21 Strip, Penicillin V.50000 iu sebanyak 18 Strip, Profut sebanyak 14 Strip, Domperidon sebanyak 10 Strip, Unigin sebanyak 13 Strip, Kemeren sebanyak 12 Strip, Cydifar sebanyak 12 Strip, Grathazon sebanyak 14 Strip,

Tridexon sebanyak 13 Strip, Amoxillin sebanyak 9 Strip, Asam Mefanamat sebanyak 13 Strip, Novacixam sebanyak 10 Strip, Saltalin sebanyak 8 Strip, Declosan sebanyak 14 Strip, Grafachlor sebanyak 12 Strip, Dexteem Plus sebanyak10 Strip, Pondex Forte sebanyak 8 Strip,Kesemuanya dirampas untuk dimusnahkan;4.

Menjatuhkan pidana oleh karena itu kepada terdakwa dengan pidana penjara selama 6 (enam) bulan dan denda sebesar Rp. 200.000,- (dua ratus ribu rupiah);- Menetapkan apabila denda tersebut tidak dibayar tunai maka diganti dengan pidana kurungan selama 1 (satu) bulan; - Menetapkan bahwa masa penahanan yang telah dijalani oleh terdakwa dikurangkan seluruhnya dari pidana yang dijatuhkan;- Menetapkan Terdakwa tetap berada dalam tahanan;- Menetapkan barang bukti berupa:- 1 (satu) strip

Amoxicillin berisi 10 (sepuluh) butir, 1 (satu) strip obat Anastan Forte berisi 10 (sepuluh) butir dan 1 (satu) strip obat Molacort 0,75 Dexamethasone berisi 10 butir;- 3 Strip + 2 tablet LEXAPRAM; 4 Strip + 5 Tablet ASAM MEFENAMAT ; 3 Strip, AMPICILLIN ; 7 Strip GRAFAMIC ASAM MEFENAMAT ; 3 Strip FENAMIN MEFENAMIC ACID ; 4 Strip KETOCONAZOLE ; 2 Strip + 9 Tablet.

CIPROFLOXACNI ; 20 Strip + 6 tablet, VOLTADEX 50 ; 2 Strip CEFADROXIL ; 9 Strip ANTALGIN ; 7 Strip NEUROMEC ; 6 Strip, INFALGIN ; 8 Strip, RENADINAC ; 1 Strip, ANASTAN ; 3 Strip, MELOXICAM ; 4 Strip, OMEDRINAT ; 8 Strip, PIROXICAM ; 7 Strip.

GRITIN 125 ; 11 Strip, CAPTOPRIL ; 12 Strip, NEUROPYRON V ; 5 Btl NORVOM SYRUP ; 16 Strip MOLACORT ; 7 Strip, AMBROXOL 30 ; 31 Saset, ENBATIC SERBUK ; 10 Strip, PONDEX FORTE ; 9 Biji GENDINT CREAM ; 6 Strip NIFEDIPINE ; 17 Strip DEXTEEM PLUS ; 10 Srtip, PROPANOLOL ; 24 Strip + 5 butir KALMETHASONE ; 2 Box GLIBENTAMIDE ; 5 Biji bioplacenton ; 11 Strip, LOPAMID ; 5 Biji ERLA MYCETIN ; 1 Btl YUSIMOX ; 1 Btl OMEDOM ; 5 Biji BENOSON N ; 5 Biji BETAZON N ; 5 strip, IBU PROFEN ; 8 Strip pronicy ; 13 strip

, omegtataine ; 7 Strip DANASONE ; 3 Strip, SIMVASTATIN ; 5 Strip NATRIUM DIKLOFENAK ; 5 Strip, VOLTADEX 50 ; 3 Strip, METHYPREDNISOLONE ; 4 Strip + 5 tablet REURALGIN ; 7 Strip 5 tablet VOSEA ; 7 Strip, DIGOXIN ; 2 Strip, SALBUTAMOL 4mg ; 2 Strip, SALBUTAMOL ; 2 Strip, GRAZEA 20 PIROXICAM ; 1 Strip + 5 tabel, GRATNAZON ; 1 Strip + 6 tablet, INCIDAL OD ; 2 Strip ponstan ; 1 Strip, stomach ; 1 Strip, dexamethazone ; 2 Strip, PLANO TAB ; 1 Strip, cimetidine ; 1 Strip, DRAMAMINE ; 1 Strip , KEMOREN

CIPROFLOXACNI ; 20 Strip + 6tablet, VOLTADEX 50 ; 2 Strip CEFADROXIL ; 9 Strip ANTALGIN ; 7Strip NEUROMEC ; 6 Strip, INFALGIN ; 8 Strip, RENADINAC ; 1 Strip,ANASTAN ; 3 Strip, MELOXICAM ; 4 Strip, OMEDRINAT ; 8 Strip,PIROXICAM ; 7 Strip.

; 7 StripDANASONE ; 3 Strip, SIMVASTATIN ; 5 Strip NATRIUM DIKLOFENAK ;5 Strip, VOLTADEX 50 ; 3 Strip, METHYPREDNISOLONE ; 4 Strip + 5tablet REURALGIN ; 7 Strip 5 tablet VOSEA ; 7 Strip, DIGOXIN ; 2Strip, SALBUTAMOL 4mq ; 2 Strip, SALBUTAMOL ; 2 Strip, GRAZEA20 PIROXICAM ; 1 Strip + 5 tabel, GRATNAZON ; 1 Strip + 6 tablet,INCIDAL OD ; 2 Strip ponstan ; 1 Strip, stomach ; 1 Strip,dexamethazone ; 2 Strip, PLANO TAB ; 1 Strip, cimetidine ; 1 Strip,DRAMAMINE ; 1 Strip , KEMOREN ; 3 Biji ACYCLOVIR ;

CIPROFLOXACNI ; 20Strip + 6 tablet, VOLTADEX 50 ; 2 Strip CEFADROXIL ; 9 StripANTALGIN ; 7 Strip NEUROMEC ; 6 Strip, INFALGIN ; 8 Strip,RENADINAC ; 1 Strip, ANASTAN ; 3 Strip, MELOXICAM ; 4 Strip,OMEDRINAT ; 8 Strip, PIROXICAM ; 7 Strip.

CIPROFLOXACNI ; 20 Strip + 6tablet, VOLTADEX 50 ; 2 Strip CEFADROXIL ; 9 Strip ANTALGIN ; 7 StripNEUROMEC ; 6 Strip, INFALGIN ; 8 Strip, RENADINAC ; 1 Strip,ANASTAN ; 3 Strip, MELOXICAM ; 4 Strip, OMEDRINAT ; 8 Strip,PIROXICAM ; 7 Strip.

CIPROFLOXACNI ; 20 Strip+ 6 tablet, VOLTADEX 50 ; 2 Strip CEFADROXIL ; 9 StripANTALGIN ; 7 Strip NEUROMEC ; 6 Strip, INFALGIN ; 8 Strip,RENADINAC ; 1 Strip, ANASTAN ; 3 Strip, MELOXICAM ; 4 Strip,OMEDRINAT ; 8 Strip, PIROXICAM ; 7 Strip.

Memerintahkan barang bukti berupa ;No Nama Barang Pabrik Kemasan Jumlah / strip / btl1 Pil KB Kombinasi Harsen Strip 2 box2 Novacycline 250 mg tab Novapharin Strip/10 55 strip3 Amoxycillin 500 mg tab Novapharin Strip/10 46 strip4 Penicillin tab Prafa 41 box/100+ 60 strip5 Dexametasone tab Harsen Strip/10 2 box/200 + 61 strip6 Supertetra kapsul Darya Varia Strip/2 1 box + 18 kap7 Pondex Forte tab Dexa Medika Strip/10 1 box8 Erphacyp tab Erlimpek Strip/10 4 box + 24 strip9 Irgapan 200 tab

Dexa Medika Strip/10 1 box + 9 strip10 Omestan tab Mutifa Strip/10 1 box + 5 strip11 Pronyci tab Kalbe Strip/10 4 box + 40 strip12 Moxigra 500 mg tab Gratia Strip/10 3 strip13 Novadium tab Novapharin Strip/10 8 strip14 Alofar tab Ifars Strip/10 10 strip15 Rimastan Forte tab First M Strip/10 5 strip16 Polofar Plus tab Ifars Strip/10 4 strip17 Asma soho Soho Btl/1000 200 tab18 Novason tab Novapharin Btl/1000 70 tab19 Phenyl butazon tab Infarmindo Btl/1000 800 tab20 Ifison tab Infarmindo

Btl/1000 200 tab21 Chlorphenon tab Zenith Btl/1000 800 tab22 Hufaxol tab Hufa Strip/10 7 strip23 Danasone tab Hexapharm Jaya Strip/10 13 strip24 Omegtamine tab Mutifa Strip/10 25 strip25 Captopril tab Indo F Strip/10 1 strip26 Glibenclamid tab 5 mg Indo F Strip/10 8 strip27 Dexa M 0,75 tab Dexa M Strip/10 10 strip28 Voltadex 50 tab Dexa M Strip/10 tab 9 strip29 Tifadium tab Trifa Strip/10 tab 10 strip30 Inflason tab Berlico Strip/10 tab 14 strip31 Ifidex tab Infarmindo Btl/1000 tab 2

btl32 Lexacort tab Molex Ayus Btl/1000 tab 2 btl33 Dexametasone 0,5 mg tab Harsen Strip/10 36 trip (Dirampas untuk Dimusnahkan) ;5.

Menyatakan barang bukti berupa : No Nama Obat Pabrik Kemasan Jumlah1 Pil KB Harsen Strip 2 boxKombinasi2 Novacycline 250 Novapharin Strip/10 55 stripmg tab3 Amoxycilin 500 Novapharin Strip/10 46 stripmg tabA Penicillin Prafa 41 box/1004strip5 Dexametasone Harsen Strip/10 2 box/200+tab strip6 Supertetra Darya Varia Strip/2 1 box+18 kz7 Pondex Forte tab Dexa Medika Strip/10 1 box8 Erphacyp tab Erlimpek Strip/10 4 box+24 st9 Irgapan 200 tab Dexa Medika Strip/10 1 box+9 stri10 Omestan tab Mutifa Strip

tab Kalbe Strip/10 4 box + 40 strip12 Moxigra 500 mg tab Gratia Strip/10 3 strip13.

Moxigra 500 mg tab Gratia Strip/10 3 strip13. Novadium tab Novapharin Strip/10 8 strip14. Alofar tab Ifars Strip/10 10 strip15 Rimastan Forte tab First M Strip/10 5 strip16 Polofar Plus tab Ifars Strip/10 4 strip17.

Strip/10 1 box + 9 strip10 Omestan tab Mutifa Strip/10 1 box + 5 strip11 Pronyci tab Kalbe Strip/10 4 box + 40 strip12.

412 Captopil 25 Indofarma strip 313 Gradilex 2 Graha Farma strip 814 Fargoxin 0,25 Farhrenheit strip 415 Asofen Intijaya Meta strip 116 Katergi Yekatria strip 617 Dextaf Balatif strip 918 Gabiten Ifars strip 619 Neo Protifed Graha Farma strip 220 Captropil 12,5 Indo Farma strip 821 Omefulvin Mutifa strip 822 Polopor Plus Ifars strip 223 Tazimut 0,5 Balatif strip 624 Molacort 0,5 Molex Ayus strip 325 Landson Lanadexon strip 326 Dexaarsen 0,5 Harsen strip 1427 Norvom

Ifars strip 828 Zoline Pyridam strip 1029 Salbutomol Graha Farma strip 930 Omeranin Mutifa strip 1031 Famotidin Indofarma strip 532 Rantidin Dexa strip 833 Grisefulvin Prafa strip 834 Amlodipin Mutifa strip 335 Scopma Ifars strip 336 Teosal Dexa Medica strip 837 Inamid Nufarindo strip 938 Dexaharse 0,75 Harsen strip 2539 Zoline Pyridam strip 840 Famotidine 0,75 Indofarma strip 541 Omberzol Bernofarma strip 842 Omekur Mutifa strip 543 Novadium Novaphari

strip 744 Lopadium Zenith strip 1045 Vesperum Ifars strip 446 Acylovir Indofarma strip 647 Loratadine Promedihrjo strip 448 Grafalin Grahafarm strip 749 Salbutamol Indofarma strip 150 Vilergi Mutifa strip 951 Mycazol Erlimpex strip 652 Omezyteks Mutifa strip 553 Grinci 125 Novapharin strip 654 Lazol Ifars strip 155 Lansoprazol Hexpharm strip 256 Incitin Bernofarm strip 257 Omeprazole Guardian strip 58 Domperidon Hexapham strip 459 Acifar Ifars strip

360 Cetrol Solas strip 1261 Winatin Ifars strip 662 Larotadine Hexapharm strip 363 Mycoral Kalbe strip 264 Pronto Zenith strip 1065 Omegesic Mutifa strip 666 Hufanoxil 500 mg Gratia strip 467 Cefadroxil 500 mg Bernofarm strip 368 Omeproksil Mutifa strip 769 Yekaprin Yekatria strip 1070 Omegtrin Mutifa strip 871 Pronicy Kalbe strip 172 Novatrim Novapharin strip 673 Amosterra Sejahtera LF strip 274 Amoxicillin Mersi strip 975 Benoxicam Bernofarm strip 476

strip 392 Zerion Balatif strip 593 Grazeo Graha F strip 894 Clidamycin 300 mg Indofarma strip 295 Irgafan 300 mg Dexa M strip 996 Bufacaryl Zenith strip 997 Irgafan 100 Dexa M strip 598 Mikrodiol 30 KF strip 1499 Kemoren 50 Phyto KA strip 3100 Methylpred Dexa M strip 8101 Andalan Pil KB Harsen strip 2102 Proxona Harsen strip 1103 Andalan Laktasi Pil KB Harsen strip 19104 PIL KB Harsen strip 20105 Dexa M 0,75 Dexa M strip 2106 Andalan Suntik Pil KB Harsen strip 21107 Harmonis

Katergi Yekatria strip 617 Dextaf Balatif strip 918 Gabiten lfars strip 619 Neo Protifed Graha Farma strip 220 Captropil 12,5 Indo Farma strip 821 Omefulvin Mutifa strip 822 Polopor Plus lfars strip 220 Tazimut 0,5 Balatif strip 624 Molacort 0,5 Molex Ayus strip 325 Landson Lanadexon strip 326 Dexaarsen 0,5 Harsen strip 1427 Norvom lfars strip 828 Zoline Pyridam strip 1029 Salbutomol Graha Farma strip 930 Omeranin Mutifa strip 1031 Famotidin Indofarma strip 532 Rantidin Dexa strip 8oo Grisefulvin

Pro 35 Scopma lfars strip a36 Teosal Dexa Medica strip 837 Inamid Nufarindo strip 938 Dexaharse 0,75 Harsen strip 2539 zoline Pyridam strip 840 Famotidine 0,75 Indofarma strip 541 Omberzol Bernofarma strip 842 Omekur Mutifa strip 543 Novadium Novaphari strip 744 Lopadium Zenith strip 1045 Vesperum lfars strip 446 Acylovir Indofarma strip 647 Loratadine Promedihrjo strip 448 Grafalin Grahafarm strip 749 Salbutamol Indofarma strip 150 Vilergi Mutifa strip 951 Mycazol Erlimpex strip 652 Omezyteks Mutifa

Bernofarm strip 888 Alofar lfars strip 989 Rosic Pyridam strip 590 Vadrol Novapharin strip 691 Omeric Mutifa strip 392 Zerion Balatif strip 593 Grazeo Graha F strip 894 Clidamycin 300 mg Indofarma strip 295 Irgafan 300 mg Dexa M strip 9g96 Bufacaryl Zenith strip 9g97 Irgafan 100 Dexa M strip 598 Mikrodiol 30 KF strip 1499 Kemoren 50 Phyto KA strip 3100 Methylpred Dexa M strip 8101 Andalan Pil KB Harsen strip 2102 Proxona Harsen strip 1103 Andalan Laktasi Pil Harsen strip 19KB104 PIL KB Harsen strip

strip 617 Dextaf Balatif strip 918 Gabiten lfars strip 618 Neo Protifed Graha Farma strip 220 Captropil 12,5 Indo Farma strip 821 Omefulvin Mutifa strip 822 Polopor Plus lfars strip 223 Tazimut 0,5 Balatif strip 624 Molacort 0,5 Molex Ayus strip 325 Landson Lanadexon strip 326 Dexaarsen 0,5 Harsen strip 1427 Norvom fars strip 828 Zoline Pyridam strip 1029 Salbutomol Graha Farma strip 930 Omeranin Mutifa strip 1031 Famotidin Indofarma strip 532 Rantidin Dexa strip 833 Grisefulvin Prafa strip 834

Prp 28 Zoline Pyridam strip 1029 Salbutomol Graha Farma strip 930 Omeranin Mutifa strip 1031 Famotidin Indofarma strip 532 Rantidin Dexa strip 820 Grisefulvin Prafa strip 834 Amlodipin Mutifa strip 335 Scopma fars strip 336 Teosal Dexa Medica strip 837 Inamid Nufarindo strip 938 Dexaharse 0,75 Harsen strip 2539 Zoline Pyridam strip 840 Famotidine 0,75 Indofarma strip 541 Omberzol Bernofarma strip 842 Omekur Mutifa strip 543 Novadium Novaphari strip 744 Lopadium Zenith strip 1045 Vesperum fars strip

Strip 317 Broadamox Samparido Strip 1018 Broadamox Shamparido Strip 1019 Bufacaryl Zenith Strip 620 Captopril 12,5 mg Indofarma Strip 1021 Captopril 25 mg Indofarma Strip 1022 Cefadroxil Dexa Strip 523 Cetrizine 10 mg Novell Strip 424 Clindamycin Novell Strip 525 Dehista Berlico Strip 326 Dehistan Berlico Strip 727 Dexa 0,75 Dexa Strip 4028 Dexaharsen 0,5 Harsen Strip 2529 Dexaharsen 0,75 Harsen Strip 2730 Dextaf Balatif Strip 331 Dionicol Ifars Strip 432 Erlamycetin tetes telinga

364 Latibet Ifars Strip 265 Lerzin Ifars Strip 766 Licodexon 0,5 Berlico Strip 467 Licostan Berlico Strip 468 Lisfen Holi Strip 569 Lokev Ifars Strip 1970 Mefinal Sanbe Strip 271 Meloxicam Otto Strip 272 Meloxicam 0,75 Otto Strip 373 Methyl prednisolon Dexa Strip 374 Methylprednisolon Nulab Strip 875 Mexon Sampharindo Strip 376 Mikrodiol 30 KF Strip 977 Mionalgin Ifars Strip 478 Molacort 0,75 Molex Ayus Strip 679 Moxigra Graha F Strip 980 Muzoral Molex Ayus Strip 781 Muzoral

200 Kalbe Strip 782 Neuralgin RX Novell Strip 583 Nichostan Nicholas Strip 884 Novabiotik Nova Strip 585 Novadex 0,75 Novapharin Strip 2186 Novaflox 500 Novapharin Strip 1087 Novapyron Novapharin Strip 488 Novastan suspensi Novapharin Strip 1089 Novaxicam Novapharin Botol 690 Omegesic Mutifa Strip 1691 Omegtamin Mutifa Strip 492 Omegtrim Mutifa Strip 1893 Omekur Mutifa Botol 294 Omeprazole 20 mg Otto Strip 895 Opistan Otto Strip 696 Peniciline V 50000 Erela Strip 597 Phenobiotik

Bernofarm Strip 498 Piroxicam Yarindo F Strip 499 Polofar Plus Ifars Strip 8100 Ponstan 500 Pfizer Strip 10101 Primadex syrup Dexa M Strip 3102 Pritacort Molex ayus Botol 2103 Ibuprofen 400 Phyto Strip 3104 pritagesic Molex ayus Strip 9105 Profut Mocosin Strip 7106 pronam Harsen Strip 2107 Pronicy Kalbe Strip 20108 Pronicy Kalbe Strip 10109 Renadinac 50 Fahrenheit Strip 4110 Salbutamol 2 mg Yarindo Strip 6111 Samrox 20 Samco farma Strip 8112 Scandexon Tempo Strip 10113 Simvastatin

10 Promed Strip 2114 Soldextam Solas Strip 5115 Solinfec Ifars Strip 5116 Spasminal Kalbe Strip 8117 Stanza 500 Hexapharm Strip 10118 Supertetra Darya Strip 6119 SVT 10 mg Hexapharm Strip 2120 Teosal Dexa Strip 15121 Thianicol Dankos Strip 8122 Tramadol Otto Strip 4123 Trifamycetin Trifa Tube 2124 Trifastan Trifa Strip 7125 Trifestan Trifa Strip 8126 Unigin Universal Strip 10127 Unigin Universal Strip 30128 Voltadex Dexa Strip 5129 Vomistrop syrup Gracia Botol 2130 Vosea Graha

Licostan Berlico Strip 468 Lisfen Holi Strip 569 Lokev lfars Strip 1970 Mefinal Sanbe Strip 271 Meloxicam Otto Strip 272 Meloxicam 0,75 Otto Strip 373 Methyl prednisolon Dexa Strip 374 Methylprednisolon Nulab Strip 875 Mexon Sampharindo Strip e76 Mikrodiol 30 KF Strip 977 Monalgin lfars Strip 478 Molacort 0,75 Molex Ayus Strip 679 Moxigra Graha F Strip 980 Muzoral Molex Ayus Strip 781 Muzoral 200 Kalbe Strip 782 Neuralgin RX Novell Strip 583 Nichostan Nicholas Strip 884 Novabiotik Nova Strip 585

Dexa M Strip 3 102 Pritacort Molex ayus Botol 2103 lbuprofen 400 Phyto Strip 3104 pritagesic Molex ayus Strip 9105 Profut Mocosin Strip 7106 pronam Harsen Strip 2107 Pronicy Kalbe Strip 20108 Pronicy Kalbe Strip 10109 Renadinac 50 Fahrenheit Strip 4110 Salbutamol 2 mg Yarindo Strip 6111 Samrox 20 Samco farma Strip 8112 Scandexon Tempo Strip 10113 Simvastatin 10 Promed Strip 2114 Soldextam Solas Strip 5115 Solinfec lfars Strip 5116 Spasminal Kalbe Strip 8117 Stanza 500 Hexapharm Strip 10118 Supertetra

Darya Strip 6119 SVT 10 mg Hexapharm Strip 2120 Teosal Dexa Strip 15121 Thianicol Dankos Strip 8122 Tramadol Otto Strip 4123 Trifamycetin Trifa Tube 2124 Trifastan Trifa Strip 125 Trifestan Trifa Strip 8126 Unigin Universal Strip 10127 Unigin Universal Strip 30128 Voltadex Dexa Strip 5129 Vomistrop syrup Gracia Botol 2130 Vosea Graha Strip e131 Witranal Itrasal Strip 9132 Witranal Itrasal Strip 6133 Yusimox lfars Strip 9134 Yusimox syrup lfars Botol a135 Zantifar lfars Strip 3136 Zelona Zenith Strip

Molex Ayus Strip 762 Lactasi Pil KB Harsen Tube 263 Lansoprazole 30 mg Novell Strip 364 Latibet lfars Strip 265 Lerzin lfars Strip 766 Licodexon 0,5 Berlico Strip 467 Licostan Berlico Strip 468 Lisfen Holi Strip 569 Lokev lfars Strip 1970 Mefinal Sanbe Strip 271 Meloxicam Otto Strip 272 Meloxicam 0,75 Otto Strip 373 Methyl prednisolon Dexa Strip e74 Methylprednisolon Nulab Strip 875 Mexon Sampharindo Strip 376 Mikrodiol 30 KF Strip 977 Monalgin lfars Strip 478 Molacort 0,75 Molex Ayus Strip 679

467 Licostan Berlico Strip 468 Lisfen Holi Strip 569 Lokev lfars Strip 1970 Mefinal Sanbe Strip 271 Meloxicam Otto Strip 272 Meloxicam 0,75 Otto Strip 373 Methyl prednisolon Dexa Strip 374 Methylprednisolon Nulab Strip 875 Mexon Sampharindo Strip 376 Mikrodiol 30 KF Strip 977 Mionalgin lfars Strip 478 Molacort 0,75 Molex Ayus Strip 679 Moxigra Graha F Strip g80 Muzoral Molex Ayus Strip 781 Muzoral 200 Kalbe Strip 782 Neuralgin RX Novell Strip 583 Nichostan Nicholas Strip 884 Novabiotik Nova Strip

Neuralgin : 4 dus @ 10 strip +2 strip16. Pronicy 4 mg : 2 dus @ 10 strip + 7 blister17. Cataflam 50 mg : 10 blister 18. Amoxicillin 500 : 2 dus @10 strip19. Na Diklofenak 50 mg : 2 dus @ 10 strip20. Apexol 30 mg : 3 dus @ 10 strip21. Novachlor 250 mg : 1 dus @ 10 strip22. Dexycol 500 : 1 dus @10 strip23. Super tetra : 3 dus @20 strip24. X-Flam 50 : 3 dus @ 3 strip25. Neuropyron : 20 strip26. Mycoral 200 : 2 dus @5 blister +10 blister27. Furosemide 40 : 4 dus @ 10 strip28.

Cortidex 0,5 : 2 dus @ 10 strip + 11 strip29. Cotrimoksazole : 3 dus # 10 strip30. Trichodazol : 1 dus @ 10 strip31. Mefinal 500 : 1 dus @ 10strip32. Thiamycin 500 : 1 dus @ 10strip33. Tremenza : 1 dus @ 10 strip34. Ocuson tab : 2 dus @ 5 strip35. Flamar 25 : 1 dus @10 strip36. Novadium : 1 dus @10 strip37. Formyco : 1 dus @ 10 strip 38. Floxifar : 1 dus @ 10 strip39. Mehylprednisolon 8 mg : 3 dus @ 10 strip40. Loradexon 0,5 mg : 4 dus @ 10 strip41.

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 : 10 strip47. Neurosanbe plus : 5 strip48. Cetrizine : 10 strip49. As Mefenamat 500 : 4 strip50. Thiamycin 1000 : 1 dus @5 strip51. Alopurinol 300 Seles : 6 dus @ 10 strip52. Gifas plus : 1 dus @ 5 strip53. Amoxsan 500 seles : 1 dus @ 10 strip54. Salbutamol 4 mg : 8 dus @10 strip55. Antalgin 500 : 50 strip56.

Alloppruinol Seles : 11 strip113. Interhistin : 7 strip114. Novadium 2mg : 1 dus @ 10 strip115. Dextamin Phapros : 10 bliser116. Captopril IF : 1 dus@ 10 strip117. Ketokenazole 200 Dexa : 5 strip118. Loratadine Dexa : 1 dus @ 5 strip119. Cetirizine Guardian : 1 dus @ 5 strip120. Lopamide : 1 dus @ 10 strip121. Omeprazole Nova : 4 strip122. Ambrozol Seles : 5 strip123. Acyclovir 200 KF : 5 strip124. Acyclovir 400 Dexa : 1 dus@ 5 strip125. Falmigra Graha : 4 strip126.

Voltaren 50 : 2 strip162. Nutrazol 500 : 4 strip163. Cefixine 100 : 4 strip164. Clindamicin 300 Mersi : 1 strip165. Lanadexon : 5 strip166. Allopurinol : 7 strip167. Binotal : 5 strip168. As Mefenamat Nova : 8 strip169. Amoxicilin 500 : 4 strip170. Exflam : 2 strip171. Lodia : 7 strip172. Supertetra : 12 strip173. Yusimox 500 : 7 strip174. Ketokenazol tab : 8 strip175. Epexol : 9 strip176. Cimetinde : 11 strip177. Methyl prednisolon : 5 strip178.

Menetapkan barang bukti berupa :- 9 (sembilan) strip Bitafarm 20;- 70 (tujuh puluh) Blister Voldatex 50;- 16 (enam belas) Strip Irgapan 200;- 10 (sepuluh) Strip Neuralgin RX;- 10 (sepuluh) strip Gricin 125;- 6 (enam) strip Neuropyron V;- 60 (enam puluh) strip Piroxicam 10 mg;- 20 (dua puluh) Strip Sinapdin;- 30 (tiga puluh) strip Tifertan Forte;- 18 (delapan belas) strip SoldexTam;- 6 (enam) strip Ampicillin 500;- 3 (tiga) strip Amoxilin;- 4 (empat) strip Bidium;- 6 (enam) strip Trifastan

500 mg;- 20 (dua puluh) strip Bimactrim;- 2(dua) strip Gabiten;- 9 (sembilan) strip Kemotason;- 1 (satu) strip Fimestan Forte;- 5 (lima) strip Dextaf;- 3 (tiga) strip Antagin Kaplet;- 10 (sepuluh) Blister Kemoren 50;- 10 (sepuluh) Blister Novachlor 250;- 10 (sepuluh) Strip Asam Mefenamat 500;- 11 (sebelas) strip Supertetra;- 22 (dua puluh dua) strip Ennamax 4 mg;- 100 (seratus) Cycles PiL KB Kombinasi;- 15 (lima belas) Strip Catopril 25;- 270 (dua ratus tujuh puluh) Strip CTM 4 Mg;

- 20 (dua puluh) Vial Obat Suntik KB I Tiga Bulanan;- 5 (lima) Strip Dexamethason 0,5 mg;- 2 (dua) strip Mexon;- 8 (delapan) Strip Atibet 5 mg;- 5 (lima) Strip Wiros 20;- 9 (sembilan) Strip Sabultamol 4 mg;- 6 (enam) Botol Fasiprim;Dirampas untuk dimusnahkan;4.

Bitafarm 20 sebanyak 9 strip;Voldatex 50 sebanyak 70 Bister;Irgapan 200 sebanyak 16 Strip;Neuralgin RX sebanyak 10 Strip;Gricin 125 sebanyak 10 strip;Neuropyron V;Piroxicam 10 mg;Sinapdin 20 Strip;oOo NO aA PF WY NDTifertan Forte 30 strip;10. SoldexTam;11.Ampicillin 500 sebanyak 6 strip;12. Amoxilin sebanyak 3 strip;13. Bidium sebanyak 4 strip;14. Trifastan 500 mg sebanyak 6 strip;15. Bimactrim sebanyak 20 strip;16. Gabiten sebanyak 2 strip;17.Kemotason sebanyak 9 strip;18.

, Voldatex 50 sebanyak 70 Bister, Irgapan 200 sebanyak16 Strip, Neuralgin RX sebanyak 10 Strip, Gricin 125 sebanyak 10 strip,Neuropyron V, Piroxicam 10 mg, Sinapdin 20 Strip, Tifertan Forte 30 strip,SoldexTam, Ampicillin 500 sebanyak 6 strip, Amoxilin sebanyak 3 strip,Bidium sebanyak 4 strip, Trifastan 500 mg sebanyak 6 strip, Bimactrimsebanyak 20 strip, Gabiten sebanyak 2 strip, Kemotason sebanyak 9 strip,Fimestan Forte sebanyak 1 strip, Dextaf sebanyak 5 strip, Antagin Kapletsebanyak 3 strip, Kemoren

, Voldatex 50 sebanyak 70Bister, Irgapan 200 sebanyak 16 Strip, Neuralgin RX sebanyak 10 Strip, Gricin125 sebanyak 10 strip, Neuropyron V, Piroxicam 10 mg, Sinapdin 20 Strip,Tifertan Forte 30 strip, SoldexTam, Ampicillin 500 sebanyak 6 strip, Amoxilinsebanyak 3 strip, Bidium sebanyak 4 strip, Trifastan 500 mg sebanyak 6 strip,Bimactrim sebanyak 20 strip, Gabiten sebanyak 2 strip, Kemotason sebanyak 9strip, Fimestan Forte sebanyak 1 strip, Dextaf sebanyak 5 strip, Antagin Kapletsebanyak 3 strip, Kemoren

, Gricin 125 sebanyak 10strip, Neuropyron V, Piroxicam 10 mg, Sinapdin 20 Strip, TifertanForte 30 strip, SoldexTam, Ampicillin 500 sebanyak 6 strip,Amoxilin sebanyak 3 strip, Bidium sebanyak 4 strip, Trifastan 500mg sebanyak 6 strip, Bimactrim sebanyak 20 strip, Gabitensebanyak 2 strip, Kemotason sebanyak 9 strip, Fimestan Fortesebanyak 1 strip, Dextaf sebanyak 5 strip, Antagin Kapletsebanyak 3 strip, Kemoren 50 sebanyak 10 Blister, Novachlor 250sebanyak 10 Blister, Asam Mefenamat 500 sebanyak 10

, Voldatex 50 sebanyak 70 Bister,Irgapan 200 sebanyak 16 Strip, Neuralgin RX sebanyak 10 Strip, Gricin 125sebanyak 10 strip, Neuropyron V, Piroxicam 10 mg, Sinapdin 20 Strip, TifertanForte 30 strip, SoldexTam, Ampicillin 500 sebanyak 6 strip, Amoxilin sebanyak 3strip, Bidium sebanyak 4 strip, Trifastan 500 mg sebanyak 6 strip, Bimactrimsebanyak 20 strip, Gabiten sebanyak 2 strip, Kemotason sebanyak 9 strip,Fimestan Forte sebanyak 1 strip, Dextaf sebanyak 5 strip, Antagin Kapletsebanyak 3 strip, Kemoren

tab KF Strip/ 10 100050 Erphacyp tab Erlimpex Strip/ 10 2051 Etambutol cap 500 mg KF Strip/ 10 13052 Etamoxul sirup Eta Strip/ 10 553 Etason tab Otto Strip/ 10 5054 Fargetix tab Strip/ 10 26055 Farmoten 25 mg tab Pratapa Strip/ 10 40056 Farmoten 25 mg tab Fahreinheit Strip/ 10 9057 Faxiden 10 mg cap Ifars Strip/ 10 3058 Faxiden 10 mg cap Strip/ 10 6059 FG Troches tab Meiji Strip/ 10 2060 Furosemide tab KF Strip/ 10 20061 Glibenclamid tab Indo F Strip/ 10 24062 Grafachlor cap Strip

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

500 mg tab Hexapharm Strip/ 10 64109 Novatrim sirup Zenith Strip/ 10 40110 Novatrim tab Ifairs Strip/ 10 7111 Omefulvin tab Trifa Strip/ 10 8112 Omegesic tab Balatif Strip/ 10 90113 Omegtrim sirup Schering Strip 18114 Omemox 500 mg tab Universal Strip/ 10 420115 Omeprazole cap Dexa M Strip/ 10 74116 Omestan 500 mg tab Pyridam Strip/ 10 60117 Opistan 500 mg tab Strip/ 10 118 Opistan tab Strip/ 10 100119 Otolin Ear drop Kalbe Btl 2120 Otoryl tab 25 mg Otto Strip/ 10 190121 Penicillin

Strip/ 10 100147 Spasminal tab Hexapharm Strip/ 10 60148 Spesidal cap Strip/ 10 60149 Suldox tab Actavis Strip/ 10 42150 Supertetra cap Darya V Strip/ 10 440151 Suprabiotic cap Strip/ 10 290152 Teosal tab Dexa Strip/ 10 240153 Tramadol 50 mg tab Strip/ 10 90154 Trfestan tab F Strip/ 10 200155 Trifason tab Trifa Strip/ 10 100156 Trifason F tab Balatif Strip/ 10 30157 Unigin tab Universal Strip/ 10 510158 Vesperum tab Ifars Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160

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

Erphacyp tab Erlimpex Strip/ 10 2051 Etambutol cap 500 mg = KF Strip/ 10 13052 Etamoxul sirup Eta Strip/ 10 553 Etason tab Otto Strip/ 10 5054 Fargetix tab Strip/ 10 26055 Farmoten 25 mg tab Pratapa Strip/ 10 40056 Farmoten 25 mg tab Fahreinheit Strip/ 10 9057 Faxiden 10 mg cap Ifars Strip/ 10 3058 Faxiden 10 mg cap Strip/ 10 6059 FG Troches tab Meiji Strip/ 10 2060 Furosemide tab KF Strip/ 10 20061 Glibenclamid tab Indo F Strip/ 10 24062 Grafachlor cap Strip/ 10 10063 Grafalin tab Graha Strip/

Strip/ 10 60149 Suldox tab Actavis Strip/ 10 42150 Supertetra cap Darya V Strip/ 10 440151 Suprabiotic cap Strip/ 10 290152 Teosal tab Dexa Strip/ 10 240 153 Tramadol 50 mg tab Strip/ 10 90154 Trfestan tab F Strip/ 10 200155 Trifason tab Trifa Strip/ 10 100156 Trifason F tab Balatif Strip/ 10 30157 Unigin tab Universal Strip/ 10 510158 Vesperum tab Ifars Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal tab Itrasal

100050 Erphacyp tab Erlimpex Strip/ 10 2051 Etambutol cap 500 mg KF Strip/ 10 13052 Etamoxul sirup Eta Strip/ 10 533 Etason tab Otto Strip/ 10 5054 Fargetix tab Strip/ 10 2603S Farmoten 25 mg tab Pratapa Strip/ 10 40056 Farmoten 25 mg tab Fahreinheit Strip/ 10 9057 Faxiden 10 mg cap Ifars Strip/ 10 3058 Faxiden 10 mg cap Strip/ 10 6059 FG Troches tab Meiji Strip/ 10 2060 Furosemide tab KF Strip/ 10 20061 Glibenclamid tab Indo F Strip/ 10 24062 Grafachlor cap Strip/ 10 10063 Grafalin tab Graha Strip

Spesidal cap Strip/ 10 60149 Suldox tab Actavis Strip/ 10 42150 Supertetra cap Darya V Strip/ 10 440151 Suprabiotic cap Strip/ 10 290152 Teosal tab Dexa Strip/ 10 240153 Tramadol 50 mg tab Strip/ 10 90154 Trfestan tab F Strip/ 10 200155 Trifason tab Trifa Strip/ 10 100156 Trifason F tab Balatif Strip/ 10 30157 Unigin tab Universal Strip/ 10 510158 Vesperum tab Ifars Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal

mg tab Strip/ 10 90154 Trfestan tab F Strip/ 10 200155 Trifason tab Trifa Strip/ 10 100156 Trifason F tab Balatif Strip/ 10 30157 Unigin tab Universal Strip/ 10 510158 Vesperum tab Ifars Strip/ 10 60159 Voltadex 50 mg tab Dexa Strip/ 10 200160 Vosea tab Graham F Strip/ 10 100161 Wiros cap Itrasal Strip/ 10 40162 Witranal tab Itrasal Strip/ 10 170163 Yusimox cap Ifars Strip/ 10 60164 Yusimox sirup Ifars Strip/ 10 3165 Zerion tab Balatif Strip/ 10 30166 Zonifar tab Strip/ 10 250167 Zoralin tab Strip

, Ibuprofen 400 mg 4 (empat) strip, Piroxicam 20 mg 5 (lima) strip, Domperidon Maleate 10 mg 10 (sepuluh) strip, Metronidazol 500 mg 1 (satu) strip, Salbutamol Sulfate 4 mg 8 (delapan) strip, Betahistine Mesilate 6 mg 2 (dua) strip, Mexon 3 (tiga) strip, Latibet 5 mg 10 (sepuluh) strip, Etapril 25 mg 8 (delapan) strip, FG Troches Meiji 22 (dua puluh dua) strip, Beneuron 1 (satu) strip, Simvastatin 10 mg 4 (empat) strip, Omegesic 2 (dua) strip, Glimepiride 2 (dua) strip, Grathazone 0,5 mg 1 (satu)

strip, Dexaharsen 0,5 mg 1 (satu) strip, Furosemide 5 (lima) strip, Lonadexon 1 (satu) strip, Ranitidin 2 (dua) strip, Yusimox 500 mg 8 (delapan) strip, Dexaharsen 0,75 mg 14 (empat belas) strip, Bufacaryl 1 (satu) strip, Betamethasol Valerate 0,1 % 1 (satu) tube, Reco 5 g 1 (satu) tube, Neurosanbe Plus 5 (lima) strip, Gitri 480 1 (satu) strip, Omegtrim 1 (satu) strip, Molacort 0,5 5 (lima) strip, Ketoconazole 200 mg 8 (delapan) strip, Rheumakap 200 mg 3 (tiga) botol dan Roverton 1 (satu) botol;

tube, Novadex 0,75 8 (delapan) strip, Flasicox 15 mg 2 (dua) strip, Cortidex 0,5 mg 3 (tiga) strip, Dexaharsen 0,5 mg 2 (dua) strip, Novatrim 2 (dua) strip, Norvom 5 (lima) strip, Pronam 5 (lima) strip, Lerzin 4 (empat) strip, Flacoid 0,75 20 (dua puluh) strip, Sevos 6 (enam) strip, Grafalin 4 4 (empat) strip, Vadrol 6 (enam) strip, Simvastatin 6 (enam) strip, Meloxicam 7 (tujuh) strip, Cetirizine 10 mg 6 (enam) strip, Alofar 300 2 (dua) strip, Inflason 16 (enam belas) strip, Triadene 18 (delapan

belas) strip, Gasela 150 mg 14 (empat belas) strip, Cefadroxil 1 (satu) strip, Helixim 100 1 (satu) strip, Cetirizine Hydrochloride 10 (sepuluh) strip, Bevalex 3 (tiga) tube, Penaren 1 (satu) strip, Betason N 1 (satu) tube, Cefixime Trihydrate 14 (empat belas) strip, Carbidu 7 (tujuh) strip, Omeprazole 7 (tujuh) strip, Cetirizine 10 mg 1 (satu) strip, Lerzin 1 (satu) botol, Vitaquin 1 (satu) tube, Berotec 1 (satu) kotak, Ifidex 0,5 1 (satu) botol, Vosea 1 (satu) strip, Planotap 11 (sebelas) blister

Bimatra 500 3 box/10 strip Obat keras daftar (G) 26.Ampicillin 500 mg 5 box/10 strip Obat keras daftar (G) 27.Dexamethasone 0,75 mg 3 box/20 strip Obat keras daftar (G) 28.Ginifar 500 mg 2 box/10 strip Obat keras daftar (G) 29.Hufadine 150 mg 2 box/10 strip Obat keras daftar (G) 30.Metochlopiramide 10 mg 2 box/10 strip Obat keras Daftar (G) 31.Amlodipine 10 mg 7 box/3 strip Obat keras daftar (G) 32.Vesperum/Domperidone 4 box/10 strip Obat keras daftar (G) 33.Neoropyron V 2 box/2 strip Obat keras

Zoline Caplet 1 box/10 strip Obat keras daftar (G) 59. Omevomid 1 box/10 strip Obat keras daftar (G) 60. Gabiten 1 box/10 strip Obat keras daftar (G) 61. Ometilson 1 box/10 strip Obat keras daftar (G) 62. Omedon 3 box/10 strip Obat keras daftar (G) 63. Ulsikur 200 mg 1 box/10 strip Obat keras daftar (G) 64. Neuromec 1 box/10 strip Obat keras daftar (G) 65. Bonapons 500 1 box/10 strip Obat keras daftar (G) 66. Omeretic 1 box/10 strip Obat keras daftar (G) 67.

Omezyrteks kaplet 2 box/5 strip Obat keras daftar (G) 84. Renabetic tab 3 box/10 strip Obat keras daftar (G) 85. Virtorin tab 2 box/10 strip Obat keras daftar (G) 86. Bimastan kaplet 2 box/10 strip 87. Solasic kaplet 5 box/10 strip Obat keras daftar (G) 88. Etamox 500 mg kaplet 7 box/10 strip Obat keras daftar (G) 89. Witranol kaplet 5 box/10 strip Obat keras daftar (G) 90. Costan Forte 1 box/10 strip Obat keras daftar (G) 91. Grafamic 3 box/10 strip Obat keras daftar(G) 92.

Tifestan Forte 3 box/10 strip 93. Fargetik Forte 3 box/10 strip Obat keras daftar (G) 94. Renadinac Tablet 9 box/10 strip Obat keras daftar (G) 95. Bimoxyl 500 mg 5 box/10 strip Obat keras daftar (G) 96. Yefamox 500 mg 9 box/10 strip Obat keras daftar (G) 97. Microtina kapsul 1 box/10 strip Obat keras daftar (G) 98. Moxigra 500 1 box/10 strip Obat keras daftar (G) 99. Profut tablet 1 box/10 strip Obat keras daftar (G) 100. Dexclosan tablet 15 box/10 strip Obat keras daftar (G) 101.

Grafalin 4 3 box/10 strip Obat keras daftar (G) 134. Gasela 1 box/10 strip Obat keras daftar (G) 135. Ranitidine 3 box/10 strip Obat keras daftar (G) 136. Piroxicam 4 box/10 strip Obat keras daftar (G) 137. Glucodex 7 box/10 strip Obat keras daftar (G) 138.Topram 2 box/10 strip Obat keras daftar (G) 139. Antalgin 1 box/50 strip Obat keras daftar (G) 140. Asmacel 2 mg 2 box/10 strip Obat keras daftar (G) 141. Lopamid 1 box/10 strip Obat keras daftar (G) 142.

Domperidon 10 5 box/5 strip Obat keras daftarmg (G)18, Inamid 2 mg 9 box/10 strip Obat keras daftar(G) 19, Novatrim 7 box/10 strip Obat keras daftar(G)20. Trifastan 4 box/10 strip Obat keras daftar(G)21. Glibenclamide 5 5 box/10 strip Obat keras daftarmg (G)22. Etafenin Forte 5 box/10 strip Obat keras daftar(G)23. Licostan 3 box/10 strip Obat keras daftar(G)24. Novastan 2 box/10 strip Obat keras daftar(G)25. Bimatra 500 3 box/10 strip Obat keras daftar(G)26.

Kalmicetine 250 1 box/10 strip Obat keras daftarmg (G)54. Thiamex 500 1 box/10 strip Obat keras daftar(G)55. Grafachlor 2 box/10 strip Obat keras daftar(G)56. Zerion 200 mg 1 box/10 strip Obat keras daftar(G)57. Tifatrim 1 box/10 strip Obat keras daftar(G)Be. Zoline Caplet 1 box/10 strip Obat keras daftar(G)59, Omevomid 1 box/10 strip Obat keras daftar(G)60. Gabiten 1 box/10 strip Obat keras daftar(G)61. Ometilson 1 box/10 strip Obat keras daftar(G)62.

Omedon 3 box/10 strip Obat keras daftar(G)63. Ulsikur 200 mg 1 box/10 strip Obat keras daftar(G)64. Neuromec 1 box/10 strip Obat keras daftar(G)65. Bonapons 500 1 box/10 strip Obat keras daftar(G)66. Omeretic 1 box/10 strip Obat keras daftar(G)67. Clindamycin 30 2 box/5 strip Obat keras daftarmg (G)68. Kalmethasone 0,5 1 box/20 strip Obat keras daftarmg (G)69. Stanalin DS 1 box/10 strip Obat keras daftar(G)70.

Etagemycetin 1 box/10 strip Dost keras daftar132. Grafalin 2 2 box/10 strip Obst keras daftar133. Grafalin 4 3 box/10 strip Spat keras daftar134. Gasela 1 box/10 strip Spat keras daftar135: Ranitidine 3 box/10 strip Coat keras daftar136. Piroxicam 4 box/10 strip Sit keras daftar137. Glucodex 7 box/10 strip Spat keras daftar138. Topram 2 box/10 strip Obst keras daftar139. Antalgin 1 box/50 strip Spat keras daftar140. Asmacel 2 mg 2 box/10 strip Obst keras daftar141.

Irgafan 200 2 box/10 strip Spat keras daftar160. Metformin 1 box/10 strip Spat keras daftar161. Novadium 1 box/10 strip Coat keras daftar162. Lopamid Tablet 1 box/10 strip Sit keras daftar163. Gestin Fl 1 box/10 strip Spat keras daftar164. Mexon Tablet 1 box/10 strip Obst keras daftar165. Lopamid Tablet 1 box/10 strip Spat keras daftar166.

Memerintahkan barang bukti berupa:NO NAMA OBAT PABRIK KEMASAN JUMLAH1 Acifar 200 Ifars strip 92 Allopurinol Indofarma box 13 Amobiotic Bernofarm strip 124 Ampicillin - strip 25 Andalan Injeksi DKT ampul 126 Andalan Suntik DKT ampul 87 Aqua Pro Injeksi Global vial 88 Asonfen Intijaya strip 39 Bimaflox BMF strip 210 Bimapen Bima strip 811 Bufacaryl Bufa box 312 Captopril Landson strip 313 Carbidu 0,5 Samparindo strip 2914 Carbidu 0,75 Sampharindo tablet 10015 Carzetin drops Ifars botol

Solas botol 232 Furosemide Indo Farma strip 1333 Gasela Erela strip 1034 Gludepatic Pratapa box 135 Grafalin Graha Farma strip 336 Grafalin 4 Graha Farma box 137 Griseofulvin Prafa strip 1038 Griseofulvin - tablet 20039 Griseofulvin Nova strip 1040 Holimox Holi kapsul 6041 Hufanoxil syrup Hufa botol 242 Ifison Infarmindo tablet 20043 Interhistin Interbat strip 644 Irgapan 200 Dexa Medica strip 1145 Lactasi DKT Indonesia strip 2546 Lerzin Ifars strip 1547 Lerzin Ifars kapsul 20048

Lerzin syrup Ifars botol 1049 Licodexon Lico strip 1350 Licostan Berlico box 151 Lopadium Zenith box 352 Mikrodiol 30 Kimia Farma strip 1953 Neoramex Meco strip 1154 Neuralgin Kalbe strip 355 Neuropyron V Harsen strip 256 Neurotropic Global ampul 557 Norpid 10 Graha tablet 2058 Novachlor Nova strip 1659 Novadium Nova strip 1060 Novaflox Nova box 1box + 17 strip61 Novastan Nova strip 262 Omecidal Mutifa strip 363 Omedom Mutifa box 3 box + 90 tablet64 Omegtrim syrup Mutifa botol 3

Indofarma box 181 Salbutamol Indofarma strip 882 Salbutamol 4 mg Indofarma box 183 Sammoxin syrup Samco botol 284 Samquinor Samco strip 1885 Scopma Ifars strip 2086 Solasic Sola bok 187 Suldox Actavis strip 1088 Sultrimmix DS Bernofarm tablet 1089 Teosal Kalbe strip 1390 Tetracycline - kapsul 10091 Tetramycin Injeksi Pfizer vial 892 Thiampenicol Errita strip 993 Tifestan Forte Balatif box 194 Trifacort Trifa tablet 20095 Vesperum Ifars botol 196 Villurol Afi Farma strip 1797 Voltadex

50 Dexa M box 198 Zenichlor suspensi Zenith botol 199 Zerion Balatif strip 9100 Zoralin Medilac strip 2Dirampas untuk dimusnahkan4.

Eauha box 137 Griseofulvin Ppafaa strip 1038 Griseofulvin tablet 20039 Griseofulvin Nova strip 1040 Holimox Holi kapsul 6041 Hufanoxil syrup Hufa botol 242 Ifison Infarmindo tablet 20043 Interhistin Interbat strip 644 Irgapan 200 Dexa strip 1145 Lactasi Mrdica strip 2546 Lerzin Ipdenesia strip 1547 Lerzin Ifars kapsul 20048 Lerzin syrup Ifars botol 1049 Licodexon Lico strip 1350 Licostan Berlico box 151 Lopadium Zenith box 352 Mikrodiol 30 Kimia strip 1953 Neoramex Menn strip 1154 Neuralgin Kalbe

strip 355 Neuropyron V Harsen strip 256 Neurotropic Global ampul 557 Norpid 10 Graha tablet 2058 Novachlor Nova strip 1659 Novadium Nova strip 1060 Novaflox Nova box 1box + 17 strip61 Novastan Nova strip 262 Omecidal Mutifa strip Ss63 Omedom Mutifa box 3 box + 90 tablet64 Omegtrim syrup Mutifa botol65 Omeproksil Mutifa strip 966 Omeroxol syrup Mutifa botol67 Omezyrteks Mutifa tablet 1468 Opistan Otto strip 969 Oxybiotic Injeksi Bernofarm vial 1070 Penicillin V Prafa strip 11 71 Piroxicam Novell

4 Brome box 137 Griseofulvin Pearaa strip 10 38 Griseofulvin tablet 20039 Griseofulvin Nova strip 1040 Holimox Holi kapsul 6041 Hufanoxil syrup Hufa botol 242 Ifison Infarmindo tablet 20043 Interhistin Interbat strip 644 Irgapan 200 Dexa strip 1145 Lactasi Mkdica strip 2546 Lerzin Ipdenesia strip 1547 Lerzin Ifars kapsul 20048 Lerzin syrup Ifars botol 1049 Licodexon Lico strip 1350 Licostan Berlico box 151 Lopadium Zenith box 352 Mikrodiol 30 Kimia strip 1953 Neoramex Nene strip 1154 Neuralgin Kalbe

Grafalin 4 Fauna box 137 Griseofulvin Ppafaa strip 1038 Griseofulvin tablet 20039 Griseofulvin Nova strip 10 14 40 Holimox Holi kapsul 6041 Hufanoxil syrup Hufa botol 242 Ifison Infarmindo tablet 20043 Interhistin Interbat strip 644 Irgapan 200 Dexa strip 1145 Lactasi Ndica strip 2546 Lerzin frdgnesia strip 1547 Lerzin Ifars kapsul 20048 Lerzin syrup Ifars botol 1049 Licodexon Lico strip 1350 Licostan Berlico box 151 Lopadium Zenith box 352 Mikrodiol 30 Kimia strip 1953 Neoramex Nenw strip 1154

Neuralgin Kalbe strip 35D Neuropyron V Harsen strip 256 Neurotropic Global ampul 557 Norpid 10 Graha tablet 2058 Novachlor Nova strip 1659 Novadium Nova strip 1060 Novaflox Nova box 1box + 17 strip61 Novastan Nova strip 262 Omecidal Mutifa strip 363 Omedom Mutifa box 3 box + 90 tablet64 Omegtrim syrup Mutifa botol 365 Omeproksil Mutifa strip 966 Omeroxol syrup Mutifa botol 667 Omezyrteks Mutifa tablet 1468 Opistan Otto strip 969 Oxybiotic Injeksi Bernofarm vial 1070 Penicillin V Prafa strip 1171

500 mg @ 1 strip (10 tablet)

3 strip (80 tablet)

Carbidu 0,75 mg @ 17 strip, 5 strip (220 tablet)

mg @ 10 strip (200 tablet)

pack CIMETIDINE @ 10 strip (200 tablet)

strong>Yang tidak memiliki keahlian dan kewenangan untuk melakukan praktik kefarmasian sebagaimana dalam dakwaan Penuntut Umum;

NAMA BARANG PABRIK KEMASAN JUMLAH1 Acifar cream Ifars tube 52 Acyclovir Indofarma tube 23 Alletrol Erela botol 24 Allopurinol 100 mg Indofarma 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 Sampharindo strip 321 Cetrizin 10 mg Novella strip 422 Cetrizin 10 mg Novella blister 423 Chloramphenicol Yekatria botol 524 Ciprofloxacin Berno strip 725 Danasone Kalbe strip 526 Dexaharsen 0,5 mg Harsen strip 1527 Dexaharsen 0,75 mg Harsen box 128 Dextaf Balatif strip 929 Draston Ifars strip 130 Erlamycetin plus Erela botol 331

P strip 749 Mexon Sampharindo strip 750 Microgynon bayer box 351 Microtina Pyridam kapsul 2952 Microtina - strip 153 Muzoral Molex Ayus strip 354 Muzoral Krim Mugi tube 455 Mycetin Erela botol 556 Neuralgin Kalbe strip 357 Neuromec Mecosin box 258 Neuropyron Harsen strip 559 Nilaren 50 Nicholas strip 1560 Norvom Ifars strip 561 Novachlor Novapham botol 262 Novastan Novapharin strip 663 Novaxicam Novapharin box 164 Novaxicam Novapharm box 165 Omefulvin 125 mg Mutifa strip 266 Omegesic

Mutifa strip 667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3 % Erela tube 571 Penicillin Erela strip 772 Pil KB Kombinasi KF strip 1173 Polofars plus Ifars strip 874 Polofars plus Ifars box 175 Prednisone Holi Pharma strip 1076 Prednisone Phapros strip 1077 Pritagesic Molex Ayus strip 578 Pronam Harsen strip 379 Pronazol Promed strip 280 Pronicy Kalbe box 181 Ranitidine 150 mg Dexa strip 782 Reco Tetes mata Global botol 7

83 Redusec Solas box 184 Rosidon Novapham botol 385 Roverton Ifars box 186 Salbutamol KF box 187 Samquinor samco box 188 Scandexon Tempo strip 889 Scandexon Scan box 190 Selvim Ifars strip 491 Soldextam Solas strip 992 Soldextam Solas strip 1993 Solpenox Solas strip 994 Spasminal Hexpharm Jaya strip 695 Teosal Dexa strip 1496 Trifacydin Trifa tube 397 Trifastan Trifa strip 298 Tryfamycetin Trifa tube 599 Unigin Universal strip 13100 Valdres Phapros box 1101 Vesperum Ifars botol

P strip 749 Mexon Sampharindo strip 750 Microgynon bayer box 351 Microtina Pyridam kapsul 2952 Microtina . strip 153 Muzoral Molex Ayus strip 354 Muzoral Krim Mugi tube 455 Mycetin Erela botol 556 Neuralgin Kalbe strip 357 Neuromec Mecosin box 258 Neuropyron Harsen strip 559 Nilaren 50 Nicholas strip 1560 Norvom lfars strip 561 Novachlor Novapham botol 262 Novastan Novapharin strip 663 Novaxicam Novapharin box 164 Novaxicam Novapharm box 165 Omefulvin 125 mg Mutifa strip 266 Omegesic Mutifa strip

667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3% Erela tube 571 Penicillin Erela strip 772 PilKB Kombinasi KF strip 1173 Polofars plus lfars strip 874 Polofars plus lfars box 175 Prednisone Holi Pharma strip 1076 Prednisone Phapros strip 1077 Pritagesic Molex Ayus strip 578 = Pronam Harsen strip 379 Pronazol Promed strip 280 Pronicy Kalbe box 181 Ranitidine 150 mg Dexa strip 782 Reco Tetes mata Global botol 783 Redusec Solas box 184 Rosidon

50 Nicholas strip 1560 Norvom lfars strip 561 Novachlor Novapham botol 262 Novastan Novapharin strip 663 Novaxicam Novapharin box 164 Novaxicam Novapharm box 165 Omefulvin 125 mg Mutifa strip 266 Omegesic Mutifa strip 667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3% Erela tube 571 Penicillin Erela strip 772 PilKB Kombinasi KF strip 1173 Polofars plus lfars strip 874 Polofars plus lfars box 175 Prednisone Holi Pharma strip 1076 Prednisone

strip 1077 Pritagesic Molex Ayus strip 578 = Pronam Harsen strip 379 Pronazol Promed strip 280 Pronicy Kalbe box 181 Ranitidine 150 mg Dexa strip 782 Reco Tetes mata Global botol 783 Redusec Solas box 184 Rosidon Novapham botol 385 Roverton fars box 186 Salbutamol KF box 187 Samquinor samco box 188 Scandexon Tempo strip 889 Scandexon Scan box 190 Selvim fars strip 491 Soldextam Solas strip 992 Soldextam Solas strip 1993 Solpenox Solas strip 994 Spasminal Hexpharm Jaya strip 695 Teosal Dexa strip

strip 667 Omegesix Mutifa box 168 Omeprazole 20 mg Guardian P box 169 Omeretic Mutifa strip 970 Oxytetracyclin 3% Erela tube 571 Penicillin Erela strip 772 PilKB Kombinasi KF strip 1173 Polofars plus fars strip 874 Polofars plus lfars box 175 Prednisone Holi Pharma strip 1076 Prednisone Phapros strip 1077 Pritagesic Molex Ayus strip 578 = Pronam Harsen strip 3 Halaman 26 dari 28 Putusan Nomor 86/Pid.Sus/2017/PNPLW 79 Pronazol Promed strip 280 Pronicy Kalbe box 181 Ranitidine 150 mg Dexa strip 782

Pronicy Tablet 38 (tiga puluh delapan) strip @ 10 tablet Obat Keras Daftar (G)2. Neuralgin Tablet 39 (tiga puluh sembilan) strip@10 tablet Obat Keras Daftar (G)3. Unigin Tablet 49 (empat puluh sembilan) strip @ 10 tablet Obat Keras Daftar (G)4. Dexametason 0,5 mg tablet 27 (dua puluh tujuh) strip @ 10 tablet Obat Keras Daftar (G)5. Dexametason 0,75 mg tablet 44 (empat puluh empat) strip @ 10 tablet Obat Keras Daftar (G)6.

Omegtamin tablet 30 (tiga puluh) strip@ 10 tablet Obat Keras Daftar (G)7. Piroxicam 20 mg capsul 16 (enam belas) strip@10 capsul Obat Keras Daftar (G)8. Piroxicam 10 mg capsul 25 (dua puluh lima) strip@10 capsul Obat Keras Daftar (G)9. Piroxicam 20 mg tablet 8 (delapan) strip@10 tablet Obat Keras Daftar (G)10. Piroxicam 10 mg tablet 13 (tiga belas) strip@10 tablet Obat Keras Daftar (G)11. Piroxicam 10 mg tablet 6 (enam) strip@10 tablet Obat Keras Daftar (G)12.

Rifampicin 450 mg tablet 6 (enam) strip @ 10 tablet Obat Keras Daftar (G)13. Levigest 28 pil KB 52 (lima puluh dua) strip Obat Keras Daftar (G)14. Andalan pil KB 22 (dua puluh dua) strip Obat Keras Daftar (G)15. Plano tablet 40 (empat puluh) strip Obat Keras Daftar (G)16. Metformin tablet 7 (tujuh) strip @ 10 tablet Obat Keras Daftar (G)17. Nifedipin tablet 11 (sebelas) strip @ 10 tablet Obat Keras Daftar (G)18. Grazeo 20 mg 15 (lima belas) strip @ 10 tablet Obat Keras Daftar (G)19.

Ibuprofen 400 mg 6 (enam) strip @ 10 tablet Obat Keras Daftar (G)20. Ketokonazole 200 mg tablet 4 (empat) strip @ 10 tablet Obat Keras Daftar (G)21. Glucodex tablet 10 (sepuluh) strip @ 10 tablet Obat Keras Daftar (G)22. Faxiden 20 mg tablet 10 (sepuluh) strip @ 10 tablet Obat Keras Daftar (G)23. Voltadex 50 mg tablet 5 (lima) strip @ 10 tablet Obat Keras Daftar (G)24. Irgapan 200 mg tablet 3 (tiga) strip @ 10 tablet Obat Keras Daftar (G)25.

Captopril 25 mg tablet 6 (enam) strip @ 10 tablet Obat Keras Daftar (G)26. Captropril 12,5 mg tablet 5 (lima) strip @ 10 tablet Obat Keras Daftar (G)27. Captropil 50 mg tablet 4 (empat) strip @ 10 tablet Obat Keras Daftar (G)28. Renadinac 50 mg tablet 5 (lima) strip @ 10 tablet Obat Keras Daftar (G)29. Irgapan 100 mg tablet 3 (tiga) strip @ 10 tablet Obat Keras Daftar (G)30. Renadinac 25 mg tablet 7 (tujuh) s trip @ 10 tablet Obat Keras Daftar (G)31.

Piroxicam 20 mg 16(enambelas) Obat Keras Daftarcapsul strip@10capsul (G)8. Piroxicam 10 mg 25 (dua puluh lima) Obat Keras Daftarcapsul strip@10capsul (G)9. Piroxicam 20 mg 8 (delapan) Obat Keras Daftartablet strip@10 tablet (G)10. Piroxicam 10 mg13 (tiga belas) Obat Keras Daftartablet strip@10 tablet (G)11. Piroxicam 10 mg 6 (enam) strip@10 Obat Keras Daftartablet tablet (G)12. Rifampicin 450 mg 6 (enam) strip @ Obat Keras Daftartablet 10 tablet (G)13.

Faxiden 20 mg 10 (sepuluh) strip Obat Keras Daftartablet @ 10 tablet (G)23. Voltadex 50 mg 5 (lima) strip @ 10 Obat Keras Daftartablet tablet (G)24. Irgapan 200 mg 3 (tiga) strip @ 10 Obat Keras Daftartablet tablet (G)25. Captopril 25 mg 6 (enam) strip @ Obat Keras Daftartablet 10 tablet (G)26. Captropril 12,5 mg 5 (lima) strip @ 10 Obat Keras Daftartablet tablet (G)27. Captropil 50 mg 4 (empat) strip @ Obat Keras Daftartablet 10 tablet (G)28.

Renadinac 50 mg5 (lima) strip @ 10 Obat Keras Daftartablet tablet (G)29. Irgapan 100 mg 3 (tiga) strip @ 10 Obat Keras Daftartablet tablet (G)30. Renadinac 25 mg 7 (tujuh) strip @ Obat Keras Daftartablet 10 tablet (G)31. Gludepatic 500 mg 8 (delapan) strip @ Obat Keras Daftar10 tablet (G)32. Glibenclamide 5 10 (sepuluh) strip Obat Keras Daftarmg @ 10 tablet (G)33. Divoltar 50 mg 3 (tiga) strip @ 10 Obat Keras Daftartablet tablet (G) 3.

Ibuprofen 400 mg 6(enam) strip @ Obat Keras Daftar10 tablet (G)20. Ketokonazole 200 4(empat) strip @ Obat Keras Daftarmg tablet 10 tablet (G)21. Glucodex tablet 10 (Ssepuluh) strip Obat Keras Daftar@ 10 tablet (G)22. Faxiden 20 mg 10 (sepuluh) strip Obat Keras Daftartablet @ 10 tablet (G)23. Voltadex 50 mg 5 (lima) strip @ 10 Obat Keras Daftartablet tablet (G)24. Irgapan 200 mg 3 (tiga) strip @ 10 Obat Keras Daftartablettablet(G) 25.

Ibuprofen 400 mg 6(enam) strip @ Obat Keras Daftar10 tablet (G)20. Ketokonazole 200 4(empat) strip @ Obat Keras Daftarmg tablet 10 tablet (G)21. Glucodex tablet 10 (sepuluh) strip Obat Keras Daftar@ 10 tablet (G)22. Faxiden 20 mg 10 (sepuluh) strip Obat Keras Daftartablet @ 10 tablet (G)23. Voltadex 50 mg 5 (lima) strip @ 10 Obat Keras Daftartablet tablet (G)24. Irgapan 200 mg 3 (tiga) strip @ 10 Obat Keras Daftartablet tablet (G)25.

DKLO20836 0.5 mg strip x 10 Hexpharm 505710A1 200 tablettablet JayaDexaharse Dos 20 Dit37 4 OSI Strip x 10 Harsen 138079195 160 Tabletyo Ing Tablet 04 AtDexaharse Dos 20 Dit38 n0.75m Strip x 10 Harsen 138079195 140 Tabletfo Mg Tablet 04 BIDos 50DexaM . PT. Dexa DKL850539 0,75 strip x 10 Medics 001010A1 500 tablettabletDos 10 Balatif40 Dextaf strip x 10 Pharmaceutic Dis 0701 180 tableta 802910A1tablet al Division. DKL41 Divoltar Dos 5 Strip Kalbe 88116169 40 Tabletx 10 Tablet15 B1Dos 10 PT.

DKL913171 Grafachlor strip x 10 Graha Farma 102604A1 110 KapletkapletDos 1072 ~~ Grafalin 2 strip x 10 Graha Farma DRLSee 50 tablet103610A1tabletDos 1073 ~=+ Grafalin 4 strip x 10 Graha Farma Dyes 50 tablet103610B1tabletDos 10 DKL74 Grafalin 4 Strip x 10 Graha Farma 93311036 30 TabletTablet 10 B1.

Widharta GKL9230 Infus5% Infus Bhakti 500249C1Dos 10; DKL913171 Grafachlor strip x 10 Graha Farma 102604A1 110 KapletkapletDos 1072 Grafalin 2 strip x 10 Graha Farma DK2S3 50 tablet103610A1tabletDos 1073 + Grafalin 4 strip x 10 Graha Farma DK2S3 50 tablet103610B1tabletDos 10 DKL74 = Grafalin 4 Strip x 10 Graha Farma 93311036 30 TabletTablet 10 B1Dos 10Grafamic .; DKL9231713 500 strip x 10 Graha Farma 103304A1 10 KapletkapletDos 3 strip DKLO83176 Gravask 10 x10 tablet Graha Farma 113810B1 82 tablet

GKLg1 Ketoconazo Dos 5 Strip Gag dexa 98050241) 40 Tabletle 200 mg x 10 Tablet10 AlDos 1092 Lanadexon strip x 10 Landson PIL PES 90 tablet602304A1TabletNovellLansoprazo Dos 2 strip Pharmaceutic GKLO53393 x 10 kapsul al 513201A1 KapsulLaboratoriesPT. lfars. Dos 10 .9A Latibet 5 strip x 10 Pharmaceutic DKL9909 90 tabletmg als 211110B1tablet .LaboratoriesPT. lfars. Dos 5 strip .

10 Novapharin135 NOvEStet strip x 10 Pharmaceutic ones 100 Kaplet500 ; 001009A1Kaplet al IndustriesDos 10 DKL136 Novatrim Strip x 10 Novapharin 03340028 23 TabletTablet 10 Al; Dos 10 Novapharin137 NoveNIIeN strip x 10 Pharmaceutic DN TOS 64 tablet400 ; 009917A1tablet al IndustriesDos 10 DKL138 Omecidal Strip x 10 PT.

Ibuprofen 20 Strip;

113. Lafen 80 Strip;

114. Furosemide 40mg 12 Strip;

115. Ciprofloxasin 8 Strip;

116. Mitacord 12 Strip;

117. Catopril 25 60 Strip;

118. Bicofenat Sodium 20 Strip;

119. Solinfec 15 Strip;

120. Neuro Verom V 25 Strip;

121. Pyroxicam 10 69 Strip;

122. Pyroxicam 20 17 Strip;

123. Ermethasone 25 80 Strip;

124. Moxigra 500 8 Strip

35 Strip;

150. Grasela 43 Strip;

151. Dextaf 30 Strip;

152. Polofar plus 33 Strip;

153. Allopril 300 3 Strip;

154. Allofar 14 Strip;

155. Grateos 10 Strip;

156. Atorvastatin 10mg 9 Strip;

157. Bronchosal 4 mg 10 Strip;

158. Grazheo 20 18 Strip;

159. Neomethor 10 Strip;

160. Lodia 4 Strip;

161. Atorvastatin 2 Strip;

162. Rhemafar

10 Strip;

163. Renadinac 50 14 Strip;

164. Mycoral 5 Strip;

165. FG Troches 8 Strip;

166. Samquinor 19 Strip;

167. Domperidone 10 Strip;

168. Chloramfenikol 24 Strip;

169. Scopma Plus 9 Strip;

170. Selespurin 300 5 Strip;

171. Catopril 50mg 18 Strip;

172. Roverton 2 Strip;

173. Faridexon 3 Strip;

174. Glimepiride 7 Strip;

175. Propanolol

10mg 7 Strip;

176. Pennicillin Potasium 5 Strip;

177. Cotrimoxazole 17 Strip;

178. Tremenza 5 Strip;

179. Gliben Clamide 15 Strip;

180. Koligon 7 Strip;

181. Novatrim 6 Strip;

182. Stunic 7 Strip;

183. Mexom 8 Strip;

184. Carbidu 0,5 19 Strip;

185. Erbifin 10 Strip;

186. Glikos 8 Strip;

187. Lexacort 17 Strip;

188. Farsifen 400mg

23 Strip;

189. Pritanol 6 Strip;

190. Zidalev 4 Strip;

191. Farizol 10 Strip;

192. Tetra Cycline 3 Strip;

193. Lanadexon 10 Strip;

194. Opistan 7 Strip;

195. Pronam 9 Strip;

196. Dexteem Plus 20 Strip;

197. Nifedipine 6 Strip;

198. Histaclor 12 Strip;

199. Gludepatic 6 Strip;

200. Novadium 18 Strip;

201. Licodexon 0,5 12 Strip;