LAMPIRAN

Daftar Obat-Obat Balai Pengobatan No I 1. Obat Generik Antibiotik Amoxycillin Nama Dagang Amoxycillin 500 mg Amoxycillin syrup 1125 mg/5ml (60ml) Erythromycin 250mg Erythromycin syrup 200mg05ml Primadex forte Erlamycetin eye drops Erlamycetin ear drops Trifamycetin (salep kulit) Zenichlor Metrolet(metronidazole 500mg) Trifacycline 3% (salep kulit) Thiamphenicol Asam mefenamat 250mg Paracetamol 500mg Alphamol Paracetamol syrup Ibu profen 200mg Dexamethason (0,5mg) Wiros Hidrocortison krim 2,5% Meloxicam (7,5mg) Salbutamol (2mg) Salbutamol (4mg) Aminofilin (150mg) Teofilin (150mg) Captopril (12,5mg) HCT (25mg) Furosemid (40mg) Jumlah 2000 200 1100 100 200 20 16 10 100 100 16 100 1600 Rp 100.000,Rp 52.500,Harga Rp 500.000,Rp 637.500,Rp 450.000,Rp 520.000,Rp 49.000,-

2.

Erythromycin

3. 4.

Cotrimoxazol Chloramphenicol

Rp 49.500,-

5. 6. 7. II 1. III 1.

Metronidazole Tetracycline Thiamphenicol Analgesik Asam mefenamat Antipiretik Paracetamol

2000 400 200 500 300 200 50 100 400 100 200 200 1000 2000 400 Rp 50.000,Rp 15.000,Rp 120.000,Rp 130.000,-

IV 1. 2. 3. 4. 5 V 1. 2. 3. VI 1. VII 1. 2.

Antiinflamasi Ibu Profen Dexamethason Piroxicam Hidrocortisone Meloxicam Bronchodilator Salbutamol Aminophilin Teofilin 150mg Antihipertensi Captopril Diuretik HCT Furosemid

Rp 10.000,Rp 20.000,Rp 72.000,-

VIII 1. IX 1. 2. 3. 4. 5. X 1.

Ca channel blocker Nifedipin Nifedipin ( 10mg) Antitusif/Expectorant/antiinfluenza Dextrometorphan Dextral Demacolin demacolin Ambroxol Ambroxol Alpara Alpara Etadryl Etadryl syrup Antacid Antacida Antacida doen Alumunium hidroksida 200mg Magnesium hidroksida 200mg 2. Ranitidine Ranitidine (150mg) 3. Cimetidine Cimetidine (200mg) 4. Omeprazole Omeprazole (20mg) XI Antidiare 1. Attapulgit Attapulgit 600mg (dialet) Attapulgit 700mg ( molagit) 2. Loperamid HCl Loperamid (2mg) 3. Carbo adsorbens becarbon 4. Oralit Parolit XII Antiemetik 1. Metoklorporamid HCl vosea 2. Domperidon Vesperum 10mg XIII Antispasme 1. Methampyron 500mg Spasminal XIV Antihistamin 1. Alleron Alleron 2. CTM CTM XV Antireumatik 1. Allopurinol Allopurinol XVI Antifungal 1. Mikonazol Mikonazol Krim (2%) Griseofulvin (125mg) XVII Anti scabies Salep 2-4 30 XVIII Roborantia 1. Vit B complex Vit B complex 2. Vitamin C Vitamin C 3. VitB1, B2, B6, 12 , A, Ca Carnivita syrup 4. Calcium lactate Calk 5. Fe sulfat FE sulfat 6. Salycil talk Salycil

400 600 600 400 200 30 4000

Rp 37.800,Rp 80.000,-

1400 1000 300 300 160 200 500 1000 300 200 200 600 1000 900 20 tube 200 60 4000 4000 100 2000 2000 30

Rp 300.000,Rp 330.400,Rp 165.000,Rp 75.000,Rp 120.000,Rp 30.000,-

Rp 75.000,Rp 28.000,-

Rp 120.000,Rp 316.000,Rp 950.000,-

XIX 1. 2. 3. 4. 5. XX 1. 2. 3. 4. XXI 1. 2. 3.

Injeksi Vit B comp Neurobion

B-comp (1 ampul : 3ml)

Neurobion 5000 (1 ampul : 3ml) Dipenyhidramin HCl 10mg Etadryl Novalgin, Piramidon, Lidokain Etamidon Tertbutaline Bricasma Inj Antiseptik dan bahan injeksi habis pakai Kapas Kassa steril Plester kecil Spuit + niddle Spuit 3 cc Pemeriksaan Kehamilan Asam Folat Tablet Besi Suntik TT

100 ampul 100 ampul 20 ampul 40 ampul 20 ampul 4 roll 4 box 4 roll 200 200 200 30

Rp 450.000,-