Marketing Activity Plan Q4 2023 (Actavis) - Glenny JKT-1

LIST ACTIVITY Product Presentation
BM : Business Meals antara Tim Wellesta dan HCP dengan maksimal peserta 3 orang
PP : Product Presentation antara Tim Wellesta dan HCP dengan maksimal peserta 5-20 orang
BM = PD
No Bulan ASL MR Produk
1 Oktober Glenny Yudhanto Arif Abdulrahman Stesolid Dumin

2 November Glenny Yudhanto Arif Abdulrahman Stesolid Dumin
3 Desember Glenny Yudhanto Arif Abdulrahman Stesolid Dumin
4 Oktober Glenny Yudhanto Juliadi Stesolid Dumin
5 November Glenny Yudhanto Juliadi Stesolid Dumin
6 Desember Glenny Yudhanto Juliadi Stesolid Dumin
7 Oktober Glenny Yudhanto Lamsar Gultom Stesolid Dumin
8 November Glenny Yudhanto Lamsar Gultom Stesolid Dumin
9 Desember Glenny Yudhanto Lamsar Gultom Stesolid Dumin
10 November Glenny Yudhanto Vacant Ex Nilam T Stesolid Dumin
11 Desember Glenny Yudhanto Vacant Ex Nilam T Stesolid Dumin
12 Oktober Glenny Yudhanto Amir Syarif Ziliwu Stesolid Dumin
13 November Glenny Yudhanto Amir Syarif Ziliwu Stesolid Dumin
14 Desember Glenny Yudhanto Amir Syarif Ziliwu Stesolid Dumin
15 Oktober Glenny Yudhanto Dhimas Anggun Stesolid Dumin
17 November Glenny Yudhanto Dhimas Anggun Stesolid Dumin
19 Desember Glenny Yudhanto Dhimas Anggun Stesolid Dumin
21 Oktober Glenny Yudhanto Lestari Hulu Stesolid Dumin
23 November Glenny Yudhanto Lestari Hulu Stesolid Dumin
25 Desember Glenny Yudhanto Lestari Hulu Stesolid Dumin
22
23
24
25
26
27
28
29
30
eserta 5-20 orang
PENGAJUAN AKTIVITA
Jenis Aktivitas
(BM/PD) Nama HCP No Promat Name of Promat
PP CLT-ID-00004-08.2022 Pharmacy Education Program Slide

pp CLT-ID-00004-08.2022 Pharmacy Education Program Slide
AJUAN AKTIVITAS
Tanggal Jumlah Peserta

Aktivitas Lokasi/Tempat Aktivitas (HCP)
10-Oct-23 RS PUSAT PERTAMINA 15

07-Nov-23 RS UNIVERSITAS INDONESIA, 15
05-Dec-23 RS KEMANG MEDICAL CARE 15
11-Oct-23 RSPAD GATOT SUBROTO 15
09-Nov-23 RS ISLAM JAKARTA 15
07-Dec-23 RS GADING PLUIT 15
17-Oct-23 RS MASMITRA 15
10-Nov-23 RS MARY CILEUNGSI HIJAU 15
07-Dec-23 RS RESTI MULYA 15
10-Nov-23 RS HERMINA DAAN MOGOT 15
07-Dec-23 RS GRAND FAMILY 15
6-Oct-23 APOTIK BERKAT 15
10-Nov-23 APOTIK DWI SAPTA NAWAWI 15
12 Des 23 KLINIK BWCC BINTARO 15
13-Oct-23 APOTIK K24 MATRAMAN 15
17-Oct-23 APOTIK MELAWAI 9 15
07-Nov-23 APOTIK TIRTA M.C 15
10-Nov-23 KLINIK INSANI CITEUREUP 15
05-Dec-23 APOTIK LAA TANSAA 15
12-Dec-23 APOTIK AJIWARAS 15
20-Oct-23 APOTIK RIZAL 15
13-Oct-23 APOTIK LEGENDA SEHAT 15
9-Nov-23 APOTIK ANEKA FARMA 15
24-Nov-23 APOTIK SUMBER SEHAT 15
21-Dec-23 APOTIK BENEDETTO 15
28-Dec-23 APOTIK PUJI 2 15
Biaya Meals
Jumlah Peserta (Rp. 1.000.000) Tanggal
(Wellesta) *sebelum pajak & Fee Institusi Approved SM Approval
layanan
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000 2,000,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
1 1,500,000
AKTIVITAS ACTUAL (Mohon cross check dengan s
Sudah Berlangsung
Tanggal Actual Lokasi/Tempat Jumlah HCP
Aktivitas Aktivitas (Actual) (Actual)
(Sudah/Belum)
s check dengan settlement document)
Email Approval atas perubahan
tanggal, tempat pelaksanaan
Jumlah Karyawan Biaya Meals BM/PP
Wellest (Actual) (Actual)
(Ada/Tidak) - sebutkan email
tanggal approvalnya
Dokumen Close Out / Settlement Aktivitas (isi dengan tanda ceklist "√
Absensi (opsional hanya untuk
BM)
Bill printed meals Photo Absensi (WAJIB untuk PP)
*absensi harus di tandatangan
basah oleh seluruh peserta
as (isi dengan tanda ceklist "√")

tanggal, tempat pelaksanaan KETERANGAN / REMAKS
BM/PP
LIST ACTIVITY RTD - 2022
RTD : Diskusi Round Table antara Tim Wellesta dan HCP dengan maksimal peserta 35 orang
1 October Glenny Yudhanto Arif Abdulrahman Stesolid Dumin

2 Oktober Glenny Yudhanto Arif Abdulrahman Stesolid Dumin
7 October Glenny Yudhanto Juliadi Stesolid Dumin
14 October Glenny Yudhanto Lamsar Gultom Stesolid Dumin
15 Oktober Glenny Yudhanto Lamsar Gultom Stesolid Dumin
20 November Glenny Yudhanto Vacant Ex Nilam T Stesolid Dumin
21 Desember Glenny Yudhanto Vacant Ex Nilam T Stesolid Dumin
22 October Glenny Yudhanto Amir Syarif Stesolid Dumin
23 Oktober Glenny Yudhanto Amir Syarif Stesolid Dumin
24 November Glenny Yudhanto Amir Syarif Stesolid Dumin
25 November Glenny Yudhanto Amir Syarif Stesolid Dumin
26 Desember Glenny Yudhanto Amir Syarif Stesolid Dumin
27 Desember Glenny Yudhanto Amir Syarif Stesolid Dumin
peserta 35 orang
PEN
Fungsi HCP
Nama HCP (Speaker atau No Promat
Peserta RTD)
dr. Augustine Y.Tandang Speaker No. DMNRT-ID-00006

dr. Ida Bagus Ary Wardhana Speaker No. DMNRT-ID-00006
dr. Fachrul Suarli Speaker No. DMNRT-ID-00006
dr. Indrayati Handojo Speaker No. DMNRT-ID-00006
dr. M Hadley Aulia Speaker No. DMNRT-ID-00006
dr. Huda Hilman, Sp.A Speaker No. DMNRT-ID-00006
dr. Devi Sispaweri Speaker No. DMNRT-ID-00006
dr. Radi Muharis Sp.Em Speaker No. DMNRT-ID-00006
dr. Dominggus N. Lokollo Sp.A Speaker No. DMNRT-ID-00006
dr. Melanie Gultom Speaker No. DMNRT-ID-00006
dr. Harminayanti Yanti Speaker No. DMNRT-ID-00006
dr . Arief Nugroho Speaker No. DMNRT-ID-00006
dr. Varkha Lachman Speaker No. DMNRT-ID-00006
dr. Senna Yeftana Speaker No. DMNRT-ID-00006
dr. Ade Rachman Speaker No. DMNRT-ID-00006
dr. Ares Susilo, MARS Speaker No. DMNRT-ID-00006
dr. Ayu Triana Speaker No. DMNRT-ID-00006
dr. Lita Bestari Sp.Em Speaker No. DMNRT-ID-00006
dr. Risma Astri Butar Butar Speaker No. DMNRT-ID-00006
dr. Rini Tri Yuliandita Speaker No. DMNRT-ID-00006
dr. Doris Lumban Tobing Speaker No. DMNRT-ID-00006
dr. Holi Winaktu Sp.Em Speaker No. DMNRT-ID-00006
dr. Leonard Speaker No. DMNRT-ID-00006
dr. Christian Saputra Speaker No. DMNRT-ID-00006
dr. Yudha Dwi Laksana Speaker No. DMNRT-ID-00006
dr. Jonathan Widjaja Speaker No. DMNRT-ID-00006
dr. Arifin Kurniawan K Sp.A, M.Kes, CHt Speaker No. DMNRT-ID-00006
dr. Anton Surianto Speaker No. DMNRT-ID-00006
HCP TIERING
MATRIX
PENGAJUAN AKTIVITAS (Tiering
diperlukan
untuk melihat
FMV speaker
Name of Promat fee yang akan
dibayarkan ke
HCP. Tiering
Matrix
calculation
Slide RTD Manajemen Kejang Demam pada Anak_Stesolid dan Dumin diperhitungka
Slide RTD Manajemen Kejang Demam pada Anak_Stesolid dan Dumin n di dalam
Slide RTD Manajemen Kejang Demam pada Anak_Stesolid dan Dumin sheet Tiering)
Slide RTD Manajemen Kejang Demam pada Anak_Stesolid dan Dumin
Tanggal Lokasi/Tempat Aktivitas Jumlah Peserta Jumlah Peserta
Aktivitas (HCP) (Wellesta)
13-Oct-23 RS BUNDA MARGONDA 15 2

17-Oct-23 RS PONDOK INDAH 15 2
09-Nov-23 RS PURI CINERE 15 2
14-Nov-23 RS MEDISTRA 15 2
08-Dec-23 RS BRAWIJAYA WOMEN & CHILDREN 15 2
14-Dec-23 RS HASANAH GRAHA AFIAH 15 2
12-Oct-23 RS MITRA KELUARGA GADING 15 2
19-Oct-23 RSCM JAKARTA 15 2
13-Oct-23 RS CENKA CIKARANG 15 2
16-Nov-23 RS MITRA KELUARGA BEKASI TIMUR 15 2
23-Nov-23 RS MITRA KELUARGA BEKASI BARAT 15 2
08-Nov-23 RS AMANDA SERANG 15 2
21-Dec-23 RS BUNDA MENTENG 15 2
14-Dec-23 RS ABDI WALUYO 15 2
19-Oct-23 RS ISLAM PONDOK KOPI 15 2
12-Oct-23 RS TRIMITRA 15 2
20-Nov-23 RS MITRA KELUARGA CIBUBUR 15 2
17-Nov-23 RS HERMINA JATINEGARA 15 2
14-Dec-23 RS EKA HOSPITAL CIBUBUR 15 2
19-Dec-23 RS COLUMBIA ASIA 15 2
16-Nov-23 RS SILOAM KEBON JERUK 15 2
14-Dec-23 RS PELNI 15 2
20-Oct-23 RS EKA HOSPITAL BSD 15 2
25-Oct-23 RS CAROLUS SUMMARECON SERPONG 15 2
21-Nov-23 RS HERMINA TANGERANG 15 2
23-Nov-23 RS MAYAPADA TANGERANG 15 2
15-Des-23 RS SARI ASIH 15 2
19-Des-23 RS SILOAM LIPPO VILLAGE 15 2
Biaya Meals Biaya Speaker Sudah Berlangsung
(Rp. 300.000) sesuai dengan Approved Tanggal
*sebelum pajak FMV SM Approval
& layanan *sebelum pajak
(Sudah/Belum)
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 1,500,000
3,000,000 3,000,000
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 3,000,000
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 1,500,000
3,000,000 1,500,000
3,000,000 1,500,000
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 1,500,000
3,000,000 2,000,000
3,000,000 1,500,000
3,000,000 1,500,000
3,000,000 1,500,000
3,000,000 1,500,000
3,000,000 3,000,000
3,000,000 1,500,000
AKTIVITAS ACTUAL (Mohon cross check dengan settlemen
Tanggal Actual Lokasi/Tempat Jumlah HCP Jumlah Karyawan Biaya Meals

Aktivitas Aktivitas (Actual) (Actual) Wellest (Actual) (Actual)
gan settlement document)
Biaya Speaker Fee Institusi/ BM/PP
(Actual) Moderator
tanggal approvalnya
Dokumen Close Out / Settlement Aktivitas (isi dengan tanda ceklist "√
Absensi (WAJIB untuk RTD)

Bill printed meals Photo *absensi harus di tandatangan
itas (isi dengan tanda ceklist "√")
Email Approval atas perubahan KETERANGAN / REMAKS

tanggal, tempat pelaksanaan RTD
LIST ACTIVITY RTD - 2023
RTD : Diskusi Round Table antara Tim Wellesta dan HCP dengan maksimal peserta 35 orang
PESTA: Pharmacy Education Wellesta ( 5-10 audience)

PENGAJUAN AKTIVITAS
Fungsi HCP
Nama HCP (Speaker atau Tanggal Lokasi/Tempat
Aktivitas Aktivitas
Peserta RTD)
Apt. Tris Yulianti S.Farm Speaker 20-Oct-23 RS SILOAM CIKARANG

Apt. Marta Maryana S.Farm Speaker 13-Oct-23 APOTIK SION
Apt. Dafita Purmasari S.Farm Speaker 10-Nov-23 APOTIK HAWARI FARMA
Apt. Nurlilis Kusuma Wardani S.Farm Speaker 15-Dec-23 APOTIK SEJAHTERA CIRACAS
Apt. Siti Rahmah S.Farm Speaker 20-Oct-23 APOTIK ZULKARNAEN
Apt. Leonaldy Harton S.Farm Speaker 09-Nov-23 APOTIK SEMBUH
Apt. Dyah Nugraheni S.Farm Speaker 15-Dec-23 APOTIK PELITASARI
Biaya Meals Biaya Speaker
Jumlah Peserta Jumlah Peserta (Rp. 300.000) sesuai dengan Approved
(HCP) (Wellesta) *sebelum pajak FMV SM
& layanan *sebelum pajak
15 2 1,500,000 500,000
10 1 1,000,000 500,000
10 1 1,000,000 500,000
15 1 1,500,000 500,000
15 1 1,500,000 500,000
15 1 1,500,000 500,000
20 1 2,000,000 500,000
AKTIVITAS ACTUAL (Mohon cross che
Sudah Berlangsung
Tanggal Tanggal Actual Lokasi/Tempat
Approval Aktivitas Aktivitas (Actual)
(Sudah/Belum)
CTUAL (Mohon cross check dengan settlement document)
Jumlah HCP Jumlah Karyawan Biaya Meals Biaya Speaker

(Actual) Wellest (Actual) (Actual) (Actual)
ument) Dokumen Close Out / Settlement Aktivitas (is
BM/PP Bill printed meals Photo
tanggal approvalnya
e Out / Settlement Aktivitas (isi dengan tanda ceklist "√")
Absensi (WAJIB untuk RTD)

*absensi harus di tandatangan Email Approval atas perubahan
tanggal, tempat pelaksanaan RTD
KETERANGAN / REMAKS
INDONESIA TIERING MATRIX
HCP NAME:
INSTITUTION NAME:
HCP SPECIALTY:
# CRITERIA
Higher Medical/Pharma/ Biological Education, Knowledge of
0 the relevant therapeutic area, Clinical experience in the
relevant therapeutic area
Type and level of scientific expertise/level of the position
Head of Hospital/ Head of Department/Medic Director/Head

of Medical Support/ Head of SMF
1 Leader of National Scientific Societies; participant of the
working group of National Guidelines development, Head
(Scientific Research associate) of the leading clinics
Leader of the committee of international societies; Editorial
Board Member of international journals; provide input to
International Guideline/participation in Steering Commitees
Qualification
2 GP
Specialist
Sub-specialist/Consultant/Professor
Years of clinical experience

3 more than 5 years
more than 10 years
more than 20 years
Years of teaching experience

4 No teaching experience
Have teaching experience 1-10
Have teaching experience >10
Publications in local journals
3 - 10
5
11 - 20
> 20
Publications in International journals (PubMed indexed and
published originally in English)
6
1-3
4-6
>6
Speaker experience
Regular local-regional speaker
7
7
Regular national speaker
Regular international speaker
Participation in registered (clinicaltrials.gov, EUDRACT, etc.)

Clinical Trials as Site Primary Investigator
8
0-2
3-5
>5
MAX
Medical proposal (e.g. importance of publications, peer

9
recognition, etc.) – to be reviewed by Country Medical Head
NESIA TIERING MATRIX
KRITERIA POINTS
Pendidikan Tinggi Kedokteran/Farmasi/Biologi, Pengetahuan
tentang bidang terapi yang relevan, Pengalaman klinis di Must
bidang terapeutik yang relevan
Jenis dan tingkat keahlian ilmiah / Tingkatan jabatan
Kepala Rumah Sakit / Kepala Departemen / Direktur Medis /

10
Kepala Penunjang Medis / Kepala SMF
Pemimpin Kelompok Ilmiah Nasional; peserta Kelompok Kerja
Penyusunan Pedoman Nasional, Ketua (Rekan Riset Ilmiah) 15
Klinik terkemuka
Pemimpin komite kelompok internasional; Anggota Dewan
Redaksi jurnal internasional; memberikan masukan untuk 20
International Guideline / partisipasi dalam Komite pengarah
Kualifikasi
Dokter Umum 3
Specialis 5
Sub-spesialis/Konsultan/Profesor 10
Pengalaman Klinis (dalam tahun)
Lebih dari 5 tahun 3

Pengalaman Mengajar (dalam tahun)

Tidak ada pengalaman mengajar 1
Mempunyai pengalaman mengajar 1 - 10 3
Mempunyai pengalaman mengajar >10 5
Publikasi atas Jurnal Lokal
3 - 10 5
11 - 20 10
> 20 15
Publikasi atas Jurnal Internasional (PubMed diindekskan dan
diterbitkan aslinya dalam bahasa Inggris)
1-3 3
4-6 5
>6 10
Pengalaman Menjadi Pembicara
Pembicara regular lokal - regional 10
Pembicara regular nasional 15
Pembicara regular internasional 20
Partisipasi dalam Uji Klinis yang terdaftar (clinicaltrials.gov,

EUDRACT, etc.) dan sebagai Penguji Utama dalam Uji Klinis
0-2 3
3-5 5
>5 10
Maksimum 100
Proposal dri Medical (misalnya pentingnya publikasi,
pengakuan sejawat, dll.) - untuk ditinjau oleh Country +/- 10
Medical Head
C B A
TIERS DEFINITION III II I
SCORE REQUIRED 10-40 41-70 71-100
HCP INFORMATION Responsibility & Criteria list
NO HCP NAME INSTITUTION NAME SPECIALTY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Responsibility & Criteria list
INITIATOR INITIATOR INITIATOR INITIATOR
(MARKETING & SALES) (MARKETING & SALES) (MARKETING & SALES) (MARKETING & SALES)
Criteria #1 Criteria #2 Criteria #3 Criteria #4
Type and level of

Years of clinical Years of teaching
scientific expertise/ Qualification
experience experience
level of the position
INITIATOR INITIATOR INITIATOR
(MARKETING & SALES) (MARKETING & SALES) (MARKETING & SALES)
Criteria #5 Criteria #6 Criteria #7
Publications in local Publications in

Speaker experience
journals International journals
TIERS DEFINITION
SCORE REQUIRED
INITIATOR
MEDICAL MANAGER
(MARKETING & SALES)
Criteria #8 Criteria #9 TOTAL SCORE
Participation in registered
Medical proposal (e.g.
(clinicaltrials.gov, EUDRACT, etc.)
importance of publications, peer
Clinical Trials as Site Primary
recognition, etc.)
Investigator
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
III II I
10-40 41-70 71-100
TIERING ADDITIONAL COMMENT

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LIST ACTIVITY Product Presentation

No Bulan ASL MR Produk

1 Oktober Glenny Yudhanto Arif Abdulrahman Stesolid Dumin

PP CLT-ID-00004-08.2022 Pharmacy Education Program Slide

Tanggal Jumlah Peserta

10-Oct-23 RS PUSAT PERTAMINA 15

Email Approval atas perubahan

No Bulan ASL MR Produk

1 October Glenny Yudhanto Arif Abdulrahman Stesolid Dumin

dr. Augustine Y.Tandang Speaker No. DMNRT-ID-00006

13-Oct-23 RS BUNDA MARGONDA 15 2

Tanggal Actual Lokasi/Tempat Jumlah HCP Jumlah Karyawan Biaya Meals

Absensi (WAJIB untuk RTD)

Email Approval atas perubahan KETERANGAN / REMAKS

No Bulan ASL MR Produk

1 Oktober Glenny Yudhanto Juliadi Stesolid Dumin

Apt. Tris Yulianti S.Farm Speaker 20-Oct-23 RS SILOAM CIKARANG

Jumlah HCP Jumlah Karyawan Biaya Meals Biaya Speaker

Absensi (WAJIB untuk RTD)

Type and level of scientific expertise/level of the position

Head of Hospital/ Head of Department/Medic Director/Head

Years of clinical experience

Years of teaching experience

Participation in registered (clinicaltrials.gov, EUDRACT, etc.)

Medical proposal (e.g. importance of publications, peer

Jenis dan tingkat keahlian ilmiah / Tingkatan jabatan

Kepala Rumah Sakit / Kepala Departemen / Direktur Medis /

Pengalaman Klinis (dalam tahun)

Lebih dari 5 tahun 3

Pengalaman Mengajar (dalam tahun)

Partisipasi dalam Uji Klinis yang terdaftar (clinicaltrials.gov,

NO HCP NAME INSTITUTION NAME SPECIALTY

Type and level of

Publications in local Publications in

TIERING ADDITIONAL COMMENT

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