Case Pneumonia PPOK

Count - NAMA DAGANG
1323
1,185
1,184
1,203
1,176
FORMULARIUM RUMAH SAKIT
PT NUSANTARA MEDIKA UTAMA
NO. OBAT BENTUK DAN SEDIAAN NAMA DAGANG

ANALGETIK, ANTI PIRETIK, ANTI
1. INFLAMASI NON STEROID
1.1. ANALGETIK NARKOTIKA

- Injeksi, patch : 25 ug/ML, 50 Fentanyl
1.1.1. Fentanyl ug/mL
Durogesic
1.1.2. Codein - Tab : 10, 15, 20 mg Codein
Codein 30 mg+ paracetamol 500 mg Coditam

1.1.3. Morfin - Injeksi : 10 mg/mL Morfin
- Tab : 10, 15, 30 mg MST Continous
1.1.4. Petidin - Injeksi : 50 mg/mL Petidin

Clopidin
1.2. ANALGETIK NON NARKOTIKA

1.2.1. Asam Acetylsalisilat - Tab : 50, 80, 100, 500 mg Acetosal
Farmasal
Cardioaspirin
Aspilet
1.2.1.1. Asam Acetylsalisilat + Glizine - Tab 100 mg + Glizine 45 mg Proxime
1.2.2. Asam Mefenamat - Tab : 250, 500 mg Asam Mefenamat

Mefinal
Mefinter
- Syr Pondex
1.2.3. Celecoxib - Cap : 100, 200 mg Celebrex

1.2.4. Ibuprofen - Tab : 100, 200, 400 mg Ibuprofen
- Syr : 100mg/mL Bufect
- Syr : 200mg/mL Proris
Fenris
1.2.5. Indometacin - Cap : 100 mg Dialon
1.2.6. Kalium Diklofenak - Tab : 25, 50 mg K Diklofenak

Eflagen
- Tab Dispersible, Fast Cataflam
Diflam
Ketoprofen - Tab/cap : 50, 100, 200 mg Ketoprofen
2/116

- Injeksi : 50 mg/mL Kaltrofen
Altofen
Ketrobat
- Supp : 100 mg Pronalges
Profenid
1.2.7.2 Dexketoprofen trometamol - Tab/injeksi Ketesse

Keren
1.2.8 Nabumetone - Tab 500 mg Goflex
1.2.9. Ketorolac - Tablet, Injeksi : 10, 30 mg Ketorolac

Ketopain
Torasic
Teranol
Rativol
1.2.10. Metampyron/Metamizol - Tab : 500 mg Antalgin

- Syr : 125 mg/5 mL Novalgin
- Injeksi : 500 mg/mL Santagesic
- Drops Antrain
1.2.11. Meloxicam - Tab : 7,5 mg, 15 mg Meloxicam

- Supp : 15 mg Ostelox
- Injeksi Movix
Meloxin
1.2.12. Natrium Diklofenak - Tab : 25, 50, 75, 100 mg Na. Diklofenak
- Injeksi : 25 mg/mL Voltaren
Tetes mata Flamar
- Gel : 1 % Deflamat CR
1.2.13. Paracetamol / Acetaminofen - Tab : 500 mg Paracetamol

- Syr : 125 mg/5 mL Sanmol
- Drop : 100 mg/mL Tamoliv
-Infus Pamol
1.2.14. Piroxicam - Cap : 10, 20 mg Piroxicam

- Gel : 0.5 % Pirofel
- Supp : 20 mg Felden Flash
1.2.15. Tramadol - Cap : 50 mg, 100mg Tramadol

- Injeksi : 50 mg/mL Tramal Retard
- Supp : 100 mg Tradosik
1.2.16 Parocesib Inj Dynastat
3/116
1.3. ANALGETIK KOMBINASI

1.3.1. Metamizol Kombinasi - Tab : Neuralgin
Analsik
Neurosanbe Plus
Danalgin
1.3.2. Paracetamol + Tramadol - Tab : Patral
Analtram
1.3.3. Paracetamol Kombinasi - Tab : Doloneurobion

Sistenol
1.3.4. Natrium Diclofenac Kombinasi - Tab : Neurofenac plus
1.4. ANTI PIRAI

1.4.1. Allopurinol - Tab : 100, 300 mg Allopurinol
Puricemia
Zyloric
Isoric
1.5. LAIN – LAIN

1.5.1. Tinoridine - Cap : 50 mg Nonflamin
1.5.2. Colchicine - Tab 0.5 mg Recolfar
1.5.3. Tenoxicam - Tab 20 mg Tilflam
2. ANESTETIK
2.1. ANESTETIK LOKAL
2.1.1. Lidocain - Inj : 2 mL, 25 mg Pehacain
(cum Adrenalin) Xylocaine
2.1.2. Bupivacain - Inj : 0,25 %, 0,5 % Marcain

Bucain
2.1.3. Ethil Chlorida -Spray Cloraethyl Dr. Henning
2.1.4. Lidocain -Inj : 2 ml Lidocain
2.1.5. Lidocain+Dextrose -Inj : 2 ml, 100mg Lidodex
2.2. ANESTETIK INHALASI

2.2.1. Halothane - Sol : 50, 250 mL Halothane
Fluothane
2.2.2. Enfluran - Sol : 250 mg Ethrane
4/116

Compound 347
2.2.3. Isofluran - Sol : 100 mL Aerrane

Isofluorane
2.2.4. Sevofluorane - Sol Sevofluorane

Sojourne
Sevodex
2.3. ANESTETIK PARENTERAL

2.3.1. Ketamin - Inj : 50, 100 mg/mL Anesject
Ketamin-Hameln
KTM
2.3.2. Midazolam - Inj : 5 mg/5 mL Midazolam-Hameln

- Inj : 15 mg/3 mL Miloz
Fortanes
2.3.3. Propofol -Inj : 200mg/20 ml, 1 gr/50 ml Proanes
Recofol
Propofol Lipuro
Safol
2.4. LAIN – LAIN

2.4.1. Nitrogen Oksida - Gas N2O
3. ANTI DOTUM
3.1. ANTI DOTUM KHUSUS
3.1.1. Atropin Sulfat - Inj : 0,25 mg Atropin Sulfat
3.1.2. Calsium Glukonas - Inj : 10 % Calsium Glukonas
3.1.3. Asam Folinat - Inj : 10 mg/mL Calcium Levo Folinat
3.1.4. Protamine Sulphate - Inj : 10 mg/mL Protamine Sulphate
3.1.5 Lanthanum carbonat - Tab Fosrenol
3.1.6 Desfeioxamin Methanesulfonate Inj Disferal
3.1.7. N-asetilsistein Vial 200 mg/ml Hidonac
3.2. ANTI DOTUM UMUM

3.2.1. Carbo Absorben - Tab : 250 mg Norit
5/116

ANTI ALERGI, ANTI ANAFILAKTIK,
4. KORTIKOSTEROID
4.1. ANTIHISTAMIN
4.1.1. Cetirizine - Tab : 10 mg Cetirizine
- Syr : 5 mg/5 mL Cerini
-Drops : 10 mg/ 12 ml Ryvel
Tiriz
Intrizin
4.1.2. Chlorfeniramine maleat - Tab : 4 mg CTM

Pehachlor
4.1.3. Cyproheptadine - Tab : 4 mg Heptasan
4.1.4. Dimenhidrinat - Tab : 50 mg Dimenhidrinat

Dramamine
Omedrinat
4.1.5. Desloratadine - Tab : 5 mg Aerius
4.1.6. Difenhidramine - Inj : Difenhidramine

Duradryl
4.1.7. Fexofenadine - Tab : 180, 120 mg Telfas HD/OD
4.1.8. Loratadine - Tab : 10 mg Loratadine

- Syr : 5 mg/ 5 mL Alloris
Inclarin
4.1.9. Mebhidroline Napadisylate - Tab : 50 mg, Syr : 5 mg/ 5 mL Histapan
Interhistin
4.1.10. Pheniramin Hidrogen Maleat - Tab : 25 mg Avil

- Syr : 15 mg/5 mL
- Inj : 50 mg/ 2 mL
4.1.11 Oxatomide ‘- Tab 30 mg Oxtin
4.1.12 Levocetirizine - Tab Avocell
4.2. KORTIKOSTEROID
4.2.1. Dexametasone - Tab : 0.5 mg, 0.75 mg Dexametasone
- Inj : 5 mg/mL Cortidex
Kalmetasone
Indexon
6/116
4.2.2. Metyl Prednisolon - Tab : 4, 8, 16, 32 mg Metyl Prednisolon

- Inj : 125, 500 mg Lameson
Hexilon
Sanexon
Intidrol
4.2.3. Prednison - Tab : 5 mg Prednison
4.2.4. Triamcinolon - Tab : 4 mg Triamcinolon
- Inj : 10 mg/mL, 40 mg/mL Trilac
Flamicort
Triamcort
Ketricine
4.3. ANTI ALERGI KOMBINASI

4.3.1. Betametasone + - Tab Ocuson
Dexchlorpheniramin Maleat - Syr Celestamine
Collergis
4.3.2. Dexametasone + - Tab Dextamine

Dexchlorpheniramin Maleat
4.3.3 . Fexofenadin + - Tab Fexofed

Pseudoephedrine Librofed
4.3.4. Triamcinolone + - Tab Kenantist

Cabinoxamine Maleat
4.3.5. Loratadine + - Caps Rhinos SR

Pseudoephedrine - Syr Aldisa SR
5. ANTI EPILEPSI DAN ANTI CONVULSI

5.1. Carbamazepine - Tab : 100, 200 mg Carbamazepin
- Syr : 100 mg/5 mL Tegretol ,CR
5.2. Clonazepam - Tab : 2 mg Riklona

- Drop : 2,5 mg/mL
5.3. Oxcarbazepine - Tab : 300, 600 mg Trileptal
5.4. Phenitoin - Tab : 50, 100 mg Phenitoin

- Syr : 30 mg/mL Dilantin cap
- Inj : 50 mg/mL Kutoin
7/116

5.5. Phenobarbital - Tab : 30, 50, 100 mg Phenobarbital
- Inj Sibital
5.6. Sodium Divalproat - Tab : 250 mg Depakote
5.7. Gabapentin - Caps : 300 mg Gabapentin

Gabexal
Nepatic
Tineuron
5.8. Pregabalin ‘- Cap 75 mg, 150 mg Lyrica

Provelyn
5.9 Zolpidem tartrate - Tab 10 mg Zolmia
5.10 Valproic acid Syr Depakene

Valeptic
6. ANTI INFEKSI
6.1. ANTHELMINTIK
6.1.1. Pirantel Pamoat - Tab : 125, 250 mg Combantrin
- Syr : 125 mg/5 mL
6.2. ANTI BAKTERI
6.2.1. PENICILIN
6.2.1.1. Ampicilin - Tab: 500 mg Ampicilin
- Inj : 1 g Sanpicillin
6.2.1.2. Amoxicilin - Tab: 500 mg Amoxicilin

- Syr : 125, 250 mg Amoxsan
- Inj : 1 g Kalmoxillin
- Drop : 100 mg/mL Intermoxil
6.2.1.3. Cloxacilin - Tab : 250, 500 mg Meixam

- Inj : 1 g
6.2.1.4. Piperacilin Lihat Anti Biotik Kombinasi
6.2.1.5. Sulbenicilin - Inj : 1 g, 2 g Kedacilin
6.2.1.6. Penicilin Procain / - Inj : 3 juta IU Procain Penicilin G

Procain Benzil Penicilin (PPC)
6.2.2. TETRACICLIN
6.2.2.1. Tetraciclin - Caps : 250, 500 mg Tetraciclin
Tetrasanbe
8/116

6.2.2.2. Oxytetraciclin - Inj : 50 mg/mL Terramycin
6.2.2.3. Doxiciclin - Caps : 50, 100 mg Doxiciclin

Siclidon
Interdoxin
6.2.3. SEFALOSPORIN
6.2.3.1. Cefadroxyl - Cap/Tab : 250, 500 mg Cefadroxyl
- Syr : 125, 250 mg/5 mL Cefat
Lapicef
Longcef
Sedrofen
6.2.3.2. Cefradin - Cap/Tab : 250, 500 mg, 1 g Dynacef

- Syr : 125, 250 mg/5 mL Velodine
- Inj : 0,5 g, 1 g
6.2.3.3. Cefalexin - Cap : 250, 500 mg, 1 g Tepaxin

Cefabiotic
6.2.3.4. Ceftazidime -Inj : 1 g Ceftazidime

Thidim
Zidifec
Extimon
6.2.3.5. Cefuroxime (axetil) - Cap/Tab : 250, 500 mg Oxtercid

- Inj : 750 mg Celocid
Anbacim
6.2.3.6. Cefepime - Inj : 0,5 g, 1 g Cefepime

Ceforim
Vipime
Interpim
6.2.3.7. Cefotiam - Tab : 200 mg Ceradolan

- Inj : 1g
6.2.3.8. Cefotaxim - Inj : 1 g Cefotaxim

Taxegram
Kalfoxim
Lapixime
Rycef
6.2.3.9. Ceftriaxon - Inj : 1 g Ceftriaxon

Broadced
Starxon
9/116

Terfacef
Cefxon
Bioxon
6.2.3.10. Ceftizoxim - Inj : 1 g Ceftizoxim

Tizos
Cefizox
6.2.3.11. Cefoperazone - Inj : 0,5 g, 1g Cefoperazone

Ferzobat
Bifotik
6.2.3.12. Cefixime - Caps : 50, 100, 200 mg Cefixime

- Syr : 100 mg/5 mL Cefspan
Sporetik
Ceptik
6.2.3.13. Cefpirom - Inj : 1 g Lapirom

Bactirom
Interom
6.2.3.14 Sefazolin Inj. 1 gr Sefazolin

Cefazol
6.2.3.15 Cefprozil tab Lizor
6.2.3.16 Cefamandole nafate Inj. 1 gr Dofacef
6.2.4. QUINOLONE
6.2.4.1. Ofloxacin - Tab : 200, 400 mg Ofloxacin
- Inj : 200 mg Akilen
-Tetes mata Tarivid
Loxinter
6.2.4.2. Ciprofloxacin - Tab : 250, 500, 750 mg Ciprofloxacin

- Inf : 200, 400 mg Baquinor
Lapiflox
Interflox
6.2.4.3. Pefloxacin - Tab : 400 mg Dexaflox tab

- Inf : 400 mg/125 mL
6.2.4.4. Levofloxacin - Tab : 250, 500 mg Levofloxacin

- Inf : 500 mg/100 mL Cravit
750mg infus Cravox
Levocin
10/116

VoLox
6.2.4.5. Moxifloxacin - Tab : 400 mg Avelox

- Inj : 400 mg Maxiflon
6.2.5. AMINOGLIKOSIDA
6.2.5.1. Streptomicin - Inj : 1 g, 5 g Streptomicin
6.2.5.2. Gentamicin - Inj : 80 mg Gentamicin
Sagestam
Salticin
6.2.5.3. Kanamicin - Cap : 250 mg Kanamicin

- Syr : 50 mg/mL Kanamicin
- Inj : 1 g
6.2.5.4. Dibekacin - Inj : 50, 100 mg Dibekacin
6.2.5.5. Paromomycin - Tab : 250 mg Gabbryl

- Syr : 125 mg/5 mL
6.2.5.6. Amikasin Sulfate - Inj Alostil
6.2.5.7 Netilmicin Sulphate inj : vial 25 mg, amp 150 mg Hypobac
6.2.6. CHLORAMPENICOL
6.2.6.1. Chlorampenicol - Cap : 250 mg Chlorampenicol
- Syr : 125 mg/5 mL Colsancetin
- Inj : 1 g
6.2.6.2. Thiampenicol - Caps : 250, 500 mg Thiampenicol

- Syr : 125, 250 mg/5 mL Biothicol
Thiamycin
Lacopen
6.2.7. MACROLIDE
6.2.7.1. Erythromycin - Caps : 250, 500 mg Erythromycin
- Tab Paed : 200 mg Erysanbe
- Syr : 200 mg/5 mL Erythrin
6.2.7.2. Spiramycin - Caps : 250, 500 mg, 3 MIU Spiramycin

- Syr : 125 mg/5 mL Osmycin
Spirasin
Rovadin
6.2.7.3. Roxythromycin - Caps : 150, 300 mg Biostatik

- Tab Paed : 50, 100 mg Sitro
6.2.7.4. Azithromycin - Caps : 250, 500 mg Azithromycin

- Syrup Mezatrim
11/116

Azomax
Zibramax
Zycin
6.2.7.5. Clarithromycin - Caps 500 mg Bicrolid
6.2.8. ANTI TUBERCULOSA, ANTI LEPRA

6.2.8.1. Isoniazid (+ Vit B 6) - Tab : 100, 400/10 mg INH
Pehadoxin/F
Suprazid/ Forte
6.2.8.2. Rifampicin - Tab/Cap : 150, 300, 450, Rifampicin

600 mg Rifamtibi
RIF
6.2.8.3. Ethambutol - Tab : 250, 500 mg Ethambutol

Santibi
6.2.8.4. Pyrazinamid - Tab : 500 mg Pyrazinamide

Sanazet
6.2.8.5. Streptomycin - Inj : 1 g, 5 g Streptomycin
6.2.8.6. Kombinasi Anti TBC - Tab : Santibi Plus

Pulna / forte
Rimscure/ paed
Rimstar
Rimactazid / paed
6.2.9. ANTIBIOTIKA KOMBINASI
6.2.9.1. Cotrimoxazole - Tab : 480, 960 mg Cotrimoxazole
- Paed Tab : 120 mg Sanprima/F
- Syr : 200/40 mg
6.2.9.2. Ampicilin + Sulbactam - Cap : 375 mg Bactesyn

(Sultamicilin) - Inj : 750 mg, 1,5 g Cinam
Pycin
6.2.9.3. Amoxicilin + Clavulanic Acid - Cap : 250/125 mg Co-amoxiclav

500/125 mg Claneksi
875/125 mg Clavamox
- Syr : 125/31,25 mg
250/62,5 mg
- Inj : 500 mg, 1 g
Cefoperazone+
6.2.9.4. Cefoperazone + Sulbactam - Inj : 500/500 mg Sulbactam
12/116

Stabactam
Cebactam
6.2.9.5 Imipenem + Cilastatin - Inj : 500/500 mg Pelastin
6.2.10. ANTIBIOTIKA GOLONGAN LAIN

6.2.10.1. Clindamycin - Cap : 75, 150, 300 mg Clindamicin
- Syr : 75 mg/5 mL Climadan
- Inj : 150 mg/mL Prolic
6.2.10.2. Lincomycin - Cap : 250, 500 mg Nolipo
6.2.10.3. Fosfomycin - Inj : 1 g, 2 g Novelmicin

Fosmidex
Fosmicin
6.2.10.4. Colistine Sulfate - Tab : 250.000 IU, 1,5 juta IU Colistine
6.2.10.5 Meropenem - Inj 0,5 dan 1 g Meropenem

Merosan
Merofen
6.2.10.6 Azreonam 1 gram Vebac
6.3. ANTI FUNGI

6.3.1. Fluconazole - Cap : 50, 150 mg Fluconazole
- Inf : 2 mg/mL Flucoral
Zemyc
6.3.2. Itraconazole - Cap/Tab : 100 mg Itraconazole

Itzol
Sporacid
6.3.3. Ketoconazole - Tab : 200 mg Ketoconazole

- Sol : 1 %, 2 % Formyco
- Cream Interzol
6.3.4. Nystatin - Tab : 500.000 IU Mycostatin

- Susp : 100.000 IU/mL Emistin
Nymico
6.3.5. Terbinafine - Tab : 250 mg Lamisil
6.3.6. Griseofulvin - Tab Griseofulvin
13/116

6.4. ANTI PROTOZOA
6.4.1. Metronidazole - Tab : 250, 500 mg Metronidazole
- Inf : 500 mg/100 mL Trichodazol
- Supp : 500 mg, 1 g Flagyl
- Syr : 125 mg/ 5 ml Fortagyl
6.5. ANTI VIRAL

6.5.1. Acyclovir - Tab : 200, 400 mg Acyclovir
Zoter
6.5.2. Lamivudin - Tab : 100 mg 3TC HBV
Heplav
6.5.3. Methisoprinol - Tab : 500 mg Isoprinosine

- Syr : 250 mg/5 mL Isprinol
6.5.4. Entecavir - Cap 0,5 mg Baraclude
6.5.5. Telbivudine - Tab 600 mg Sebivo
6.5.6 Valaciclovir - Tab 500 mg Valvir
6.5.7 Adefovir dipivoxil 10 mg Hepsera
6.5.8 Tromantadine HCL - Gel : 1 % Viru-Merz
6.6 ANTI MALARIA

6.6.1 Sulfadoxine, Piremetamine Tab Suldox
6.6.2 Chloroquin Inj Chloroquin

Resochin
7. ANTI VERTIGO, ANTI MIGRAIN

7.1. ANTI VERTIGO
7.1.1. Betahistine DiHCL Tab : 8 mg, 24 mg Betaserc
7.1.2. Betahistine Mesylat Tab : 6 mg Betahistin

Merislon
Mertigo
7.1.3. Cinnarizine - Tab : 25 mg Stugeron
7.1.4. Dimenhidrinat + (Vit B 6) - Tab : 50 mg/50 mg Dramazine
14/116

7.1.5. Flunarizine - Tab : 5, 10 mg Flunarizine
Frego
Gratizin
7.1.6. Pyrathiazine + Theoclate (Vit B 6) - Tab : 40 mg/30 mg Mediamer B6
7.2. ANTI MIGRAIN

7.2.1. Ergotamine + Caffein - Tab : Erycaf
Cafergot
7.2.2. Flunarizine Lihat anti vertigo
7.2.3 Pizorifen Tab Lysagor
7.2.4 Coffein Pulvis Coffein pulv
ANTI NEOPLASTIK, IMUNO

8. SUPRESAN, OBAT TERAPI PALIATIF,
IMUNO MODULATOR
8.1. ANTI HORMON
8.1.1. Etoposide - Inj : 20 mg/mL Etoposid EBEWE
8.1.2. Leuprorelin - Inj : 3,75 mg Tapros
8.1.3. Medroxyprogesterone - Tab : 10, 100 mg Provera

Acetate
8.1.4. Megestrol Acetate - Tab : 40 mg Megace

- Sus : 40 mg/mL
8.1.5. Tamoxifen Citrate - Tab : 10 mg Tamofen

Tamoplex
8.1.7 Letrozole tab Femara
8.2. IMUNOSUPRESAN
8.2.1. Azathioprine - Tab : 50 mg Imuran
8.2.2. Ciclosporin - Cap : 25 mg Sandimun /Neoral

- Inj : 50 mg, 100 mg/mL
8.3. Sitostatik
8.3.1. Bleomycin - Inj : 5 mg, 15 mg Bleocin
Blemanax
15/116

8.3.2. Cisplatinum - Inj : 10 mg/20 mL Cisplatin
25 mg/50 mL Platosin
50 mg/100 mL
8.3.3. Cyclophosphamide - Tab : 50 mg Cyclophosphamide

- Inj : 200, 500, 1000 mg Endoxan
Cyclovid
8.3.4. Doxorubicin HCL - Inj : 10 mg/5 mL Doxorubicin EBEWE

50 mg/25 mL Doxorubin
8.3.5. Epirubicin HCL - Inj : 10 mg, 50 mg Epirubicin HCL

Farmorubicin RD
8.3.6. 5 Fluorouracil - Inj : 250 mg/5 mL 5 Fluorouracil EBEWE

500 mg/10 mL Fluracedil
Curacil
8.3.7. Methotrexate - Tab : 2,5 mg Methotrexate EBEWE

- Inj : 5 mg/2 mL Emthexate
50 mg/2 mL
1 g/10 mL
8.3.8. Tegafur - Cap : 200 mg Futraful
8.3.9. Vinblastine Sulphate - Inj : 10 mg/10 mL Vinblastine Sulphate
8.3.10. Vincristine Sulphate - Inj : 1 mg/mL Vincristine PCH
8.3.11 Ibandronate - Tab Bondronate
8.3.12 leucovorin Ca - Inj Leucovurin

Rescuvulin
8.3.13 Kapesitabina Inj Xeloda
8.3.14 Megestrol Acetat Tab 40 mg Megaplex
8.3.15 Anastrozole Inj Avimidex
8.3.16 Dacarbazin Inj Dacarbazin
8.3.17 Etoposide Inj Posyd
8.3.18 Gemcitabin Inj Gemzar

Cytogem
16/116
8.3.19 Paclitaxel Tab Paxus

Ebetaxel
8.3.20 Docetaxel Inj 20 / 80 mg Brexel
8.3.21 Leuprolide acetate Inj Endrolin
8.3.22 Imatinib mesylate tab Glivec
8.3.23 Sorafemib Tosylate tab Nexafar
8.3.24 Carboplatin inj 150 mg, 450 mg Carboplatin
8.3.25 Oxaliplatin inj Rexta
8.4. IMUNO MODULATOR

8.4.1. Echinacea - Tab : Imunos
(+ Kombinasi) - Syr : Formuno
Starmuno
8.4.2. Interferon Alfa 2B - Inj : 3 MIU, 5 MIU Interferon Alfanative
8.4.3. Methisoprinol Lihat anti viral
8.4.4. Phyllanthus Niruri Extr - Cap : 50 mg Divens

- Syr : 25 mg/mL
8.4.5. L Glutamine -Tab Glutrop
8.5. LAIN – LAIN

8.5.1. Mitomycin C - Inj : 2 mg/10 mL Mitomycin C Kyowa
DARAH DAN OBAT YANG

9. MEMPENGARUHI
9.1. ANTI ANEMIA
9.1.1. Ferros Sulfat/ - Tab : 300 mg Fe Sulfat
Gluconate/Fumarate - Inj Biosanbe
(+ kombinasi) Ferofort
Venofer
- Syr Ferokid
Inbion
9.1.2. Asam Folat - Tab 400, 1000 mcg Asam Folat

Folavit
17/116
9.1.4. Asam Folat + kombinasi - Tab Prenamia

Folamil Genio
9.1.5 Filgrastin Inj 300 mcg Leukokine

Leukogen
Fe hidroksi polimaltose 100 mg +

9.1.6. Maltofer
asam folat 0,35 mg
Obimin AF
Ironil
KOAGULAN, ANTI KOAGULAN, ANTI

9.2. TROMBOTIK DAN FIBRINOLITIK
9.2.1. KOAGULAN
9.2.1.1. Carbazochrome - Tab : 10, 30 mg Adona (AC 17) /Forte
- Inj : 5 mg/mL Crome
9.2.1.2. Tranexamic Acid - Tab : 250, 500 mg As.Traneksamat

- Inj : 50, 100 mg/mL Plasminex
Kalnex
Intermic
9.2.1.3. Octreotide - Inj : 0,1 mg/mL Sandostatin
9.2.1.4. Vit. K (Menadione) - Tab : 10 mg Vit. K

- Inj : 10 mg/mL Neo K
9.2.1.5. Somatostatin -Inj : 250 mcg, 3 mg Somatostatin

Somatostatin eumedica
250 ug
9.2.1.6. Stilamin -Inj Stobled
ANTI KOAGULAN, ANTI TROMBOTIK,

9.2.2. ANTI FIBRINOLITIK
9.2.2.1. Acetyl Salicylic Acid Lihat analgetik
9.2.2.2. Cilostazol - Tab : 50, 100 mg Cilostazol

Pletaal
9.2.2.3. Clopidogrel - Tab : 75 mg Clopidogrel

CPG
Plavix
Platogrix
18/116

Clogin
9.2.2.4. Fondapharinux Na - Inj 2,5 mg/0,5 ml Arixtra
9.2.2.5. Heparin - Inj : 5000 IU/mL Inviclot

Vaxcell Heparin
9.2.2.6. Ticlopidine - Tab : 250 mg Cartrilet

Ticlid
9.2.2.7. Enoxapharin - Inj : 20 mg/0,2 mL Lovenox
9.2.2.8 Collagenase, Fibrilnolitic Tab Plasmin
9.2.2.9 Beroprosil Tab Dorner
9.2.2.10 Warfarin tab Simarc-2
9.2.2.11 Nadrofalin Ca inj Fraxiparent
9.2.2.12 Dabigatran etexilate tab 75 mg 150 mg Pradaxa
9.2.2.13 Rivaroxaban tab Xarelto
9.2.2.14 Parnaparin - Inj 0,4-0,6 Fluxum
9.2.2.15 Lain - lain -Tab Disolf

- Syr Psidii
9.3 PRODUK DARAH PENGGANTI PLASMA
9.3.1. Human Albumin - Inf : 20 %, 25 % Octalbin

Albumin Behring
Albuman
Albuminar
9.3.2. Dextran - Inf : 40, 70 (500 mL) Otsutran L
9.3.3. Hydroxyethyl Starch - Inf : 6, 10 % Widahes

Fimahes
9.3.4. Lain-lain Dehaf
9.4. HEMOPOETIK
19/116

9.4.1. Erythropoietin - Inj : 3000, 4000, 5000 Hemapo
Epotrex
10. ANTISEPTIK DAN DESINFEKTAN

10.1. ANTISEPTIK
10.1.1. Ethanol - Lar : 70 %, 96 % Alkohol
10.1.2. Etakridin - Lar : 1 % Rivanol
10.1.3. Hidrogen Peroksida - Sol : 3 % H2O2
10.1.4. Kalium Permanganat - Pulv Kalium Permanganat
10.1.5. Povidon Iodine - Sol : 10 % Povidon Iodine
Betadine
Stardin
Erphaceptan
10.1.6. Policresulen - Lar conc : 360 mg/g Albothyl
10.1.7. Sapo viridis Sabun Sabun hijau
10.2. DESINFEKTAN
10.2.1. Chlorhexidine - Sol : 4 % Hibiscrub
10.2.2. Chlorhexidine + Cetrimide - Sol 1,5 % , 15 % Hibicet
10.2.3. Calsium Hypochlorid - Lar Kaporid

- Pulv
10.2.4. Kresol Tersaponifikasi - Lar : 50 % Kreolin
10.2.5. Paraformaldehid - Tab Formalin

- Lar 5 %
11. DIURETIK
11.1. Acetazolamide - Tab : 250 mg Glauceta
Glaucon
11.2. Furosemide - Tab : 40 mg Furosemide

- Inj : 20 mg/2 mL Uresix
Lasix
Farsix
20/116

11.3. Hydrochlorothiazide - Tab : 25, 50 mg HCT
11.4. Manitol - Inf : 100, 250, 500 mL Manitol
11.5. Spironolactone - Tab : 25, 100 mg Spironolactone

Letonal
Spirola
Carpiaton
11.6. Spironolactone + - Tab : 25/2,5 mg Aldazide

Thiabutazide
11.7 Indapamide Tab Natrilix / SR
11.8 HypertonicSodium Lactat 0,5 M Inf Totilac
12. OBAT KARDIOVASKULAR

12.1. ANTI ANGINA
12.1.1. Diltiazem - Tab : 30, 60, 90, 180, Diltiazem
- Tab : 100 ,200 mg Herbesser CD
- Inj : 10, 50 mg Farmabes
12.1.2. Dipyridamole - Tab : 25, 50, 75 mg Persantin
- Inj : 5 mg/mL
12.1.3. Isosorbide 5 Mononitrate - Tab : 60 mg Isomonit

Imdur
Monecto
Cardismo
12.1.4. Isosorbide Dinitrate - Tab : 5, 10, 20 mg Isosorbide Dinitrate

- Inj : 1 mg/mL Cedocard/R
Fasorbid
12.1.5. Verapamil - Tab : 80, 240 mg Verapamil

Isoptin /SR
12.1.6. Nitroglycerin - Tab : 2,5 mg, 5 mg Nitrokaf
12.1.7. Trimetazidine Hydrochloride - Tab Angintriz

Miozidine
12.2. ANTI ARITMIA

12.2.1. Amiodarone - Tab : 200 mg Cordarone
- Inj : 150 mg/3 mL Tiaryt
21/116

Kendaron
12.2.2. Cafedrine + Theodrenaline - Tab : 100/5 mg Akrinor
12.2.3. Dobutamine - Inj : 250 mg Dobuject

Dominic
12.2.4. Dopamine - Inj : 50, 200 mg Dopamine

Dopac
12.2.5. Propafenone - Tab : 150 mg Rytmonorm
12.2.6 Norepineprine - Inj Vascon
12.3. ANTI HIPERTENSI

12.3.1. ANTI HIPERTENSI TUNGGAL
12.3.1.1. ACE INHIBITOR
12.3.1.1.1. Captopril - Tab : 12,5, 25, 50 mg Captopril
Tensicap
12.3.1.1.2. Enalapril - Tab : 5, 10 mg Tenace

Tenaten
12.3.1.1.3. Lisinopril - Tab : 5, 10, 20 mg Lisinopril

Interpril
12.3.1.1.4. Fosinopril - Tab : 10 mg Acenor M
12.3.1.1.5. Quinapril - Tab : 5, 10, 20 mg Accupril
12.3.1.1.6. Imidapril - Tab : 5, 10 mg Tanapress
12.3.1.1.7. Ramipril - Tab : 1,25, 2,5, 5 mg Ramipril

Triatec
Prohitens
Hyperil
12.3.1.2. BETA BLOCKER

12.3.1.2.1. Propranolol - Tab : 10, 40 mg Propranolol
12.3.1.2.2. Atenolol - Tab : 50, 100 mg Betablok

Farnormin
Internolol
12.3.1.2.3. Bisoprolol Hemi Fumarate - Tab : 2,5, 5 mg Bisoprolol

Concor
22/116

Maintate
Bisovel
12.3.1.2.4. Carvedilol - Tab : 6,25, 25 mg V-bloc
12.3.1.2.5. Metoprolol Tartrate - Tab : 50, 100 mg Seloken
12.3.1.3. CALCIUM ANTAGONIS

12.3.1.3.1. Nifedipine - Tab : 5, 10, 20, 30, 60 mg Nifedipine
Adalat Oros
Farmalat
12.3.1.3.2. Amlodipine Besylate - Tab : 5, 10 mg Amlodipine

Divask
Cardisan
Intervask
12.3.1.3.5 Nicardipine - Inj Nicardipine

Blistra
Tensilo
Perdipine
12.3.1.3.6 Aliskiren Tab Rasilez
12.3.1.4. ANTAGONIS ANGIOTENSIN II

12.3.1.4.1. Candesartan Cilexetil - Tab : 8, 16 mg Candesartan
Blopress
Canderin
12.3.1.4.2. Irbesartan - Tab : 150, 300 mg Irbesartan

Irvask
Elzar
Irvell
12.3.1.4.3. Irbesartan+HCT Tab 150 mg ; 300 mg Co-Aprovel

Co-Irvell
12.3.1.4.4. Losartan - Tab : 50 mg Losartan

Angioten
Santesar
Insaar
12.3.1.4.5. Telmisartan - Tab : 40, 80 mg Micardis
12.3.1.4.6. Valsartan - Tab : 80, 160 mg Valsartan
23/116

Diovan
Co diovan
12.3.1.4.7. Olmesartan - Tab : 20, 40 mg Olmetec
12.3.1.4.8. Olmesartan Kombinasi Olmetec plus
12.3.2. ANTI HIPERTENSI KOMBINASI

12.3.2.1. Amlodipine + Valsartan - Tab 5/80, 5/160, 10/160 Exforge
12.3.2.2. Beta Blocker + HCT - Tab : 2,5/6,25 ; 5/6,25 mg Lodoz
12.3.2.3. AIIRA + HCT - Tab Co Diovan

Blopres Plus
12.3.2.4 Amlodipine + Atorvastatin Tab : 5/10, 10/10, 10/20, 5/20 Caduet
12.3.2.5 Amlodipine + Telmisartan - Tab 5/40, 5/80, 10/40, 10/80 Twynsta
12.4. GLIKOSIDA JANTUNG
12.4.1. B Metil Digoxin - Tab : 0,1 mg Lanitop
12.4.2. Digoxin - Tab : 0,25 mg Digoxin

- Inj Digoxin
Fargoxin
12.5. OBAT PEMBULUH DARAH PERIFER

12.5.1. Bencyclane Hydrogen Fumarat - Tab : 100 mg Fludilat
12.5.2. Ginkgo Biloba Extr. - Tab/Cap : 40, 50, 60 mg Tebokan/spesial
12.5.3. Naftidrofuryl Oxalat - Tab : 100, 200 mg Praxilene
12.5.4. Nimodipine - Tab : 30 mg Nimotop

- Inj : 10 mg/50 mL Ceremax
12.5.5. Pentoxifyline - Tab : 100, 400 mg Reotal /SR

- Inj : 100 mg/5 mL Platof
12.6. LAIN – LAIN

12.6.1. Adenosin Tri Phosphat (ATP) + - Tab : 20 mg Bio ATP
Kombinasi - Inj : 30 mg ATP Kyowa
24/116

12.6.2. Calcium Gluconas - Inj : 100 mg/mL Calcium Gluconas
12.6.3 Norepineprine - Inj Reivas

Vascon
13. PSIKOFARMAKA
13.1. ANTI ANSIETAS, ANTI INSOMNIA
13.1.1. Alprazolam - Tab : 0,25, 0,5, 1 mg Alprazolam
Zypraz
Xanax
13.1.2. Bromazepam - Tab : 1,5, 3, 6 mg Lexotan
13.1.3. Clobazam - Tab : 10 mg Clobazam

Asabium
13.1.4. Diazepam - Tab : 2, 5 mg Diazepam

- Inj : 10 mg Valisanbe
- Supp : 5 mg Stesolid
Valium
13.1.5. Estazolam - Tab : 1, 2 mg Esilgan

Estalin
13.1.6. Lorazepam - Tab : 0,5, 1, 2 mg Ativan

Merlopam
13.2. ANTI DEPRESI, ANTI MANIA

13.2.1. Amitriptyline - Tab : 25 mg Amitriptyline
Hexymer
Trilin
13.2.2. Fluoxetine - Tab : 10, 20 mg Kalxetin

Antiprestin
Nopres
13.2.3. Sertraline - Tab : 50 mg Zoloft

Serlof
13.2.4. Escitalopram - Tab Cipralex
13.3. ANTI PSIKOSA

13.3.1. Clozapine - Tab : 25, 100 mg Clozaril
Luften
13.3.2. Chlorpromazine - Tab : 25, 100 mg Chlorpromazine
25/116

-Inj :25 mg Cepezet
Promactil
13.3.3. Haloperidol - Tab : 0,5, 1,5, 2, 5 mg Haloperidol

- Inj : 5 mg/mL, 50 mg/mL, Lodomer
drop
Haldol Decanoat
13.3.4. Olanzapine - Tab : 5 mg, 10 mg, Inj Zyprexa

Olandoz
13.3.5. Risperidone - Tab : 1, 2, 3 mg Risperidone

- Oral solution Zofredal
13.3.6. Sulpiride - Cap : 50, 200 mg Dogmatil

- Inj : 100 mg/2 mL
13.3.7. Trifluoperazine - Tab : 1 mg, 5 mg Stelazine

Trizin
13.3.8. Aripripasole - Tab Abilify
13.3.9. Zatopine Tab: 25 mg, 50 mg Lodopin
13.3.10 Quitiapine Fumarate -tab Seroquel / XR
14. RELAKSAN OTOT

14.1. PENGHAMBAT NEUROMUSCULAR
14.1.1. Pankuronium - Inj : 2 mg/mL Pavulon
14.1.2. Suxamethonium - Inj : 100 mg Succinyl - Asta
14.1.3. Vecuronium - Inj : 4, 10 mg/mL Norcuron

Romeron
Ecron
14.1.4. Rocuronium - Inj : 50 mg Esmeron

Noveron
14.1.5. Atracurium Besylate - Inj : 25 mg/2,5 mL Atracurium DBL

50 mg/mL Atracurium Hameln
14.1.6. Baclofen - Tab : 10 mg Lioresal
14.1.7. Succinylcholine - Inj : 200 mg/10 mL Quelicin
26/116

14.1.8. Eperisone HCl - Tab : 50 mg Eperisone
Eprinoc
Myonep
Myobat
14.1.9. Tizanidine HCl - Tab : 2 mg Sirdalud

Zitanid
OBAT PENGHAMBAT
14.2. CHOLINESTERASE
14.2.1. Neostigmine - Inj : 0,5 mg/mL Neostigmine Astra
Methyl Sulfate Prostigmin
14.2.2. Pyridostigmin - tab 60 mg Mestinon
15. OBAT SALURAN CERNA

15.1. ANTASIDA
15.1.1. Antasida ( + simeticon ) -Tab Antasida Doen
-Syrup Sanmag
Plantacid / F
Lagesil
Acitral
15.1.2. Sucralfate - Tab : 500 mg Neciblok

- Syr : 500 mg/mL Propepsa
Episan
Inpepsa
15.1.4 Rebamipide - Tab Rebamipide

Novepide
15.2. ANTI HIPERACIDITY

15.2.1. H-2 BLOCKER
15.2.1.1. Cimetidin - Tab : 200, 400 mg Cimetidin
15.2.1.2. Ranitidin - Tab : 150, 300 mg Ranitidin

- Inj : 50 mg/2 mL Gastridin
Acran
Rantin
15.2.1.3. Famotidin - Tab : 20, 40 mg Famocid

- Inj : 20 mg/mL
15.2.2. PROTON PUMP INHIBITOR

15.2.2.1. Omeprazole - Cap : 10, 20 mg Omeprazole
- Inj : 40 mg Pumpitor
27/116

Gastrofer
15.2.2.2. Lansoprazole - Tab : 30 mg Lansoprazole

Lancid
Lapraz
- Inj Prosogan
15.2.2.3. Pantoprazole - Tab : 40 mg Pantoprazole

- Inj : 40 mg Pranza
Topazol
Pantopump
Pumpicel
15.2.2.4. Rabeprazole - Tab : 10 mg Pariet
15.2.2.5. Esomeprazole - Tab : 20, 40 mg Nexium

- Inj : 40 mg
ANTI EMETIK, ANTI FLATULEN,

15.3. REGULATOR GIT
15.3.1. Cisapride - Tab : 5, 10 mg Pridesia
15.3.2. Domperidone -Syr:1mg/ml; Drops:5mg/ml Domperidone
- Tab : 10 mg Vometa / FT
Vomitas / FDT
Vosedon
15.3.3. Dimethyl Polysiloxane - Tab Disflatyl
15.3.4. Metoclopramide - Tab : 10 mg Metoclopramide

- Syr : 5 mg/5 mL Damaben
- Inj : 5 mg/mL Tomit
- Drop : 2 mg/mL Piralen
4 mg/mL
15.3.5. Pankreatik Enzime - Tab : Vitazym

Librozym
Gasflat
Berzymplex
15.3.6. Ondansetron - Tab : 4, 8 mg Ondansetron

- Inj : 4mg/2 mL, 8 mg/4 mL Invomit
Trovensis
Vomceran
28/116

15.3.7 Clebopride Malate Tab Clast
15.3.8 Ramosetron HCl Inj; Tab 0,1 Stomacain

Al (OH)3, Mg Carbonat
15.3.9 Ekstazina Tab 5 mg Strocain
15.3.10 Granisetron -Inj 1 mg, 3 mg Granisetron

Gramet
Opigran
15.3.11 Tropisetron inj Setrovel
15.4. ANTI SPASMODIK

15.4.1 Otilonium Bromida - Tab : 40 mg Spasmomen
15.4.2. Atropine Sulfat - Inj : 200 ug/mL Atropine Sulfat
15.4.3. Clinidium Br - Tab : 2,5/5 mg Braxidin

(+ Chlordiazepoxide HCl) Cliad
15.4.4. Hyosin N Butyl Br - Tab : 10/ 500 mg Buscopan /Plus
Scopamin/Plus
(+ Paracetamol) (+ Metamizole) - Inj : 20 mg/mL Gitas/Plus
15.4.5. Papaverine - Tab : 40 mg Papaverine HCl

(+ Metampyrone) - Inj : 40 mg/mL Spasminal
(+ Belladona Extr) - Tab : 30/500/5(10)
15.4.6. Pramiverine (+ Metamizole) - Tab : 2/250 mg Lanagogum
15.5. ANTI DIARE

15.5.1 Attapulgite - Tab : 600, 630 mg New Diatabs
Biodiar
15.5.2. Attapulgite + Pectine - Tab Diagit
15.5.3. Dioctahedral Smectite - Powd : 3 g Smecta
15.5.4. Kaoline + Pectine - Syr Neo Kaolana
15.5.5. Loperamide - Tab : 2 mg Lodia

Imodium
15.5.6 Zink sulfate -Sirup Interzink
29/116

- Drops Zinkid
15.5.7. Garam oralit Serbuk 200 ml Oralit

Pharolit
15.6. KATARTIK
15.6.1. Bisacodyl - Tab : 5 mg Dulcolax
- Supp Paed : 5 mg Stolax

- Supp Adult : 10 mg
15.6.2. Dioctyl Na Sulfosuccinate - Tab : 50 mg Laxadine
15.6.3. Lactulose - Syr : 10 g/15 mL Lactulax

Opilac
Solac
15.6.4. Na Lauryl Sulfoacetate - Enema : 5 mL Microlax

(+ Kombinasi)
15.6.5. Phenophtalein - Syr : 55/200/378 mg/ 5 mL Laxadine

(+ Parafin + Gliserin) Laxatab
15.6.6. Mono/Di-Basic Na Fosfat Tube Fleet Enema

Fleet Phospo Soda
15.7. STERILISASI USUS

15.7.1. Nifuroxazide - Syr : 250 mg/5 mL Nifudiar
15.8. ANTI HEMOROID

15.8.1. Fluocortolon Trimethyl - Supp Ultraproct
Acertate (+ Kombinasi) - Oint
15.8.2. Lithospermi Radix - Supp Borraginol N/S

Extr (+ Kombinasi) - Oint
15.8.3. Policresulen - Supp Faktu

- Oint
15.8.4. Diosmin - Tab : 450/50 mg Ardium

+ Hesperidin Ciflon
Rhodium
Hesmin
15.8.5. Soya Bean Extr (+ Kombinasi) - Cap : Lanaven
30/116

15.8.6. Hidrosmin Tab; gel Venosmil
Cap 200 mg Nosirax
15.8.7. O-(hydroxethil )-rutoside Tab Venaron
15.8.8. Heparin Gel oint Thrombophop
15.9. LAIN – LAIN

15.9.1. Teprenone - Cap : 50 mg Purubex
15.9.2. Misoprostole - Tab : 250 mg Gastrul

Invitec
15.9.3. Sulfasalazine - Tab : 500 mg Sulcolon
15.9.4. Tegaserod - Tab : 6 mg Zelmac
15.9.5. Lacto Bacillus Sporogenes - Tab L-Bio

( + Kombinasi) - Sachet Lacidofil
- Caps Lacbon
Liprolac
15.9.7 Fucoidan - Caps Fucoidan

- Syr Fucohelix
15.9.8. Mesalasine - Caps Salofalk
16. OBAT SALURAN NAFAS

16.1. ANTI ASMA, BRONKODILATOR
16.1.1. Aminophylline - Tab : 200 mg Aminophylline
- Inj : 240 mg
16.1.2. Beclomethasone Dipropionate - Spray : 50, 100 ug/puff Becotide
16.1.3. Budesonide - Spray : 100, 200 ug/puff Pulmicort

- Respule : 0,25, 0,5 mg/mL Symbicort
- Tab Budenofalk
16.1.4. Clenbuterol - Tab : 10, 20 ug Spiropent
16.1.5. Ephedrine - Tab : 25 mg Ephedrine

- Inj : 50 mg/mL
16.1.6. Epineprine - Inj : 0,1 % Epineprine
31/116
16.1.7. Fenoterol - Spray : 100, 200 ug/puff Berotec
16.1.8. Ipratropium Br - Spray : 20 ug/puff Atrovent
(+ Fenoterol HBr) - Spray : 0.02/ 0,05 mg Berodual
(+ Salbutamol) - Spray : 21 ug/120 ug Combivent
Farbivent
16.1.9. Ketotifen - Tab : 11 mg Intifen
16.1.10. Procaterol - Tab : 25, 50 ug Meptin
16.1.11. Salbutamol - Tab : 2, 4 mg Salbutamol
- Syr : 2 mg/5 mL Ventolin
- Spray : 100 ug/puff Lasal

- Nebules : 2,5 mg
16.1.12. Theophylline - Cap : 130, 150, 250 mg Theophylline
- Syr : 130, 150 mg/15 mL Phylocontin
- Pulv Euphylin Retard,Mite

Theobron
16.1.13. Orciprenaline Sulfate - Tab : 20 mg Alupent
- Syr : 10 mg/5 mL
- Spray : 0,75 mg/dose
16.1.14. Terbutalin Sulphate - Tab : 2,5 mg Lasmalin

- Syr : 11,5 mg/5 mL Bricasma
- Inj : 0,5 mg/mL Nairet
- Spray : 0,25 mg/dose
- Respule : 2,5 mg/mL
16.1.15. Salmeterol + Futicasone - Inhaler: 120 ug Seretide
Propionate - Diskus : 100, 250, 500 ug
16.1.16. Terphenadine + Psedoefedrine Tab Rhinofed
32/116
16.1.17. Fluticasone propionate Neb Flixotide Nebules
16.1.18. Theophylline + Salbutamol - Tab Teosal
16.2. ANTI TUSIF

16.2.1. Codein (+ Kombinasi) - Tab : 10, 15, 20 mg Codipront/Cum Exp
- Syr :
16.2.2. Levodropropizine - Syr 60 mg/10 mL Levopront
16.3. EXPECTORAN
16.3.1. Ambroxol - Tab : 30, 75 mg Ambroxol
- Syr : 15 mg/5 mL Epexol
Drops Mucopect
Interpec
16.3.2. Bromhexin HBr - Tab : 8 mg Mucohexin

- Syr : 4 mg/5 mL Mucosolvon
- Inj : 4 mg/2 mL Bisolvon
16.3.3. Carbosisteine - Cap : 375 mg Rhinathiol

- Syr : 250 mg/5 mL
100 mg/5 mL
16.3.4. Gliceryl Guaiakolat - Tab : 100 mg Gliceryl Guaikolat
16.3.5. N Acetylcysteine - Tab : 200, 600 mg N Acetylcysteine

- Pulv : 200 mgg Fluimucil
- Syr Nytex
16.3.7. Erdosteine - Cap : 300 mg Vestein

- Syr : 175 mg/5 mL Vectrin
Vostrin
Edotin
16.3.8. Potio Nigra Contra Tussim - Syr : OBH Combi/Plus
16.3.9. Kombinasi -Syr : Comtusi

Lapisiv
16.4. NASAL DEKONGESTAN

16.4.1. Tripolidine + Pseudoephedrin - Tab : 2,5 mg/60 mg Tremenza
- Syr : 1,25 mg/30 mg Trifed
33/116

Lapifed
16.4.2. Fexofenadine HCL + Tab : 60/120/180 mg Telfast Plus

Pseudoedhedrine
16.4.3. Mometasone Furoate - Spray : 50 ug/dose Nasonex
16.4.4. Oxymetazoline - Drop : 0,025 % Iliadin

- Spray : 0,05 % Afrin
16.4.5. Triamcinolone Acetonide - Spray : 55 ug/dose Nasacort AQ
16.4.6. Xylometazoline - Drop Adult : 0,1 % Otrivin

- Drop Child : 0,05 %
16.4.7 Fluticasone furoate 27,5 mcg/spray Avamys
16.5. COLD REMEDIES, OBAT KOMBINASI

16.5.1. Paracetamol - Tab Lacoldin
Sanaflu / Plus
CTM - Syr Anadex
Phenilpropanolamin - Drop Sanadryl / Plus
Dextromethorphan tab Nipe
Flutamol tab syr
Diphenhidramin Tuzalos
Gliceryl Guaiacolat Inadryl
17. OBAT SISTIM SYARAF

17.1. OBAT ANTI PARKINSON
17.1.1. Trihexyphenidyl - Tab : 2 mg Trihexyphenidyl
Arkine
Hexymer
17.1.2. Bromocriptine - Tab : 2,5mg Parlodel

Mesilate Cripsa
17.1.3. Levodopa, Benseraside - Tab : 100 mg / 25 mg Madopar

Pardoz
Levazide
17.1.4 Pramipexole diHCl - Tab : 0.125, 0.25, 1 mg Sifrol
17.2. METABOLIK AKTIVATOR OTAK

17.2.1. Piracetam - Tab : 400, 800mg, 1200 mg Piracetam
34/116

- Syr : 200mg/5 mL Revolan
- Inj : 1, 3 g Neurotam
- Inf : 12 g/60 mL Dexpira
Pirabrain
17.2.2. Mecobalamin - Cap : 250, 500 ug Mecobalamin

- Inj : 500 ug/mL Megabal
Kalmeco
Lapibal
Interco
- Inj : 100, 250, 500, 1000

17.2.3. Citicholine Citicholine
mg/2 mL
Brainact
Neuciti
Beclov
Incelin
17.2.4. Nicergoline - Tab : 10, 30 mg Serolin
17.2.5. Neuropeptida - drop Semax
17.2.6 Heptaminol hidropolat Tab 150 mg Heptamyl
17.3. ANTI ALZHEIMER

17.3.1. Rivastigmine - Tab : 1,5, 3, 4,5, 6 mg Exelon
17.4. LAIN - LAIN

17.4.1. Methylphenidate - Tab : 10, 20 mg Ritalin /SR
Prohiper
17.4.2. Sulbutiamine - Tab : 200 mg Arcalion 200
18. HORMON
18.1. KONTRASEPSI
18.1.1. ORAL
18.1.1.1. Ethinylestradiol + - Tab : Microgynon
Levonorgestrel YAZ
18.1.1.2. Lynestrenol - Tab : Exluton
18.1.2. INJEKSI
18.1.2.1. Medroxyprogesterone Acetate - Inj : Depo Progestin
35/116
18.1.2.2. Medroxyprogesterone - Inj : Cyclofem
Acetate + Estradiol Cypionate
18.1.3. LAIN - LAIN

18.1.3.1. IUD - AKDR Copper T
Nova T
18.2. SEX HORMON

18.2.1. Allylestrenol - Tab : 5 mg Premaston
18.2.2. Danazole - Cap : 100, 200 mg Danocrine
18.2.3. Dydrogesterone - Tab : 10 mg Duphaston
18.2.4. Estradiol Valerate - Tab : Climen

+ Cyproterone Acetate
18.2.5. Estradiol Valerate - Tab : Cycloprogynova

+ Norgestrel
18.2.6. Estradiol Valerate - Tab : Dilena

+ Medroxyprogesterone
Acetate
18.2.7. Ethinylestradiol - Tab : 50 ug Lynoral
18.2.8. Lynestrenol - Tab : 5 mg Endometril
18.2.9. Methyloestrenolone - Tab : Gynaecosid

+ Methyloestradiol
18.2.10. Medroxyprogesterone - Tab : 10 mg , 100 mg Prothyra

Acetate
18.2.11. Norethisterone - Tab : 5 mg Primolut N

Norelut
18.2.12. Steroid Tibolone - Tab : 2,5 mg Livial
Ethinylestradiol + Cyproterone
18.2.13 Diane
Acetate
18.2.13. Drospirenone + Ethynilestradiol Yasmin
18.2.14. Testoterone Undecanoate - Cap : 40 mg Andriol
36/116

Esthero
18.2.1.5 Lain 400, 200 Cygest

Luthenyl
18.3. INSULIN, ORAL ANTI DIABETES

18.3.1. Insulin - Inj Sansulin
- Penfill Novorapid
Novomix
Levemir
Lantus Solostar
18.3.2. ORAL
18.3.2.1. Glibenclamide + Metformin - Tab : 5/500, 2,5/500 Glucovance
18.3.2.2. Metformin - Tab : 500, 850, 1000 mg Metformin

Glucophage XR
Forbetes
Glumin XR
18.3.2.3. Glibenclamide - Tab : 2,5, 5 mg Glibenclamide
18.3.2.4. Gliclazide - Tab : 80 mg Diamicron MR

Glidabet
Glucodex
18.3.2.5. Glipizide - Tab : 5, 10 mg Glucotrol XL
18.3.2.6. Gliquidone - Tab : 30 mg Gliquidone
Glurenorm
Glidiab
18.3.2.7. Glimepiride - Tab : 1, 2, 3, 4 mg Glimepiride

Amadiab
Metrix
Anpiride
Friladar
18.3.2.8. Acarbose - Tab : 50, 100 mg Acarbose

Glucobay
Eclid
18.3.2.9. Pioglitazone - Tab : 15, 30 mg Deculin

Pionix
Actos
37/116
18.3.2.10. Vildagliptin - Tab : 50 mg Galvus
- Tab :50 mg /500/850/1000 Galvusmet

18.3.2.11. Vildagliptin + Metformin mg
18.3.2.12. Glimepiride + Metformin - Tab : 1/250, 2/500 Amaryl M
18.3.2.13. Pioglitazone + Metformin Tab 500, 850 Pionix M
Linagliptin (+metformin) tab 2,5 mg; (/500,/850) Trajenta, trajenta duo
18.4. THYROID, ANTI THYROID

18.4.1. Prophyl Tio Urasil - Tab : 100 ug PTU
18.4.2. Levothyroxine - Tab : 50 ug Euthyrox
18.4.3. Thiamazole - Tab : 5 mg Thyrozol
18.4.4. L- Thyroxine Na - Tab : 100 ug Thyrax
18.4.5. Karbimazole Tab Neo Mercazole
18.5. ANTIHIPERLIPIDEMIK
18.5.1. Fenofibrate - Tab : 100,145,200,300 mg Fenofibrate
Lipanthyl Penta
Evothyl
Trolip
18.5.2. Ciprofibrate - Tab : 100 mg Modalim
18.5.3. Gemfibrozil - Cap : 300,600 mg Gemfibrozil

Lipira
Hypofil
18.5.4. Cholestyramine - Powder Sequest
18.5.5. Atorvastatin - Tab : 10, 20, 40 mg Atorvastatin

Stator
Truvaz
Lipitor
18.5.6. Pravastatin Na - Tab : 10, 20 mg Novosta

(+ asetosal)
18.5.7. Simvastatin - Tab : 5,10, 20 mg Simvastatin
38/116

Valemia
18.5.8. Rosuvastatin - Tab : 10, 20 mg Crestor
18.5.9. Pravastatin -Tab : 20 mg Pravastatin

Cholespar
Pravinat
18.5.10. Lovastatin -Tab : 20 mg Lotyn
18.6. LAIN - LAIN

18.6.1. Clomifene citrate - Tab : 50 mg Profertil
Provula
18.6.2 Lyophilized cyclic somatostatin -Inj :250ug, 3mg Octide
18.6.3. Extra placenta - Tab : Moloco B12

Vit B 12 Milmor
18.6.4. Cimicifuga Rhizoma - Tab Klimadynon
18.6.5. Fillitropin inj Gonal
18.6.6. Chotiogonadotropin inj Ovidrel
19. OBAT SALURAN KEMIH DAN KELAMIN
19.1. ANTISEPTIK SALURAN KEMIH

19.1.1. Pipemidic Acid - Cap : 400 mg Urotractin
Urinter
19.1.2. Hydroxyaluminium - Tab : 40 mg Urispas

gel 150 mg, Hydroxy
methyl Nitrofurantoin
40 mg
19.2. PREPARAT UNTUK VAGINA

19.2.1. Metronidazol + Nystatin - Ovula, krim Flagystatin
19.2.2. Policresulen - Vagina Supp Albothyl
19.2.3. Povidone iodine - Vag Douche Betadine
19.2.4. Lactoserum Lactic Acid - Solutio Lactacid
39/116

19.3. OBAT GANGGUAN PROSTAT
19.3.1. Finasteride - Tab : 5 mg Finpro
Prostacom
19.3.2. Terazosin HCL - Tab : 1 mg, 2 mg Hytrin
19.3.3. Doxazosin mesylate - Tab : 1 mg, 2 mg Cardura
19.3.4. Tamsulosin HCL - Cap : 0,2 mg Harnal
19.3.5 Dutasteride - Cap Avodart
19.4. LAIN - LAIN

19.4.1. Hexamine 125 mg (+ Dll) - Cap Nephrolit
19.4.2. Extr Strobilanthes - Syr Batugin

crisjasfolia (+ Kombinasi)
19.4.3. Junifer oil (+ Dll) - Caps Enatin
19.4.4. Extr Berberidis dest ( + Dll ) - Drop Kalkurenal
19.4.5. Essensial Ketoacid - Caps : Prorenal

Nocid
Aminefron
Aminoral
Binapro
19.4.6. Tolferodine L-tartrate Tab 2 mg Detrusitol
19.4.7 Phenazopyridine Tab 100 mg Urogetix
20. OBAT TELINGA

ANTI BAKTERI dan ANTI SEPTIK
20.1. TOPIKAL
20.1.1. Gentamycin Sulfat - Drop : 3 mg/mL Sagestam
20.1.2. Ofloxacin - Drop : 3 mg/mL Tarivid Otic
20.2. ANTI BAKTERI KOMBINASI TOPIKAL

20.2.1. Chloramphenicol, Lidocaine - Drop : 10/4 % Colme Ear
20.2.2. Polymyxin B Sulfate,

Neomycin Sulfate,
- Drop Otopain
Fludrocortisone Acetate,
40/116
- Drop Otopain
Lidocaine HCL
Otolin
20.2.4. Framycetine Sulfate, - Drop Sofradex

Gramicidin, Dexamethason Blecidex
20.2.4. Docusate - Drops Forumen
21. OBAT MATA

ANTIBAKTERI,ANTISEPTIK,ANTIVIRAL
21.1. TOPIKAL
21.1.1. Gentamicin Sulfate - Tetes mata 0,3 %, 1 % Gentamicin
- Salep mata 0,3 % Cendo Gentamicin
21.1.2. Chloramphenicol - Tetes mata 0,5 %, 1 % Colme Eye
21.1.3. Ciprofloxacin HCL - Tetes mata 3 mg/ml Baquinor
21.1.4. Tobramycin - Tetes mata 0,3 % Bralifex
21.1.5. Ofloxacin - Tetes mata 0,3 % Tarivid Ophtalmic
21.1.6 Levofloxacin - Tetes mata Levocin

Floxacom
21.1.7. Oxytetracycline - Salep mata 1% Terramycin ophth
21.1.8. Fusidic Acid - Tetes mata 1 % Fucithalmic
21.1.9. Chloramycin - Tetes Mata Erlamycetin
ANTI ALERGI, KORTIKO STEROID

21.2. TOPIKAL
21.2.1. Tobramycin - Salep mata Bralifex / Plus
+ Dexamethason Tobroson
21.2.2. Prednisolone Acetate - Tetes mata Cendo Cetapred

+ Sulfacetamide
21.2.3. Dexamethasone - Tetes mata Cendo Xitrol/ eye oint

+ neomycin Sulfate - Salep mata Polidemisin eye drops
21.2.4 Betamethasone - Tetes mata Betam-Opthal
21.3. ANTI BAKTERI KOMBINASI TOPIKAL

21.3.1. Neomycin Sulfate + - Tetes mata Cendo Statrol Oint
41/116

polymyxinB Sulfate - Salep mata
+ Phenylephrine HCL
21.4. OBAT MIDRIATIK TOPIKAL

21.4.1. Tropicamide - Tetes mata Cendo Mydriatyl
21.4.2. Atropine sulfate - Tetes mata 0,5 %, 1 % Cendo Tropine
21.4.3. Homatropine - Tetes mata 2 % Homatro
21.5. OBAT MIOTIK TOPIKAL

21.5.1. Pilocarpine HCL - Tetes mata 1 %, 2 % Cendo Carpine
21.6. OBAT GLAUKOMA
21.6.1. Timolol Maleate - Tetes mata 0,1%, 0,25%, 0.5% Cendo Timolol
21.7. OBAT KATARAK

21.7.1. Pirenoxine Na - Sol : 750 ug /tab Catalin
21.7.2. Ca Cl2 anhyrous, - Tetes mata Kary Uni

kiodide,Na thiosulfate Catarlent
phenylmercuricnitrat
21.8. Vitamin mata

21.8.1. Ekstrak Bilberry - Kapsul Eyevit
Retivit
Vitanorm
21.9. LAIN - LAIN

21.9.1. Tetra hydrozoline HCL - Tetes mata 0,05% Visine
21.9.2. Na & K ion.benzalconium HCL - Tetes mata 0,01% Cendo Lyteers

Sanbe tears
21.9.3. Mitocin crystalline - Tetes mata Mytocin
21.9.4. Tetracaine - Tetes mata 0,5 %, 2 % Pantocain
21.9.5. Naphazoline + Antazoline phosphate - Tetes mata 0,05%, 0,5% Vasacon /A
21.9.6. Zinc sulfate, phenylephrine, HCL - Tetes mata Zinc Prima
21.9.7. Vit A, Zn O Fesulefrin HCl Tetes Mata, Salep Mata Augentonic
42/116

21.9.8. Vit A, Oxymetazoline HCl Tetes Mata, Salep Mata Ashtenof
Fluometholone Tetes Mata Fluometholone
21.9.9 Sod. Carboxymethyl Selulosa Tetes Mata Cenfresh
21.9.10 Potasium Iodide , Sodium Iodida Tetes Mata Vitrolenta

21.9.11 Brinzolamide Tetes mata Azopt
21.9.12 Hydroxyzine dhcl Tetes mata Betoptima
21.9.13 Latanoprost Tetes mata Glauplus
21.9.14 Tavoprost Tetes mata Travatan
21.9.15 Dexamethasone Sodium Phospat Tetes mata Dexaton
21.9.16 Naphazoline + Pheniramine maleat Tetes mata Flamergi
21.9.17 Neomicyn Sulfate Kombinasi Tetes mata Polygran

Polydex
Poliethilen Glicol + Sodium

21.9.18 Siloxan
Hyaluronate
21.9.19 Sodium Chromoglycas Conver
22. OBAT KULIT

22.1. ANTI INFEKSI TOPIKAL
22.1.1. ANTI BAKTERI
22.1.1.1. Fucidic Acid - Cream : 2 % Fusycom
Futaderm
22.1.1.2. Gentamycin - Cream : 0,1 % Gentamycin

- Oint : 0,1 % Sagestam
Salticin
22.1.1.3. Mupirocin - Salep : 2 % Pibaksin
22.1.1.4. Neomycin + Bacitracin - Cream Nebacetin

- Powder
22.1.1.5. Silver Sulfadiazine - Cream : 1 % Burnazin
22.1.1.6 Bacitracin + Lidocain - Oint Liposin
43/116

Asam Salicyl + Asam Lactat +
22.1.1.7 sol Callusol
Polidocanol
22.1.1.8 Lain-lain Boor zalf

KY Jelly
22.1.2. ANTI SEPTIK
22.1.2.1. Povidon Iodine - Cream Betadin
- Sol
22.1.3. ANTI FUNGI

22.1.3.1. Clotrimazole - Cream : 1 % Canesten
22.1.3.2. Isoconazole Nitrate - Cream : 1 % Travogen
22.1.3.3. Ketoconazole - Solution Ketoconazole

- Cream Ketomed
Formyco
22.1.3.4. Miconazole - Cream : 2 % Mikonazole

- Powder : 2 % Daktarin
- Liq : 2 %
22.1.3.5. Terbinafine HCL - Cream : 1 % Termisil
22.1.3.6. Tioconazole - Cream : 1 % Trosyd
22.1.3.7. Sertaconazole Nitrate - Cream : 2 % Dermofix
22.1.4. ANTI PARASIT

22.1.4.1. Permethrin - Cream : 5 % Scabimite
22.1.5 LAIN-LAIN
22.1.5.1 Hyaluronic acid - Cream Bionect
22.1.5.2 Olive oil + ozone - Gel Sanoskin Oxy

Sanoskin Melladerm
Sanoskin foam
ANTI ALERGI, ANTI INFLAMASI,

22.2. KORTIKOSTEROID TOPIKAL
22.2.1. Betamethasone - Cream : 0,1 % Betametasone
(Dipropionate), (Valerate) Benoson M/-N/-G
Betason / N
44/116

22.2.2. Beclomethasone - Cream : 0,025 % Cleniderm
Dipropionate
22.2.3. Clobetazol Propionate - Cream : 0,05 % Clobetazol

- Salep : 0,05 % Lotasbat
Clobesan
22.2.4. Desonide - Cream : 0,5 mg/g Dermanide

- Salep : 0,5 mg/g
22.2.5. Desoximetasone - Cream : 0,25 % Desoximetasone

- Salep : 0,25 % Topcort
- Gel : 0,05 % Inerson
22.2.6. Diflucortolone Valerat - Cream : 0,1 % Nerilon

- Salep : 0,1 %, 0,3 %
22.2.7 Hydrocortisone Acetate - Cream : 1 %, 2,5 % Hydrocortisone
22.2.8. Mometasone Furoate - Cream : 0,1 % Mometasone

- Salep : 0,1 % Mofacort
- Lot : 0,1 %
22.2.9. Triamcinolone Acetonide - Cream : 0,1 % Kenacort

- Salep : 0,1 %
22.2.10. Fluocinolone acetonide - cream Cinolon / N

Visancort
22.3. KORTIKOSTEROID KOMBINASI

22.3.1. Betamethasone Valerate - Cream : 0,1 %/0,1 % Celestoderm V w/
+ Gentamycin Garamycin
22.3.2. Betamethasone Valerate - Cream : 0,1 %/0,5 % Betason N

+ Neomycin Benoson N
22.3.3. Betamethasone Dipropionate - Cream : 0,05 %/0,1 % Digenta

+ Salicilic Acid - Oint : 0,05 %/ 0,1 % Diprosalic
22.3.4. Betamethasone + - Cream : Lotriderm

Clotrimazole
22.3.5. Dexamethasone - Cream : 0,4 mg/10 mg Baycuten N

Acetate + Clotrimazole
22.3.6. Diflucortolone Valerate - Cream : 0,1 %/1 % Nerisona Combi
45/116

+ Chlorquinaldol
22.3.7. Diflucortolone Valerate - Cream : 1 mg/10 mg Travocort

+ Isoconazole Nitrate
22.3.8. Hydrocortison + Oxytetracyclin Cr ; Oint Terracotril
22.3.9. Nystatin + zinc oxide Cr Myco z
22.4. ANALGETIK TOPIKAL

22.4.1. Ketoprofen - Gel : 2,5 % Rhetoflam
Kaltrofen
22.4.2. Lidocaine - Oint : 5 % Dolonest
22.4.3. Methyl Salicilat + Menthol - Cream Lafalos

+ Eugenol + Methyl Nicotinate Counterpain ,PXM
(Benzyl Nicotinate)
22.4.4. Piroxicam - Gel : 0,5 % Pirofel

Feldene
22.4.5. Radix scutellariae 0,87 mg; - Gel Mebo

phellodendri cortex 0,87; Sibro
rhizoma copditis 0,87
22.5. BEDAK
22.5.1. Salicilic Acid - Powder : 1 % Bedak Salicil
22.6. SHAMPOO
22.6.1. Ketoconazole - Shampoo : 1 %, 2 % Nizoral SS
22.7. LAIN – LAIN

22.7.1. Capalin Extr., Allantoin - Gel : 10 %/ 1 % Mederma
Dermakel
22.7.2. Centella Asiatica - Tab : 10 mg Madecassol

Extr. - Oint : 1 % Lanakeloid
- Powder : 2 %
22.7.3. Framycetin Sulfate - Kasa Sofra-Tulle

Daryant-Tulle
Sanoskin Tull
22.7.4. Hypo Allergenic - Cream Biocream

Ambiphilik Cream Base
46/116
22.7.5. Hexachlorophene - Liq : 3 % Dermisan
22.7.6. Placenta Extr. - Gel : Bioplacenton

+ Neomycin Sulfate Centabio
22.7.7. Urea - Cream : 10 % Carmed

- Lot : 10 %
22.7.8. Tetra Chlorodeca Oxygen - Sol : 0,001 % Oxoferin

Anion Complex
23. SERUM, VAKSIN

23.1. SERUM
23.1.1. Anti Tetanus Serum - Inj : 1500, 20000 IU ATS
23.1.2. Human Tetanus Ig - Inj : 250 IU Tetagam P
23.1.3. Interveron Alfa 2B - Inj : 3 MIU, 5 MIU Interveron Alfanative
23.1.4. SABU (Serum Anti Bisa Ular) - Inj SABU
23.2. VAKSIN
23.2.1. Hepatis B surface antigen - Inj : 10 ug ,20 ug Engerix B
23.2.2. Diphteria,Tetanus,Pertussis -Inj : 0,5 ml Infanrix
23.2.3. Diphteria,Tetanus,Pertussis,Hib -Inj : 0,5 ml Infanrix HiB
Diphteria,Tetanus,Pertussis,Hib, polio Infanrix IPV
Diphteria,Tetanus,Pertussis,Hib,polio, Infanrix hexa

hepatitis b
23.2.4. Human papilomavirus -Inj : 0,5 ml Cervarix
23.2.5 Influenza -Inj : Fluarix
Hiberix
23.2.6. Meningococcal -Inj : 0,5 ml Mencevax ACWY
47/116
24. OBAT KANDUNGAN

24.1. OKSITOSIK
24.1.1. Methylergometrinel - Tab : 0,125 mg Methylergometrine
Hydrogen Maleat - Inj : 0,2 mg/ml Metilat
Phospargin
24.1.2. Synthetic Oxytocin - Inj : 10 IU/ml Oxytosin

(Vasopressin free) Induxin
24.2. RELAXAN UTERUS

24.2.1. Isoxsuprine HCL - Tab :20 mg Duvadilan
- Inj : 10 mg Proluton
25. VITAMIN, MINERAL, FOOD SUPLEMEN
25.1. VITAMIN TUNGGAL

25.1.1. Vit A Tab: Inj 6000; 20000iu Vit A
25.1.2. Vit B (Thiamin) Tab: 25; 50; 100 mg Vit B

Inj: 100 mg/ml
25.1.3. Vit B6 (Oiridoxin) Tab : 10;25; mg Vit B6
25.1.4. Vit B12 Tab: 50 mg Vit B12

Inj : 500 mg/ 5 ml
25.1.5. Fursutiamine tab 5 mg / 50 mg Alinamin / F

inj ; 25 mg / ml
25.1.6. Vit C tab 25; 50; 100 mg Vit C

Ascorbic Acid inj ; 100 mg/ml Sankorbin
inj 1000 mg
25.1.7. Calcitriol soft cap ;0,25 ug; 0,5 ug Oscal

Ostriol
Calcit
25.1.8. Vit E soft cap 100; 200; 300; 400 Santa E

Dalfarol
25.1.9. Vit K4 tab. 10 mg Vit K
25.2. VITAMIN KOMBINASI

25.2.1. Vit B Complek Tab Vit B Complek
Syr Neurobion / 5000
48/116

Inj Neurosanbe / 5000
Forneuro
Neurobat
25.2.2. Vit B Complek + C Tab : Zegavit

Syr Becom C
25.2.3. Vit B Complek + E (ATP) Tab Enerplus
25.2.4. Vit D + Mineral + Vit C Tab, Syr Elkana/CL

Zegase
Becomzet
Cernevit
25.2.6. Multivitamin Anak Syr, Drop Apialys
Kalsium, Vit D3, Tuna Fish Oil (DHA,

25.2.7. Caps Osfit / DHA
EPA)
Inlacta
25.3. MINERAL
25.3.1. Calcium - Tab , Eff : Kalk
- Kaplet Ossoral 200/800
Ossofit
25.3.2. Kalium - Tab : KSR

- Inj : KCL
25.3.3. Na,K,Cl,DLL - Lar : Trolit
25.3.4. Calsium polystyrone + Sulfonate - Powder Kalitake
25.3.5. K aspirate + Mg Aspartate -Tab: Renapar

Aspar K
25.3.6. Calcitriol + Ca Carbonate Tab Cavit D3
25.4 FOOD SUPLEMEN

25.4.1. Co enzym Q10 - Soff Cap Q ten / com
30,60,100 Bioquinon
25.4.2 Glucosamin HCL - Cap Glucosamin

- Powder Oste / F
- Inj Osteokom/F
- Cream Vostem
49/116

Hyalgan inj
Mediflex
25.4.3. Serrapeptase Dll - Tab : Dansera
25.4.4. Lutein - Soft Cap : Eye Gold
25.4.5. Lain-lain Cap Lycoxy
25.5. ANTI OKSIDAN

25.5.1. Vit A, C, E dll Tab Bevizil
25.5.2. Astaxanthin Caplet 5 mg Astin Force / Bond

Gliadin Tab Glisodin
Interxantin
25.6 OBAT METABOLISME TULANG

25.6.1 Alendronat Tab 10mg ; 70 mg Allovel
25.6.2 Risedronate Natrium Tab 5 mg Osteonate OD
25.6.3 Calcitonin Inj 50/ 100/ 200 iu Miacalcic

Actonel
25.6.4 Serrapeptidase Dll - Tab Nutriflam
25.6.5 Bonistein + kombinasi Cap/Tab Hi Bone
25.6.6 Astaxantin, Lutein, Mineral Tab Matoflam

Interxantin
25.6.7 D-ribose, L-carnitine fumarate - Sachet Enercore
26. OBAT GIGI DAN MULUT

26.1. PREPARAT GIGI
26.2. ANTI SEPTIK MULUT
26.2.1. Povidone Iodine - Gargle : 1% (100, 200mL) Isodine/Betadine
Forinfec
26.2.2. Hexetidine - Lar : 0,1% (30, 60, 120 ml) Hexadol
26.2.3 Aloe vera Garg, gel,plus Alloclair
26.3. LAIN - LAIN
50/116

26.3.1 Fradiomycin sulfate 2.5mg, Tab FG Troches
gramicidin-S HCl 1mg Tetes Blecidex
Garg Hemiseal
Tantum verde/Loz
27. PREPARAT DIAGNOSTIK

27.1. BAHAN KONTRAS RADIOLOGI
27.1.1. HISTEROSALPHINGOGRAFI
27.1.1.1. Meglumin Natrium - Inj : 76 % Urografin
Amidotrizoat Ultravist
27.1.2. KONTRAS SALURAN CERNA

27.1.2.1. Barium Sulfat - Powder EZ – HD
27.1.3. UROGRAFI
27.1.3.1. Iopamidol - Inj : Iopamiro
Omnipaque
LARUTAN ELEKTROLIT, NUTRISI,

28. LARUTAN STERIL LAIN
LARUTAN ELEKTROLIT DAN
28.1. KRISTALOID
28.1.1. Natrium Chlorida - Lar : 0,9 %, 3 % PZ / Normal Saline
Infusan NS
28.1.2. Ringer Laktate - Lar : 500 mL RL

Infusan RL
28.1.3. Ringer Acetate - Lar : 500 mL Asering

Infusan Ring As
28.1.4. Natrium Bicarbonat - Lar : 8,4 % Meylon

Na Bicarbonat
28.1.5. Kalium Chlorida - Lar : 7,46 % KCl
28.1.6 Calcium Gluconas - Injeksi Ca Gluconas
28.2. LARUTAN NUTRISI

28.2.1. Dextrose - Lar : 5, 10 % Dextrose 5/ 10
- Inj : 40 % Infusan D5
Infusan D10
28.2.2. Maltose - Lar : 10 % Martos 10
28.2.3. Dextrose + RL - Lar : RD5
51/116

Infusan RD
28.2.4. Dextrose + NS - Lar : D5 0,45 % NS

D5 0,225 % NS
Infusan D5 0,45 %
Infusan D5 0,225%
D10 0,18 % NS
KA-EN 1B
28.2.5. Ringer Acetate + Dextrose - Lar : Asering 5
28.2.6. Dextrose + KCl - Lar : KA-EN 3A

KA-EN 3B
KA-EN MG3
Tridex 27A
Tridex plain
Tridex 100
Tridex 27B
28.2.7. Fruktose, Glucose, Xylitol - Lar : Triofusin 500
Fruktose, Glucose, Xylitol + elektrolit Triofusin E1000
28.2.8. Asam Amino, Sorbitol, - Lar : Aminovel 600

Elektrolit
28.2.9. Asam Amino, Nitrogen, Na, - Lar : Amiparen

Acetate
Elektrolit Valamin
28.2.10. Asam Amino Esensial - Lar Kalbamin
28.2.11. Asam Amino, Sorbitol, Xylitol - Lar : Aminofusin L 600
28.2.12. Soy Bean Oil, Egg - Lar : 10 %, 20 % Clinoleic

Phosphatide Gliserol Na Oleat Ivelip JKN
28.2.13. Amino Acid - Lar : 7,2 % Renxamin
28.2.14. Asam Amino Esensial, - Lar : Pan Amin G

Asam Amino
Semiesensial, Asam
Amino Nonesensial Sorbitol
28.2.15. Sorbitol, Electrolit - Lar : Tutofusin OPS
52/116

28.2.16. Dextrose + electrolit Lar Ka-En 4 A
Ka-En 4 B
28.3. LARUTAN STERIL LAIN

28.3.1. Magnesium Sulfat - Lar : 20 %, 40 % MgSO4
28.3.2. Glucosa + 1/2 darrow Inj Meylon
29. PRODUK NUTRISI ENTERAL

29.1. Protein, Fat, Carbohidrat, - Powder Aminoleban Oral
Vitamin, Mineral, L Isoleusine,
L Leusine, L Valine
Asam Amino Essensial
29.2 Lain lain Neo mune

Equal
Sirplus
30. HEPATO PROTEKTOR

30.1. LARUTAN HEPATO PROTEKTOR
30.1.1. Asam Amino Rantai - Inf : 500 mL Aminofusin Hepar
Aminofusin paed
Cabang (Isoleucine, Leucine, Aminoleban Infusion
Valine), Methionine,
Phenylalanine, Tryptophan,
Asam amino Lain,
Sorbitol, Xylitol dan Electrolit
30.1.2. Dosis Tinggi Asam - Inf : 500 mL Comafusin Hepar

Amino Rantai Cabang
(Isoleucine, Leucine, Valine),
Asam amino Lain, Xylitol,
Vitamin, Electrolit
30.2. OBAT HEPATO PROTEKTOR

30.2.1. Chenodeoxycholic Acid - Soft Cap : 250 mg Chenofalk
30.2.2. Ursodeoxycholic Acid - Cap : 250 mg Ursodeoxycholic Acid

Urdahex
30.2.3. Curcuma Xanthorrhiaze - Cap : Hepasil

Extr. Dll.
30.2.4. Lecithin, Vitamin B - Cap : Hepamax

Complex Dll. - Soft Cap Neurochol
Lesichol
53/116

Lesifit
30.2.5. L-ornithine-L-aspartate - Inj Hepa-Merz
Monoammonium glycyrrhizinate 40 SNMC (Stronger Neo

30.2.6. mg Minophogen C)
amino aceticacid 400 mg,
L-cystein HCl 20 mg
30.2.7 Basic Solution - Inf : 500 mL Futrolit

Precopar
Haemacell
Gelofusal
Clinimix 15 G
Lipofundin
Aminofluid
Renosan
SUB TOTAL
GRAND TOTAL 1323
MOJOKERTO, 30 JULI 2015
RUMAH SAKIT GATOEL RUMAH SAKIT TOELOENGREDJO RUMAH SAKIT PERKEBUNAN
dr. Aditya Bagus Djatmiko, M. Kes dr. Noor Evaliana dr. Suratini, MMRS
Kepala Rumah Sakit Kepala Rumah Sakit Kepala Rumah Sakit
Mengetahui
dr. Ary Sylviati, M. Kes

Direktur Operasional, Pengembangan
dan Pemasaran
54/116
FARMASI RSG RST RSP URJ
Janssen Cilag √ √ √
Kimia Farma √ √ √ √
Kimia Farma √ √ √
Mahakam Beta √ √ √ √
Farma
Generik √ √ √ √
Fahrenheit √ √
Bayer √ √ √
Medifarma √ √ √ √
Sanbe Farma √ √ √
Sanbe Farma √ √ √ √
Interbat √ √ √ √
Dexa Medika √ √ √
Pharmacia √ √ √ √
Sanbe Farma √ √
Pharos √ √ √ √
Eisai √ √
Sanbe Farma √ √
Novartis √ √ √ √
55/116
Kalbe Farma √ √ √ √
Dexa Medika √ √
Aventis √ √
Ferron √ √ √ √
Nulab √ √
Guardian √ √
SOHO √ √ √ √
Kalbe Farma √ √ √
Guardian √ √
Aventis √ √ √ √
Interbat √ √ √
Lapi √ √ √
Interbat √ √
Actavis √ √
Pfizer √ √ √ √
Pharos √ √
Pfizer √ √
56/116
Mahakam Beta √ √ √
Farma
Lapi √ √
Merck √ √ √ √
Dexa Medika √ √ √ √
Merck √ √ √
GSK √ √ √ √
Interbat √
Takeda √ √ √ √
Fahrenheit √ √ √
Dexa Medika √ √
Phapros √ √ √ √
Astra Zeneca √ √ √
Astra Zeneca √ √
Bernofarm √ √ √
Bernofarm √ √ √ √
Astra Zeneca √ √ √ √
Abbott √ √ √
57/116
Dexa Medika √ √
Milenium P I √ √ √ √
Combiphar √ √ √
Guardian √ √ √ √
Novell √ √
B-Braun √ √ √
Novell √ √
Samator √ √ √ √
Ferron √ √ √
Darya Varia √ √ √ √
Fahrenheit √ √ √ √
Zambon √ √ √ √
58/116
Novell √ √
Lapi √ √ √
Pharmacia √ √ √
Pharmacia √
Schering Plough √ √ √
Dura Farma √ √ √ √
Interbat √ √
Guardian √ √ √ √
Interbat √ √
59/116
Lapi √ √ √ √
Novell √ √
Ferron √
Schering Plough √ √ √ √
Dexa Medika √
Kalbe Farma √ √
Kalbe Farma √
Taisho √ √ √
Mersifarma √ √ √ √
Pfizer √ √ √
Mersifarma √ √ √
60/116
Mersi √ √ √ √
Abbott √ √ √
Prima √ √
Lapi √
Abbott √ √ √ √
Otto √ √
Meiji √ √
Takeda √ √ √
Meiji √ √ √ √
61/116
Interbat √ √
Lapi √ √ √ √
SOHO √ √
Takeda √ √ √
Bernofarm √ √ √
Dexa Medika √
Takeda √ √ √
Lapi √ √ √
Interbat √ √
62/116
Lapi √ √ √
Otto √ √
Dexa Medika √ √
Interbat √ √
Lapi √ √
Pharos √ √
Lapi √ √ √
Interbat √ √
Lapi √ √ √ √
63/116
Bayer √ √ √
Nulab √
Meiji √ √ √ √
Interbat √ √
Meiji √ √ √
Prafa √ √ √ √
Pharos √ √ √
Interbat √ √
Lapi √
Pharos √ √ √
Otto √
Pharos √ √
64/116
Dexa Medika √ √
Guardian √
Sanbe Farma √ √
Conmed √ √
Conmed √ √
Meiji √ √ √ √
Landson √ √ √
Novartis √ √ √
Bernofarm √
65/116
Lapi √ √ √ √
Novell √
Dexa Medika √
Meiji √ √ √
Alpharma √ √ √
Pharos √ √ √
Lapi √ √ √ √
Taisho √ √ √ √
Kalbe Farma √
Novartis √ √
Generik √ √ √
66/116
Combiphar √
Glaxo Smith Kline √ √ √ √
Darya Varia √ √ √
Novell √ √ √
Taisho √ √
Novartis √ √ √
SOHO √ √ √ √
Glaxo Smith Kline √ √ √
Mack √ √ √
Alpharma √ √ √ √
Roche √ √ √ √
Solvay Pharma √ √ √ √
Eisai √ √ √ √
Janssen Cilag √ √ √ √
Searle √ √ √
67/116
Tempo Scan P √ √ √ √
Novartis √
Pfizer √ √ √
Taisho √ √ √
Combiphar √ √ √ √
68/116
Asta Medika √ √ √
Novell √ √ √
Otsuka √ √ √
Roche √ √ √ √
Roche √ √ √ √
Eli Lily √ √ √ √
69/116
Ferron √ √ √
Bayer √ √ √ √
Lapi √ √ √ √
Fahrenheit √ √
Tropica Mas √ √ √ √
Pharma
Kyowa √ √ √
Novell √ √
Kalbe Farma √
Interbat √
70/116
Novell √ √ √ √
UAP √ √
Guardian √
Tanabe Abadi √ √ √ √
Ferron √ √
Dexa Medika √
Pyridam √ √
Otsuka √ √ √ √
Aventis √ √
Sanofi Aventis √
71/116
GSK √ √ √
B-Braun √
Sanofi Aventis √ √
Landson √ √ √ √
Astellas √ √ √ √
Boehringer √ √ √
Ingelheim
Bayer √ √ √ √
Dexa Medika √ √
Graha √ √
Otsuka √ √ √
Widatra √ √ √
Fima √ √ √
SOHO √
72/116
Fima √ √ √ √
Farma
Novell √ √
Erlimpex √
Pharmaceutical
Cendo √ √ √ √
Fahrenheit √ √
73/116
Otto √ √ √
Fahrenheit √
SOHO √ √ √
Servier √ √ √
Fahrenheit √ √
Boehringer √ √ √ √
Ingelheim
Sandoz √ √
Fahrenheit √ √
Phapros √ √
Knoll Basf F √ √ √ √
Novell √ √ √
Sanofi Aventis √ √ √ √
74/116
Darya Varia √ √
Asta Medika √ √ √ √
Knoll Basf F √ √ √
Coronet Crown √ √
Generik √
Pfizer √ √ √
Generik √
Sanofi Aventis √ √ √
Novell √ √
Ferron √ √
Fahrenheit √
Merck √ √ √ √
75/116
Novell √
Astra Zeneca √ √
Bayer √ √ √ √
Fahrenheit √
Generik √ √ √
Pharos √
Fahrenheit √ √
Astellas √
Dexa Medika √ √
Pharos √
Novell √ √
Novell √ √
Sanbe Farma √
Ingelheim
76/116
Novartis √
Merck √ √ √ √
Pfizer √ √ √
Ingelheim
Rajawali Nusindo √ √
Sandoz √ √ √ √
Organon √ √
Merck √ √ √ √
Bayer √ √ √ √
Phapros √ √ √
Dankos √ √ √
77/116
Fahrenheit √ √
Pfizer √
Roche √ √ √
Otto √ √ √
Alpharma √ √ √ √
Roche √ √ √
Novell √ √ √
Sunthi Sepuri √ √
Mersi √ √ √ √
Mersi √ √
Harsen √ √ √
Pharos √
Ferron √
Lundbeck √ √ √ √
Pharos √ √ √
78/116
Mersifarma √ √ √
Combiphar √
Generik √ √ √
Mersi √ √ √
Eli Lily √ √ √
Sandoz √ √
SOHO √ √ √ √
Pharos √ √ √
Harsenn √
Organon √ √
Asta Medika √ √
Organon √ √ √
Novell √ √
Pharos √
Organon √ √ √
Novartis √ √
Transfarma MI √ √ √
79/116
Lapi √ √ √ √
Novell √ √ √
Transfarma MI √ √ √ √
Lapi √ √ √
Kalbe Farma √ √
Gracia √ √ √
Fahrenheit √
80/116
Dexa Medika √ √
Takeda √
Lapi √ √
Interbat √ √
Eisai √ √ √ √
Sanbe Farma √ √
Interbat √ √
Otto √ √
Hexpharm √ √ √ √
Fahrenheit √
Bernofarm √
81/116
Merck √ √ √ √
Beaufour Ipsen I √ √ √ √
Pharos √
Otto √ √ √ √
Novell √ √ √
Ethica √ √ √ √
Ingelheim
Otto √ √ √ √
Hexpharm √ √ √ √
Landson √ √
Medifarma √ √ √ √
Sandoz √ √ √
Beaufour Ipsen I √ √ √
82/116
Indo Farma √ √ √ √
Ingelheim
Yupharin √ √ √ √
Ikapharmindo √ √ √ √
Otto √ √
Soho √
Meprofarma √ √ √ √
Schering AG √ √ √ √
Servier √ √ √ √
Lapi √ √ √
Fahrenheit √ √
Interbat √
83/116
Teguhsindo √ √ √ √
Teguhsindo √ √ √ √
Eisai √ √ √ √
Kalbe Farma √ √
Lapi √ √ √ √
Pharmasolindo √ √ √
SOHO √ √ √
Glaxo Smith Kline √ √
Ingelheim
Ethica
84/116
Ingelheim
Ingelheim
Ingelheim
Ingelheim
Fahrenheit √
Otsuka √ √ √
Lapi √ √
Mahakam Beta √ √ √
Farma
Kalbe √
Ingelheim
Lapi √ √ √ √
Astra Zeneca √ √ √
Otto √
85/116
Mack √ √ √ √
Ingelheim
Ingelheim
Zambon √ √ √ √
Pharos √ √
Dexa Medika √
Novell √
Ferron √
Lapi √ √ √ √
Interbat √ √
86/116
Lapi √ √ √ √
Merck √ √ √ √
Aventis √ √ √
Lapi √ √ √ √
Asta Medika √ √
Pyridam √
Pyridam √ √ √
Mersifarma √ √
Roche √ √
Pyridam √ √ √ √
Ingelheim
87/116
Dexa Medika √
Lapi √ √ √ √
Lapi √ √ √
Rejeki Mitra farma √ √ √ √
Corsa √ √ √
Mersi √ √ √ √
Servier √ √ √
Schering AG √ √ √
Organon √ √ √
Harsenn √ √ √ √
88/116
Tunggal Idaman √ √ √ √
Abadi
Organon √ √
Organon √ √ √ √
Organon √ √ √ √
Phapros √ √ √
Sunthi Sepuri √ √
Organon √ √ √
Bayer √ √ √ √
Bayer √ √ √ √
Organon √ √ √
89/116
Sunthi Sepuri √ √ √
Actavis √ √ √
Merck √
Novonordisk √ √ √ √
Merck √ √ √ √
Merck √ √ √ √
Ferron √ √
Dexa Medika √
Ingelheim
Soho √
Lapi √
Bayer √ √ √ √
Dexa Medika √ √
Kalbe √ √
Tanabe Abadi √
90/116
Boehringer √
Ingelheim
Merck √ √ √ √
Merck √ √ √ √
Nicholas √ √ √ √
Fournier √ √ √ √
Guardian √ √
Dexa Medika √
Dexa Medika √
Novell √ √ √
91/116
Generik √ √ √
Pharos √
Dexa Medika √ √
Fahrenheit √ √
Darya Varia √ √
Merck √ √ √
Merck √ √ √
Interbat √ √
Indo Farma √ √ √ √
Farma
92/116
Interbat √
Combiphar √ √
Astellas √ √ √ √
Bintang Toedjoe √ √ √ √
Pharos √ √ √
Dexa Medika √
SOHO √
Puspa √
Ifars √ √
93/116
Sanbe Farma √
Sanbe Farma √
Cendo √ √ √ √
Combiphar √
Erela √ √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
94/116
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Lapi √ √ √ √
Cendo √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √
Cendo √ √ √ √
95/116
Cendo √ √ √ √
Ferron √
Cendo √ √ √ √
Cendo √ √ √ √
Alcon √ √ √ √
Alcon √ √ √
Cendo √ √ √ √
Alcon √ √ √
Cendo √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √ √ √
Cendo √ √ √
Interbat √ √
Sanbe Farma √ √
Pharos √ √
96/116
Farma
Bayer √ √ √
Schering AG √ √
SDM √ √ √
Sanbe Farma √
Pfizer √ √ √
Combiphar √ √
Interbat √ √
Interbat √ √
Interbat √ √
Kimia farma √ √ √
97/116
SOHO √ √ √
Interbat √ √
SDM √ √ √
Bernofarm √
Bayer √ √ √
98/116
Taisho √ √ √
Pfizer √ √ √
Combiphar √
Soho √
Corsa √ √ √ √
Interbat √
Merck √ √
99/116
Armoxindo √ √ √
SDM √ √ √ √
Biofarma √ √ √ √
Biofarma √ √ √ √
Glaxo Smith Kline √
Glaxo Smith Kline √
100/116
Mestika Farma √ √ √
Generik √
Merck √ √ √
Fahrenheit √
Soho √
Merck √ √ √ √
101/116
SOHO √ √ √ √
Lapi √ √ √ √
Merck √ √ √ √
Prafa √ √ √ √
Tanabe Abadi √
Merck √ √ √ √
Puspa √
SOHO √ √ √ √
Lapi √ √
102/116
Otto √ √ √ √
SOHO √ √ √ √
Tropica Mas √ √ √ √
Pharma
Otto √ √ √ √
SOHO √ √ √
SOHO √ √ √ √
Farma
Lapi √ √ √
Otto √ √ √ √
103/116
Meiji √ √ √ √
SOHO √ √ √
Fima √ √ √ √
Bayer √ √ √
Fima √ √ √ √
GE Health Care √
Otsuka √ √ √
Widatra √ √ √ √
Widatra √ √ √ √
104/116
Fima √ √ √ √
Kalbe Farma √
Otsuka √ √ √
Kalbe Farma √
105/116
Merisan √ √ √ √
Otsuka √ √ √
Landson √ √ √
106/116
Prima √ √ √
Dexa Medika √ √
B-Braun √ √
B-Braun √ √
Otsuka √ √ √
1,243 1,027 1,235 935
AKIT PERKEBUNAN
ratini, MMRS
a Rumah Sakit
107/116
NAMA DAGANG x
Acyclovir 1
Albothyl 1
Albothyl 1
Albothyl 1
Aldisa SR 1
Aminoleban Oral 1
Asering 1
Asering 1
Ativan 1
Baquinor 1
Betadine 1
Bio ATP 1
Biodiar 1
Caladine 1
Callusol 1
Cardura 1
Ceremax 1
Codein 1
Colistine 1
Danocrine 1
Dermofix 1
Diagit 1
Diazepam 1
Digoxin 1
Dimenhidrinat 1
Disflatyl 1
Dogmatil 1
Epineprine 1
Esilgan 1
Estalin 1
Finpro 1
Flamar 1
Formyco 1
Gabbryl 1
Gentamicin 1
Hexymer 1
Hytrin 1
Imuran 1
Infusan NS 1
Infusan Ring As 1
Intifen 1
Kalbamin 1
Kalk 1
Kaltrofen 1
Kanamicin 1
Kanamycin 1
KCl 1
KCL 1
Ketoconazole 1
KSR 1
Lapifed 1
Lapifed 1
Laxadine 1
Levocin 1
Mebo 1
Merlopam 1
Meylon 1
Meylon 1
Miacalcic 1
Mycoral 1
Neo K 1
Neo Kaolana 1
New Diatabs 1
Nimotop 1
Oralit 1
Prohiper 1
Prostacom 1
Rhinos SR 1
Ritalin /SR 1
Sabun hijau 1
Sagestam 1
Sagestam 1
Salticin 1
Sandostatin 1
Sofradex 1
Somatostatin 1
Stesolid 1
Strocain 1
Telfast Plus 1
Tremenza 1
Triamcort 1
Trifed 1
Tutofusin OPS 1
Urinter 1
Urispas 1
Urografin 1
Urotractin 1
Valisanbe 1
Vascon 1
Zoter 1
9 POIN UNTUK MENYUSUN FORMULARIUM OBAT :
1 Mengutamakan penggunaan obat generik
2 Perbandingan obat generik, original dan me too adalah x : y : z = 1 : 1 : 1
3 Memiliki rasio manfaat resiko (benefit risk ratio) yang menguntungkan penderita
4 Mutu terjamin termasuk stabilitas dan bio availabilitas
5 Praktis dalam penyimpanan dan pengangkutan
6 Praktis dalam penggunaan dan penyerahan
7 Menguntungkan dalam hal kepatuhan dan penerimaan oleh pasien
8 Memiliki rasio manfaat biaya (benefit cost ratio) yang tertinggi berdasarkan biaya langsung dan tidak langsung
9 Obat lain yang terbukti paling efektif secara ilmiah dan aman (evidence based medicines) yang paling dibutuhkan untuk pe
n tidak langsung
paling dibutuhkan untuk pelayanan dengan harga yang terjangkau
BILLING INA CBG LABA
TOTAL 5,000,000 5,000,000 -
OBAT 2,500,000
LABA OBAT 500,000
LABA PELAYA 1,000,000 1,500,000
1,500,000
TOTAL 4,000,000 5,000,000 1,000,000

OBAT 2,000,000
LABA OBAT 400,000
LABA PELAYA 800,000 1,200,000
2,200,000

Case Pneumonia PPOK

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Count - NAMA DAGANG

NO. OBAT BENTUK DAN SEDIAAN NAMA DAGANG

1.1. ANALGETIK NARKOTIKA

1.1.2. Codein - Tab : 10, 15, 20 mg Codein

Codein 30 mg+ paracetamol 500 mg Coditam

- Tab : 10, 15, 30 mg MST Continous

1.1.4. Petidin - Injeksi : 50 mg/mL Petidin

1.2. ANALGETIK NON NARKOTIKA

1.2.1.1. Asam Acetylsalisilat + Glizine - Tab 100 mg + Glizine 45 mg Proxime

1.2.2. Asam Mefenamat - Tab : 250, 500 mg Asam Mefenamat

1.2.3. Celecoxib - Cap : 100, 200 mg Celebrex

1.2.5. Indometacin - Cap : 100 mg Dialon

1.2.6. Kalium Diklofenak - Tab : 25, 50 mg K Diklofenak

Ketoprofen - Tab/cap : 50, 100, 200 mg Ketoprofen

NO. OBAT BENTUK DAN SEDIAAN NAMA DAGANG

1.2.7.2 Dexketoprofen trometamol - Tab/injeksi Ketesse

1.2.8 Nabumetone - Tab 500 mg Goflex

1.2.9. Ketorolac - Tablet, Injeksi : 10, 30 mg Ketorolac

1.2.10. Metampyron/Metamizol - Tab : 500 mg Antalgin

1.2.11. Meloxicam - Tab : 7,5 mg, 15 mg Meloxicam

1.2.13. Paracetamol / Acetaminofen - Tab : 500 mg Paracetamol

1.2.14. Piroxicam - Cap : 10, 20 mg Piroxicam

1.2.15. Tramadol - Cap : 50 mg, 100mg Tramadol

1.2.16 Parocesib Inj Dynastat

NO. OBAT BENTUK DAN SEDIAAN NAMA DAGANG

1.3. ANALGETIK KOMBINASI

1.3.2. Paracetamol + Tramadol - Tab : Patral

1.3.3. Paracetamol Kombinasi - Tab : Doloneurobion

1.3.4. Natrium Diclofenac Kombinasi - Tab : Neurofenac plus

1.4. ANTI PIRAI

1.5. LAIN – LAIN

2.1.2. Bupivacain - Inj : 0,25 %, 0,5 % Marcain

2.1.3. Ethil Chlorida -Spray Cloraethyl Dr. Henning

2.1.4. Lidocain -Inj : 2 ml Lidocain

2.1.5. Lidocain+Dextrose -Inj : 2 ml, 100mg Lidodex

2.2. ANESTETIK INHALASI

2.2.2. Enfluran - Sol : 250 mg Ethrane

NO. OBAT BENTUK DAN SEDIAAN NAMA DAGANG

2.2.3. Isofluran - Sol : 100 mL Aerrane

2.2.4. Sevofluorane - Sol Sevofluorane

2.3. ANESTETIK PARENTERAL

2.3.2. Midazolam - Inj : 5 mg/5 mL Midazolam-Hameln

2.3.3. Propofol -Inj : 200mg/20 ml, 1 gr/50 ml Proanes

2.4. LAIN – LAIN

3.1.2. Calsium Glukonas - Inj : 10 % Calsium Glukonas

3.1.3. Asam Folinat - Inj : 10 mg/mL Calcium Levo Folinat

3.1.4. Protamine Sulphate - Inj : 10 mg/mL Protamine Sulphate

3.1.5 Lanthanum carbonat - Tab Fosrenol

3.1.6 Desfeioxamin Methanesulfonate Inj Disferal

3.1.7. N-asetilsistein Vial 200 mg/ml Hidonac

3.2. ANTI DOTUM UMUM

NO. OBAT BENTUK DAN SEDIAAN NAMA DAGANG

4.1.2. Chlorfeniramine maleat - Tab : 4 mg CTM

4.1.3. Cyproheptadine - Tab : 4 mg Heptasan

4.1.4. Dimenhidrinat - Tab : 50 mg Dimenhidrinat

4.1.5. Desloratadine - Tab : 5 mg Aerius

4.1.6. Difenhidramine - Inj : Difenhidramine

4.1.7. Fexofenadine - Tab : 180, 120 mg Telfas HD/OD

4.1.8. Loratadine - Tab : 10 mg Loratadine