DRAFT FORMULARIUM

RUMAH SAKIT CITRA HUSADA

JEMBER

2016

STRUKTUR ORGANISASI PANITIA FARMASI DAN TERAPI (PFT) RUMAH SAKIT CITRA HUSADA

Direktur

Dr. Susilo Wardhani S, MM

Komite Medik

Dr. Ni Luh K. S. A
Angga L. S. S.Farm., Apt

IFRS

Sub.Pan
Obat
Antiinfeksi

Sub.Pan.
Obat
Neoplastik

Dr. Arif, SpB

Dr. Prima SpB
Dr. Dewi

Pan. Far & Ter

Dr. Arif., SpB

Sub.Pan
Obat
Endrokrinologi

Dr. Kadek, SpOG

Dr. Dita, Sp.OG
Dr. Fathkur R. M. Q.

Dr. Lukman, SpA

Dr. Cici, SpM
Dr. Lilik L, M.Kes

Sub.Pan
Obat
Kardiovaskuler

Sub.Pan
Obat
Gastrointestinal

Dr. Athika, SpPD

Dr. Rahadi, SpAn
Dr Narendra W. J

Dr. Yuli, SpPD

Dr. Anindita

Sub.Pan
Obat
SSP
Dr. Lely, SpS
Dr. Bagas, SpM
Dr. Ika F.

DRAFT FORMULARIUM RUMAH SAKIT CITRA HUSADA

1.

ANALGESIK NON NARKOTIK, ANTIPIRETIK, ANTIINFLAMASI NONSTEROID DAN ANTIPIRAI

1.1
ANALGESIK NON NARKOTIK, ANTIPIRETIK
1.
Ibuprofen
1.
Tab. selaput 400mg
2.
Sir. Susp. 100mg/5ml, btl @ 60mL
2.
Metampiron
1.
Tab. 500mg

3.

4.

3.
4.
Parasetamol
1.

Sirup dan Drop

Tab. 500mg dan Diazepam 2mg

2.

Sir. 120mg/5ml, btl @ 60ml

3.

Drop 100mg/ml, btl @ 15ml

4.
5.

Supp. 125mg
Infus.

Asam Mefenamat
1.

Tab. 500mg

Tab. 500mg

Ibuprofen
Ibuprofen

Indofarma
First Medifarma

Antalgin
Norages
Novalgin
Santagesik
Norages
Analsik

Indofarma
Lapi
Aventis
Sanbe
Mepro
Sanbe

Paracetamol
Sanmol
Paracetamol
Sanmol
Progesic
Sanmol
Xepamol
Dumin
Paracetamol
Sanmol
Pyrex

Indofarma
Sanbe
Indofarma
Sanbe
Metiska
Sanbe
Metiska

Asam Mefenamat

Hexpharm Jaya

Sanbe
Novel

5.

6.

2.
Tramadol
1.
2.
Ketorolac Tromethamin
1.

Sir. Susp 50mg/5ml, btl @ 60ml

Mefinal
Pondex

Sanbe
Dexa

Kaps. 50mg
Inj. 50mg/ml, amp @ 2ml

Tramadol
Tramadol

Bernofarma
Novel

Inj. 30mg/ml, amp @ 1ml

Ketorolac
Lactopain
Rativol
Remopain
Xevolac

Hexpharm Jaya
Lapi
Sanbe
Dexa
Novel

Patral

Mahakam

Natrium Diklofenak
Renadinac
Flamar
Renadinac

Novel
Prat

Ketoprofen
Kaltrofen
Kaltrofen

Hexpharm Jaya
Kalbe
Kalbe

Tab. 15mg

Meloxicam
Atrocox

Mahakam Beta Farma

Simex

Tab. 20mg

Piroxicam

Tab. 50mg

Kalium Diklofenak

7.
1.2

Tramadol 37,5mg dan Paracetamol 325mg

1.
Tab.
ANTIINFLAMSASI NON STEROID
1.
Natrium Diklofenak
1.
Tab. Sal. Enterik 50mg

2.

3.

4.
5.

2.
Ketoprofen
1.

Inj. 25mg/ml, amp @3ml

2.
Meloksikam
1.

Gel

Piroxicam
1.
Kalium Diklofenak
1.

Tab. Sal. 50mg

Prat

Hexpharm Jaya

Eflagen
6.

7.

1.3

ANTIPIRAI
1.

2.
3.
4.
5.

6.

7.

2.

ANESTETIK
2.1
LOKAL

Eperison HCl
1.

Tab. 50mg

Eperison
Perilax

Dexa
Yarindo
Simex
Yarindo

Dexketoprofen
1.

Tab. 25mg

2.

Inj. 25mg/ml

Dexketoprofen
Simprofen
Dexketoprofen

Tab. 100mg
Tab. 300mg

Allopurinol
Allopurinol

Hexpharm Jaya
Berno Pharma

Tab. 20mg

Piroksikam

Indofarma

Tab. 15mg

Atrocox

Simex

Tab. 100mg

Celebrex

Pfizer

Tab. 4mg

Ketricin
Flamicort
Trilac

Ferron
Dexa
Novel

Sulfasalazin
Sulcolon

Berno

Non Flamin

Takeda

Allopurinol
1.
2.
Piroksikam
1.
Meloxicam
1.
Celecoxib
1.
Triamcinolon
1.
2.
Sulfasalazin
1.
Tinoridin HCl
1.

Inj. 10mg @5ml

Tab. 500mg

Tab. 50mg

1.
2.
2.2

UMUM
1.
2.
3.
4.

3.

Bupivacain HCl
1.
Lidokain HCl
1.
Isofluran
1.
Ketamin HCl
1.
Midazolam
1.
Propofol
1.

ANTI ALERGI DAN ANAFILAKSIS

3.1
ANAFILAKSIS
1.
Deksametason
1.
2.
Epinefrin
1.
3.2
ANTI ALERGI / ANTIHISTAMIN
1.
Cetirizine
1.

2.

2.

Difenhidramin
1.

Inj. 0,5% 5mg/ml, amp @ 4ml

Regivell

Novell

Inj. 20mg/ml, amp @ 2ml

Lidocain

Bernofarma

Infus.

Aerran

Kalbe

Inj. 20mg/ml, amp @ 2ml

Ketamin

Combiphar

Inj. 5mg/ml, amp @ 1ml

Midazolam-Hameln

Combiphar

Inj. 10mg/ml, amp @ 20ml

Lipuro
Safol

B Braun
Novell

Inj. 5mg/ml, amp @ 1ml

Deksametason

Indofarma

Inj.

Epinefrin

Phapros

Tab. Sal. 10mg

Cetirizin
Cetinal
Ritez
Cetirizin
Tiriz
Ritez

Dexa
Kalbe
Dexa

Difenhidramin

Phapros

Syrup.

Inj. 10mg/ml, amp @ 1ml

Lapi
Dexa

3.

4.

5.

Klorfeniramin Maleat
1.
Tab. 4mg (Hidrogen Maleat)
4.
Mebhidrolin Napadisilat
1.
Tab. 50mg
5.
Loratadin
1.
Tab. 10mg
6.
Pheniramin Maleate
1.
Tab. 25mg
ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN
4.1
UMUM
1.
Kalsium Gluconat
1.
Inj. 100mg/ ml, amp @ 10ml
4.2
KHUSUS
1.
Neostigmin
1.
Inj. 0,5 mg/ml, @amp @ 1ml
ANTIEPILEPSI DAN ANTIKONVULSI
5.1
ANTIEPILEPSI DAN ANTI KONVULSI
1.
Diazepam
1.
Tab. 5mg
2.
Tab. 2mg
2.
Inj. 5mg/ml, amp @ 2ml
3.
Lar. Rektal 5mg/2,5ml, tube @ 2,5ml
2.
Natrium Fenitoin
1.
Kap. 100mg

3.
4.

2.

Inj. 100mg/2ml, amp @ 2ml

Fenobarbital
1.
Natrium Valproat

Inj. 200mg/2ml, vial @ 2ml

Chlorpheniramin

Phapros

Interhistin

Interbat

Loratadin

Novel

Avil

Sanovi Aventis

Calcii Gluconas

Ethica

Neostigmin Hameln

Combiphar

Valisanbe
Stesolid
Valisanbe
Stesolid

Sanbe
Actavis
Sanbe
Actavis

Phenytoin
Kutoin
Natrium phenytoin
Kutoin

Mers
Mers
Mers
Mers

Sibital

Mers

5.

5.2

Tab. ER 250mg
Tab. ER 500mg

Depakote ER
Depakote ER

Abbot
Abbot

Tab. 250mg
Syrup

Ikalep
Asam Valproat
Valeptik

Ikapharmindo
Dexa
Otto

Tab. 200mg

Carbamazepin
Bamgetool

Infa
Mers

Gabapentin
1.

Kap. 300mg

Gabapentin
Nepatic
Gapenal

Nulab
Dank
Dexa

Mecobalamin
1.
2.

Kap. 500 g
Inj. 500 g/ ml

Lapibal
Lapibal
Kalmeco
Mobafer

Lapi
Lapi
Kalbe
Dexa

Tab. 500mg

Citicholin
Brainact Odis
Brainolin
Neuciti
Citicholin
Cholinar
Brainact
Brainolin
Brainact

ANTI NYERI PADA SARAF

1.
Karbamazepin
1.
2.

3.

5.3

1.
2.
Asam Valproat
1.
2.

SUPLEMEN/ NUTRISI SARAF

1.
Citicholin
1.

2.

3.

Inj. 250mg

Inj. 500mg

Kalbe
Dexa
Lapi
Novel
Kalbe
Dexa
Kalbe

2.

6.

4.

Inj. 1000mg

Cholinar
Brainact

Novel
Kalbe

Piracetam
1.
2.
3.

Tab. 800mg
Tab. 1200mg
Inj. 1 gram

Kalbe
Dexa
Dexa
Kalbe
Kalbe

Phap

4.

Inj. 3 gram

5.

Infus 12 gram

Piracetam
Piracetam
Piracetam
Neurotam
Piracetam
Dexpira
Neurotam
Neurotam

Tab. 400mg

Albendazol

Tab. 125mg

Combantrin

Tab. 500mg

Amoksisilin
Amoxan
Amoksisilin
Amoxan
Amoxan

Indofarma
Sanbe
Bernofarma
Sanbe
Sanbe

Viccillin
sampicilin
Cinam

Meiji
Sanbe
Sanbe

ANTIINFEKSI
6.1
ANTIELMINTIK
1.
Albendazol
1.
2.
Pirantel
1.
6.2
ANTIBAKTERI
6.2.1
BETA LAKTAM
1.
Amoksisilin Anhidrat
1.

2.

3.

2.

Sir. Kering 125mg/5ml, btl @ 60ml

3.
Ampisilin
1.

Drop. 100mg/5ml, btl @ 15ml

2.
Meropenem

Serb. Inj. 1000mg, dan Sulbactam

serb. Inj. 1000mg, vial

1.
4.

5.

6.2.2

6.2.3

Kombinasi Amoksisilin dan Asam Klavulanat

Amoksisilin 125mg/5ml
Asam Klavulanat 31,25mg/5ml
1.
Sir., btl @ 60ml
Co Amoxiclav
1.
Tab. 625mg: Amoksisilin 500mg dan Asam Klavulanat
125mg

KLORAMFENIKOL
1.
Klorampenicol
1.

2.

Inj. 1000mg, vial

Kap. 250mg

2.
3.
Thiampenicol
1.

Susp. 125mg/5ml, btl @ 60 ml

Inj.

2.

Sir. Kering 125mg/5ml, btl @ 60ml

Kap. 500mg

3.
Sir. Kering 250mg/5ml, btl @ 60ml
KOTRIMOKSAZOL
1.
Kotrimoksazol (Pediatri)
Kombinasi:
Sulfametoksazol 200mg
Trimetoprim 40mg
1.
Sir., Btl @ 60ml

Meropenem
Meropex

Hexpharm Jaya
Bernofarma

Claneksi

Sanbe

Co Amoxiclav
Capsinat

Sanbe

Kloramphenicol
Cholsansetin
Kloramphenicol
Cholsancetin

Indofarma
Sanbe
Bernofarma
Sanbe

Thiampenicol
Bioticol
Thiamphenicol
Bioticol
Lachopen
Bioticol Forte

Indofarma
Sanbe

Kotrimoksazol
Sanprima
Xepaprim

Bernofarma
Sanbe
Metiska

Sanbe
Lapi
Sanbe

2.

3.

6.2.4

Kotrimoksazol (Dewasa)
Kombinasi:
Sulfametoksazol 400mg
Trimetoprim 80mg
1.
Tab.

Kotrimoksazol
Sanprima

Indofarma
Sanbe

Sanprima Forte

Sanbe

Kap. 300mg

Klindamisin

Novel

Tab. 500mg
Syr.

Eritromisin
Eritromisin
Erysanbe

Sanbe

Kotrimoksazol Forte
Kombinasi:
Sulfametoksazol 800mg
Trimetoprim 160mg
1.
Tab.

MAKROLIDA
1.
Klindamisin
1.
2.
Eritromisin
1.
2.
3.

6.2.5

Spiramisin
1.
AMINOGLIKOSIDA
1.
Gentamisin
1.
2.

6.2.6

Streptomisin
1.

KUINOLON
1.
Ciprofloxacin
1.

Tab. 500mg

Spiramisin

inj. 40mg/ml, amp @ 2ml

Gentamisin
Sagestam

Indofarma
Sanbe

Serb. Inj. 1000mg, vial @ 1ml

Streptomycin Meiji

Meiji

Tab. 500mg

Ciprofloxacin
Civell

Berno
Novel

2.

6.2.7

2.
3.
Levofloxacin
1.

Tab. 250mg
Inf. 2mg/ml, btl @ 100ml

Baquinor
Ciprofloxacin

Bernofarma

Tab. 500mg

2.

Inf. 500mg/100ml, btl @ 100ml

Levofloxacin
Cravox
Simlev
Levofloxacin
Cravox
Levovid
Cravox

Dexa
Lapi
Simex
Novel
Lapi
Berno
Lapi

Cefadroxil
Tisacef
Cefadroxil
Lapicef
Lapicef

Hexpharm Jaya
Metiska
Hexpharm Jaya
Lapi
Lapi

Cefixim
Sporetik
Fixatic
Cefixim
Cefixim
Sporetik
Cefila

Hexp
Sanbe
coronet
Dexa
Nulab
Sanbe
Lapi

Cefotaxime
Goforan
Lapixim

Hexp
Guardian
Lapi

3.
CEFALOSPORIN
1.
Cefadroxil
1.

2.

3.

4.

Inf. 750mg/150ml, btl @ 150ml

Tab./Kap. 500mg

2.

Sir. Kering 125mg/5ml, btl @ 60ml

3.
Cefixim
1.

Sir. Kering 250mg/5ml, btl @ 60ml

2.
3.

Tab./kap. 200mg
Syr. Kering 100mg/5ml. Btl @ 30ml

Cefotaxim
1.

Serb. Inj. 1000mg, vial

Ceftriaxon

Tab./kap. 100mg

1.

5.
6.

8.
9.

Ceftriaxone
Cefxon
Terfacef
Cephaflox
Cefriex

Dexa
Lapi
Sanbe
Guardian
Novel

Celocid

Dexa

Cefoperazone/
Sulbaktam
Cebactam
Cefobactam

Kalbe
Lapi
Sanbe

Seb. Inj. 1000mg, vial

Ceftizoxime

Novel

Seb. Inj. 1000mg, vial

Cefazol

Kalbe

Kap. 500mg

Cefaleksin

Indofarma

Serb. Inj. 1000mg, vial

Cefoperazon

Yarindo

Serb. Inj. 1000mg, vial

Ceftazidim

Dexa

Serb. Inj. 1000mg, vial

Kanamycin Sulphate
Meiji

Meiji

Serb. Inj. 250mg, vial

Mikaject

Mahakam

Cefuroxime
1.
Serb. Inj. 750mg, vial
Komposisi: Cefoperazone 500mg dan Sulbactam 500mg
1.

7.

Serb. Inj. 1000mg, vial

Ceftizoxime
1.
Cefazolin
1.
Cefaleksin
1.

Serb. Inj. 1000mg, vial

10.

6.2.8

Cefopearzon
1.
11.
Ceftazidim
1.
ANTI BAKTERI LAIN
1.
Kanamisin
1.
Amikasin
1.
ANTI INFEKSI KHUSUS
ANTI LEPRA
2.

6.3
6.3.1

1.
6.3.2

Rifampisin
1.
ANTI TUBERKOLOSIS
1.
Etambutol HCl
1.
2.
Isoniazid
1.
3.
Pirazinamid
1.
4.
Rifampisin
1.
2.
5.

Tab./Kap. 300mg

Rifampisin

Bernofarm

Tab. 500mg

Etambutol

Bernofarm

Tab. 100mg

Isoniazid

Kimia Farma

Tab. 500mg

Pirazinamid

Dexa Medica

Tab./kap.300mg
Tab./kap. 450mg

Rifampisin
Rifampisin
Rifamtibi

Bernofarm
Bernofarm
Sanbe

Kombinasi: Etambutol HCl 250mg + Isoniazid 100mg + Vit. B6 6mg

Santibi plus

6.

6.4

6.5

Streptomisin

1.
ANTIFUNGI
1.
Griseofulvin
1.
2.
Ketokonazol
1.
3.
Nistatin
1.
4.
Fluconazol
1.
2.
3.
ANTIPROTOZOA

Serb. Inj. 1000mg, vial

Streptomycin
Sulphate

Meiji

Tab. 125mg

Griseofulvin

Indofarma

Tab. 200mg

Ketokonazol

Hexpharm Jaya

Drop 100.000 IU/ml, btl @ 12ml

Kandistatin

Mestika Farma

Tab. 50mg
Tab. 150mg
Inf. 2mg/ml, Btl @ 100ml

Diflucan
Fluconazole
Fluconazole

Pfizer
Kimia Farma
Berno

6.5.1

6.5.2

ANTIAMUBA DAN ANTIGIARDIASIS

1.
Metronidazol
1.
Tab. 500mg
2.
Inf. 5mg/ml, btl @ 100ml

Metronidazol
Metronidazol
Diazol
Velazol

Bernofarma
Dexa
B-Braun
Novel

ANTIMALARIA
1.
Klorokuin difosfat
Chloroquin
2.
3.

6.6
6.6.1

6.6.2

ANTIVIRUS
ANTIHERPEs
1.
Asiklovir
1.
2.
ANTIHEPATITIS
1.
L-Ornitin-L-Aspartat
1.
2.
2.

7.

Kinin Sulfat
1.
Tab. 200mg
Komposisi: Pyrimetham 25mg dan Sulfadoxine 500mg
1.
Tab.

Ursodeoxyholic Acid
1.

ANTIMIGREN DAN ANTIVERTIGO

1.
Betahistin Mesilate
1.

Kina
Suldox

Tab. 400mg
Krim,

Acyclovir
Acyclovir

Novel
Indofarma

Tab.
Inj.

Hepamers
LOLA
Hepamers

Combiphar
Dexa
Combiphar

Kap. 250mg

Ursodeoxyholic Acid
Urdahex

Kalbe

Betahistin Mesilate
Mertigo

Dexa
Dexa

Tab. 6mg

2.

8.

ANTIPARKINSON
1.

2.
Flunarizine
1.
2.

Triheksifinidil HCl
1.

Vesitab
Mertigo SR

Kalbe
Dexa

Tab. 5mg
Tab. 10mg

Flunarizin
Flunarizin
Frego

Nulab
Nulab
Kalbe

Tab. 2mg

Triheksifenidil HCl
Hexymer

Indofarma
Mersi

Levopar

Meprofarm

Starfolat

Dexa

Tab. 12mg

2.

9.

Kombinasi:
1.
Levodopa 100mg dan Benserazid 25mg
3.
Atropin Sulfat
OBAT UNTUK DARAH DAN JARINGAN PEMBENTUK DARAH
9.1
ANTIANEMI
1.
Asam Folat
1.
Tab. 1mg
2.
Sianokobalamin (Vit B12)
1.
Tab. 50mcg
2.
Inj. 500mcg/ml, amp @ 1ml
3.
Ferrous Sulfat
9.2
ANTIKOAGULASI dan ANTAGONIS
1.
Asam Asetilsalisilat (Asetosal)
1.
Tab. 80mg
2.
Klopidogrel
1.
Tab. 75mg
3.
4.

Warfarin
1.
Enoxaparin Natrium

Tab. 2mg

Vit. B12

Aspilet

Medifarma

Clopidogrel
Pidovix

Dexa
Lapi

Simarck

5.

6.
9.3

Hemostatik
1.

2.

1.
Cilostazol
1.
2.
Heparin Na
1.

Inj. 60mg/0,6ml, Syringe @ 0,6ml

Lovenox

Sanovi Aventis

Tab. 50mg
Powder 20% (0,50g), 100mg/sach

Cilostazol
Pletaal

Bernofarma
Otsuka

Inj. 5000UI/ ml @ 5ml

Inviclot

Fahrenhei

Asam Traneksamat
1.

Tab. 500mg

2.

Inj. 500mg/5ml, amp @ 5ml

Fitomenadion (Vit K)
1.
2.

Asam Traneksamat
Plasminex
Asam Traneksamat
Kalnex

Bernofarma
Hexpharm Jaya
Kalbe

Kimia Farma
Combiphar

Tab.50mg
Inj. 2mg/ml, amp @ 1ml

Vit K
Vit K
Neo-K

Tab. 10mg
Inj. 5mg @ 5ml
Inj. 5mg @ 10ml

Adona
Adona
Adona

Tanabe
Tanabe
Tanabe

Cairan 3%, btl @ 1L

Hidrogen peroksida

One Med

Lar. 10%, btl @ 60ml

Povidon Iodida

One Med

btl @ 100ml

Alkohol 70%

One Med

3.

10.

11.

Carbazochrom
1.
2.
3.
ANTISEPTIK DAN DESINFEKTAN
10.1
ANTISEPTIK
1.
Hidrogen Peroksida
1.
2.
Povidon Iodida
1.
10.2
DESINFEKTAN
1.
Etanol 70%
1.
DIURETIK DAN OBAT SALURAN KEMIH

11.1

DIURETIK
1.

2.
3.
4.

Furosemid
1.

tab. 40mg

2.

inj. 10mg/ml, amp @ 2ml

Furosemid
Farsix
Furosemid
Lasix
Farsix

Tab. 25mg

HCT

Lar. Infus 20%, btl @ 500mg

Mannitol

Otsuka

Tab. 25mg

Spironolakton
Spirola

Dexa
Kalbe

Harnal OCAS

Astellas

Prostacom

Combiphar

Urotractin

Sanbe

Glucodex

Dexa

Glurenorm

Boehringer

Hidroklortiazid (HCT)
1.
Manitol
1.
Spironolakton
1.

11.2

12.

OBAT UNTUK HIPERTROPI PROSTAT

1.
Tamsulosine
1.
Tab. 0,4mg
2.
Finasterid
1.
Tab. 5mg
11.3
ANTISEPTIK SALURAN KEMIH
1.
Asam Pipemidat
1.
Kap.400mg
HORMON, OBAT ENDOKRIN LAIN, ANTIDIABETIK PARENTERAL DAN KONTRASEPTIK
12.1
ANTI DIABETIK ORAL
12.1.1 SULFONIL UREA
1.
Gliclazid
1.
Tab. 80mg
2.
Glikuidon
1.
Tab. 30mg
3.
Glimepirid

Indofarma
Fahrenheit
Indofarma
Sanofil Aventis
Fahrenheit

4.
12.1.2

12.1.3

12.1.4

12.2
12.2.1

12.3
12.3.1

BIGUANID
1.

1.
2.

Tab. 1mg
Tab. 2mg

3.
4.
Glibenklamid
1.

Tab. 3mg
Tab. 4mg

Glimepirid
Glimepirid
Amaryl
Glimefion
Glimepirid
Glimepirid

Tab. 5mg

Glibenklamid

Tab. 500mg

Metformin
Forbetes
Metformin

Hexparm Jaya
Sanbe
Berno

Tab. 50mg

Acarbose
Glucobay

Dexa
Bayer

Tab. 30mg

Deculin

Dexa

Inj. 100 IU/ml, solostar pen @ 3ml

Inj. 100 IU/ml, flexpen @ 3ml

Lantus Solostar Pen

Levemir Flexpen

Aventis
Novo Nordisk

Inj. 100 IU/ml, vial 10ml

Novorapid Vial

Novo Nordisk

Metformin
1.

2.
ALFA GLUKOSIDA INHIBITOR
1.
Acarbose
1.
TIAZOLIDINEDION
1.
Pioglitazone
1.
ANTIDIABETIK PARENTERAL
Analog Insulin
1.
Basal Insulin Analog
1.
2.
2.
Rapid Insulin Analog
1.
HORMON KELAMIN
ESTROGEN
1.
Etinilestradiol

Tab. 850mg

Hexparm Jaya
Hexparm Jaya

Hexparm Jaya
Hexparm Jaya

12.3.2

12.3.3

12.3.4

1.
Tab. 0,05mg
PROGESTERON
1.
Noretisteron
1.
Tab. 5mg
HORMON TIROID DAN ANTITIROID
1.
Propiltiourasil
1.
KORTIKOSTEROID
1.
Dexametason
1.
Tab. 0,5mg

2.

13.

Norelut

Dexa

PTU

Indofarma

Dexametason
Cortidex
Dexametason
Cortidex

Indofarma
Sanbe
Indofarma
Sanbe

Inj. 500mg/8ml, vial @ 8ml

Metil Prednisolon
Xilon
Lameson
Metrison
Metil Prednisolon
Novestrol
Metil Prednisolon

Dexa
Mahakam
Lapi
Dexa
Dexa
Novel
Dexa

Inj. 5mg/ml,vial @ 5ml

Farmabes

Fahrenheit

Tab. Sublingual 5mg

Isosorbid Dinitrat
Farsorbid 5
Cedocard
Farsorbid

2.

Inj. 5mg/ml, amp @ 1ml

Metil Prednisolon
1.

Tab. 4mg

2..

Tab. 8mg
Inj. 125mg/2ml, vial @ 2ml

3.
OBAT KARDIOVASKULAR
13.1
ANTI ANGINA
1.
Diltiazem HCl
1.
2.
Isosorbid Dinitrat
1.

2.

Lynoral

Inj. 10mg/10ml, amp @ 10ml

Fahrenheit
Fahrenheit

3.
13.2

13.3
13.3.1

Isosorbid Mononitrat
1.
ANTIARITMIA
1.
Epineprin (Adrenalin)
1.
2.
Propanolol HCl
1.
3.
Amiodaron HCl
1.
2.
ANTIHIPERTENSI
ACE INHIBITOR
1.
Captopril
1.
2.
Lisinopril
1.
2.

Monecto

Inj. 1mg/ml, amp @ 1ml

Epineprin

Kimia Farama

Tab.200mg
Inj. 150mg/3ml, amp @ 3ml

Tiaryt
Tiaryt

Fahrenheit
Fahrenheit

Tab. 50mg

Captopril

Indofarma

Tab. 5mg

Lisinopril
Noperten
Lisinopril
Noperten

Novel

Tanapres

Tanabe

Bisoprolol
Concor
Maintate
Beta-One

Novel
Merc
Tanabe
Dank

Tab. 40mg

Tab. 10mg

Novel

3.
13.3.2

13.3.3

Imidapril
1.
BETA BLOCKER
1.
Propanolol HCl
1.
2.
Bisoprolol
1.

Tab. 20mg

KALSIUM ANTAGONIS

Tab. 5mg

Tab. 40mg
Tab. 5mg

1.
2.

3.

4.

Nifedipin
1.
2.
Amlodipin Besylate
1.
2.
Diltiazem
1.
2.
Nikardipin HCl
1.

Nifedipin
Adalat Oros

Dexa

Tab. 5mg
Tab. 10mg

Amlodipin
Amlodipin
Cardisan

Nulab
Nulab

Tab. 30mg
Inj. 5mg/ml,vial @ 5ml

Farmabes
Farmabes

Fahrenheit
Fahrenheit

Inj. 10mg/10ml, amp @ 10ml

Nikardipin
Perdipin

Landson
Astellas

Inf. 10mg/50ml, btl @ 50ml

Ceremax

Kalbe

Tab. 80mg

Diovan

Novartis

Tab. 80mg

Micardis

Boehringer

Tab. 8mg

Candesartan
Canderin
Candesartan
Canderin

Dexa
Dexa
Dexa
Dexa

5.
13.3.4

Nimodipin
1.
ANGIOTENSIN II ANTAGONIS
1.
Valsartan
1.
2.
Telmisartan
1.
3.
Candesatan Cilexetil
1.

Tab. 10mg

2.
4.
13.3.5

Losartan Kalium
1.
ANTIHIPERTENSI LAIN
1.
Klonidin HCl
1.

Tab. 16mg

Tab. 50mg

Angioten

Tab. 0,15mg

Clonidin

Kimia Farma

2.
13.4

Metildopa
1.
GAGAL JANTUNG
1.
Digoxin
1.

2.

13.5

ANTITROMBOLITIK
1.
Asetil Salisilat
1.
2.
Clopidogrel
1.
3.

14.

2.
Bisoprolol
1.

Cilostazol
1.

Tab. 250mg

Dopamet

Actavis

Tab. 0,25mg

Digoxin
Fargoxin
Fargoxin

Indofarma
Fahrenheit
Fahrenheit

Tab. 2,5mg

Beta-One
Maintate
Concor

Dank
Tanabe
Merc

Tab. 80mg

Aspilet

Medifarma

Tab. 75mg

Clopidogrel
CPG

Dexa

Tab. 50mg
Tab. 100mg
Powder 20% (0,50g), 100mg/sach

Citaz
Citaz
Pletaal

Kabe
Kalbe
Otsuka

Streptase

Dexa

Aspilet

Medifarma

Inj. 0,5mg/2ml, amp @ 2ml

2.
13.6
TROMBOLITIK
1.
Streptokinase
1.
Serb. Inj 1.500.000 IU, bvial @ 1ml
13.7
ANTI PENYAKIT JANTUNG REMATIK
1.
Asam Asetil Salisilat
1.
Tab. 80mg
OBAT UNTUK SYOK
14.1
SYOK KARDIOGENIK
1.
Dopamin HCl

2.

1.

Inj. 40mg/ml, amp @ 5ml

Dopamin

Kimia Farma

Noreepinepherine
1.

Inj. 1mg/ml, amp @ 4ml

N-Epi
Vascon

Novel
Fahrenheit

Epineprin

Phapros

Simvastatin

Hexpharm Jaya

Fenofibrat
Fibesco

Pharmasi Binangkit

3.

15.

16.

Efedrin HCl
1.
4.
Epinefrin
1.
Inj. 1mg/ml, amp @ 1ml
5.
Calcium Carbonas
ANTIHIPERLIPIDEMIA DAN ANTIHIPERURICEMIA
1.
Simvastatin
1.
Tab. 10mg
2.
Fenofibrat
1.
Kap. 300mg
2.
Kap. 100mg
3.
Allopurinol
1.
Tab. 100mg
2.
4.
Atorvastatin
1.
OBAT TOPIKAL UNTUK KULIT
16.1
ANTIBAKTERI
1.
Framisetin Sulfat
1.
2.
Natrium Fusidat
1.
3.

Perak Sulfadiazin

Tab. 300mg

Allopurinol
Alluric
Puricemia

Tab.

Stator

Kasa steril 1%, lembar @ 10x10

krim
Krim 20mg/g, tube @ 5g

Loma-Tulle

Lohman & Rauscher

Fusycom
Fuladic

Combiphar
Guardian

1.
16.2

16.3

16.4

17.

Krim 1%, tube @ 35g

ANTIFUNGI
1.
Miconazol
1.
Krim/salep 2% (nitrat), tube 10g
2.
Ketoconazol
1.
ANTI INFLAMASI DAN ANTIPRURITIK
1.
Hidrokortison Asetat
1.
Krim 2,5%, tube @ 5g
2.
Desoksimetason
1.
Krim 0,25%, tube @ 15g
ANTISKABIES DAN ANTIPEDIKULOSIS
1.
Permethrin

The Cort

Guardian

Hidrokortison Asetat

Indofarma

Inerson

Interbat

Scabimite

Galenium Pharmasi
Lab

Pharolit
Trolit

Novel
Bintang Toedjo

Tab. Siap larut 600mg

KSR

Merck

Tab. 300mg

Aspar K

Tanabe Ind

1.
Krim 5%, Tube @ 10g
LARUTAN ELEKTROLIT DAN NUTRISI
17.1
ORAL
1.
Garam Oralit
Kombinas:
a. NaCl 0,7g
b. KCl 0,3g
c. Trinatrium Sitrat Dihidrat 0,58g
d. Glukosa Anhidrat 4g
1.
Serb. 100g untuk 200ml air, sachet @ 100g
2.
3.
4.

Kalium Klorida
1.
K.L Aspartate
1.
Zinc

Burnazin

17.2

1.
2.
PARENTERAL
1.
Glukosa
1.1
Glukosa 5%
1.
2.
1.2
Glukosa 10%
1.
1.3
Glukosa 40%
1.
2.
Kalium Klorida
1.
3.
Natrium Klorida
1.

4.

5.

6.

2.
3.
4.
Ringer Laktat
1.

Kombinasi:
a. Dextrose 5%
b. NaCl 0,9%
1.
Kombinasi:
a. NaCl 2,34g

Tab. 20mg
Sir. 10mg/ml, btl @ 100ml

Zincare
L - Zinc

Lapi

Infus 5%, btl @ 500ml

Lar. Infus, btl @ 100ml

Glucose 5%
D5-100

Ecosol
Ecosol

Infus 10%, btl @ 500ml

Glucose 10%

Widatra

Infus 40%, btl @ 25ml

Otsu D40

Otsuka

Inj. 7,46%, btl @ 500ml

Otsu KCl 7,46%

Otsuka

Lar. Infus 0,9%, btl @ 500ml

NaCl 0,9%
NaCl 0,9%
Infusan NS
NaCl 0,9%
NaCl 3%

Widatra
B-Braun
Sanbe
Widatra
Widatra

Lar. Infus, btl @ 500ml

RL
RL
Infusan RL

Widatra
B-Braun
Sanbe

Lar. Infus, btl @ 500ml

D5-NS

Widatra

Lar. Infus 0,9%, btl @ 1000ml

Lar. Infus 3%, btl @ 500ml
Lar. Infus 0,9%, btl @ 100ml

7.

8.
9.

10.

11.

12.

b. KCl 0,75g
c. Na Laktat 2,24g
d. Dekstrosa anhidrat 27g
1.
Lar. Inf, btl/ softbag @ 500ml
Kombinasi:
a. NaCl 1,75g
b. KCl 1,5g
c. Na Laktat 2,24g
d. Dekstrosa Anhidrat 27g
1.
Lar. Infus, btl/softbag @ 500ml
Natrium Bikarbonat
1.
Inj. 8,4%, infus @ 25ml
Larutan Nutrisi Kombinasi
a. Glukosa 5%
b. NaCl 0,45%
1.
Lar. Infus, btl/softbag @ 500ml
Larutan Nutrisi Kombinasi
a. Glukosa 5%
b. NaCl 0,225%
1.
Lar. Infus, btl/ softbag @ 500ml
Kombinasi:
a. Asam Amino
b. Xylitol
c. Vitamin
d. Mineral
1.
Lar. Infus, btl @ 500ml
Kominasi:
a. Asam Amino
b. Sorbitol

KAEN 3A

Otsuka

KAEN 3B
Tridex 27B

Otsuka
Sanbe

Meylon

Otsuka

Wida D5-1/2 NS

Widatra

Wida D5-1/4NS

Widatra

Comafusin Hepar

Kalbe

1.

Lar. Infus, btl @ 500ml

Aminofusin Hepar

Kalbe

Aminofluid

Otsuka

Tutofusin OPS

Kalbe

Pan Amin G

Otsuka

Asering
Infusan Ring As

Otsuka
Sanbe

13.

14.

15.

16.

18.

OBAT MATA

Kombinasi:
a. Asam Amino
b. Glucose
c. Vitamin
d. Mineral
1.
Lar. Infus, Soft bag @ 1000ml
Kombinasi: Infus per L
a. Na. 100mEQ, K 18mEQ
b. Ca. 4mEQ, Mg 6mEQ
c. Cl 90mEQ, Asetat 38mEQ
d. Sorbitol 50g
1.
Lar. Infus, btl/softbag @ 500ml
Kombinasi:
a. Asam Amino 2,72%
b. Sorbitol 15%
1.
Lar. Infus, btl @ 500ml
Kombinasi:
a. Na 140mEQ
b. K 4mEQ
c. Cl 109mEQ
d. Ca 3mEQ
e. Asetat 28mEQ
1.
Lar. Infus, btl/softbag @ 500ml

18.1
18.1.1
18.1.2

18.1.3

TOPIKAL
ANESTETIK LOKAL
1.
Tetrakain HCl
ANTIMIKROBA
1.
Gentamisin
1.
Salep mata 1%, tube @3,5mg
ANTI MIKROBA DAN ANTI INFLAMASI
1.
Komposisi: Dexametason 1mg; Neomisin 3,5mg; Polymixin B Sulfat 10.000 IU
1.
Tetes Mata
2.
Salep Mata
2.
3.
4.
5.
6.
7.
8.

9.
10.

Komposisi: Natrium Cromoglycas 20mg

1.
Tetes mata
Komposisi: Fluorometholon 1mg; Neomisin 3,5mg
1.
Tetes mata
Komposisi: Polymixin B Sulfat 16.250 IU; Neomisin 3,5mg; Tetrahydrazolin 0,25mg
1.
Tetes mata
Komposisi: Ciprofloxacin 3mg
1.
Tetes mata
Komposisi: Polymixin B sulfat 6.000 IU; Neomisin 3,5mg; Dexametason 1mg
1.
Tetes mata
Komposisi: Tropicamide 5mg
1.
Tetes mata
Komposisi: Tobramisin 3mg; Dexametason 1mg
1.
Tetes mata
Komposisi: Dexametason 1mg; Neomisin 5mg
1.
Tetes mata
Komposisi Gentamisin 3mg
1.
Salep mata

Pantocain 0,5%

Cendo

Gentamisin

Cendo

Xitrol
Xitrol
Pholydex

Cendo
Cendo
Cendo

Conver

Cendo

Polynel

Cendo

Statrol

Cendo

Ulcori

Cendo

Polydemicin

Sanbe

Mydriatyl 1%

Cendo

Tobroson
Bralifex

Cendo
Sanbe

Dexaton

Cendo

Gentamisin

Cendo

18.1.4

18.1.5

MIOTIK DAN ANTIGLAUKOMA

1.
Komposisi: Timolol maleate 5mg
1.
Tetes mata
2.
Komposisi: Tetracain HCl 5mg
1.
Tetes mata
3.
Komposisi: Pilocarpin HCl 20mg
1.
Tetes mata
Lain-Lain
1.
Komposisi: Kalium klorida 0,8mg; Natrium Klorida 4,4mg
1.
Tetes mata
2.
Komposisi: Natrium Hyaluronat 1,5mg; Natrium klorida 50mg
1.
Tetes mata
3.
Komposisi: Tetrahydrozolin HCl 0,5mg
1.
Tetes mata
4.
Komposisi: Natrium Carboxymethyl Cellulose 5mg
1.
Tetes mata
5.
Komposisi: Phenylephrine HCl 100mg
1.
Tetes mata
6.
Komposisi: Kalium Iodida 5mg; Natrium Iodida 10mg
1.
Tetes mata
7.
Komposisi: Kalium Iodida 5mg
1.
Tetes mata
8.
Komposisi: HPMC 3mg; Dextran 70 1mg
1.
Tetes mata
9.
Komposisi: Fluorometholon 1mg
1.
Tetes mata
10.

Komposisi: Natrium Hyaluronat 1mg

1.
Tetes mata

Timol

Cendo

Pantocain

Cendo

Carpin

Cendo

Cendo Lyteers

Cendo

Siloxan

Cendo

Vision

Cendo

Cenfresh

Cendo

Efrisel

Cendo

Vitrolenta

Cendo

Catarlent

Cendo

Eyefresh

Cendo

Flumetholon
Posop

Santen
Cendo

Hialid
Hyalub

Santen
Cendo

11.

19.

Komposisi: Polyvinil Pyrolidone 20mg; Vit. A; Natrium Hyaluronat

1.
Tetes mata
12.
Komposisi: Vit. A 1000 IU; Oxymetazolin HCl 0,25mg
1.
Tetes mata
13.
Komposisi: Homatrophin HBr 20mg
1.
Tetes mata
14.
Komposisi: Antazolin HCl 2,5mg; Naphazoline HCl 1mg
1.
Tetes mata
15.
Komposisi: Betaxolol 5mg
1.
Tetes mata
16.
Komposisi: Tobramisin 3mg
1.
Tetes Mata
17.
Komposisi: Atropin Sulfat 10mg
1.
Tetes Mata
OKSITOSIK DAN RELAKSAN UTERUS
19.1
OKSITOSIK
1.
Metilergometrin
1.
Tab. Salut 0,125mg
2.
Inj. 0,2 mg/ml, amp @ 1ml
2.
Oksitosin
1.
Inj. 10 IU/ml, amp @ 1ml

Cendo

Asthenof

Cendo

Homatro

Cendo

Vasacon A

Cendo

Tonor

Cendo

Tobro

Cendo

Tropin

Cendo

Bledstop
Bledstop

Sanbe
Sanbe

Oxytosin
Oxyla

Ethica
Novel

MgSO4
MgSO4

Otsu
Otsu

Hystolan

Dexa

19.2

20.

RELAKSAN UTERUS
1.
Magnesium Sulfat
1.
Inj. 20%, amp @ 20ml
2.
Inj. 40%, amp @ 20ml
2.
Isoxsuprin HCl
1.
Tab. 20mg
PSIKOFARMAKA
20.1
ANTIANSIETAS DAN ANTIINSOMNIA

Protagent A

1.

21.

Klobazam
1.
Tab. 10mg
2.
Alprazolam
1.
Tab. 0,5mg
3.
Lorazepam
1.
Tab. 2mg
20.2
ANTIDIPRESI DAN ANTIMANIA
1.
Amitriptilin
1.
Tab. 25mg
2.
Fluoxetin HCl
1.
Tab./kap. 20mg
20.3
ANTIPSIKOSIS
1.
Haloperidol
1.
Tab. 1,5mg
2.
Inj. 5mg/ml, amp @ 1ml
2.
Klorpromazin
1.
Tab. 100mg
2.
Inj. 25mg/5ml, amp @ 5ml
3.
Trifluoperazin
1.
Tab. 5mg
4.
Risperidon
1.
Tab. 1mg
OBAT SALURAN CERNA
21.1
ANTASIDA DAN ANTIULKUS
1.
Antasida DOEN tab
Kombinasi:
a. Aluminium Hidroksida 200mg
b. Magnesium Hidroksia 200mg
1.
Tab. Kunyah
2.
Susp., btl @ 60ml

Clobazam

Dexa

Alprazolam

Dexa

Merlopam

Mersi

Amitriptyline

Indofarma

Kalxetin

Kalbe

Haloperidol
Lodomer

Indofarma
Mersi

Cepezet
Cepezet

Mersi
Mersi

Stelazin

Pharos

Risperidon

Dexa

Antasida Doen
Antasida Doen

Kimia Farrma
Dexa

Kombinasi:
a. Aluminium Hidroksida 200mg
b. Magnesium Hidroksida 150mg
c. Simeticone 50mg
1.
Tab. Kunyah
2.
Susp., btl @ 100ml
2.

3.

4.

5.

6.

Dexanta
Dexanta
Plantasid

Dexa
Dexa
Kalbe

Ranitidin
1.
2.

Tab. 150mg
Inj. 50mg/2ml, amp @ 2ml

Ranitidin
Ranitidin
Acran
Doranit

Berno
Dexa
Sanbe
Yarindo

Sukralfat
1.

Susp. 500mg/5ml, btl @ 100ml

Ulsafat
Episan
Inpepsa

Combiphar
Sanbe
Fahrenheit

Lansoprazol
1.

Kap. 30mg

Lansoprazol
Sopralan

Hexpharm Jaya
Mersi

Omeprazol
1.
2.

Kap. 20mg
Serb. Inj. 40mg, vial pelarut @ 10ml

Rindo pump
Omeprazol
Gastrofer

Yarindo
Dexa
Dexa

Pantoprazol
1.
2.

Tab. 40mg
Serb. Inj. 40mg

Pepzol
Pantoprazol
Topazol
Pranza
Pepzol
Pantorin

Mahakam
Otto
Lapi
Kalbe
Mahakam
Yarindo

21.2

ANTIEMETIK
1.
Dimenhidrinat
1.
2.
Klorpromazin
1.
2.
3.
Metoklopramid
1.

4.

5.
6.

Pumpisel

Sanbe

Tab. 50mg

Antimo

Phapros

Tab. 100mg
Inj. 25mg/5ml, amp @ 5ml

Cepezet
Cepezet

Mersi
Mersi

Tab. 10mg

Damaben
Tomit
Tomit
Sotatic

Sanbe
Interbat
Interbat
Fahrenheit

Ondansentron
Vometron
Ondansentron
Ondanvell
Vometraz
Vometron
Ondansentron
Ondanvell

Novel
Mahakam
Novel
Novel
Dexa
Mahakam
Dexa
Novel

Inj. 3mg

Opigran

Otto

Tab. 10mg

Domperidone
Vometa
Vomiper
Domperidone
Vometa
Vometa

Hexpharm Jaya
Dexa
Infion
First Medifarma
Dexa
Dexa

2.

Inj. 5mg/ml, amp @ 2ml

Ondansentron
1.
2.
3.

Tab. 8mg
Sir.
Inj. 4mg/2ml, amp @ 2ml

4.

Inj. 8mg/4ml, amp @ 4ml

Granisentron
1.
Domperidon
1.

2.

Susp. 5mg/5ml, btl @ 60ml

3.

Drop. 5mg/ml, btl @ 10ml

21.3

ANTISPASMODIK
1.
Atropin Sulfat
1.
Inj. 0,25mg/ml, amp @ 1ml
2.
Hiosin-N-Butil Bromida
1.
Ta./Kap. 10mg
2.
Inj. 20mg/ml, amp @ 1ml
3.
4.

21.4

KATARTIK
1.

2.

3.

21.5

Otilonium Bromida
1.
Chlordiapoksida
1.

Atropin Sulfat

Ethica

Buscopan
Hyocine
Buscopan

Boehringer

Tab. 40mg

Spasmomen

Dexa

Tab.

Braxidin

Sanbe

Dulcolax
Dulcolax

Boehringer
Boehringer

Microlax

Phapros

Laxadine

Galenium

Loperamid
Imodium

Jansen

Bisakodil
1.
Supositoria 5mg
2.
Tab. 5mg
Kombinasi:
a. Na. Lauril Sulfo Asetat
b. PEG 400
c. Na. Sitrat
d. As. Sorbat
1.
Supp.
Kombinasi tiap 5ml mengandung:
Phenolptalein 55mg
Paraffin Liq. 1200mg
Glyserin 378mg
1.
Sir., btl @ 30ml

ANTIDIARE
1.
Loperamid
1.

Tab. 2mg

Boehringer

Lodia
2.

Attapulgit
1.

Sanbe

Tab.

Biodiar

Supp.
Supp.
Supp.
Salep.

Anti Hemorroid
Borraginol N
Borraginol S
Borraginol N

Kimia Farma
Takeda
Takeda
Takeda

Tab. 15,000 UI

Colistin

Actavis

Tab. 200mg
Inj. 24 mg/ml, amp @ 10ml

Aminofilin
Aminofilin

Phapros

Tab.
Sir.

Theobron
Theobron

Interbat
Interbat

Tab. 25mg
Inj. 50mg/ml, amp @ 1ml

Efedrin
Efedrin

Ethica

Tab. 2mg
Tab. 4mg
nebules, vial @ 2,5mg

Salbutamol
Salbutamol
Ventolin Nebules

Indofarma
Indofarma

Respules 0,25mg/ml, resp @ 2ml

Pulmicort Respules

Astra Zeneca

21.6

22.

ANTI WASIR
1.
Anti Hemoroid
1.
2.
3.
4.
21.7
ANTI DISENTRI
1.
Colistin
1.
OBAT SALURAN NAFAS
22.1
ANTI ASMA
1.
Aminofilin
1.
2.
2.
Teofilin
1.
2.
3.
Efedrin
1.
2.
4.
Salbutamol
1.
2.
3.
5.
Budesonide
1.
6.
Kombinasi:

a. Ipratropiu Bromida 0,5mg

b. Salbutamol 2,5mg
1.
Nebules, vial/amp @ 2,5ml
22.2

ANTI TUSIF
1.
Codein
1.

Tab. 10mg dan 20mg

Combivent

Boehringer

Codein
Codikaf

Kimia Farma
Kimia Farma

Lapifed DM

Lapi

Gliseril Guaiakolat

Marin Liza

O.B.H

Ika Pharmindo

Sanadryl

Sanbe

Bisolvon
Bisolvon

Boehringer
Boehringer

2.
Kombinasi:
Tripolidin 1,25mg
Pseudoefedrin 30mg
Dekstrometorphan 10mg
1.
Sir., btl @ 60ml
22.3

Ekspektoran
1.
2.
3.

4.

5.

Gliseril Guaiakolat
1.
Tab. 100mg
OBH
1.
Sir., btl @ 100ml
Kombinasi tiap 5ml sirup:
a. Difenhidramin HCl 13,5mg
b. Amonium Klorida 131,5mg
c. Na-Sitrat 55mg
d. Mentol 1mg
e. Alkohol 5%
1.
Sir., btl @ 100ml
Bromhexin
1.
Sir., btl @ 60ml
2.
Inj.
Kombinas tiap 5ml sirup:
Tripolidin 1,25mg
Pseudoephedrin 15mg

1.
22.4

MUKOLITIK
1.
Ambroxol
1.

2.

Sir., btl @ 60ml

Lapifed Ekspektoran

Lapi

Tab. 30mg

Ambroxol

Berno
Sanbe
Mepro

Sir., btl

Epexol
Mucos
Ambroxol
Mucopect
Epexol

22.5

23.

LARINGITIS DAN FARINGITIS

1.
Noscapine
1.
Tab. 50mg
2.
Terbutalin
1.
Tab. 2,5mg
VITAMIN DAN MINERAL
1.
Asam Askorbat (Vitamin C)
1.
Tab. 50mg
2.
Inj.
2.
Vit B6
1.
Tab. 10mg
3.
Vit B1
1.
Tab. 50mg
4.
Vit B Komplek

Boehringer
Sanbe

5.

1.
Tab.
Kombinasi:
a. Fursultiamin HCl 25mg/ml
b. Glukosa 2000mg/ml
1.
Inj. 25mg/10ml, amp @ 10ml

Longatin
Nairet

Otto

Asam Askorbat
Vitamin C

Ethica

Vitamin B6

Mega Esa Farma

Vitamin B1

Vitamin B-Complex

Novaparin
Pharmaceutical

Alinamin F

Takeda Indonesia

6.

7.

8.

9.

10.
24.

LAIN_LAIN
1.
2.
3.

Kombinasi:
a. Vit. B1 Mononitrat 100mg
b. Vit. B6 200mg
c. Vit. B12 250mcg
1.
Tab./ Kap. Salut selaput

Kombinasi
a. Vit. B1 Mononitrat 100mg
b. Vit. B6 100mg
c. Vit. B12 1000mcg
1.
Tab.
2.
Inj., amp @ 3ml
Kombinasi:
a. Pyrathiazin 40mg
b. Vit. B6 30mg
1.
Tab.
Kalsium untuk Wanita Hamil
1.
Tab.
Kalsium untuk Osteoporosis
1.
Tab.
Air untuk irigasi
1.
Air untuk injeksi
1.
Natrium Phosphat
1.

Neurobion
Neurodex
Neurosanbe

Merck
Dexa
Sanbe

Sohobion
Sohobion
Neurobion

Soho Industri Ind

Soho Industri Ind
Merck

Anvomer B6
Cal 95
Biocal

Lapi
Simex

Cavit D3

Inj., amp @ 25ml

Otsu Water inj

Otsuka

Lar. Infus, btl @ 1000ml

WIDA WI

Widatra

btl. @ 133ml

Fleet Enema

Combiphar

25.

26.

27.

IMUNOSUPRESAN
1.

Mycophenolate Morfetil
1.
Kap. 500mg
ANALGESIK NARKOTIK
1.
Morfin
1.
Tab. 10mg
2.
Inj. 10mg/ml, amp @ 1ml
2.
Petidin
1.
Inj. 50mg/ml, amp @ 2ml
3.
Fentanil
1.
Inj. 0,05mg/ml, amp @ 2ml
4.
Kombinasi:
a. Kodein 30mg
b. Parasetamol 500mg
1.
Tab.
5.
Kombinasi:
a. Kodein 30mg
b. Pheniltoloxamin 10mg
1.
Tab.
PRODUK DARAH DAN PENGGANTI DARAH
27.1
PENGGANTI PLASMA DARAH
1.
Albumin
1.
Inj. 20%, btl @ 100ml

2.
3.

2.
Inj. 25%, btl @ 100ml
Koloid HES BM 130.000
1.
Lar. Infus 6%, btl @ 500ml
Koloid Balanced Elektrolit HES 130/0.42
1.

Lar. Infus 6%, btl @ 500ml

Cellcept

MST Continus
Morphin

Kimia Farma
Kimia Farma

Petidin

Kimia Farma

Fentanil

Kimia Farma

Coditam

Kimia Farma

Codipront

Kimia Farma

Albuman
Robumin
Albuminar

Graha Farma
Novell
Dexa

Widahes 130

Widatra

Tetraspan

B-Braun Medical
Indonesia

28.

29.

30.

31.

31.

RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE

1.
Atracurium Besylate
1.
Inj. 10mg/ml, amp @ 2,5ml
OBAT TELLINGA, HIDUNG DAN TENGGOROKAN
29.1
ANTIBAKTERI TOPIKAL
1.
Kloramfenikol
1.
Tetes Telinga 3%, btl 5ml
29.2
KORTIKOSTEROID
1.
Triamcinolone Acetonide
1.
Kombinasi:
Triamcinolon
Acetonide
Krim., Tube
OBAT KUMUR
1.
Povidone Iodine 1%
1.
Larutan.
2.
Benzydamin HCl
1.
Larutan. Btl @ 120ml
PENYAKIT OBGYN
1.
Klomifen Sitrat
1.
Tab. 50mg
2.
Misoprostol
1.
Tab. 200 g

Atracurium Hameln

Combiphar

Reco Ear Drop

Kenalog In orabase

Betadin Gargle
Tantum Verde

Soho

Blesifen

Sanbe

Gastrul
Proster
SUPLEMEN HEPAR, GINJAL, MATA, IMUNODULATOR, DAN SUPLEMEN PADA ANAK, SERTA SUSU
31.1.
Suplemen pada Anak
1.
Sir.
Apialis
2.
Drop.
Apialis
3.
Sach.
L - Bio
4.
Sach.
Lacidofil

Fahrenheit
Guardian

Lapi
Lapi
Lapi
Dexa

5.
6.
7.
31.2.

31.3.

31.4.

31.5.

Sir.
Sach.
Sach.

Suplemen pada Mata

1.
Tab.
2.
Tab.
3.
Tab.
4.
Tab.
5.
Tab.
6.
Tab.
7.
Tab.
8.
Tab.
9.
Tab.
10.
Tab.
Suplemen Ginjal
1.
Sir.
2.
Tab.
3.
Tab.
Suplemen Hepar
1.
Tab.
2.
Tab.
3.
Tab.
4.
Inj.
Imunodulator
1.
Tab.
2.
Tab.
3.
Sir.
4.
Tab.

Likurmin
Nutrichol
Smecta

Kalbe
Landson

Asthin Force
Berry
Ginkona
Glaucon
Glauseta
Matovit AX
Natto 10
Optimax
Retivit
TGF

Soho
Cendo
Metiska
Cendo
Sanbe
Soho
Lapi
Ferron
Sanbe
Cendo

Batugin Elixir
Aminefron
Prorenal

Kimia Farma
Dexa
Novel

Curcuma
HepaQ
Hepatin
SNMC

Soho
Pyridam
Lapi
Dexa

Divens Plus
Imboost Force
Imboost Force
Imunos

Dexa
Soho
Soho
Lapi

31.5.

31.6.

5.
6.
Lain-Lain
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
SUSU
1.
2.

Tab.
Sir.

Starmuno
Starmuno kid

Kalbe
Kalbe

Tab.
Tab.
Tab.
Sir.
Tab.
Tab.
Inj.
Tab.
Tab.
Tab.
Tab.
Tab.
Sir.
Tab.
Krim
Tab.
Kap.
Tab.
Tab.
Tab.
Kap.
Sir.
Kap.
Tab. Hydroxyurea

Becom C
Becom Zet
Berzymplex
Biolysin
Biosanbe
Bexicom Z
Cernevit
Diklovit
Disolf
FG Troches
Forneuro
Inbion
Lactulax
Laktafit
NSC
Nutriflam
Ostovel
Pharmaton Vit.
Postovit
Promavit
Psidii
Psidii
Redacid
Cytodrox

Sanbe
Sanbe

Bubuk.
Bubuk.

Diabetasol
Entramix

Kalbe
Kalbe

Sanbe
Sanbe
Kalbe
Novel
Dexa
Meiji
Kalbe
Kalbe
Ika pharmindo
Dexa
Novel
Tropica
Novel
Boehringer
Novel
Lapi
Dexa
Dexa
Dexa
Combiphar

3.
4.
5.

Bubuk.
Bubuk.
Bubuk.

Heapatosol
Nephrisol
Peptisol

Kalbe
Kalbe
Kalbe