DAFTAR OBAT MENGANDUNG PREKURSOR

No Nama Obat

1 Actfed Cough Plus Suppressant 60 ml

2 Actfed Cough Plus Expectorant 60 ml
3 Actfed Syrup 60 ml
4 Allerin Expectorant 60 ml
5 Alpara Syrup 60 ml
6 Alpara Kaplet
7 Anakonidin OBH 30 ml
8 Anakonidin OBH 60 ml
9 Anakonidin Syrup 30 ml
10 Anakonidin Syrup 60 ml
11 Anaton Syrup 60 ml
12 Bodrexin Flu & Batuk Syrup 56 ml
13 Bodrexin Pilek Alergi Syrup 56 ml
14 Bronchitn Expectorant 50 ml
15 Bufagan Expectorant 60 ml
16 Bufakris Syrup 60 ml
17 Calortusin Syrup 60 ml
18 Calortusin Tablet
19 Citocetne Syrup 60 ml
20 Colfin Syrup 60 ml
21 Coparcetne Syrup 60 ml
22 Coparcetne Tablet
23 Decolgen Syrup 60 ml
24 Decolgen Tablet
25 Decolsin Capsule
26 Decolsin Syrup 60 ml
27 Dextral Forte Kaplet
28 Dextral Syrup 60 ml
29 Dextral Kaplet
30 Etaflusin Syrup 60 ml
31 Flucadex Kaplet
32 Flucadex Syrup
33 Fludane Forte Kaplet
34 Fludane Kaplet
35 Fludane Plus Kaplet
36 Fludane Plus Syrup 60 ml
37 Fludane Syrup 60 ml
38 Flumin Plus Syrup 60 ml
39 Flumin Tablet
40 Flutamol Syrup 60 ml
41 Flutamol Kaplet
42 Flutop C Syrup 60 ml
 43 Hufagrip Forte Tablet
44 Hufagrip Pilek Syrup 60 ml
45 Hufagrip Syrup 60 ml
46 Hufagrip BP Syrup 60 ml
47 Intunal Kaplet
48 Intunal Forte Kaplet

49 Intunal Syrup 60 ml
50 Inza Kaplet
51 Millsen Syrup 60 ml
52 Mixagrip Flu & Batuk Kaplet
53 Molexflu Syrup 60 ml
54 Molexflu Tablet
55 Nalgestan Tablet
56 Neo Napacin Tablet
57 Neozep Forte Tablet
58 OBH Combi Batuk Flu Menthol 60ml
59 OBH Combi Batuk Flu Jahe 60ml
60 OBH Combi Batuk Flu Madu 60ml
61 OBH Combi Batuk Flu Menthol 100ml
62 OBH Combi Batuk Flu Jahe 100ml
63 OBH Combi Batuk Flu Anak Apel 60ml
64 OBH Combi Batuk Flu Anak Orange 60ml
65 OBH Combi Batuk Flu Anak Strawberry 60ml
66 OBH Combi Batuk Flu Anak Madu 60ml
67 Paracetn Syrup 60 ml
68 Paratenza Syrup 60 ml
69 Paratusin Syrup 60 ml
70 Paratusin Tablet
71 Pimtrakol Cherry Syrup 60 ml
72 Pimtrakol Plus Syrup 60 ml
73 Poncolin Syrup 60 ml
74 Siladex Cough & Cold 30 ml
75 Siladex Cough & Cold 60 ml
76 Tera F Kaplet
77 Termorex Plus Syrup 30 ml
78 Termorex Plus Syrup 60 ml
79 Thymcal Syrup 100 ml
80 Triaminic Batuk & Pilek 60 ml
81 Triaminic Ekspektoran 60 ml
82 Triaminic Pilek 60 ml
83 Neo Triaminic Drops 10 ml
84 Ultraflu Kaplet

DAFTAR OBAT MENGANDUNG PREKURSOR

No Nama Obat
1 Actfed Cough Plus Suppressant 60 ml
 2 Actfed Cough Plus Expectorant 60 ml
3 Actfed Syrup 60 ml
4 Allerin Expectorant 60 ml
5 Alpara Syrup 60 ml
6 Alpara Kaplet
7 Anakonidin OBH 30 ml
8 Anakonidin OBH 60 ml
9 Anakonidin Syrup 30 ml
10 Anakonidin Syrup 60 ml
11 Anaton Syrup 60 ml
12 Bodrexin Flu & Batuk Syrup 56 ml
13 Bodrexin Pilek Alergi Syrup 56 ml
14 Bronchitn Expectorant 50 ml
15 Bufagan Expectorant 60 ml
16 Bufakris Syrup 60 ml
17 Calortusin Syrup 60 ml
18 Calortusin Tablet
19 Citocetne Syrup 60 ml
20 Colfin Syrup 60 ml
21 Coparcetne Syrup 60 ml
22 Coparcetne Tablet
23 Decolgen Syrup 60 ml
24 Decolgen Tablet
25 Decolsin Capsule
26 Decolsin Syrup 60 ml
27 Dextral Forte Kaplet
28 Dextral Syrup 60 ml
29 Dextral Kaplet
30 Etaflusin Syrup 60 ml
31 Flucadex Kaplet
32 Flucadex Syrup
33 Fludane Forte Kaplet
34 Fludane Kaplet
35 Fludane Plus Kaplet
36 Fludane Plus Syrup 60 ml
37 Fludane Syrup 60 ml
38 Flumin Plus Syrup 60 ml
39 Flumin Tablet
40 Flutamol Syrup 60 ml
41 Flutamol Kaplet
42 Flutop C Syrup 60 ml
43 Hufagrip Forte Tablet

44 Hufagrip Pilek Syrup 60 ml

45 Hufagrip Syrup 60 ml
46 Hufagrip BP Syrup 60 ml
47 Intunal Kaplet
48 Intunal Forte Kaplet
 49 Intunal Syrup 60 ml
50 Inza Kaplet
51 Millsen Syrup 60 ml
52 Mixagrip Flu & Batuk Kaplet
53 Molexflu Syrup 60 ml
54 Molexflu Tablet
55 Nalgestan Tablet
56 Neo Napacin Tablet
57 Neozep Forte Tablet
58 OBH Combi Batuk Flu Menthol 60ml
59 OBH Combi Batuk Flu Jahe 60ml
60 OBH Combi Batuk Flu Madu 60ml
61 OBH Combi Batuk Flu Menthol 100ml
62 OBH Combi Batuk Flu Jahe 100ml
63 OBH Combi Batuk Flu Anak Apel 60ml
64 OBH Combi Batuk Flu Anak Orange 60ml
65 OBH Combi Batuk Flu Anak Strawberry 60ml
66 OBH Combi Batuk Flu Anak Madu 60ml
67 Paracetn Syrup 60 ml
68 Paratenza Syrup 60 ml
69 Paratusin Syrup 60 ml
70 Paratusin Tablet
71 Pimtrakol Cherry Syrup 60 ml
72 Pimtrakol Plus Syrup 60 ml
73 Poncolin Syrup 60 ml
74 Siladex Cough & Cold 30 ml
75 Siladex Cough & Cold 60 ml
76 Tera F Kaplet
77 Termorex Plus Syrup 30 ml
78 Termorex Plus Syrup 60 ml
79 Thymcal Syrup 100 ml
80 Triaminic Batuk & Pilek 60 ml
81 Triaminic Ekspektoran 60 ml
82 Triaminic Pilek 60 ml
83 Neo Triaminic Drops 10 ml
84 Ultraflu Kaplet

Colfin Syrup 60 ml Phenylpropanolamine HCl

Hufagrip Forte Tablet Ephedrine HCl
Tera F Kaplet Phenylpropanolamine HCl
Molexflu Syrup 60 ml Phenylpropanolamine HCl
Calortusin Tablet Phenylpropanolamine HCl
Molexflu Tablet Phenylpropanolamine HCl
Nama Obat Zat Aktf Prekursor

Flutop C Syrup 60 ml Phenylpropanolamine HCl

Anakonidin Syrup 30 ml Pseudoephedrine HCl
Anakonidin Syrup 60 ml Pseudoephedrine HCl
Anakonidin OBH 30 ml Pseudoephedrine HCl
Anakonidin OBH 60 ml Pseudoephedrine HCl
Bodrexin Flu & Batuk Pseudoephedrine HCl
Syrup 56 ml
Bodrexin Pilek Alergi Pseudoephedrine HCl
Syrup 56 ml
Termorex Plus Syrup 30 Pseudoephedrine HCl
ml
Termorex Plus Syrup 60 Pseudoephedrine HCl
ml

14 2
Ket

5
KOP APOTEK/ KLINIK/ RUMAH SAKIT/ TOKO OBAT

SURAT PESANAN OBAT MENGANDUNG PREKURSOR FARMASI

No. SP :
Yang bertanda tangan di bawah ini
Nama
Jabatan
No. SIPA utk Apotek/ Klinik/ RS, SIPTTK utk Ass.Apoteker di Toko Obat : Harus diisi de
Mengajukan Pesanan obat mengandung Prekursor Farmasi kepada:
Nama PBF
Alamat
Telp
Jenis Obat mengandung Prekursor Farmasi yang dipesan adalah:
No Nama Obat mengandung Prekursor
Farmasi
1 Actifed Plus Cough Suppressent

2 Actifed Plus Expectorant

3 Actifed Syrup

4 Allerin Ekspektoran 60 ml

5 Alpara Kaplet

6 Alpara Sirup 60 ml

7 Anakonidin OBH 30 ml

8 Anakonidin OBH 60 ml

9 Anakonidin 30 ml
10 Anakonidin 60 ml

11 Bufakris Syrup

12 Calortusin syrup

13 Calortusin Kaplet

14 Coparcetin Sirup

15 Coparcetine Tablet

16 Decolgen Sirup 60 ml

17 Decolgen Tablet

18 Decolsin Kapsul

19 Decolsin Sirup

20 Dextral Kaplet

21 Dextral Forte Kapsul

22 Dextral Sirup 60 ml

23 Etaflusin Syrup

24 Flucadex Sirup 60 ml

25 Flucadex Kaplet

26 Fludane Plus Kaplet

27 Fludane Forte Kapsul

28 Flumin Kaplet

29 Flumin Plus Sirup

30 Flutop C Sirup

31 Hufagrip Batuk Pilek Sirup

32 Hufagrip Flu Sirup

 33 Hufagrip Forte

34 Hufagrip Pilek Sirup

35 Intunal Kaplet

36 Intunal Sirup

37 Intunal Forte Tablet

38 Metilergometrin Maleat Tablet

39 Molexflu Sirup

40 Molexflu Kaplet

41 Nalgestan

42 Neo Napacin

43 Neozep Forte

44 Obh Combi Anak Batuk Plus Flu

Strawberry
45 Obh Combi Anak Batuk Plus Flu
Apel
46 Obh Combi Anak Batuk Plus Flu
Madu
47 Obh Combi Batuk Plus Flu Jahe 100
Ml
48 Obh Combi Batuk Plus Flu Madu 60
Ml
49 Obh Combi Batuk Plus Flu Jahe 60
Ml

Obh Combi Batuk Plus Flu Menthol

50 100 Ml
51 Obh Combi Batuk Plus Flu Menthol
60 Ml
52 Obh Combi Anak Batuk Plus Flu
Orange
53 Obh Tropica Extra Menthol 60 ml

54 Obh Tropica Extra Menthol 100 ml

55 Obh Tropica Extra Anak Strawberry

60 ml
56 Obh Tropica Extra Anak Jeruk 60 ml
 57 Obh Tropica Plus Menthol 60 ml

58 Obh Tropica Plus Menthol 100 ml

59 Obh Tropica Plus Anak Strawberry

60 ml
60 Obh Tropica Plus Anak Jeruk 60 ml

61 Paratusin Sirup

62 Paratusin Tablet

63 Pimtrakol Cherry

64 Pimtrakol Lemon

65 Siladex Cough & Cold 60 ml

66 Siladex Cough & Cold 30 ml

67 Tera-F

68 Termorex Plus 30ml

69 Termorex Plus 60ml

70 Triaminic Batuk 60 ml

71 Triaminic Ekspektoran 60 ml

72 Triaminic Pilek 60 ml

Obat mengandung Prekursor Farmasi tersebut akan digunakan untuk memenuhi kebutuhan
Nama Apotek, Toko Obat, Klinik, Rumah Sakit : Harus diisi dengan lengkap
Alamat Lengkap : Harus diisi dengan Lengkap
No.Ijin Apotek, Toko Obat, Klinik, Rumah Sakit : Harus diisi dengan Lengkap

Tempat, Tanggal - Bulan - Tahun

TTD Apoteker + Cap Apotek, Toko Obat, Klinik, Rumah Sakit

Nama Apoteker diisi lengkap dengan Gelar
SIPA Apoteker (Apotek/Klinik/RS), SIPTTK Ass.Apoteker (Toko Obat)

Note:
Untuk penamaan obat jangan disingkat dan jangan ditulis Actifed merah, actifed hijau, Hufagrip biru, hufagrip kuning,
hufagrip hijau
 Nama Obat mengandung
No Prekursor Farmasi
1 Molexflu Kaplet

2 Termorex Plus 30ml

3 Termorex Plus 60ml

angka

Keterangan

Ditulis huruf
latin

Ditulis huruf
latin

Ditulis huruf
latin
Zat Aktf Prekursor Bentuk dan Satuan
Kekuatan Sediaan
Pseudoephedrine HCl Syrup & 30 mg Botol
Pseudoephedrine HCl Syrup & 30 mg Botol
Pseudoephedrine HCl Syrup & 30 mg Botol
Pseudoephedrine HCl Syrup & 15 mg Botol
Phenylpropanolamine HCl Syrup & 3.125 mg Botol
Phenylpropanolamine HCl Kaplet & 12.5 mg Box
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Phenylpropanolamine HCl Syrup & 3.5 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Ephedrine HCl Syrup & 8 mg Botol
Ephedrine HCl Syrup & 2.5 mg Botol
Ephedrine HCl Syrup & 4.17 mg Botol
Phenylpropanolamine HCl Syrup & 3.75 mg Botol
Phenylpropanolamine HCl Tablet & 15 mg Box
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Phenylpropanolamine HCl Syrup & 3.5 mg Botol
Ephedrine HCl Syrup & 4 mg Botol
Ephedrine HCl Tablet & 8 mg Box
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Phenylpropanolamine HCl Tablet & 12.5 mg Box
Pseudoephedrine HCl Kapsul & 30 mg Box
Pseudoephedrine HCl Syrup & 15 mg Botol
Phenylpropanolamine HCl Kaplet & 15 mg Box
Phenylpropanolamine HCl Syrup & 15 mg Botol
Phenylpropanolamine HCl Kaplet & 12.5 mg Box
Ephedrine HCl Syrup & 3 mg Botol
Phenylpropanolamine HCl Kaplet & 15 mg Box
Phenylpropanolamine HCl Syrup & 7.5 mg Botol
Phenylpropanolamine HCl Kaplet & 12.5 mg Box
Phenylpropanolamine HCl Kaplet & 12.5 mg Box
Phenylpropanolamine HCl Kaplet & 12.5 mg Box
Phenylpropanolamine HCl Syrup & 3.125 mg Botol
Phenylpropanolamine HCl Syrup & 3.125 mg Botol
Phenylpropanolamine HCl Syrup & 3.5 mg Botol
Phenylpropanolamine HCl Tablet & 15 mg Box
Phenylpropanolamine HCl Syrup & 3.5 mg Botol
Phenylpropanolamine HCl Kaplet & 15 mg Box
Phenylpropanolamine HCl Syrup & 3.5 mg Botol
 Ephedrine HCl Tablet & 5 mg Box
Pseudoephedrine HCl Syrup & 15 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Pseudoephedrine HCl Syrup & 15 mg Botol
Phenylpropanolamine HCl Kaplet & 12.5 mg Box
Phenylpropanolamine HCl Kaplet & 15 mg Box

Phenylpropanolamine HCl Syrup & 3.5 mg Botol

Pseudoephedrine HCl Kaplet & 30 mg Box
Phenylpropanolamine HCl Syrup & 3.5 mg Botol
Pseudoephedrine HCl Kaplet & 30 mg Box
Phenylpropanolamine HCl Syrup & 3.125 mg Botol
Phenylpropanolamine HCl Tablet & 12.5 mg Box
Phenylpropanolamine HCl Tablet & 15 mg Box
Ephedrine HCl Tablet & 12.5 mg Box
Phenylpropanolamine HCl Tablet & 15 mg Box
Ephedrine HCL Sirup & 2.5 mg Botol
Ephedrine HCL Sirup & 2.5 mg Botol
Ephedrine HCL Sirup & 2.5 mg Botol
Ephedrine HCL Sirup & 2.5 mg Botol
Ephedrine HCL Sirup & 2.5 mg Botol
Pseudoephedrine HCL Sirup & 7.5 mg Botol
Pseudoephedrine HCL Sirup & 7.5 mg Botol
Pseudoephedrine HCL Sirup & 7.5 mg Botol
Pseudoephedrine HCL Sirup & 7.5 mg Botol
Ephedrine HCl Syrup & 3 mg Botol
Pseudoephedrine HCl Syrup & 15 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Phenylpropanolamine HCl Tablet & 15 mg Box
Ephedrine HCl Syrup & 2.5 mg Botol
Ephedrine HCl Syrup & 2.5 mg Botol
Ephedrine HCl Syrup & 8 mg Botol
Ephedrine HCl Syrup & 15 mg Botol
Ephedrine HCl Syrup & 15 mg Botol
Phenylpropanolamine HCl Kaplet & 15 mg Box
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Ephedrine HCl Syrup & 10 mg Botol
Pseudoephedrine HCl Syrup & 15 mg Botol
Pseudoephedrine HCl Syrup & 15 mg Botol
Pseudoephedrine HCl Syrup & 15 mg Botol
Pseudoephedrine HCl Syrup & 7.5 mg Botol
Phenylpropanolamine HCl Kaplet & 15 mg Box

REKURSOR

Zat Aktf Prekursor

Pseudoephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Ephedrine HCl
Ephedrine HCl
Ephedrine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Ephedrine HCl
Ephedrine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Ephedrine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Ephedrine HCl

Pseudoephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Phenylpropanolamine HCl
Ephedrine HCl
Phenylpropanolamine HCl
Ephedrine HCL
Ephedrine HCL
Ephedrine HCL
Ephedrine HCL
Ephedrine HCL
Pseudoephedrine HCL
Pseudoephedrine HCL
Pseudoephedrine HCL
Pseudoephedrine HCL
Ephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl
Ephedrine HCl
Ephedrine HCl
Ephedrine HCl
Ephedrine HCl
Ephedrine HCl
Phenylpropanolamine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Ephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Pseudoephedrine HCl
Phenylpropanolamine HCl

Syrup & 3.5 mg Botol

Tablet & 5 mg Box
Kaplet & 15 mg Box
Syrup & 3.125 mg Botol
Tablet & 15 mg Box
Tablet & 12.5 mg Box
Bentuk dan Satuan Jumlah
Kekuatan Sediaan
Syrup & 3.5 mg Botol
Syrup & 7.5 mg Botol
Syrup & 7.5 mg Botol
 Syrup & 7.5 mg Botol
Syrup & 7.5 mg Botol
Syrup & 7.5 mg Botol

Syrup & 7.5 mg Botol

Syrup & 7.5 mg Botol

Syrup & 7.5 mg Botol

37

Harus diisi dengan lengkap

: Harus diisi lengkap dengan gelar

: Harus diisi
Apoteker di Toko Obat : Harus diisi dengan Lengkap
rmasi kepada:
: PT. Triputra Mulia Farmasindo (Harus diisi jangan disingkat)
: Jl. Pilang Raya No.90 Kedawung - Cire (Harus diisi)
: 0231-225540 (Harus diisi)

Bentuk dan Satuan Jumlah

Zat Aktif Prekursor Farmasi Kekuatan
Pseudoephedrine HCl Syrup & 30 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 30 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 30 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Phenylpropanolamine HCl Kaplet & 12.5 mg Box Ditulis
angka
Phenylpropanolamine HCl Syrup & 3.125 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
 angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Ephedrine HCl Syrup & 4.17 mg Botol Ditulis
angka
Phenylpropanolamine HCl Syrup & 3.75 mg Botol Ditulis
angka
Phenylpropanolamine HCl Kaplet & 15 mg Box Ditulis
angka
Ephedrine HCl Syrup & 4 mg Botol Ditulis
angka
Ephedrine HCl Tablet & 8 mg Box Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Phenylpropanolamine HCl Tablet & 12.5 mg Box Ditulis
angka
Pseudoephedrine HCl Kapsul & 30 mg Box Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Phenylpropanolamine HCl Kaplet & 12.5 mg Box Ditulis
angka

Ditulis
Phenylpropanolamine HCl Kapsul & 15 mg Box angka
Phenylpropanolamine HCl Syrup & 12.5 mg Botol Ditulis
angka
Ephedrine HCl Syrup & 3 mg Botol Ditulis
angka
Phenylpropanolamine HCl Syrup & 7.5 mg Botol Ditulis
angka
Phenylpropanolamine HCl Kaplet & 15 mg Box Ditulis
angka
Phenylpropanolamine HCl Kaplet & 12.5 mg Box Ditulis
angka
Phenylpropanolamine HCl Kaplet & 12.5 mg Box Ditulis
angka
Phenylpropanolamine HCl Kaplet & 15 mg Box Ditulis
angka
Phenylpropanolamine HCl Syrup & 3.5 mg Botol Ditulis
angka
Phenylpropanolamine HCl Syrup & 3.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Ephedrine HCl Kaplet & 5 mg Box Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Phenylpropanolamine HCl Kaplet & 12.5 mg Box Ditulis
angka
Phenylpropanolamine HCl Syrup & 3.5 mg Botol Ditulis
angka
Phenylpropanolamine HCl Tablet & 15 mg Box Ditulis
angka
Metilergometrin Maleat Tablet & 0.125 Box Ditulis
mg angka
Phenylpropanolamine HCl Syrup & 3.125 mg Botol Ditulis
angka
Phenylpropanolamine HCl Kaplet & 12.5 mg Box Ditulis
angka
Phenylpropanolamine HCl Tablet & 15 mg Box Ditulis
angka
Ephedrine HCl Tablet & 12.5 mg Box Ditulis
angka
Phenylpropanolamine HCl Tablet & 15 mg Box Ditulis
angka
Pseudoephedrine HCL Sirup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCL Sirup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCL Sirup & 7.5 mg Botol Ditulis
angka
Ephedrine HCL Sirup & 2.5 mg Botol Ditulis
angka
Ephedrine HCL Sirup & 2.5 mg Botol Ditulis
angka
Ephedrine HCL Sirup & 2.5 mg Botol Ditulis
angka

Ditulis
Ephedrine HCL Sirup & 2.5 mg Botol angka
Ephedrine HCL Sirup & 2.5 mg Botol Ditulis
angka
Pseudoephedrine HCL Sirup & 7.5 mg Botol Ditulis
angka
Ephedrine HCl Sirup & 3 mg Botol Ditulis
angka
Ephedrine HCl Sirup & 3 mg Botol Ditulis
angka
Pseudoephedrine HCl Sirup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Sirup & 7.5 mg Botol Ditulis
 angka
Ephedrine HCl Sirup & 2.67 mg Botol Ditulis
angka
Ephedrine HCl Sirup & 2.67 mg Botol Ditulis
angka
Pseudoephedrine HCl Sirup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Sirup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Phenylpropanolamine HCl Tablet & 15 mg Box Ditulis
angka
Ephedrine HCl Syrup & 2 mg Botol Ditulis
angka
Ephedrine HCl Syrup & 2 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Phenylpropanolamine HCl Kaplet & 15 mg Box Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 15 mg Botol Ditulis
angka
gunakan untuk memenuhi kebutuhan :
us diisi dengan lengkap

ufagrip kuning,
 Bentuk dan
Zat Aktif Prekursor Farmasi Kekuatan Satuan Jumlah
Phenylpropanolamine HCl Kaplet & 12.5 mg Box Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
angka
Pseudoephedrine HCl Syrup & 7.5 mg Botol Ditulis
Keterangan

Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin

Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin

Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin
Ditulis huruf
latin