Formularium Mawaddah-Dh2015

FORMULARIUM OBAT
RUMAH SAKIT MAWADDAH MEDIKA

TAHUN 2010
KLS
NAMA O BAT
kode obat
Bentuk sediaan, kekuatan

obat
Nama Dagang
Pabrik
Harga
Analgesik, Antipiretik, Antiinflamasi

NonSteroid, Antipirai
1.1
Analgesik Narkotika
1 Kodein
1.1.1
Tab 10mg, kaleng
generik
KF
2 Fentanyl
1.1.2
inj. 50 mcg/ml @10ml
Fentanyl
janssen-cilag
3 Morphin HCl
1.1.3A
Tab, 10 mg
MST
Mahakam
1.1.3B
Inj. 10 mg/ml
generik
KF
1.1.4A
injc i.m/s.k/i.v
1.1.4B
50mg/ml
4 Petidin
KF
KLS
NAMA O BAT
1.2
kode obat

obat
Nama Dagang
Pabrik
Analgesik Non-Narkotik
1 Asam asetilsalisilat
1.2.1
Tab 100mg
Aspilet
Medifarma
1.2.2A
Tab 500 mg
grafik
gracia
1.2.2B
Cargesic
Sanprima
1.2.2C
Opistan
Otto
1.2.2D
Pondex
Dexa
(asetosal)
2 Asam mefenamat
3 Ibuprofen
1.2.3A
Tab 200mg
generik
1.2.3B
4 Kalium Diklofenac
5 Ketoprofen
7 Meloxicam
Pharos
1.2.3C
syr.100mg/5ml
Proris
Pharos
1.2.3D
Supp. 125 mg
Proris
Pharos
1.2.4A
tab 50mg,25mg
Exaflam
Guardian
1.2.4B
tab 50mg
X-flam
Combiphar
1.2.5A
Supp 100mg
Kaltrofen
Kalbe
1.2.5B
Tab 100mg
Pronalges
pharos
Kaltrofen
kalbe
1.2.5C
6 Ketorolac
Proris
1.2.6A
inj. 30mg/ml
generik
1.2.6B
trolac inj
Berno
1.2.6C
Matolac
Mahakam
1.2.7A
Tab 15mg
generik
Harga
KLS
NAMA O BAT
kode obat

obat
1.2.7B
1.2.7C
Tab 7,5 mg
1.2.8A
Pabrik
osteloc
sanbe
generik
1.2.7D
8 Metampiron
Nama Dagang
loxil
gracia
Antalgin
Tab 500mg
1.2.8B
Analsik
Sanbe
(+Dzp 2mg)
1.2.8C
9 Metamizole sodium
Zyparon
1.2.9A
Tablet 500mg
Antalgin
1.2.9B
Injc. 500mg/ml
Norages
Mepro
1.2.9C
@2ml
Novalgin
Sanovi-aventis
PRAGESOL
NOVELL
1.2.9D
10 Natrium diklofenak
11 Paracetamol
novell
1.2.10A
Tab 50mg
Voltadex
Dexamedika
1.2.10B
Tab 25 mg
Renadinac
Fahrenheit
1.2.10C
gel
Scantaren
Scanpasific
1.2.11A
Tab 500mg
Mirasic
Sanprima
Sanmol
Sanbe
Sanmol
Sanbe
1.2.11D
Pyridol
Pyridam
1.2.11E
Mirasic
Sanprima
1.2.11B
1.2.11C
Syr 120mg/5ml
1.2.11F
drop 60mg/0,6ml
Sanmol drops
sanbe
1.2.11G
Supp 240mg
Propyretic 240
Combi
1.2.11H
Supp 160mg
Propyretic 160
Combi
1.2.11I
SANMOL INFUS
SANMOL
SANBE
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
MORETIC DROP
GRACIA
1.2.11J
MORESIC DROP
1.2.12A
tab 20 mg
generik
1.2.12B
gel
Pirofel
Sanbe
13 Tinoridine HCl
1.2.13
tab 50 mg
Nonflamin
Takeda
14 Tramadol
1.2.14A
inj 50mg/ml
generik
1.2.14B
tab 37,5mg+
Patral
mahakam
1.2.14C
paracetamol 32,5mg
1.2.15
inj 15ml/vial
Xillomidon
Dura
1.3.1A
Tab 100mg
generik
12 Piroksikam
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
1.3
Antipirai
1 Allopurinol
1.3.1B
reucid
otto
RECAIN
MAHAKAM
Anestetik
2.1
Anestetik Lokal
1 Bupivacain HCl
2.1.1A
inj 5mg+ dextrose80mg

amp, 4ml
2 Etil klorida
2.1.2
spray, botol 100ml
Harga
KLS
NAMA O BAT
3 Lidokain
kode obat

obat
2.1.3A
inj 2%
2.1.3B
inj 2% (HCl)
Nama Dagang
Pabrik
lidocain
Pehacain
Phapros
+epinefrin 1:80000
2.2
2.1.3C
inj 2%+dextrosa 5%
Lidodex
Berno
2.2.1
cairan inhalasi
Halotan
Dexa
Dexa
Anastetik Umum dan Oksigen

1 Halotan
250ml
2 isoflurane
2.2.2
cairan inhalasi
isofluran
3 Ketamin
2.2.3
inj iv 100mg/ml
Ketamin
@20ml
2.3
4 Nitrogen Oksigen
2.2.4
gas tabung 15kg
5 Oksigen
2.2.5
gas dlm tabung
6 Propofol
2.2.6
inj 10mg/ml, amp20ml
1 Atropin sulfat
2.3.1
inj 0,25mg/ml@1ml
2 Diazepam
2.3.2A
tab 5mg
KTM
Guardian
Safol
Novell
sulfas atropin
ethica
Valisanbe
Sanbe
Prosedur Peri Operatif, Obat untuk
Harga
KLS
NAMA O BAT
3 Midazolam
kode obat

obat
Nama Dagang
Pabrik
2.3.2B
tab 2mg
Valisanbe
Sanbe
2.3.2C
inj 5mg/ml
Valisanbe
Sanbe
2.3.2D
rectal 5mg/2,5ml
Stesolid
Actavis
2.3.3A
inj 5mg/5ml
Dormicum
Roche
2.3.3B
inj 15mg/3ml
Dormicum
Roche
3.1A
inj 5mg/ml@1ml
Kalmethasone
Hexapharma
3.1B
Indexon
Interbat
3.1C
Cortidex
Sanbe
Kalmethasone
Hexapharma
3.1E
Scandexon
Tempo
3.1F
Carbidu
Sampharindo
sampharindo
Anti Alergi dan Obat untuk Anafilaksis

1
Dexametasone
3.1D
Kombinasi dengan
tab 0,5mg
3.1G
Tab
Mexon
3.2A
Inj 10mg/ml
generik
3.2B
Inj 15mg/vial
Duradryl
3.3
Inj 0,1%
Generik
difenhidramin
2
Difenhidramin
Epinefrin (adrenalin)
Dura
Harga
KLS
NAMA O BAT
kode obat

obat
Pabrik
Klorfeniramin
3.4
Tab 4mg
pehachlor
Pheniramine maleat
3.5A
Tab 25mg
avil
sanofi
3.5B
inj.50mg/2ml
avil
sanofi
3.6A
tab 10mg
Loratadine
generik
3.6B
7
Ceterizin
3.7A
tab 10mg
3.7B
Metil Prednisolon
3.7C
drops
3.8A
tab 8mg
3.8C
10
lapi
Zenris
Pyridam
Tiriz
Lapi
generik
inj 125mg/ml
3.8D
9
clarihis
generik
3.8B
Nama Dagang
Lameson
lapi
Lameson
lapi
generik
Ciproheptadin
3.9
kap 4mg
Pronicy
Kalbe
Mebhidroline Naphadisilat
3.10
tab 50mg
interhistin
interbat
4.1.1
inj 0,25mg/ml
sulfas atropin
ethica
Antidot dan obat lain

Untuk Keracunan
4.1
Khusus
1 Atropin
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Ethica
2 Kaksium glukonat
4.1.2
100mg/ml
Ca Gluconas
3 Natrium bikarbonat
4.1.3A
tab 500mg
generic
4.1.3B
inf fl. 25 Meq
Meylon
Otsuka
4 Naloxone HCl
4.1.4
inj.0,4mg/ml
Nokoba
Fahrenheit
5 Neostigmin metylsulfat
4.1.5
inj 0,5mg/ml
Prostigmin
Transfarma
4.2.1A
inj 20%25ml
MgSo4 20%
Otsu
4.2.1B
inj 40%25ml
MgSo4 40%
Otsu
4.2 Umum
1 Magnesium sulfat
Antiepilepsi - Antikonvulsi
1
Carbamazepin
5.1
tab 200mg
generik
Diazepam
5.2
rectal 5mg/2,5ml
Stesolid
Actavis
Fenitoin
5.3A
inj 50mg/ml
phenytoin
ikapharmino
5.3B
cap 100mg
phenytoin
ikapharmino
5.4A
tab 30mg
generik
KF
5.4B
inj 50mg
Phental iv
Combi
Fenobarbital
Harga
KLS
NAMA O BAT
Gabapentin
kode obat
5.5A

obat
cap 300mg
5.5B
6
Nama Dagang
Pabrik
Gabexal
Sandoz
generic
Antiinfeksi
6.1
Antelmintik
6.1.1 Antelmintik Intestinal
1 Pirantel
6.1.1.1A
tab 125mg
Pyrantin
6.1.1.1B
susp 125mg/5ml
Combantrin
Pfizer
6.2.1.1A
tab 500mg
novax caps
gracia
6.2.1.1B
Zemoxil
Zenith
6.2.1.1C
Brodamox
Sampharindo
fosicolos
gracia
Zemoxil
Zenith
6.2 Antibakteri
6.2.1 Beta Laktam
1 Amoksisilin trihidrat
6.2.1.1D
dry syr 125mg/5ml
6.2.1.1E
2 Ampisilin
6.2.1.1F
drops 100mg/ml
Amoxan
Sanbe
6.2.1.1G
serb inj 1000mg
Amoxan
Sanbe
6.2.1.2A
cap 500mg
Brodapen
Sampharindo
Harga
KLS
NAMA O BAT
kode obat

obat
6.2.1.2B
serb inj 1000mg
3 Ampicillin + Sulbactam
6.2.1.3
serb inj 500+250mg
4 Kombinasi Amoksisilin 500mg dan

clavulanat 125mg
6.2.1.4A
kap 500+125mg
5 Cefadroksil
6.2.1.5A
6.2.1.4B
caps 500mg
6.2.1.5B
6.2.1.5C
Nama Dagang
Pabrik
Viccilin
Meiji
Pycin 750
Berno
co amoxiclav
clanexi
sanbe
Pyricef
Piridam
generik
dry syr 125mg/5ml
6.2.1.5D
Pyricef
Piridam
generik
6 Sefaklor
6.2.1.6
caps 500mg
Capabiotik
Yarindo
7 Sefaleksin
6.2.1.7
caps 500mg
Cefabiotic
Berno
8 Sefiksim
6.2.1.8A
caps 100mg
NUCEF
GUARDION
6.2.1.8B
dry syr 100mg/5ml
PROFIM
PROMED
6.2.1.9A
serb inj 1gr
9 Sefotaksim
10 Seftazidim
generik
6.2.1.9B
FOBET
MAHAKAM
6.2.1.9C
lapixim
lapi
CEFDIM
PROMED
6.2.1.10
serb inj 1gr
10
Harga
KLS
NAMA O BAT
11 Seftriakson
kode obat
6.2.1.11A

obat
serb inj 1gr
Nama Dagang
Pabrik
generik
6.2.1.11B
GRACEF
GRACIA
6.2.1.11C
cephaflox
guardian
12 Sephalotin
6.2.1.12
serb inj 1gr
Moraxine
Yarindo
13 Meropenem
6.2.1.13A
serb inj 1 gr
Meropex
Berno
6.2.1.13B
14 SEFTISOXIM
6.2.1.13C
generik
serb inj 1 gr
e-zox
nulab
generik
novell
generik
ogb dexa
doxacin
otto
6.2.2 Antibakteri Lain

6.2.2.1 Tetrasiklin
1 Doksisiklin
6.2.2.1.1A
caps 100mg
6.2.2.1.1B
2 Tetrasiklin
6.2.2.1.2
caps 500mg
Suprabiotik
Zenith
6.2.2.2.1A
caps 250mg
Lanacetin
landsen
6.2.2.2.1B
susp 125mg/5ml
coromycetin
coronetcrown
6.2.2.2.2A
caps 500mg
Promixin
Pyridam
Dexicol
Dexa
Phenobiotic
Berno
6.2.2.2 Kloramfenikol
1 Kloramfenikol
2 Tiamfenikol
6.2.2.2.2B
6.2.2.2.2C
dry syr 125mg/5ml
11
Harga
KLS
NAMA O BAT
kode obat

obat
6.2.2.2.2D
Nama Dagang
Pabrik
fosicolos
gracia
Sanprima
Sanbe
miratrim
sampharindo
Lapikot forte
Lapi
Primadex forte
Dexamedika
Sanprima
Sanbe
6.2.2.3 Sulfa - Trimetoprim

1 (dewasa)kombinasi :
sulfametoksazol 400mg +
6.2.2.3.1A
Tablet
6.2.2.3.1B
trimetoprim 80mg
2 sulfa 800mg+
trimetoprim 160mg
6.2.2.3.2A
Tablet
6.2.2.3.2B
3 Kotrimoksazol suspensi
6.2.2.3.3A
susp
komb : sulfametoksazol
6.2.2.3.3B
Primadex
Dexamedica
200mg + trimetoprim 40mg/5ml
6.2.2.3.3C
Miratrim
Sampharindo
6.2.2.4 Makrolit
1 Clindamisin
6.2.2.4.1
caps 150mg & 300mg
generik
2 Eritromisin
6.2.2.4.2A
caps 500mg
generik
3 Spiramisin
6.2.2.4.2B
erisanbe
sanbe
6.2.2.4.2C
erisanbe chewable
sanbe
6.2.2.4.2D
syr 200mg/5ml
generik
6.2.2.4.3A
tab 500mg
generik
6.2.2.4.3B
varoc
12
pyridam
Harga
KLS
NAMA O BAT
4 Azytromicin
kode obat
6.2.2.4.4A

obat
caps 500mg
6.2.2.4.4B
Nama Dagang
Pabrik
zibramax
guardian
generik
6.2.2.5 Amiglikosida
1 Gentamisin
6.2.2.5.1A
inj 40mg/ml
Sagestam
Sanbe
6.2.2.5.1B
inj 80mg/ml
ottogenta
otto
6.2.2.6.1A
tab 500mg
Cravox
Lapi
6.2.2.6 Kuinolon
1 Levofloksasin
6.2.2.6.1B
6.2.2.6.1C
generik
lar infus 500mg/100ml
6.2.2.6.1D
generik
Cravox
2 Ofloksasin
6.2.2.6.2
tab 200&400mg
generik
3 Siprofloksasin
6.2.2.6.3A
tab 500mg
generik
Lapi
6.2.2.6.3B
Baquior forte
sanbe
6.2.2.6.3C
Lapiflox
Lapi
6.2.2.6.3D
6.2.2.6.3E
generik
Lapiflox inf
Lapi
Sulcolon
Berno
6.2.2.7 Penggunaan khusus

1 Sulfasalazin
6.2.2.7.1
tab 500mg
13
Harga
KLS
NAMA O BAT
2 Metronidazol
kode obat
6.2.2.7.2A

obat
tab 500mg
6.2.2.7.2B
6.2.2.7.2C
syr 125mg/5ml
6.2.2.7.2D
6.2.2.7.2E
supp 500mg
6.2.2.7.2F
ovul + nistatin 100000iu
6.2.2.7.2G
6.2.2.7.2H
3 Colistin sulfat
Nama Dagang
Pabrik
Metrolet
Harsen
Trychodazole
Sanbe
Metrolet
Harsen
promuba
mepro
Flagyl
Sanovi
Vagistin
Combiphar
Trychodazole
Sanbe
generic
6.2.2.7.2
Tab 250000 iu
Colistine
1 Etambutol
6.3.1.1
tab 500mg
generik
2 Isoniazid
6.3.1.2
tab 300mg
generik
3 Pirazinamid
6.3.1.3
tab 500mg
generik
4 Rifampicin
6.3.1.4
caps 450mg
generik
6.3 Antiinfeksi Khusus

6.3.1 Antituberkulosis
14
Actavis
Harga
KLS
NAMA O BAT
5 Kombinasi (OAT TB dots):
kode obat

obat
Nama Dagang
Pabrik
OAT fase intensif
Indofarma
kap: INH 150, Rifam 150
OAT fase lanjutan
Indofarma
INH100, rifam75,Pza200
OAT fase intensif
Indofarma
INH 100, Rifam 75
OAT fase lanjutan
Indofarma
6.3.1.5
untuk dewasa
kap : INH 75,Rifam 150,

Pza 400, ethambutol 275
untuk pediatri
6 Kombinasi :
6.3.1.6
Ethambutol, INH, B6
caps
Bacbutinh
Niazitol
7 INH50+Rifam75+PZA150
6.3.1.7
8 INH50+ Rifam75
6.3.1.8
caps
Rimcure paed
Sandoz
Rimtazid paed
Sandoz
Itzol
Lapi
6.3 Antifungi
1 Itrakonazol
6.3.1
caps 100mg
2 Ketokonazol
6.3.2
tab 200mg
generik
3 Mikonazol
6.3.3
cream
generik
4 Nistatin
6.3.4A
ovul + metronidazol
vagistin
15
Combi
Harga
KLS
NAMA O BAT
kode obat

obat
6.3.4B
drops
1 Sulfadoxin 500mg,
6.5.1A
tab
primetamin 25 mg
6.5.1B
Nama Dagang
Pabrik
Kandistatin
lapi
Fansidar
Roche
6.5 Antimalaria
6.6 Antivirus
6.6.1 Antiherpes
1 Asiklovir
6.6.1A
tab 200mg
generik
6.6.1B
tab 400mg
generik
6.6.1C
cream 5%
generik
7.1
tab 1mg
generik
kap
Nogren
tab 800mg&1200mg
generik
Antimigren dan neuroprotector

1 Ergotamin cafein
2 Kombinasi paracetamol 300mg, acetosal,
cafein
3 Piracetam
7.2
7.3A
7.3B
7.3C
latropril
inj 1gr/5ml
Lapi
generik
7.3D
7.3E
Pyridam
Neurotam
inj 3gr/5ml
generik
16
kalbe
Harga
KLS
NAMA O BAT
4 Sitikolin/citikolin
kode obat

obat
Pabrik
7.4A
tab 500mg
Neociti
Lapi
7.4B
inj 250mg/2ml
Nicholin
Takeda
Neociti
Lapi
Encephabol
Merck
7.4C
Nama Dagang
5 Pyritinol HCL
7.5
syr 100ml
6 Mecobalamin
7.6A
inj. Amp 500mcg
Kalmeco
Kalbefarma
7.6B
tab 500mg
Kalmeco
Kalbefarma
1 Asam folat
8.8.1.1
tab 1mg
Folacom
combi
8.8.1.2A
tab salut 300mg
Natabion
Pyridam
Darah, Obat yang Mempengaruhi

8.1 Antianemi
Besi III sulfat (sulfas ferosus)
3 Vit B1, B6, B12
8.8.1.2B
Artoferum
8.8.1.2C
syr. 50mg/50ml, @150ml
Maltofer
Combi
8.8.1.3A
tab
Neurobion 5000
Merc
8.8.1.3B
Neurobat
Interbat
8.8.1.3C
Neurosanbe
Sanbe
8.8.1.3D
Neurodex
dexamedika
8.8.1.3E
Sakaneuron
sakafarma
17
Harga
KLS
NAMA O BAT
kode obat
8.8.1.3F

obat
inj. Amp 3ml
8.8.1.3G
Nama Dagang
Pabrik
Neurosanbe 5000
Sanbe
Neurobion 5000
merck
Kalnex
Kalbe
Transamin
Otto/daichi
Transamin
Otto/Daichi
8.2 Koagulasi, obat

yang mempengaruhi
1 Asam traneksamat
8.8.2.1A
inj 250mg/5ml
8.8.2.1B
2 Fitomenadion (vit K)
3 Heparin Na
8.8.2.1C
tab 500mg
8.8.2.2A
tab salut 10mg, kaleng
generik
8.8.2.2B
inj 10mg/ml
Neo K
Combi
8.8.2.3A
gel
Thrombopop Gel
tunggal idaman
Antithromb
Mecosin
Bernofafm
8.8.2.3B
4 Lidocain
9
8.8.2.4
inj 2%
generic
9.1A
tab 40mg
generik
9.1B
inj 10mg/ml
Diuretik
1
Furosemida
Lasix
Hidroklortiazid (HCT)
9.2
tab 25mg
generik
Manitol
9.3
lar infus 20%@500ml
manitol
18
Sanofiaventis
Otsu
Harga
KLS
NAMA O BAT
4
10
Spironolacton
kode obat

obat
Pabrik
9.4
tab 25mg
carpiaton
Fahrenheit
10.1A
caps 300mg
Lesichol
Landson
Lesipar
Lapi
Hepa-Merz
Combi
Hepa-Merz granul
Combi
Hepatoprotector dan Cholelitiolisis

1
Lesitin
10.1B
2
11
Nama Dagang
L-ornitin, L-aspartat
10.2A
inj 5mg/10ml
10.2B
sachet 3g
Ursodeoxycholic
10.3
caps 250mg
Urdafalk
darya-varia
hepatoprotector
10.4A
tab
Hepa-Q
Pyridam
fitofarmaka
10.4B
HP pro
Hormon, Obat Endokrin Lain dan

Kontraseptik
11.1 Antidiabetes
11.1.1 Antiabetes, Oral
1 Glibenclamida
11.1.1
tab 5mg
generik
2 Glimepiride
11.1.2
tab 2mg
Amaril
Sanofiaventis
Gluvas
Dexa
Glurenorm
Boehringer
3 Glikuidon
11.1.3A
tab 30mg
19
Harga
KLS
NAMA O BAT
kode obat

obat
11.1.3B
4 Metformin
11.1.4A
Pabrik
generik
tab 500mg
generik
11.1.4B
5 Gliklasid
Nama Dagang
Eraphage
guardian
11.1.5
tab 80mg
generik
11.2.1
inj 100iu/ml @10ml
Actrapid
Novo
11.2.1A
tab 5mg
Regumen
Caprifarmindo
Norelut N
dexa
Preabor
Caprifarmindo
Premastone
Kalbe
11.1.2 Antidiabetes, Parenteral

1 Isulin reguler
11.2 Hormon Kelamin dan obat yang
mepengaruhi Fertilitas
11.2.1 Progestrogen
1 Noretisteron
11.2.1B
2 Alil Esternol
11.2.2A
tab 5mg
11.2.2B
3 Ethinilestradiol
11.2.3
tab 50mcg
Lynoral
Schering
11.2.2.1A
tab 50mg
Blesifen
Caprifarmindo
Profertil
Kalbe
11.2.2 Clomiphen Sitrat

11.2.2.1B
20
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Microgynon ling-
Bayer-Schering
11.3 Kontraseptik
11.3.1 Oral
1 Levonogestrel,
ethinilestradiol,placebo
11.3.1A
tab 28
11.3.1B
karan biru
11.3.2 Injeksi
1 medroksiprogesteron
acetat
2 Medroksiprogesteron
acetat 50mg+10 estradiol-
11.3.2.1A
vial, 50mg/ml, 3mL
Depo progestin
Harsen
11.3.2.1B
vial, 150mg/ml, 1ml
Depo Neo
Triyasa nagamas
11.3.2.2A
vial, 0,5 ml
Cyclofem
Tunggal
11.3.2.2B
Idaman Abdi
cypionate
11.3.3 Intra Uterin
11.3.3
T-shaped dg copper wire
Nova-T CU
Bayer-Schering
dan silver core

11.4 Hormon Tiroid dan Antitiroid
1 Propiltiorasil
11.4.1
tab 100mg
generik
11.4.1A
inj 5mg/ml @1ml
11.4 Kortikosteroid
1 Deksametason
Kalmethasone
Kalbe
11.4.1B
Indexon
Interbat
11.4.1C
Cortidex
Sanbe
21
Harga
KLS
NAMA O BAT
kode obat
Nama Dagang
Pabrik
Kalmethasone
Kalbe
11.4.1E
scandexon
scan pasific
11.4.1F
carbidu
sampharindo
11.4.1D
2 Metil prednisolon

obat
11.4.2A
tab 0,5mg
tab 4mg
generik
11.4.2B
12
lameson
Lapi
Lapi
11.4.2C
inj 125mg/2ml
lameson
3 Prednison
11.4.3
tab 5mg
generik
4 Triamsinolon
11.4.4A
inj 10mg/ml
Falmicort
Dexa
11.4.4B
oral base, tube
Kenalog
Taisho
1 Atenolol
12.1.1
tab 100mg
generik
2 Diltiazem HCL
12.1.2A
tab 30mg
generik
12.1.2B
inj 5mg/ml
12.1.3A
tab 5mg
Kardiovaskuler, Obat
12.1 Antiangina
3 Isosorbit dinitrat
generik
12.1.3B
4 Nitrogliserin
12.1.3C
inj 10mg/10ml
12.1.4
inj 1mg/ml
Cedocard
Darya-Varya
Farsorbid
Fahrenheit
generik
22
Harga
KLS
NAMA O BAT
5 Propanolol
kode obat

obat
Nama Dagang
12.1.5
tab 10mg
1 Amiodaron HCT
12.2.1
tab 200mg dan inj
2 Kuinidin
12.2.2
tab 100mg
generik
3 Lisinopril
12.2.3
tab 10mg
Noperten
4 Propanolol
12.2.4
tab 10mg
generik
5 Trimetazidine diHCl
12.2.5
tab 35mg
6 Verapamil
12.2.6
tab 80mg
generik
12.3.1A
tab 5mg
generik
12.3.1B
tab 10mg
generik
Pabrik
generik
12.2 Antiaritmia
Tiaryt
Trizedon MR
Fahrenheit
Dexa
servier
12.3 Lain-lain
1 Amlodipin Besilat
12.3.1C
lapiten
Guardian
2 Losartan
12.3.2
tab 50mg
Angioten
Kalbe
3 Valsartan
12.3.3
tab 80mg
Valsartan-Ni
Dexa Medica
23
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
12.4 Antihipertensi
1 Bisoprolol
12.4.1
tab 5mg
generik
2 Captopril
12.4.2A
tab 25mg
generik
12.4.2B
tab 12,5mg
generik
3 Klonidin
12.4.3
tab 0,15mg
generik
4 Metildopa
12.4.4
tab salut 250mg
generik
5 Nifedipin
12.4.5A
tab 10mg
generik
12.4.5B
Nifedin
Sanbe
Pidofix
Lapi
12.6 Anticoagulan, antiplatelet

1 Clopidogrel
12.6.1A
tab 75mg
12.6.1B
generic
2 Cilostazol
12.6.2
tab 50mg
Pletaal
Otsuka
3 Streptokinase
12.6.3
inj 1.5 juta iu/vial
Streptase
Dexa
12.7.1
tab 400mg
Reotal SR
Kalbe
12.7 Trombolitik
1 Pentoksifilin
12.8 Gagal jantung, obat
24
Harga
KLS
NAMA O BAT
1 Digoksin
kode obat
12.8.1A

obat
tab 0,25mg
Pabrik
generik
12.8.1B
2 Furosemid
Nama Dagang
fargoxin
12.8.2A
tab 40mg
12.8.2B
inj 10mg/ml @2ml
1 Dopamin
12.9.1.1
inj 40mg/ml
2 Dobutamin
12.9.1.2
inj 250mg
3 Epineprin (adrenalin)
12.9.1.3
inj 0,1%
generik
4 Norepinefrin
12.9.1.4
inj 0,1%
generik
12.9.2.1
inj 50mg/ml
generik
12.10.1A
caps 300mg
generik
fahrenheit
generik
Lasix
Sanofiaventis
12.9 Syok, obat untuk

11.9.1 Syok kardiogenik
generik
Dobutamin
Combi
(noradrenalin)
11.9.2 Syok karena Anestesi
1 Ephedrin
12.10 Antihiperlipidemia
1 Gemfibrozil
12.10.1B
2 Simvastatin
12.10.2A
Lapibroz
tab 10mg
generik
25
Lapi
Harga
KLS
NAMA O BAT
kode obat

obat
12.10.2B
13
Nama Dagang
Pabrik
Cholestat
kalbe
Kulit, obat topikal untuk

13.1. Antibakteri
1 Framisetin
13.1
casa steril 1%
sofratulle
Sanovi
2 Natrium fusidat
13.2
cream 20mg/gr
Fuson
Pyridam
3 Perak sulfadiazin
13.3
cream 1%
Burnazin
Darya
4 Gentamisin sulfat
13.4A
cream 1mg/gr
generik
13.4B
sagestam
sanbe
13.4C
Genoint
erela
Genoint
erela
5 Gentian violet lar 1%
13.5
larutan 1%
6 neomycin sulfat +
13.6
cream
Ociderm-N
Pyridam
13.7
cream
Chloramphecort
KF
13.2.1
cream
Mycoderm
Otto
fluocinolon acetonide
7 Chloramphenicol+
hidrocortison
13.2 Antifungi
1 Ketokonazol
26
Harga
KLS
NAMA O BAT
2 Miconazol
kode obat
13.2.2A

obat
cream 2%
Pabrik
generik
13.2.2B
dactarin powder
3 Nystatin,zinc oxide
13.2.3
cream
4 Gentian
13.2.4
larutan 1%
13.4.1A
cream
Violet
Nama Dagang
Myco-z
taisho
Betason cream
KF
Benoson
Berno
13.4 Antiinflamasi dan Antipruritik

1 Betametason
13.4.1B
13.4.1C
cream + neomycin
Benoson N
Berno
13.4.1D
cream + miconazole
Benoson M
Berno
2 Clobetasol
13.4.2
cream 0,05%
Kloderma
SDM
3 Desoksimetason
13.4.3
cream 0,25%
Pyderma
Pyridam
4 Hidrokortison
13.4.4
cream 2,5%
generik
5 Triamsinolon
13.4.5
cream oral base
Kanalog
Taiso
13.5
cream
Scabicid
KF
13.5 Antiskabies dan antipedikulosis

1 Lindane 1%,
ursic acid 1%
27
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Moistderm
interbat
Bioplacenton
Kalbe
Bismecon
Mecosin
Bionect
Combiphar
Lanakeloid
Landson
Albothyl
Pharos
Meibo
Combi
13.6 Keratolitik dan keratoplastik

1 Urea
13.6.1
cream 20%
13.7A
gel 10gr
13.7 Extrac placenta

13.7B
13.8 Hyaluronic acid
13.8
cream 15gr
13.9 Lain-lain
1 Centella asiatica phytosom
13.9.1
& vit E
2 Asam sulfonat+
cream
13.9.2
solution 10ml
13.9.3
cream
14.1
larutan 1L
formaldehid
3 Herbal ointment
14
Larutan irigasi
water for irigation
15
otsuka
Larutan Elektrolit,Nutrisi dan lain-lain

15.1 Oral
1 Garam oralit
15.1.1A
Pedyalite
Abbot
15.1.1B
Renalyte
fahrenheit
28
Harga
KLS
NAMA O BAT
kode obat

obat
15.1.1C
2 Kalium klorida
Nama Dagang
Pabrik
Oralyte
15.1.2A
tab siap larut 600mg
KSR
Merck
15.1.2B
syr. Larutan 3%, 100mL
KCl 3%
15.1.3A
tab 500mg
generik
15.1.3B
inf. 25 Meq, 25mL
Meylon
Otsuka
15.2.1A
lar infus 6%, botol 500ml
Wida HES 130
Widatra
15.2.1B
Wida HES 200
Widatra
15.2.1C
Tetra HES 130
Claris
15.2 Parenteral
1 Plasme expander
(HES)
2 Glukosa
15.2.2A
D 5%
otsu, widatra
15.2.2B
D 10%
otsu,widatra
15.2.2C
D 40%
Otsu
3 Kalsium glukonat
15.2.3
inj 10% @10ml
Ca Gluconat
Ethica
4 Kalium Klorida
15.2.4
inj 25ml/vial
KCl 7,46%
Otsu
5 Human Albumin
15.2.5
lar infus 20 % @50ml
Octalbin
Kalbe
(tidak stock)
6 Lar. Nutrisi DOEN IV kombinasi:
29
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Wida D5 1/2 NS
Widatra
Wida D5 1/4 NS
Widatra
Meylon
Otsu
15.2.9A
Wida NS
Widatra
15.2.9B
Otsu NS
Otsu
lar.inf 100ml
15.2.9C
Otsu NS pegy
Otsu
10 Ringer laktat
15.2.10
RL
Widatra
Dextrose 5% + NaCl 0,9%
15.2.11A
D5 NS
Otsu
-lar infs btl 500ml
15.2.11B
Infusan RD5%
Widatra
15.2.12
Otsu D10 1/5 NS
Otsu
Glukose 5%. + NaCl 0,45%

-lar infs btl 500ml
15.2.6
7 Lar. Nutrisi DOEN VI kombinasi :

Glukose 5% + NaCl 0,225%
15.2.7
-lar infs btl 500ml
15.2.8
lar inf 25Meq, 25mL
9 Natrium klorida 0,9%

lar inf. 500ml
11 kombinasi:
12 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
13 kombinasi :
30
Harga
KLS
NAMA O BAT
NaCl 2,34gr
kode obat

obat
Nama Dagang
Pabrik
15.2.13
KA EN 3A
Otsu
15.2.14
KA EN 3B
Otsu
15.2.15
KA EN 1B
Otsu
15.2.16
Wida 1/2 DaD
Widatra
KCl 0.75gr
Na Lactate 2,24gr
Dextrose anhydrat 27gr
-lar infs btl 500ml
14 kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
15 kombinasi :
dextrose anhydrat 37,5 g
NaCl 2,25 g
-lar infs btl 500ml
16 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
KCl 0,65 g
Na Lactat 1,55 g
17 kombinasi :
31
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
15.2.17
Kalbamin
Kalbe
15.2.18
Pan Amin G
Otsu
15.2.19
KA EN MG3
otsu
15.3.1
Water For Injc
Otsu
Amino Acids 100mg

Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
18 kombinasi :
Asam Amino 2,72%
Sorbitol 15%
-lar infs btl 500ml
19 Kombinasi :
Dextrose Anhydrose 100gr
Sodium Chlorid 1,75gr
Potasium Chloride 1,50gr
Sodium lactat 2,24gr
-lar infs btl 500ml
15.3 Lain-lain
1
16
Air untuk injeksi
Mata, obat untuk

16.1 Sistemik
32
Harga
KLS
NAMA O BAT
1 Manitol
kode obat

obat
Nama Dagang
Pabrik
Manitol
Kalbe
16.1.1
16.2.1.1
tetes mata 0,5%
Pantocain
cendo
16.2.2.1A
tetes mata 0,3%
Gent oint
erela
16.2.2.1B
salep mata 0,3%
Gent oint
erela
16.2.2.2
salep mata 1%
erlamicetin
erela
16.2.3.1
tetes mata
Harga
16.2 Topikal
16.2.1 Anestetik Lokal
1 Tetrakain
16.2.2 Antimikroba
1 Gentamisin
2 Kloramfenikol
16.2.3 Anti inflamasi
1 Kombinasi :
Polimiksina sulfat 6.000 IU
Statrol
Neomisin Sulfat 3,5mg

Deksametason Na Fosfat 1,3mg
-tts mata btl 5ml
2 Kombinasi :
tetes mata
16.2.3.2A
Alletrol
Erela
Neomisin sulfat 3,5mg
16.2.3.2B
Oregan
GMP
Deksametason Na fosfat 1mg
16.2.3.2C
Xitrol
Cendo
-tts mata btl 5ml
33
Cendo
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Vasacon-A
Cendo
16.2.4 lain-lain
1 Antazolin phospat,
16.2.4.1
tetes mata
17.1.1A
table salut 0,125mg
hypomeloza
17
Oksitosik dan relaksan uterus

17.1 Oksitosik
1 Metilergometrin
tablet 0,125
17.1.1B
generik
Pospargin
Kalbe
17.1.1C
inj 0,200mg/ml
Methergin
Novartis
2 Oksitosin
17.1.2
inj 10 IU/ml
Syntocinon
Novartis
3 Mesoprostol
17.1.3
tab 200mg
Cytotec
Pharmacia
17.2.1A
inj 20% @25ml
Mg SO4 20%
Otsu
17.2.1B
inj 40% @25ml
Mg SO4 40%
Otsu
17.2.2A
tabl 20mg
Duvadilan
Solvay farma
17.2.2B
inj. 5mg/ml @2ml
Duvadilan
Solvay farma
17.2 Relaksan Uterus

1 Magnesium sulfat
2 Isoksuprin HCL
18
Psikofarmaka
18.1 Antiansietas dan Antiinsomnia
1 Alprazolam
18.1.1A
tab 0,25 mg
Alganax
Guardian
18.1.1B
tab 0,5mg
Alganax
Guardian
34
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
2 Clobazam
18.1.2
tab 10mg
generik
3 Diazepam
18.1.3A
tab 2mg
Valisanbe
sanbe
18.1.3B
tab 5mg
valisanbe
sanbe
18.1.3C
Supp 5mg/2,5ml
Stesolid
Actavis
18.1.4A
tab 30 mg
generik
18.1.4B
inj
Phental iv
4 phenobarbital
Combi
18.2. Antidepresi dan Antimania

1 Amitriptilin
18.2.1
Tab 25 mg
generik
2 Klorpromazin HCL
18.2.2
tab 100mg
Cepezet
Mersi
18.3 Antipsikosis
19
1 Halloperidol
18.3.1
tab 25mg
generik
2 Klorpromazin
18.3.2
tab salut 100mg
cepezet
Mersi
Saluran Cerna, Obat untuk

19.1 Antasida dan Antiulkus
1 Antasida DOEN I kombinasi :
19.1.1
tab
generik
Al(OH)3 200mg + Mg (OH)2 200mg
Sanmag (+dzp 2mg)

Magtral
35
Sanbe
Harga
KLS
NAMA O BAT
2 Antasida DOEN II susp, kombinasi :
kode obat

obat
Nama Dagang
Pabrik
Stomacain
Combiphar
Mylacid
Emba
Bufantacyd
Bufa
19.1.2
Al (OH)3 200mg/5ml + Mg (OH)2

200mg/5ml
(+cimeticon)
Carsida
3 Famotidin
19.1.3
tab 20mg
generik
4 Lanzoprazol
19.1.4
caps 30mg
generik
5 Omeprazol
19.1.5A
caps 20mg
generik
19.1.5B
inj.
19.1.6A
tab 150mg
6 Ranitidin
OMZ
7 Simetidin
8 Sulkrafat
Ferron
generik
19.1.6B
19.1.6C
Sampharindo
Acran
inj 25mg/2ml
sanbe
generik
19.1.6D
Indoran
Indofarma
19.1.6E
Acran
sanbe
19.1.7A
tab 200mg
generik
19.1.7B
inj. 200mg,amp
Ulsikur
Hexapharma
19.1.8A
tab 500mg
Ulsafate
Combiphar
36
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
19.1.8B
syr 100ml
Propepsa
Gracia
19.1.9
tab
Srocain-P
Eisai
1 Pankreatin,diastease
19.2.1
kap
lybrozim
2 kombinasi : pankreatin
19.2.2
kap
lybrozim plus
19.2.3
kaplet
Tripanzym
19.3.1
tab 6mg
9 Polymigel
19.2 Enzim
diastase, cimetikon
3 Pankreatin,activated
Sanbe
dimetilpolisiloxan
19.3 Antiemetik
1 Betahistin mesilat
2 Dimenhidrinat
19.3.2A
tab 50mg
19.3.3A
tab 2mg
19.3.3B
4 Metoklopramid
19.3.4A
Dexa
Merislon
Mersi
generik
19.3.2B
3 Loperamid
Mertigo
tab 5mg
37
Mantino
samparindo
lopamid
Harsen
Lodia
Sanbe
Nilatika
sampharindo
Harga
KLS
NAMA O BAT
kode obat

obat
19.3.4B
19.3.4C
inj 5mg/ml
19.3.4D
5 Ondansetron
6 Domperidon
19.3.5A
Pabrik
Damaben
Capri
Tomit
interbat
Damaben
Capri
generik
19.3.5B
ODR
Lapi
19.3.5C
Insetron
Indofarma
Dexamedika
19.3.5D
tab 4mg
vometraz
19.3.6A
tab 1mg
generik
19.3.6B
Dom
Lapi
19.3.6C
Omedon
Mutifa
Dom
Lapi
19.3.6E
Omedon
mutifa
19.3.6F
generik
19.3.6D
7 Chlordiazepoxid 5mg+
inj 4mg/2ml
Nama Dagang
syr 5mg/5ml
19.3.7
tab
Braxidin
Sanbe
8 Pantoprazol inj
19.3.8
inj 40mg
Topazole
Lapi
9 Pyratiazine chloroteo-
19.3.9
tablet
Anvomer B6
Dexamedika
19.3.1
kapsul 100mg
Lanaven
Lansond
dclonidium 2,5mg
phylinate 40mg+B6 30mg

19.3 Antihemoroid
1 Kombinasi :
38
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Soybean purified extract

2 Antihemoroid kombinasi :
19.3.2
bismutsubgalat150mg
Supp
generik
heksaklorofen
3 Lidocain HCl +Al subacetat
19.3.3
hidrocortison acetat,
ointmen
Haemocain
Gelenium
Borraginol S
Takeda
Atropin
Ethica
Zinc oxide
4 Lithospermi radix, prednisolon,
19.3.4
lidocain,benzocain,cetrimide
ointmen
19.4 Antispasmodik
1 Atropin Sulfat
19.4.1
inj. 0,25mg/ml @iml
2 Hyoscine-N-butil bromide
19.4.2A
tab. 10mg
Spasminal (+methampiron)
3 Papaverin
Buscopan
Boehringer
Gitas
Interbat
19.4.2B
inj 20mg/mL
19.4.3.A
tab 40mg
generik
19.4.3B
inj im 40mg/ml
generik
39
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Oralit
OGB
19.5 Diare, obat untuk

1 Garam oralit I komb :
NaCl 0,7gr + KCl 0,3gr +
19.5.1
trinatrium sitrat dihidrat 0,58gr +

glukosa anhidrat 4gr
2 Kombinasi :
19.5.2A
tab
Corosorb
Coronetcrown
Kaolin 550mg +
19.5.2B
susp
Novadiar
Corsa
pectin 200mg
19.5.2C
3 Lactobacillus
19.5.3A
Omegdiar
serbuk
19.5.3B
19.5.3C
Cap
19.5.3D
4 Zinc
L-bio
Lapi
Lacto B
pharos
Lacidofil
Dexa
Lacbon
Pharmasolindo
19.5.4A
serbuk/sachet
Orezinc
19.5.4B
tablet
Zincare
Kalbe
19.6.1A
supp 5mg
Dulcolax Paed
Boehringer
19.6.1B
supp 10mg
Dulcolax Paed
Boehringer
19.6.1C
tab 5mg
Dulcolax Paed
Boehringer
19.6 Kataritik
1 Bisakodil
40
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Laxadine
Gelenium
fleet enema
combiphar
Lactulax
Ikapharmindo
Fleet Fosfosoda
Combi
Sulcolon
Bernofarm
Kalkurenal
darya faia
Batugin elixir
KF
2 Gliserin
Kombinasi :
19.6.2A
susp botol 60ml
Parafin + Glicerin +
19.6.2B
cairan supp.
3 Lactulosa
19.6.3
syr
4 Fosfosoda
19.6.4
susp
19.7.1
tablet 500mg
fenolftalen
19.7 Antiinflamasi, obat untuk

1 Sulfasalazin
20
Saluran Kencing dan Prostat, obat yang mempengaruhi

20.1
Saluran kencing
20.1A
tetes
20.1B
20.2
20.1C
Caps
20.2.1
Kap 650mg
20.2.2
Tab
Nefrolit
Renal insufisiensi
1 ketoisoleusin, L-hitidin
Tonar
Sandoz
Prorenal
Novell
L-tyrosin,L-lysin,dst
2 valeric acid, butiric acid,
lycin monoacetat, tryptopan,
tyrosin, histidin
41
Harga
KLS
NAMA O BAT
20.3

obat
Nama Dagang
Pabrik
Prostat (anti BPH)

1 Finasteride
21
kode obat
20.3.1
tab 5mg
Prostide
Pharos
21.1.1A
tablet 200mg
generik
KF
21.1.1B
inj. 24mg/ml @10ml
generik
KF
21.1.2A
tab 0,5mg
scandexon
Scanpasific
carbidu
Sampharindo
Indexon
Interbat
21.1.2D
Kalmetason
Kalbe
21.1.2E
Cortidex
Sanbe
Saluran napas, Obat untuk

21.1 Antiasma
1 Aminofilin
2 Deksametason
21.1.2B
21.1.2C
inj. 5mg/ml
3 Efedrin
21.1.3
tab 0,5mg
generik
4 Epinefrin (adrenalin)
21.1.4
inj 0,1%
generik
5 Fluticason propionat
21.1.5
nebules 0,5mg/2,5ml
Flixotide
6 Salbutamol
21.1.6A
tab 2mg
generik
21.1.6B
21.1.6C
syr 2mg/5ml
42
Glaxo
Ventolin
Glaxo
Lasal
Lapi
Harga
KLS
NAMA O BAT
kode obat
21.1.6D

obat
syrup per 5ml :
Nama Dagang
Pabrik
Lasal expectoran
Lapi
salbutamol 2mg+Gg 75mg
21.2.6E
inh.(aerosol) 100mcg/dosis
Ventolin
Glaxo
21.2.6F
nebules 2,5mg
Ventolin
Glaxo
21.2.7
nebules 2,5ml
combiven
Boehringer
8 Terbutalin sulfat
21.2.8
inj. 0,5mg/ml
bricasma
astra zeneca
9 Teofilin
21.2.9
tab 150 mg
generik
21.2.1A
tab 15mg
generik
7 kombinasi salbutamol
dan ipratropium Br
21.2 Antitusif
1 Dekstrometorfan
21.2.1B
2 Dextrometorfan 10mg +
21.2.2
syr per 5ml @ 60ml
pseudoefedrin 30mg +
bromfeniramin maleat2mg
43
Romiler
Behringer
Alco plusDMP syr
Interbat
Harga
KLS
NAMA O BAT
3 kombinasi :
kode obat

obat
Nama Dagang
Pabrik
21.2.3
syr 60ml
Guamin
4 Kodein
21.2.4
Tab 20 mg
kF
5 Doveri
21.2.5
Tablet
KF
21.3.1A
Tab 30mg
prometazin, Gg
21.3 Ekspektoran
1 Ambroxol
Mirapect
21.3.1B
2 Bromheksin
Sampharindo
generik
21.3.2A
Syr 4mg/5ml
Bisolvon elixir
Boehringer
21.3.2B
inj. 4mg/2ml
Bisolvon
Boehringer
21.3.2C
Syr /5ml ,@60mL
Bisolvon extra
Boehringer
3 Gliseril guaiakolat
21.3.3
Tab 100mg
4 Obat batuk hitam (OBH)
21.3.4
syr botol 100 ml
Paracet,Gg,efedrin
21.3.5A
Tab.
chlorfeniramin
21.3.5B
Bromheksin 4mg+
Guafenesin 100mg
generik
5 Kombinasi :
21.3.5C
Syr 60ml
44
coparcetin
sampharindo
Hufagrip forte
hufa
coparcetin
sampharindo
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Tab
Demacolin
coronetcrown
Kap
Dextral
Molex
Dextral forte
Molex
6 Kombinasi
Paraset, pseudoefedrin,
21.3.6
chlorfeniramin,cafein
7 kombinasi :
21.3.7
DMP,GG,PPA,
chlorpheniramin
8 Kombinasi :
DMP,GG,Diphenhidramin
21.3.8
Kap
grantusif
grahafarma
21.3.9
Syr 60 ml
Miradryl
Sampharindo
21.3.10
Syr. 60ml
Coredryl
GMP
ipekak,guefenesin
21.3.11
Syr 60ml
Miradryl
sampharindo
12 oxomemezin +Gg
21.3.12
syr 60ml
oxopect syr
mahakam
13 Kombinasi :
21.3.13
drops per ml, @ 15ml
Nipe drop
Transfarma
9 kombinasi :
diphenhidramin,
amonium Cl, Na sitrat
10 kombinasi :
diphen, Gg, mentol
11 Kombinasi:
45
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
acetaminofen 120,
Pabrik
Medika indah
fenilefrin HCl 1mg,

isothipendil HCl 1mg
21.4
Decongestan dan anti rinitis

1 Fluticason furoat
21.4.1
Nasal spray 27,5mcg/spray
Avamys
Glaxo
2 pseudoefedrin 60mg +
21.4.2A
Tab
Valved
GMP
tremenza
sanbe
Valved
GMP
Rhinos Junior
Dexa
tripolidin 2,5mg
21.4.2B
syr per 5ml:
21.4.2C
pseudoefedrin 30mg
tripolidin 1,25mg
3 Pseudoefedrin 15mg+
clorfeniramin maleat 1mg
21.4.3A
syr per 5ml
21.4.3B
drop 7,5mg/0,8ml
Rhinos Neo
Dexa
21.4.4
Tab
Rhinos SR
Dexa
22.1.1
inj im/iv 5ml
loratadin 5mg
22
Sistem Imun, Obat yang

Mempengaruhi
22.1 Serum dan Imunoglobin
1 Serum anti bisa ular
Biofarma
46
Harga
KLS
NAMA O BAT
kode obat
2 Serum antitetanus (A.T.S)
22.1.2
3 Imunoglubin Anti Tetanus (Human
22.1.3
Tetanus Imunoglobin)

obat
Nama Dagang
Pabrik
inj 1500 IU
ATS
Biofarma
inj. 250 IU
Tetagam P
Dexa
Otopain
Interbat
22.2 Vaksin
1 Vaksin B.C.G
22.2.1
serb inj +pelarut 2 ml
2 Vaksin campak
22.2.2
serbuk inj +pelarut 5ml
3 Vaksin polio
22.2.3
tetes
4 Vaksin jerap difteri tatanus
22.2.4
inj 5ml
22.2.5
inj 5ml
23.1.1
tetes telinga
pertusis (DPT)
5 Vaksin jerap tetanus (tetanus
adsorbed toxoid)
23
Telinga, Hidung dan Tenggorokan

23.1 Antibakteri
1 Kombinasi :
Polimiksin BSO4 10.000 IU
Neomisina SO4 3,75mg
47
Harga
KLS
NAMA O BAT
kode obat

obat
Nama Dagang
Pabrik
Lidokain HCl 40mg

Fludrokkortison Asetat 1mg
- btl 10ml
23.2 Lain -Lain
24
23.2.1
tetes telinga
waxol
Alpharma
2 Oksimetazolin
23.2.2
tetes hidung
Illiadin kinder
Merck
1 Asam Folat
24.1
tab 1mg
Folacom
Combi
2 Calcitriol
24.2
Tab 0,25mcg
Osteofem
Kalbe
3 Calsium lactat
24.3A
Kap
Caltron
Pyridam
24.3.B
Kalk
KF
24.3C
Calsifar
Ifars
Vitamin dan Mineral
4 Ca laktat,Ca phospat,
24.4A
Kap
Elkana
Sanbe
24.4B
Syr
Elkana
Sanbe
5 Ca glukonas
24.5
inj 100mg/ml
Ca glukonat
Ethica
6 Vitamin A
24.6A
sugar coated 6000IU
generik
KF
24.6B
sugar coated 20000IU
generik
KF
vit C, vit D
48
Harga
KLS
NAMA O BAT
7 Vit B kompleks
kode obat

obat
24..6C
inj. Im. Amp
24.7A
Tab
generik
Takeda
24.7B
Neurosanbe
sanbe
24.7C
neurobion 5000
merc
24.7D
neurodex
24.7E
sakaneuron
tab, kaleng
generik
24.7G
tab, + methampiron
neuromec
Sampharindo
24.7H
inj. Amp
Alinamin F
Takeda
24.7I
Neurosanbe
sanbe
24.7J
neurobion 5000
merc
inj im, vial
generik
Neurotropic
24.8A
Tab, kaleng
generik
24.8B
inj. Amp
generik
24.9
Tab, kaleng
Liconam
24.10A
tab, kaleng
generik
24.10B
inj, amp 200mg
generik
10 Vitamin C dan kombinasi

- Vit C
akafarma
24.7F
24.7L
9 Vitamin B6
Pabrik
Alinamin F
24.7K
8 Vitamin B1
Nama Dagang
49
Harga
KLS
NAMA O BAT
- B1,B2,B6,B12,vit C500mg
kode obat

obat
Nama Dagang
Pabrik
24.10C
kaps
Becom C
Sanbe
24.10D
kaps
Becom Zet
Sanbe
Ca pantotenat 20mg
- vit C 750mg,vit E30iu, B1,
B2,B6,B12, as folat,Zn, niacin
11 Vitamin D +calsium
24.11
Kap
Calsic-D
Sampharindo
12 Vitamin E dan Kombinasi
24.12A
Kapl 100 IU
Santa E
Sanbe
Original E
Capri
24.12B
13 Vitamin K
14 Vitamin Ibu Hamil dan Menyusui
24.13A
tab salut gula 10mg
generik
KF
24.13B
inj 10mg/ml
Neo K
Combi
Formom
Pyridam
Lycalvit
Interbat
24.14C
Etabion
Errita
24.14D
Elkana
sanbe
24.14E
Caviplex
erela
24.14F
Prolacta mother
novell
24.14G
Moloco B-12
darya faria
Osteor plus
pyridam
Cartos
pryridam
24.14A
24.14B
15 Glukosamine dan
Kap.
24.15A
Kaplet
24.15B
Efferfescen
50
Harga
KLS
NAMA O BAT
16 Multivitamin Anak
kode obat

obat
Nama Dagang
Pabrik
Apyalis
Lapi
24.16B
Vitacur
lapi
24.16C
Asedas
Pyridam
24.16D
Hufavit kalk
Hufa
24.16E
Elkana
Sanbe
24.16A
syr
24.16F
Drop
Apyalis
Lapi
24.17
inj, vial
Cernevit
Kalbe
1 Astaxantin
25.1
caps
Axanthin
Ethica
2 Echinacea, Zn,Se,vit c
25.2A
kap
Imunos
lapi
25.2B
syr
Stimuno
Pyridam
3 Extrac curcuma
25.3
sugar coated tab
Curcuma
soho
4 Suplemen unt DHF
25.4A
sachet
Trolit
25.4B
caps
Psidii
Dexa
syrplus syr
Berno
17 Multivitamin inj
(vit A,B,C,D, lecitin)
25
Suplemen dan terapi Adjuvan lain
5 syr unt campuran puyer

26
25.5
Relaksan Otot Perifer dan

Penghabat Kolinesterase
51
Harga
KLS
NAMA O BAT
28.1 Penghambat Neuromuskuler
kode obat
Nama Dagang
Pabrik
inj amp 10mg/2,5ml
Notrixum
Novell
inj 2mg/ml, amp 2ml
Pavulon
Schering
Scholin
Transfarma
26.28.1
1 Athracurium besilat
2 Pancuronium Br

obat
26.28.2
3 Suksametonium
(suksinil kolin HCl)
26.28.3
injc 200mg/10ml vial
52
Harga
PERENCANAAN PENGADAAN OBAT FORMULARIUM

RSUD PROF DR SOEKANDAR KAB. MOJOKERTO
TAHUN 2009
NO
NAMA O BAT
Bentuk
Sediaan,kekuatan dan
kemasan
Nama Dagang

1.1 Analgesik Narkotika
1 Kodein
Tab 10mg, kaleng
generik
2 Fentanyl
Fentanyl
2 Morphin HCl
Tab, 10 mg
Inj. 10 mg/ml
MST
generik
3 Petidin
injc i.m/s.k/i.v
50mg/ml
1.2 Analgesik Non-Narkotik
(asetosal)
2 Asam mefenamat
Tab 100mg
Aspilet
Tab 500 mg
Mefinal
Cargesic
Opistan
Pondex
3 Ibuprofen
Tab 200mg
syr.100mg/5ml
Supp. 125 mg
generik
Proris
Proris
Proris
4 Kalium Diklofenac
tab 50mg,25mg
tab 50mg
Exaflam
X-flam
5 Ketoprofen
Supp 100mg
Tab 100mg
Kaltrofen
Pronalges
Kaltrofen
6 Ketorolac
inj. 30mg/ml
generik
trolac inj
7 Meloxicam
Tab 15mg
generik
osteloc
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
Tab 7,5 mg
generik
8 Metampiron
Tab 500mg
Antalgin
Analsik
(+Dzp 2mg)
9 Metamizole sodium
Tablet 500mg
Injc. 500mg/ml
@2ml
Antalgin
Norages
Novalgin
Tab 50mg
Tab 25 mg
gel
Voltadex
Renadinac
Scantaren
11 Paracetamol
Tab 500mg
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
12 Piroksikam
tab 20 mg
gel
generik
Pirofel
13 Tinoridine HCl
tab 50 mg
Nonflamin
14 Tramadol
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
generik
Patral
inj 15ml/vial
Xillomidon
tab 500mg
Amoxan
Zemoxil
Brodamox
6.2 Antibakteri
6.2.1 Beta Laktam

NO
NAMA O BAT
Bentuk
kemasan
dry syr 125mg/5ml
Nama Dagang
drops 100mg/ml
Amoxan
Zemoxil
Amoxan
serb inj 1000mg
Amoxan
2 Ampisilin
cap 500mg
serb inj 1000mg
Brodapen
Viccilin
serb inj 500+250mg
Pycin 750
4 Kombinasi Amoksisilin 500mg kap 500+125mg

dan clavulanat 125mg
5 Cefadroksil
co amoxiclav
clanexi
caps 500mg
Pyricef
generik
dry syr 125mg/5ml
Pyricef
generik
6 Sefaklor
caps 500mg
Capabiotik
7 Sefaleksin
caps 500mg
Cefabiotic
8 Sefiksim
caps 100mg
dry syr 100mg/5ml
9 Sefotaksim
serb inj 1gr
generik
Taxegram
lapixim
10 Seftazidim
serb inj 1gr
Yadim
11 Seftriakson
serb inj 1gr
generik
cephaflox
12 Sephalotin
serb inj 1gr
Moraxine
13 Meropenem
serb inj 1 gr
Meropex
generik

6.2.2.1 Tetrasiklin
Cefila
Cefila
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
1 Doksisiklin
caps 100mg
generik
doxacin
3 Tetrasiklin
caps 500mg
Suprabiotik
caps 250mg
susp 125mg/5ml
Lanacetin
coromycetin
caps 500mg
Promixin
Dexicol
Phenobiotic
Biothicol
1 Kloramfenikol
2 Tiamfenikol
dry syr 125mg/5ml

trimetoprim 80mg
2 sulfa 800mg+
trimetoprim 160mg
Tablet
Sanprima
miratrim
Tablet
Lapikot forte
Primadex forte
susp
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
caps 150mg & 300mg
caps 500mg
Sanprima
Primadex
Miratrim
generik
generik
erisanbe
erisanbe chewable
syr 200mg/5ml
generik
3 Spiramisin
tab 500mg
generik
varoc
4 Azytromicin
caps 500mg
zibramax
generik
NO
NAMA O BAT
Bentuk
kemasan
1 Gentamisin
inj 40mg/ml
Sagestam
6.2.2.6 Kuinolon
1 Levofloksasin
tab 500mg
Cravox
generik
generik
Cravox
2 Ofloksasin
tab 200&400mg
generik
3 Siprofloksasin
tab 500mg

1 Sulfasalazin
2 Metronidazol
3 Colistin sulfat
generik
Baquior forte
Lapiflox
generik
Lapiflox inf
tab 500mg
Sulcolon
tab 500mg
Metrolet
Trychodazole
syr 125mg/5ml
10
Nama Dagang
supp 500mg
Metrolet
promuba
Flagyl
ovul + nistatin 100000i
Vagistin
Trychodazole
generic
Tab 250000 iu
Colistine
tab 1mg
Folacom
8.1 Antianemi
1 Asam folat
2 Besi III sulfat (sulfas ferosus) tab salut 300mg
Natabion
NO
NAMA O BAT
Bentuk
kemasan
syr. 50mg/50ml, @150
3 Vit B1, B6, B12
tab
inj. Amp 3ml
8.2 Koagulasi, obat

yang mempengaruhi
1 Asam traneksamat
13
Nama Dagang
Artoferum
Maltofer
Neurobion 5000
Neurobat
Neurosanbe
Neurodex
Sakaneuron
Neurosanbe 5000
Neurobion 5000
inj 250mg/5ml
Kalnex
Transamin
tab 500mg
Transamin

inj 10mg/ml
3 Heparin Na
gel
4 Lidocain
inj 2%
generik
Neo K
Thrombopop Gel
Antithromb
generic
13.1. Antibakteri
1 Framisetin
casa steril 1%
sofratulle
2 Natrium fusidat
cream 20mg/gr
Fuson
3 Perak sulfadiazin
cream 1%
Burnazin
4 Gentamisin sulfat
cream 1mg/gr
generik
sagestam
Genoint
larutan 1%
Genoint
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
6 neomycin sulfat +
cream
Ociderm-N
7 Chloramphenicol+
hidrocortison
cream
Chloramphecort
cream
Mycoderm
13.2 Antifungi
1 Ketokonazol
2 Miconazol
cream 2%
cream
4 Gentian
larutan 1%
Violet

1 Betametason
cream
cream + neomycin
cream + miconazole
generik
dactarin powder
Myco-z
Betason cream
Benoson
Benoson N
Benoson M
2 Clobetasol
cream 0,05%
Kloderma
3 Desoksimetason
cream 0,25%
Pyderma
4 Hidrokortison
cream 2,5%
generik
5 Triamsinolon
cream oral base
Kanalog

1 Lindane 1%,
cream
ursic acid 1%
1 Urea
cream 20%
Scabicid
Moistderm

gel 10gr
cream 15gr
Bioplacenton
Bismecon
Bionect
NO
NAMA O BAT
13.9 Lain-lain
& vit E
Bentuk
kemasan
cream
2 Asam sulfonat+
formaldehid
solution 10ml
3 Herbal ointment
cream
15.2 Parenteral
1 Plasme expander
(HES)
Nama Dagang
Lanakeloid
Albothyl
Meibo
lar infus 6%, botol 500
Wida HES 130

Wida HES 200
Tetra HES 130
2 Glukosa

D 5%
D 10%
D 40%
3 Kalsium glukonat
inj 10% @10ml
4 Kalium Klorida
inj 25ml/vial
5 Human Albumin

(tidak stock)

-lar infs btl 500ml
-lar infs btl 500ml
lar inf. 500ml
lar.inf 100ml
12 Ringer laktat
13 kombinasi:
lar inf 25Meq, 25mL
Ca Gluconat
KCl 7,46%
Octalbin
Wida D5 1/2 NS
Wida D5 1/4 NS
Meylon
Wida NS
Otsu NS
Otsu NS pegy
RL
NO
NAMA O BAT

-lar infs btl 500ml
14 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
15 kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
-lar infs btl 500ml
16 kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
17 kombinasi :
NaCl 2,25 g
-lar infs btl 500ml
18 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
KCl 0,65 g
Na Lactat 1,55 g
19 kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
20 kombinasi :
Asam Amino 2,72%
Sorbitol 15%
Bentuk
kemasan
Nama Dagang
D5 NS
Infusan RD5%
Otsu D10 1/5 NS
KA EN 3A
KA EN 3B
KA EN 1B
Wida 1/2 DaD
Kalbamin
Pan Amin G
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
-lar infs btl 500ml
21 Kombinasi :
-lar infs btl 500ml
KA EN MG3
15.3 Lain-lain
1
Air untuk injeksi
23
Water For Injc

1 Antasida DOEN I kombinasi : tab

200mg/5ml
generik
Sanmag (+dzp 2mg)
Magtral
Stomacain
Mylacid
Bufantacyd
(+cimeticon)
Carsida
3 Famotidin
tab 20mg
generik
4 Lanzoprazol
caps 30mg
generik
5 Omeprazol
caps 20mg
inj.
generik
OMZ
6 Ranitidin
tab 150mg
inj 25mg/2ml
generik
Acran
generik
Indoran
Acran
tab 200mg
inj. 200mg,amp
generik
Ulsikur
7 Simetidin
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
8 Sulkrafat
tab 500mg
syr 100ml
Ulsafate
Propepsa
9 Polymigel
tab
Srocain-P
19.2 Enzim
kap
lybrozim
diastase, cimetikon
kap
lybrozim plus
dimetilpolisiloxan
kaplet
Tripanzym
19.3 Antiemetik
tab 6mg
Mertigo
Merislon
2 Dimenhidrinat
tab 50mg
generik
Mantino
3 Loperamid
tab 2mg
lopamid
Lodia
4 Metoklopramid
tab 5mg
Nilatika
Damaben
Tomit
Damaben
inj 5mg/ml
5 Ondansetron
inj 4mg/2ml
tab 4mg
6 Domperidon
tab 1mg
syr 5mg/5ml
generik
ODR
Insetron
vometraz
generik
Dom
Omedon
Dom
Omedon
generik
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
dclonidium 2,5mg
8 Pantoprazol inj
tab
Braxidin
inj 40mg
Topazole
9 Pyratiazine chloroteophylinate 40mg+B6 30mg
tablet
19.3 Antihemoroid
1 Kombinasi :
Anvomer B6
kapsul 100mg
Lanaven
bismutsubgalat150mg
heksaklorofen
Supp
generik

Zinc oxide
ointmen

19.4 Antispasmodik
1 Atropin Sulfat
ointmen
19.6 Kataritik
1 Bisaksupp 5mg
Borraginol S
inj. 0,25mg/ml @iml
Atropin
tab. 10mg
inj 20mg/mL
3 Papaverin
Haemocain
tab 40mg
inj im 40mg/ml
Buscopan
Gitas
generik
generik
Dulcolax Paed
Boehringer
supp 10mg
Dulcolax Paed
Boehringer
tab 5mg
Dulcolax Paed
Boehringer
2 Gliserin
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
Laxadine
fleet enema
Gelenium
combiphar
Lactulax
Ikapharmindo
Fleet Fosfosoda
Combi
Sulcolon
Bernofarm
Kombisusp botol 60ml

Parafcairan supp.
fenolftalen
3 Lactusyr
4 Fosf susp
1 Sulfatablet 500mg
20 Saluran Kencing dan Prostat, obat yang mempengaruhi

20.1 Saluran kencing
tetes
Caps
20.2
Renal insufisiensi
tyrosin, histidin
20.3
24
Kap 650mg
Kalkurenal
Batugin elixir
Nefrolit
Tonar
Tab
Prorenal
tab 5mg
Prostide
tab 1mg
Folacom
2 Calcitriol
Tab 0,25mcg
Osteofem
3 Calsium lactat
Kap
Caltron
Kalk
Calsifar
vit C, vit D
Kap
Syr
Elkana
Elkana
5 Ca glukonas
inj 100mg/ml
6 Vitamin A
sugar coated 6000IU

Prostat (anti BPH)

1 Finasteride
Vitamin dan Mineral

1 Asam Folat
Ca glukonat
generik
generik
NO
NAMA O BAT
Bentuk
kemasan
inj. Im. Amp

7 Vit B kompleks
Tab
tab, kaleng
tab, + methampiron
inj. Amp
inj im, vial
Nama Dagang
generik
Alinamin F
Neurosanbe
neurobion 5000
neurodex
sakaneuron
generik
neuromec
Alinamin F
Neurosanbe
neurobion 5000
generik
Neurotropic
8 Vitamin B1
Tab, kaleng
inj. Amp
generik
generik
9 Vitamin B6
Tab, kaleng
Liconam
tab, kaleng
inj, amp 200mg
generik
generik

- Vit C
kaps
Ca pantotenat 20mg
kaps
Kap
Kapl 100 IU
13 Vitamin K
tab salut gula 10mg

inj 10mg/ml

Kap.
Becom C
Becom Zet
Calsic-D
Santa E
Original E
generik
Neo K
Formom
Lycalvit
Etabion
Elkana
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
Caviplex
Prolacta mother
Moloco B-12
15 Glukosamine dan
Kaplet
Efferfescen
Osteor plus
Cartos
syr
Apyalis
Vitacur
Asedas
Hufavit kalk
Elkana
Apyalis
Drop
17 Multivitamin inj
inj, vial
Cernevit
caps
Axanthin
kap
syr
Imunos
Stimuno
2 Extrac curcuma
sugar coated tab
Curcuma
25 Suplemen dan terapi Adjuvan lain

1 Astaxantin
OBAT FORMULARIUM
R KAB. MOJOKERTO
09
Pabrik
5
KF
janssen-cilag
Mahakam
KF
KF
Medifarma
Sanbe
Sanprima
Otto
Dexa
Pharos
Pharos
Pharos
Guardian
Combiphar
Kalbe
pharos
kalbe
Berno
sanbe
Pabrik
Sanbe
Mepro
Sanovi-aventis
Dexamedika
Fahrenheit
Scanpasific
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
Sanbe
Takeda
mahakam
Dura
Sanbe
Zenith
Sampharindo
Pabrik
Sanbe
Zenith
Sanbe
Sanbe
Sampharindo
Meiji
Berno
sanbe
Piridam
Piridam
Yarindo
Berno
lapi
lapi
Sanbe
lapi
Yarindo
guardian
Yarindo
Berno
Pabrik
otto
Zenith
landsen
coronetcrown
Pyridam
Dexa
Berno
Sanbe
Sanbe
sampharindo
Lapi
Dexamedika
Sanbe
Dexamedica
Sampharindo
sanbe
sanbe
pyridam
guardian
Pabrik
Sanbe
Lapi
Lapi
sanbe
Lapi
Lapi
Berno
Harsen
Sanbe
Harsen
mepro
Sanovi
Combiphar
Sanbe
Actavis
combi
Pyridam
Pabrik
Combi
Merc
Interbat
Sanbe
dexamedika
sakafarma
Sanbe
merck
Kalbe
Otto/daichi
Otto/Daichi
Combi
tunggal idaman
Mecosin
Bernofafm
Sanovi
Pyridam
Darya
sanbe
erela
erela
Pabrik
Pyridam
KF
Otto
taisho
KF
Berno
Berno
Berno
SDM
Pyridam
Taiso
KF
interbat
Kalbe
Mecosin
Combiphar
Pabrik
Landson
Pharos
Combi
Widatra
Widatra
Claris
otsu, widatra
otsu,widatra
Otsu
Ethica
Otsu
Kalbe
Widatra
Widatra
Otsu
Widatra
Otsu
Otsu
Widatra
Pabrik
Otsu
Widatra
Otsu
Otsu
Otsu
Otsu
Widatra
Kalbe
Otsu
Pabrik
otsu
Otsu
Sanbe
Combiphar
Emba
Bufa
Sampharindo
Ferron
sanbe
Indofarma
sanbe
Hexapharma
Pabrik
Combiphar
Gracia
Eisai
Sanbe
Dexa
Mersi
samparindo
Harsen
Sanbe
sampharindo
Capri
interbat
Capri
Lapi
Indofarma
Dexamedika
Lapi
Mutifa
Lapi
mutifa
Pabrik
Sanbe
Lapi
Dexamedika
Lansond
Gelenium
Takeda
Ethica
Boehringer
Interbat
Pabrik
darya faia
KF
Sandoz
Novell
Pharos
Combi
Kalbe
Pyridam
KF
Ifars
Sanbe
Sanbe
Ethica
KF
KF
Pabrik
Takeda
sanbe
merc
akafarma
Sampharindo
Takeda
sanbe
merc
Sanbe
Sanbe
Sampharindo
Sanbe
Capri
KF
Combi
Pyridam
Interbat
Errita
sanbe
Pabrik
erela
novell
darya faria
pyridam
pryridam
Lapi
lapi
Pyridam
Hufa
Sanbe
Lapi
Kalbe
Ethica
lapi
Pyridam
soho

TAHUN 2009
NO
NAMA O BAT
1
1
2
Bentuk
kemasan
3
Nama Dagang
4

1 Kodein
Tab 10mg, kaleng
2 Fentanyl
inj. 50 mcg/ml @
2 Morphin HCl
Tab, 10 mg
Inj. 10 mg/ml
3 Petidin
injc i.m/s.k/i.v
50mg/ml

(asetosal)
2 Asam mefenamat
3 Ibuprofen
Tab 100mg
Tab 500 mg
Tab 200mg
syr.100mg/5ml
Supp. 125 mg
4 Kalium Diklofenac
tab 50mg,25mg
tab 50mg
5 Ketoprofen
Supp 100mg
Tab 100mg
6 Ketorolac
inj. 30mg/ml
7 Meloxicam
Tab 15mg
Tab 7,5 mg
8 Metampiron
Tab 500mg
NO
Bentuk
kemasan
NAMA O BAT
9 Metamizole sodium
Nama Dagang
Tablet 500mg
Injc. 500mg/ml
@2ml
Tab 50mg
Tab 25 mg
gel
11 Paracetamol
Tab 500mg
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
12 Piroksikam
tab 20 mg
gel
13 Tinoridine HCl
tab 50 mg
14 Tramadol
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
3
inj 15ml/vial
Antialergi dan obat untuk anafilaksis
Dexametasone
Kombinasi dengan
difenhidramin
inj 5mg/ml@1ml
Kalmethasone
Indexon
Cortidex
tab 0,5mg
Kalmethasone
Scandexon
Carbidu
Tab
Mexon
NO
NAMA O BAT
Bentuk
kemasan
Difenhidramin
Inj 10mg/ml
Inj 15mg/vial
generik
Duradryl
Inj 0,1%
Generik
Klorfeniramin
Tab 4mg
pehachlor
Pheniramine maleat
Tab 25mg
inj.50mg/2ml
Loratadine
tab 10mg
generik
clarihis
Ceterizin
tab 10mg
Zenris
generik
Tiriz
drops
8
Metil Prednisolon
tab 8mg
inj 125mg/ml
9
10
4
Nama Dagang
Ciproheptadin
kap 4mg
Mebhidroline Naphadisilat tab 50mg
avil
avil
generik
Lameson
Lameson
generik
Pronicy
interhistin
4.1
Khusus
1 Atropin
inj 0,25mg/ml
sulfas atropin
2 Kaksium glukonat
100mg/ml
Ca Gluconas
tab 500mg
inf fl. 25 Meq
generic
Meylon
4 Naloxone HCl
inj.0,4mg/ml
Nokoba
inj 0,5mg/ml
Prostigmin
inj 20%25ml
MgSo4 20%
inj 40%25ml
MgSo4 40%
inf fl. 25 Meq
Meylon
4.2 Umum
1 Magnesium sulfat
NO
NAMA O BAT
Nama Dagang
4 Naloxone HCl
inj.0,4mg/ml
Nokoba
inj 0,5mg/ml
Prostigmin
inj 20%25ml
MgSo4 20%
inj 40%25ml
MgSo4 40%
tab 125mg
susp 125mg/5ml
Pyrantin
Combantrin
4.2 Umum
1 Magnesium sulfat
Bentuk
kemasan
Antiinfeksi
6.1 Antelmintik
1 Pirantel
6.2 Antibakteri
6.2.1 Beta Laktam

tab 500mg
dry syr 125mg/5ml
Amoxan
Zemoxil
Brodamox
drops 100mg/ml
Amoxan
Zemoxil
Amoxan
serb inj 1000mg
Amoxan
2 Ampisilin
cap 500mg
serb inj 1000mg
Brodapen
Viccilin
serb inj 500+250mg
Pycin 750
4 Kombinasi Amoksisilin
500mg dan clavulanat
125mg
kap 500+125mg
5 Cefadroksil
caps 500mg
Pyricef
generik
dry syr 125mg/5ml
Pyricef
generik
co amoxiclav
clanexi
6 Sefaklor
caps 500mg
Capabiotik
7 Sefaleksin
caps 500mg
Cefabiotic
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
8 Sefiksim
caps 100mg
dry syr 100mg/5ml
9 Sefotaksim
serb inj 1gr
generik
Taxegram
lapixim
10 Seftazidim
serb inj 1gr
Yadim
11 Seftriakson
serb inj 1gr
generik
cephaflox
12 Sephalotin
serb inj 1gr
Moraxine
13 Meropenem
serb inj 1 gr
Meropex
generik
caps 100mg
generik
doxacin
caps 500mg
Suprabiotik
caps 250mg
susp 125mg/5ml
Lanacetin
coromycetin
caps 500mg
Promixin
Dexicol
Phenobiotic
Biothicol

6.2.2.1 Tetrasiklin
1 Doksisiklin
3 Tetrasiklin
1 Kloramfenikol
2 Tiamfenikol
dry syr 125mg/5ml

Tablet
trimetoprim 80mg
2 sulfa 800mg+
trimetoprim 160mg
Tablet
susp
Cefila
Cefila
Sanprima
miratrim
Lapikot forte
Primadex forte
Sanprima
Primadex
Miratrim
NO
NAMA O BAT
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
Bentuk
kemasan
Nama Dagang
caps 150mg & 300mg
generik
caps 500mg
generik
erisanbe
erisanbe chewable
syr 200mg/5ml
generik
3 Spiramisin
tab 500mg
generik
varoc
4 Azytromicin
caps 500mg
zibramax
generik
1 Gentamisin
inj 40mg/ml
Sagestam
6.2.2.6 Kuinolon
1 Levofloksasin
tab 500mg
Cravox
generik
generik
Cravox
2 Ofloksasin
tab 200&400mg
generik
3 Siprofloksasin
tab 500mg

1 Sulfasalazin
tab 500mg
2 Metronidazol
tab 500mg
syr 125mg/5ml
supp 500mg
generik
Baquior forte
Lapiflox
generik
Lapiflox inf
Sulcolon
Metrolet
Trychodazole
Metrolet
promuba
Flagyl
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
Vagistin
3 Colistin sulfat
8
Trychodazole
generic
Tab 250000 iu
Colistine
tab 1mg
Folacom
tab salut 300mg
Natabion
Artoferum
Maltofer
8.1 Antianemi
1 Asam folat
Besi III sulfat (sulfas
2 ferosus)
syr. 50mg/50ml, @150m
3 Vit B1, B6, B12
tab
inj. Amp 3ml
8.2 Koagulasi, obat

yang mempengaruhi
1 Asam traneksamat
13
Neurobion 5000
Neurobat
Neurosanbe
Neurodex
Sakaneuron
Neurosanbe 5000
Neurobion 5000
inj 250mg/5ml
Kalnex
Transamin
tab 500mg
Transamin

inj 10mg/ml
3 Heparin Na
gel
4 Lidocain
inj 2%
generik
Neo K
Thrombopop Gel
Antithromb
generic
13.1. Antibakteri
1 Framisetin
casa steril 1%
sofratulle
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
2 Natrium fusidat
cream 20mg/gr
3 Perak sulfadiazin
cream 1%
Burnazin
4 Gentamisin sulfat
cream 1mg/gr
generik
sagestam
Genoint
larutan 1%
6 neomycin sulfat +
cream
Ociderm-N
7 Chloramphenicol+
hidrocortison
cream
Chloramphecort
cream
Mycoderm
13.2 Antifungi
1 Ketokonazol
2 Miconazol
cream 2%
cream
4 Gentian
larutan 1%
Violet

1 Betametason
cream
cream + neomycin
cream + miconazole
Fuson
Genoint
generik
dactarin powder
Myco-z
Betason cream
Benoson
Benoson N
Benoson M
2 Clobetasol
cream 0,05%
Kloderma
3 Desoksimetason
cream 0,25%
Pyderma
4 Hidrokortison
cream 2,5%
generik
5 Triamsinolon
cream oral base
Kanalog

1 Lindane 1%,
cream
ursic acid 1%
Scabicid
NO
NAMA O BAT
Bentuk
kemasan

1 Urea
cream 20%
Nama Dagang
Moistderm

gel 10gr
cream 15gr
13.9 Lain-lain
& vit E
cream
14
15
Bioplacenton
Bismecon
Bionect
Lanakeloid
2 Asam sulfonat+
formaldehid
solution 10ml
Albothyl
3 Herbal ointment
cream
Meibo
Diuretik
Furosemida
tab 40mg
inj 10mg/ml
generik
Lasix
tab 25mg
generik

Kontraseptik
11.1 Antidiabetes
1 Glibenclamida
tab 5mg
2 Glimepiride
tab 2mg
3 Glikuidon
tab 30mg
4 Metformin
tab 500mg
6 Gliklasid
tab 80mg

1 Isulin reguler
inj 100iu/ml @10
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
11.2.1 Progestrogen
1 Noretisteron
tab 5mg
2 Alil Esternol
tab 5mg
3 Ethinilestradiol
tab 50mcg

tab 50mg
11.3 Kontraseptik
11.3.1 Oral
1 Levonogestrel,
tab 28
11.3.2 Injeksi
acetat
vial, 50mg/ml, 3
vial, 150mg/ml, 1
2 Medroksiprogesteron vial, 0,5 ml

acetat 50mg+10 estradiolcypionate
11.3.3 Intra Uterin
T-shaped dg copp
dan silver core

1 Propiltiorasil
tab 100mg
11.4 Kortikosteroid
1 Deksametason
inj 5mg/ml @1ml
tab 0,5mg
2 Metil prednisolon
tab 4mg
inj 125mg/2ml
NO
NAMA O BAT
11.3.3 Intra Uterin
Nama Dagang
3 Prednison
tab 5mg
4 Triamsinolon
inj 10mg/ml
oral base, tube
T-shaped dg copper wir

dan silver core
Nova-T CU
1 Propiltiorasil
tab 100mg
1 Deksametason
inj 5mg/ml @1ml
Kalmethasone
Indexon
Cortidex
tab 0,5mg
Kalmethasone
scandexon
carbidu
2 Metil prednisolon
16
Bentuk
kemasan
tab 4mg
generik
inj 125mg/2ml
generik
lameson
lameson
3 Prednison
tab 5mg
generik
4 Triamsinolon
inj 10mg/ml
oral base, tube
Falmicort
Kenalog
12.1 Antiangina
1 Atenolol
tab 100mg
2 Diltiazem HCL
tab 30mg
inj 5mg/ml
tab 5mg
inj 10mg/10ml
12.2 Antiaritmia
4 Nitrogliserin
inj 1mg/ml
5 Propanolol
tab 10mg
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
1 Amiodaron HCT
tab 200mg dan in
2 Kuinidin
tab 100mg
3 Lisinopril
tab 10mg
4 Propanolol
tab 10mg
tab 35mg
6 Verapamil
tab 80mg
1 Amlodipin Besilat
tab 5mg
tab 10mg
2 Losartan
tab 50mg
3 Valsartan
tab 80mg
1 Bisoprolol
tab 5mg
2 Captopril
tab 25mg
tab 12,5mg
3 Klonidin
tab 0,15mg
4 Metildopa
tab salut 250mg
5 Nifedipin
tab 10mg
12.3 Lain-lain
12.4 Antihipertensi

1 Clopidogrel
tab 75mg
2 Cilostazol
tab 50mg
3 Streptokinase
1 Pentoksifilin
tab 400mg
12.7 Trombolitik
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang

1 Digoksin
tab 0,25mg
2 Furosemid
tab 40mg
inj 10mg/ml @2m
1 Dopamin
inj 40mg/ml
2 Dobutamin
inj 250mg
inj 0,1%
4 Norepinefrin
(noradrenalin)
inj 0,1%


1 Ephedrin
inj 50mg/ml
1 Gemfibrozil
caps 300mg
3 Simvastatin
tab 10mg
1 Framisetin
casa steril 1%
2 Natrium fusidat
cream 20mg/gr
3 Perak sulfadiazin
cream 1%
4 Gentamisin sulfat
cream 1mg/gr
larutan 1%
6 neomycin sulfat +
cream

13.1. Antibakteri
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
7 Chloramphenicol+
hidrocortison
cream
1 Ketokonazol
cream
2 Miconazol
cream 2%
cream
4 Gentian
larutan 1%
13.2 Antifungi
Violet

1 Betametason
cream
cream + neomyci
cream + miconaz
2 Clobetasol
cream 0,05%
3 Desoksimetason
cream 0,25%
4 Hidrokortison
cream 2,5%
5 Triamsinolon
cream oral base

1 Lindane 1%,
ursic acid 1%
1 Urea
cream
cream 20%

gel 10gr
cream 15gr
13.9 Lain-lain
& vit E
cream
NO
19
Bentuk
kemasan
NAMA O BAT
Nama Dagang
2 Asam sulfonat+
formaldehid
solution 10ml
3 Herbal ointment
cream
15.1 Oral
1 Garam oralit
3 Kalium klorida
tab siap larut 60

syr. Larutan 3%,
tab 500mg
inf. 25 Meq, 25m
1 Plasme expander
(HES)
lar infus 6%, bot
2 Glukosa
lar infus 5%, bot

lar infus 10%, bo
lar infus 40%, bo
3 Kalsium glukonat
inj 10% @10ml
4 Kalium Klorida
inj 25ml/vial
5 Human Albumin
lar infus 20 % @
(tidak stock)
15.2 Parenteral

-lar infs btl 500ml
Glukose 5% + NaCl 0,
-lar infs btl 5
lar inf. 500ml
lar.inf 100ml
lar inf 25Meq, 2
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
12 Ringer laktat
13 kombinasi:
-lar infs btl 500ml
14 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
15 kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
-lar infs btl 500ml
16 kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
17 kombinasi :
NaCl 2,25 g
-lar infs btl 500ml
18 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
KCl 0,65 g
Na Lactat 1,55 g
19 kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
20 kombinasi :
NO
Bentuk
kemasan
NAMA O BAT
Nama Dagang
Asam Amino 2,72%

Sorbitol 15%
-lar infs btl 500ml
21 Kombinasi :
-lar infs btl 500ml
15.3 Lain-lain
1
23
Air untuk injeksi

1 Antasida DOEN I kombi tab

200mg/5ml
3 Famotidin
tab 20mg
4 Lanzoprazol
caps 30mg
5 Omeprazol
caps 20mg
inj.
6 Ranitidin
tab 150mg
inj 25mg/2ml
7 Simetidin
tab 200mg
inj. 200mg,amp
8 Sulkrafat
tab 500mg
Sanmag
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
syr 100ml
9 Polymigel
tab
kap
19.2 Enzim
2 kombinasi : pankreatin kap

diastase, cimetikon
dimetilpolisiloxan
kaplet
tab 6mg
2 Dimenhidrinat
tab 50mg
3 Loperamid
tab 2mg
4 Metoklopramid
tab 5mg
19.3 Antiemetik
inj 5mg/ml
5 Ondansetron
inj 4mg/2ml
tab 4mg
6 Domperidon
tab 1mg
syr 5mg/5ml
7 Chlordiazepoxid 5mg+ tab

dclonidium 2,5mg
8 Pantoprazol inj
inj 40mg
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
9 Pyratiazine chloroteo- tablet

phylinate 40mg+B6 30mg
19.3 Antihemoroid
1 Kombinasi :
kapsul 100mg
bismutsubgalat150mg Supp
heksaklorofen
hidrocortison acetat, ointmen
Zinc oxide
lidocain,benzocain,cetr
ointmen
19.4 Antispasmodik
1 Atropin Sulfat
inj. 0,25mg/ml @i
2 Hyoscine-N-butil bromi tab. 10mg
Spasminal (+
inj 20mg/mL
3 Papaverin
tab 40mg
inj im 40mg/ml

2 Kombinasi :
Kaolin 550mg +
pectin 200mg
tab
susp
3 Lactobacillus
serbuk
Cap
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
4 Zinc
serbuk/sachet
tablet
1 Bisakodil
supp 5mg
19.6 Kataritik
supp 10mg
tab 5mg
2 Gliserin
Kombinasi :
fenolftalen
susp botol 60ml

cairan supp.
3 Lactulosa
syr
4 Fosfosoda
susp

1 Sulfasalazin
21

21.1 Antiasma
1 Aminofilin
2 Deksametason
tablet 200mg
inj. 24mg/ml @10ml
tab 0,5mg
tablet 500mg
generik
generik
inj. 5mg/ml
scandexon
carbidu
Indexon
Kalmetason
Cortidex
3 Efedrin
tab 0,5mg
generik
inj 0,1%
generik
nebules 0,5mg/2,5ml
Flixotide
6 Salbutamol
tab 2mg
generik
Ventolin
syr 2mg/5ml
Lasal
NO
NAMA O BAT
Bentuk
kemasan
Nama Dagang
syrup per 5ml :

Lasal expectoran
inh.(aerosol) 100mcg/do
Ventolin
nebules 2,5mg
Ventolin
dan ipratropium Br
nebules 2,5ml
combiven
8 Terbutalin sulfat
inj. 0,5mg/ml
bricasma
9 Teofilin
tab 150 mg
generik
tab 15mg
generik
Romiler
21.2 Antitusif
1 Dekstrometorfan
2 Dextrometorfan 10mg + syr per 5ml @ 60ml

3 kombinasi :
prometazin, Gg
syr 60ml
4 Kodein
Tab 20 mg
5 Doveri
Tablet
21.3 Ekspektoran
1 Ambroxol
2 Bromheksin
Bromheksin 4mg+
Guafenesin 100mg
Tab 30mg
Alco plusDMP syr
Guamin
Mirapect
generik
Syr 4mg/5ml
inj. 4mg/2ml
Bisolvon elixir
Bisolvon
Syr /5ml ,@60mL
Bisolvon extra
Tab 100mg
syr botol 100 ml
generik
NO
NAMA O BAT
5 Kombinasi :
Paracet,Gg,efedrin
chlorfeniramin
Bentuk
kemasan
Tab.
Syr 60ml
coparcetin
Hufagrip forte
coparcetin
6 Kombinasi
Tab
Demacolin
7 kombinasi :
DMP,GG,PPA,
chlorpheniramin
Kap
Dextral
Dextral forte
Kap
grantusif
Syr 60 ml
Miradryl
10 kombinasi :
diphen, Gg, mentol
Syr. 60ml
Coredryl
11 Kombinasi:
ipekak,guefenesin
Syr 60ml
Miradryl
12 oxomemezin +Gg
syr 60ml
oxopect syr
13 Kombinasi :
acetaminofen 120,
fenilefrin HCl 1mg,
8 Kombinasi :
9 kombinasi :
diphenhidramin,
21.4
Nama Dagang

1 Fluticason furoat
Nasal spray 27,5mcg/sp
tripolidin 2,5mg
Tab
syr per 5ml:

pseudoefedrin 30mg
tripolidin 1,25mg
syr per 5ml

drop 7,5mg/0,8ml
Nipe drop
Avamys
Valved
tremenza
Valved
Rhinos Junior
Rhinos Neo
NO
NAMA O BAT
loratadin 5mg
Bentuk
kemasan
Tab
Nama Dagang
Rhinos SR
N OBAT FORMULARIUM
AR KAB. MOJOKERTO
2009
Pabrik
5
generik
KF
Fentanyl
janssen-cilag
MST
generik
Mahakam
KF
KF
Aspilet
Medifarma
Mefinal
Cargesic
Opistan
Pondex
Sanbe
Sanprima
Otto
Dexa
generik
Proris
Proris
Proris
Pharos
Pharos
Pharos
Exaflam
X-flam
Guardian
Combiphar
Kaltrofen
Pronalges
Kaltrofen
Kalbe
pharos
kalbe
generik
trolac inj
Berno
generik
osteloc
generik
Antalgin
sanbe
Pabrik
Analsik
(+Dzp 2mg)
Sanbe
Antalgin
Norages
Novalgin
Mepro
Sanovi-aventis
Voltadex
Renadinac
Scantaren
Dexamedika
Fahrenheit
Scanpasific
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
generik
Pirofel
Sanbe
Nonflamin
Takeda
generik
Patral
mahakam
Xillomidon
Dura
paracetamol 32,5mg
Hexapharma
Interbat
Sanbe
Hexapharma
Tempo
Sampharindo
sampharindo
Pabrik
Dura
sanofi
sanofi
lapi
Pyridam
Lapi
lapi
lapi
Kalbe
interbat
ethica
Ethica
Otsuka
Fahrenheit
Transfarma
Otsu
Otsu
Otsuka
Pabrik
Fahrenheit
Transfarma
Otsu
Otsu
Pfizer
Sanbe
Zenith
Sampharindo
Sanbe
Zenith
Sanbe
Sanbe
Sampharindo
Meiji
Berno
sanbe
Piridam
Piridam
Yarindo
Berno
Pabrik
lapi
lapi
Sanbe
lapi
Yarindo
guardian
Yarindo
Berno
otto
Zenith
landsen
coronetcrown
Pyridam
Dexa
Berno
Sanbe
Sanbe
sampharindo
Lapi
Dexamedika
Sanbe
Dexamedica
Sampharindo
Pabrik
sanbe
sanbe
pyridam
guardian
Sanbe
Lapi
Lapi
sanbe
Lapi
Lapi
Berno
Harsen
Sanbe
Harsen
mepro
Sanovi
Pabrik
Combiphar
Sanbe
Actavis
combi
Pyridam
Combi
Merc
Interbat
Sanbe
dexamedika
sakafarma
Sanbe
merck
Kalbe
Otto/daichi
Otto/Daichi
Combi
tunggal idaman
Mecosin
Bernofafm
Sanovi
Pabrik
Pyridam
Darya
sanbe
erela
erela
Pyridam
KF
Otto
taisho
KF
Berno
Berno
Berno
SDM
Pyridam
Taiso
KF
Pabrik
interbat
Kalbe
Mecosin
Combiphar
Landson
Pharos
Combi
Sanofiaventis
generik
Amaril
Gluvas
Sanofiaventis
Dexa
Glurenorm
generik
Boehringer
generik
Eraphage
guardian
generik
Actrapid
Novo
Pabrik
Regumen
Norelut N
Caprifarmindo
dexa
Preabor
Caprifarmindo
Premastone
Kalbe
Lynoral
Schering
Blesifen
Profertil
Caprifarmindo
Kalbe
Microgynon ling-Bayer-Schering
karan biru
Depo progestin
Harsen
Depo Neo Triyasa nagamas
Cyclofem
Tunggal
Idaman Abdi
Nova-T CU Bayer-Schering
generik
Kalmethasone
Indexon
Cortidex
Kalbe
Interbat
Sanbe
Kalmethasone
Kalbe
scandexon
scan pasific
carbidu
sampharindo
generik
lameson
lameson
Lapi
Lapi
Pabrik
generik
Falmicort
Kenalog
Dexa
Taisho
Bayer-Schering
Kalbe
Interbat
Sanbe
Kalbe
scan pasific
sampharindo
Lapi
Lapi
Dexa
Taisho
generik
generik
generik
Cedocard
Farsorbid
generik
generik
Darya-Varya
Fahrenheit
Pabrik
Tiaryt
Fahrenheit
generik
Noperten
Dexa
generik
Trizedon MR
servier
generik
generik
generik
lapiten
Guardian
Angioten
Kalbe
Valsartan-Ni Dexa Medica
generik
generik
generik
generik
generik
generik
Nifedin
Sanbe
Pidofix
generic
Lapi
Pletaal
Otsuka
Streptase
Dexa
Reotal SR
Kalbe
Pabrik
generik
fargoxin
fahrenheit
generik
Lasix
Sanofiaventis
generik
Dobutamin
Combi
generik
generik
generik
generik
Lapibroz
Lapi
generik
Cholestat
kalbe
sofratulle
Sanovi
Fuson
Pyridam
Burnazin
Darya
generik
sagestam
Genoint
sanbe
erela
Genoint
erela
Ociderm-N
Pyridam
Pabrik
Chloramphecort
KF
Mycoderm
Otto
generik
dactarin powder
Myco-z
taisho
Betason cream
Benoson
Benoson N
Benoson M
KF
Berno
Berno
Berno
Kloderma
SDM
Pyderma
Pyridam
generik
Kanalog
Taiso
Scabicid
KF
Moistderm
interbat
Bioplacenton
Bismecon
Kalbe
Mecosin
Bionect
Combiphar
Lanakeloid
Landson
Pabrik
Albothyl
Pharos
Meibo
Combi
Pedyalite
Renalyte
Oralyte
Abbot
fahrenheit
KSR
KCl 3%
Merck
generik
Meylon
Otsuka
Wida HES 130

Wida HES 200
Tetra HES 130
Widatra
Widatra
Claris
D 5%
D 10%
D 40%
otsu, widatra
otsu,widatra
Otsu
Ca Gluconat
Ethica
KCl 7,46%
Otsu
Octalbin
Kalbe
Wida D5 1/2 NS Widatra
Wida D5 1/4 NS
Widatra
Meylon
Otsu
Wida NS
Otsu NS
Otsu NS pegy
Widatra
Otsu
Otsu
Pabrik
RL
Widatra
D5 NS
Infusan RD5%
Otsu
Widatra
Otsu D10 1/5 NS
Otsu
KA EN 3A
Otsu
KA EN 3B
Otsu
KA EN 1B
Otsu
Wida 1/2 DaD
Widatra
Kalbamin
Kalbe
Pabrik
Pan Amin G
Otsu
KA EN MG3
otsu
Water For Injc
Otsu
generik
Sanmag (+dzp 2mg) Sanbe
Magtral
Stomacain
Combiphar
Mylacid
Emba
Bufantacyd
Bufa
(+cimeticon)
Carsida
Sampharindo
generik
generik
generik
OMZ
Ferron
generik
Acran
generik
Indoran
Acran
Indofarma
sanbe
generik
Ulsikur
Hexapharma
Ulsafate
Combiphar
sanbe
Pabrik
Propepsa
Gracia
Srocain-P
Eisai
lybrozim
lybrozim plus
Tripanzym
Sanbe
Mertigo
Merislon
Dexa
Mersi
generik
Mantino
samparindo
lopamid
Lodia
Harsen
Sanbe
Nilatika
Damaben
Tomit
Damaben
sampharindo
Capri
interbat
Capri
generik
ODR
Insetron
vometraz
Lapi
Indofarma
Dexamedika
generik
Dom
Omedon
Dom
Omedon
generik
Lapi
Mutifa
Lapi
mutifa
Braxidin
Sanbe
Topazole
Lapi
Pabrik
Anvomer B6
Dexamedika
Lanaven
Lansond
generik
Haemocain
Gelenium
Borraginol S
Takeda
Atropin
Ethica
Buscopan
Boehringer
Gitas
Interbat
generik
generik
Oralit
OGB
Corosorb
Novadiar
Omegdiar
Coronetcrown
Corsa
L-bio
Lacto B
Lacidofil
Lacbon
Lapi
pharos
Dexa
Pharmasolindo
Pabrik
Orezinc
Zincare
Kalbe
Dulcolax Paed Boehringer

Laxadine
fleet enema
Gelenium
combiphar
Lactulax
Ikapharmindo
Fleet Fosfosoda
Combi
Sulcolon
Bernofarm
KF
KF
Scanpasific
Sampharindo
Interbat
Kalbe
Sanbe
Glaxo
Glaxo
Lapi
Pabrik
Lapi
Glaxo
Glaxo
Boehringer
astra zeneca
Behringer
Interbat
kF
KF
Sampharindo
Boehringer
Boehringer
Boehringer
Pabrik
sampharindo
hufa
sampharindo
coronetcrown
Molex
Molex
grahafarma
Sampharindo
GMP
sampharindo
mahakam
Transfarma
Medika indah
Glaxo
GMP
sanbe
GMP
Dexa
Dexa
Pabrik
Dexa

TAHUN 2009
NO
1
1
NAMA O BAT
Bentuk Sediaan,kekuatan dan

kemasan
2

1 Kodein
Tab 10mg, kaleng
2 Fentanyl
2 Morphin HCl
Tab, 10 mg
Inj. 10 mg/ml
3 Petidin
injc i.m/s.k/i.v
50mg/ml

(asetosal)
2 Asam mefenamat
3 Ibuprofen
Tab 100mg
Tab 500 mg
Tab 200mg
syr.100mg/5ml
Supp. 125 mg
4 Kalium Diklofenac
tab 50mg,25mg
tab 50mg
5 Ketoprofen
Supp 100mg
Tab 100mg
6 Ketorolac
inj. 30mg/ml
NO
NAMA O BAT
7 Meloxicam

kemasan
Tab 15mg
Tab 7,5 mg
8 Metampiron
Tab 500mg
9 Metamizole sodium
Tablet 500mg
Injc. 500mg/ml
@2ml
Tab 50mg
Tab 25 mg
gel
11 Paracetamol
Tab 500mg
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
12 Piroksikam
tab 20 mg
gel
13 Tinoridine HCl
tab 50 mg
14 Tramadol
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
1.3 Antipirai
1 Allopurinol
inj 15ml/vial
Tab 100mg
NO
3

kemasan
NAMA O BAT
Dexametasone
inj 5mg/ml@1ml
tab 0,5mg
Kombinasi dengan
difenhidramin
Tab
Difenhidramin
Inj 10mg/ml
Inj 15mg/vial
Inj 0,1%
Klorfeniramin
Tab 4mg
Pheniramine maleat
Tab 25mg
inj.50mg/2ml
Loratadine
tab 10mg
Ceterizin
tab 10mg
drops
Metil Prednisolon
tab 8mg
inj 125mg/ml
9
10
5
Ciproheptadin
kap 4mg
tab 50mg
Carbamazepin
tab 200mg
Diazepam
rectal 5mg/2,5ml
NO
NAMA O BAT

kemasan
Fenitoin
inj 50mg/ml
cap 100mg
Fenobarbital
tab 30mg
inj 50mg
Gabapentin
cap 300mg
Antiinfeksi
6.1 Antelmintik
1 Pirantel
6.2 Antibakteri
6.2.1 Beta Laktam
tab 125mg
susp 125mg/5ml
tab 500mg
dry syr 125mg/5ml

drops 100mg/ml
serb inj 1000mg
2 Ampisilin
cap 500mg
serb inj 1000mg
serb inj 500+250mg
4 Kombinasi Amoksisilin 500mg

kap 500+125mg
5 Cefadroksil
caps 500mg
NO
NAMA O BAT

kemasan
dry syr 125mg/5ml
6 Sefaklor
caps 500mg
7 Sefaleksin
caps 500mg
8 Sefiksim
caps 100mg
dry syr 100mg/5ml
9 Sefotaksim
serb inj 1gr
10 Seftazidim
serb inj 1gr
11 Seftriakson
serb inj 1gr
12 Sephalotin
serb inj 1gr
13 Meropenem
serb inj 1 gr

6.2.2.1 Tetrasiklin
1 Doksisiklin
3 Tetrasiklin
1 Kloramfenikol
2 Tiamfenikol
caps 100mg
caps 500mg
caps 250mg
susp 125mg/5ml
caps 500mg
dry syr 125mg/5ml

Tablet
NO
NAMA O BAT

kemasan
trimetoprim 80mg
2 sulfa 800mg+
trimetoprim 160mg
Tablet
susp
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
caps 150mg & 300mg

caps 500mg
syr 200mg/5ml
3 Spiramisin
tab 500mg
4 Azytromicin
caps 500mg
1 Gentamisin
inj 40mg/ml
6.2.2.6 Kuinolon
1 Levofloksasin
tab 500mg
2 Ofloksasin
tab 200&400mg
3 Siprofloksasin
tab 500mg
NO
NAMA O BAT

1 Sulfasalazin
2 Metronidazol

kemasan
tab 500mg
tab 500mg
syr 125mg/5ml
supp 500mg
3 Colistin sulfat
1 Etambutol
Tab 250000 iu
tab 500mg
2 Isoniazid
tab 300mg
3 Pirazinamid
tab 500mg
4 Rifampicin
caps 450mg

untuk dewasa

untuk pediatri
INH 100, Rifam 75
6 Kombinasi :
Ethambutol, INH, B6
caps
NO

kemasan
NAMA O BAT
8 INH50+ Rifam75
6.3 Antifungi
1 Itrakonazol
caps
caps 100mg
2 Ketokonazol
tab 200mg
3 Mikonazol
cream
4 Nistatin
ovul + metronidazol
drops
6.5 Antimalaria
1 Sulfadoxin 500mg,
primetamin 25 mg
6.6 Antivirus
6.6.1 Antiherpes
1 Asiklovir
tab
tab 200mg
tab 400mg
cream 5%
10.2 Koagulasi, obat

yang mempengaruhi
1 Asainj 250mg/5ml
tab 500mg
2 Fitotab salut 10mg, kaleng
inj 10mg/ml
3 Hepgel
4 Lidoinj 2%
11
Produk Darah dan Pengganti Plasma
Kalnex
Transamin
Transamin
generik
Neo K
Thrombopop Gel
Antithromb
generic
NO
NAMA O BAT
11.1 Produk Darah
Faktor VII (konsentrat)
Fraksi protein plasma

(termasuk fibrinogen)
19

kemasan
serb injc 250IU/vial
lar infus kadar protein 5%@250ml
15.1 Oral
1 Garam oralit
3 Kalium klorida

tab 500mg
inf. 25 Meq, 25mL
15.2 Parenteral
1 Plasme expander
(HES)
NO
NAMA O BAT

kemasan
2 Glukosa

3 Kalsium glukonat
inj 10% @10ml
4 Kalium Klorida
inj 25ml/vial
5 Human Albumin

(tidak stock)

-lar infs btl 500ml
lar inf. 500ml
lar.inf 100ml
12 Ringer laktat
13 kombinasi:
-lar infs btl 500ml
14 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
15 kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
-lar infs btl 500ml
-lar infs btl 500ml

lar inf 25Meq, 25mL
NO
NAMA O BAT
16 kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
17 kombinasi :
NaCl 2,25 g
-lar infs btl 500ml
18 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
KCl 0,65 g
Na Lactat 1,55 g
19 kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
20 kombinasi :
Asam Amino 2,72%
Sorbitol 15%
-lar infs btl 500ml
21 Kombinasi :
-lar infs btl 500ml
15.3 Lain-lain
1
Air untuk injeksi
23

kemasan
NO

kemasan
NAMA O BAT

tab

200mg/5ml
3 Famotidin
tab 20mg
4 Lanzoprazol
caps 30mg
5 Omeprazol
caps 20mg
inj.
6 Ranitidin
tab 150mg
inj 25mg/2ml
7 Simetidin
tab 200mg
inj. 200mg,amp
8 Sulkrafat
tab 500mg
syr 100ml
9 Polymigel
tab
19.2 Enzim
kap
diastase, cimetikon
kap
dimetilpolisiloxan
kaplet
Sanmag (+d
NO

kemasan
NAMA O BAT
19.3 Antiemetik
tab 6mg
2 Dimenhidrinat
tab 50mg
3 Loperamid
tab 2mg
4 Metoklopramid
tab 5mg
inj 5mg/ml
5 Ondansetron
inj 4mg/2ml
tab 4mg
6 Domperidon
tab 1mg
syr 5mg/5ml
dclonidium 2,5mg
8 Pantoprazol inj
tab
tablet
19.3 Antihemoroid
1 Kombinasi :
bismutsubgalat150mg
heksaklorofen
inj 40mg
kapsul 100mg
Supp
NO
NAMA O BAT

Zinc oxide

kemasan
ointmen

19.4 Antispasmodik
1 Atropin Sulfat
ointmen
inj. 0,25mg/ml @iml
tab. 10mg
Spasminal (+me
inj 20mg/mL
3 Papaverin
tab 40mg
inj im 40mg/ml

2 Kombinasi :
Kaolin 550mg +
pectin 200mg
tab
susp
3 Lactobacillus
serbuk
Cap
4 Zinc
19.6 Kataritik
1 Bisakodil
serbuk/sachet
tablet
supp 5mg
supp 10mg
NO

kemasan
NAMA O BAT
tab 5mg
2 Gliserin
Kombinasi :
fenolftalen
susp botol 60ml

cairan supp.
3 Lactulosa
syr
4 Fosfosoda
susp

1 Sulfasalazin
21

21.1 Antiasma
1 Aminofilin
2 Deksametason
tablet 500mg
tablet 200mg
inj. 24mg/ml @10ml
tab 0,5mg
inj. 5mg/ml
3 Efedrin
tab 0,5mg
inj 0,1%
nebules 0,5mg/2,5ml
6 Salbutamol
tab 2mg
syr 2mg/5ml
syrup per 5ml :
NO
NAMA O BAT

kemasan
nebules 2,5mg
dan ipratropium Br
nebules 2,5ml
8 Terbutalin sulfat
inj. 0,5mg/ml
9 Teofilin
tab 150 mg
21.2 Antitusif
1 Dekstrometorfan
tab 15mg
syr per 5ml @ 60ml
3 kombinasi :
prometazin, Gg
syr 60ml
4 Kodein
Tab 20 mg
5 Doveri
Tablet
21.3 Ekspektoran
1 Ambroxol
2 Bromheksin
Bromheksin 4mg+
Guafenesin 100mg
Tab 30mg
Syr 4mg/5ml
inj. 4mg/2ml
Syr /5ml ,@60mL
Tab 100mg
syr botol 100 ml
5 Kombinasi :
NO

kemasan
NAMA O BAT
Paracet,Gg,efedrin
chlorfeniramin
Tab.
Syr 60ml
6 Kombinasi
Tab
7 kombinasi :
DMP,GG,PPA,
chlorpheniramin
Kap
8 Kombinasi :
9 kombinasi :
diphenhidramin,
21.4
Kap
Syr 60 ml
10 kombinasi :
diphen, Gg, mentol
Syr. 60ml
11 Kombinasi:
ipekak,guefenesin
Syr 60ml
12 oxomemezin +Gg
syr 60ml
13 Kombinasi :
acetaminofen 120,
fenilefrin HCl 1mg,

1 Fluticason furoat
tripolidin 2,5mg

Tab
syr per 5ml:

pseudoefedrin 30mg
tripolidin 1,25mg
NO

kemasan
NAMA O BAT
syr per 5ml

drop 7,5mg/0,8ml
loratadin 5mg
Tab
MULARIUM
ERTO
Nama Dagang
Pabrik
generik
KF
Fentanyl
janssen-cilag
MST
generik
Mahakam
KF
KF
Aspilet
Medifarma
Mefinal
Cargesic
Opistan
Pondex
Sanbe
Sanprima
Otto
Dexa
generik
Proris
Proris
Proris
Pharos
Pharos
Pharos
Exaflam
X-flam
Guardian
Combiphar
Kaltrofen
Pronalges
Kaltrofen
Kalbe
pharos
kalbe
generik
trolac inj
Berno
Nama Dagang
Pabrik
generik
osteloc
generik
sanbe
Antalgin
Analsik
(+Dzp 2mg)
Sanbe
Antalgin
Norages
Novalgin
Mepro
Sanovi-aventis
Voltadex
Renadinac
Scantaren
Dexamedika
Fahrenheit
Scanpasific
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
generik
Pirofel
Sanbe
Nonflamin
Takeda
generik
Patral
mahakam
Xillomidon
Dura
generik
Rinolic
Alluric
GMP
Kalbefarma
Nama Dagang
Pabrik
Kalmethasone
Indexon
Cortidex
Hexapharma
Interbat
Sanbe
Kalmethasone
Scandexon
Carbidu
Hexapharma
Tempo
Sampharindo
Mexon
sampharindo
generik
Duradryl
Dura
Generik
pehachlor
avil
avil
sanofi
sanofi
generik
clarihis
lapi
Zenris
generik
Tiriz
Pyridam
Lapi
generik
Lameson
Lameson
generik
lapi
lapi
Pronicy
Kalbe
interhistin
interbat
generik
Stesolid
Actavis
Nama Dagang
Pabrik
generik
Kutoin
mersifarma
generik
Phental iv
KF
Combi
Gabexal
generic
Sandoz
Pyrantin
Combantrin
Pfizer
Amoxan
Zemoxil
Brodamox
Sanbe
Zenith
Sampharindo
Amoxan
Zemoxil
Amoxan
Sanbe
Zenith
Sanbe
Amoxan
Sanbe
Brodapen
Viccilin
Sampharindo
Meiji
Pycin 750
Berno
co amoxiclav
clanexi
sanbe
Pyricef
generik
Piridam
Nama Dagang
Pabrik
Pyricef
generik
Piridam
Capabiotik
Yarindo
Cefabiotic
Berno
Cefila
Cefila
lapi
lapi
generik
Taxegram
lapixim
Sanbe
lapi
Yadim
Yarindo
generik
cephaflox
guardian
Moraxine
Yarindo
Meropex
generik
Berno
generik
doxacin
otto
Suprabiotik
Zenith
Lanacetin
coromycetin
landsen
coronetcrown
Promixin
Dexicol
Phenobiotic
Biothicol
Pyridam
Dexa
Berno
Sanbe
Sanprima
Sanbe
Nama Dagang
Pabrik
miratrim
sampharindo
Lapikot forte
Primadex forte
Lapi
Dexamedika
Sanprima
Primadex
Miratrim
Sanbe
Dexamedica
Sampharindo
generik
generik
erisanbe
erisanbe chewable
sanbe
sanbe
generik
generik
varoc
pyridam
zibramax
generik
guardian
Sagestam
Sanbe
Cravox
generik
Lapi
generik
Cravox
Lapi
generik
generik
Baquior forte
Lapiflox
generik
sanbe
Lapi
Nama Dagang
Pabrik
Lapiflox inf
Lapi
Sulcolon
Berno
Metrolet
Trychodazole
Harsen
Sanbe
Metrolet
promuba
Flagyl
Harsen
mepro
Sanovi
Vagistin
Combiphar
Trychodazole
generic
Sanbe
Colistine
Actavis
generik
generik
generik
generik
OAT fase intensif
Indofarma
OAT fase lanjutan
Indofarma
OAT fase intensif
Indofarma
OAT fase lanjutan
Indofarma
Bacbutinh
Nama Dagang
Pabrik
Niazitol
Rimcure paed
Rimtazid paed
Sandoz
Sandoz
Itzol
Lapi
generik
generik
vagistin
Combi
Kandistatin
lapi
Fansidar
Roche
generik
generik
generik
Kalbe
Otto/daichi
Otto/Daichi
Combi
tunggal idaman
Mecosin
Bernofafm
Nama Dagang
Pabrik
Koate DVI
Dipa
Pedyalite
Renalyte
Oralyte
Abbot
fahrenheit
KSR
KCl 3%
Merck
generik
Meylon
Otsuka
Wida HES 130

Wida HES 200
Tetra HES 130
Widatra
Widatra
Claris
Nama Dagang
Pabrik
D 5%
D 10%
D 40%
otsu, widatra
otsu,widatra
Otsu
Ca Gluconat
Ethica
KCl 7,46%
Otsu
Octalbin
Kalbe
Wida D5 1/2 NS
Widatra
Wida D5 1/4 NS
Widatra
Meylon
Otsu
Wida NS
Otsu NS
Otsu NS pegy
Widatra
Otsu
Otsu
RL
Widatra
D5 NS
Infusan RD5%
Otsu
Widatra
Otsu D10 1/5 NS
Otsu
KA EN 3A
Otsu
Nama Dagang
Pabrik
KA EN 3B
Otsu
KA EN 1B
Otsu
Wida 1/2 DaD
Widatra
Kalbamin
Kalbe
Pan Amin G
Otsu
KA EN MG3
otsu
Water For Injc
Otsu
Nama Dagang
Pabrik
generik
Magtral
Stomacain
Combiphar
Mylacid
Bufantacyd
(+cimeticon)
Carsida
Emba
Bufa
Sampharindo
generik
generik
generik
OMZ
Ferron
generik
Acran
generik
Indoran
Acran
Indofarma
sanbe
generik
Ulsikur
Hexapharma
Ulsafate
Propepsa
Combiphar
Gracia
Srocain-P
Eisai
sanbe
lybrozim
lybrozim plus
Tripanzym
Sanbe
Nama Dagang
Pabrik
Mertigo
Merislon
Dexa
Mersi
generik
Mantino
samparindo
lopamid
Lodia
Harsen
Sanbe
Nilatika
Damaben
Tomit
Damaben
sampharindo
Capri
interbat
Capri
generik
ODR
Insetron
vometraz
Lapi
Indofarma
Dexamedika
generik
Dom
Omedon
Dom
Omedon
generik
Lapi
Mutifa
Lapi
mutifa
Braxidin
Sanbe
Topazole
Lapi
Anvomer B6
Dexamedika
Lanaven
Lansond
generik
Nama Dagang
Pabrik
Haemocain
Gelenium
Borraginol S
Takeda
Atropin
Ethica
Buscopan
Boehringer
Gitas
Interbat
generik
generik
Oralit
OGB
Corosorb
Novadiar
Omegdiar
Coronetcrown
Corsa
L-bio
Lacto B
Lacidofil
Lacbon
Lapi
pharos
Dexa
Pharmasolindo
Orezinc
Zincare
Kalbe
Dulcolax Paed
Boehringer
Dulcolax Paed
Boehringer
Nama Dagang
Pabrik
Dulcolax Paed
Boehringer
Laxadine
fleet enema
Gelenium
combiphar
Lactulax
Ikapharmindo
Fleet Fosfosoda
Combi
Sulcolon
Bernofarm
generik
generik
KF
KF
scandexon
carbidu
Indexon
Kalmetason
Cortidex
Scanpasific
Sampharindo
Interbat
Kalbe
Sanbe
generik
generik
Flixotide
Glaxo
generik
Ventolin
Glaxo
Lasal
Lapi
Lasal expectoran
Lapi
Nama Dagang
Pabrik
Ventolin
Glaxo
Ventolin
Glaxo
combiven
Boehringer
bricasma
astra zeneca
generik
generik
Romiler
Behringer
Alco plusDMP syr
Interbat
Guamin
kF
KF
Mirapect
generik
Sampharindo
Bisolvon elixir
Bisolvon
Boehringer
Boehringer
Bisolvon extra
Boehringer
generik
Nama Dagang
Pabrik
coparcetin
Hufagrip forte
coparcetin
sampharindo
hufa
sampharindo
Demacolin
coronetcrown
Dextral
Dextral forte
Molex
Molex
grantusif
grahafarma
Miradryl
Sampharindo
Coredryl
GMP
Miradryl
sampharindo
oxopect syr
mahakam
Nipe drop
Transfarma
Medika indah
Avamys
Glaxo
Valved
tremenza
GMP
sanbe
Valved
GMP
Nama Dagang
Pabrik
Rhinos Junior
Rhinos Neo
Dexa
Dexa
Rhinos SR
Dexa

TAHUN 2009
NO
1
1
NAMA O BAT

kemasan
2

1 Kodein
Tab 10mg, kaleng
2 Fentanyl
2 Morphin HCl
Tab, 10 mg
Inj. 10 mg/ml
3 Petidin
injc i.m/s.k/i.v
50mg/ml

(asetosal)
2 Asam mefenamat
3 Ibuprofen
Tab 100mg
Tab 500 mg
Tab 200mg
syr.100mg/5ml
Supp. 125 mg
4 Kalium Diklofenac
tab 50mg,25mg
tab 50mg
5 Ketoprofen
Supp 100mg
Tab 100mg
6 Ketorolac
inj. 30mg/ml
7 Meloxicam
Tab 15mg
Tab 7,5 mg
8 Metampiron
Tab 500mg
NO
NAMA O BAT
9 Metamizole sodium

kemasan
Tablet 500mg
Injc. 500mg/ml
@2ml
Tab 50mg
Tab 25 mg
gel
11 Paracetamol
Tab 500mg
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
12 Piroksikam
tab 20 mg
gel
13 Tinoridine HCl
tab 50 mg
14 Tramadol
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
1.3 Antipirai
1 Allopurinol
6
Antiinfeksi
6.1 Antelmintik
1 Pirantel
6.2 Antibakteri
inj 15ml/vial
Tab 100mg
tab 125mg
susp 125mg/5ml
NO
NAMA O BAT
6.2.1 Beta Laktam


kemasan
tab 500mg
dry syr 125mg/5ml

drops 100mg/ml
serb inj 1000mg
2 Ampisilin
cap 500mg
serb inj 1000mg
serb inj 500+250mg
4 Kombinasi Amoksisilin 500mg dan

clavulanat 125mg
kap 500+125mg
5 Cefadroksil
caps 500mg
dry syr 125mg/5ml
6 Sefaklor
caps 500mg
7 Sefaleksin
caps 500mg
8 Sefiksim
caps 100mg
dry syr 100mg/5ml
9 Sefotaksim
serb inj 1gr
10 Seftazidim
serb inj 1gr
11 Seftriakson
serb inj 1gr
12 Sephalotin
serb inj 1gr
13 Meropenem
serb inj 1 gr
NO
NAMA O BAT

6.2.2.1 Tetrasiklin
1 Doksisiklin
3 Tetrasiklin
1 Kloramfenikol
2 Tiamfenikol

kemasan
caps 100mg
caps 500mg
caps 250mg
susp 125mg/5ml
caps 500mg
dry syr 125mg/5ml

trimetoprim 80mg
Tablet
2 sulfa 800mg+
trimetoprim 160mg
Tablet
susp
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
caps 150mg & 300mg

caps 500mg
erisanbe
syr 200mg/5ml
3 Spiramisin
tab 500mg
4 Azytromicin
caps 500mg
NO
NAMA O BAT

kemasan
1 Gentamisin
inj 40mg/ml
6.2.2.6 Kuinolon
1 Levofloksasin
tab 500mg
2 Ofloksasin
tab 200&400mg
3 Siprofloksasin
tab 500mg

1 Sulfasalazin
2 Metronidazol
tab 500mg
tab 500mg
syr 125mg/5ml
supp 500mg
3 Colistin sulfat
1 Etambutol
Tab 250000 iu
tab 500mg
2 Isoniazid
tab 300mg
3 Pirazinamid
tab 500mg
NO
NAMA O BAT
4 Rifampicin
untuk dewasa

kemasan
caps 450mg

untuk pediatri
INH 100, Rifam 75
6 Kombinasi :
Ethambutol, INH, B6
8 INH50+ Rifam75
6.3 Antifungi
1 Itrakonazol
caps
caps
caps 100mg
2 Ketokonazol
tab 200mg
3 Mikonazol
cream
4 Nistatin
ovul + metronidazol
drops
6.5 Antimalaria
1 Sulfadoxin 500mg,
primetamin 25 mg
6.6 Antivirus
6.6.1 Antiherpes
1 Asiklovir
10
tab
tab 200mg
tab 400mg
cream 5%
8.1 Antianemi
1 Asam folat
tab 1mg
NO
NAMA O BAT

kemasan
tab salut 300mg

3 Vit B1, B6, B12
tab
inj. Amp 3ml
8.2 Koagulasi, obat

yang mempengaruhi
1 Asam traneksamat
inj 250mg/5ml
tab 500mg
14

inj 10mg/ml
3 Heparin Na
gel
4 Lidocain
inj 2%
Diuretik
Furosemida
tab 40mg
inj 10mg/ml
tab 25mg
Manitol
lar infus 20%@500ml
Spironolacton
tab 25mg
NO
NAMA O BAT

kemasan

11.2.1 Progestrogen
1 Noretisteron
tab 5mg
2 Alil Esternol
tab 5mg
3 Ethinilestradiol
tab 50mcg

tab 50mg
11.3.1 Oral
1 Levonogestrel,
11.3.2 Injeksi
acetat
11.3.3 Intra Uterin
tab 28
vial, 50mg/ml, 3mL

vial, 150mg/ml, 1ml
vial, 0,5 ml

dan silver core
1 Propiltiorasil
tab 100mg
1 Deksametason
inj 5mg/ml @1ml
NO
NAMA O BAT

kemasan
tab 0,5mg
2 Metil prednisolon
tab 4mg
inj 125mg/2ml
19
3 Prednison
tab 5mg
4 Triamsinolon
inj 10mg/ml
oral base, tube
15.1 Oral
1 Garam oralit
3 Kalium klorida
15.2 Parenteral
1 Plasme expander
(HES)
2 Glukosa
3 Kalsium glukonat
4 Kalium Klorida
5 Human Albumin

NO
NAMA O BAT

kemasan
-lar infs btl 500ml

lar inf. 500ml
lar.inf 100ml
12 Ringer laktat
13 kombinasi:
-lar infs btl 500ml
14 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
15 kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
-lar infs btl 500ml
16 kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
17 kombinasi :
NaCl 2,25 g
-lar infs btl 500ml
18 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
NO

kemasan
NAMA O BAT
KCl 0,65 g
Na Lactat 1,55 g
19 kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
20 kombinasi :
Asam Amino 2,72%
Sorbitol 15%
-lar infs btl 500ml
21 Kombinasi :
-lar infs btl 500ml
15.3 Lain-lain
1
Air untuk injeksi
NO
21
NAMA O BAT

kemasan
17.1 Oksitosik
1 Metilergometrin
tablet 0,125
2 Oksitosin
3 Mesoprostol
1 Magnesium sulfat
NO
NAMA O BAT

kemasan
2 Isoksuprin HCL
23


200mg/5ml
3 Famotidin
4 Lanzoprazol
5 Omeprazol
6 Ranitidin
NO
NAMA O BAT

kemasan
7 Simetidin
8 Sulkrafat
9 Polymigel
19.2 Enzim
diastase, cimetikon
dimetilpolisiloxan
19.3 Antiemetik
2 Dimenhidrinat
3 Loperamid
4 Metoklopramid
5 Ondansetron
6 Domperidon
NO
NAMA O BAT

kemasan
dclonidium 2,5mg
8 Pantoprazol inj
19.3 Antihemoroid
1 Kombinasi :
bismutsubgalat150mg
heksaklorofen
Zinc oxide
19.4 Antispasmodik
1 Atropin Sulfat
3 Papaverin

NO
NAMA O BAT

kemasan
2 Kombinasi :
Kaolin 550mg +
pectin 200mg
3 Lactobacillus
4 Zinc
19.6 Kataritik
1 Bisakodil
2 Gliserin
Kombinasi :
fenolftalen
3 Lactulosa
4 Fosfosoda
1 Sulfasalazin
NO
27
NAMA O BAT

kemasan
Vitamin dan Mineral
1 Asam Folat
tab 1mg
2 Calcitriol
Tab 0,25mcg
3 Calsium lactat
Kap
vit C, vit D
Kap
Syr
5 Ca glukonas
inj 100mg/ml
6 Vitamin A
sugar coated 6000IU

inj. Im. Amp
7 Vit B kompleks
Tab
tab, kaleng
tab, + methampiron
inj. Amp
inj im, vial
8 Vitamin B1
Tab, kaleng
inj. Amp
9 Vitamin B6
Tab, kaleng
NO
NAMA O BAT
- Vit C
Ca pantotenat 20mg

kemasan
tab, kaleng
inj, amp 200mg
kaps
kaps
Kap
Kapl 100 IU
13 Vitamin K
tab salut gula 10mg

inj 10mg/ml

Kap.
15 Glukosamine dan
Kaplet
Efferfescen
syr
Drop
17 Multivitamin inj
inj, vial
BAT FORMULARIUM
KAB. MOJOKERTO
Nama Dagang
Pabrik
generik
KF
Fentanyl
janssen-cilag
MST
generik
Mahakam
KF
KF
Aspilet
Medifarma
Mefinal
Cargesic
Opistan
Pondex
Sanbe
Sanprima
Otto
Dexa
generik
Proris
Proris
Proris
Pharos
Pharos
Pharos
Exaflam
X-flam
Guardian
Combiphar
Kaltrofen
Pronalges
Kaltrofen
Kalbe
pharos
kalbe
generik
trolac inj
Berno
generik
osteloc
generik
Antalgin
sanbe
Harga
Nama Dagang
Pabrik
Analsik
(+Dzp 2mg)
Sanbe
Harga
Antalgin
Norages
Novalgin
Mepro
Sanovi-aventis
Voltadex
Renadinac
Scantaren
Dexamedika
Fahrenheit
Scanpasific
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
generik
Pirofel
Sanbe
Nonflamin
Takeda
generik
Patral
mahakam
Xillomidon
Dura
generik
Pyrantin
Combantrin
Pfizer
Nama Dagang
Pabrik
Amoxan
Zemoxil
Brodamox
Sanbe
Zenith
Sampharindo
Amoxan
Zemoxil
Amoxan
Sanbe
Zenith
Sanbe
Amoxan
Sanbe
Brodapen
Viccilin
Sampharindo
Meiji
Pycin 750
Berno
co amoxiclav
clanexi
sanbe
Pyricef
generik
Piridam
Pyricef
generik
Piridam
Capabiotik
Yarindo
Cefabiotic
Berno
Cefila
Cefila
lapi
lapi
generik
Taxegram
lapixim
Sanbe
lapi
Yadim
Yarindo
generik
cephaflox
guardian
Moraxine
Yarindo
Meropex
generik
Berno
Harga
Nama Dagang
Pabrik
generik
doxacin
otto
Suprabiotik
Zenith
Lanacetin
coromycetin
landsen
coronetcrown
Promixin
Dexicol
Phenobiotic
Biothicol
Pyridam
Dexa
Berno
Sanbe
Sanprima
miratrim
Sanbe
sampharindo
Lapikot forte
Lapi
Primadex forte Dexamedika
Sanprima
Primadex
Miratrim
Sanbe
Dexamedica
Sampharindo
generik
generik
erisanbe
erisanbe chewable
sanbe
sanbe
generik
generik
varoc
zibramax
generik
pyridam
guardian
Harga
Nama Dagang
Pabrik
Sagestam
Sanbe
Cravox
generik
Lapi
generik
Cravox
Lapi
generik
generik
Baquior forte
Lapiflox
sanbe
Lapi
generik
Lapiflox inf
Lapi
Sulcolon
Berno
Metrolet
Trychodazole
Harsen
Sanbe
Metrolet
promuba
Flagyl
Harsen
mepro
Sanovi
Vagistin
Combiphar
Trychodazole
generic
Sanbe
Colistine
Actavis
generik
generik
generik
Harga
Nama Dagang
Pabrik
generik
OAT fase intensif Indofarma
OAT fase lanjutan Indofarma

OAT fase intensif Indofarma
OAT fase lanjutan Indofarma
Bacbutinh
Niazitol
Rimcure paed
Rimtazid paed
Sandoz
Sandoz
Itzol
Lapi
generik
generik
vagistin
Combi
Kandistatin
lapi
Fansidar
Roche
generik
generik
generik
Folacom
combi
Harga
Nama Dagang
Pabrik
Natabion
Artoferum
Maltofer
Pyridam
Harga
Combi
Neurobion 5000
Merc
Neurobat
Interbat
Neurosanbe
Sanbe
Neurodex
dexamedika
Sakaneuron
sakafarma
Neurosanbe 5000
Neurobion 5000
Sanbe
merck
Kalnex
Transamin
Kalbe
Otto/daichi
Transamin
Otto/Daichi
generik
Neo K
Combi
Thrombopop Geltunggal idaman

Antithromb
Mecosin
generic
Bernofafm
generik
Lasix
Sanofiaventis
generik
manitol
Otsu
carpiaton
Fahrenheit
Nama Dagang
Pabrik
Regumen
Norelut N
Caprifarmindo
dexa
Harga
Preabor
Caprifarmindo
Premastone
Kalbe
Lynoral
Schering
Blesifen
Profertil
Caprifarmindo
Kalbe
Microgynon ling-Bayer-Schering
karan biru
Depo progestin
Harsen
Depo Neo Triyasa nagamas
Cyclofem
Tunggal
Idaman Abdi
Nova-T CU Bayer-Schering
generik
Kalmethasone
Indexon
Kalbe
Interbat
Nama Dagang
Pabrik
Cortidex
Sanbe
Harga
Kalmethasone
Kalbe
scandexon
scan pasific
carbidu
sampharindo
generik
lameson
lameson
Lapi
Lapi
generik
Falmicort
Kenalog
Dexa
Taisho
Pedyalite
Renalyte
Oralyte
Abbot
fahrenheit
tab siap larut 6

syr. Larutan 3%,
KSR
KCl 3%
Merck
tab 500mg
inf. 25 Meq, 25m
generik
Meylon
Otsuka
lar infus 6%, botWida HES 130 Widatra

Wida HES 200 Widatra
Tetra HES 130 Claris
lar infus 5%, bot
lar infus 10%, bo
lar infus 40%, bo
D 5% otsu, widatra
D 10% otsu,widatra
D 40%
Otsu
inj 10% @10ml Ca Gluconat

inj 25ml/vial
lar infus 20 % @
(tidak stock)
Ethica
KCl 7,46%
Otsu
Octalbin
Kalbe
Nama Dagang
Pabrik
Harga
Wida D5 1/2 NSWidatra
-lar infs btl 5Wida D5 1/4 NSWidatra

lar inf 25Meq, 2
Meylon
Otsu
Wida NS
Widatra
Otsu NS
Otsu
Otsu NS pegy Otsu
RL
Widatra
D5 NS
Otsu
Infusan RD5% Widatra
Otsu D10 1/5 NS Otsu
KA EN 3A
Otsu
KA EN 3B
Otsu
KA EN 1B
Otsu
Wida 1/2 DaD Widatra
Nama Dagang
Pabrik
Harga
Kalbamin
Kalbe
Pan Amin G
Otsu
KA EN MG3
otsu
Water For Injc
Otsu
Nama Dagang
Pabrik
table salut 0,12

inj 0,200mg/ml
generik
Pospargin
Methergin
inj 10 IU/ml
Syntocinon Novartis
tab 200mg
Cytotec
Harga
Kalbe
Novartis
Pharmacia
inj 20% @25ml Mg SO4 20%

inj 40% @25ml Mg SO4 40%
Otsu
Otsu
Nama Dagang
Pabrik
Harga
tabl 20mg
Duvadilan Solvay farma
inj. 5mg/ml @2m Duvadilan Solvay farma
tab
mg + Mg (OH)2 200mg
N II susp, kombinasi :
mg/5ml + Mg (OH)2
generik
Sanmag (+dzp 2mg)
Sanbe
Magtral
Stomacain Combiphar
Mylacid
Emba
Bufantacyd
Bufa
(+cimeticon)
Carsida Sampharindo
tab 20mg
generik
caps 30mg
generik
caps 20mg
inj.
generik
OMZ
Ferron
tab 150mg
generik
Acran
sanbe
Nama Dagang
inj 25mg/2ml
tab 200mg
inj. 200mg,amp
Pabrik
generik
Indoran
Acran
Harga
Indofarma
sanbe
generik
Ulsikur Hexapharma
tab 500mg
syr 100ml
Ulsafate Combiphar
Propepsa
Gracia
tab
Srocain-P
Eisai
kap
lybrozim
kap
lybrozim plus
kaplet
Tripanzym
Sanbe
tab 6mg
Mertigo
Merislon
Dexa
Mersi
tab 50mg
generik
Mantino samparindo
tab 2mg
lopamid
Lodia
tab 5mg
inj 5mg/ml
inj 4mg/2ml
tab 4mg
tab 1mg
Harsen
Sanbe
Nilatika sampharindo
Damaben
Capri
Tomit
interbat
Damaben
Capri
generik
ODR
Lapi
Insetron Indofarma
vometraz Dexamedika
generik
Dom
Lapi
Nama Dagang
Pabrik
Harga
Omedon
Dom
Omedon
generik
Mutifa
Lapi
mutifa
tab
Braxidin
Sanbe
inj 40mg
Topazole
Lapi
syr 5mg/5ml
tablet
Anvomer B6Dexamedika
kapsul 100mg
Lanaven
Supp
generik
ointmen
ointmen
inj. 0,25mg/ml @
Lansond
Haemocain Gelenium
Borraginol S Takeda
Atropin
Ethica
tab. 10mg
Buscopan Boehringer
inj 20mg/mL
Gitas
Interbat
tab 40mg
inj im 40mg/ml
generik
generik
Oralit
OGB
Nama Dagang
tab
susp
serbuk
Cap
serbuk/sachet
tablet
Pabrik
Harga
CorosorbCoronetcrown
Novadiar
Corsa
Omegdiar
L-bio
Lapi
Lacto B
pharos
Lacidofil
Dexa
Lacbon Pharmasolindo
Orezinc
Zincare
Kalbe
supp 5mg
Dulcolax PaedBoehringer
supp 10mg
tab 5mg
susp botol 60ml Laxadine Gelenium

cairan supp.
fleet enema combiphar
syr
susp
tablet 500mg
Lactulax Ikapharmindo
Fleet Fosfosoda Combi
Sulcolon Bernofarm
Nama Dagang
Pabrik
Folacom
Combi
Osteofem
Kalbe
Caltron
Kalk
Calsifar
Pyridam
KF
Ifars
Elkana
Elkana
Sanbe
Sanbe
Ca glukonat
Ethica
generik
generik
generik
KF
KF
Alinamin F
Neurosanbe
neurobion 5000
neurodex
sakaneuron
generik
Takeda
sanbe
merc
akafarma
neuromec
Sampharindo
Alinamin F
Neurosanbe
neurobion 5000
generik
Neurotropic
Takeda
sanbe
merc
generik
generik
Liconam
Harga
Nama Dagang
Pabrik
generik
generik
Becom C
Sanbe
Becom Zet
Sanbe
Calsic-D
Sampharindo
Santa E
Original E
Sanbe
Capri
generik
Neo K
KF
Combi
Formom
Pyridam
Lycalvit
Interbat
Etabion
Errita
Elkana
sanbe
Caviplex
erela
Prolacta mother
novell
Moloco B-12
darya faria
Osteor plus
Cartos
pyridam
pryridam
Apyalis
Vitacur
Asedas
Hufavit kalk
Elkana
Apyalis
Lapi
lapi
Pyridam
Hufa
Sanbe
Lapi
Cernevit
Kalbe
Harga

TAHUN 2009
NO
1
1
NAMA O BAT

kemasan
2
Fentanil
injc i.m/I.v 0,05mg/ml
Kodein
tabl 10mg
tabl 15mg
tabl 20mg
Morfin
injc i.m/i.v 10mg/ml
Tabl 10mg
Tabl 30mg
Petidin
injc i.m/s.k/i.v 5omg/ml
Sufentanil
Asam asetilsalisilat (asetosal)
125%
tabl 80mg
tabl 100mg
Asam mefenamat
capl 500mg
Fenilbutason
tabl 200mg
Ibuprofen
tabl 2oomg
tabl 2oomg
Syrp
Indometasin
caps 25mg
Kalium Diklofenac
tabl 25mg dan 50 mg
Ketoprofen
tabl 100mg, Injc, Sup

Supp
NO
NAMA O BAT

kemasan
Tabl 100mg, Injc, Sup
Ketorolac
injc 10mg/1ml dan 30mg/1ml
Meloxicam
tabl 7,5mg,15mg
Tabl 7,5mg,15mg dan supp

Metampiron
tabl 500mg dan Inj
Metamizole sodium
injc i.m/ i.v 500mg
injc i.m/ i.v 500mg
Natrium diklofenak
tabl 25mg dan 50 mg
Paracetamol
tabl 500mg
Syr 120/5ml dan drops
Piroksikam
tabl 10,g
tabl 20mg
Tramadol
caps 50mg, Injc
Kombinasi : Tramadol dan

Parasetamol
Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
Tinoridine Hcl
Tambahan :
Injc,15ml/ Vial
NO
NAMA O BAT

Cetirizin

kemasan
tabl 10mg
Flunarizine
Tabl 10mg
Cinnarizine
Tabl 10mg
Dexametasone
injc 5mg/ml @1ml
tabl 0.5mg
Difenhidramin
injc i.m 10mg/ml

injc 15mg/vial
injc s.k/i.m 0,1% @1ml
Klorfeniramin
tabl 4mg
Pheniramine maleat
Tabl 4mg
Loratadine
tabl 10mg
Loratadine + Pseudoefedrin
Mebhydroline
tabl 50mg
Desoksimethasone
Krim
Tambahan :
6.2 Antibakteri
6.2.1 Beta Laktam
Amoksisilin trihidrat
tabl ecored 500mg
NO
NAMA O BAT

kemasan
syr kering 125mg/5ml
serb injc 1000mg
Ampisilin
kapl 500mg
syr kering 125mg/5ml 60ml
serb injc 1000mg
serb inj 250mg
Ampicillin + Sulbactam
Serb Injc 500+250mg

Serb Injc 750+500
Benzatin benzilpenisilin
injc 1.2 juta IU/vial @20ml

injc 2.4 juta IU/vial @20ml
Dikloksasilin
kaps 125mg
kaps 250mg
kaps 500mg
Fenoksimetil penisilin (Penicillin V)
tabl 250mg
tabl 500mg
Kombinasi Amoksisilin 500mg

kapl co Amoxiclav 625mg
Syrp kering
Procain benzilpenisilin
serb injc i.m 3juta IU/vial
Sefadroksil
caps 500mg
sirup kering 125mg/5ml 60ml
Sefaklor
caps 500mg
Sefaleksin
caps 500mg
Sefazolin
injc 1gr
NO
NAMA O BAT
Sefiksim

kemasan
caps 100mg
sirup kering 100mg/5ml
Sefotaksim
serb injc 1gr
Seftazidim
serb injc 1gr
Seftriakson
serb injc 1gr
Sefuroksim
serb injc 750mg/vial
Tambahan :

6.2.2.1 Tetrasiklin
Doksisiklin
Oksitetrasiklin
caps 100mg
salep mata 1%@3.5gr
salep kulit 3%@5gr
NO
NAMA O BAT
Tetrasiklin
Kloramfenikol
Tiamfenikol

Kotrimoksazol DOEN I
(dewasa)kombinasi :
trimetoprim 80mg
Kotrimoksazol DOEN II
(pediatrik) kombinasi
trimetoprim 20mg

kemasan
caps 250mg
caps 500mg
caps 250mg
salep mata 1%@5gr
susp 125mg/5ml@60ml
tetes mata 0,5%@5ml
tetes telinga 3%@5ml
serb injc i.v 1000mg/ml
caps 500mg
tabl kotrimoksazol
tabl kotrimoksazol paed
Kotrimoksazol suspensi
syr kotrimoksazol@60ml
Sulfadiazin
tabl 500mg
Sulfametoksazol
tabl 400mg
Trimetoprim
tabl 200mg
6.2.2.4 Makrolit
Eritrimisin
caps 500mg
syr 200mg/5ml
Klindamisin
caps 150mg dan 300mg
Linkomisin
caps 250mg dan 500mg
Spiramisin
tabl 250mg dan 500mg
Gentamisin
injc 40mg/ml
injc 80mg/ml
salep kulit 0.1%@5gr
tetes mata 0.3%@5ml
salep mata
NO
NAMA O BAT

kemasan
Fradiomicin + gramicidin
Tambahan :
6.2.2.6 Kuinolon
Levofloksasin
tabl 500mg
Levofloksasin
Lart Infus
Ofloksasin
Siprofloksasin
tetes mata 0.3%@10ml

infus 2%@100ml
Tambahan :

Sulfasalazin
Metronidazol
tabl 500mg
tabl 250mg
tabl 500mg
sirup
lar infus 5mg/ml@100ml
Tambahan :
NO
NAMA O BAT

6.3.1 Antilepra
Dapson

kemasan
tabl 100mg
Klofazimin (micronized)
caps dlm minyak 1oomg
Rifampicin
kaps 300mg
kaps 450mg
kaps 600mg
Etambutol
tabl 250mg
tabl 500mg
Isoniazid
tabl 100mg
tabl 300mg
Pirazinamid
tabl 500mg
Rifampicin
kaps 300mg
kaps 450mg
kaps 600mg
Streptomicin

sarb injc 1500mg/vial
Kombinasi :
Rifampicin, INH, Pyrazinamid,
Ethambuthol
Tambahan :
10

10.1 Antianemi
Asam folat
tabl 1mg
tabl 5mg
Besi II sulfat (sulfas ferosus)
tabl salut 300mg
Sianokobalamin (vit B12) dan

kombinasinya
injc 500mcg/ml@1ml
NO
NAMA O BAT

kemasan
Tabl
Tambahan :
10.2 Koagulasi, obat

yang mempengaruhi
Asam traneksamat
injc 250mg/5ml dan 500 mg
tabl 500mg
11
Fitomenadion (vit K)
tabl salut 10mg

injc 10mg/ml
Heparin Na
injc i.v/s.k 5000 IU/ml@5ml

Gel
Protamin sulfat
injc 10mg/ml
Warfarin
tabl 1mg
tabl 2mg
Produk Darah dan Pengganti Plasma

11.1 Produk Darah
Faktor VII (konsentrat)
Fraksi protein plasma

(termasuk fibrinogen)
11.2 Pengganti Plasma dan
Plasma Expander
Dextran 70
Hydroxyl ethyl starch

lar infus kadar protein 5%@250ml
lar infus 6%@500ml

lar infus 6%@500ml
lar infus 6%@500ml
lar infus 6%@500ml
NO
NAMA O BAT

kemasan
lar infus 10%@500ml
lar infus 10%@500ml
14
Diuretik
Amilorida
Furosemida
tabl 5mg
tabl 40mg
injc i.v/i.m 10mg/ml@2ml
tabl 25mg
Manitol
lar infus 20%@500ml

lar infus 20%@500ml
Spironolacton
tabl 25mg dan 10mg
15.5 Kortikosteroid
Deksametason
injc 5mg/ml @1ml
tabl 0.5mg
Metil prednisolon
tabl 4mg, 8mg, 16 mg
injc 125mg/2ml
Prednison
tabl 5mg
Tambahan :
16
16.1 Antiangina
Atenolol
tabl 50mg
NO
NAMA O BAT

kemasan
tabl 100mg
tabl 100mg
Diltiazem HCL
tabl 30mg
injc 50mg/amp
(hanya untuk kondisi darurat)
injc 50mg/amp
Isosorbit dinitrat
tabl sublingual 5mg
Nitrogliserin
injc 10mg/10ml
injc 10mg/10ml
injc 1mg/ml
Propanolol
16.2 Antiaritmia
Disopriramida
tabl 10mg (HCL)

tabl 40mg
kaps 100mg (fosfat)
Kuinidin
tabl 100mg (sulfat)

tabl 200mg (sulfat)
Lisinopril
tabl 5mg
tabl 5mg
tabl 10mg dan 20 mg
Propanolol
tal 10mg, 40mg
Amiodaron HCT
Tab 200mg dan Injc
Verapamil
tabl 80mg
injc 2,5mg/ml (HCL) @2ml
Tambahan :
NO
NAMA O BAT
16.3 Lain-lain
Amlodipin Besilat
Amlodipin maleat

kemasan
tabl 5mg dan 10mg

tabl 5mg
tabl 5mg dan 10mg
Losarartan
Valsartan
tabl 80mg dan 160 mg
Tambahan :
16.4 Antihipertensi
Atenolol
tabl 50mg
tabl 50mg
tabl 100mg
tabl 100mg
Bisoprolol
tabl 5mg
Kaptopril
tabl 12,5mg
tabl 25mg
tabl 5omg
Klonidin
tabl 0.15mg
injc i.m 0,15mg/ml(HCL)@1ml
Metildopa
tabl salut 250mg

tabl 250mg
Nifedipin
tabl 10mg
tabl 10mg
tabl 20mg
tabl 3omg
Ramipril
tabl 2,5mg
tabl 2,5mg
NO
NAMA O BAT

kemasan
tabl 5mg
tabl 5mg
Reserpin
16.5 Lain-lain
Imidapril
Tetrazosin HCL
16.6 Antitrombolitik
Clopidogrel
16.7 Trombolitik
Pentoksifilin
tabl 0,10mg
tabl 0,25mg
tabl 5mg
tabl 10mg
tabl 1mg
tabl 75mg
tabl 75mg
tabl 400mg
tabl 400mg
Pentoksifilin
injc 300mg/15ml
injc 300mg/15ml
Streptokinase
serb injc 1,5 juta IU/vial

serb injc 1,5 juta IU/vial

Digoksin
tabl 0,25mg
injc 0,25mg/ml
Furosemid
tabl 40mg
injc i.v/i.m 10mg/ml@2ml
Tambahan :

Dopamin
injc 40mg/ml (HCL)
NO

kemasan
NAMA O BAT
Dobutamin
injc 250mg
Epineprin (adrenalin)
injc i.v 1% (HCl/bitatrat) @1ml

injc 0,1% (HCl) @1ml
Tambahan :

Ephedrin
Gemfibrozil
injc 50mg/ml (HCL)
kaps 300mg
kaps 600mg
Pravastatin
tabl 10mg
tabl 20mg
Simvastatin
tabl 5mg
tabl 10mg
Atorvastatin
tab 10mg dan 20mg
Tambahan :
19

19.1 Oral
Garam oralit
Human Albumin
Lart
lar infs 20%,btl 50m
lar infs 25% btl 100ml
lar infs 25% btl 20ml

Kalium klorida
tabl siap larut 300mg

tabl siap larut 600mg
Natrium bikarbonat
tabl 500mg
19.2 Parenteral
Dextran 70
lar infs 6%, btl 500ml
NO
NAMA O BAT

kemasan
Glukosa

lar infs 40% @25ml
Kalsium glukonat
injc i.v 10%@10ml
Kalium Klorida
injc 25ml/vial
Kombinasi infs per liter :

Asam Amino
Esensial 18/250ml,
Histidin 69g/250ml
lar infs btl 250ml
Lar Nutrisi DOEN I, kombinasi :

Asam amino 50gr/L
D-sorbitol 100gr/L
Asam askorbat 0,4gr/L
Inositol 0,5gr/L
Nikotinamida(Niasianida) 0,06gr/L
Piridoksin HCL (vit.B6) 0,04gr/L
Ribloflavin Na-fosfat 2,5mg/ml
Rutosid (Rutin) 0,4gr/l
Mineral
lar infs btl 250ml
lar infs, btl 500ml

lar infs, btl 500ml
Lar. Nutrisi DOEN IV kombinasi:

-lar infs btl 500ml
5%Glukose + 0,45% NaCl

Infusan D5 + 1/2 Ns
Lar. Nutrisi DOEN V kombinasi :

Glukose 2,5%. + NaCl 0,45%
-lar infs btl 500ml
2,5%Dextrose + 0,45%NaCl
otsu-D2,5 1/2Ns
Lar. Nutrisi DOEN VI kombinasi :

-lar infs btl 500ml
5%Gukose + NaCl 0,225%

infusan D5 + 1/4 Ns
Natrium bikarbonat
injc i.v 8,4% vial 25ml

Natrium klorida
lar infs 0,9% btl 500ml

Ringer laktat
kombinasi:
lar infs btl 500ml

Lar infs btl 500ml
NO
NAMA O BAT
-lar infs btl 500ml
kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
-lar infs btl 500ml
kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
kombinasi :
Amino Acids
Xylitol
Vitamin
Mineral
-lar infs btl 500ml
kombinasi :
Fruktose 60gr
Glukose 33gr
Xylitol 30gr
lar infs btl 500ml
kombinasi :
Na. 100m EQ. K 18m EQ
Ca. 4m EQ. Mg 6m EQ.
Cl. 90m EQ. Acetate 38m EQ.
Sorbitol 50gr
-lar infs btl 500ml
kombinasi :
As. Amino Rantai Cabang
Kadar Tinggi
As. Amino Aromatik
Kadar Rendah
NaCl (tdk ada tirosin)
-lar infs btl 500ml
kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
kombinasi :
Asam Amino 2,72%
Sorbitol 15%

kemasan
NO
NAMA O BAT

kemasan
-lar infs btl 500ml

Kombinasi :
-lar infs btl 500ml
-lar infs btl 1000ml
Maltose
-lar infs 10% btl 500ml
19.3 Lain-lain
Air untuk injeksi
vial 25ml
Tambahan :
22
Psikofarmaka
Alprazolam
tabl 0.25mg
tabl 0,5mg
tabl 1mg
Clobazam
tabl 10mg
Diazepam
tabl 5mg
tabl 2mg
injc 5mg @2ml
Rectal
22.2 Antidepresi dan Antimania

Amitriptilin
Litium karbonat
tabl 200mg
Klorpromazin HCL
tabl salut 25mg

tabl salut 100mg
NO
NAMA O BAT

kemasan
injc 25mg/ml @2ml
22.3 Antiobsesi Kompulsi

Klomiparin
tabl 25mg(HCL)
22.4 Antipsikosis
Flufenazin
tabl 2,5mg(HCL)
Haloperidol
tabl 0,5mg, 1.5mg, 2mg,5mg
injc 5mg/ml
Klorpromazin
tabl salut 25mg (HCl), 100mg
injc 25mg/ml ampl @2ml (HCl)

injc i.m 5mg/ml (HCl) @2ml
Perfenazin
tabl 2mg(HCL)
tabl 4mg
tabl 8mg
Resperidon
tabl 1mg, 2mg, 3mg
Trifuoperazin
talb 1mg, 5mg
Tambahan :
24

24.1 Antiasma
Aminofilin
tabl scored 150mg

tabl scored 200mg
injc 24mg/ml @10ml
Deksametason
tabl 0,5mg
injc i.v 5mg/ml l
(sbg natrium fosfat) @1ml
Efedrin
tabl 25mg (HCl)
injc 0,1% (sbg HCl/bitartrat)
NO
NAMA O BAT
Salbutamol

kemasan
tabl 2mg (sbg sulfat)
tabl 4mg (sbg sulfat)
inh. (aerosol) 100mcg/dosis
(sbg sulfat) tbg 200 dosis
nebules 2,5mg
Terbutalin sulfat
tabl 2,5mg
syr 1,5mg/5ml @60ml
injc 0,5mg/ml @1ml
Teofilin
tabl 150mg
Tambahan :
24.2 Antitusif
Dekstrometorfan
tabl 15mg (HBr)

syr 10mg/5ml (HBr)@60ml
Prometazin
tabl 25mg
Kodein
tabl 10mg (HCl/fosfat)
Sirop timi majemuk
cairan btl 100ml
Tambahan :
24.3 Ekspektoran
Ambroxol
Bromheksin
tabl 30mg
syr 15mg/ml @60ml
tabl 8mg
Syrp
NO

kemasan
NAMA O BAT
Gliseril guaiakolat
tabl 100mg
Obat batuk hitam (OBH)
syr btl 100ml

syr btl 200ml
Anti Influenza
Tab
Syrp dan Drops

kombinasi
Oxomenazine & guafenezine
Oxomenazine & gg
Kombinasi
Paraset, PPA, CTM, dmp
Syrp
Tabl
Tambahan :
27
Vitamin dan Mineral

Vitamin c dan kombinasi
Vitamin E dan Kombinasi
Vitamin D dan kombinasi

Glukosamine dan kondroitin
Curcuma
NO

kemasan
NAMA O BAT
Ubidecaronate dan levocarnitin
Fitomenadion (Vit K)
injc 10mg/ml
tabl salut gula 10mg
Kalsium glukonat
injc 100mg/ml @10ml
Vit B kompleks
tabl
Imunomudulator
Tabl dan Syrup
Tambahan :
OBAT FORMULARIUM
R KAB. MOJOKERTO
9
Nama Dagang
Pabrik
KF
KF
KF
MST
MST
BMF
BMF
Aspilet
miniaspi
Cardioaspirin
Thromboaspilet
Medi
Mersi
Bayer
Medifarma
Mefinal
Argesid
Datan
Mefinter
Lapistan
Mefix
Benostan
Sanbe
Promed
Pyridam
Interbat
Lapi
Meproharma
Bernopharma
Proris
Bufect
Bufect
Pharos
Sanbe
Sanbe
Exaflam
Eflagen
Cataflam
Guardian
Sanbe
Novartis
Kaltrofen
Fetik
Kalbe
Interbat
Harga
Nama Dagang
Pabrik
Ketros
Pharos
Remopain
Ketopain
Torasic
Ketrobat
Lantipain
Trolac
Toramin
Ketoflam
Dolac
Dexa
Soho
Kalbe
Interbat
Landson
Berno
Otto
Indopharma
Ethica
Arimed
Meloxim
Movix
Moxam
Promed
Interbat
Lapi
Pharos
Novalgin
Novartis
Antrain
Norages
Novalgin
Pragesol
Interbat
Mepro
Novartis
Novell
Flamar
Dolofenak
Voltaren
Voltadex
Sanbe
Merck
Novartis
Dexamedika
Pamol
Sanmol
Sanmol
Pamol
Pyridol
Interbat
Sanbe
Sanbe
Interbat
Dexa
Pyridam
Tradosik
Tramal
Sanbe
Pharos
Zaldiar
Pharos
Xillomidon
Dura
NonFlamin
Takeda
Sistenol
Harga
Nama Dagang
Ozen
Ryzo
Pabrik
Pharos
Soho
Ryzen
UCB Pharma
Unalium
Guardian
Vertizin
Bernopharma
Kalmethasone
Indexon
Cortidex
Kalbe
Interbat
Sanbe
Kalmethasone
Kalbe
Duradryl
Dura
Avil
Sanofiaventis
Alloris
Inclarin
Clarihis
Pylor
Sanbe
Interbat
Lapi
Piridam
Aldisa SR
Rhinos SR
Sanbe
Dexa
Interhistin
interbat
Inerson
Amoxan
Intermoxil
Mestamox
Lapimox
Sanbe
Interbat
Mestika
Lapi
Harga
Nama Dagang
Pabrik
Amoxan
Opimox
Sanbe
Otto
Kalmoxcillin
Intermoxyl
Amobiotic
Kalbe
Interbat
Bernopharma
Sanpicillin
Sanbe
Sanpicillin
Sanbe
Kalpicillin
Viccilin
Kalbe
meiji
Picyn
Picyn
Bernopharma
Bernopharma
Clavamox
Claneksi
Aclam
Clabat
Kalbe
Sanbe
Lapi
Interbat
Claneksi
Sanbe
PPC
Meiji
Pyricef
Vroxil
Cefat
Lapicef
Ancefa
Cefat
Pyricef
Piridam
Promed
Sanbe
Lapi
Mepro
Sanbe
Piridam
Chloracef
Ethica
Cefabiotik
Bernopharma
Harga
Nama Dagang
Pabrik
Cefspan
Ceptik
Sporetik
Fixiphar
Comsporin
Cefspan
Sporetik
Kalbe
Interbat
Sanbe
Pharos
Combipharma
Kalbe
Sanbe
Combicef
Taxegram
Kalfoxim
Rycef
Procefa
Lapixim
Ethiclaf
Soclaf
Tirdicef
Efotax
Combipharma
Sanbe
Kalbe
Interbat
Promed
Lapi
Ethica
Soho
Bernopharma
Mepro
Extimon
Zibac
Zidifec
Lacedim
Sodim
Interbat
Fahrenheit
Sanbe
Lapi
Soho
Broadced
Tyason
Starxon
Terfacef
Bioxon
Cefxon
Cephaflox
Criax
Foricef
Ecotrixon
Intrix
Kalbe
Combipharma
Interbat
Sanbe
Otto
Lapi
Guardian
Mepro
Promed
Bernopharma
Pharos
Oxtercid
Anbacym
Interbat
Sanbe
Harga
Nama Dagang
Pabrik
Tetrasanbe
Sanbe
Erlamcetin
Erela
Colsancetin
Sanbe
Thiamicim
Biothicol
Comthicol
Sanprima
Primadex
sanbe
Dexamedica
Sanprima
Primadex
sanbe
Dexamedica
Erysanbe
Erytrin
Sanbe
Interbat
Lando
Prolic
Landson
Promixin
Varoc
Provamed
Sagestam
Sanbe
Sagestam
Gentacortin
Sanbe
Harga
Nama Dagang
Pabrik
Fg troches
Meiji
Cravit
Prolecin
Cravox
Lekuicin
Lecrav
Volquin
Nislev
Kalbe
Promed
Lapi
Pyridam
Pharos
Cravit
Levores
Kalbe
Novellpharma
Tarivid
Kalbe
Floksid
Interflox
Volinol
Baquior
Quinobioic
Tequinol
Wiaflox
Promed
Interbat
Pyridam
Sanbe
Pharos
Otto
Landson
Sulcolon
Berno
Fladex
Dexa
Promuba
Fladex
Fortagil
Diazol
Mepro
Dexa
BBMI
Harga
Nama Dagang
Pabrik
Tibigon
Tibitol
Hexaparm
Mersi
Rimstar
Rifastar
Sandoz
Indopharma
Natabion
Emibion
Pyridam
Guardian
Cernevit
Neurobat
Neurosanbe 5000
Biocombin
Bioneuron
Kalbe
Interbat
Sanbe
Mepro
Pharos
Harga
Nama Dagang
Pabrik
Neurosanbe 5000
Neurodex
neuraxon
Neurobion
Neuromed
Sanbe
dexa
Pyridam
merck
mepro
Kalnex
Transamin
Intermic
Kalbe
Kalnex
Transamin
Intermic
Interbat
Kalbe
Interbat
Neo K
Inficlot
Thrombopop Gel
Simarck 2
Fahrenheit
Koate DVI
Dipa
Otsutrans 70
Otsu
Widahes
Fima Hes
Wida
Kalbe
Harga
Nama Dagang
Pabrik
Hestar
Hemohes
Claris
Bbmi
Farsix
Naclex
Fahrenheit
Pharos
Lasix
Farsix
Nacclex
Sanofiaventis
Fahrenheit
Pharos
Manitol
Manitol
Kalbe
Otsu
Spirola
Carpiaton
Letonal
Kalbe
Fahrenhait
Otto
Kalmethasone
Indexon
Cortidex
Kalbe
Interbat
Sanbe
Kalmethasone
Kalbe
Hexilon
Prolon
Kalbe
Promed
Hexilon
Kalbe
Betablock
Famormin
Kalbe
Fahrenhait
Harga
Nama Dagang
Pabrik
Berablok
Tensinorm
Kalbe
Medikon
Herbeser
Tanabe
Herbesser
farmabess
Tanabe
Fahrenhait
Farsobit
Cedocard
Fahrenhait
Daryavaria
Isoket
Cedocard
Pharos
Darya Varia
Interpril
Noperten
Interbat
Dexa
Interpril
Noperten
Interbat
Dexa
Tiaryt
Kendaron
Cordaron
Fahrenheit
Daryavaria
Cardiover
Landsond
Harga
Nama Dagang
Pabrik
Amlodipin
Intervask
Cardisan
Tensivask
Interbat
Sanbe
Dexa
Amdixal
Sand
Diovan
Betablok
Kalbe
Betablok
Kalbe
Bisovel
Concor
Novel
Merck
Catapres
Catapres
Boehringer
Boehringer
Dopamet
Actavis
Farmalat
Farenhait
Adalat oros
Bayer
Adalat oros
Bayer
Cardace
Ramixal
Aven
Sand
Harga
Nama Dagang
Pabrik
Tanapril
Ramixal
Dexa
Sand
Tanapres
Tanapres
tanabe
tanabe
Hytrin
Abboth
CPG
Vacio
Kalbe
Dexa
Reotal
Kalbe
Reotal
Kalbe
Streptase
Dexa
Fargoxin
Fahrenhait
Fargoxin
Fahrenhait
Farsix
Naclex
Fahrenheit
Pharos
Lasix
Farsix
Nacclex
Sanofiaventis
Fahrenheit
Pharos
Dopac
Cetadop
Kalbe
Ethica
Fahrenheit
Indop
Harga
Nama Dagang
Pabrik
Cardiject
Inotrop
Danpac
Fahrenhait
Ethica
Pravinat
Interbat
Stator
dexa
Renalyt
Fahrenheit
Octalbin
Cealb
Kalbe
Graf
Octalbin
Cealb
Kalbe
Graf
Plasbumin
Dipa
KSR
Merck
Harga
Nama Dagang
Pabrik
D 5%
D 10%
D 40%
BBMI
BBMI
Otsu
Ca Gluconat
Ethica
KCl 7,46%
Otsu
EAS Pfrimmer
Kalbe
Aminofusin
L-601
Kalbe
Wida
Sanbe
Wida
Sanbe
Wida
Sanbe
Meylon
Ecosol
Na Cl 0,9%
Otsu
OGB
Bbmi
Bbmi
Ecosol Na Cl 0,9%
Ecosol RL
Bbmi
D5 NS
Otsu
Harga
Nama Dagang
Pabrik
Infusan RD
sanbe
KA EN 3A
Tridex 27A
Otsu
Sanbe
KA EN 3B
Tridex 27B
Otsu
Sanbe
Aminoleban
Otsu
Comafusin
Hepar
Kalbe
Tutofusin
Kalbe
Tutofusin
Kalbe
Aminofusin
Hepar
Kalbe
Amiparen
Kalbamin
Otsu
Kalbe
Pan Amin G
Otsu
Harga
Nama Dagang
Pabrik
KN MG3
otsu
KN MG3
Otsu
Martos
Otsu
Water For Injc
Otsu
Zypras
Kalbe
Zypras
Kalbe
Frisium
Aven
Valisanbe
Sanbe
Valdimex
Mersipharma
Valisanbe
Sanbe
Valisanbe
Sanbe
Valium
Stesolid
Stesolid
Actavis
Actavis
Cepezet
Mersi
Harga
Nama Dagang
Pabrik
Cepezet
Mersi
Anafranil
Novartis
Lodomer
Mersi
Cepezet
Mersi
Cepezet
Mersi
Persidal
Mersi
Stelazin
Pharos
Harga
Nama Dagang
Pabrik
Ventolin
Glaxo
Ventolin
Glaxo
Neiret
Tismalin
Otto
Metiska
Neiret
Otto
Neiret
Otto
Thebron
Interbat
Romilar
Propec
Epexol
Mucohexin
Bisolvon
Vectrine
Sanbe
Dexa
Harga
Nama Dagang
Pabrik
Nostel
Tremenza
Trifed
Lapfed
Pyridam
Sanbe
Rhinos
Alco
Dexa
Interbat
Comtusi
Oxoril
Chough en
Combi
Mepro
Mestilat
Flutamol
Pyridam
Becom C
Zegavit
Elkana
Sanbe
Asthin
Lycoxy
Lanturol
Lesichol
Proxidan
Soho
Dexa
Landson
Landson
Mepro
Caltron
Osteor plus
Osteocom
Ostriol
Risteon
Osteocal
Osmin
Pyridam
Biocurliv
Soho
Lapi
Lapi
Nicolas
Harga
Nama Dagang
Pabrik
Corsel
Fahrenheit
Kavitin
Kalbe
Ca Glukonat
Ethica
Alinamin F
Takeda
Imbost
Imudator
Starmuno
Nu fit
Imunos
Kalbe
Guardian
Harga

TAHUN 2009
NO
1
1
NAMA O BAT

kemasan
2

1 Kodein
Tab 10mg, kaleng
2 Fentanyl
2 Morphin HCl
Tab, 10 mg
Inj. 10 mg/ml
3 Petidin
injc i.m/s.k/i.v
50mg/ml

(asetosal)
2 Asam mefenamat
3 Ibuprofen
Tab 100mg
Tab 500 mg
Tab 200mg
syr.100mg/5ml
Supp. 125 mg
4 Kalium Diklofenac
tab 50mg,25mg
tab 50mg
5 Ketoprofen
Supp 100mg
Tab 100mg
6 Ketorolac
inj. 30mg/ml
7 Meloxicam
Tab 15mg
Tab 7,5 mg
NO
NAMA O BAT

kemasan
8 Metampiron
Tab 500mg
9 Metamizole sodium
Tablet 500mg
Injc. 500mg/ml
@2ml
Tab 50mg
Tab 25 mg
gel
11 Paracetamol
Tab 500mg
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
12 Piroksikam
tab 20 mg
gel
13 Tinoridine HCl
tab 50 mg
14 Tramadol
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
1.3 Antipirai
1 Allopurinol
inj 15ml/vial
Tab 100mg
NO
NAMA O BAT

kemasan
Dexametasone
inj 5mg/ml@1ml
tab 0,5mg
Kombinasi dengan
difenhidramin
Tab
Difenhidramin
Inj 10mg/ml
Inj 15mg/vial
Inj 0,1%
Klorfeniramin
Tab 4mg
Pheniramine maleat
Tab 25mg
inj.50mg/2ml
Loratadine
tab 10mg
Ceterizin
tab 10mg
drops
Metil Prednisolon
tab 8mg
inj 125mg/ml
Ciproheptadin
kap 4mg
NO
NAMA O BAT
10

kemasan
tab 50mg
Carbamazepin
tab 200mg
Diazepam
rectal 5mg/2,5ml
Fenitoin
inj 50mg/ml
cap 100mg
Fenobarbital
tab 30mg
inj 50mg
Gabapentin
cap 300mg
6.2 Antibakteri
6.2.1 Beta Laktam

tab 500mg
dry syr 125mg/5ml

drops 100mg/ml
serb inj 1000mg
NO
NAMA O BAT

kemasan
2 Ampisilin
cap 500mg
serb inj 1000mg
serb inj 500+250mg
4 Kombinasi Amoksisilin 500mg dan kap 500+125mg

clavulanat 125mg
5 Cefadroksil
caps 500mg
dry syr 125mg/5ml
6 Sefaklor
caps 500mg
7 Sefaleksin
caps 500mg
8 Sefiksim
caps 100mg
dry syr 100mg/5ml
9 Sefotaksim
serb inj 1gr
10 Seftazidim
serb inj 1gr
11 Seftriakson
serb inj 1gr
12 Sephalotin
serb inj 1gr
13 Meropenem
serb inj 1 gr

6.2.2.1 Tetrasiklin
1 Doksisiklin
caps 100mg
3 Tetrasiklin
1 Kloramfenikol
caps 500mg
caps 250mg
susp 125mg/5ml
NO
NAMA O BAT
2 Tiamfenikol

kemasan
caps 500mg
dry syr 125mg/5ml

trimetoprim 80mg
Tablet
2 sulfa 800mg+
trimetoprim 160mg
Tablet
susp
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
caps 150mg & 300mg

caps 500mg
erisanbe ch
syr 200mg/5ml
3 Spiramisin
tab 500mg
4 Azytromicin
caps 500mg
1 Gentamisin
inj 40mg/ml
6.2.2.6 Kuinolon
1 Levofloksasin
tab 500mg
2 Ofloksasin
tab 200&400mg
NO
NAMA O BAT
3 Siprofloksasin

kemasan
tab 500mg

1 Sulfasalazin
2 Metronidazol
tab 500mg
tab 500mg
syr 125mg/5ml
supp 500mg
3 Colistin sulfat
Tab 250000 iu
NO
NAMA O BAT

kemasan
NO
NAMA O BAT

kemasan
Antimigren
1 Ergotamin cafein
tab 1mg
kap
Kombinasi paracetamol 300mg,

acetosal, cafein
3 Piracetam
tab 800mg&1200mg
inj 1gr/5ml
inj 3gr/5ml
2 Sitikolin/citikolin
tab 500mg
inj 250mg/2ml
3 Pyritinol HCL
syr 100ml
NO
NAMA O BAT
4 Mecobalamin
10

kemasan
inj. Amp 500mcg

tab 500mg
8.1 Antianemi
1 Asam folat
2
tab 1mg
tab salut 300mg
3 Vit B1, B6, B12
tab
inj. Amp 3ml
8.2 Koagulasi, obat

yang mempengaruhi
1 Asam traneksamat
inj 250mg/5ml
tab 500mg

inj 10mg/ml
3 Heparin Na
gel
NO
NAMA O BAT
4 Lidocain
1
Dexametasone

kemasan
inj 2%
inj 5mg/ml@1ml
tab 0,5mg
Kombinasi dengan
difenhidramin
Tab
Difenhidramin
Inj 10mg/ml
Inj 15mg/vial
Inj 0,1%
Klorfeniramin
Tab 4mg
Pheniramine maleat
Tab 25mg
inj.50mg/2ml
Loratadine
tab 10mg
Ceterizin
tab 10mg
23
drops
8
Metil Prednisolon
tab 8mg
inj 125mg/ml
9
10
19.
Ciproheptadin
kap 4mg
tab 50mg
saluran c cerna DAN OBAT UNTUK

tab
Sanmag (+d
NO
NAMA O BAT

kemasan

200mg/5ml
3 Famotidin
tab 20mg
4 Lanzoprazol
caps 30mg
5 Omeprazol
caps 20mg
inj.
6 Ranitidin
tab 150mg
inj 25mg/2ml
7 Simetidin
tab 200mg
inj. 200mg,amp
8 Sulkrafat
tab 500mg
syr 100ml
9 Polymigel
tab
19.2 Enzim
kap
diastase, cimetikon
kap
dimetilpolisiloxan
kaplet
19.3 Antiemetik
tab 6mg
NO
NAMA O BAT

kemasan
2 Dimenhidrinat
tab 50mg
3 Loperamid
tab 2mg
4 Metoklopramid
tab 5mg
inj 5mg/ml
5 Ondansetron
inj 4mg/2ml
tab 4mg
6 Domperidon
tab 1mg
syr 5mg/5ml
dclonidium 2,5mg
8 Pantoprazol inj
tab
tablet
19.3 Antihemoroid
1 Kombinasi :
27
inj 40mg
kapsul 100mg
bismutsubgalat150mg
heksaklorofen
Supp

Zinc oxide
ointmen

ointmen
NO
NAMA O BAT
19.4 Antispasmodik
1 Atropin Sulfat

kemasan
inj. 0,25mg/ml @iml
tab. 10mg
Spasminal (+m
inj 20mg/mL
3 Papaverin
tab 40mg
inj im 40mg/ml

2 Kombinasi :
Kaolin 550mg +
pectin 200mg
tab
susp
3 Lactobacillus
serbuk
Cap
4 Zinc
19.6 Kataritik
1 Bisakodil
serbuk/sachet
tablet
supp 5mg
supp 10mg
tab 5mg
22
2 Gliserin
Kombinasi :
fenolftalen
susp botol 60ml

cairan supp.
3 Lactulosa
syr
NO
NAMA O BAT
4 Fosfosoda
1 Sulfasalazin

kemasan
susp
tablet 500mg
NO
NAMA O BAT

kemasan
PENGADAAN OBAT FORMULARIUM
DR SOEKANDAR KAB. MOJOKERTO

TAHUN 2009
Nama Dagang
Pabrik
generik
KF
Fentanyl
janssen-cilag
MST
generik
Mahakam
KF
KF
Aspilet
Medifarma
Mefinal
Cargesic
Opistan
Pondex
Sanbe
Sanprima
Otto
Dexa
generik
Proris
Proris
Proris
Pharos
Pharos
Pharos
Exaflam
X-flam
Guardian
Combiphar
Kaltrofen
Pronalges
Kaltrofen
Kalbe
pharos
kalbe
generik
trolac inj
Berno
generik
osteloc
generik
sanbe
Nama Dagang
Pabrik
Antalgin
Analsik
(+Dzp 2mg)
Sanbe
Antalgin
Norages
Novalgin
Mepro
Sanovi-aventis
Voltadex
Renadinac
Scantaren
Dexamedika
Fahrenheit
Scanpasific
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
generik
Pirofel
Sanbe
Nonflamin
Takeda
generik
Patral
mahakam
Xillomidon
Dura
generik
Rinolic
Alluric
GMP
Kalbefarma
Nama Dagang
Pabrik
Kalmethasone
Indexon
Cortidex
Hexapharma
Interbat
Sanbe
Kalmethasone
Scandexon
Carbidu
Hexapharma
Tempo
Sampharindo
Mexon
sampharindo
generik
Duradryl
Dura
Generik
pehachlor
avil
avil
sanofi
sanofi
generik
clarihis
lapi
Zenris
generik
Tiriz
Pyridam
Lapi
generik
Lameson
Lameson
generik
lapi
lapi
Pronicy
Kalbe
Nama Dagang
Pabrik
interhistin
interbat
generik
Stesolid
Actavis
generik
Kutoin
mersifarma
generik
Phental iv
KF
Combi
Gabexal
generic
Sandoz
Amoxan
Zemoxil
Brodamox
Sanbe
Zenith
Sampharindo
Amoxan
Zemoxil
Amoxan
Sanbe
Zenith
Sanbe
Amoxan
Sanbe
Nama Dagang
Pabrik
Brodapen
Viccilin
Sampharindo
Meiji
Pycin 750
Berno
co amoxiclav
clanexi
sanbe
Pyricef
generik
Piridam
Pyricef
generik
Piridam
Capabiotik
Yarindo
Cefabiotic
Berno
Cefila
Cefila
lapi
lapi
generik
Taxegram
lapixim
Sanbe
lapi
Yadim
Yarindo
generik
cephaflox
guardian
Moraxine
Yarindo
Meropex
generik
Berno
generik
doxacin
otto
Suprabiotik
Zenith
Lanacetin
coromycetin
landsen
coronetcrown
Nama Dagang
Pabrik
Promixin
Dexicol
Phenobiotic
Biothicol
Pyridam
Dexa
Berno
Sanbe
Sanprima
miratrim
Sanbe
sampharindo
Lapikot forte
Primadex forte
Lapi
Dexamedika
Sanprima
Primadex
Miratrim
Sanbe
Dexamedica
Sampharindo
generik
generik
erisanbe
erisanbe chewable
sanbe
sanbe
generik
generik
varoc
pyridam
zibramax
generik
guardian
Sagestam
Sanbe
Cravox
generik
Lapi
generik
Cravox
generik
Lapi
Nama Dagang
Pabrik
generik
Baquior forte
Lapiflox
sanbe
Lapi
generik
Lapiflox inf
Lapi
Sulcolon
Berno
Metrolet
Trychodazole
Harsen
Sanbe
Metrolet
promuba
Flagyl
Harsen
mepro
Sanovi
Vagistin
Combiphar
Trychodazole
generic
Sanbe
Colistine
Actavis
Nama Dagang
Pabrik
Nama Dagang
Pabrik
generik
Nogren
generik
latropril
generik
Neurotam
generik
Pyridam
Lapi
kalbe
Neociti
Lapi
Nicholin
Neociti
Takeda
Lapi
Encephabol
Merck
Nama Dagang
Pabrik
Kalmeco
Kalmeco
Kalbefarma
Kalbefarma
Folacom
combi
Natabion
Artoferum
Maltofer
Pyridam
Neurobion 5000
Neurobat
Neurosanbe
Neurodex
Sakaneuron
Merc
Interbat
Sanbe
dexamedika
sakafarma
Neurosanbe 5000
Neurobion 5000
Sanbe
merck
Kalnex
Transamin
Kalbe
Otto/daichi
Transamin
Otto/Daichi
generik
Neo K
Combi
Combi
Thrombopop Gel tunggal idaman
Nama Dagang
Pabrik
Antithromb
Mecosin
generic
Bernofafm
Kalmethasone
Indexon
Cortidex
Hexapharma
Interbat
Sanbe
Kalmethasone
Scandexon
Carbidu
Hexapharma
Tempo
Sampharindo
Mexon
sampharindo
generik
Duradryl
Dura
Generik
pehachlor
avil
avil
sanofi
sanofi
generik
clarihis
lapi
Zenris
generik
Tiriz
Pyridam
Lapi
generik
Lameson
Lameson
generik
lapi
lapi
Pronicy
Kalbe
interhistin
interbat
generik
Sanmag (+dzp 2mg)
Sanbe
Nama Dagang
Pabrik
Magtral
Stomacain
Combiphar
Mylacid
Bufantacyd
(+cimeticon)
Carsida
Emba
Bufa
Sampharindo
generik
generik
generik
OMZ
Ferron
generik
Acran
generik
Indoran
Acran
Indofarma
sanbe
generik
Ulsikur
Hexapharma
Ulsafate
Propepsa
Combiphar
Gracia
Srocain-P
Eisai
sanbe
lybrozim
lybrozim plus
Tripanzym
Mertigo
Merislon
Sanbe
Dexa
Mersi
Nama Dagang
Pabrik
generik
Mantino
samparindo
lopamid
Lodia
Harsen
Sanbe
Nilatika
Damaben
Tomit
Damaben
sampharindo
Capri
interbat
Capri
generik
ODR
Insetron
vometraz
Lapi
Indofarma
Dexamedika
generik
Dom
Omedon
Dom
Omedon
generik
Lapi
Mutifa
Lapi
mutifa
Braxidin
Sanbe
Topazole
Lapi
Anvomer B6
Dexamedika
Lanaven
Lansond
generik
Haemocain
Gelenium
Borraginol S
Takeda
Nama Dagang
Pabrik
Atropin
Ethica
Buscopan
Boehringer
Gitas
Interbat
generik
generik
Oralit
OGB
Corosorb
Novadiar
Omegdiar
Coronetcrown
Corsa
L-bio
Lacto B
Lacidofil
Lacbon
Lapi
pharos
Dexa
Pharmasolindo
Orezinc
Zincare
Kalbe
Dulcolax Paed
Boehringer
Dulcolax Paed
Boehringer
Dulcolax Paed
Boehringer
Laxadine
fleet enema
Gelenium
combiphar
Lactulax
Ikapharmindo
Nama Dagang
Pabrik
Fleet Fosfosoda
Combi
Sulcolon
Bernofarm
Nama Dagang
Pabrik

TAHUN 2009
NO
NAMA O BAT

kemasan

1 Kodein
Tab 10mg, kaleng
2 Fentanyl
2 Morphin HCl
Tab, 10 mg
Inj. 10 mg/ml
3 Petidin
injc i.m/s.k/i.v
50mg/ml
(asetosal)
2 Asam mefenamat
Tab 100mg
3 Ibuprofen
Tab 200mg
Tab 500 mg
syr.100mg/5ml
Supp. 125 mg
4 Kalium Diklofenac
tab 50mg,25mg
tab 50mg
5 Ketoprofen
Supp 100mg
Tab 100mg
6 Ketorolac
inj. 30mg/ml
7 Meloxicam
Tab 15mg
Tab 7,5 mg
NO
NAMA O BAT

kemasan
8 Metampiron
Tab 500mg
9 Metamizole sodium
Tablet 500mg
Injc. 500mg/ml
@2ml
Tab 50mg
Tab 25 mg
gel
11 Paracetamol
Tab 500mg
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
12 Piroksikam
tab 20 mg
gel
13 Tinoridine HCl
tab 50 mg
14 Tramadol
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
inj 15ml/vial
6.2 Antibakteri
6.2.1 Beta Laktam

tab 500mg
dry syr 125mg/5ml

drops 100mg/ml
NO
NAMA O BAT

kemasan
serb inj 1000mg

2 Ampisilin
cap 500mg
serb inj 1000mg
serb inj 500+250mg

kap 500+125mg
5 Cefadroksil
caps 500mg
dry syr 125mg/5ml
6 Sefaklor
caps 500mg
7 Sefaleksin
caps 500mg
8 Sefiksim
caps 100mg
dry syr 100mg/5ml
9 Sefotaksim
serb inj 1gr
10 Seftazidim
serb inj 1gr
11 Seftriakson
serb inj 1gr
12 Sephalotin
serb inj 1gr
13 Meropenem
serb inj 1 gr

6.2.2.1 Tetrasiklin
1 Doksisiklin
caps 100mg
3 Tetrasiklin
caps 500mg
NO
NAMA O BAT

kemasan
1 Kloramfenikol
caps 250mg
susp 125mg/5ml
2 Tiamfenikol
caps 500mg
dry syr 125mg/5ml

trimetoprim 80mg
Tablet
2 sulfa 800mg+
trimetoprim 160mg
Tablet
susp
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
caps 150mg & 300mg
caps 500mg
erisanbe che
syr 200mg/5ml
3 Spiramisin
tab 500mg
4 Azytromicin
caps 500mg
1 Gentamisin
inj 40mg/ml
6.2.2.6 Kuinolon
1 Levofloksasin
tab 500mg
NO
NAMA O BAT

kemasan
2 Ofloksasin
tab 200&400mg
3 Siprofloksasin
tab 500mg

1 Sulfasalazin
2 Metronidazol
tab 500mg
tab 500mg
syr 125mg/5ml
supp 500mg
3 Colistin sulfat
10
Tab 250000 iu
8.1 Antianemi
1 Asam folat
tab 1mg
tab salut 300mg

3 Vit B1, B6, B12
tab
NO
NAMA O BAT

kemasan
inj. Amp 3ml
8.2 Koagulasi, obat

yang mempengaruhi
1 Asam traneksamat
inj 250mg/5ml
tab 500mg
13

inj 10mg/ml
3 Heparin Na
gel
4 Lidocain
inj 2%
13.1. Antibakteri
1 Framisetin
casa steril 1%
2 Natrium fusidat
cream 20mg/gr
3 Perak sulfadiazin
cream 1%
4 Gentamisin sulfat
cream 1mg/gr
larutan 1%
6 neomycin sulfat +
cream
7 Chloramphenicol+
hidrocortison
13.2 Antifungi
1 Ketokonazol
cream
cream
2 Miconazol
cream 2%
cream
NO
NAMA O BAT
4 Gentian
Violet

1 Betametason

kemasan
larutan 1%
cream
cream + neomycin
cream + miconazole
2 Clobetasol
cream 0,05%
3 Desoksimetason
cream 0,25%
4 Hidrokortison
cream 2,5%
5 Triamsinolon
cream oral base

1 Lindane 1%,
ursic acid 1%
1 Urea
cream
cream 20%

gel 10gr
cream 15gr
13.9 Lain-lain
& vit E
cream
2 Asam sulfonat+
formaldehid
solution 10ml
3 Herbal ointment
cream
15.2 Parenteral
1 Plasme expander
(HES)
NO
NAMA O BAT

kemasan
2 Glukosa

3 Kalsium glukonat
inj 10% @10ml
4 Kalium Klorida
inj 25ml/vial
5 Human Albumin

(tidak stock)

-lar infs btl 500ml
Wida D5 1
-lar infs btl 500ml

lar inf 25Meq, 25mL

lar inf. 500ml
lar.inf 100ml
12 Ringer laktat
13 kombinasi:
-lar infs btl 500ml
14 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
15 kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
-lar infs btl 500ml
16 kombinasi :
NaCL 1,75gr
Otsu D10 1
NO
NAMA O BAT

kemasan
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
17 kombinasi :
NaCl 2,25 g
-lar infs btl 500ml
18 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
KCl 0,65 g
Na Lactat 1,55 g
19 kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
20 kombinasi :
Asam Amino 2,72%
Sorbitol 15%
-lar infs btl 500ml
21 Kombinasi :
-lar infs btl 500ml
15.3 Lain-lain
1
Air untuk injeksi
23

tab
Sanmag (+dz
NO
NAMA O BAT

kemasan

200mg/5ml
3 Famotidin
tab 20mg
4 Lanzoprazol
caps 30mg
5 Omeprazol
caps 20mg
inj.
6 Ranitidin
tab 150mg
inj 25mg/2ml
7 Simetidin
tab 200mg
inj. 200mg,amp
8 Sulkrafat
tab 500mg
syr 100ml
9 Polymigel
tab
19.2 Enzim
kap
diastase, cimetikon
kap
dimetilpolisiloxan
kaplet
19.3 Antiemetik
2 Dimenhidrinat
tab 6mg
tab 50mg
NO
NAMA O BAT

kemasan
3 Loperamid
tab 2mg
4 Metoklopramid
tab 5mg
inj 5mg/ml
5 Ondansetron
inj 4mg/2ml
tab 4mg
6 Domperidon
tab 1mg
syr 5mg/5ml
dclonidium 2,5mg
8 Pantoprazol inj
tab
tablet
19.3 Antihemoroid
1 Kombinasi :
inj 40mg
kapsul 100mg
bismutsubgalat150mg
heksaklorofen
Supp

Zinc oxide
ointmen

19.4 Antispasmodik
ointmen
NO
NAMA O BAT

kemasan
1 Atropin Sulfat
inj. 0,25mg/ml @iml
tab. 10mg
Spasminal (+me
inj 20mg/mL
3 Papaverin
tab 40mg
inj im 40mg/ml
19.6 Kataritik
1 Bis supp 5mg
Dulcolax Paed
supp 10mg
Dulcolax Paed
tab 5mg
Dulcolax Paed
2 Gliserin
Komsusp botol 60ml
Para
cairan supp.
fenolftalen
Laxadine
fleet enema
3 Lacsyr
Lactulax
4 Fossusp
Fleet Fosfosoda

1 Sul tablet 500mg
Sulcolon
20 Saluran Kencing dan Prostat, obat yang mempengaruhi

20.1 Saluran kencing
tetes
Caps
20.2
Renal insufisiensi
tyrosin, histidin
20.3
Prostat (anti BPH)
Kap 650mg
Tab
NO
24
NAMA O BAT

kemasan
1 Finasteride
tab 5mg
Vitamin dan Mineral

1 Asam Folat
tab 1mg
2 Calcitriol
Tab 0,25mcg
3 Calsium lactat
Kap
vit C, vit D
Kap
Syr
5 Ca glukonas
inj 100mg/ml
6 Vitamin A
sugar coated 6000IU

inj. Im. Amp
7 Vit B kompleks
Tab
tab, kaleng
tab, + methampiron
inj. Amp
inj im, vial
8 Vitamin B1
Tab, kaleng
inj. Amp
9 Vitamin B6
Tab, kaleng

- Vit C
tab, kaleng
inj, amp 200mg
kaps
NO
NAMA O BAT
Ca pantotenat 20mg

kemasan
kaps
Kap
Kapl 100 IU
13 Vitamin K
tab salut gula 10mg

inj 10mg/ml

Kap.
15 Glukosamine dan
Kaplet
Efferfescen
syr
Drop
17 Multivitamin inj
25 Suplemen dan terapi Adjuvan lain
1 Astaxantin
inj, vial
caps
kap
syr
2 Extrac curcuma
sugar coated tab
GADAAN OBAT FORMULARIUM
OEKANDAR KAB. MOJOKERTO
TAHUN 2009
Nama Dagang
Pabrik
generik
KF
Fentanyl
janssen-cilag
MST
generik
Mahakam
KF
KF
Aspilet
Medifarma
Mefinal
Cargesic
Opistan
Pondex
Sanbe
Sanprima
Otto
Dexa
generik
Proris
Proris
Proris
Pharos
Pharos
Pharos
Exaflam
X-flam
Guardian
Combiphar
Kaltrofen
Pronalges
Kaltrofen
Kalbe
pharos
kalbe
generik
trolac inj
Berno
generik
osteloc
generik
sanbe
Nama Dagang
Pabrik
Antalgin
Analsik
(+Dzp 2mg)
Sanbe
Antalgin
Norages
Novalgin
Mepro
Sanovi-aventis
Voltadex
Renadinac
Scantaren
Dexamedika
Fahrenheit
Scanpasific
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
generik
Pirofel
Sanbe
Nonflamin
Takeda
generik
Patral
mahakam
Xillomidon
Dura
Amoxan
Zemoxil
Brodamox
Sanbe
Zenith
Sampharindo
Amoxan
Zemoxil
Amoxan
Sanbe
Zenith
Sanbe
Nama Dagang
Pabrik
Amoxan
Sanbe
Brodapen
Viccilin
Sampharindo
Meiji
Pycin 750
Berno
co amoxiclav
clanexi
sanbe
Pyricef
generik
Piridam
Pyricef
generik
Piridam
Capabiotik
Yarindo
Cefabiotic
Berno
Cefila
Cefila
lapi
lapi
generik
Taxegram
lapixim
Sanbe
lapi
Yadim
Yarindo
generik
cephaflox
guardian
Moraxine
Yarindo
Meropex
generik
Berno
generik
doxacin
otto
Suprabiotik
Zenith
Nama Dagang
Pabrik
Lanacetin
coromycetin
landsen
coronetcrown
Promixin
Dexicol
Phenobiotic
Biothicol
Pyridam
Dexa
Berno
Sanbe
Sanprima
miratrim
Sanbe
sampharindo
Lapikot forte
Lapi
Primadex forte Dexamedika
Sanprima
Primadex
Miratrim
Sanbe
Dexamedica
Sampharindo
generik
generik
erisanbe
erisanbe chewable
sanbe
sanbe
generik
generik
varoc
pyridam
zibramax
generik
guardian
Sagestam
Sanbe
Cravox
generik
Lapi
generik
Nama Dagang
Pabrik
Cravox
Lapi
generik
generik
Baquior forte
Lapiflox
sanbe
Lapi
generik
Lapiflox inf
Lapi
Sulcolon
Berno
Metrolet
Trychodazole
Harsen
Sanbe
Metrolet
promuba
Flagyl
Harsen
mepro
Sanovi
Vagistin
Combiphar
Trychodazole
generic
Sanbe
Colistine
Actavis
Folacom
combi
Natabion
Artoferum
Maltofer
Pyridam
Combi
Neurobion 5000
Merc
Neurobat
Interbat
Neurosanbe
Sanbe
Neurodex
dexamedika
Sakaneuron
sakafarma
Nama Dagang
Pabrik
Neurosanbe 5000
Neurobion 5000
Sanbe
merck
Kalnex
Transamin
Kalbe
Otto/daichi
Transamin
Otto/Daichi
generik
Neo K
Combi
Thrombopop Geltunggal idaman

Antithromb
Mecosin
generic
Bernofafm
sofratulle
Sanovi
Fuson
Pyridam
Burnazin
Darya
generik
sagestam
Genoint
sanbe
erela
Genoint
erela
Ociderm-N
Pyridam
Chloramphecort
KF
Mycoderm
Otto
generik
dactarin powder
Myco-z
taisho
Nama Dagang
Pabrik
Betason cream
Benoson
Benoson N
Benoson M
KF
Berno
Berno
Berno
Kloderma
SDM
Pyderma
Pyridam
generik
Kanalog
Taiso
Scabicid
KF
Moistderm
interbat
Bioplacenton
Bismecon
Kalbe
Mecosin
Bionect
Combiphar
Lanakeloid
Landson
Albothyl
Pharos
Meibo
Combi
Wida HES 130

Wida HES 200
Tetra HES 130
Widatra
Widatra
Claris
Nama Dagang
Pabrik
D 5%
D 10%
D 40%
otsu, widatra
otsu,widatra
Otsu
Ca Gluconat
Ethica
KCl 7,46%
Otsu
Octalbin
Kalbe
Wida D5 1/2 NS
Widatra
Wida D5 1/4 NS
Widatra
Meylon
Otsu
Wida NS
Otsu NS
Otsu NS pegy
Widatra
Otsu
Otsu
RL
Widatra
D5 NS
Infusan RD5%
Otsu
Widatra
Otsu D10 1/5 NS
Otsu
KA EN 3A
Otsu
KA EN 3B
Otsu
Nama Dagang
Pabrik
KA EN 1B
Otsu
Wida 1/2 DaD
Widatra
Kalbamin
Kalbe
Pan Amin G
Otsu
KA EN MG3
otsu
Water For Injc
Otsu
generik
Magtral
Nama Dagang
Pabrik
Stomacain
Combiphar
Mylacid
Bufantacyd
(+cimeticon)
Carsida
Emba
Bufa
Sampharindo
generik
generik
generik
OMZ
Ferron
generik
Acran
generik
Indoran
Acran
Indofarma
sanbe
generik
Ulsikur
Hexapharma
Ulsafate
Propepsa
Combiphar
Gracia
Srocain-P
Eisai
sanbe
lybrozim
lybrozim plus
Tripanzym
Mertigo
Merislon
generik
Sanbe
Dexa
Mersi
Nama Dagang
Pabrik
Mantino
samparindo
lopamid
Lodia
Harsen
Sanbe
Nilatika
Damaben
Tomit
Damaben
sampharindo
Capri
interbat
Capri
generik
ODR
Insetron
vometraz
Lapi
Indofarma
Dexamedika
generik
Dom
Omedon
Dom
Omedon
generik
Lapi
Mutifa
Lapi
mutifa
Braxidin
Sanbe
Topazole
Lapi
Anvomer B6
Dexamedika
Lanaven
Lansond
generik
Haemocain
Gelenium
Borraginol S
Takeda
Nama Dagang
Pabrik
Atropin
Ethica
Buscopan
Boehringer
Gitas
Interbat
generik
generik
Boehringer
Boehringer
Boehringer
Gelenium
combiphar
Ikapharmindo
Combi
Bernofarm
Kalkurenal
Batugin elixir
Nefrolit
darya faia
KF
Tonar
Sandoz
Prorenal
Novell
Nama Dagang
Pabrik
Prostide
Pharos
Folacom
Combi
Osteofem
Kalbe
Caltron
Kalk
Calsifar
Pyridam
KF
Ifars
Elkana
Elkana
Sanbe
Sanbe
Ca glukonat
Ethica
generik
generik
generik
KF
KF
Alinamin F
Neurosanbe
neurobion 5000
neurodex
sakaneuron
generik
Takeda
sanbe
merc
akafarma
neuromec
Sampharindo
Alinamin F
Neurosanbe
neurobion 5000
generik
Neurotropic
Takeda
sanbe
merc
generik
generik
Liconam
generik
generik
Becom C
Sanbe
Nama Dagang
Pabrik
Becom Zet
Sanbe
Calsic-D
Sampharindo
Santa E
Original E
Sanbe
Capri
generik
Neo K
KF
Combi
Formom
Pyridam
Lycalvit
Interbat
Etabion
Errita
Elkana
sanbe
Caviplex
erela
Prolacta mother
novell
Moloco B-12
darya faria
Osteor plus
Cartos
pyridam
pryridam
Apyalis
Vitacur
Asedas
Hufavit kalk
Elkana
Apyalis
Lapi
lapi
Pyridam
Hufa
Sanbe
Lapi
Cernevit
Kalbe
Axanthin
Ethica
Imunos
Stimuno
lapi
Pyridam
Curcuma
soho

TAHUN 2009
NO
1
1
NAMA O BAT

kemasan
2

1 Kodein
Tab 10mg, kaleng
2 Fentanyl
2 Morphin HCl
Tab, 10 mg
Inj. 10 mg/ml
3 Petidin
injc i.m/s.k/i.v
50mg/ml

(asetosal)
2 Asam mefenamat
3 Ibuprofen
Tab 100mg
Tab 500 mg
Tab 200mg
syr.100mg/5ml
Supp. 125 mg
4 Kalium Diklofenac
tab 50mg,25mg
tab 50mg
5 Ketoprofen
Supp 100mg
Tab 100mg
6 Ketorolac
inj. 30mg/ml
7 Meloxicam
Tab 15mg
Tab 7,5 mg
NO
NAMA O BAT

kemasan
8 Metampiron
Tab 500mg
9 Metamizole sodium
Tablet 500mg
Injc. 500mg/ml
@2ml
Tab 50mg
Tab 25 mg
gel
11 Paracetamol
Tab 500mg
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
12 Piroksikam
tab 20 mg
gel
13 Tinoridine HCl
tab 50 mg
14 Tramadol
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
1.3 Antipirai
1 Allopurinol
inj 15ml/vial
Tab 100mg
Anestetik
2.1 Anestetik Lokal

1 Bupivacain HCl

amp, 4ml
NO
NAMA O BAT

kemasan
2 Etil klorida
spray, botol 100ml
3 Lidokain
inj 2%
inj 2% (HCl)
+epinefrin 1:80000
inj 2%+dextrosa 5%
2.2 Anastetik Umum dan Oksigen

1 Halotan
cairan inhalasi
250ml
2 isoflurane
cairan inhalasi
3 Ketamin
inj iv 100mg/ml
@20ml
4 Nitrogen Oksigen
gas tabung 15kg
5 Oksigen
gas dlm tabung
6 Propofol
2.3 Prosedur Peri Operatif, Obat untuk

1 Atropin sulfat
inj 0,25mg/ml@1ml
2 Diazepam
tab 5mg
tab 2mg
inj 5mg/ml
rectal 5mg/2,5ml
3 Midazolam
inj 5mg/5ml
inj 15mg/3ml
6.2 Antibakteri
6.1 Antelmintik
1 Pirantel
6.2 Antibakteri
6.2.1 Beta Laktam
tab 125mg
susp 125mg/5ml
NO
NAMA O BAT

kemasan
tab 500mg
dry syr 125mg/5ml

drops 100mg/ml
serb inj 1000mg
2 Ampisilin
cap 500mg
serb inj 1000mg
serb inj 500+250mg

kap 500+125mg
5 Cefadroksil
caps 500mg
dry syr 125mg/5ml
6 Sefaklor
caps 500mg
7 Sefaleksin
caps 500mg
8 Sefiksim
caps 100mg
dry syr 100mg/5ml
9 Sefotaksim
serb inj 1gr
10 Seftazidim
serb inj 1gr
11 Seftriakson
serb inj 1gr
12 Sephalotin
serb inj 1gr
13 Meropenem
serb inj 1 gr
NO
NAMA O BAT

6.2.2.1 Tetrasiklin
1 Doksisiklin
3 Tetrasiklin
1 Kloramfenikol
2 Tiamfenikol

kemasan
caps 100mg
caps 500mg
caps 250mg
susp 125mg/5ml
caps 500mg
dry syr 125mg/5ml

trimetoprim 80mg
2 sulfa 800mg+
trimetoprim 160mg
Tablet
Tablet
susp
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
caps 150mg & 300mg

caps 500mg
syr 200mg/5ml
3 Spiramisin
tab 500mg
4 Azytromicin
caps 500mg
NO
NAMA O BAT

kemasan
1 Gentamisin
inj 40mg/ml
6.2.2.6 Kuinolon
1 Levofloksasin
tab 500mg
2 Ofloksasin
tab 200&400mg
3 Siprofloksasin
tab 500mg

1 Sulfasalazin
2 Metronidazol
tab 500mg
tab 500mg
syr 125mg/5ml
supp 500mg
3 Colistin sulfat
1 Etambutol
Tab 250000 iu
tab 500mg
2 Isoniazid
tab 300mg
3 Pirazinamid
tab 500mg
4 Rifampicin
caps 450mg
NO
NAMA O BAT

untuk dewasa

kemasan

untuk pediatri
INH 100, Rifam 75
6 Kombinasi :
Ethambutol, INH, B6
8 INH50+ Rifam75
6.3 Antifungi
1 Itrakonazol
caps
caps
caps 100mg
2 Ketokonazol
tab 200mg
3 Mikonazol
cream
4 Nistatin
ovul + metronidazol
drops
6.5 Antimalaria
1 Sulfadoxin 500mg,
primetamin 25 mg
6.6 Antivirus
6.6.1 Antiherpes
1 Asiklovir
tab
tab 200mg
tab 400mg
cream 5%
PENGADAAN OBAT FORMULARIUM
DR SOEKANDAR KAB. MOJOKERTO

TAHUN 2009
Nama Dagang
Pabrik
generik
KF
Fentanyl
janssen-cilag
MST
generik
Mahakam
KF
KF
Aspilet
Medifarma
Mefinal
Cargesic
Opistan
Pondex
Sanbe
Sanprima
Otto
Dexa
generik
Proris
Proris
Proris
Pharos
Pharos
Pharos
Exaflam
X-flam
Guardian
Combiphar
Kaltrofen
Pronalges
Kaltrofen
Kalbe
pharos
kalbe
generik
trolac inj
Berno
generik
osteloc
generik
sanbe
Nama Dagang
Pabrik
Antalgin
Analsik
(+Dzp 2mg)
Sanbe
Antalgin
Norages
Novalgin
Mepro
Sanovi-aventis
Voltadex
Renadinac
Scantaren
Dexamedika
Fahrenheit
Scanpasific
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
generik
Pirofel
Sanbe
Nonflamin
Takeda
generik
Patral
mahakam
Xillomidon
Dura
generik
Rinolic
Alluric
GMP
Kalbefarma
Regivell
Novell
Nama Dagang
Pabrik
lidocain
Pehacain
Phapros
Lidodex
Berno
Halotan
Dexa
isofluran
Dexa
Ketamin
KTM
Guardian
Safol
Novell
sulfas atropin
ethica
Valisanbe
Valisanbe
Valisanbe
Sanbe
Sanbe
Sanbe
Stesolid
Actavis
Dormicum
Dormicum
Roche
Roche
Pyrantin
Combantrin
Pfizer
Nama Dagang
Pabrik
Amoxan
Zemoxil
Brodamox
Sanbe
Zenith
Sampharindo
Amoxan
Zemoxil
Amoxan
Sanbe
Zenith
Sanbe
Amoxan
Sanbe
Brodapen
Viccilin
Sampharindo
Meiji
Pycin 750
Berno
co amoxiclav
clanexi
sanbe
Pyricef
generik
Piridam
Pyricef
generik
Piridam
Capabiotik
Yarindo
Cefabiotic
Berno
Cefila
Cefila
lapi
lapi
generik
Taxegram
lapixim
Sanbe
lapi
Yadim
Yarindo
generik
cephaflox
guardian
Moraxine
Yarindo
Meropex
generik
Berno
Nama Dagang
Pabrik
generik
doxacin
otto
Suprabiotik
Zenith
Lanacetin
coromycetin
landsen
coronetcrown
Promixin
Dexicol
Phenobiotic
Biothicol
Pyridam
Dexa
Berno
Sanbe
Sanprima
miratrim
Sanbe
sampharindo
Lapikot forte
Primadex forte
Lapi
Dexamedika
Sanprima
Primadex
Miratrim
Sanbe
Dexamedica
Sampharindo
generik
generik
erisanbe
erisanbe chewable
sanbe
sanbe
generik
generik
varoc
zibramax
generik
pyridam
guardian
Nama Dagang
Pabrik
Sagestam
Sanbe
Cravox
generik
Lapi
generik
Cravox
Lapi
generik
generik
Baquior forte
Lapiflox
sanbe
Lapi
generik
Lapiflox inf
Lapi
Sulcolon
Berno
Metrolet
Trychodazole
Harsen
Sanbe
Metrolet
promuba
Flagyl
Harsen
mepro
Sanovi
Vagistin
Combiphar
Trychodazole
generic
Sanbe
Colistine
Actavis
generik
generik
generik
generik
Nama Dagang
Pabrik
OAT fase intensif
Indofarma
OAT fase lanjutan
Indofarma
OAT fase intensif
Indofarma
OAT fase lanjutan
Indofarma
Bacbutinh
Niazitol
Rimcure paed
Rimtazid paed
Sandoz
Sandoz
Itzol
Lapi
generik
generik
vagistin
Combi
Kandistatin
lapi
Fansidar
Roche
generik
generik
generik
NAMA
TGL
NAMA
TGL
:____________________
OBAT
:____________________
OBAT
PN / KIN
JUMLAH
PN/ KIN
JUMLAH
NAMA
TGL
NAMA
TGL
:____________________
OBAT
:____________________
OBAT
PN / KIN
JUMLAH
PN/KIN
JUMLAH
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4
FORMULARIUM OBAT
TAHUN 2010
KLS
1
1
NAMA OBAT
2
1.1
Analgesik Narkotika
1 Kodein
1.2
kode obat

obat
Nama Dagang
1.1.1
Tab 10mg, kaleng
generik
2 Fentanyl
1.1.2
Fentanyl
3 Morphin HCl
1.1.3A
1.1.3B
Tab, 10 mg
Inj. 10 mg/ml
MST
generik
4 Petidin
1.1.4A
inj 2ml
clopedin
1.2.1
Tab 100mg
Aspilet
1.2.2A
Tab 500 mg
1.2.2E
1.2.3A
1.2.3B
1.2.3C
1.2.3D
syr
Tab 200mg
grafik
Cargesic
Opistan
Pondex
Licostan
Pondex
generik
Proris
Proris
Proris
1.2.4A
1.2.4B
1.2.5A
1.2.5B
1.2.5C
1.2.5D
1.2.5E
1.2.6A
1.2.6B
1.2.6C
1.2.6D
1.2.7A
1.2.7B
1.2.7C
1.2.7D
1.2.8A
1.2.8B
tab 50mg,25mg
tab 50mg
Supp 100mg
Tab 100mg
(asetosal)
2 Asam mefenamat
3 Ibuprofen
4 Kalium Diklofenac
5 Ketoprofen
6 Ketorolac
7 Meloxicam
8 Metampiron
9 Metamizole sodium
1.2.8C
1.2.8D
1.2.9E
1.2.9A
1.2.9B
1.2.9C
1.2.9D
1.2.9E
1.2.10A
1.2.10B
1.2.10C
1.2.10D
syr.100mg/5ml
Supp. 125 mg
Tab 100 mg
Tab 50 mg
inj. 30mg/ml
Tab 15mg
Tab 7,5 mg
Tab 500mg
Tab 500mg
injeksi
Tablet 500mg
Injc. 500mg/ml
Injc. 500mg/ml
Tab 50mg
Tab 25 mg
gel
gel 10 mg
Exaflam
X-flam
Kaltrofen
Pronalges
Kaltrofen
generik
generik
generik
trolac inj
Matolac
Teranol
generik
osteloc
generik
loxil
Antalgin
Analsik
(+Dzp 2mg)
Zyparon
potensik
xilomidon
Antalgin
Norages
antrain
PRAGESOL
santagesik
Voltadex
generik
Renadinac
Scantaren
voltaren
1.2.10E
1.2.11A
1.2.11B
1.2.11C
1.2.11D
1.2.11E
1.2.11F
1.2.11G
1.2.11H
1.2.11I
1.2.11J
1.2.11K
1.2.11L
1.2.12A
1.2.12B
1.2.12C
1.2.13
1.2.14A
1.2.14B
1.2.14C
emulgel 5 mg
Tab 500mg
1.2.15
inj 15ml/vial
1.2.16
tab 50mg
myonep
1.3.1A
1.3.1B
1.3.1C
Tab 100mg
Tab 300mg
Tab 300mg
generik
generik
purinic
2.1.1A

amp, 4ml
RECAIN
2 Etil klorida
2.1.2
spray, botol 100ml
3 Lidokain
2.1.3A
2.1.3B
inj 2%
inj 2% (HCl)
+epinefrin 1:80000
inj 100mg/2ml
11 Paracetamol
12 Piroksikam
13 Tinoridine HCl
14 Tramadol
15 Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
16 eperisone hcl
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
SANMOL INFUS
MORESIC DROP
tab
tab 20 mg
gel
tab 10 mg
tab 50 mg
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
voltaren
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Novagesic syr
Sanmol drops
Propyretic 240
Propyretic 160
SANMOL
MORETIC DROP
Novagesic
generik
Pirofel
generik
Nonflamin
generik
Patral
Xillomidon
1.3
Antipirai
1 Allopurinol
2
Anestetik
2.1
Anestetik Lokal
1 Bupivacain HCl
2.1.3C
lidocain
Pehacain
Lidodex
2.2
1 Halotan
2.2.1
cairan inhalasi
250ml
Halotan
2 isoflurane
2.2.2
cairan inhalasi
isofluran
3 Ketamin
2.2.3
inj iv 100mg/ml
@20ml
Ketamin
KTM
4 Nitrogen Oksigen
2.2.4
gas tabung 15kg
5 Oksigen
2.2.5
gas dlm tabung
6 Propofol
2.2.6
2.3.1
inj 0,25mg/ml@1ml
2.3.2A
2.3.2B
2.3.2C
tab 5mg
tab 2mg
inj 5mg/ml
2.3.2D
rectal 5mg/2,5ml
Safol
2.3
1 Atropin sulfat
2 Diazepam
sulfas atropin
Valisanbe
Valisanbe
Valisanbe
Stesolid
3 Midazolam
2.3.3A
2.3.3B
2.3.3C
inj 5mg/5ml
inj 15mg/3ml
inj 5mg/5ml
3.1A
3.1B
3.1C
inj 5mg/ml@1ml
3.1D
3.1E
3.1F
tab 0,5mg
Kombinasi dengan
difenhidramin
3.1G
Tab
Difenhidramin
3.2A
3.2B
Inj 10mg/ml
Inj 15mg/vial
generik
Duradryl
decadryl
3.3
Inj 0,1%
Generik
Klorfeniramin
3.4
Tab 4mg
Pheniramine maleat
3.5A
3.5B
Tab 25mg
inj.50mg/2ml
pehachlor
generik
avil
avil
genrik
Loratadine
3.6A
3.6B
tab 10mg
3.7A
3.7B
3.7C
tab 10mg
3.8A
3.8B
3.8C
3.8D
3.8E
3.8F
tab 8mg
tab 4mg
tab 8mg
generik
Lameson
Lameson
generik
generik
stenirol
Ciproheptadin
3.9
kap 4mg
Pronicy
10
3.10
tab 50mg
interhistin
11
Mometasone furoate
3.11
cream
4.1.1
inj 0,25mg/ml
sulfas atropin
2 Kaksium glukonat
4.1.2
100mg/ml
Ca Gluconas
4.1.3A
4.1.3B
tab 500mg
inf fl. 25 Meq, 25 mi
generic
Meylon
4 Naloxone HCl
4.1.4
inj.0,4mg/ml
Nokoba
4.1.5
inj 0,5mg/ml
Prostigmin
Hameln
4.2.1A
inj 20%25ml
MgSo4 20%
4.2.1B
inj 40%25ml
MgSo4 40%

1
Dexametasone
Metil Prednisolon
Kalmethasone
Indexon
Cortidex
generik
Kalmethasone
Scandexon
Carbidu
generik
Mexon
clarihis
drops
inj 125mg/ml
Zenris
generik
Tiriz
Elok

Untuk Keracunan
4.1
4.2
Cetirizin
Dormicum
Dormicum
Miloz
Khusus
1 Atropin
Umum
1 Magnesium sulfat
Antiepilepsi - Antikonvulsi-anti parkinson
Carbamazepin
5.1
tab 200mg
generik
Diazepam
5.2
rectal 5mg/2,5ml
Stesolid
Fenitoin
5.3A
5.3B
inj 50mg/ml
cap 100mg
phenytoin
phenytoin
Phenobarbital
5.4A
5.4B
tab 30mg
inj 50mg
generik
Phental iv
Gabapentin
cap 300mg
cap 100mg
levodopa
5.5A
5.5B
5.5C
5.6
tab
Gabexal
Gabexal
Generic
Levazide
5.7
tab
generik
6.1.1.1A
6.1.1.1B
tab 125mg
susp 125mg/5ml
Pyrantin
Combantrin
6.2.1.1A
6.2.1.1B
6.2.1.1C
6.2.1.1D
6.2.1.1E
6.2.1.1F
6.2.1.1G
6.2.1.1H
6.2.1.1I
6.2.1.1J
6.2.1.2A
6.2.1.2B
tab 500mg
dry syr 125mg/5ml
novax caps
Zemoxil
Brodamox
fosicol
Zemoxil
Amoxan
fosicol
Amoxan
generik
novax
Brodapen
Viccilin
generik
Pycin 750
7
trihexi penidin
Antiinfeksi
6.1
Antelmintik
1 Pirantel
6.2 Antibakteri
6.2.1 Beta Laktam
2 Ampisilin
6.2.1.3
dry syr 125mg/5ml

drops 100mg/ml
Tab
serb inj 1000mg
serb inj 1000mg
tab
cap 500mg
serb inj 1000mg
serb inj 1000mg
serb inj 500+250mg
4 Kombinasi Amoksisilin 500mg dan 6.2.1.4A

clavulanat 125mg
6.2.1.4B
6.2.1.4C
kap 500+125mg
5 Cefadroksil
6.2.1.5A
6.2.1.5B
caps 500mg
caps 500mg
Pyricef
generik
6.2.1.5C
6.2.1.5D
dry syr 125mg/5ml
Pyricef
generik
6 Sefaklor
6.2.1.6
caps 500mg
Capabiotik
7 Cefaleksin
8 Cefixim
6.2.1.7
6.2.1.8A
caps 500mg
tab 100mg
6.2.1.8B
dry syr 100mg/5ml

drop
serb inj 1gr
10 Ceftazidim
6.2.1.8C
6.2.1.9A
6.2.1.9B
6.2.1.9C
6.2.1.9D
6.2.1.9E
6.2.1.10
serb inj 1gr
Cefabiotic
generik
NUCEF
PROFIM
NUCEF
generik
cefila
generik
FOBET
lapixim
simexem
taxfor
CEFDIM
11 Ceftriaxone
6.2.1.11A
serb inj 1gr
generik
9 Cefotaksim
injeksi
co amoxiclav
clanexi
clanexi
6.2.1.11B
6.2.1.11C
GRACEF
cephaflox
12 Sephalotin
6.2.1.12
serb inj 1gr
Moraxine
13 Meropenem
serb inj 1 gr
14 Ceftizoxime
15 Cloxacillin
6.2.1.13A
6.2.1.13B
6.2.1.13C
6.2.1.14C
6.2.1.15
Meropex
generik
simpenem
e-zox
meixam
16 Penicilin
6.2.1.16
injeksi
generik
6.2.2.1.1A
6.2.2.1.1B
caps 100mg
generik
siclidon
6.2.2.1.2
caps 500mg
Suprabiotik
6.2.2.2.1A
6.2.2.2.1B
caps 250mg
susp 125mg/5ml
Lanacetin
coromycetin
6.2.2.2.2A
6.2.2.2.2B
6.2.2.2.2C
6.2.2.2.2D
6.2.2.2.2E
caps 500mg
Promixin
Dexicol
Phenobiotic
fosicolos
sendicol forte
6.2.2.3.1A
6.2.2.3.1B
Tablet

6.2.2.1 Tetrasiklin
1 Doksisiklin
2 Tetrasiklin
1 Kloramfenikol
2 Thiamphenicol

trimetoprim 80mg
serb inj 1 gr
injeksi
dry syr 125mg/5ml

dry syr 250g/5ml
supp
Sanprima
miratrim
miratrim
2 sulfa 800mg+
trimetoprim 160mg
6.2.2.3.2A
6.2.2.3.2B
Tablet
Lapikot forte
Primadex forte
6.2.2.3.3A
6.2.2.3.3B
6.2.2.3.3C
susp
Sanprima
Primadex
Miratrim
6.2.2.4.1A
6.2.2.4.1B
6.2.2.4.2A
6.2.2.4.2B
6.2.2.4.2C
caps 150mg & 300mg

caps
caps 500mg
caps 500mg
caps 200 mg
generik
BIODASIN
generik
Eryra
erisanbe
6.2.2.4.2D
6.2.2.4.2E
syr 200mg/5ml
6.2.2.4 Makrolit
1 Clindamisin
2 Eritromisin
erisanbe chewable
generik
3 Spiramisin
6.2.2.4.3A
6.2.2.4.3B
tab 500mg
4 Azytromicin
6.2.2.4.4A
6.2.2.4.4B
caps 500mg
zibramax
generik
6.2.2.5.1A
6.2.2.5.1B
inj 40mg/ml
inj 80mg/ml
Sagestam
ottogenta
6.2.2.6.1A
6.2.2.6.1B
tab 500mg
Cravox
generik
6.2.2.6.1C
generik
6.2.2.6.2A
tab 200mg
generik
1 Gentamisin
6.2.2.6 Kuinolon
1 Levofloksasin
2 Ofloxasin
generik
varoc
6.2.2.6.2B
tab 400mg
generik
6.2.2.6.3A
6.2.2.6.3B
6.2.2.6.3C
6.2.2.6.3D
6.2.2.6.3E
6.2.2.6.3F
6.2.2.6.4
tab 500mg
generik
Baquinor forte
Lapiflox
vioquin
generik
Lapiflox inf
urotractin
6.2.2.7.1
tab 500mg
Sulcolon
6.2.2.7.2A
6.2.2.7.2B
tab 500mg
6.2.2.7.2C
6.2.2.7.2D
6.2.2.7.2E
6.2.2.7.2F
6.2.2.7.2G
syr 125mg/5ml
Metrolet
Trychodazole
Generik
Metrolet
promuba
Flagyl
Flagyl
Vagistin
6.2.2.7.2H
6.2.2.7.2I
6.2.2.7.2J
6.2.2.7.2
6.3.1.1
tab 500mg
generik
2 Isoniazid
6.3.1.2
tab 300mg
generik
3 Pirazinamid
6.3.1.3
tab 500mg
generik
4 Rifampicin
6.3.1.4
caps 450mg
generik

untuk dewasa
6.3.1.5
3 Ciprofloksasin
4 asam pipemidat
1 Sulfasalazin
2 Metronidazol
3 Colistin sulfat
1 Etambutol

kap
supp 500mg
supp 1 g
Tab
Tab 250000 iu

INH
untuk pediatri
6 Kombinasi :
Ethambutol, INH, B6
6.3.1.6
8 INH50+ Rifam75
Trychodazole
generic
nulagyl
Colistine
OAT fase intensif
generik
rimstar4fdc
OAT fase lanjutan
OAT fase intensif
INH 100, Rifam 75
OAT fase lanjutan
caps
Bacbutinh
Niazitol
6.3.1.7
6.3.1.8
caps
Rimcure paed
Rimtazid paed
6.3.1
caps 100mg
2 Ketokonazol
6.3.2
tab 200mg
generik
3 Mikonazol
6.3.3
cream
generik
4 Nistatin
6.3.4A
ovul + metronidazol
vagistin
6.3.4B
drops
6.3.4B
150mg tab
6.5.1A
6.5.1B
tab
6.3 Antifungi
1 Itrakonazol
5 flukonazol
6.5 Antimalaria
1 Sulfadoxin 500mg,
primetamin 25 mg
Itzol
Kandistatin
generik
Fansidar
6.6 Antivirus
6.6.1 Antiherpes
1 Acyclovir
6.6.1A
6.6.1B
6.6.1C
tab 200mg
tab 400mg
cream 5%
generik
generik
generik
7.1
tab 1mg
generik
7.2
kap
Nogren
7.3A
7.3B
7.3C
7.3D
7.3E
7.3F
7.3G
7.4A
7.4B
7.4C
7.4D
7.4E
7.4F
tab 800mg&1200mg
5 Pyritinol HCL
7.5
syr 100ml
6 Mecobalamin
7.6A
inj. Amp 500mcg
7.6B
tab 500mg
7.7
tab 10 mg
8.8.1.1A
8.8.1.1B
8.8.1.1C
tab 1mg
Folacom
anelat
siobion
tab salut 300mg
Natabion
Artoferum
Generik
Maltofer

1 Ergotamin cafein
2

acetosal, cafein
3 Piracetam
4 citikolin
7 Nicergoline
8

8.1 Antianemi
1 Asam folat
8.8.1.2A
8.8.1.2B
8.8.1.2C
8.8.1.2D
3 Vit B1, B6, B12
8.2 Koagulasi, obat

yang mempengaruhi
1 Asam traneksamat
3 Heparin Na
4 Lidocain
inj 1gr/5ml
inj 3gr/5ml
tab 400mg
tab 500mg
inj 250mg/2ml
generik
latropril
generik
Neurotam
generik
Neurotam
generik
Neuciti
Nicholin
Neociti
tab 500mg
inj 250mg/2ml
8.8.1.3A
8.8.1.3B
8.8.1.3C
8.8.1.3D
8.8.1.3E
tab
8.8.1.3F
8.8.1.3G
inj. Amp 3ml
8.8.2.1A
8.8.2.1B
8.8.2.1C
8.8.2.1D
8.8.2.1E
8.8.2.1F
inj 250mg/5ml
8.8.2.2A
8.8.2.2B
8.8.2.3A
8.8.2.3B
8.8.2.4

inj 10mg/ml
gel
inj 250mg/5ml
tab 500mg
inj 2%
lancolin
generik
Encephabol
Kalmeco
lapibal
Kalmeco
generik
lapibal
serolin
Neurobion 5000
Neurobat
Neurosanbe
Neurodex
Sakaneuron
generik
Neurosanbe 5000
Neurobion 5000
Kalnex
Transamin
tranex
generik
Transamin
tranex
generik
Neo K
Thrombopop Gel
Antithromb
generic
10
11
Diuretik
1
Furosemida
9.1A
9.1B
tab 40mg
inj 10mg/ml
generik
Lasix
9.2
tab 25mg
generik
Manitol
9.3
lar infus 20%@500ml
manitol
Spironolacton
9.4
tab 25mg
carpiaton
10.1A
10.1B
caps 300mg
Lesichol
Lesipar

1
Lesitin
10.2A
10.2B
inj 5mg/10ml
sachet 3g
Hepa-Merz
Hepa-Merz granul
Ursodeoxycholic
10.3
caps 250mg
Urdafalk
hepatoprotector
fitofarmaka
10.4A
10.4B
tab
Hepa-Q
HP pro
11.1.1
tab 5mg
generik
11.1.2A
tab 2mg
11.1.2B
tab 2 mg
tab 5 mg
Amaril
Gluvas
Generik
Generik
glucobay

Kontraseptik
1 Glibenclamida
2 Glimepiride
3 Glikuidon
11.1.3A
11.1.3B
11.1.4A
11.1.4B
tab 30mg
11.1.5
tab 80mg
generik
11.2.1
inj 100iu/ml @10ml
Actrapid
11.2.1A
11.2.1B
tab 5mg
Regumen
Norelut N
2 Alil Esternol
11.2.2A
11.2.2B
tab 5mg
Preabor
Premastone
3 Ethinilestradiol
11.2.3
tab 50mcg
Lynoral
11.2.4A
11.2.4B
cap 200mg
cap 100mg
uterogestan
uterogestan
11.2.2.1A
11.2.2.1B
tab 50mg
11.3.1A
11.3.1B
tab 28
4 Metformin
5 Gliklasid
1 Isulin reguler
11.2.1 Progestrogen
1 Noretisteron
tab 500mg
Glurenorm
generik
generik
Eraphage
11.3 Kontraseptik
11.3.1 Oral
1 Levonogestrel,
11.3.2 Injeksi
Blesifen
Profertil
Microgynon lingkaran biru
acetat
11.3.2.1A
11.3.2.1B
vial, 50mg/ml, 3mL

vial, 150mg/ml, 1ml
11.3.2.2A
11.3.2.2B
vial, 0,5 ml
11.3.3

dan silver core
11.4.1
tab 100mg
11.4.1A
11.4.1B
11.4.1C
inj 5mg/ml @1ml
Kalmethasone
Indexon
Cortidex
11.4.1D
11.4.1E
11.4.1F
tab 0,5mg
Kalmethasone
scandexon
carbidu
11.4.2A
11.4.2B
11.4.2C
tab 4mg
inj 125mg/2ml
generik
lameson
lameson
3 Prednison
11.4.3
tab 5mg
generik
4 Triamsinolon
11.4.4A
11.4.4B
11.4.4C
inj 10mg/ml
oral base, tube
inj 10mg/ml
12.1.1
tab 100mg
generik
2 Diltiazem HCL
12.1.2A
12.1.2B
tab 30mg
inj 5mg/ml
generik
tab 5mg
4 Nitrogliserin
12.1.3A
12.1.3B
12.1.3C
12.1.3D
12.1.4
5 Propanolol
12.1.5
tab 10mg
12.2.1A
12.2.1B
12.2.2
12.2.3A
12.2.3B
12.2.4A
12.2.4B
12.2.5
inj
drops
tab 100mg
tab 10mg
tab 10mg
tab 5 mg
tab 10mg
tab 40mg
tab 35mg
6 Verapamil
12.2.6
tab 80mg
generik
12.3.1A
12.3.1B
12.3.1C
tab 5mg
tab 10mg
generik
generik
lapiten
2 Losartan
12.3.2
tab 50mg
Angioten
3 Valsartan
12.3.3
tab 80mg
Valsartan-Ni
11.3.3 Intra Uterin

11.4 Kortikosteroid
1 Propiltiorasil
1 Deksametason
2 Metil prednisolon
12
12.1 Antiangina
1 Atenolol
12.2 Antiaritmia
1 Amiodaron HCT
2 Kuinidin
3 Lisinopril
4 Propanolol
12.3 Lain-lain
1 Amlodipin Besilat
inj 10mg/10ml
inj 1mg/ml
Depo progestin
Depo Neo
Cyclofem
Nova-T CU
generik
Falmicort
Kenalog
trilac
generik
Cedocard
Farsorbid
Farsorbid
generik
generik
Tiaryt
Tiaryt
generik
Noperten
generik
generik
generik
generik
Trizedon MR
4 irbesartan
12.3.4
tab 150mg
generik
irvask
12.4 Antihipertensi
1 Bisoprolol
12.4.1
tab 5mg
generik
3 Klonidin
12.4.2A
12.4.2B
12.4.3
tab 25mg
tab 12,5mg
tab 0,15mg
generik
generik
generik
4 Metildopa
12.4.4
tab salut 250mg
generik
5 Nifedipin
12.4.5A
12.4.5B
12.4.5C
tab 10mg
generik
Nifedin
generik
6 Nicardipin
12.4.6
injeksi
7 Nimodipin
8 lisinopril
12.4.7A
12.4.7B
12.4.8
cairan infus 50 ml
tab
tab
ceremax
nimotop
interpril
9 Glyceryl trinitrate
12.4.9
tab
nitrokaf
12.4.10
tab
generik
12.6.1A
12.6.1B
tab 75mg
Pidofix
generic
2 Cilostazol
12.6.2
tab 50mg
Pletaal
3 Streptokinase
12.6.3
Streptase
generik
12.7.1
tab 400mg
Reotal SR
12.8.1A
12.8.1B
12.8.1B
12.8.2A
12.8.2B
tab 0,25mg
tab 0,25mg
inj
tab 40mg
inj 10mg/ml @2ml
12.8.3
injeksi
12.9.1.1
inj 40mg/ml
2 Dobutamin
12.9.1.2
inj 250mg
12.9.1.3
inj 0,1%
generik
4 Norepinefrin
(noradrenalin)
5 amrinone lactat
12.9.1.4A
12.9.1.4B
12.9.1.5
inj 0,1%
generik
raivas
cardiotone
12.9.2.1
inj 50mg/ml
generik
12.10.1A
12.10.1B
caps 300mg
generik
Lapibroz
12.10.2A
12.10.2B
12.10.2C
tab 10mg
generik
Cholestat
generik
2 Captopril
10 Ramipril
1 Clopidogrel
12.7 Trombolitik
1 Pentoksifilin
1 Digoksin
2 Furosemid
3 Diltiazem
tab 5mg
blistra
generik
fargoxin
fargoxin
generik
Lasix
farmabes

1 Dopamin

1 Ephedrin
1 Gemfibrozil
2 Simvastatin
injeksi
tab 20mg
generik
Dobutamin
13

13.1. Antibakteri
1 Framisetin
13.1
casa steril 1%
sofratulle
2 Natrium fusidat
13.2
cream 20mg/gr
Fuson
3 Perak sulfadiazin
13.3
cream 1%
Burnazin
4 Gentamisin sulfat
13.4A
13.4B
13.4C
13.4D
13.5
cream 1mg/gr
salep kulit
larutan 1%
generik
sagestam
Genoint
Gent oint
Genoint
6 neomycin sulfat +
13.6
cream
Ociderm-N
7 Chloramphenicol+
hidrocortison
8 Mupirosin
13.7
cream
Chloramphecort
13.8
cream 10 mg
bactoderm
sub lingual tab
Fg troches
9 Fradiomisin dan Gramisidin

13.2 Antifungi
1 Ketokonazol
13.2.1A
13.2.1B
13.2.2A
13.2.2B
cream
cream 15 gr
cream 2%
13.2.3
cream
4 Gentian
13.2.4
larutan 1%
13.4.1A
13.4.1B
13.4.1C
13.4.1D
13.4.1E
13.4.1F
cream
2 Clobetasol
13.4.2
cream 0,05%
Kloderma
3 Desoksimetason
13.4.3
cream 0,25%
Pyderma
4 Hidrokortison
13.4.4
cream 2,5%
5 Triamsinolon
13.4.5
cream oral base
generik
chloramphecort
Kanalog
6 Dexametason
13.4.6
tab
13.5
cream 10 gr
Scabicid
13.6.1
cream 20%
Moistderm
13.7A
13.7B
gel 10gr
13.8
cream 15gr
2 Miconazol
Violet

1 Betametason

1 Lindane 1%,
ursic acid 1%
1 Urea
cream + neomycin
cream + miconazole
cream
tab
Mycoderm
generik
generik
dactarin powder
Myco-z
Betason cream
Benoson
Benoson N
Benoson M
generik
gratamin
grathazon

Bioplacenton
Bismecon

Bionect
13.9 Lain-lain
& vit E
2 Asam sulfonat+
formaldehid
13.9.1
13.9.2A
13.9.2B
cream
solution 10ml
supp
Lanakeloid
Albothyl
Albothyl Ovula
3 Herbal ointment
13.9.3
cream
cream
14.1
larutan 1L
15.1.1A
15.1.1B
15.1.1C
syr
2 Kalium klorida
15.1.2A
15.1.2B

KSR
KCl 3%
15.1.3A
15.1.3B
tab 500mg
inf. 25 Meq, 25mL
generik
Meylon
15.2.1A
15.2.1B
15.2.1C
15.2.1D
15.2.2A
15.2.2B
15.2.2C
3 Kalsium glukonat
15.2.3
inj 10% @10ml
4 Kalium Klorida
15.2.4
inj 25ml/vial
5 Human Albumin
15.2.5A

(tidak stock)
20%100cc
14
Larutan irigasi
water for irigation
15
Meibo
momilen tummy

15.1 Oral
1 Garam oralit
15.2 Parenteral
1 Plasme expander
(HES)
2 Glukosa
15.2.5B
Pedyalite
Renalyte
Oralyte


-lar infs btl 500ml
15.2.6

15.2.7
-lar infs btl 500ml
15.2.8
lar inf 25Meq, 25mL

lar inf. 500ml
lar.inf 100ml
10 Ringer laktat
11 kombinasi:
-lar infs btl 500ml
12 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
13 kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
15.2.9A
15.2.9B
15.2.9C
15.2.9D
15.2.9E
15.2.10
15.2.11A
15.2.11B
15.2.11C
15.2.11D
15.2.12
15.2.13A
15.2.13B
Wida HES 130

Wida HES 200
Tetra HES 130
sanbe HES 130
D 5%
D 10%
D 40%
Ca Gluconas
KCl 7,46%
Octalbin
Biotest
Wida D5 1/2 NS
Wida D5 1/4 NS
Meylon
Wida NS
Otsu NS
Otsu NS piggy
INFUSAN NS 100
sanbe infusan
RL
RL
RL
D5 NS
Infusan RD5%
RL
Wida D5 piggy
Otsu D10 1/5 NS
KA EN 3A
TRIDEX 27 A

-lar infs btl 500ml
14 kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
15 kombinasi :
NaCl 2,25 g
-lar infs btl 500ml
16 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
KCl 0,65 g
Na Lactat 1,55 g
17 kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
KA EN 3B
TRIDEX 27B
15.2.15A
15.2.15B
KA EN 1B
Tridex plain
15.2.16
Wida 1/2 DaD
15.2.17
Kalbamin
18 kombinasi :
Asam Amino 2,72%
Sorbitol 15%
-lar infs btl 500ml
15.2.18A
15.2.18B
19 kombinasi
asam amino 30 gr
glukosa 75 gr
15.2.19
20 Kombinasi :
-lar infs btl 500ml
16
15.2.14A
15.2.14B
Pan Amin G
VALAMIN
Aminofluid
renosan
15.2.20A
15.2.20B
KA EN MG3
Tridex 100
21 NaCl 3.624 g, KCl 1.342 g

CaCl2 0.294 g,
Mg(OH)2 0.61 g
Na acetate 5.172g
15.2.21
futrolit inf
ring as infus
22 Sorbitol 50 g,
NaCl 3,623 g
KCl 1,342 g, CaCl2 0,294g
MgCl2 0,610 g,
Na Acetate 5,171 g
15.3 Lain-lain
1
Air untuk injeksi
15.2.22
tutofuhsin
Mata, obat untuk

16.1 Sistemik
1 Manitol
15.3.1A
15.3.1B
WFI 1 liter
WFI 25 ml
Water For Injc

Water For Injc
16.1.1A
16.1.1B
Manitol
M.20 Manitol
16.2.1.1A
16.2.1.1B
16.2.1.1C
tetes mata 0,5%

2% 15 ml
2% 5 ml
Pantocain
Pantocain
Pantocain
16.2.2.1A
tetes mata 0,3%
Gent oint
16.2 Topikal
1 Tetrakain
16.2.2 Antimikroba
1 Gentamisin
2 Kloramfenikol
16.2.2.1B
16.2.2.1C
16.2.2.2
salep mata 0,3%

tetes mata 0,3%
salep mata 1%
3 Ofloxacin
16.2.2.3
tetes mata
tarivid
4 Levofloxacin 5 mg
16.2.2.4
tetes mata
LFX
5 Tobramycin 3 mg,
Dexamethasone 1 mg
16.2.2.5
tetes mata
Tobrosan
6 Dibekasin sulfate
16.2.2.6
tetes mata
generik
16.2.3.1
tetes mata

1 Kombinasi :
-tts mata btl 5ml
2 Kombinasi :
-tts mata btl 5ml
Gent oint
generik
erlamicetin
tetes mata
16.2.3.2A
16.2.3.2B
16.2.3.2C
Alletrol
Oregan
Xitrol
16.2.2.3
tetes mata
flamar
16.2.4.1A
16.2.4.1B
tetes mata
tetes mata
Vasacon-A
Vasacon
2 Vitamin A 1000 IU
Oxymetazoline hydro cl
0,25mg, Hydroxypropyl
Methylcellulose 5 mg
3 CaCl2 anhidrat 0,075 gr
Kalium Iodida 0,075 gr
Na Tiosulfat 0,0075 gr
Fenilmerkuri nitrat 0,3 mg
16.2.4.2
tetes mata
astenof
16.2.4.3
tetes mata
caterlent
4 Carboxymethyl Cellulose
Sodium 5 mg
16.2.4.4
tetes mata
cenfresh
5 Ion Natrium & Kalium .

Benzalkonium Cl
16.2.4.5
tetes mata
lyterss
6 sodium hyaluronat
16.2.4.6
tetes mata
hyaloph
16.2.4.6
tetes mata
xiloxan
16.2.5.1A
16.2.5.1B
tetes mata 0,5 %

tetes mata 1 %
Myriatil
Myriatil
2 Atropine sulfat
16.2.5.2
tetes mata
Teopin
3 Timolol maleat
16.2.5.3
tetes mata 0,5% 5ml
Timol
16.2.6.1
tab
eyevit
16.2.4 lain-lain
hypomeloza
16.2.5. Anti Miotik dan Glaukoma
16.2.6. Vitamin Mata

1 Ekstra bilberry 80 mg,
retinol 1600 iu,
beta-carotene 5 mg,.
vitamin E 40 mg, lutein,
zeaxanthin, selenium,zinc
17
Oksitosin dan relaksan uterus

17.1 Oksitosin
1 Metilergometrin
tablet 0,125
17.1.1A
17.1.1B
17.1.1C
17.1.1D
17.1.1E
17.1.1F
17.1.2A
17.1.2B
17.1.2C
table salut 0,125mg
17.1.3
tab 200mg
1 Magnesium sulfat
17.2.1A
17.2.1B
inj 20% @25ml

inj 40% @25ml
2 Isoksuprin HCL
17.2.2A
17.2.2B
tabl 20mg
inj. 5mg/ml @2ml
2 Oxytosin
3 Misoprostol
18
inj 0,200mg/ml
inj 10 IU/ml
inj 10 IU/ml
generik
Pospargin
Methergin
generik
metvell inj
oxyla
Syntocinon
generik
pitogin
Citrosol
gastrul
Mg SO4 20%
Mg SO4 40%
Duvadilan
Duvadilan
Psikofarmaka
1 Alprazolam
18.1.1A
18.1.1B
tab 0,25 mg
tab 0,5mg
Alganax
Alganax
2 Clobazam
18.1.2
tab 10mg
generik
3 Diazepam
18.1.3A
18.1.3B
18.1.3C
tab 2mg
tab 5mg
Supp 5mg/2,5ml
Valisanbe
valisanbe
Stesolid
4 phenobarbital
18.1.4A
18.1.4B
tab 30 mg
inj
generik
Phental iv

1 Amitriptilin
18.2.1
Tab 25 mg
generik
2 Klorpromazin HCL
18.2.2
tab 100mg
Cepezet
3 Fluoxetin
18.2.3
tab
kalxetin
18.3 Antipsikosis
1 Haloperidol
2 Klorpromazin
19
18.3.1A
18.3.1B
tab 0,25mg
injeksi
injeksi
tab salut 100mg
18.3.2
generik
generik
govotil inj
cepezet


19.1.1
+
simeticon
2 Antasida DOEN II susp, kombinasi : 19.1.2
200mg/5ml
tab
syr
3 Famotidin
19.1.3
tab 20mg
4 Lanzoprazol
5 Omeprazol
19.1.4
19.1.5A
19.1.5B
caps 30mg
caps 20mg
inj.
generik
Sanmag (+dzp 2mg)
Magtral
Stomacain
carsida
Mylacid
Bufantacyd
(+cimeticon)
Carsida
generik
generik
generik
OMZ
19.1.5C
19.1.5D
6 Ranitidin
inj.
Norsec
pumpitor
19.1.6A
19.1.6B
19.1.6C
19.1.6D
19.1.6E
19.1.6F
19.1.7A
19.1.7B
tab 150mg
tab 500mg
9 Polymigel
19.1.8A
19.1.8B
19.1.8C
19.1.8D
19.1.9
19.2.1
kap
lybrozim
diastase, cimetikon
19.2.2
kap
lybrozim plus
dimetilpolisiloxan
19.2.3
kaplet
Tripanzym
19.3.1
tab 6mg
2 Dimenhidrinat
19.3.2A
19.3.2B
tab 50mg
3 Loperamid
19.3.3A
19.3.3B
tab 2mg
lopamid
Lodia
4 Metoklopramid
19.3.4A
19.3.4B
19.3.4C
19.3.4D
19.3.4E
19.3.5A
19.3.5B
19.3.5C
19.3.5D
19.3.5E
19.3.5F
19.3.5D
19.3.6A
19.3.6B
19.3.6C
19.3.6D
19.3.6E
19.3.6F
19.3.6G
19.3.6H
tab 5mg
Nilatika
Damaben
Tomit
Damaben
Meclam
generik
ODR
Insetron
vometraz
generik
odanostin
generik
generik
Dom
Omedon
Dom
Omedon
generik
vesperum
vomistop
dclonidium 2,5mg
8 Pantoprazol inj
19.3.7
tab
19.3.8
inj 40mg
19.3.9
tablet
10 Pantoprazole 20 mg
19.3.10
tab
generik
11 flunarizin
19.3.10
tab 10 mg
unalium
7 Simetidin
8 Sucralfate
inj 25mg/2ml
tab 200mg
inj. 200mg,amp
syr 100ml
syr 200ml
tab
generik
Acran
generik
Indoran
Acran
getidin
generik
Ulsikur
Ulsafate
Nucral
Propepsa
Nucral
Srocain-P
19.2 Enzim
19.3 Antiemetik
5 Ondansetron
6 Domperidon
inj 5mg/ml
inj 4mg/2ml
tab 4mg
tab 8mg
tab 1mg
syr 5mg/5ml
syr
drop
Mertigo
Merislon
Histigo
generik
Mantino
Braxidin
Topazole
Pepzol
pantopump
Anvomer B6
19.3 Antihemoroid
1 Kombinasi :
19.3.1
kapsul 100mg
Lanaven
Supp
generik
bismutsubgalat150mg
heksaklorofen
19.3.2

Zinc oxide
19.3.3

19.3.4
5 Benzokain, ZnO, Alukol
19.3.5
supp
19.4.1
inj. 0,25mg/ml @iml
19.4.2A
tab. 10mg
19.4 Antispasmodik
1 Atropin Sulfat
3 Papaverin

ointmen
ointmen
19.4.2B
inj 20mg/mL
19.4.3.A
19.4.3B
tab 40mg
inj im 40mg/ml
19.5.1
19.5.2A
19.5.2B
19.5.2C
tab
susp
3 Lactobacillus
19.5.3A
19.5.3B
19.5.3C
19.5.3D
serbuk
19.5.4A
19.5.4B
19.5.4C
19.5.4D
serbuk/sachet
tablet
serbuk/sachet
syr
19.6.1A
19.6.1B
19.6.1C
19.6.1D
supp 5mg
supp 10mg
tab 5mg
tab 5mg
2 Gliserin
19.6.2
1 liter
Kombinasi :
fenolftalen
3 Lactulosa
19.6.2A
19.6.2B
susp botol 60ml

cairan supp.
19.6.3
syr
4 Fosfosoda
19.6.4
susp
19.7.1
tablet 500mg
19.6 Kataritik
1 Bisakodil

1 Sulfasalazin
Borraginol S
superhoid supp
Atropin
Buscopan
Gitas
generik
generik
Oralit
2 Kombinasi :
Kaolin 550mg +
pectin 200mg
4 Zinc
Haemocain
Cap
Corosorb
Novadiar
Omegdiar
L-bio
Lacto B
Lacidofil
Lacbon
Orezinc
Zincare
L-zinc
zirkum kid
Dulcolax Paed
Dulcolax Paed
Dulcolax Paed
generik
generik
Laxadine
fleet enema
Lactulax
Fleet Fosfosoda
Sulcolon
20
20.1
20.2
Saluran kencing
20.1A
20.1B
20.1C
tetes
20.2.1
Kap 650mg
20.2.2
Tab
Prorenal
20.3.1
tab 5mg
Prostide
1 Aminofilin
21.1.1A
21.1.1B
tablet 200mg
inj. 24mg/ml @10ml
generik
generik
2 Deksametason
tab 0,5mg
3 Efedrin
21.1.2A
21.1.2B
21.1.2C
21.1.2D
21.1.2E
21.1.2F
21.1.3
21.1.4
inj 0,1%
21.1.5
nebules 0,5mg/2,5ml
6 Salbutamol
21.1.6A
21.1.6B
21.1.6C
tab 2mg
tab 4mg
generik
generik
grafalin
21.1.6D
21.1.6E
rotacps 200mcg/dosis
syr 2mg/5ml
Ventolin
Lasal
21.1.6F
syrup per 5ml :

Lasal expectoran
21.2.6G
Ventolin
21.2.7A
21.2.7B
21.2.7C
21.2.8
nebules 2,5mg
rothaler
nebules 2,5ml
inj. 0,5mg/ml
21.2.9A
21.2.9B
tab 150 mg
tab 300 mg
21.2.10
injeksi
21.2.1A
21.2.1B
tab 15mg
21.2.2
syr per 5ml @ 60ml
Renal insufisiensi
tyrosin, histidin
20.3
Tonar
Prostat (anti BPH)

1 Finasteride
21
Caps
Kalkurenal
Batugin elixir
Nephrolit

21.1 Antiasma
dan ipratropium Br
8 Terbutalin sulfat
9 Teofilin
10 N-acetylcysteine
21.2 Antitusif
1 Dekstrometorfan
inj. 5mg/ml
tab 0,5mg
tab 0,5mg
scandexon
carbidu
Indexon
Kalmetason
Cortidex
Kalmetason
generik
generik
Fluxotide
Ventolin
Ventolin
combiven
bricasma
generik
rethapyl
n-ace
generik
Romiler
Alco plusDMP syr
3 kombinasi :
prometazin, Gg
21.2.3
syr 60ml
Guamin
21.2.4
Tab 20 mg
21.3.1A
21.3.1B
21.3.1C
21.3.2A
21.3.2B
21.3.2C
21.3.2C
Tab 30mg
Tab 30mg
21.3.3A
21.3.3B
21.3.4
Tab 100mg
cairan mulut
syr botol 100 ml
21.3.5A
21.3.5B
21.3.5C
21.3.5D
21.3.5E
Tab.
Tab.
Syr 60ml
Syr 60ml Flu
Syr 60ml Pilek
21.3.6
Tab
Demacolin
21.3.7
Kap
Dextral
Dextral forte
21.3.8
Kap
grantusif
21.3.9
Syr 60 ml
Miradryl
21.3.10
Syr. 60ml
Coredryl
21.3.11A
21.3.11B
21.3.12
Syr 60ml
Miradryl
zenirex
oxopect syr
13 Kombinasi :
acetaminofen 120,
fenilefrin HCl 1mg,
21.3.13
14 Paracetamol 650 mg,

phenylpropanolamin15mg
21.3.14
tab
21.4.1
21.4.2A
21.4.2B
21.4.2C
Tab
4 Kodein
5 Doveri
21.3 Ekspektoran
1 Ambroxol
2 Bromheksin
Bromheksin 4mg+
Guafenesin 100mg
5 Kombinasi :
Paracet,Gg,efedrin
chlorfeniramin
6 Kombinasi
7 kombinasi :
DMP,GG,PPA,
chlorpheniramin
8 Kombinasi :
9 kombinasi :
diphenhidramin,
10 kombinasi :
diphen, Gg, mentol
11 Kombinasi:
ipekak,guefenesin
12 oxomemezin +Gg
21.4

1 Fluticason furoat
tripolidin 2,5mg
Syr 4mg/5ml
inj. 4mg/2ml
tab 8mg
Syr /5ml ,@60mL
syr 60ml
21.4.2D
syr per 5ml:

pseudoefedrin 30mg
tripolidin 1,25mg
21.4.3A
21.4.3B
syr per 5ml

drop 7,5mg/0,8ml
Mirapect
generik
silopect
Bisolvon elixir
Bisolvon
mucohexin
Bisolvon extra
generik
Borak
coparcetin
Hufagrip forte
coparcetin
Hufagrip
Hufagrip
Nipe drop
topras
Avamys
Valved
Tremenza
Alerfed
Valved
Rhinos Junior
Rhinos Neo
21.4.4
Tab
Rhinos SR
22.1.1
inj im/iv 5ml
22.1.2
inj 1500 IU
ATS
22.1.3
inj. 250 IU
Tetagam P
loratadin 5mg
22

Mempengaruhi

22.2 Vaksin
23
1 Vaksin B.C.G
22.2.1
2 Vaksin campak
22.2.2
3 Vaksin polio
22.2.3
tetes

pertusis (DPT)
22.2.4
inj 5ml

adsorbed toxoid)
22.2.5
inj 5ml
6 vaksin hepatitis B
22.2.6

23.1 Antibakteri
1 Kombinasi :
Lidokain HCl 40mg
- btl 10ml
2 Kloramfenikol
23.1.1
tetes telinga
Otopain
23.1.2
tetes telinga
erlamicetin
23.2.1A
23.2.1B
23.2.2
tetes telinga
tab 200 mg
tetes hidung
tarivid
tarivid
Illiadin kinder
24.1
tab 1mg
Folacom
2 Calcitriol
24.2
Tab 0,25mcg
Osteofem
3 Calsium lactat
Kap
vit C, vit D
24.3A
24.3.B
24.3C
24.3D
24.4A
24.4B
5 Ca glukonas
24.5
inj 100mg/ml
6 Vitamin A
24.6A
24.6B
24..6C
sugar coated 6000IU

inj. Im. Amp
7 Vit B kompleks
24.7A
24.7B
Tab
23.2 Lain -Lain

1 Ofloxacin
2 Oksimetazolin
24
Vitamin dan Mineral

1 Asam Folat
tab
Kap
Syr
Caltron
Kalk
Calsifar
oscal
Elkana
Elkana
Ca glukonas
generik
generik
generik
Alinamin F
Neurosanbe
8 Vitamin B1
9 Vitamin B6
- Vit C
Ca pantotenat 20mg
24.7C
24.7D
24.7E
24.7F
24.7G
24.7H
24.7I
24.7J
24.7K
24.7L
24.7M
24.8N
24.8A
24.8B
tab, kaleng
tab, + methampiron
inj. Amp
inj im, vial

sirup
tab
Tab, kaleng
inj. Amp
neurobion 5000
neurodex
sakaneuron
generik
neuromec
Alinamin F
Neurosanbe
neurobion 5000
generik
Neurotropic
Bevita
nerva plus
generik
generik
24.9
Tab, kaleng
Liconam
generik
24.10A
24.10B
24.10C
24.10C
tab, kaleng
inj, amp 200mg
injeksi 1000mg
kaps
generik
generik
ulvice
Becom C
24.10D
kaps
Becom Zet
prohelic
24.11A
24.11B
24.11B
Kap
tab
syr
Calsic-D
calnic
calnic
24.12A
24.12B
Kapl 100 IU
Santa E
Original E
13 Vitamin K
24.13A
24.13B
tab salut gula 10mg

inj 10mg/ml
24.14A
24.14B
24.14C
24.14D
24.14E
24.14F
24.14G
24.14H
24.14I
24.14J
15 Glukosamine dan
17 Multivitamin inj
18 vitamin jantung
(Ubiquinone 60 mg,
L-Carnitine 250 mg,
Alpha Lipoic Acid 200mg)
19 vitamin lain
Kap.
generik
Neo K
Formom
Lycalvit
Etabion
Elkana
Caviplex
Prolacta mother
Moloco B-12
Bionemi
Afolat
formom
Inlacta
24.14k
caps
tab
caps
caps
24.15A
24.15B
24.15B
Kaplet
Efferfescen
Kaplet
Osteor plus
Cartos
Osteor
24.16A
24.16B
24.16C
24.16D
24.16E
24.16F
24.16G
syr
Apialys
Vitacur
Asedas
Hufavit kalk
Elkana
dhavit
Apialys
24.17A
24.17B
inj, vial
cap
24.18
cap
nu q ten com
24.19
cap
oxan
Drop
Cernevit
neurochol
25

1 Astaxantin
3 Extrac curcuma
4 Suplemen unt DHF
25.1
caps
25.2A
25.2B
25.2C
25.2D
25.3
kap
syr
syr
kap
sugar coated tab
syr plus DHA
sachet
caps
syr
25.4A
25.4B
25.4C
25.5
Axanthin
Imunos
Stimuno
Imunos
Nufit
Curcuma
curcuma plus
Trolit
Psidii
Psidii
syrplus syr
Echinacea 250 mg
6
25.6A
25.6B
tab
syr
ezygard
ezygard
7 Silymarin 70 mg,
Curcuminoid 20 mg,
Choline bitartrate 150 mg
vit B6 2 mg
25.7
cap
proliver
8 Glycyrrhizine (GL),
Cycteine,
Glycine dalam larutan
fisiologi
25.8
inj
snmc
9 Natural fish oil

Ekstrak jahe, Fe fumarat
Asam folat, Magnesium
Kalsium sitrat
Vit A, Vit B1, Vit B2
Vit B6, Vit B12, Vit C
Vit D3, Vit E
25.9
cap
vibrion
26.28.1
26.28.2
inj amp 10mg/2,5ml

inj 2mg/ml, amp 2ml
Vitamin C 250 mg
Zinc Picolinate 10 mg
26

2 Pancuronium Br
3 Suksametonium
26.28.3
Notrixum
Pavulon
Scholin
Pabrik
KF
janssen-cilag
Mahakam
KF
KF
Medifarma
gracia
Sanprima
Otto
Dexa
Berlico mulia
Dexa
Pharos
Pharos
Pharos
Guardian
Combiphar
Kalbe
dexa
kalbe
Berno
Mahakam
sydna
sanbe
gracia
Sanbe
novell
pyridam
Mepro
NOVELL
sanbe
Dexamedika
Fahrenheit
Scanpasific
sandoz
sandoz
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
Novapharin
sanbe
Combi
Combi
SANBE
GRACIA
Novapharin
Sanbe
Takeda
mahakam
Dura
lapi
MAHAKAM
Phapros
Berno
Dexa
Dexa
Guardian
Novell
ethica
Sanbe
Sanbe
Sanbe
Actavis
Roche
Roche
novell
Hexapharma
Interbat
Sanbe
Hexapharma
Tempo
Sampharindo
sampharindo
Dura
harsen
sanofi
sanofi
lapi
Pyridam
Lapi
lapi
lapi
guardian
Kalbe
interbat
Guardian
ethica
Ethica
Otsuka
Fahrenheit
Transfarma
Combiphar
Otsu
Otsu
Actavis
ikapharmino
ikapharmino
KF
Combi
Sandoz
Sandoz
Pyrydam
Pfizer
gracia
Zenith
Sampharindo
gracia
Zenith
Sanbe
gracia
Sanbe
gracia
Sampharindo
Meiji
Berno
sanbe
sanbe
Piridam
Piridam
Yarindo
Berno
GUARDIAN
PROMED
GUARDIAN
lapi
MAHAKAM
lapi
simex
Pyridam
PROMED
GRACIA
guardian
Yarindo
Berno
simex
nulab
Pt Meiji
ogb dexa
sanbe
Zenith
landsen
coronetcrown
Pyridam
Dexa
Berno
gracia
coronet
Sanbe
sampharindo
sampharindo
Lapi
Dexamedika
Sanbe
Dexamedica
Sampharindo
Promed
Pt rama
sanbe
sanbe
pyridam
guardian
Sanbe
otto
Lapi
sanbe
Lapi
gracia
Lapi
sanbe
Berno
Harsen
Sanbe
Harsen
mepro
Sanovi
Sanovi
Combiphar
Sanbe
guardian
Actavis
Indofarma
sandoz
Indofarma
Indofarma
Indofarma
Sandoz
Sandoz
Lapi
Combi
lapi
Roche
Pyridam
Lapi
kalbe
kalbe
Lapi
Takeda
Lapi
landson
Merck
Kalbefarma
lapi
Kalbefarma
lapi
Kalbe farma
combi
IFARS
sampharindo
Pyridam
Combi
Merc
Interbat
Sanbe
dexamedika
sakafarma
Sanbe
merck
Kalbe
Otto/daichi
gracia
Otto/Daichi
gracia
Combi
tunggal idaman
Mecosin
Bernofafm
Sanofiaventis
Otsu
Fahrenheit
Landson
Lapi
Combi
Combi
darya-varia
Pyridam
Sanofiaventis
Dexa
bayer
Boehringer
guardian
Novo
Caprifarmindo
dexa
Caprifarmindo
Kalbe
Schering
lapi
lapi
Caprifarmindo
Kalbe
Bayer-Schering
Harsen
Triyasa nagamas
Tunggal
Idaman Abdi
Bayer-Schering
Kalbe
Interbat
Sanbe
Kalbe
scan pasific
sampharindo
Lapi
Lapi
Dexa
Taisho
novell
Darya-Varya
Fahrenheit
Fahrenheit
Fahrenheit
Fahrenheit
Dexa
servier
Guardian
Kalbe
Dexa Medica
kalbe
Sanbe
pharos
dankos farma
bayer
interbat
kimia farma
Lapi
Otsuka
Dexa
Kalbe
fahrenheit
fahrenheit
Sanofiaventis
fahrenheit
Combi
Dexa
Lapi
kalbe
Sanovi
Pyridam
Darya
sanbe
erela
erela
erela
Pyridam
KF
ikapharmindo
Meiji
Otto
taisho
KF
Berno
Berno
Berno
gracia
SDM
Pyridam
kimia farma
Taiso
PT Graha
KF
interbat
Kalbe
Mecosin
Combiphar
Landson
Pharos
Pharos
Combi
otsuka
Abbot
fahrenheit
Merck
Otsuka
Widatra
Widatra
Claris
sanbe
otsu, widatra
otsu,widatra
Otsu
Ethica
Otsu
Kalbe
biotest pharma
Widatra
Widatra
Otsu
Widatra
Otsu
Otsu
Widatra
sanbe
Widatra
OGB
sanbe
Otsu
Widatra
OGB
Widatra
Otsu
Otsu
Sanbe
,,
Otsu
Sanbe
Otsu
Sanbe
Widatra
Kalbe
Otsu
Sanbe
otsuka
sanbe
otsu
Sanbe
sanbe
sanbe
kalbe
Otsu
Otsu
otsu
SANBE
cendo
cendo
cendo
erela
erela
erela
kalbe
Cendo
Cendo
Statrol
Erela
GMP
Cendo
sanbe
Cendo
Cendo
Cendo
Cendo
Cendo
Cendo
sanbe
cendo
Cendo
Cendo
Cendo
Cendo
Lapi
Kalbe
Novartis
novell
novell
Novartis
ethica
Otto
fahrenheit
Otsu
Otsu
Solvay farma
Solvay farma
Guardian
Guardian
sanbe
sanbe
Actavis
Combi
Mersi
kalbe
guardian
Mersi
Sanbe
Combiphar
Sampharindo
Emba
Bufa
Sampharindo
Ferron
Guardian
sanbe
sanbe
Indofarma
sanbe
guardian
Hexapharma
Combiphar
guardian
Gracia
guardian
Eisai
Sanbe
Dexa
Mersi
ifars
samparindo
Harsen
Sanbe
sampharindo
Capri
interbat
Capri
gracia
Lapi
Indofarma
Dexamedika
ifars
Lapi
Mutifa
Lapi
mutifa
ifars
gracia
Sanbe
Lapi
Mahakam
interbat
Dexamedika
guardian
Lansond
Gelenium
Takeda
triman
Ethica
methampiron)
Boehringer
Interbat
OGB
Coronetcrown
Corsa
Lapi
pharos
Dexa
Pharmasolindo
Kalbe
lapi
meprofarm
Boehringer
Boehringer
Boehringer
Gelenium
combiphar
Ikapharmindo
Combi
Bernofarm
darya faia
KF
hexpharm
Sandoz
Novell
Pharos
KF
KF
Scanpasific
Sampharindo
Interbat
Kalbe
Sanbe
Kalbe
Glaxo
graha farma
Glaxo
Lapi
Lapi
Glaxo
Glaxo
Glaxo
Boehringer
astra zeneca
kimia farma
fahrenheit
Behringer
Interbat
kF
Sampharindo
Pyridam
Boehringer
Boehringer
sanbe
Boehringer
Pt ciubros
sampharindo
hufa
sampharindo
Hufa
Hufa
coronetcrown
Molex
Molex
grahafarma
Sampharindo
GMP
sampharindo
zenith
mahakam
Transfarma
Medika indah
gracia
Glaxo
GMP
sanbe
guardian
GMP
Dexa
Dexa
Dexa
Biofarma
Biofarma
Dexa
Interbat
erela
kalbe
kalbe
Merck
Combi
Kalbe
Pyridam
KF
Ifars
glaxo
Sanbe
Sanbe
Ethica
KF
KF
Takeda
sanbe
merc
akafarma
Sampharindo
Takeda
sanbe
merc
gracia
gracia
landson
Sanbe
Sanbe
promed
Sampharindo
gracia
gracia
Sanbe
Capri
KF
Combi
Pyridam
Interbat
Errita
sanbe
erela
novell
darya faria
gracia
Rama
Pyridam
interbat
pyridam
pryridam
pyridam
Lapi
lapi
Pyridam
Hufa
Sanbe
guardian
Lapi
Kalbe
landson
novell
gracia
Ethica
lapi
Pyridam
lapi
guardian
soho
soho
Dexa
Dexa
Berno
promedraharjo
promedraharjo
simex
pt merapi
mahakam
Novell
Schering
Transfarma
FORMULARIUM OBAT
TAHUN 2011
KLS
1
1
NAMA O BAT
2
1.1
Analgesik Narkotika
1.
Kodein
1.2
kode obat

obat
Nama Dagang
1.1.1
Tab 10mg, kaleng
generik
2.
Fentanyl
1.1.2
Fentanyl
3.
Morphin HCl
1.1.3A
1.1.3B
Tab, 10 mg
Inj. 10 mg/ml
MST
generik
4.
Petidin
1.1.4A
1.1.4B
injc i.m/s.k/i.v
50mg/ml
generik
1.2.1
Tab 100mg
Aspilet
1.2.2A
1.2.2B
1.2.2C
1.2.2D
Tab 500 mg
Grafix
Cargesic
Opistan
Pondex
1.
Asam asetilsalisilat
(asetosal)
2.
Asam mefenamat
3.
Ibuprofen
1.2.3A
1.2.3B
1.2.3C
1.2.3D
Tab 200mg
syr.100mg/5ml
Supp. 125 mg
generik
Proris
Proris
Proris
Exaflam
X-flam
4.
Kalium Diklofenac
1.2.4A
1.2.4B
tab 50mg,25mg
tab 50mg
5.
Ketoprofen
1.2.5A
1.2.5B
1.2.5C
Supp 100mg
Tab 100mg
Kaltrofen
Pronalges
Kaltrofen
6.
Ketorolac
inj. 30mg/ml
7.
Meloxicam
1.2.6A
1.2.6B
1.2.6C
1.2.7A
1.2.7B
1.2.7C
1.2.7D
1.2.8A
1.2.8B
generik
trolac inj
Matolac
generik
osteloc
generik
loxil
Antalgin
Analsik
(+Dzp 2mg)
Zyparon
Antalgin
Norages
8.
Metampiron
9.
Metamizole sodium
10.
Natrium diklofenak
1.2.8C
1.2.9A
1.2.9B
1.2.9C
1.2.9D
1.2.10A
1.2.10B
Tab 15mg
Tab 7,5 mg
Tab 500mg
Tablet 500mg
Injc. 500mg/ml
@2ml
Tab 50mg
Tab 25 mg
PRAGESOL
Voltadex
Renadinac
11.
1.3
Paracetamol
1.2.10C
gel
1.2.11A
1.2.11B
1.2.11C
1.2.11D
1.2.11E
1.2.11F
1.2.11G
1.2.11H
1.2.11I
1.2.11J
1.2.12A
1.2.12B
Tab 500mg
Syr 120mg/5ml
drop 60mg/0,6ml
Supp 240mg
Supp 160mg
infus
drop 60mg/0,6ml
tab 20 mg
gel
Scantaren
Mirasic
Sanmol
Sanmol
Pyridol
Mirasic
Sanmol drops
Propyretic 240
Propyretic 160
Sanmol infus
Moretic drop
generik
Pirofel
12.
Piroksikam
13.
Tinoridine HCl
1.2.13
tab 50 mg
14.
Tramadol
1.2.14A
1.2.14B
1.2.14C
inj 50mg/ml
tab 37,5mg+
paracetamol 32,5mg
15.
Kombinasi :
Antalgin 250mg
Pyramidon 50mg
Lidocain HCl 15mg
1.2.15
inj 15ml/vial
Xillomidon
1.3.1A
1.3.1B
Tab 100mg
generik
reucid
Antipirai
1.
Allopurinol
Nonflamin
generik
Patral
Anestetik
2.1
Anestetik Lokal
1.
Bupivacain HCl
2.1.1A

amp, 4ml
2.
Etil klorida
2.1.2
spray, botol 100ml
3.
Lidokain
2.1.3A
2.1.3B
inj 2%
inj 2% (HCl)
+epinefrin 1:80000
inj 2%+dextrosa 5%
2.1.3C
2.2
2.3
RECAIN
lidocain
Pehacain
Lidodex

1.
Halotan
2.2.1
cairan inhalasi
250ml
Halotan
2.
isoflurane
2.2.2
cairan inhalasi
isofluran
3.
Ketamin
2.2.3
inj iv 100mg/ml
@20ml
Ketamin
KTM
4.
Nitrogen Oksigen
2.2.4
gas tabung 15kg
5.
Oksigen
2.2.5
gas dlm tabung
6.
Propofol
2.2.6
2.3.1
inj 0,25mg/ml@1ml

1.
Atropin sulfat
Safol
sulfas atropin
2.
2.3.2A
2.3.2B
tab 5mg
tab 2mg
Valisanbe
Valisanbe
2.3.2C
inj 5mg/ml
Valisanbe
2.3.2D
rectal 5mg/2,5ml
2.3.3A
2.3.3B
inj 5mg/5ml
inj 15mg/3ml
3.1A
3.1B
3.1C
inj 5mg/ml@1ml
Kalmethasone
Indexon
Cortidex
3.1D
3.1E
3.1F
tab 0,5mg
Kalmethasone
Scandexon
Carbidu
Kombinasi dengan
difenhidramin
3.1G
Tab
2.
Difenhidramin
3.2A
3.2B
Inj 10mg/ml
Inj 15mg/vial
generik
Duradryl
3.
3.3
Inj 0,1%
Generik
3.
Diazepam
Midazolam

1.
Dexametasone
Stesolid
Dormicum
Dormicum
Mexon
4.
Klorfeniramin
3.4
Tab 4mg
5.
Pheniramine maleat
3.5A
3.5B
Tab 25mg
inj.50mg/2ml
6.
Loratadine
3.6A
3.6B
tab 10mg
generik
clarihis
7.
Ceterizin
3.7A
3.7B
3.7C
tab 10mg
Zenris
generik
Tiriz
3.8A
3.8B
3.8C
3.8D
tab 8mg
8.
Metil Prednisolon
drops
inj 125mg/ml
pehachlor
avil
avil
generik
Lameson
Lameson
generik
9.
Ciproheptadin
3.9
kap 4mg
Pronicy
10.
3.10
tab 50mg
interhistin
4.1.1
inj 0,25mg/ml
sulfas atropin
Ca Gluconas

Untuk Keracunan
4.1
Khusus
1.
Atropin
2.
Kaksium glukonat
4.1.2
100mg/ml
3.
Natrium bikarbonat
4.1.3A
4.1.3B
tab 500mg
inf fl. 25 Meq
generic
Meylon
4.2
4.
Naloxone HCl
4.1.4
inj.0,4mg/ml
Nokoba
5.
Neostigmin metylsulfat
4.1.5
inj 0,5mg/ml
Prostigmin
4.2.1A
inj 20%25ml
MgSo4 20%
4.2.1B
inj 40%25ml
MgSo4 40%
5.1
tab 200mg
generik
Stesolid
Umum
1.
Magnesium sulfat
1.
Carbamazepin
2.
Diazepam
5.2
rectal 5mg/2,5ml
3.
Fenitoin
5.3A
5.3B
inj 50mg/ml
cap 100mg
phenytoin
phenytoin
4.
Fenobarbital
5.4A
5.4B
tab 30mg
inj 50mg
generik
Phental iv
5.
Gabapentin
5.5A
5.5B
cap 300mg
6.1.1.1A
6.1.1.1B
tab 125mg
susp 125mg/5ml
Antiinfeksi
6.1
Antelmintik
1.
Pirantel
Gabexal
generic
Pyrantin
Combantrin
6.2 Antibakteri
6.2.1 Beta Laktam
1.
Amoksisilin trihidrat
6.2.1.1A
6.2.1.1B
6.2.1.1C
tab 500mg
novax caps
Zemoxil
Brodamox
6.2.1.1D
6.2.1.1E
6.2.1.1F
dry syr 125mg/5ml

drops 100mg/ml
fosicolos
Zemoxil
Amoxan
6.2.1.1G
serb inj 1000mg
Amoxan
2.
Ampisilin
6.2.1.2A
6.2.1.2B
cap 500mg
serb inj 1000mg
Brodapen
Viccilin
3.
Ampicillin + Sulbactam
6.2.1.3
serb inj 500+250mg
Pycin 750
4.
Kombinasi Amoksisilin 500mg dan

clavulanat 125mg
6.2.1.4A
6.2.1.4B
kap 500+125mg
5.
Cefadroksil
6.2.1.5A
6.2.1.5B
caps 500mg
Pyricef
generik
6.2.1.5C
6.2.1.5D
dry syr 125mg/5ml
Pyricef
generik
co amoxiclav
clanexi
6.
Sefaklor
6.2.1.6
caps 500mg
Capabiotik
7.
8.
Sefaleksin
Sefiksim
6.2.1.7
6.2.1.8A
caps 500mg
caps 100mg
6.2.1.8B
dry syr 100mg/5ml
Cefabiotic
generik
NUCEF
PROFIM
NUCEF
generik
generik
FOBET
lapixim
9.
Sefotaksim
6.2.1.9A
6.2.1.9B
6.2.1.9C
serb inj 1gr
10.
Seftazidim
6.2.1.10
serb inj 1gr
CEFDIM
11.
Seftriakson
6.2.1.11A
6.2.1.11B
6.2.1.11C
serb inj 1gr
generik
GRACEF
cephaflox
12.
Sephalotin
6.2.1.12
serb inj 1gr
Moraxine
13.
Meropenem
serb inj 1 gr
14.
Seftisoxim
6.2.1.13A
6.2.1.13B
6.2.1.13C
Meropex
generik
e-zox
generik
6.2.2.1.1A
caps 100mg

6.2.2.1 Tetrasiklin
1.
Doksisiklin
serb inj 1 gr
generik
2.
Tetrasiklin
1.
Kloramfenikol
2.
Tiamfenikol

1.
(dewasa)kombinasi :
trimetoprim 80mg
6.2.2.1.2
caps 500mg
Suprabiotik
6.2.2.2.1A
6.2.2.2.1B
caps 250mg
susp 125mg/5ml
Lanacetin
coromycetin
6.2.2.2.2A
6.2.2.2.2B
6.2.2.2.2C
6.2.2.2.2D
caps 500mg
Promixin
Dexicol
Phenobiotic
fosicolos
6.2.2.3.1A
6.2.2.3.1B
Tablet
Sanprima
miratrim
dry syr 125mg/5ml
2.
sulfa 800mg+
trimetoprim 160mg
6.2.2.3.2A
6.2.2.3.2B
Tablet
Lapikot forte
Primadex forte
3.
Kotrimoksazol suspensi
6.2.2.3.3A
6.2.2.3.3B
6.2.2.3.3C
susp
Sanprima
Primadex
Miratrim
6.2.2.4.1
caps 150mg & 300mg
generik
6.2.2.4.2A
6.2.2.4.2B
caps 500mg
generik
erisanbe
6.2.2.4 Makrolit
1.
Clindamisin
2.
Eritromisin
6.2.2.4.2C
erisanbe chewable
6.2.2.4.2D
syr 200mg/5ml
generik
generik
varoc
3.
Spiramisin
6.2.2.4.3A
6.2.2.4.3B
tab 500mg
4.
Azytromicin
6.2.2.4.4A
6.2.2.4.4B
caps 500mg
zibramax
generik
6.2.2.5.1A
6.2.2.5.1B
inj 40mg/ml
inj 80mg/ml
Sagestam
ottogenta
6.2.2.6.1A
6.2.2.6.1B
tab 500mg
Cravox
generik
6.2.2.6.1C
6.2.2.6.1D
generik
Cravox
generik
1.
Gentamisin
6.2.2.6 Kuinolon
1.
Levofloksasin
2.
Ofloksasin
6.2.2.6.2
tab 200&400mg
3.
Siprofloksasin
6.2.2.6.3A
6.2.2.6.3B
6.2.2.6.3C
tab 500mg
6.2.2.6.3D
6.2.2.6.3E
generik
Baquior forte
Lapiflox
generik
Lapiflox inf

1.
Sulfasalazin
2.
3.
Metronidazol
Colistin sulfat

1.
Etambutol
6.2.2.7.1
tab 500mg
Sulcolon
6.2.2.7.2A
6.2.2.7.2B
tab 500mg
Metrolet
Trychodazole
6.2.2.7.2C
6.2.2.7.2D
6.2.2.7.2E
syr 125mg/5ml
supp 500mg
Metrolet
promuba
Flagyl
6.2.2.7.2F
Vagistin
6.2.2.7.2G
6.2.2.7.2H
6.2.2.7.2
Tab 250000 iu
Colistine
6.3.1.1
tab 500mg
generik
Trychodazole
generic
2.
Isoniazid
6.3.1.2
tab 300mg
generik
3.
Pirazinamid
6.3.1.3
tab 500mg
generik
4.
Rifampicin
6.3.1.4
caps 450mg
generik
5.
Kombinasi (OAT TB dots):
6.3.1.5
untuk dewasa
untuk pediatri
6.
7.
8.
Kombinasi :
Ethambutol, INH, B6
6.3.1.6
INH50+Rifam75+PZA150
INH50+ Rifam75
6.3 Antifungi
1.
Itrakonazol

OAT fase intensif
OAT fase lanjutan
OAT fase intensif
INH 100, Rifam 75
OAT fase lanjutan
caps
Bacbutinh
Niazitol
6.3.1.7
6.3.1.8
caps
Rimcure paed
Rimtazid paed
6.3.1
caps 100mg
Itzol
2.
Ketokonazol
6.3.2
tab 200mg
generik
3.
Mikonazol
6.3.3
cream
generik
4.
Nistatin
6.3.4A
ovul + metronidazol
vagistin
6.3.4B
drops
6.5 Antimalaria
Kandistatin
1.
Sulfadoxin 500mg,
primetamin 25 mg
6.6 Antivirus
6.6.1 Antiherpes
1.
Asiklovir

1.
Ergotamin cafein
2.
3.
4.
6.5.1A
6.5.1B
tab
6.6.1A
6.6.1B
6.6.1C
tab 200mg
tab 400mg
cream 5%
generik
generik
generik
7.1
tab 1mg
generik
kap
Nogren

acetosal, cafein
Piracetam
Sitikolin/citikolin
7.2
Fansidar
7.3A
7.3B
7.3C
7.3D
7.3E
tab 800mg&1200mg
inj 3gr/5ml
generik
latropril
generik
Neurotam
generik
7.4A
tab 500mg
Neociti
7.4B
7.4C
inj 250mg/2ml
Nicholin
Neociti
inj 1gr/5ml
5.
Pyritinol HCL
7.5
syr 100ml
6.
Mecobalamin
7.6A
inj. Amp 500mcg
Encephabol
Kalmeco

8.1 Antianemi
1.
Asam folat
2.
3.
Vit B1, B6, B12
8.2 Koagulasi, obat

yang mempengaruhi
1.
Asam traneksamat
7.6B
tab 500mg
Kalmeco
8.8.1.1
tab 1mg
Folacom
8.8.1.2A
8.8.1.2B
8.8.1.2C
tab salut 300mg
Natabion
Artoferum
Maltofer
8.8.1.3A
8.8.1.3B
8.8.1.3C
8.8.1.3D
8.8.1.3E
tab
8.8.1.3F
8.8.1.3G
inj. Amp 3ml
8.8.2.1A
8.8.2.1B
inj 250mg/5ml
Kalnex
Transamin
8.8.2.1C
tab 500mg
Transamin
Neurobion 5000
Neurobat
Neurosanbe
Neurodex
Sakaneuron
Neurosanbe 5000
Neurobion 5000
10
2.
Fitomenadion (vit K)
8.8.2.2A
8.8.2.2B

inj 10mg/ml
3.
Heparin Na
8.8.2.3A
8.8.2.3B
gel
4.
Lidocain
8.8.2.4
inj 2%
generic
Furosemida
9.1A
9.1B
tab 40mg
inj 10mg/ml
generik
Lasix
2.
9.2
tab 25mg
generik
3.
Manitol
9.3
lar infus 20%@500ml
manitol
4.
Spironolacton
9.4
tab 25mg
carpiaton
10.1A
10.1B
caps 300mg
Lesichol
Lesipar
Diuretik
1.

1.
Lesitin
generik
Neo K
Thrombopop Gel
Antithromb
2.
10.2A
10.2B
inj 5mg/10ml
sachet 3g
Hepa-Merz
Hepa-Merz granul
3.
Ursodeoxycholic
10.3
caps 250mg
Urdafalk
4.
hepatoprotector
fitofarmaka
10.4A
10.4B
tab
Hepa-Q
HP pro
11

Kontraseptik
11.1 Antidiabetes
1.
Glibenclamida
11.1.1
tab 5mg
generik
2.
Glimepiride
11.1.2
tab 2mg
Amaril
Gluvas
3.
Glikuidon
11.1.3A
11.1.3B
tab 30mg
Glurenorm
generik
4.
Metformin
11.1.4A
11.1.4B
tab 500mg
generik
Eraphage
5.
Gliklasid
11.1.5
tab 80mg
generik
11.2.1
inj 100iu/ml @10ml
Actrapid
11.2.1A
11.2.1B
tab 5mg
Regumen
Norelut N
11.2.2A
11.2.2B
tab 5mg
Preabor
Premastone

1.
Isulin reguler
11.2.1 Progestrogen
1.
Noretisteron
2.
Alil Esternol
3.
Ethinilestradiol
11.2.3
tab 50mcg
Lynoral
11.2.2.1A
11.2.2.1B
tab 50mg
Blesifen
Profertil
11.3.1A
11.3.1B
tab 28
Microgynon lingkaran biru
11.3.2.1A
11.3.2.1B
vial, 50mg/ml, 3mL

vial, 150mg/ml, 1ml
Depo progestin
Depo Neo
11.3.2.2A
11.3.2.2B
vial, 0,5 ml
11.3.3

dan silver core

1.
Propiltiorasil
11.4.1
tab 100mg
11.4 Kortikosteroid
1.
Deksametason
11.4.1A
inj 5mg/ml @1ml
11.3 Kontraseptik
11.3.1 Oral
1.
Levonogestrel,
11.3.2 Injeksi
1.
medroksiprogesteron
acetat
2.
Medroksiprogesteron
11.3.3 Intra Uterin
Cyclofem
Nova-T CU
generik
Kalmethasone
11.4.1B
11.4.1C
2.
12
Metil prednisolon
Indexon
Cortidex
11.4.1D
11.4.1E
11.4.1F
tab 0,5mg
Kalmethasone
scandexon
carbidu
11.4.2A
11.4.2B
11.4.2C
tab 4mg
inj 125mg/2ml
generik
lameson
lameson
generik
3.
Prednison
11.4.3
tab 5mg
4.
Triamsinolon
11.4.4A
11.4.4B
inj 10mg/ml
oral base, tube
12.1.1
tab 100mg
generik
generik
12.1 Antiangina
1.
Atenolol
2.
Diltiazem HCL
12.1.2A
12.1.2B
tab 30mg
inj 5mg/ml
3.
Isosorbit dinitrat
12.1.3A
12.1.3B
12.1.3C
tab 5mg
12.1.4
inj 1mg/ml
4.
Nitrogliserin
inj 10mg/10ml
Falmicort
Kenalog
generik
Cedocard
Farsorbid
generik
5.
Propanolol
12.2 Antiaritmia
1.
Amiodaron HCT
12.1.5
tab 10mg
12.2.1
tab 200mg dan inj
generik
Tiaryt
2.
Kuinidin
12.2.2
tab 100mg
generik
3.
Lisinopril
12.2.3
tab 10mg
Noperten
4.
Propanolol
12.2.4
tab 10mg
generik
5.
Trimetazidine diHCl
12.2.5
tab 35mg
6.
Verapamil
12.2.6
tab 80mg
generik
12.3.1A
12.3.1B
12.3.1C
tab 5mg
tab 10mg
generik
generik
lapiten
2 Losartan
12.3.2
tab 50mg
Angioten
3 Valsartan
12.3.3
tab 80mg
Valsartan-Ni
12.4 Antihipertensi
1 Bisoprolol
12.4.1
tab 5mg
generik
12.4.2A
12.4.2B
tab 25mg
tab 12,5mg
generik
generik
12.3 Lain-lain
1 Amlodipin Besilat
2 Captopril
Trizedon MR
3 Klonidin
12.4.3
tab 0,15mg
generik
4 Metildopa
12.4.4
tab salut 250mg
generik
5 Nifedipin
12.4.5A
12.4.5B
tab 10mg
generik
Nifedin
12.6.1A
12.6.1B
tab 75mg
Pidofix
generic
2 Cilostazol
12.6.2
tab 50mg
Pletaal
3 Streptokinase
12.6.3
Streptase
12.7.1
tab 400mg
Reotal SR
12.8.1A
12.8.1B
tab 0,25mg
generik
fargoxin
12.8.2A
12.8.2B
tab 40mg
inj 10mg/ml @2ml
generik
Lasix
12.9.1.1
inj 40mg/ml
generik

1 Clopidogrel
12.7 Trombolitik
1 Pentoksifilin
1 Digoksin
2 Furosemid

1 Dopamin
2 Dobutamin
12.9.1.2
inj 250mg
12.9.1.3
inj 0,1%
generik
4 Norepinefrin
(noradrenalin)
12.9.1.4
inj 0,1%
generik
12.9.2.1
inj 50mg/ml
generik
12.10.1A
12.10.1B
caps 300mg
generik
Lapibroz
12.10.2A
12.10.2B
tab 10mg
generik
Cholestat
13.1
casa steril 1%
sofratulle
2 Natrium fusidat
13.2
cream 20mg/gr
Fuson
3 Perak sulfadiazin
13.3
cream 1%
Burnazin
4 Gentamisin sulfat
13.4A
13.4B
13.4C
cream 1mg/gr
generik
sagestam
Genoint

1 Ephedrin
1 Gemfibrozil
2 Simvastatin
13

13.1. Antibakteri
1 Framisetin
Dobutamin
13.5
larutan 1%
6 neomycin sulfat +
13.6
cream
Ociderm-N
7 Chloramphenicol+
hidrocortison
13.7
cream
Chloramphecort
13.2.1
cream
Mycoderm
2 Miconazol
13.2.2A
13.2.2B
cream 2%
13.2.3
cream
4 Gentian
13.2.4
larutan 1%
13.4.1A
13.4.1B
13.4.1C
13.4.1D
cream
2 Clobetasol
13.4.2
cream 0,05%
Kloderma
3 Desoksimetason
13.4.3
cream 0,25%
Pyderma
13.2 Antifungi
1 Ketokonazol
Violet

1 Betametason
cream + neomycin
cream + miconazole
Genoint
generik
dactarin powder
Myco-z
Betason cream
Benoson
Benoson N
Benoson M
4 Hidrokortison
13.4.4
cream 2,5%
generik
5 Triamsinolon
13.4.5
cream oral base
Kanalog
13.5
cream
Scabicid
13.6.1
cream 20%
13.7A
13.7B
gel 10gr
13.8
cream 15gr
13.9 Lain-lain
& vit E
13.9.1

1 Lindane 1%,
ursic acid 1%
1 Urea
Moistderm
14
cream
2 Asam sulfonat+
formaldehid
13.9.2
solution 10ml
3 Herbal ointment
13.9.3
cream
14.1
larutan 1L
Larutan irigasi
water for irigation
Bioplacenton
Bismecon
Bionect
Lanakeloid
Albothyl
Meibo
15

15.1 Oral
1 Garam oralit
15.1.1A
15.1.1B
15.1.1C
Pedyalite
Renalyte
Oralyte
2 Kalium klorida
15.1.2A
15.1.2B

KSR
KCl 3%
15.1.3A
15.1.3B
tab 500mg
inf. 25 Meq, 25mL
generik
Meylon
15.2.1A
15.2.1B
15.2.1C
Wida HES 130

Wida HES 200
Tetra HES 130
2 Glukosa
15.2.2A
15.2.2B
15.2.2C

D 5%
D 10%
D 40%
3 Kalsium glukonat
15.2.3
inj 10% @10ml
4 Kalium Klorida
15.2.4
inj 25ml/vial
5 Human Albumin
15.2.5

(tidak stock)
15.2 Parenteral
1 Plasme expander
(HES)
Ca Gluconat
KCl 7,46%
Octalbin

-lar infs btl 500ml
Wida D5 1/2 NS
15.2.6

15.2.7
-lar infs btl 500ml
15.2.8
lar inf 25Meq, 25mL

lar inf. 500ml
Wida D5 1/4 NS
Meylon
10 Ringer laktat
15.2.9A
15.2.9B
15.2.9C
15.2.9D
15.2.10
Wida NS
Otsu NS
Otsu NS pegy
INFUSAN NS 100
RL
11 kombinasi:
-lar infs btl 500ml
15.2.11A
15.2.11B
D5 NS
Infusan RD5%
15.2.12
Otsu D10 1/5 NS
lar.inf 100ml
12 kombinasi :
Nacl 0,18 % b/v
glukosa 10 %
-lar infs btl 500ml
13 kombinasi :
NaCl 2,34gr
KCl 0.75gr
Na Lactate 2,24gr
15.2.13A
15.2.13B
KA EN 3A
TRIDEX 27 A
-lar infs btl 500ml

14 kombinasi :
NaCL 1,75gr
KCl 1,5gr
Na Lactate 2,24gr
-lar infs btl 500ml
15 kombinasi :
NaCl 2,25 g
-lar infs btl 500ml
16 Kombinasi :
Glukosa 12,5 g
NaCl 1 g
KCl 0,65 g
Na Lactat 1,55 g
17 kombinasi :
Amino Acids 100mg
Nitrogen 15,7mg
Na 2m EQ.
Acetate 120m EQ
-lar infs btl 500ml
18 kombinasi :
Asam Amino 2,72%
15.2.14A
15.2.14B
KA EN 3B
TRIDEX 27B
15.2.15A
15.2.15B
KA EN 1B
Tridex plain
15.2.16
Wida 1/2 DaD
15.2.17
Kalbamin
15.2.18A
Pan Amin G
Sorbitol 15%
-lar infs btl 500ml
19 Kombinasi :
-lar infs btl 500ml
15.3 Lain-lain
1
16
Air untuk injeksi
Mata, obat untuk

16.1 Sistemik
1 Manitol
16.2 Topikal
1 Tetrakain
16.2.2 Antimikroba
1 Gentamisin
2 Kloramfenikol
15.2.18B
VALAMIN
15.2.19A
15.2.19B
KA EN MG3
Tridex 100
15.3.1
Water For Injc
16.1.1A
16.1.1B
Manitol
M.20 Manitol
16.2.1.1
tetes mata 0,5%
Pantocain
16.2.2.1A
16.2.2.1B
tetes mata 0,3%

salep mata 0,3%
Gent oint
Gent oint
16.2.2.2
salep mata 1%
erlamicetin

1 Kombinasi :
-tts mata btl 5ml
2 Kombinasi :
-tts mata btl 5ml
16.2.4 lain-lain
hypomeloza
17
16.2.3.1
tetes mata
tetes mata
16.2.3.2A
16.2.3.2B
16.2.3.2C
Alletrol
Oregan
Xitrol
16.2.4.1
tetes mata
Vasacon-A
17.1.1A
17.1.1B
17.1.1C
table salut 0,125mg

inj 0,200mg/ml
generik
Pospargin
Methergin
2 Oksitosin
17.1.2
inj 10 IU/ml
Syntocinon
3 Mesoprostol
17.1.3
tab 200mg
Citrosol
17.2.1A
inj 20% @25ml

17.1 Oksitosik
1 Metilergometrin
tablet 0,125

1 Magnesium sulfat
Mg SO4 20%
2 Isoksuprin HCL
18
Psikofarmaka
1 Alprazolam
17.2.1B
inj 40% @25ml
17.2.2A
17.2.2B
tabl 20mg
inj. 5mg/ml @2ml
18.1.1A
18.1.1B
Mg SO4 40%
Duvadilan
Duvadilan
tab 0,25 mg
tab 0,5mg
Alganax
Alganax
tab 10mg
generik
2 Clobazam
18.1.2
3 Diazepam
18.1.3A
18.1.3B
18.1.3C
tab 2mg
tab 5mg
Supp 5mg/2,5ml
Valisanbe
valisanbe
Stesolid
4 phenobarbital
18.1.4A
18.1.4B
tab 30 mg
inj
generik
Phental iv

1 Amitriptilin
18.2.1
Tab 25 mg
generik
2 Klorpromazin HCL
18.2.2
tab 100mg
Cepezet
18.3 Antipsikosis
1 Halloperidol
2 Klorpromazin
18.3.1
tab 25mg
generik
18.3.2
tab salut 100mg
cepezet
19

19.1.1
tab
2 Antasida DOEN II susp, kombinasi : 19.1.2

200mg/5ml
generik
Sanmag (+dzp 2mg)
Magtral
Stomacain
Mylacid
Bufantacyd
(+cimeticon)
Carsida
3 Famotidin
19.1.3
tab 20mg
generik
4 Lanzoprazol
19.1.4
caps 30mg
generik
5 Omeprazol
19.1.5A
19.1.5B
19.1.5C
19.1.6A
19.1.6B
19.1.6C
19.1.6D
19.1.6E
caps 20mg
inj.
generik
OMZ
Norsec
generik
Acran
generik
Indoran
Acran
19.1.7A
19.1.7B
tab 200mg
inj. 200mg,amp
6 Ranitidin
7 Simetidin
tab 150mg
inj 25mg/2ml
generik
Ulsikur
8 Sulkrafat
19.1.8A
19.1.8B
tab 500mg
syr 100ml
Ulsafate
Propepsa
9 Polymigel
19.1.9
tab
Strocain-P
19.2.1
kap
lybrozim
diastase, cimetikon
19.2.2
kap
lybrozim plus
dimetilpolisiloxan
19.2.3
kaplet
19.3.1
tab 6mg
Mertigo
Merislon
2 Dimenhidrinat
19.3.2A
19.3.2B
tab 50mg
generik
Mantino
3 Loperamid
19.3.3A
19.3.3B
tab 2mg
lopamid
Lodia
4 Metoklopramid
19.3.4A
19.3.4B
19.3.4C
19.3.4D
tab 5mg
Nilatika
Damaben
Tomit
Damaben
19.2 Enzim
19.3 Antiemetik
inj 5mg/ml
Tripanzym
5 Ondansetron
19.3.5A
19.3.5B
19.3.5C
19.3.5D
inj 4mg/2ml
19.3.6A
19.3.6B
19.3.6C
19.3.6D
19.3.6E
19.3.6F
tab 1mg
dclonidium 2,5mg
8 Pantoprazol inj
19.3.7
tab
19.3.8
inj 40mg
19.3.9
tablet
19.3.1
kapsul 100mg
Lanaven
Supp
generik
6 Domperidon
19.3 Antihemoroid
1 Kombinasi :
bismutsubgalat150mg
heksaklorofen
19.3.2
19.3.3
tab 4mg
syr 5mg/5ml
generik
ODR
Insetron
vometraz
generik
Dom
Omedon
Dom
Omedon
generik
Braxidin
Topazole
Pepzol
Anvomer B6
Zinc oxide
19.4 Antispasmodik
1 Atropin Sulfat
3 Papaverin

ointmen
Haemocain
19.3.4
ointmen
19.4.1
inj. 0,25mg/ml @iml
19.4.2A
tab. 10mg
19.4.2B
inj 20mg/mL
19.4.3.A
19.4.3B
tab 40mg
inj im 40mg/ml
19.5.1
Borraginol S
Atropin
Buscopan
Gitas
generik
generik
Oralit
2 Kombinasi :
Kaolin 550mg +
pectin 200mg
19.5.2A
19.5.2B
19.5.2C
tab
susp
3 Lactobacillus
19.5.3A
serbuk
Corosorb
Novadiar
Omegdiar
L-bio
19.5.3B
19.5.3C
19.5.3D
Cap
Lacto B
Lacidofil
Lacbon
19.5.4A
19.5.4B
serbuk/sachet
tablet
Orezinc
Zincare
19.6.1A
supp 5mg
Dulcolax Paed
19.6.1B
supp 10mg
Dulcolax Paed
19.6.1C
tab 5mg
Dulcolax Paed
2 Gliserin
Kombinasi :
fenolftalen
19.6.2A
19.6.2B
susp botol 60ml

cairan supp.
3 Lactulosa
19.6.3
syr
4 Fosfosoda
19.6.4
susp
19.7.1
tablet 500mg
4 Zinc
19.6 Kataritik
1 Bisakodil

1 Sulfasalazin
20

20.1
Saluran kencing
20.1A
tetes
Laxadine
fleet enema
Lactulax
Fleet Fosfosoda
Sulcolon
Kalkurenal
20.2
20.1B
20.1C
Caps
20.2.1
Kap 650mg
20.2.2
Tab
Prorenal
20.3.1
tab 5mg
Prostide
21.1.1A
21.1.1B
tablet 200mg
inj. 24mg/ml @10ml
generik
generik
21.1.2A
21.1.2B
21.1.2C
21.1.2D
21.1.2E
tab 0,5mg
inj. 5mg/ml
scandexon
carbidu
Indexon
Kalmetason
Cortidex
3 Efedrin
21.1.3
tab 0,5mg
generik
21.1.4
inj 0,1%
generik
21.1.5
nebules 0,5mg/2,5ml
Flixotide
Renal insufisiensi
tyrosin, histidin
20.3
21
Prostat (anti BPH)

1 Finasteride

21.1 Antiasma
1 Aminofilin
2 Deksametason
Batugin elixir
Nefrolit
Tonar
6 Salbutamol
21.1.6A
21.1.6B
tab 2mg
21.1.6C
syr 2mg/5ml
21.1.6D
syrup per 5ml :

Lasal expectoran
21.2.6E
Ventolin
21.2.6F
nebules 2,5mg
Ventolin
dan ipratropium Br
21.2.7
nebules 2,5ml
combiven
8 Terbutalin sulfat
21.2.8
inj. 0,5mg/ml
bricasma
9 Teofilin
21.2.9
tab 150 mg
generik
21.2.1A
21.2.1B
tab 15mg
generik
Romiler
21.2.2
syr per 5ml @ 60ml
21.2 Antitusif
1 Dekstrometorfan
generik
Ventolin
Lasal
Alco plusDMP syr
3 kombinasi :
prometazin, Gg
21.2.3
syr 60ml
4 Kodein
21.2.4
Tab 20 mg
5 Doveri
21.2.5
Tablet
21.3.1A
21.3.1B
Tab 30mg
21.3.2A
21.3.2B
Syr 4mg/5ml
inj. 4mg/2ml
Bisolvon elixir
Bisolvon
21.3.2C
Syr /5ml ,@60mL
Bisolvon extra
21.3.3
Tab 100mg
21.3.4
syr botol 100 ml
21.3.5A
21.3.5B
21.3.5C
Tab.
21.3.6
Tab
21.3 Ekspektoran
1 Ambroxol
2 Bromheksin
Bromheksin 4mg+
Guafenesin 100mg
5 Kombinasi :
Paracet,Gg,efedrin
chlorfeniramin
6 Kombinasi
Syr 60ml
Guamin
Mirapect
generik
generik
coparcetin
Hufagrip forte
coparcetin
Demacolin
7 kombinasi :
DMP,GG,PPA,
chlorpheniramin
Kap
Dextral
Dextral forte
21.3.8
Kap
grantusif
21.3.9
Syr 60 ml
Miradryl
10 kombinasi :
diphen, Gg, mentol
21.3.10
Syr. 60ml
Coredryl
11 Kombinasi:
ipekak,guefenesin
21.3.11
Syr 60ml
Miradryl
12 oxomemezin +Gg
21.3.12
syr 60ml
oxopect syr
13 Kombinasi :
acetaminofen 120,
fenilefrin HCl 1mg,
21.3.13

1 Fluticason furoat
21.4.1
Avamys
21.4.2A
Tab
Valved
8 Kombinasi :
9 kombinasi :
diphenhidramin,
21.4
21.3.7
Nipe drop
tripolidin 2,5mg
22
21.4.2B
tremenza
21.4.2C
syr per 5ml:

pseudoefedrin 30mg
tripolidin 1,25mg
21.4.3A
21.4.3B
syr per 5ml

drop 7,5mg/0,8ml
loratadin 5mg
21.4.4
Tab
22.1.1
inj im/iv 5ml
22.1.2
inj 1500 IU
ATS

22.1.3
inj. 250 IU
Tetagam P
1 Vaksin B.C.G
22.2.1
2 Vaksin campak
22.2.2

Mempengaruhi
22.2 Vaksin
Valved
Rhinos Junior
Rhinos Neo
Rhinos SR
23
3 Vaksin polio
22.2.3
tetes

pertusis (DPT)
22.2.4
inj 5ml

adsorbed toxoid)
22.2.5
inj 5ml
23.1.1
tetes telinga
Otopain
23.2.1
tetes telinga
tarivid
23.2.2
tetes hidung
Illiadin kinder
24.1
tab 1mg
Folacom
2 Calcitriol
24.2
Tab 0,25mcg
Osteofem
3 Calsium lactat
24.3A
24.3.B
Kap

23.1 Antibakteri
1 Kombinasi :
Lidokain HCl 40mg
- btl 10ml
23.2 Lain -Lain
1
2 Oksimetazolin
24
Vitamin dan Mineral

1 Asam Folat
Caltron
Kalk
24.3C
Calsifar
vit C, vit D
24.4A
24.4B
Kap
Syr
5 Ca glukonas
24.5
inj 100mg/ml
6 Vitamin A
24.6A
24.6B
24..6C
sugar coated 6000IU

inj. Im. Amp
7 Vit B kompleks
24.7A
24.7B
24.7C
24.7D
24.7E
24.7F
Tab
24.7G
tab, + methampiron
24.7H
24.7I
24.7J
24.7K
24.7L
inj. Amp
24.8A
24.8B
Tab, kaleng
inj. Amp
8 Vitamin B1
tab, kaleng
inj im, vial
Elkana
Elkana
Ca glukonat
generik
generik
generik
Alinamin F
Neurosanbe
neurobion 5000
neurodex
sakaneuron
generik
neuromec
Alinamin F
Neurosanbe
neurobion 5000
generik
Neurotropic
generik
generik
9 Vitamin B6

- Vit C
Ca pantotenat 20mg
24.9
Tab, kaleng
Liconam
24.10A
24.10B
tab, kaleng
inj, amp 200mg
generik
generik
24.10C
kaps
Becom C
24.10D
kaps
Becom Zet
24.11
Kap
Calsic-D
24.12A
24.12B
Kapl 100 IU
Santa E
Original E
13 Vitamin K
24.13A
24.13B
tab salut gula 10mg

inj 10mg/ml
24.14A
24.14B
24.14C
24.14D
24.14E
24.14F
24.14G
Kap.
generik
Neo K
Formom
vibrion
procalma
siobion
elkana
bionemi
Caviplex
Moloco B-12
15 Glukosamine dan
24.15A
24.15B
Kaplet
Efferfescen
Osteor plus
Cartos
24.16A
24.16B
24.16C
24.16D
24.16E
24.16F
syr
Apyalis
Vitacur
Asedas
Hufavit kalk
Elkana
Apyalis
24.17
inj, vial
Cernevit
25.1
caps
Axanthin
25.2A
25.2B
kap
syr
Imunos
Stimuno
3 Extrac curcuma
25.3
sugar coated tab
Curcuma
4 Suplemen unt DHF
25.4A
25.4B
sachet
caps
25.5
17 Multivitamin inj
25
26

1 Astaxantin

26.28.1
Drop
Trolit
Psidii
syrplus syr
2 Pancuronium Br
3 Suksametonium
26.28.2
26.28.3
inj amp 10mg/2,5ml

inj 2mg/ml, amp 2ml
Notrixum
Pavulon
Scholin
Pabrik
5
KF
Janssen-cilag
Mahakam
KF
KF
Medifarma
Gracia
Sanprima
Otto
Dexa
Indofarma
Pharos
Pharos
Pharos
Guardian
Combiphar
Kalbe
Dexa
Kalbe
Indofarma
Berno
Mahakam
sanbe
gracia
Sanbe
novell
Mepro
NOVELL
Dexamedika
Fahrenheit
Scanpasific
Sanprima
Sanbe
Sanbe
Pyridam
Sanprima
sanbe
Combi
Combi
SANBE
GRACIA
Sanbe
Takeda
Indofarma
mahakam
Dura
Indofarma
otto
MAHAKAM
Indofarma
Phapros
Berno
Dexa
Dexa
Pfizer
Guardian
Novell
ethica
Sanbe
Sanbe
Sanbe
Actavis
Roche
Roche
Hexapharma
Interbat
Sanbe
Hexapharma
Tempo
Sampharindo
sampharindo
Dura
Phapros
sanofi
sanofi
Indofarma
lapi
Pyridam
Lapi
Indofarma
lapi
lapi
Kalbe
interbat
ethica
Ethica
Otsuka
Fahrenheit
Transfarma
Otsu
Otsu
Indofarma
Actavis
ikapharmino
ikapharmino
KF
Combi
Sandoz
Pfizer
gracia
Zenith
Sampharindo
gracia
Zenith
Sanbe
Sanbe
Sampharindo
Meiji
Berno
sanbe
Piridam
Bernofarm
Piridam
Hexpharm
Yarindo
Berno
GUARDIAN
PROMED
GUARDIAN
MAHAKAM
lapi
PROMED
GRACIA
guardian
Yarindo
Berno
nulab
novell
dexa
Zenith
landsen
coronetcrown
Pyridam
Dexa
Berno
gracia
Sanbe
sampharindo
Lapi
Dexamedika
Sanbe
Dexamedica
Sampharindo
sanbe
sanbe
pyridam
guardian
dexa
Sanbe
otto
Lapi
dexa
Lapi
dexa
Indofarma
sanbe
Lapi
novell
Lapi
Berno
Harsen
Sanbe
Harsen
mepro
Sanovi
Combiphar
Sanbe
Actavis
Bernofarm
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Indofarma
Sandoz
Sandoz
Lapi
Hexpharm
KF
Combi
lapi
Roche
Indofarma
Indofarma
Indofarma
KF
Pyridam
Indofarma
Lapi
kalbe
Lapi
Takeda
Lapi
Merck
Kalbefarma
Kalbefarma
combi
Pyridam
Combi
Merc
Interbat
Sanbe
dexamedika
sakafarma
Sanbe
merck
Kalbe
Otto/daichi
Otto/Daichi
KF
Combi
tunggal idaman
Mecosin
Bernofafm
Sanofiaventis
Indofarma
Otsu
Fahrenheit
Landson
Lapi
Combi
Combi
darya-varia
Pyridam
Indofarma
Sanofiaventis
Dexa
Boehringer
dexa
dexa
guardian
Novo
Caprifarmindo
dexa
Caprifarmindo
Kalbe
Schering
Caprifarmindo
Kalbe
Bayer-Schering
Harsen
Triyasa nagamas
Tunggal
Idaman Abdi
Bayer-Schering
Kalbe
Interbat
Sanbe
Kalbe
scan pasific
sampharindo
Indofarma
Lapi
Lapi
Dexa
Taisho
Darya-Varya
Fahrenheit
Fahrenheit
Dexa
Indofarma
servier
Guardian
Kalbe
Dexa Medica
Sanbe
Lapi
Otsuka
Dexa
Kalbe
fahrenheit
Sanofiaventis
Combi
Lapi
kalbe
Sanovi
Pyridam
Darya
sanbe
erela
erela
Pyridam
KF
Otto
taisho
KF
Berno
Berno
Berno
SDM
Pyridam
Taiso
KF
interbat
Kalbe
Mecosin
Combiphar
Landson
Pharos
Combi
otsuka
Abbot
fahrenheit
Merck
Otsuka
Widatra
Widatra
Claris
otsu, widatra
otsu,widatra
Otsu
Ethica
Otsu
Kalbe
Widatra
Widatra
Otsu
Widatra
Otsu
Otsu
Widatra
Widatra
Otsu
Widatra
Otsu
Otsu
Sanbe
Otsu
Sanbe
Otsu
Sanbe
Widatra
Kalbe
Otsu
Sanbe
otsu
Sanbe
Otsu
otsu
SANBE
cendo
erela
erela
erela
Statrol
Erela
GMP
Cendo
Cendo
Kalbe
Novartis
Novartis
Otto
Otsu
Otsu
Solvay farma
Solvay farma
Guardian
Guardian
sanbe
sanbe
Actavis
Combi
Indofarma
Mersi
Mersi
Sanbe
Combiphar
Emba
Bufa
Sampharindo
Ferron
Guardian
sanbe
Indofarma
sanbe
Hexapharma
Combiphar
Gracia
Eisai
Sanbe
Dexa
Mersi
samparindo
Harsen
Sanbe
sampharindo
Capri
interbat
Capri
Lapi
Indofarma
Dexamedika
Lapi
Mutifa
Lapi
mutifa
Sanbe
Lapi
Mahakam
Dexamedika
Lansond
Gelenium
Takeda
Ethica
methampiron)
Boehringer
Interbat
OGB
Coronetcrown
Corsa
Lapi
pharos
Dexa
Pharmasolindo
Kalbe
Boehringer
Boehringer
Boehringer
Gelenium
combiphar
Ikapharmindo
Combi
Bernofarm
darya faia
KF
Sandoz
Novell
Pharos
KF
KF
Scanpasific
Sampharindo
Interbat
Kalbe
Sanbe
Glaxo
Glaxo
Lapi
Lapi
Glaxo
Glaxo
Boehringer
astra zeneca
Behringer
Interbat
kF
KF
Sampharindo
Boehringer
Boehringer
Boehringer
sampharindo
hufa
sampharindo
coronetcrown
Molex
Molex
grahafarma
Sampharindo
GMP
sampharindo
mahakam
Transfarma
Medika indah
Glaxo
GMP
sanbe
GMP
Dexa
Dexa
Dexa
Biofarma
Biofarma
Dexa
Interbat
kalbe
Merck
Combi
Kalbe
Pyridam
KF
Ifars
Sanbe
Sanbe
Ethica
KF
KF
Takeda
sanbe
merc
akafarma
Sampharindo
Takeda
sanbe
merc
Sanbe
Sanbe
Sampharindo
Sanbe
Capri
KF
Combi
Pyridam
mahakam
meprofarm
sampharindo
sanbe
gracia
darya faria
darya faria
pyridam
pryridam
Lapi
lapi
Pyridam
Hufa
Sanbe
Lapi
Kalbe
Ethica
lapi
Pyridam
soho
Dexa
Berno
Novell
Schering
Transfarma
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Formularium Mawaddah-Dh2015

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Formularium Mawaddah-Dh2015

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FORMULARIUM OBAT

RUMAH SAKIT MAWADDAH MEDIKA

Bentuk sediaan, kekuatan

Analgesik, Antipiretik, Antiinflamasi

Tab 10mg, kaleng

inj. 50 mcg/ml @10ml

Bentuk sediaan, kekuatan

Bentuk sediaan, kekuatan

Bentuk sediaan, kekuatan

inj 5mg+ dextrose80mg

spray, botol 100ml

Bentuk sediaan, kekuatan

Anastetik Umum dan Oksigen

gas tabung 15kg

gas dlm tabung

inj 10mg/ml, amp20ml

Prosedur Peri Operatif, Obat untuk

Bentuk sediaan, kekuatan

Anti Alergi dan Obat untuk Anafilaksis

Bentuk sediaan, kekuatan

Antidot dan obat lain

Bentuk sediaan, kekuatan

inf fl. 25 Meq

Bentuk sediaan, kekuatan

dry syr 125mg/5ml

serb inj 1000mg

Bentuk sediaan, kekuatan

serb inj 1000mg

serb inj 500+250mg

4 Kombinasi Amoksisilin 500mg dan

dry syr 100mg/5ml

serb inj 1gr

serb inj 1gr

Bentuk sediaan, kekuatan

serb inj 1gr

6.2.2 Antibakteri Lain

dry syr 125mg/5ml

Bentuk sediaan, kekuatan

6.2.2.3 Sulfa - Trimetoprim

200mg + trimetoprim 40mg/5ml

caps 150mg & 300mg

Bentuk sediaan, kekuatan

lar infus 500mg/100ml

6.2.2.7 Penggunaan khusus

Bentuk sediaan, kekuatan

ovul + nistatin 100000iu

lar infus 500mg/100ml

6.3 Antiinfeksi Khusus

Bentuk sediaan, kekuatan

OAT fase intensif

kap: INH 150, Rifam 150

OAT fase lanjutan

OAT fase intensif

INH 100, Rifam 75

OAT fase lanjutan

kap : INH 75,Rifam 150,

Bentuk sediaan, kekuatan