7861 - 131060 - 0 - 43116 - Formularium Obat PT - PGM RSPG Group 2018
7861 - 131060 - 0 - 43116 - Formularium Obat PT - PGM RSPG Group 2018
7861 - 131060 - 0 - 43116 - Formularium Obat PT - PGM RSPG Group 2018
No. 09 /03/TU.04.02/SK/PGM/2018
NAMA KODE
SUB. GOLONGAN NAMA BARANG PABRIKAN KOMPOSISI SEDIAAN
GOLONGAN BARANG
ANALGESIK,
ANALGESIK NSAID
ANTI
(NONSTEROID ANTI- ASAM MEFENAMAT 500 ASAM MEFENAMAT
INFLAMASI, 10GB022 GENERIK TABLET
INFLAMMATORY MG 500 MG
ANTIPIRETIK,
DRUGS )
ANTI PIRAI
ASAM MEFENAMAT 500 ASAM MEFENAMAT
10GH009 GENERIK TABLET
MG 500 MG
ASAM MEFENAMAT
10B0878 MEFINAL 250 MG SANBE KAPLET
250 MG
ASAM MEFENAMAT
10B0879 MEFINAL 500 MG SANBE KAPLET
500 MG
ASAM MEFENAMAT
10B1016 PONDEX CAP FORTE DEXA KAPLET
500 MG
ASAM MEFENAMAT 50
10C1695 PONDEX SYRUP DEXA SYRUP
MG/ 5 ML
NATRIUM
10B3584 FLAMAR 25 MG SANBE TABLET
DIKLOFENAK 25 MG
NATRIUM
10B3585 FLAMAR 50 MG SANBE TABLET
DIKLOFENAK 50 MG
NATRIUM
10D5429 FLAMAR GEL SANBE GEL
DIKLOFENAK
NATRIUM
10D3906 VOLTADEX GEL DEXA GEL
DIKLOFENAK
NATRIUM
10D3400 VOLTAREN GEL 20 GR SANOFI GEL
DIKLOFENAK
NATRIUM
10D2348 VOLTAREN GEL 50 GR SANOFI GEL
DIKLOFENAK
10B4509 PIROXICAM 10 MG GENERIK PIROXICAM 10 MG TABLET
10B4303 PIROXICAM 20 MG GENERIK PIROXICAM 20 MG TABLET
PIROXICAM 20 MG
10B1102 FELDEN FLASH 20 MG PFIZER KAPLET
FLASH
10D2818 FELDEN GEL 15 G PFIZER PIROXICAM GEL
10B4129 TILFLAM DEXA TENOXICAM 20 MG TABLET
10GH046 KETOPROFEN 100 MG GENERIK KETOPROFEN 100 MG TABLET
1
10GB078 KETOPROFEN 100 MG GENERIK KETOPROFEN 100 MG TABLET
2
METAMIZOL Na 500,
CHLORDIAZEPOXIDE
10B3278 ANALSIK SANBE TABLET
HCL 5, B-COMP 10
MCG, CAFFEIN 50
3
IBUPROFEN 100 MG/ 5
10C7373 BUFFECT SYRUP SANBE SYRUP
ML
IBUPROFEN 200 MG/ 5
10C1494 BUFFECT FORTE SYRUP SANBE SYRUP
ML
10B0551 BUFFECT TAB 200 SANBE IBUPROFEN TABLET
10B0552 BUFFECT TAB 400 SANBE IBUPROFEN TABLET
PARASETAMOL 500
10B3322 SISTENOL DEXA MG, N-ASETIL SISTEIN KAPSUL
200 MG
ALLOPURINOL 100 MG
ANTIPIRAI 10GH002 GENERIK ALLOPURINOL 100 MG TABLET
TAB
ALLOPURINOL 100 MG
10GB001 GENERIK ALLOPURINOL 100 MG TABLET
TAB
ALLOPURINOL 300 MG
10GH003 GENERIK ALLOPURINOL 300 MG TABLET
TAB
ALLOPURINOL 300 MG
10GB002 GENERIK ALLOPURINOL 300 MG TABLET
TAB
10B4394 ISORIC 100 INTERBAT ALLOPURINOL 100 MG TABLET
4
10B0669 ALLORIS 10 MG TAB SANBE LORATADINE 10 MG TABLET
5
DIPA ANTI HEMOFILIK
10E0013 KOATE DVI 270 IU VIAL
PHARMALAB FAKTOR
6
HIDROKLOROTIAZID
DIURETIK TIAZID 10B2829 HCT TAB 25 MG GEN GENERIK TABLET
25 MG
HIDROKLOROTIAZID
10B6899 HCT TAB 50 MG GENERIK TABLET
50 MG
HIDROKLOROTIAZID
10B4022 HCT 100 MG GENERIK TABLET
100 MG
SPIRONOLAKTON 25
KOMBINASI '10B0458 ALDAZIDE SOHO MG -THIABUTAZIDE TABLET
2.5 MG
URINARY PREPARATION
'10D1876 ALBOTHYL OVULA PHAROS POLICRESULEN 90 MG SUPPO
SYSTEM VAGINAL CONDITION
7
CARDIO- ISOSORBID DINITRAT ISOSORBIDE
ANTI ANGINA 10B0735 GENERIK TABLET
VASKULAR 5 MG DINITRATE 5 MG
GLYCERYL
10B4949 NITROKAF RETARD KIMIA FARMA TABLET
TRINITRATE 2,5 MG
ISOSORBIDE
10A0195 FARSORBID 5 MG FAHRENHEIT TABLET
DINITRATE 5 MG
ISOSORBIDE
10A0179 FARSORBID 10 MG FAHRENHEIT TABLET
DINITRATE 10 MG
ISOSORBIDE
10B2731 CEDOCARD 5 MG DARYA-VARIA TABLET
DINITRATE 5 MG
ISOSORBIDE
10B2730 CEDOCARD 10 MG DARYA-VARIA TABLET
DINITRATE 10 MG
ISOSORBIDE
10E0163 CEDOCARD INJ DARYA-VARIA AMPUL
DINITRATE 1MG/ML
NITROGLYCERIN 10
10E0172 NTG INJ FERRON AMPUL
MG
ISOSORBIDE 5-
10B4112 IMDUR 50 MG TAB ASTRA ZENECA TABLET
MONONITRATE 60 MG
TRIMETAZIDINE
10B4289 ANGINTRIZ MR NOVELL DIHIDROKLORIDA 35 TABLET
MG
TRIMETAZIDINE
10B0155 TRIZEDON MR PRAFA DIHIDROKLORIDA 35 TABLET
MG
ANTIDISRITMIA 10E1051 AMIODARONE INJ GENERIK AMIODARONE AMPUL
AMIODARONE
10B4343 KENDARON DARYA-VARIA HIDROKLORIDA 200 TABLET
MG
AMIODARONE
10B2954 CORDARONE TAB SANOFI HIDROKLORIDA TABLET
200MG
10E3552 CORDARONE INJ SANOFI AMIODARONE AMPUL
ANTI HIPERTENSI 10B0294 CAPTOPRIL 12,5 MG GENERIK CAPTOPRIL 12,5 MG TABLET
ACE INHIBITOR 10B0438 CAPTOPRIL 25 MG GENERIK CAPTOPRIL 25 MG TABLET
10B0845 TENSICAP 12,5 MG SANBE CAPTOPRIL 12,5 MG TABLET
10B4393 TENSICAP 25 MG SANBE CAPTOPRIL 25 MG TABLET
10B1233 LISINOPRIL 5 MG GENERIK LISINOPRIL 5 MG TABLET
10B1237 LISINOPRIL 10 MG GENERIK LISINOPRIL 10 MG TABLET
10B0098 NOPERTEN 5 MG DEXA LISINOPRIL 5 MG TABLET
10B0099 NOPERTEN 10 MG DEXA LISINOPRIL 10 MG TABLET
10B4513 RAMIPRIL 2,5 MG GENERIK RAMIPRIL 2,5 MG TABLET
10B4940 RAMIPRIL 5 MG GENERIK RAMIPRIL 5 MG TABLET
10B5001 RAMIPRIL 10 MG GENERIK RAMIPRIL 10 MG TABLET
10B0693 HYPERIL 2,5 MG FERRON RAMIPRIL 2,5 MG TABLET
10B0692 HYPERIL 5 MG FERRON RAMIPRIL 5 MG TABLET
10B0066 BIOPREXUM 5 MG PRAFA PERINDOPRIL 5MG TABLET
10B4253 TANAPRES 5 MG TANABE IMIDRAPRIL 5 MG TABLET
10B0794 TANAPRES 10 MG TANABE IMIDRAPRIL 10 MG TABLET
BISOPROLOL FUMARAT
BETA BLOCKER 10GH011 GENERIK BISOPROLOL 5 MG TABLET
5 TAB
10B8796 CONCOR 2,5 MG MERCK BISOPROLOL 2,5 MG TABLET
10B3694 CONCOR 5 MG MERCK BISOPROLOL 5 MG TABLET
10B3697 CONCOR 1,25 MG MERCK BISOPROLOL 1,25 MG TABLET
10B0527 BISOVELL NOVELL BISOPROLOL 5 MG TABLET
10B4622 BETA ONE 2,5 HEXPHARM BISOPROLOL 2,5 MG TABLET
8
10B0835 MAINTATE 5 MG TANABE BISOPROLOL 5 MG TABLET
9
10B1902 CANDERIN 8 MG DEXA CANDESARTAN 8 MG TABLET
10
10B2327 ATORVASTATIN 20 MG GENERIK ATORVASTATIN 20 MG TABLET
MERCK SHARP
10B0258 EZETROL EZETIMIB 10 MG TABLET
DOHME
11
AGONIS ALFA ATROPIN SULFAS 0.25 ATROPINE SULFAT
10E2814 GENERIK TABLET
ADRENERGIK INJ 0.25 MG/ML
10B0598 EPHEDRIN TAB GENERIK EPHEDRIN 25 MG TABLET
EPHEDRIN INJ
10E2383 EPHEDRIN INJ GENERIK TABLET
50MG/ML
MAHAKAM ATROPINE SULFAT 50
10E1217 VASODRIN INJ TABLET
BETA FARMA MG/ML
NACL 3,5 G, NA
LARUTAN
CITRATE 2,5 G, KCL
ELEKTROLIT DAN ORAL 10E0154 PHAROLIT SACHET NOVELL TABLET
1,5 G, GLUCOSE 20 G
NUTRISI
PER LITER
ASAM AMINO
10B3304 KETOSTERIL TAB FRESENIUS TABLET
ESENSIAL 600 MG
NATRIUM KLORIDA
0,52 G, KALIUM
KLORIDA 0,3 G,
CIUBROS
10E1256 ORALIT POWDER TRISODIUM SITRAT SACHET
FARMA
DEHIDRAT 0,58 G,
GLUKOSA ANHIDRAT
2,7 G
DL-3-METIL-2-OKSO-
ASAM VALERAT 67
MG, 4-METIL-2-OKSO
ASAM VALERAT 101
MG, 2-OKSO-3-FENIL-
ASAM PROPIONAT 68
MG, 3-METIL-2-OKSO-
ASAM BUTIRAT 86
10B0651 PRORENAL TAB NOVELL TABLET
MG, DL-2-HIDROKSI-4-
METILTIO-ASAM
BUTIRAT 59 MG, L-
LISIN MONOASETAT
105 MG, L-TREONIN
52 MG, L-TRIPTOFAN
23 MG, L-HISTIDIN 38
MG, L-TIROSIN 30 MG
KALIUM L-ASPARTATE
10B0282 ASPAR K TAB TANABE TABLET
300 MG
KALIUM KLORIDA 600
10B3495 KSR TAB MERCK TABLET
MG
NATRIUM 35 MEQ,
KALIUM 20 MEQ,
MAQNESIUM 5 MEQ,
FLORIDA 35 MEQ,
SULFAT 5 MEQ,
ASETAT 13 MEQ,
GLUKONAT 5 MEQ,
PARENTERAL 10E0003 AMINOFLUID 500 ML OTSUKA BAG
LAKTAT 20 MEQ,
SITRAT 6 MEQ,
FOSFOR 10 MMOL,
ZINC 5 µ MOL,
GLUCOSA, ASAM
AMINO 30 G, BCAA
30% PER L
12
NATRIUM 35 MEQ,
KALIUM 20 MEQ,
MAQNESIUM 5 MEQ,
FLORIDA 35 MEQ,
SULFAT 5 MEQ,
ASETAT 13 MEQ,
AMINOFLUID 1000 ML GLUKONAT 5 MEQ,
10E0334 OTSUKA BOTOL
INFUS LAKTAT 20 MEQ,
SITRAT 6 MEQ,
FOSFOR 10 MMOL,
ZINC 5 µ MOL,
GLUCOSA, ASAM
AMINO 30 G, BCAA
30% PER L
ASAM AMINO 50 G,
10E0332 AMINOFUSIN PED INF KALBE BOTOL
VIT, ELEKTROLIT
ASAM AMINO 50 G,
SORBITOL 50 MG,
10E4492 AMINOFUSIN L 600 KALBE BOTOL
XYLITOL 50 G, VIT,
ELEKTROLIT PER L
L-TREONIN 4,5 G, L-
SERIN 5,0 G, L-
PROLIN 8,0 G, L-
SISTEIN-HCL
MONOHIDRAT 0,4 G
SETARA 0,3 G
SISTEIN, ASAM AMINO
ASETAT 9,0 G, L-
ALANIN 7,5 G, L-
VALIN 8,4 G, L-
METIONIN 1,0 G, L-
10E4306 AMINOLEBAN INFUS OTSUKA BOTOL
ISOLEUSIN 9,0 G, L-
LEUSIN 11,0 G, L-
FENILALANIN 1,0 G, L-
TRIPTOFAN 0,7 G, L-
LISIN-HCL 7,6 G
SETARA L-LISIN 6,1 G,
L-HISTIDIN-HCL 3,2 G
SETARA L-HISTIDIN
2,4 G, L-ARGININ-HCL
7,3 G SETARA L-
ARGININ 6,0 G PER L
AMINOSTERIL INFANT
10E4109 FRESENIUS Amino acids 6% BOTOL
6%
CA++ 3 MEQ, K+ 4
MEQ, NA+ 130 MEQ,
10E4939 ASERING OTSUKA CL- 109 MEQ, ASETAT BOTOL
28 MEQ TIAP LITER
LARUTAN INFUS
13
Na 130 mEq, K 4 mEq,
Cl 109 mEq, Ca 3 mEq,
10E4957 ASERING-5 OTSUKA Acetat 28 mEq, BOTOL
Anhydrous Dextrose 50
g
AA 5%, (BCAA
14,8%), VIT. B6, NA+
30 MEQ/L, K+ 25
MEQ/L, KALORI 200
KCAL/L,
OSMOLARITAS: 600
MOSM/L (L-ISOLEUSIN
2,512 G, L-LEUSIN, L-
LISIN, L-METIONIN, L-
FENILALANIN, L-
TREONIN, L-
TRIPTOFAN, L-VALIN,
L-ARGININ, L-
HISTIDIN, L-ALANIN, L-
10E0002 BENUTRION VE 250 ML SANBE ASAM ASPARTAT, N- BOTOL
ASETIL-L-SISTEIN, L-
ASAM GLUTAMAT,
GLISIN, L-PROLIN, N-
ASETIL-L-SISTEIN, L-
ASAM GLUTAMAT,
GLISIN, L-PROLIN, N-
ASETIL-L-TIROSIN,
NIKOTINAMIDA,
PIRIDOKSIN
HIDROKLORIDA,
RIBOFLAVIN
5'NATRIUM FOSFAT,
KOH, NaOH, CaCl
2H2O, Mg ASETAT)/L
OTSU DEXTROSE 5%
10E9113 OTSUKA GLUCOSE 5% BOTOL
500 ML
DEXTROSE 5% 500 ML
E0190AS WIDATRA GLUCOSE 5% BOTOL
INFUS
GLUCOSE 5% +
DEXTROSE 5%+NACL
10E3624 WIDATRA SODIUM CHLORIDE BOTOL
0,45% INF
0,45%
GLUCOSE 5% +
DEXTROSE 5%+NACL
10E2432 WIDATRA SODIUM CHLORIDE BOTOL
0,225% INF
0,225%
14
DEXTROSE 10% 500
10E2398 WIDATRA GLUCOSE 10% BOTOL
ML INFUS
GLUCOSE 10%+
DEXTROSE 10 % IN
10E2535 OTSUKA SODIUM CHLORIDE BOTOL
SALINE 0,18
0,18
10E2413 DEXTROSE 40% 25 ML OTSUKA GLUCOSE 40% BOTOL
GLUKOSA ANHIDRAT
10E0166 INFUSAN D5 250 ML SP SANBE 50 G/L, OSMOLARITAS BOTOL
278 MOSM/L
15
NA+ 77 MEQ/L, CL- 77
MEQ/L, DEKSTROSA
INFUSAN D5 + 1/2 NS 50 G/L (NATRIUM
10E0221 SANBE BOTOL
SP KLORIDA 4,5 G, AIR
UNTUK INJEKSI 1000
ML)
NA+ 38,5 MEQ/L, CL-
38,5 MEQ/L,
INFUSAN D5 + 1/4 NS DEKSTROSA 50 G/L
10E0225 SANBE BOTOL
SP (NATRIUM KLORIDA
2,25 G, AIR UNTUK
INJEKSI 1000 ML)
16
NA+ 130 MEQ/L, CL-
109 MEQ/L, CA+2 2,7
MEQ/L, LAKTAT 28
MEQ/L (NATRIUM
KLORIDA 6 G, KALIUM
10E0161 INFUSAN RL SP SANBE SANBE BOTOL
KLORIDA 0,3 G,
KALSIUM KLORIDA 0,2
G, NATRIUM LAKTAT
3,1 G, AIR UNTUK
INJEKSI 1000 ML)
NA 50 MEQ, K 20
MEQ, CL 50 MEQ,
10E2399 KA-EN 3B 500 ML OTSUKA LACTATE 20 MEQ, BOTOL
GLUCOSE 27 G PER
LITER
Natium 30 mEq,
chlorida 20 mEg,
10E2407 KA-EN 4A 500 ML OTSUKA BOTOL
lactate 10 mEq,
glucose 40 gram
NA 60 MEQ, K 10
MEQ, CL 50 MEQ,
10E6440 KA-EN 3A OTSUKA LACTATE 20 MEQ, BOTOL
GLUCOSE 27 G PER
LITER
KCL 1,5 G, NACL 4,5
G, DEXTROSE
10E4997 KDN-1 WIDA WIDATRA BOTOL
MONOHYDRATE 27,5
G
KCL 3 G, NACL 4,5 G,
DEXTROSE
10E4998 KDN-2 WIDA WIDATRA BOTOL
MONOHYDRATE 27,5
G
17
L-LEUSIN 14,0 G, L-
ISOLEUSIN 9,0 G L-
VALIN 10,0 G, L-LISIN
ASETAT SETARA 5,05
G L-LISIN 7,1 G, L-
TREONIN 3,5 G, L-
TRIPTOFAN 2,5 G, L-
METIONIN 3,0 G, L-
FENILALANIN 5,0 G, L-
SISTEIN 1,0 G, L-
TIROSIN 0,5 G, L-
ARGININ 4,5 G, L-
HISTIDIN 3,5 G, L-
ALANIN 2,5 G, L-
PROLIN 3,0 G, L-
10E4458 KIDMIN INFUS 200 M OTSUKA BOTOL
SERIN 3,0 G, L-ASAM
ASPARTAT 1,0 G, L-
ASAM GLUTAMAT 1,0
G, TOTAL ASAM
AMINO BEBAS 72,05
G, ASAM AMINO
ESENSIAL 52,05 G,
ASAM AMINO
NONESENSIAL 20 G/L,
RATIO E/N 2,6, BCAA
45,8% W/W, TOTAL
NITROGEN 10,00 G,
NA+ +/- 2MEQ, CL-
TIDAK ADA, ASETAT
+/- 46 MEQ
AMINO ACID,
10E0667 LIVAMIN SANBE SORBITOL, XYLITOL, BOTOL
ELEKTROLIDE
10E2458 MARTOS INFUS OTSUKA MALTOSE 10% BOTOL
NA BICARBONAS 84
10E4145 MEYLON 25 ML OTSUKA BOTOL
MG/ML
10E2524 MGSO4 20% 25 ML OTSUKA MGSO4 20% BOTOL
10E3736 MGSO4 40% 25 ML OTSUKA MGSO4 40% BOTOL
10E9116 MANITOL OTSUKA MANITOL 100 G BOTOL
NA 154 MEQ, CL 154
10E2439 NACL 0,9% 500ML WIDATRA BOTOL
MEQ, PER LITER
SODIUM CHLORIDE 3
10E2496 NACL 3 % 500 ML OTSUKA G, WATER FOR BOTOL
INJECTION
NA 154 MEQ, CL 154
10E4469 NACL 0,9% 25 ML OTSUKA BOTOL
MEQ, PER LITER
18
NACL IRRIGATION NORMAL SALINE
10E1141 WIDATRA BOTOL
1000ML IRRIGATION
10E4369 PANAMIN G OTSUKA AMINO ACID 27,2 G BOTOL
NATRIUM 45 MEQ,
KALIUM 20 MEQ,
PEDIALYTE REG 500 DEKSTROSA 25 G,
10C1727 ABBOTT BOTOL
ML SITRAT 30 MEQ,
KLORIDA 35 MEQ TIAP
LITER CAIRAN
ASAM AMINO
ESENSIAL DAN NON-
ESENSIAL UNTUK
10E4578 RENXAMIN INFUS KALBE BOTOL
PASIEN DENGAN
GANGGUAN GINJAL, 9
G/1000 ML AA
NA LAKTAT 3,1 G,
NACL 6 G, KCL 0,3 G,
RINGER LAKTAT 0,9%
10E2500 WIDATRA CACL2 0,2 G, AIR BOTOL
500 ML
UNTUK INJEKSI AD
1000 ML
NA LAKTAT 3,1 G,
NACL 6 G, KCL 0,3 G,
10E4955 RINGER LACTAT 500 ML OTSUKA CACL2 0,2 G, AIR BOTOL
UNTUK INJEKSI AD
1000 ML
19
NA+ 50 MEQ/L, CL- 50
MEQ/L, K+ 20 MEQ/L,
LAKTAT 20 MEQ/L,
DEKSTROSA 100 G/L
10E0360 TRIDEX 100 INF SANBE BOTOL
(NACL 1,75 G, KCL 1,5
G, NATRIUM LAKTAT
2,24 G, AIR UNTUK
INJEKSI 1000 ML)
FRUKTOSE 60 G,
10E4283 TRIOFUSIN 500 ML KALBE GLUKOSE 33 G, BOTOL
XYLITOL 30 G
FRUKTOSE 120 G,
GLUKOSE 66 G,
10E4417 TRIOFUSIN E 1000 KALBE BOTOL
XYLITOL 60 G,
ELEKTROLIT, VITAMIN
AMINO ACIDS,
10E4250 TUTOFUSIN - LC KALBE ELECTROLYTES, BOTOL
SORBITOL, VITS
Dextran(40)100 gram ,
calcium chloride 0,2
10E0661 OTSUTRAN INFUS OTSUKA gram, KCL 0,3 gram, BOTOL
natium chloride 6
gram, natium lactate
3,1 gram
HYDROXYETHYL
STARCH (HES
10E0249 SANBE HEST 130 SANBE 130/0,42) 60 G, NA BOTOL
154 MEQ, CL 154
MEQ, (NACL 9 G)
HYDROXYETHYL
STARCH (HES
10E0018 WIDAHES WIDATRA 130/0,42) 60 G, NA BOTOL
154 MEQ, CL 154
MEQ, (NACL 9 G)
RELAKSAN OTOT
PERIFER DAN
PENGHAMBAT
PENGHAMBAT 10B3256 EPERISON TAB GENERIK EPERISON 50 MG TABLET
NEUROMUSKULAR
KOLINES-
TERASE
10B1254 EPRINOC TAB SANBE EPERISON 50 MG TABLET
10B3221 MYONAL TAB EISAI EPERISON 50 MG TABLET
10B0366 ZITANID TAB NOVELL TIZANIDIN HCL 2 MG TABLET
PIRIDOSTIGMIN BR 60
MISTENIA GRAVIS 10B0028 MESTINON TAB COMBIPHAR TABLET
MG
NEOSTIGMIN SEBAGAI
10E2986 PROSTIGMIN INJ COMBIPHAR GARAM METILSULFAT AMPUL
0,5 MG/AMPUL
20
ANTI TRIHEXYPHENIDIL
ANTIPARKINSON 10B0054 TRIHEXYPHENIDIL GENERIK TABLET
PARKINSON 2MG
TRIHEXYPHENIDIL
10B5026 ARKINE PYRIDAM TABLET
2MG
TRIHEXYPHENIDIL
10B0007 HEXIMER MERSI TABLET
2MG
Levodopa 100 mg,
10B2330 STALEVO NOVARTIS carbidopa 25 mg, TABLET
entacapone 200 mg
LEVODOPA 100MG ;
10B1223 LEPARSON DEXA BENSERAZIDE HCL TABLET
28,5MG
BOEHRINGER PRAMIPEXOLE diHCL
10B0826 SIFROL ER TABLET
INGELHEIM 0,375MG
FE (III) HYDROXYDE
10E0058 MALTOFER INJ COMBIPHAR POLYMALTOSE AMPUL
COMPLEX
FE(III) 100MG, FOLIC
10B0072 MALTOFER FOL COMBIPHAR TABLET
ACID 0,35MG
FE GLUCONATE, Mg
10B0108 BIOSANBE SANBE SULFAT,COPPER TABLET
SULF,VIT C,B6,SORB
FE FUMARAT, FOLIC
10B0068 PRENAMIA SANBE ACID, B12,VIT C,D3, TABLET
CA CARBONATE
FE FUMARAT,FOLIC
ACID,CA
10B0691 HEMOBION MERCK KAPSUL
CARBONAT,CHOLECAL
CIFEROL
FE GLUCONATE, Mn
SULFATE,Cu
10B0013 NOVABION NOVAPHARIN TABLET
SULFATE,FOLIC ACID,
VIT C, B12
10E0215 VENOFER INJ COMBIPHAR IRON SUKROSE AMPUL
10E4990 DIALIFER INJ NOVELL IRON SUKROSE AMPUL
ANTIKOAGULAN, ANTI
PLATELET DAN 10B4355 ASCARDIA 80MG PHAROS ACETOSAL 80MG TABLET
TROMBOLITIK
ANTIPLATELET 10B1185 ASCARDIA 160MG PHAROS ACETOSAL 160MG TABLET
10B0546 ASPILET DARYA VARIA ACETOSAL 80MG TABLET
10B0285 THROMBO ASPILET UAP ACETOSAL 80MG TABLET
10B0124 CARDIO ASPIRIN BAYER ACETOSAL 80MG TABLET
10GB049 CILOSTAZOL GENERIK CILOSTAZOL 100MG TABLET
21
10B1012 PLETAAL 100MG OTSUKA CILOSTAZOL 100MG TABLET
ASAM TRANEKSAMAT
10B0143 PLASMINEX TAB SANBE TABLET
500MG
ASAM TRANEKSAMAT
10E0267 PLASMINEX INJ SANBE AMPUL
500MG/5ML
ASAM TRANEKSAMAT
10E0055 TRANSAMIN 500 INJ OTTO AMPUL
500MG/5ML
ASAM TRANEKSAMAT
10E0056 TRANSAMIN 250 INJ OTTO AMPUL
250MG/5ML
22
RECOMB HUMAN
10NE001 HEMAPO KALBE SYRINGE
ERYTROP 3000IU
HORMON,
ENDOKRIN LAIN
SULFONIL UREA 10B3497 GLIBENCLAMIDE GENERIK GLIBENCLAMIDE 5MG TABLET
DAN
KONTRASEPSI
ANTI DIABETIK
10B3312 JANUVIA 25 MG MSD CITAGLIPTIN 25 MG TABLET
ORAL
10B3313 JANUVIA 50 MG MSD CITAGLIPTIN 50 MG TABLET
23
10B6696 FORBETES 850MG SANBE METFORMIN 850MG TABLET
PENGHAMBAT
10GD002 ACARBOSE 50MG GENERIK ACARBOSE 50MG TABLET
GLUKOSIDE ALFA
GLIMEPIRIDE 1MG,
KOMBINASI 10B0819 AMARYL M1 SANOFI TABLET
METFORMIN 250MG
GLIMEPIRIDE 2MG,
10B0820 AMARYL M2 SANOFI TABLET
METFORMIN 500MG
GLIBENCLAMIDE
10B2923 GLUCOVANCE 1,25MG MERCK 1,25MG, METFORMIN TABLET
250MG
GLIBENCLAMIDE
10B2924 GLUCOVANCE 2,5MG MERCK 2,5MG, METFORMIN TABLET
500MG
GLIBENCLAMIDE 5MG,
10B2920 GLUCOVANCE 5MG MERCK TABLET
METFORMIN 500MG
VIDAGLIPTIN 50MG,
10B1036 GALVUSMET 500MG NOVARTIS TABLET
METFORMIN 500MG
VIDAGLIPTIN 50MG,
10B5880 GALVUSMET 850 NOVARTIS TABLET
METFORMIN 850MG
PIOGLITAZONE 15MG,
10B9964 PIONIX-M 15MG/500 KALBE TABLET
METFORMIN 500MG
24
ANTIDIABETIK NOVO
10E0976 NOVORAPID INSULIN ASPART FLEXPEN
PARENTERAL SHORT ACTING NORDISK
INSULIN GLULISIN
10E0553 APIDRA SOLOSTAR SANOFI FLEXPEN
100 IU
30% INSULIN ASPART
INTERMEDIATE NOVO SOLUBEL , 70%
10E2156 NOVOMIX 30 FLEXPEN
ACTING NORDISK INSULIN ASPART
KRISTAL PROTAMINA
INSULIN GLARGINE
LONG ACTING 10E0699 LANTUS SOLOSTAR SANOFI FLEXPEN
300IU/3ML
NOVO
10E0247 LEVEMIR INSULIN DETEMIR FLEXPEN
NORDISK
HORMON
KELAMIN DAN ESTRADIOL VALERATE
OBAT YANG MEM- ESTROGEN 10B1034 CYCLOPROGYNOVA BAYER 2MG, NORGESTREL TABLET
PENGARUHI 0,5MG
FERTILITAS
ESTRADIOL VALERATE
10B1033 PROGYNOVA SCHERING TABLET
1 MG,
ETHYNIL ESTRADIOL
10B3883 YAZ BAYER 0,02MG; TABLET
DROSPIRENONE 3MG
ESTHEROGEN
10B0138 ESTHERO SUNTHI S TABLET
0,625MG
PROGESTERON 10B0446 NORELUT DEXA NORETHISTERON 5MG TABLET
SOLVAY
10B0406 DUPHASTON DYDROGESTERON TABLET
PHARMA
PROGESTERONE
10D2174 CYGEST 200mg ACTAVIS TABLET
200mg
PROGESTERONE
10D2175 CYGEST 400mg ACTAVIS TABLET
400mg
CYPROTERONE
ACETATE 2MG,
10B3881 DIANE 35 BAYER TABLET
ETHINYLESTRADIOL
0,035MG
MEDROXYPROGESTER
10B0610 PROTHYRA SUNTI S TABLET
ON
NOMEGESTROL
10B0770 LUTENYL MERCK TABLET
ASETATE 5MG
NORETHISTERONE
10B1052 PRIMOLUT N BAYER TABLET
5MG
MICRONISED
10B4440 UTROGESTAN LAPI PROGESTERONE TABLET
100MG
10E4949 DIVALIN 3,75 MG INJ DARYA VARIA Leuprorelin acetate VIAL
PROPILTHIOURACIL
10GD072 PROPILTHIOURACIL GENERIK TABLET
100MG
LEVOTIROKSIN NA
ANTI-HIPOTIROIDISME 10B3309 EUTHYROX 50MG MERCK TABLET
50MG
LEVOTIROKSIN NA
10B4312 EUTHYROX 100MG MERCK TABLET
100MG
25
KORTIKO-
STEROID DAN DEXAMETHASONE
10B4294 DEXAMETHASONE GENERIK TABLET
KORTIKO- 0,5MG
TROPIN
DEXAMETHASON
10E4231 GENERIK DEXAMETHASONE AMPUL
5MG/ML
DEXAMETHASONE
10B4108 FARIDEXONE IFARS TABLET
0,5MG
DEXAMETHASONE
10B0442 CORTIDEX TAB SANBE TABLET
0,5MG
DEXAMETHASONE
10E2374 CORTIDEX INJ SANBE AMPUL
5MG/ML
10B1600 PREDNISON GENERIK PREDNISON 5MG TABLET
10B1075 PEHACORT PHAPROS PREDNISON 5MG TABLET
METHYLPREDNISOLON
10GB094 GENERIK METHYLPREDNISOLON TABLET
4 MG
METHYL PREDNISOLON METHYL
10GD057 GENERIK TABLET
4MG PREDNISOLON 4MG
METHYL PREDNISOLON METHYL
10GD058 GENERIK TABLET
8MG PREDNISOLON 8MG
METHYL PREDNISOLON METHYL
10B3630 GENERIK TABLET
16MG PREDNISOLON 16MG
METHYLPREDNISOLON METHYLPREDNISOLON
10GD113 GENERIK AMPUL
INJ 125 MG
METHYL PREDNISOLON METHYL
10GB096 GENERIK AMPUL
INJ PREDNISOLON 125MG
METHYL
10B4179 MEDIXON 4MG FERRON TABLET
PREDNISOLON 4MG
10B4075 MEDIXON 8 MG TAB FERRON METHYLPREDNISOLON TABLET
METHYL
10B4072 MEDIXON 16MG FERRON TABLET
PREDNISOLON 16MG
METHYL
10E4787 MEDIXON INJ FERRON PREDNISOLON AMPUL
125MG/AMPUL
METHYL
10B4070 METRISON DEXA TABLET
PREDNISOLON 4MG
METHYL
10B1178 SANEXON 4MG SANBE TABLET
PREDNISOLON 4MG
METHYL
10B4529 SANEXON 16MG SANBE TABLET
PREDNISOLON 16MG
METHYL
10E4223 SANEXON INJ SANBE PREDNISOLON AMPUL
125MG/AMPUL
METHYLPREDNISOLON
PREDNICORT INJ OTTO VIAL
125 MG
10B0326 KETRICIN TAB FERRON TRIAMCENOLONE 4MG TABLET
KETRICIN ORABASE TRIAMCENOLONE
10B0142 FERRON TUBE
0,1% 0,1%
TRIAMCENOLONE
10E9001 TRILAC IM NOVELL VIAL
ACETONIDE
TRIAMCENOLONE
10E9001 TRILAC IAID NOVELL VIAL
ACETONIDE
TRIAMCENOLONE
10E0021 FLAMICORT IM DEXA ACETONIDE 40MG/ML AMPUL
(1ML)
TRIAMCENOLONE
10E0022 FLAMICORT IA/ID DEXA ACETONIDE 10MG/ML VIAL
(5ML)
26
OBAT MEM-
PENGARUHI
TULANG 10B0579 ARTRODAR COMBIPHAR DIACEREIN KAPSUL
(MUSKULO
SKELETAL)
10B0235 KOLKATRIOL PHAPROS CALCITRIOL 0,25MCG KAPSUL
N-ACETYL
GLUCOSAMINE 1 MG,
MINT CONCENTRATE
10D1211 FITA JOINT ROLLER COMBIPHAR 332 MG, NANO ROLLER
VITAMIN E 1 MG,
LAVENDER OIL 2
MG/GRAM
GLUCOSAMINE
10D0271 MEDIFLEX KALBE GEL
SULFATE
ANTIMIGRAIN ERGOTAMINE
ANTIMIGRAIN 10B0723 ERICAF TEMPO TARTRAT 1 MG, TABLET
CAFFEIN 100 MG
10B3281 DEGRIUM 5 MG FERRON FLUNARIZINE 5 MG TABLET
27
10B0071 SANDIMUN 25 MG NOVARTIS SIKLOSPORIN 25 MG TABLET
DOXORUBICIN 50 DOXORUBICIN 50
10E0595 GENERIK VIAL
MG/25 ML INJ (KALBE) MG/25 ML
DOXORUBICIN 50 DOXORUBICIN 50
10E2405 GENERIK VIAL
MG/25 ML INJ MG/25 ML
DOXORUBICIN 10
E0548AS KEMODOXIN 10 MG INJ OTTO VIAL
MG/5 ML
DOXORUBICIN 50
E0549AS KEMODOXIN 50 MG INJ OTTO VIAL
MG/25 ML
28
5-FLUOROURACIL 250 5 FLUOROURACIL 250
10E0252 GENERIK VIAL
MG/5 ML INJ MG/5 ML
CURACIL 500 MG/10 6 FLUOROURACIL 500
10E0592 KALBE VIAL
ML INJ MG/10 ML
5 FLUOROURACIL 250
10E0593 CURACIL 250 MG INJ KALBE VIAL
MG/5 ML
5 FLUOURACIL 6 FLUOROURACIL 500
10E0256 GENERIK VIAL
500MG/10 ML INJ MG/10 ML
10E0596 VINCRISTIN 1 MG INJ GENERIK VINCRISTINE 1 MG/ML VIAL
TERAPI ANOREKSIA
MEGESTROL ACETATE
DAN KAKEKSIA PASIEN 10C1428 TRACETATE SYR FAHRENHEIT SYR
40 MG/ML
KANKER
29
ALUMINIUM
OBAT SALURAN HIDROKSIDA 200 MG,
ANTASIDA DAN ULKUS 10B4519 ANTASIDA DOEN GENERIK TABLET
CERNA MAGNESIUM
HIDROKSIDA 200 MG
ALUMINIUM
HIDROKSIDA 200 MG,
MAGNESIUM
10GD012 ANTASIDA DOEN SYR GENERIK HIDROKSIDA 200 MG, SYRUP
DIMETIL
POLISILOKSAN 50 MG
TIAP 5 ML
MAGALDRAT 480 MG,
10C1619 MAGALAT SYR FERRON SIMETIKON 20 MG/5 SYRUP
ML
MAGALDRAT 480 MG,
10B4318 MAGALAT FERRON TABLET
SIMETIKON 20 MG
MAGNESIUM
TRISILIKAT 325 mg,
ALUMINIUM
HIDROKSIDA
KOLOIDAL 325 MG,
PAPAVERIN HCL 30
MG,
10B1215 SANMAG SANBE TABLET
KLORDIAZEPOKSID
HCL 5 MG, VIT B1 2
MG, VIT B2 1 MG, VIT
B6 0,5 MG, VIT B12 1
MCG, NIASIAMID 5
MG, CA-PANTOTENAT
1 MG
MAGNESIUM
TRISILIKAT 400 MG,
ALUMINIUM
10C1788 SANMAG SYR SANBE SYRUP
HIDROKSIDA 400 MG,
SIMETICONE 100 MG/
5ML
ALUMINIUM
HIDROKSIDA 200 MG,
MAGNESIUM
10C1111 POLYSILANE SYR PHAROS HIDROKSIDA 200 MG, SYRUP
DIMETIL
POLISILOKSAN 50
MG/5 ML
ALUMINIUM
HIDROKSIDA 200 MG,
MAGNESIUM
10B0679 POLYSILANE PHAROS TABLET
HIDROKSIDA 200 MG,
DIMETIL
POLISILOKSAN 50 MG
10B0498 CIMETIDINE GENERIK CIMETIDIN 200 MG TABLET
RANITIDIN 50 MG/2
10E4249 RANITIDIN INJ GENERIK AMPUL
ML
RANITIDINE INJ RANITIDIN 50 MG/2
10GH071 GENERIK AMPUL
(HEXA) ML
RANITIDIN 50 MG/2
10E4300 RANITIDIN INJ (DEXA) GENERIK AMPUL
ML
RANITIDINE INJ RANITIDIN 50 MG/2
10E4242 GENERIK AMPUL
(NOVEL) ML
RANITIDIN 50 MG/2
10E5977 RADIN INJ DEXA AMPUL
ML
30
RANITIDIN 25 MG/2
10E5670 ACRAN INJ SANBE AMPUL
ML
RANITIDIN TAB 150
10GB121 GENERIK RANITIDIN 150 MG TABLET
MG
RANITIDIN TAB 150
10GD076 GENERIK RANITIDIN 150 MG TABLET
MG
RANITIDINE 150 MG
10GH070 GENERIK RANITIDIN 150 MG TABLET
(HEXA)
RANITIDIN HCl 75
10C1114 RANIVEL SYR NOVELL SYRUP
MG/5 ML
10B6119 ACRAN SANBE RANITIDIN 150 MG TABLET
OMEPRAZOLE 40
10E3213 OMEPRAZOLE INJ GENERIK AMPUL
MG/ML
OMEPRAZOLE 40
10GD118 OMEPRAZOLE INJ GENERIK AMPUL
MG/ML
OMEPRAZOLE 20 MG
10B5987 GENERIK OMEPRAZOLE 20 MG KAPSUL
NOVEL
OMEPRAZOLE 20 MG
10GH063 GENERIK OMEPRAZOLE 20 MG KAPSUL
(HEXA)
OMEPRAZOLE 40 MG OMEPRAZOLE 40
10E0340 GENERIK AMPUL
INJ (BERNO) MG/ML
OMEPRAZOLE 40
10E4953 OMEPRAZOLE INJ GENERIK AMPUL
MG/ML
OMEPRAZOLE 40
10N003 OZID INJ DARYA-VARIA VIAL
MG/ML
10B4137 OMZ FERRON OMEPRAZOLE 20 MG TABLET
OMEPRAZOLE 40
10E4785 OMZ INJ FERRON VIAL
MG/ML
10B0496 PUMPITOR 20 MG SANBE OMEPRAZOLE 20 MG TABLET
31
PANTOPRAZOLE 40
10E4991 PUMPISEL INJ SANBE AMPUL
MG/ML
PANTOPRAZOLE 20
10B0962 PANTOZOL 20 MG PHAROS TABLET
MG
PANTOPRAZOLE 40
10B0738 PANTOZOL 40 MG PHAROS TABLET
MG
PANTOPRAZOLE 40
10E3944 PANTOZOL 40 MG INJ PHAROS VIAL
MG/ML
PANTOPRAZOLE 40
10E3949 PANVELL NOVELL TABLET
MG
RABEPRAZOLE NA 10
10B0128 PARIET 10 MG EISAI TABLET
MG
RABEPRAZOLE NA 20
10B0160 PARIET 20 MG EISAI TABLET
MG
SUCRALFATE 500
C0503AS SUCRALFATE SYR GENERIK SYRUP
MG/5 ML
SUCRALFATE 500
10C4150 EPISAN SANBE SYRUP
MG/5 ML
SUCRALFATE 500
10C4141 MOLAFATE MOLEX AYUS SYRUP
MG/5 ML
10B0219 PURUBEX EISEI TEPRENONE 50 MG TABLET
10B4503 REPIMIDE NOVELL REBAMIPIDE 100 MG TABLET
32
TAISHO
PHARMACEUTI
10B2705 IMODIUM LOPERAMIDE 2 MG TABLET
CAL
INDONESIA
10B0782 LODIA SANBE LOPERAMIDE 2 MG TABLET
ACTAPULGIT 600,
ANTI DIARE 10B4242 DIAGIT INTERBAT TABLET
PECTIN 50
10B0287 NEW DIATAB DARYA-VARIA ATTAPULGIT 600 TABLET
ATTAPULGITE 700 MG,
10B1251 MOLAGIT MOLEX AYUS TABLET
PECTIN 50 MG
KAOLIN 700, PECTIN
C0017AS NEOKAOLANA SYR SANBE SYRUP
66/15 ML
NIFUROXAZIDE 250
10C2637 NIFURAL SYR MEDIFARMA SYRUP
MG/5 ML
LACTOBACILLUS
ACIDOPHILUS R0052
0,1X10^9 CFU,
10B0645 LACIDOFIL DEXA KAPSUL
LACTOBACILLUS
RHAMNOSUS R0011
1,9X10^9 CFU
LACTOBACILLUS
ACIDOPHILUS R0052
0,1X10^9 CFU,
10B3691 LACIDOFIL SACHET DEXA SACHET
LACTOBACILLUS
RHAMNOSUS R0011
1,9X10^9 CFU
LACTOBACILLUS
HELVETICUS R0052,
10B4245 PROBIOKID SANBE SACHET
BIFIDOBACTERIUM
INFANTIS R0033
33
LACTULOSE 3.335 G/5
10C3887 LACTULAX 60 ML SYR IKAPHARM SYRUP
ML
PHENOLPHTHALEN 55
MG,PARAFFIN
10C1637 LAXADINE 60 ML SYR GALENIUM LIUID1200 MG, SYRUP
GLYCERIN 378 MG/5
ML
MONOBASIC SODIUM
PHOSPATE 2,4 GR,
10C0032 FLEET PHOSPOSODA COMBIPHAR ENEMA
DIBASIC NA
PHOSPHATE 0,9 GR
Monobasic Na
phosphate 19 g,
D0365AS FLEET ENEMA COMBIPHAR dibasic Na phosphate 7 ENEMA
g
NA LAURYL
SULFOACETATE 45
MG, NA CITRATE 450
10D2160 MICROLAX ENEMA PHAROS ENEMA
MG, SORBIC ACID 5
MG, SORBITOL 4,465
MG, PEG400 625 MG
LITHOSPERMI RADIX
EXTR, BENZOCAINE,
10D1905 BORRAGINOL N SUPP TAKEDA DIBUCAINE HCL, SUPPO
DIPHENHYDRAMINE
HCL, CETRIMEDE
LITHOSPERMI RADIX
EXTR, BENZOCAINE,
DIBUCAINE HCL,
10D1907 BORRAGINOL S SUPP TAKEDA SUPPO
DIPHENHYDRAMINE
HCL, CETRIMEDE,
LIDOCAINE
LITHOSPERMI RADIX
EXTR, BENZOCAINE,
10D1906 BORRAGINOL N OINT TAKEDA DIBUCAINE HCL, TUBE
DIPHENHYDRAMINE
HCL, CETRIMEDE
LITHOSPERMI RADIX
EXTR, BENZOCAINE,
DIBUCAINE HCL,
10D1908 BORRAGINOL S OINT TAKEDA TUBE
DIPHENHYDRAMINE
HCL, CETRIMEDE,
LIDOCAINE
34
POLYCRESULENE,
10D2036 FAKTU OINT PHAROS TUBE
CINCHOCAINE
POLYCRESULENE,
10D2037 FAKTU SUPP PHAROS SUPPO
CINCHOCAINE
ONDANSENTRON 4
ANTIEMETIK 10B0177 ONDANSETRON 4 MG GENERIK TABLET
MG
ONDANSENTRON 8
10GB107 ONDANSETRON 8 MG GENERIK TABLET
MG
ONDANSETRON 4 MG ONDANSETRON 4
10GH064 GENERIK AMPUL
INJ MG/2 ML
ONDANSETRON 4 MG ONDANSETRON 4
10E4414 GENERIK AMPUL
INJ (DEXA) MG/2 ML
ONDANSETRON 4 MG ONDANSETRON 4
10E2440 GENERIK AMPUL
INJ (NOVEL) MG/2 ML
ONDANSETRON 8 MG ONDANSETRON 8
10E2448 GENERIK AMPUL
INJ (NOVEL) MG/4 ML
ONDANSETRON 8 MG ONDANSETRON 8
10E4500 GENERIK AMPUL
INJ(DEXA) MG/4 ML
10B0400 TROVENSIS 4 MG TAB SANBE ONDANSETRON 4 MG TABLET
ONDANSETRON 4
10E4972 TROVENSIS 4 MG INJ SANBE AMPUL
MG/2 ML
ONDANSETRON 8
10E4973 TROVENSIS 8 MG INJ SANBE AMPUL
MG/4 ML
ONDANSETRON 4
10E4107 FRAZON 4 MG INJ FERRON AMPUL
MG/2 ML
ONDANSETRON 8
10E4108 FRAZON 8 MG INJ FERRON AMPUL
MG/4 ML
GRANISETRON 1
10E4421 GRANISETRON INJ GENERIK AMPUL
MG/ML
GRANISETRON 1
10E0061 GRANON INJ DEXA AMPUL
MG/ML
TROPISETRON
10E0258 SETROVEL INJ NOVEL AMPUL
1MG/ML
METOCLOPRAMIDE 10 METOCLOPRAMIDE 10
10B5404 GENERIK AMPUL
MG MG
METOCLOPRAMIDE 10
10B0468 DAMABEN 10 MG SANBE AMPUL
MG
METOCLOPRAMIDE 5
10C3099 DAMABEN SYR SANBE SYRUP
MG/5 ML
METOCLOPRAMIDE 5
10E2560 DAMABEN INJ SANBE AMPUL
MG/ ML
DOMPERIDON 10 MG
10GD037 GENERIK DOMPERIDON 10 MG TABLET
(DEXA)
DOMPERIDON 5
10GH032 DOMPERIDON SYR GENERIK SYRUP
MG/ML
10B4362 VOMETA FT DEXA DOMPERIDON 10 MG TABLET
DOMPERIDON 1
10C4682 VOMETA SYR DEXA SYRUP
MG/ML
DOMPERIDON 5 MG/1
10C1754 VOMETA DROP DEXA DROP
ML
10B0525 VOSEDON 10 MG SANBE DOMPERIDON 10 MG TABLET
DOMPERIDON 5 MG/5
10C0510 VOSEDON SYR SANBE SYRUP
ML
10B1143 ZELMAC 6 MG NOVARTIS TEGASERAD 6 MG TABLET
PIRATIASINA 40 MG,
10B5118 ANVOMER B6 DEXA TABLET
B6
PIRATIAZIN TEOKLAT
10B4212 PREGVOMIT FAHRENHEIT TABLET
40MG, B6 37,5MG
35
PURE LECITHIN (PPC
95%) 175 MG (300
MG), VIT B1 6 MG, VIT
HEPATO PROTECTOR 10B4069 LESICHOL 300 MG LANDSON B2 6 MG, VIT B6 6 KAPSUL
MG, VIT B12 6 MCG,
VIT E 10 MG,
NICOTINAMIDE 30 MG
SILLYBUMMARIANUM
70MG, CURCUMA
10B0900 VITOCAN PROMITRA XANTHORIZA 10MG, KAPSUL
SOYABEAN EXT
300MG
36
EXTRA RADIX
ASTRAGALUS
MEMBRANACEUS
(HUANGQI), EXTRA
RADIX SALVIA
MILTHIORRIZA
10B0146 AHFC (DANSHEN), EXTRA SACHET
RADIX BUPLEURUM
CHINENSE (CHAIHU),
EXTRA RADIX
SPATHOLOBUS
SUBERECTUS
(JIXUETENG)
CINNAMOMUM
GASTRO PROTECTOR 10B4231 REDACID DEXA TABLET
BURMANNII 250 MG
VITAMIN DAN
VITAMIN A, C, D & E 10B3355 SANTA E 100 MG SANBE VITAMIN E 100 MG TABLET
MINERAL
10B4317 SANTA E 400 MG SANBE VITAMIN E 400 MG TABLET
10B4530 LANTUROL LANDSON VITAMIN E 400 IU TABLET
10B1345 VITAMIN C GENERIK VITAMIN C 25 MG TABLET
10B1346 VITAMIN C GENERIK VITAMIN C 100 MG TABLET
10E2537 VITAMIN C GENERIK VITAMIN C 100 MG AMPUL
VITAMIN K 10E0126 Phytomenadion GENERIK VITAMIN K AMPUL
A0184AS Pytomenadion GENERIK VITAMIN K TABLET
PHYTOMENADION
10E0009 NEO-K COMBIPHAR AMPUL
10MG/ML
10B1370 VITAMIN K GENERIK VITAMIN K TABLET
VITAMIN B KOMPLEKS/ FURSULTIAMINE HCL,
10B0320 ALINAMIN F TAKEDA TABLET
DENGAN VIT. C B2 5 MG
FURSULTIAMINE HCL
10E2361 ALINAMIN F TAKEDA AMPUL
25 MG/10 ML
FURSULTIAMINE HCL
10E4675 FURAMIN INJ MEPRO AMPUL
25 MG/10 ML
B1 100 MG, B6 200
10B5142 NEUROSANBE SANBE TABLET
MG, B12 200 MCG
B1 100 MG, B6 100
10B5141 NEUROSANBE5000 SANBE TABLET
MG, B12 5000 MCG
B1 100 MG, B6 100
10E2393 NEUROSANBE 5000 INJ SANBE AMPUL
MG, B12 5000 MCG
B1 100 MG, B6 200
10B0919 NEUROBION MERCK TABLET
MG, B12 200 MCG
B1 100 MG, B6 100
10B0865 NEUROBION 5000 MERCK TABLET
MG, B12 5000 MCG
B1 1OO MG, B6 200
10B0913 NEURODEX DEXA TABLET
MG, B12 250 MCG
37
KALSIUM/ DENGAN OSSEIN
10B7586 OSSOPAN 800 DARYA VARIA TABLET
VITAMIN HYDROXYAPATITE
CA HYDROGEN
A0083AS CAVIT D3 MERCK PHOSPATE, TABLET
CHOLECALCIFEROL
COD LIVER OIL,
CURCUMA,
MULTIVITAMIN,
10B9966 ELKANA CL SANBE SYRUP
MINERAL, LYSINE,
CHOLINE, AA-DHA-
GOS
DIBASIC CA
POSPHATE, CA
10B0584 ELKANA SANBE TABLET
LAKTATE, B6, C, D3,
CA LACTATE, CA
DIBASIC CA
POSPHATE, CA
10C1563 ELKANA SANBE SYRUP
LAKTATE, B6, C, D3,
CA LACTATE, CA
Genistein 15 mg, Ca
carbonate 1,000 mg,
10B9031 OSTOGARD NOVELL KAPLET
vit D3 400 IU, omega-
3 50 mg
Ca Gluconate, Ca
hidrogen phosphate,
vit A, D, B1, B2, B6,
10C4567 Vicalcin (IFARS) IFARS SYRUP
B12, C, nikotinamid,
Ca penthothenate, L-
lisin hidroklorida
10BL002 LIKOKALK BERLICO Ca Laktat KAPSUL
FOLIC ACID, B-
KAROTEN, B1, B2,
NICOTINAMIDE, B6,
CA PANTOTHENATE,
VITAMIN
10B0227 FOLAMIL GENIO DEXA CA CARBONATE, B12, KAPSUL
HAMIL/MENYUSUI
D3, K1, BIOTIN,
COPPER GLUCONATE,
FE, DHA,
ARACHIDONIC ACID
38
Vit A 2,000 iu,
thiamine 5 mg,
riboflavin 2 mg,
pyridoxine 5 mg,
cyanocobalamin 2
mcg, nicotinamide 10
mg, folic acid 15 mcg,
choline 5 mg, inositol
10C0425 ZAMEL SYR NOVELL SYRUP
12 mg, biotin 100
mcg, vit E 5 iu, Fe 5
mg, Zn 2.5 mg, Mg 35
mg, copper 300 mcg,
selenium 20 mcg,
chromium 15 mcg,
lysine 100 mg, L-
glutamine 50 mg cya
Zn 1.5 mg, vitamin A
2,000 IU, vitamin B1
0.5 mg, vitamin B2 0.6
mg, vitamin B12 2
mcg, vitamin C 30 mg,
10C2102 ZAMEL DROPS NOVELL DROP
vitamin D3 400 IU,
vitamin E 5 IU,
pantothenic acid 5 mg,
nicotinamide 8 mg,
biotin 5 mcg.
39
Fraksi Bioaktif dari
Lagerstroemia
10B0907 INLACIN 50 MG DEXA speciosa (Folium) & KAPSUL
Cinnamomum
burmannii (Korteks)
hydrolized protein,
Carbohidrate, miny
nabati, amino acid, vit
A, D, B1, B6, B12, C,
10B4110 NUTROCID NOVELL E, K, folic acid, SACHET
panthothenate acid,
nicotinic acid, biotin,
kolin, Na, K, Ca, Mg,
Cl, Fe, Zn, Cu, Mn
Ca Phosphate Dibasic,
Soy Isoflavone, Vit D3,
10B1020 OSTEOPOR COMBIPHAR Mg Oxide, Zn Sulphate TABLET
100 mg, Zn 5 mg, Br 1
mg
10B2251 FITBON SOHO Glucosamine, Mn TABLET
40
Ekstrak kering
Echinacea purpurea
250 mg, Phyllanthus
10B4142 FORMUNO SANBE niruri 50 mg, ekstrak KAPLET
Black elderberry 300
mg, Zn picolinate 10
mg, vitamin
Echinacea C 100
(EFLA mg
894)
500 mg, zinc picolinate
10C4986 IMUNOS SYR LAPI 5 mg, selenium 15 SYRUP
mcg
Echinacea purpurea
extr 500 mg, β-1,3/1,6
10C4152 IMUNOS PLUS SYR LAPI glucan 125 mg, Zn SYRUP
picolinate 5 mg,
selenium 15 mcg
Beta caroten 10.000
10B0069 RETIVIT SANBE iu, vit C 500 mg, vit E KAPSUL
100 iu
ACETAZOLAMIDE 250
10B0778 GLAUSETA SANBE TABLET
MG
Serrapeptase, Thiamin
Mononitrat,
Cyanocobalamin,
10B0524 MECOLA LAPI TABLET
Nicotinamid,
Tocopherol acetate,
riboflavine, Pyridoxine
Serrapeptase, Thiamin
Mononitrat,
Cyanocobalamin,
10B0708 MECOLA FORTE LAPI TABLET
Nicotinamid,
Tocopherol acetate,
riboflavine, Pyridoxine
D-ribose, L-camitine
10B9008 SYNCORE LANDSON fumarate, Coenzym SACHET
Q10, Mg Citrate
HERBA
Echinac Syr 60 ml, 220
MEDICA Echinaceae BOTOL
ml
LESTARI
GENTAMICIN SULFATE
DERMATOLOGI ANTI INFEKSI 10D2989 SAGESTAM SANBE CREAM 10 G
0,1%
10D2073 GENTAMICIN GENERIK GENTAMICIN CREAM 5 G
41
CLINDAMYCIN
10D0391 CLINIUM INTERBAT GEL 15 G
PHOSPATE 1%
10D1918 BURNAZYN DARYA VARIA SILVER SULFADIAZINE CREAM 35 G
10D0120 FUSYCOM COMBIPHAR FUSIDIC ACID CREAM 5 G
10D0301 AFUCID FERRON FUSIDIC ACID 2% CREAM 5 G
PIROTOP CREAM 10
10D1904 SDM LAB MUPIROCIN 20 MG CREAM 5 G/10 G
GRAM
PIROTOP CREAM 5
10D1266 SDM LAB MUPIROCIN 20 MG CREAM 5 G/10 G
GRAM
ANTI FUNGI 10GD047 KETOCONAZOLE GENERIK KETOCONAZOLE 2% CREAM 10 G
KETOCONAZOLE 20
10D4586 FORMYCO SANBE CREAM 10 G
MG
10D3840 KETOMED SDM LAB KETOCONAZOLE 2% BOTOL 60 ML
10D4063 MICONAZOLE GENERIK MICONAZOLE 2% CREAM 10 G
10D4537 TERMISIL FERRON TERBINAFINE HCL 1% CREAM 5 G
BETAMETHASONE
DIPROPIONATE 0,5
10D2157 DAIVOBET LEO PHARMA CREAM 30 G
MG, CALCIPOTRIOL 50
MCG
42
FLUCINOLONE
ACETONIDE 0,025%,
10D1961 CINOLON N SANBE CREAM 10 G
NEOMYCIN SULFAT
0,5%
GENTAMICIN SULFATE
1,67 MG,
10D0126 CINOGENTA FERRON CREAM 10 G
FLUOCINOLONE
ACETONIDE 0,25 MG
BETAMETHASONE
VALERATE 0,1%,
10D5917 BENOSON N KIMIA FARMA CREAM 5 G
NEOMYCIN SULFATE
0,5%
BETAMETHASONE
VALERATE 0,1%,
10D3138 BENOSON M BERNOFARMA CREAM 5 G
MICONAZOLE
NITRATE 2%
BETAMETHASONE
VALERATE 0,1%,
10D2822 BENOSON G BERNOFARMA CREAM 10 G
GENTAMYCIN
SULFATE 0,1%
NEOMYCINE SULFATE
10D2173 NEBACETIN POWDER PHAROS 5 MG, BACITRACIN POWDER 5 G
250 IU
ANTI VIRUS 10D5487 ACYCLOVIR GENERIK ACYCLOVIR 5% CREAM 5 G
10D4398 ACIFAR IFARS ACYCLOVIR 5% CREAM 5 G
Asiaticoside 40%,
ANTI KELOID 10B0139 MADECASSOL TAB ROCHE asiatic acid 30%, TABLET
madecassic acid 30%
Asiaticoside 40%,
10D2155 MADECASSOL ROCHE asiatic acid 30%, OINT 10 G
madecassic acid 30%
ALLIUM CEPA EXTR
10D4459 MEDERMA COMBIPHAR 10%, ALLANTOIN 1 GEL 20 G
%, ALOE VERA
GALENIUM
ANTI SKABIES 10D0039 SCABIMITE PERMETRIN 5% CREAM 10 G
PHARMASIA
GALENIUM
10D2009 SCABIMITE PERMETRIN 5% CREAM 30 G
PHARMASIA
ASAM SALISILAT 2%,
10D2243 SALEP 2-4 AFIAT OINT 5 G
SULFUR 4%
PSEUDOCERAMIDE,
PHYTOSTEROLS,
STEARIC ACID,
LAIN-LAIN 10D2610 NOROID SOHO CREAM 80 G
VEGETABLE OIL,
SQUALANE,
DEFENSAMIDE
43
TETRA CHLORODECA-
10C2006 OXOFERIN PHAROS OXYGEN ANION Soln 0,002%
COMPLEX
10D0324 SAGALON SDM DOXEPIN HCL 5% CREAM
10D1903 BIOPLACENTON KALBE KALSIUM ALGINAT GEL
Neomisin Sulfat 5 mg,
10D0093 CENTABIO SANBE Ekstrak Plasenta 100 GEL 20 G
mg
Anhydrous Lanolin,
isopropyl miristate,
cethyl alkohol, sorbitan
10D7416 DECUBAL ACTAVIS CREAM 20 G
monostearate,
polysorbate, dimeticon,
sorbic acid, glycerol
CHLORAMPENICOL
10D1968 COLME EAR DROP INTERBAT DROP
10%, LIDOCAIN 4%
Framycetin sulphate 5
mg, gramicidin 0.05
10D1493 BLECIDEX SANBE mg, dexamethasone DROP 5 ML
Na metasulfobenzoate
0.5 mg
POLYMYXIN B
SULFATE 50.000 IU,
NEOMYCIN SULFATE
25 MG,
10D2204 OTOPAIN INTERBAT DROP 8 ML
FLUDROCORTISONE
ACETATE 5 MG,
LIDOCAINE HCL 200
MG
PREPARAT TELINGA DOCUSATE NA 5
10D1326 FORUMEN SANBE DROP 10 ML
GOLONGAN LAIN MG/ML
10D2966 GLYCERIN DROP 10 ML
TIMOL 10 mg,
10D1161 VITAL MEDIKON MENTOL 20 mg, DROP 10 ML
KAMFER 600 mg
PREPARAT MULUT TRIAMCINOLONE
10B0142 KETRICIN ORAL BASE FERRON OINT 5 G
/TENGGOROKAN ACETONIDE 0,1%
HYALURONIC ACID
10C0404 SANORINE (HIJAU) SANBE GARGLE 80 ML
0,1%
HYALURONIC ACID
10C0403 SANORINE (BIRU) SANBE GARGLE 80 ML
0,025%
44
Benzydamine Hcl
10D4031 TANTUM VERDE SOHO 7,5mg, Aethanolum GARGLE 60 ML
10%
MAHAKAM
10D0939 BETADINE GARGLE povidon iodida 1% GARGLE 100 ML
BETA FARMA
10D4980 MINOSEP GARGLE MINOROCK CLORHEXIDIN 0,2% GARGLE 150 ML
Plasma immune
VAKSIN, SERUM &
SISTEM IMUN 10E0284 GAMMARAAS COMBIPHAR globulin intra vena VIAL 2.5 G / 50 ML
IMUNOLOGIKAL
(human) 5%
ADSORBED PURIFIED
RECOMBINANT
10E0266 ENGERIX-B ADULT GLAXO VIAL
HEPATITIS B SURFACE
ANTIGEN 20 MCG
ADSORBED PURIFIED
RECOMBINANT
10E0273 ENGERIX-B PAED GLAXO VIAL
HEPATITIS B SURFACE
ANTIGEN 10 MCG
ANTIGEN
(REKOMBINAN)
10E0254 EUVAX-B DEWASA SANOFI HEPATITIS B DG VIAL
KEMURNIAN TINGGI)
20 MCG
ANTIGEN
(REKOMBINAN)
10E0598 EUVAX-B PED SANOFI HEPATITIS B DG VIAL
KEMURNIAN TINGGI)
10 MCG
DIPA
10E0635 HYPERHEB INJ IG HEPATITIS B SYRINGE
PHARMALAB
HEPATITIS B
10E2654 IMMUNOGLOBULIN P DEXA IG HEPATITIS B SYRINGE
BEHRING
10E7309 TETAGAM P DEXA HUMAN TETANUS IG AMPUL
45
AMOXICILLIN 100
10C4967 AMOXSAN DROP SANBE DROP
MG/ML
AMOXICILLIN 1 GR/
10E0054 CLANEKSI INJ SANBE ASAM KLAVULANAT VIAL
200 MG
AMPICILLIN 1 GR/
10E0526 VICILLIN SX 1,5 GR INJ MEIJI VIAL
SULBAKTAM 500 MG
AMPICILLIN 1 GR/
10E4208 CINAM 1 GR (JKN) SANBE VIAL
SULBAKTAM 500 MG
AMPICILLIN 1 GR/
10E4204 CINAM 1 GR INJ SANBE VIAL
SULBAKTAM 500 MG
46
PROKAIN BENZIL
PENICILLIN PROCAIN 3
10E2476 MEIJI PENICILLIN 3.000.000 VIAL
JUTA INJ
IU/ML
10E2433 KEDACILLIN INJ 1 GR TAKEDA SULBENICILIN 1 GR VIAL
BETA LAKTAM 10GD094 CEFAZOLIN 1 GR GENERIK CEFAZOLIN 1 GR VIAL
CEFADROXILE 500 MG
(CEPHALOSPORIN 10A4221 GENERIK CEFADROXIL 500 MG KAPSUL
CAP
CEFADROXILE 500 MG
GENERASI PERTAMA) 10GD023 GENERIK CEFADROXIL 500 MG KAPSUL
(DEXA)
CEFADROXIL 500 MG
10GH017 GENERIK CEFADROXIL 500 MG KAPSUL
(HEXA)
CEFADROXIL 125 MG CEFADROXIL 125 MG/
10GH015 GENERIK DRY SYR
SYRUP 5 ML
CEFADROXIL 250 MG/5 CEFADROXIL 250 MG/
10GB037 GENERIK DRY SYR
ML SYR 5 ML
10A3358 CEFAT CAP 250 MG SANBE CEFADROXIL 250 MG KAPSUL
CEFOPERAZONE 500
CEFOPERAZON
10GB034 GENERIK MG/ SULBACTAM 500 VIAL
SULBACTAM 1 GR
MG
CEFOPERAZONE 500
10E4331 CEFOBACTAM INJ SANBE MG/ SULBACTAM 500 VIAL
MG
CEFOPERAZONE 500
10E1120 FOPEBAC INJ NOVELL MG/ SULBACTAM 500 VIAL
MG
CEFOPERAZONE 500
BACTRAZ INJ OTTO MG/ SULBACTAM 500 VIAL
MG
10B0102 CEFIXIME 50 CAP GENERIK CEFIXIME 50 MG KAPSUL
10GD024 CEFIXIME 100 CAP GENERIK CEFIXIME 100 MG KAPSUL
CEFIXIME 100 MG
10GB040 GENERIK CEFIXIME 100 MG KAPSUL
(BERNO)
47
CEFIXIM 100 MG
10GH019 GENERIK CEFIXIME 100 MG KAPSUL
(HEXA)
10GD025 CEFIXIME 200 MG GENERIK CEFIXIME 200 MG KAPSUL
CEFIXIME DRY CEFIXIME 100 MG/ 5
10GB042 GENERIK DRY SYR
SYRUP(BERNO) ML
CEFIXIME SYR 100 MG/ CEFIXIME 100 MG/ 5
10C0211 GENERIK DRY SYR
5 ML ML
CEFIXIME 100 MG/ 5
10GD026 CEFIXIME SYR (DEXA) GENERIK DRY SYR
ML
10B0251 SPORETIK 50 MG CAP SANBE CEFIXIME 50 MG KAPSUL
48
BIOTHICOL CAP 250 THIAMPHENICOL 250
10A0036 SANBE KAPSUL
MG MG
BIOTHICOL CAP 500 THIAMPHENICOL 500
10A0037 SANBE KAPSUL
MG MG
THIAMPHENICOL 125
10C1448 BIOTHICOL SYR SANBE DRY SYR
MG / 5 ML
THIAMPHENICOL 250
10C1449 BIOTHICOL F SYR SANBE DRY SYR
MG / 5 ML
BETA LAKTAM 10GD112 MEROPENEM INJ 1 GR GENERIK MEROPENEM 1 GR VIAL
49
AZITHROMYCIN 500
10E4246 ZISTIC INF BERNO VIAL
MG
AZITHROMYCIN 500
10B0557 ZISTIC 500 TAB BERNO TABLET
MG
10A6711 SPIRASIN 500 MG TAB SANBE SPIRAMYCIN 500 MG TABLET
50
LEVOFLOXACIN 750 MG LEVOFLOXACIN 750
10GD108 GENERIK BOTOL
IV MG/ 100 ML
LEVOFLOXACIN 500
10A0062 LEVOCIN 500 TAB SANBE TABLET
MG
LEVOFLOXACIN 500
10E0364 LEVOCIN INF SANBE BOTOL
MG/ 100 ML
LEVOFLOXACIN 750
10E0443 LEVOS 750 MG IV GUARDIAN BOTOL
MG/ 100 ML
METRONIDAZOLE 250 METRONIDAZOLE 250
10A2803 GENERIK TABLET
MG GEN MG
METRONIDASOL 500 METRONIDAZOLE 500
10GB098 GENERIK TABLET
MG GEN MG
METRONIDAZOLE METRONIDAZOLE 500
10GD114 GENERIK BOTOL
INFUS MG/ ML
METRONIDAZOLE METRONIDAZOLE 500
10E1210 GENERIK BOTOL
INFUS MG/ ML
METRONIDAZOL INFUS METRONIDAZOLE 500
10GB099 GENERIK BOTOL
(BERNO) MG/ ML
TRICHODASOL 500 MG METRONIDAZOLE 500
10A0225 SANBE TABLET
TAB MG
METRONIDAZOLE 500
10E4561 TRICHODAZOLE INFUS SANBE BOTOL
MG/ ML
METRONIDAZOLE 500
10A0078 FLADEX FORTE TAB SANBE TABLET
MG
METRONIDAZOLE 500
10E5379 FLADEX INF DEXA BOTOL
MG/ ML
TETRACYCLIN 250 MG
TETRACYCLIN 10A2805 GENERIK TETRACYCLIN 250 MG TABLET
GEN
10A2802 TETRACYCLIN 500 MG GENERIK TETRACYCLIN 500 MG TABLET
DOXYCYCLINE 100 MG
10GD038 GENERIK DOXYCICLIN 100 MG TABLET
CAP
10B0321 INTERDOXIN 50 TAB INTERBAT DOXYCICLIN 50 MG TABLET
SULFAMETOXAZOLE
ANTIBIOTIKA LAIN 10GB057 COTRIMOXAZOL TAB SANBE 400 MG/ TABLET
TRIMETOPRIM 80 MG
SULFAMETOXAZOLE
COTRIMOXAZOLE 200 MG/
10GB059 SANBE SYRUP
SYRUP TRIMETOPRIM 40 MG
DLM 5 ML
SULFAMETOXAZOLE
COTRIMOXAZOL FORTE
10B4240 SANBE 800 MG/ TABLET
TAB
TRIMETOPRIM 160 MG
SULFAMETOXAZOLE
10B1213 SANPRIMA TAB SANBE 400 MG/ TABLET
TRIMETOPRIM 80 MG
SULFAMETOXAZOLE
SANPRIMA FORTE
10B1210 SANBE 800 MG/ TABLET
TABLET
TRIMETOPRIM 160 MG
SULFAMETOXAZOLE
200 MG/
10C1784 SANPRIMA SYR SANBE SYRUP
TRIMETOPRIM 40 MG
DLM 5 ML
10E0542 FOSMYCIN INJ GENERIK FOSFOMYCIN 1 GR VIAL
10E0541 FOSMYCIN INJ GENERIK FOSFOMYCIN 2 GR VIAL
51
COLISTIN 2.500.000 UI POLIMYCYN E
10B0460 ACTAVIS TABLET
TAB SULFATE 2.500.000 IU
52
NYSTATIN 100.000 UI/
10C0126 FUNGATIN DROP FERRON DROP
ML
ANTI-
10GB123 RIFAMPICIN 450 MG GENERIK RIFAMPICIN 450 MG TABLET
TUBERKULOSIS
ISONIAZID 100 MG ;
10B1301 PEHADOXIN TAB PHAPROS TABLET
VITAMIN B6 10 MG
PIRANTEL PAMOAT
ANTELMINTIK 10B1097 PIRANTEL PAMOAT TAB PHAPROS TABLET
125 MG
COMBANTRIN JERUK PIRANTEL PAMOAT
10C2635 PFIZER SYRUP
SYR 100 MG/ 5 ML
PIRANTEL PAMOAT
10B0284 COMBANTRIN 250 TAB PFIZER TABLET
250 MG
COMBANTRIN 125 MG PIRANTEL PAMOAT
10B4437 PFIZER TABLET
TAB 125 MG
MEBENDAZOLE 500
10B3938 VERMOX 500 MG TAB JANSEN TABLET
MG
ANTIMALARIA 10B0662 KINA TAB KIMIA FARMA KINA FOSFAT 200 MG TABLET
53
SULFADOKSIN 500 MG
FANSIDAR 500-25 MG
10B0409 ROCHE ; PIRIMETAMINA 25 TABLET
TAB
MG
54
KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
ANTIMIKROBA CHLORAMPHENICOL 10D1966 COLME EYE DROP INTERBAT CHLORAMPHENICOL DROP
AMINOGLIKOSIDA 10D4473 SAGESTAM EYE DROP SANBE GENTAMYCIN DROP
CENDO GENTAMYCIN
10D3480 CENDO GENTAMICYN 0,3% OINT
0,3% EYE OINT
GENTAMICIN 0,3% ED
10D1018 GENERIK GENTAMICYN 0,3% DROP
(OGB)
CENDO GENTAMYCIN
10D3402 CENDO GENTAMYCIN 1% DROP
1% 5 CC
CENDO GENTAMYCIN
10D4413 CENDO GENTAMYCIN 0,3% DROP
0,3% 5 CC ED
CENDO TOBRO EYE
10D0130 CENDO TOBRAMYCIN DROP
DROP 5 ML
CENDO TOBRO
10D0215 CENDO TOBRAMYCIN MDS
MINIDOSE
QUINOLON 10D4098 BAQUINOR EYE DROP SANBE CIPROFLOXACIN DROP
10D2510 CENDO FLOXA 5 ML CENDO OFLOXACIN DROP
10D0603 CENDO FLOXA MDS CENDO OFLOXACIN MDS
10D6389 TARIVID EYE DROP FERRON OFLOXACIN DROP
10D0540 CRAVIT EYE DROP FERRON LEVOFLOXACIN OPHTH SOLN
10D0695 LFX MINIDOSE CENDO LEVOFLOXACIN MDS
TETRASIKLIN 10D2363 OXYTETRACICLIN GENERIK OXYTETRACICLIN OPHTH SOLN
10D0337 TERRAMYCIN PFIZER OXYTETRACICLIN OINT
ACYCLOVIR 10D0017 HERVIS CENDO ACYCLOVIR OINT 3,5 G
DEXAMETHASON
0,1%, NEOMYCIN
ANTI INFLAMASI 10D1975 XITROL EYE DROP CENDO SULF 3,5 MG/ML, DROP
POLYMYXIN B SULF
6000 L/ML
Deksametason 1 mg,
Neomisin Sulfat 3,5
10D3643 POLIDEMISIN ED SANBE DROP
mg, Polimiksin B Sulfat
6000 iu
DEXAMETHASON
0,1%, NEOMYCIN
10D1972 XITROL EYE OINT CENDO SULF 3,5 MG/ML, OINT
POLYMYXIN B SULF
6000 L/ML
DEXAMETHASON
0,1%, NEOMYCIN
10D4495 XITROL MDS CENDO SULF 3,5 MG/ML, MDS
POLYMYXIN B SULF
6000 L/ML
DEXAMETHASON
0,1%, NEOMYCIN
10D1952 POLYDEX 5 CC CENDO SULF 3,5 MG/ML, DROP
POLYMYXIN SULF
6000 L/ML
DEXAMETHASON NA
DEXATON EYE DROP 5
10D1973 CENDO PHOSPHAT, OINT
ML
NEOMYCIN SULF
NEOMICYN 2.5 MG,
POLYMYCIN SULF
10D1950 POLYGRAN 5 CC CENDO 10000 IU, DROP
GRAMICIDIN 0.025
MG
55
NEOMICYN 2.5 MG,
POLYMYCIN SULF
POLYGRAN EYE OINT 5
10D0255 CENDO 10000 IU, OINT
GR
GRAMICIDIN 0.025
MG
FLUOROMEHOLONE
1MG, NEOMYCIN
10D2645 POLYNEL EYE DROP CENDO SULFATE SETARA DROP
DENGAN NEOMYIN
BASE 3,5MG
FLUOROMEHOLONE
1MG, NEOMYCIN
10D4244 POLYNEL MDS CENDO SULFATE SETARA MDS
DENGAN NEOMYIN
BASE 3,5MG
TOBRAMYCIN 3 MG,
TOBROSON EYE DROP
10D0259 CENDO DEXAMETHASONE 1 DROP
MD
MG
Tobramycin 3 mg,
10D1490 BRALIFEX PLUS ED SANBE DROP
dexamethasone 1 mg
56
POTASSIUM IODIDE 5
VITROLENTA EYE
10D2355 CENDO MG, SODIUM IODIDE DROP
DROP 5 ML
10 MG
POTASSIUM IODIDE 5
10D2356 VITROLENTA ED MDS CENDO MG, SODIUM IODIDE MDS
10 MG
CARBOXYMETHYLCELL
10D0675 CENFRESH EYE DROP CENDO DROP
ULOSE SODIUM 5 MG
NAPHAZOLINE HCL
10D1977 VASACON A EYE DROP CENDO 0,05%, ANTAZOLINE OPHTH SOLN
PHOSP 0,5%
NAPHAZOLINE
HYDROCHLORIDE 0,25
10D0010 VERNACEL EYE DROP CENDO DROP
MG, PHENIRAMINE
MALEATE 3 MG
57
VITAMIN A
PALMITATE 1000 IU,
OXYMETAZOLINE
10D1940 ASTHENOF EYE DROP CENDO HYDROCHLORIDE 0,25 DROP
MG, HYDROXYPROPYL
METHYLCELLULOSE 5
MG
CROMOLYN SODIUM 2
10D3671 CONVER 15 ML CENDO DROP
MG
CROMOLYN SODIUM 2
10D3672 CONVER MDS CENDO MDS
MG
NATRIUM
10D0605 CETAMID EYE DROP CENDO DROP
SULFASETAMIDA
PHENYLEPHRINE HCL
10D1874 EFRISEL 10% 5 ML CENDO DROP
10%
CHLORAMPHENICOL
10D3755 FENICOL 0,25% CENDO DROP
0,25%
CHLORAMPHENICOL
10D4435 FENICOL EYE OINT CENDO OINT
1%
POLYVINYLPYROLIDO
10D0208 PROTAGEN-A EYE CENDO DROP
NE 20 MG
POLYVINYLPYROLIDO
10D0208 PROYAGEN A MDS CENDO MDS
NE 20 MG
NEOMICIN SULFATE
3,5 MG, POLIMIXIN B
STATROL 5 CC EYE
10D1978 CENDO SULFATE 16250 U, DROP
DROP
PHENYLEPHRINE 0,12
%.
OKSITOSIK
KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
METHYL ERGOMETRIN
UTEROTONIK 10E2503 METHERGIN NOVARTIS AMPUL
2 MG
METHYL ERGOMETRIN
10E4332 METVELL NOVELL AMPUL
2 MG
SYNTETHIC
10E0203 PITOGIN ETHICA OKSITOSIN 10 IU/ML AMPUL
OXYTOCIN
10E5126 OXYLA NOVELL OKSITOSIN 10 IU/ML AMPUL
ISOXSUPRINE HCL
10E3770 DUVADILAN INJ SOLVAY AMPUL
10MG/2ML
RELAKSAN ISOXSUPRINE HCL
UTERUS 10E2561 PROTERIN INJ NOVELL AMPUL
10MG/2ML
ISOXSUPRINE HCL 20
10B0394 HYSTOLAN DEXA TABLET
MG
OBAT UNTUK SALURAN NAPAS
58
KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
PSEUDEPHEDRIN HCL
30 MG,
ANTI INFLUENZA
BROMPHENIRAMINE
DAN NASAL 10C3483 ALCO PLUS DMP INTERBAT SYRUP
MALEAT 2 MG,
DECONGESTAN
DEXTROMETHORPHAN
HBR 10 MG
PSEUDOEPHEDRIN 30
10B4005 RHINOFED DEXA MG, TERFENADINE 40 TABLET
MG
PSEUDOEPHEDRIN 15
10C4024 RHINOFED DEXA MG, TERFENADINE 20 SYRUP
MG
PSEUDOEPHEDRIN
10B0191 ALDISA SR SANBE HCL 120, LORATADINE KAPSUL
5
PSEUDOEPHEDRIN
10B4933 RHINOS SR DEXA HCL 120, LORATADINE KAPSUL
5
PSEUDOEPHEDRIN
HCL 15 MG,
10C0338 RHINOS JUNIOR DEXA SYRUP
CHORPENAMINE
MALEAT 1 MG
PSEUDOEPHEDRIN 7,5
10C0337 RHINOS NEO DEXA DROP
MG/0.8 CC
TRIPOLIDINE HCL 2,5
MG,
10B4347 TREMENZA SANBE TABLET
PSEUDOEPHEDRIN
HCL 60 MG
TRIPOLIDINE HCL
1,25 MG,
10C3100 TREMENZA SANBE SYRUP
PSEUDOEPHEDRIN
HCL 30 MG
PARASETAMOL 500
MG,
DEKSTROMETORFAN
HBR 10 MG,
10B4390 TUZALOS SANBE TABLET
FENILPROPANOLAMIN
HCL 15 MG,
CHLORFENIRAMIN
MALEAT 1 MG.
OXOMEMAZINE 1,65
10C1455 COMTUSI COMBIPHAR MG, GUAIFENESIN SYRUP
33,3 MG
BUDESONIDE 32
10D0547 RHINOCORT AQUA ASTRA NASAL SPRAY
mcg/dose x 10 ml
BNS (BREATHY NASAL
10D4702 NOVELL NaCl 0,9% NASAL DROP
SPRAY)
CETIRIZINE 5MG,
10B4999 RYVEL PLUS NOVELL PSEUDOEFEDRINE TABLET
HCL 120 MG
10D4481 AQUA MARIS SOHO AIR LAUT ISOTONIS NASAL DROP
ILLIADIN NAS DROP OXYMETHAZOLIN
10D0394 MERCK DROP
PED 0.025%
59
ILLIADIN NAS DROP OXYMETHAZOLIN
10D0394 MERCK DROP
ADULT 0.05%
ANTI COUGH MUKOLITIK 10B0029 AMBROXOL GENERIK AMBROXOL 30 MG TABLET
AMBROXOL 15 MG/5
10GB005 AMBROXOL GENERIK SYRUP
ML ELIXIR
10B0690 EPEXOL SANBE AMBROXOL 30 MG TABLET
AMBROXOL 15 MG/5
10C6019 EPEXOL SANBE SYRUP
ML
ACETYLCYSTEINE 200
10B1222 FLUIMUCYL ZAMBON KAPSUL
MG
ACETYLCYSTEINE 200
10B1221 FLUIMUCYL ZAMBON SACHET
MG
10B4556 VOSTRIN NOVELL ERDOSTEINE 300 MG KAPSUL
CODEINE 30 MG,
PHENYLTOLOXAMINE
10B1855 CODIPRONT CUM EXP KIMIA FARMA KAPSUL
10 MG, GUAIFENESIN
100 MG
60
CODEIN 30 MG,
10B2791 CODITAM KIMIA FARMA PARASETAMOL 500 KAPSUL
MG
GLYCERIL
10B2934 GLYCERIL GUAIACOLAT GENERIK TABLET
GUAIACOLAT 100 MG
PROMETHAZINE HCL 5
MG, EKSTRAK IPEKA
0,1 ML, KALIUM
10C1703 PROME INTERBAT SULFOGUAIAKOLAT 44 SYRUP
MG, NATRIUM SITRAT
197 MG, MENTOL 1
MG.
DIPHENHYDRAMINE
HCL 12.5
MG,AMMONIUM CL
100 MG, K
10C2813 SANADRYL EXP SANBE SYRUP
GUAIACOLSULFONATE
30 MG, NA CITRATE
50 MG, MENTHOL 1
MG
DEXTROMETHORPHAN
HBR 10
MG,DIPHENHYDRAMIN
10C1765 SANADRYL DMP SANBE E HCL 12.5 MG, SYRUP
AMMONIUM CL 100
MG, NA CITRATE 50
MG, MENTHOL 1 MG
10A0019 LONGATIN ACTAVIS NOSCAPINE 25 MG KAPSUL
AMINOPHYLIN 24
ANTI ASMA 10E2832 AMINOPHYLIN GENERIK AMPUL
MG/10 ML
10E2411 EPINEPHRIN GENERIK EPINEPHRIN 1 mg/ml AMPUL
TERBUTALINE 5
10E2388 BRICASMA ASTRA Z AMPUL
mg/ml
10B0553 PHYLLOCONTIN MAHAKAM AMINOPHYLIN TABLET
ANHYDROUS
10B0623 EUPHYLIN RETARD PHAROS TABLET
THEOPHYLLIN 250 MG
SALBUTAMOL 1 MG,
10B3822 TEOSAL DEXA TABLET
THEOPHYLIN 150 MG
10B1207 SALBUTAMOL GENERIK SALBUTAMOL 2 MG TABLET
10B0265 SALBUTAMOL GENERIK SALBUTAMOL 4 MG TABLET
10B0888 SALBUVEN PHAROS SALBUTAMOL 4 MG TABLET
10B1359 VENTOLIN TABLET GLAXO SALBUTAMOL 2MG TABLET
SALBUTAMOL 1MG,
10C1842 VENTOLIN EXP SYR GLAXO GUIPHENESIN 50 SYRUP
MG/5ML
SALBUTAMOL 2 MG/5
10C1845 VENTOLIN SYR 100 ML GLAXO SYRUP
ML
SALBUTAMOL 100
10D2351 VENTOLIN SPRAY GLAXO INHALER
MCG/PUFF
10E4466 VENTOLIN NEBUL GLAXO SALBUTAMOL 2,5 MG NEBUL
61
SUPRASMA NEBUL DEXA SALBUTAMOL 2,5 MG NEBUL
FENOTEROL
10F4480 BEROTEC BOEHRINGER HYDROBROMIDE 100 INHALER
MCG
FENOTEROL
10D0207 BEROTEC BOEHRINGER HYDROBROMIDE 100 SPRAY
MCG
KETOTIFEN HYD
'10B3152 INTIFEN INTERBAT TABLET
FUMARATE
TERBUTALIN SULFAT
10B1391 NAIRET OTTO TABLET
2.5 MG
TERBUTALIN SULFAT
10E0151 NAIRET INJ OTTO AMPUL
0,5MG/ML
PROCATEROL HCL
10B0829 MEPTIN OTSUKA HEMIHYDRATE 0,05 TABLET
MG
PROCATEROL HCL
10B0830 MEPTIN MINI OTSUKA HEMIHYDRATE 0,025 TABLET
MG
PROCATEROL HCL
ATAROC NOVELL HEMIHYDRATE 0,025 TABLET
MG
SALMETEROL 25 MCG,
10D0103 SERETIDE 125 GLAXO FLUTICASONE INHALER
PROPIONATE 125 MCG
SALMETEROL 50 MCG,
SERETIDE DISKUS 250
10D4251 GLAXO FLUTICASONE INHALER
MG
PROPIONATE 250 MCG
BUDESONID 80 MG,
10D4412 SIMBICORT ASTRA FORMOTEROL INHALER
FUMARAT 4,5MCG
PROCATEROL HCl 100
10D0580 MEPTIN INHALER OTSUKA INHALER
MCH/0,3 ML
INDACATEROL 150
10D4450 ONBREZ NOVARTIS PUFF INHALER
MCG
INDACATEROL 300
10D4286 ONBREZ NOVARTIS PUFF INHALER
MCG
FLUTICASONE
10D1476 AVAMYS GLAXO FUROATE 27,5 SPRAY
MICROGRAM
SEA WATER 31,82 ML,
10D1015 STERIMAR HYPENS PURIFIED WATER QSP SPRAY
100 ML
PSIKOTROPIKA
KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
ANTI DEPRESAN SSRI 10B0111 ZOLOFT PFIZER SERTRALIN 50 MG TABLET
FLUOXETINE HCl 20
10B0898 NOPRES DEXA KAPLET
MG
FLUOXETINE HCl 20
10B2141 ELIZAC MERSI FARMA KAPSUL
MG
ATYPICAL 10B0110 REMERON SCHERING MIRTAZEPIN 30 MG TABLET
AMITRIPTYLINE 12,5
TRISIKLIK 10B3151 AMITRIPTYLINE GENERIK TABLET
MG
TETRASIKLIK 10B4309 LUDIOMIL NOVARTIS MAPROTILINE 25 MG TABLET
MAPROTILINE
10B0270 SANDEPRIL MERSI FARMA TABLET
HYDROCHLORIDE
LAIN - LAIN 10B0296 CIPRALEX LANDBECK ESCITAZOLAM 10 MG KAPSUL
62
ANTI ANXIETAS BENZODIAZEPINE 10GD007 ALPRAZOLAM 0,5 GENERIK 0.5 MG TABLET
10GD008 ALPRAZOLAM 1 GENERIK 1 MG TABLET
10B3751 XANAX PFIZER ALPRAZOLAM 0,5 MG TABLET
63
10B0384 ABILIFY 5 OTSUKA ARIPIPRAZOL 5 MG TABLET
10B0381 ABILIFY 10 OTSUKA ARIPIPRAZOL 10 MG TABLET
NOOTROPIC -NEUROTONIC
KODE
GOLONGAN SUB GOLONGAN NAMA BARANG PRODUK KOMPOSISI SEDIAAN
BARANG
64
MECONEURO 500 MG MECOBALAMIN 500
10B1257 NOVEL TABLET
TAB MG
MERSITROPRIL 500
10C0119 MERSITROPRIL MERSIFARMA SYRUP
MG/5ML
PYRITINOL DIHCL
10C0588 ENCEPHABOL MERCK MONOHYDRATE 100 SYRUP
MG
PYRITINOL DIHCL
10B0587 ENCEPHABOL MERCK MONOHYDRATE 100 TABLET
MG
PYRITINOL DIHCL
10B0588 ENCEPHABOL F MERCK MONOHYDRATE 200 TABLET
MG
10GD069 PREGABALIN 75 MG GENERIK PREGABALIN 75 MG TABLET
10B4945 LEPTICA DEXA PREGABALIN 75 MG TABLET
10B0764 LYRICA 50 MG TAB PFIZER PREGABALIN 50 MG TABLET
10B0340 LYRICA 75 TAB PFIZER PREGABALIN 75 MG TABLET
10B0351 LYRICA 150 TAB PFIZER PREGABALIN 150 MG TABLET
SULBUTIAMINE 200
10B0341 ARCALION SERVIER TABLET
MG
10A0012 ARICEPT EISAI DONEPEZIL 5 MG TABLET
ARICEPT EVESS 10 MG
A0396AS EISAI DONEPEZIL 10 MG TABLET
TAB
POLYUNSATURATED
10B4449 NEUROCHOL LANDSON PHOSPATIDYLCHOLIN TABLET
E, B1, B6, B12
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149