DAFTAR OBAT STANDAR NAYAKA SILOAM BAGI KARYAWAN DAN PENSIUNAN BPJS KETENAGAKERJAAN BESERTA KELUARGA TAHUN 2019

NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

1 ANALGESIK NARKOTIK, ANALGESIK NON NARKOTIKA, ANTIPIRETIK, ANTIINFLAMASI NONSTEROID (AINS) DAN ANTI PIRAI
1.1 ANALGESIK NARKOTIK
1 Fentanil Fentanil Injeksi 0,05 mcg/ml, 10 ml
Durogesic Patch 12.5 Mcg
Patch 25 Mcg
Patch 50 Mcg
2 Morfin HCl Morfina HCl Injeksi 10 mg/ml
MST Continous Tablet 10 mg
Tablet 15 mg
Tablet 30 mg
3 Petidin HCl Pethidine Injeksi 50 mg/ml , 2 ml
1.2 ANALGESIK NON NARKOTIKA, ANTIPIRETIK, ANTIINFLAMASI NONSTEROID (AINS)
1 Asam mefenamat Asam mefenamat Kapsul 250 mg
Kapsul 500 mg
Mefinal Kapsul 250 mg
Kapsul 500 mg
Ponstan Kapsul 250 mg
Kapsul 500 mg
Pondex Sirup 50 mg/5 ml, 60 ml
2 Diklofenak, natrium Voltaren SR Tablet 25 mg
Tablet 50 mg
Tablet SR 75 mg
Gel 20 g
3 Diklofenak, kalium Cataflam Tablet 25 mg
Tablet 50 mg
4 Ibuprofen Ibuprofen Tablet 200 mg
Tablet 400 mg
Syrup 200 mg/5 mL
Proris Tablet 200 mg
Chewable Tab
Sirup 100mg/5 ml, 60 ml
Forte syr 50 ml,
Suppositoria 125 mg
5 Ketoprofen Profenid E Tablet 100 mg
Suppositoria 100 mg
Pronalges Suppositoria 100 mg
6 Dexketoprofen trometamol Ketesse Tablet 25 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN
7 Ketorolak Tromethamine Ketorolac Tablet 10 mg
Injeksi 30mg/ml
Torasic Injeksi 30 mg/ml
Tablet 10 mg
Remopain Injeksi 30 mg/ml
8 Meloksikam Meloxicam Tablet 7,5 mg
Tablet 15 mg
Mexpharm Tablet 15 mg
Tablet 7,5 mg
9 Paracetamol Paracetamol Tablet 500 mg
Injeksi 1000 mg/100ml
Drop 60mg/0.6mL
Syrup 120mg/5ml
Propyretik Supp 80 mg
Supp 160 mg
Supp 240 mg
Panadol Tablet 500 mg
Syrup 160mg/5ml, 60ml
Syrup Forte 250 mg/5 ml, 60 ml
Drops 15 ml
Pamol Supp 125mg
Supp 250 mg
Tamoliv Injeksi 1000 mg/100mL
Tempra Sirup 160 mg/5ml 60 ml
Sirup Forte 250 mg/5 ml 60 ml
Drop 80 mg/0,8 ml
Farmadol Infus 1000 mg/100 ml
10 Piroksikam Feldene Gel 15 gr
11 Selekosib Celebrex Kapsul 100 mg
Kapsul 200 mg
12 Metampiron 500 mg + Vitamin Neutotropik Neuralgin Tablet RX
13 Dexketoprofen Tromethamol Ketesse Tablet 25 mg
Injeksi 50 mg/2ml
14 Tramadol HCl Tramadol Tablet 50 mg
Tablet 100 mg
Injeksi 50 mg/ml
Injeksi 100mg/2ml
Tramal Tablet 50 mg
Tablet 100 mg
Suppositoria 100 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Injeksi 50 mg/ml
Injeksi 100mg/2ml
15 Etoricoxib Arcoxia Tablet 60 mg
Tablet 90 mg
Tablet 120 mg
16 Tramadol + paracetamol Ultracet Tablet tramadol 37,5 mg + paracetamol 325 mg
17 Methylphenidate Hcl. Prohiper Tablet 10 mg
18 Poly - 0-2 Hydroxyethyl Starch, sodium chloride Voluven Infusion 500 ml
19 Parecoxid Na Dynastat Injeksi 40 mg
1.3 ANTIPIRAI
1 Allopurinol Allopurinol Tablet 100 mg
Tablet 300 mg
Zyloric Tablet 100 mg
Tablet 300 mg
2 Colchicine 500 mcg Recolfar Tablet 500 mcg
3 Glukosamin-HCl + Kondroitin Sulfat+ Vit. C+ Mg + Zn + Mn Oste Forte Tablet: Glukosamin-HCl 500mg, Kondroitin Sulfat 400 mg,
Vit. C 50 mg, Mg 10 mg, Zn 2,5 mg, Mn 0,5 mg
Glucosamin sulfat 10% Mediflex Cream 75 gram
2 ANESTETIK
2.1 ANESTETIK LOKAL
1 Bupivakain HCl Marcain Injeksi 0,25%, 20 ml
2 Etilklorida Chlor Ethyl Semprotan 100 ml
3 Lidokain Lidokain HCl Injeksi 1%, 2 ml
Lidokain Comp. Injeksi 1%, 2 ml
Pehacain Injeksi 1%, 2 ml
Lidocain + prilocaine Emla Emla 5 G Cream
4 Lidokain HCl 2%, Adrenalin (1:80.000) lidocain Injeksi 2 ml
2.2 ANESTETIK UMUM dan OKSIGEN
1 Nitrogen oksida Nitrogen oksida Gas dalam tabung
2 Midazolam Miloz Injeksi 5 mg/5 ml
Sedacum Injeksi 5 mg/5 ml
3 Propofol Propofol Injeksi 10mg/ml
Injeksi 20mg/ml
Recofol Injeksi 10mg/ml
Injeksi 20mg/ml
3 ANTIALERGI
3.1. ANTIHISTAMIN
1 Cetirizine Cetirizine Tablet 10 mg
Tablet 5 mg
2 Cetirizine Dihydrochloride +Pseudoephedrine Hydrochloride. Incidal OD Tablet 10 mg
Ryvel Tablet
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Drops
Syrup
3 Desloratadina Aerius Tablet 5 mg
Sirup 60 ml
4 Klorfeniramin maleat CTM Tablet 4 mg
5 Loratadin Loratadin Tablet 10 mg
6 Fexofenadine HCl Telfast HD Tablet HD 180 mg
Telfast OD Tablet OD 120 mg
7 Siproheptadin hidroklorida Pronicy Tablet 4 mg
8 Levocetirizine diHCl 5 mg Xyzal Tablet 5 mg
9 Ketotifen Profilas Tablet 1 mg
3.2 KORTIKOSTEROID
1 Metilprednisolon Metilprednisolon Tablet 4 mg
Tablet 16 mg
2 Triamsinolon asetonid Triamcort Tablet 4 mg
Trilac Injeksi 10 mg
Injeksi 40 mg
3 Betametason 0,25 mg, Deksklorfeniramin maleat 2 mg Celestamin Sirup 30 ml
4 ANTIKEJANG
4.1 ANTIEPILEPSI
1 Natrium valproat Depakote Tablet 250 mg
Depakote ER Tablet Tablet 500 mg
2 Asam Valproat Depakene Syrup
Valvi Syrup
3 Diazepam Stesolid Tablet 2 mg
Tablet 5 mg
Valium Tablet 2 mg
Tablet 5 mg
Injeksi 10 mg/ml
4 Fenitoin, natrium Kutoin Injeksi 100 mg/2ml
Ikaphen Kapsul 100 mg
Injeksi 100 mg/2ml
5 Phenobarbital Phenobarbital Tablet 30 mg
Sibital Injeksi 200 mg/ml, 2 ml
6 Gabapentin Neurontin Kaps 300 mg
Nepatic Kaps 300 mg
7 Karbamazepin Tegretol Tablet 200 mg
8 Pregabalin Lyrica Tablet 50 mg
Tablet 75 mg
Tablet 150 mg
9 Oxcarbazepine Trileptal Tablet 300 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Tablet 600 mg
10 Levetiracetam 500 mg Keppra Tablet 250 mg
Tablet 500 mg
11 Lamotrigine Lamictal Tablet 100 mg
Tablet 50 mg
12 Topiramate Topamax Tablet 25 mg
Tablet 50 mg
Topamax Sprinkle Kapsul 25 mg
4.2 ANTIKEJANG UMUM
1 Magnesium sulfat Magnesium Sulfat Inj. 20% 25 ml
Inj. 40%, 25 ml
5 ANTIMIGREN/ANTIVERTIGO
5.1 ANTIMIGREN
1 Ergotamin tartrat + Kafein Ericaf Tablet
5.2 ANTIVERTIGO
1 Betahistin HCl Betahistine Tablet 6mg
Betaserc Tablet 8 mg
2 Betahistin mesilat Merislon Tablet 6 mg
3 Flunarizine Sibelium Tablet 5 mg
Tablet 10 mg
Tablet 5 mg
4 Sinarizin Stugeron Tablet 25 mg
6 ANTI MIKROBA
6.1. Antibiotik
6.1.1. Golongan Aminoglikosida
1 Amikasin sulfat Mikasin Injeksi
Syrup 250 mg/ ml
2 Gentamisin Gentamycin Injeksi 80 mg / 2ml
3 Nethylmycin Sulfate Hypobhac Injeksi 150 mg
Injeksi 200 mg
6.1.2. Golongan Sefalosporin
1 Sefadroksil Sefadroksil Kapsul 250 mg
Cefat Syr. 125 mg/5 ml, 60 ml
Syr. 250 mg/5 ml, 60 ml
2 Sefaleksin monohidrat Sefaleksin Kapsul 250 mg
3 Sefiksim Sefiksim Kapsul 50 mg
Kapsul 100 mg
Kapsul 200 mg
Cefspan Kapsul 50 mg
Kapsul 100 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Sirup 100 mg/5 ml, 60 ml

Starcef Kapsul 50 mg
Kapsul 100 mg
Sirup kering
Syrup 100mg/5ml
Ceptik Tablet 100 mg
Tablet 200 mg
Syrup 100 mg/5ml
4 Sefotaksim, natrium Cefotaxime Injeksi 1 gr
Taxegram Injeksi 0,5 gr
Injeksi 1 gr
Vial 1000 mg
5 Seftazidim Ceftum Injeksi 1 gr
6 Sefuroksim Sharox Tablet 500 mg
Injeksi 750 mg
Injeksi 1 gr
7 Seftditoren Pluoksil Meiact Tablet 100 mg
Tablet 200 mg
8 Cefazolin Cefazolin / Na sefazolin Injeksi 1 gr
9 Cefoperazone Cefoperazone Injeksi 1 gr
6.1.3 Golongan Kloramfenikol
1 Kloramfenikol Kloramfenikol Salep mata 1%
Tetes telinga 3%
Tetes mata
2 Tiamfenikol Thiamycin Kapsul 500 mg
6.1.4 Golongan Lincosamid
1 Klindamisin Clindamycin Kapsul 150 mg
Kapsul 300 mg
Dalacin C Kapsul 150 mg
Kapsul 300 mg
2 Linkomisin Lincocin Kapsul 500 mg
6.1.5 Golongan Makrolid
1 Eritromisin etilsuksinat Eritromisin Kapsul 500 mg
Tablet Chew 200Mg
2 Azythromicin Zibramax Kaplet 500 mg
Syr 15 ml
Azithromycin Syrup 200 mg/5mL
Tablet 250 mg
Tablet 500 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

3 Clarithromycin Abbotic Tablet 500 mg

Tablet XL 500 mg
Syr 250mg/ 50 ml
6.1.6 Golongan Penisilin
1 Amoksisilin anhidrat Amoxycillin Tablet 500 mg
Syr 125 mg
Syr 250 mg
Amoxsan Tablet 250 mg
Tablet 500 mg
Syr 125 mg
Amoxsan Forte Sirup kering 250 mg/5 mL x 60 mL
Amoxsan Paed Drop 100 mg/1 mL x 15 mL
2 Prokain benzilpenisilin Prokain Penicilin Injeksi 3 juta IU
3 Piperacillin 4 g, Tazobactam 500 mg Tazocin Injeksi 4,5 gr
4 Sultamisilin Bactesyn Tablet 375 mg
Injeksi 0.75 gr
Injeksi 1.5 gr
6.1.7 Golongan Penisilin dengan Inhibitor Beta-Laktamase
1 Kombinasi:
Amoksisilin trihidrat, Asam klavulanat 125 mg Co-amoxiclav Tablet 250 mg
Tablet 500 mg
6.1.8 Golongan Kuinolon
1 Siprofloksasin Ciprofloxacin Tablet 250 mg
Tablet 500 mg
Tetes Mata 3%
Baquinor Infus 100 ml
2 Levofloksasin Levofloksasin Tablet 500 mg
Infus 100 ml
Cravox Tablet 500 mg
Infus 100 ml
Cravit Tablet 250 mg
Tablet 500 mg
Tetes Mata 0,5%
Infus 250 mg/50 ml
Infus 750 mg/150 ml
3 Ofloksasin Tarivid Tablet 200 mg
Tablet 400 mg
ED 0,3%;
Otic drop 10ml
 NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

4 Moxifloxacin HCl Avelox Tablet 400mg

Infus 250 mg
Zigat Tablet 400mg
Ciproxin Infus IV 200mg/100ml
Infus IV 400mg/200ml
Tablet 500mg
6.1.9 Golongan Tetrasiklin
1 Minocycline Nomika Kapsul 100 mg
2 Doksisiklin HCl Doxycycline Kapsul 100 mg
Interdoxin Kapsul 100 mg
Kapsul 50 mg
6.1.10 Kombinasi Antibakterial
Kombinasi :
1 Sulfametoksazol + Trimetoprim Cotrimoxazol Tablet SMZ 400 mg ; TM 80 mg
Tablet SMZ 800 mg;
Syr 60 ml
6.1.11 Beta-laktam Golongan lain
1 Meropenem Meronem Injeksi 500 mg
Injeksi 1000 mg
Merofen 500 mg Injeksi 500 mg
2 Liraglutide Victoza prefilled syringe Injeksi 3ml
6.1.12 Antibiotik Golongan Lain
1 Fosmicin, natrium Fosmicin Injeksi 1 gr
Injeksi 2 gr
2 Liraglutide Victoza 6mg/ml 3ml prefilled syringe Injeksi 3 ml
Fosfomycin trometamol 3 g Sachet 3 gr
6.2 ANTISEPTIK SALURAN KEMIH
1 Asam pipemidat Urotractin Kapsul 400 mg
2 Tamsulosin HCl Prostam SR Tablet
3 Dutasteride 500 mcg, tamsulosin HCl 400 mcg. Duodart Tablet
6.3 ANTITUBERKULOSIS
1 Etambutol hidroklorid Etambutol Tablet 250 mg
Tablet 500 mg
2 Isoniazid Isoniazid Tablet 100 mg
Tablet 300 mg
3 Pirazinamid Pirazinamid Tablet 500 mg
4 Rifampisin Rifampisin Tablet 300 mg
Tablet 450 mg
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Tablet 600 mg
5 Streptomycin Sulfat Streptomisin Injeksi 1000 mg
Injeksi 1500 mg
Injeksi 5000 mg
Pehadoxin Tablet 400 mg
Pehadoxin Forte Tablet 410 mg
Rifampicin 150 mg, INH 75 mg, Pyrazinamide 400 mg, Ethambutol
6 PRO TB 4 Tablet
HCl 275 mg
6.5 ANTIVIRUS
1 Asiklovir Acyclovir Tablet 200 mg
Tablet 400 mg
Salep 5% +3% ; 250 mg
Zovirax Tablet 200 mg
Tablet 400 mg
Salep 5% +3% ; 250 mg
2 Interferon Alfa Peg intron Injeksi 100 Mcg
Pegasys Injeksi 180 mcg
Rebetol Capsul 200 Mg
3 Ganciclovir Cymevene Injeksi 500 mg
4 Lamivudine Lamivudine Tablet Tablet 100 Mg
heplav Tablet 150mg
7 ANTIPARASIT
7.1 ANTELMINTIK
1 Albendazol Albendazol Tablet 400 mg
7.4 ANTIAMUBA DAN ANTIGIARDIASIS
1 Metronidazol Metronidazol Tablet 250 mg
Tablet 500 mg
Infus 500 mg/100 ml
Flagyl Tablet 250 mg
Tablet 500 mg
Syr 125 mg/5 ml,60 ml
Syr 125 mg/5 ml,100 ml
Syr 500 mg/100 ml
Injeksi 0.5 gr
Injeksi 1 gr
Infus 500 mg/ml
2 Metronidazol + Nistatin Flagystatin ovula Ovulae 500 mg ; 100.000 IU
Neo Gynoxa Supp
7.5 ANTI MALARIA
1 Klorokuin difosfat Tablet 150 mg
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7.6 ANTI JAMUR

1 Flukonazol Zemyc Kapsul 50 mg
Kapsul 150 mg
Infus 100 ml
Diflucan Kapsul 50 mg
Kapsul 150 mg
Infus 100 ml
2 Griseofulvin Griseofulvin Tablet 125 mg
Tablet 500 mg
3 Itraconazole Sporacid Kapsul 100 mg
4 Ketokonazol Ketoconazole Tablet 200 mg
5 Nistatin Nystatin Oral
Ovula
Mycostatin Tablet 500.000 IU/Gr
Tablet 100.000 IU/Gr
Susp 12ml
Susp 30 ml
6 Miconazole Daktarin Cream 2%/5mg
Cream 2%/10 mg
Cream 2%/20 mg
7 Micafungin Mycamine Injeksi 50 mg
8 Voriconazole Vfend Tab 200 mg
Injeksi 200 mg
9 Anidulafungin Ecalta Injeksi 100mg
8 OBAT YANG BEKERJA PADA DARAH
8.1 ANTI ANEMIA
1 Asam folat Folic acid Tablet 5 mg
Tablet 1000 mcg
Folavit Tablet 400 mcg
Tablet 1000 mcg
2 Sianokobalamin Vitamin B12 Tablet 50 mg
3 Fe(OH)3 sucrose complex Venofer Injeksi 100 mg/5ml
4 Fe Sucrose Nefrofer injeksi 100mg Injeksi 100mg
8.2 OBAT YG MEMPENGARUHI KOAGULASI
1 Fitomenadion 25 mg NEO-K (Phytomenadion) Injeksi 2mg/ml
8.3 HEMOSTATIK
1 Carbazocrome Natriun Sulfonat Adona Tablet 100 mg
Tablet 300 mg
Injeksi 5mg/ml
9 OBAT KARDIOVASKULER
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

9.1 ANTIANGINA
1 Diltiazem HCl Diltiazem HCl Tablet 30 mg
Injeksi 50 mg
Herbeser injeksi Injeksi 50 mg
2 Isosorbid dinitrat Isosorbide Tablet 5 mg
Tablet 10 mg
Farsorbid Tablet 5 mg
Tablet 10 mg
Cedocard Tablet 5 mg
Tablet 10 mg
Tablet 20 mg
Tablet R 20 mg
Tablet Retard 20 mg; 10 ml
3 Nicardipine HCl Blistra injeksi Injeksi 10 mg/ 10ml
Nicardipine injeksi 10 mg/ml
4 Nitrogliserin Nitrocaf retard / Nitrokaf retard Kapsul 5 mg
Kapsul 10 mg
5 Trimetazidine HCl Trizedon MR Tablet 35 mg
6 Ivabradine Coralan Tablet 5 mg
Tablet 7.5 mg
9.2 ANTIARITMIA
1 Amiodaron HCl Cordarone Tablet 200 mg
Injeksi 150 mg/3 ml
2 Verapamil HCl Verapamil Tablet 80 mg
3 Atropin sulfat Atropin Sulfat Injeksi 600 mcg/1 ml
4 Carvedilol 25 mg V-bloc Tablet 25mg
Tablet 6,25mg
9.3 ANTIHIPERTENSI
1 Amlodipin Amlodipine Tablet 10mg
Tablet 5mg
Norvask Tablet 5 mg
Tablet 10 mg
2 Atenolol Betablok Tablet 50 mg
Tablet 100 mg
3 Bisoprolol hemifumarat Bisoprolol hemifumarat Tablet 2,5 mg
Tablet 5 mg
Concor Tablet 2,5 mg
Tablet 5 mg
Maintate Tablet 2,5 mg
Tablet 5 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

4 Nebivolol Nebilet Tablet 5 mg

Bisoprolol hemifumarat 2.5 mg, Hidroklorotiazid 6.25 mg Lodoz Tablet 2.5 mg
Tablet 5 mg
5 Indapamid Natrilix SR Tablet 1,5 mg
Tablet 2,5 mg
6 Kaptopril Captopril Tablet 12,5 mg
Tablet 25 mg
Tablet 50 mg
7 Klonidin HCl Catapres Tablet 0,75 mcg
Tablet 150 mcg
Injeksi 0,15/ml
8 Lisinopril dihidrat Odace Tablet 9 mg
9 Losartan Angioten Tablet 50 mg
10 Metildopa Dopamet Tablet 250mg
11 Nifedipin Adalat Oros Tablet 20 mg
Tablet 30 mg
12 Kandesartan Sileksetil Blopress Tablet 8 mg
Tablet 16 mg
13 Telmisartan Micardis Tablet 40 mg
Tablet 80 mg
14 Irbesartan Irbesartan Tablet 150 mg
Tablet 300 mg
Irvask Tablet 150 mg
Tablet 300 mg
Irvell Tablet 150 mg
Tablet 300 mg
15 Kombinasi Exforge Tablet 5/80
Tablet 5/160
Tablet 10/160
16 Olmesartan Olmetec Tablet 20 mg
Tablet 40 mg
17 Ramipril Hyperil Tablet 2,5 mg
Tablet 5 mg
Tablet 10 mg
Triatec Tablet 10 mg
Tablet 2.5 mg
Tablet 5 mg
18 Valsartan Diovan Tablet 80 /12,5mg
Tablet 160/12,5 mg
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Tablet 160/25mg
19 Telmisartan + amlodipine Twynsta Tablet Per 40/5 mg
Tablet Per 40/10 mg
Tablet Per 80/5 mg
Tablet Per 80/10 mg
20 Imidapril HCl Tanapress Tablet 10 mg
Tablet 5 mg
21 Lercanidipine Zanidip 10 Tablet 10mg
Tablet 20mg
9.4 OBAT GAGAL JANTUNG
1 Digoksin Digoxin Tablet 0,25 mg
Fargoxin Tablet 0.25 mg
Injeksi 0.5 mg/2 mL
9.5 DIURETIK
1 Furosemid Furosemid Tablet 40 mg
Injeksi 10 mg/ml
Farsix Injeksi 10 mg/mL
Tablet 40 mg
Lasix Injeksi 20mg/2ml
Tablet 40 Mg
2 Hidroklorotiazid HCT Tablet 25 mg
3 Manitol Manitol Infus 20%/250 ml
Infus 20%/500ml
4 Spironolakton Spirolacton Tablet 100 mg
Spironolactone Tablet 100 mg
Aldacton Tablet 25 mg
Tablet 100 mg
5 Tolvaptan Samsca Tablet 15 mg
9.6 PENURUN LIPID
1 Fenofibrat Hyperchol Kapsul 100 mg
Kapsul 300 mg
Lipanthyl Kapsul 100 mg
Kapsul 200 mg
Kapsul 300 mg
Lipanthyl Penta 145 mg
Supra 160 mg
2 Gemfibrozil Gemfibrozil Kapsul 300 mg
Kapsul 600 mg
3 Kolestiramin anhidrat Sequest Sachet 4 g
4 Rosuvastatin Crestor Tablet 5 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Tablet 10 mg
Tablet 20 mg
Tablet 40 mg
Rosufer Tablet 10 mg
Recansa Tablet 10mg
Tablet 20mg
5 Simvastatin Simvastatin Tablet 5 mg
Tablet 10 mg
6 Atorvastatin Atorvastatin Tablet 5 mg
Tablet 10 mg
Truvaz Tablet 10 mg
Tablet 20 mg
Tablet 40 mg
Lipitor Tablet 10 mg
Tablet 20 mg
Tablet 40 mg
7 Ezetimibe Ezetrol Tablet 10 mg
8 Ezetimibe 10 mg, Simvastatin 20 mg Vytorin Tablet 10mg
Tablet 20mg
9.7 ANTIKOAGULANS
1 Enoxaparin Na Lovenox Injeksi 20 mg/2ml
Injeksi 40 mg/0,4ml
Injeksi 60 mg/0,6ml
2 Warfarin, natrium Simarc-2 Tablet 2 mg
3 Fondaparinux natrium Arixtra Syringe 2,5 mg/0,5 ml Injeksi mengandung Fondaparinux natrium 2,5 mg / 0,5 ml
9.8 TROMBOLITIK
1 Dabigatran etexilate 110 mg Pradaxa Tablet 110 mg
Tablet 150 mg
Tablet 75mg
9.9 ANTIPLATELET
1 Asam asetilsalisilat Thrombo Aspilets Tablet 80 mg
Tablet 160 mg
Ascardia Tablet 80 mg
Tablet 160 mg
Aspilets Tablet 160 mg
2 Cilostazol Pletaal Tablet 50 mg
3 Clopidogrel Plavix Tablet 75 mg
4 Rivaroxaban Xarelto Tablet 10 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Tablet 15 mg
Tablet 20 mg
9.1 VASODILATOR PERIFER
1 Sitikoline Brainact Tablet 250 mg
Tablet 500 mg
Injeksi 250 mg
Injeksi 500 mg
10 ANTISYOK
10.1 ANTISYOK KARDIOGENIK
1 Dobutamin HCl 250 mg Dobuject Injeksi 250 mg/5 ml
Infus 250 mg/5 ml
2 Epinefrin Epineprin Injeksi 1mg /ml
10.2 ANTISYOK ANAFILAKSIS
1 Deksametason Deksametason Injeksi 5mg/ml
Indexon Injeksi 5mg/ml
2 Epinefrin Epineprin Injeksi 0.1%/ml, 2 ml
3 Norepinephrine Bitartrate 4 mg Vascon injeksi 1mg/ml-4ml Injeksi 1mg/ml-4ml
10.3 ANTISYOK AKIBAT ANESTESIA
1 Efedrin Efedrin HCl Injeksi 50 mg/ml
11 PRODUK DARAH DAN PENGGANTI PLASMA
11.1 PRODUK DARAH
1 Albumin serum normal Octalbin Injeksi 20% 50 mL
Injeksi 20% 100 mL
Infusion 25% 50mL
Plasbumin 25 Injeksi 25% 20 mL
Injeksi 25% 50 ml
Injeksi 25% 100 mL
Plasbumin infusion Infusion 20% 50mL
Human Albumin Behring Infusion 20 % 100 mL
Infusion 20% 50ml
11.2 PENGGANTI PLASMA
1 Hydroxyethyl starch Gelofusin beta Infus 10 %, 500 ml
2 Kombinasi
Na Lactat 28.25 gr, KCI 0,075 gr, CaCI2 Dihidrat 0.05 gr Totilac Infus 500 ml
12 OBAT SALURAN CERNA
12.1 ANTASID DAN ANTITUKAK
1 Natrium rabeprazol Pariet Tablet salut 10 mg
Tablet salut 20 mg
2 Omeprazol Omeprazol Kapsul 20 mg
OMZ Kapsul 20 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Injeksi 40 mg
Pumpitor Capsule 20 mg
3 Pantoprazol Pantoprazol injeksi 40 mg
Pantozol Tablet 40 mg
Tablet 20 mg
Injeksi 40 mg
Pranza Injeksi 40 mg
Panso injeksi 40mg
Pepzol Tablet 40 mg
Panvell Tablet 40 mg
4 Ranitidine Ranitidine Tablet 150mg
Syrup 75mg/5ml
Ranicho Syrup
Ranivel Syrup 75mg/5ml
Zantac Injeksi 2ml
5 Sukralfat Inpepsa Syrup 100 ml
6 Kombinasi:
Dimetilpolisiloksan 40 mg+Silicon dioksid 2 mg Disflatyl Tablet Dimetilpolisiloksan 40 mg+ Silicon dioksid 2 mg
7 Rebamipide Mucosta Tablet 100mg
8 Esomeprazole Nexium Tablet 20 mg
Tablet 40 mg
9 Lansoprazole Lansoprazole Tablet 30mg Tablet 30 Mg
Prosogan FD Tablet 15 mg
Tablet 30 mg
Prosogan Injeksi 30mg
Lancid Tablet 30mg Tablet 30 Mg
10 Esomeprazole Esomeprazole Injeksi 40mg, Vial
Esoferr Injeksi 40mg, Vial
11 Famotidine Famocid 20 mg film-coated Tablet
40 mg film-coated Tablet
Famotidin Tablet 20 mg
Tablet 40 mg
12.2 ANTI EMETIK
1 Dimenhidrinat Dimenhydrinat Tablet 50 mg
Dramamin Tablet 50 mg
2 Domperidon Motilium Syrup 60ml
Tablet 10mg
Vometa Tablet FT
Syrup 60 ml
Drop 5 mg/ml
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Vosedon Tablet 10mg

3 Metoklopramid Metoklorpramida Tablet 10 mg
Tablet 5 mg
Primperan Tablet 10 mg
Syrup 60 ml
4 Ondansentron HCl Narfoz Injeksi 4mg/2ml
Injeksi 8mg/4ml
Syrup 4mg/5mL-60mL
Tablet 4mg
Tablet 8mg
5 Sulpirida Dogmatil Kapsul 50 mg
Kapsul 200 mg
Injeksi 100 mg/2 ml
12.3 ANTISPASMODIK
1 Atropin sulfat Atropin sulfat OGB Injeksi 0,25 mg/ml
Injeksi 0,5 mg/ml
2 Hiosin N butil bromida Buscopan Tablet 10 mg
Injeksi 20 mg/ml
12.4 KATARTIK
1 Bisakodil Dulcolax Tablet 5 mg
Supp 5 mg
Supp 10 mg
2 Laktulosa Lactulax Sirup 120 ml
3 Kombinasi:
Fenolftalein 56 mg, Vit. B Kompleks Laxadine Syrup 60 ml

4 Kombinasi:

Na-laurylsulfoacetat 45 mg, Na-citrate 450 mg, Sorbic acid 5 mg, Tube Na-laurylsulfoacetat 45 mg+ Na-citrate 450 mg,+
Microlax
PEG 400 625 mg, Sorbitol 4,465 mg Sorbic acid 5 mg, + PEG 400 625 mg+ Sorbitol 4,465 mg

5 Psyllium hydrophilic mucilloid Laxoberon Drop 10 Ml

12.5 ANTIDIARE
1 Atapulgit New Diatabs Tablet 600 mg
2 Dioctahedral smectite Smecta Sachet
3 Garam oralit Garam Oralit Sachet 200 ml
Pharolit Sachet 200 ml
Pedialyte Steril sol 500 ml
Renalyte Oral Solution 200 Ml
4 Loperamid HCl Imodium Tablet 2 mg
5 Nifuroxazide Nifural Syrup
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Nifudiar Syrup 250 mg/5 mL x 60 mL

6 Kombinasi :
Kaolin 700 mg + Neo Kaolana Sirup 120 ml
Pektin 50 mg
7 Lactobasillus Lacto-B sachet Sachet
8 Zink Sulfat Zinkid Tablet 20 mg
Sirup 10mg/5ml
Syrup 20mg/5 ml x 60 ml syr
Zinc Tablet 20mg
12.6 ANTIKOLITIS
1 Sulfalazin Sulcolon Tablet 500 mg
2 Mesalazine Salofalk Tablet 250 mg
Enema 4gr x 60 ml
Tablet 500 mg
Supp 500 mg
12.7 HEPATOPROTEKTOR
1 Tablet PPC 95% 150 mg, silymarin phytosome 100 mg, Ekstrak Hepamax Tablet
schizandra 37.5 mg, d-a tokoferol 5 ui
12.8 ANTIHEMOROID
1 Policresulen+ cinchocain Faktu Salep 50 mg+10 mg
Suppositoria 100 mg+2.5 mg
2 Diosmin 90%, flavanoid dalam bentuk hesperidin 10%. Ardium Tablet 500 mg
13 OBAT SUSUNAN SYARAF
13.1 PELEMAS OTOT
1 Atrakurium besilat Tracrium Injeksi 50 mg/5 ml
2 Eperisone HCl Myonal Tablet 50 mg
3 Hyaluronic acid / asam hyaluronit Durolane Injeksi 60 mg/3 ml
4 Tizanidine HCI Sirdalud Tablet 2 mg
5 Baclofen Lioresal Tablet 10 mg
6 Hylan G-F 20 Synvisc One Injeksi 8mg/ml 6ml
13.2 OBAT MIASTENIA GRAVIS
1 Neostigmin metilsulfat Prostigmin Injeksi 0,5 mg/ml
2 Piridostigmin bromida Mestinon Tablet 60 mg
3 Immune Globulin IV (human) 10% Gammaras Injeksi
4 Ciclosporin Sandimmun Neoral Tablet 25 mg
Tablet 50 mg
Tablet 100 mg
13.3 ANTIPARKINSON
1 Atropin sulfat Atropin Sulfat Tablet 0,5 mg
Injeksi 0,25 mg/ml
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Injeksi 0,5 mg/ml

Injeksi 1 mg/ml
2 Kombinasi:
Levodopa 100 mg; Benzerazida HCl 25 mg Madopar Tablet
3 Pramipeksol HCl Sifrol Tablet 0,125 mg
Tablet 0,250 mg
Tablet 0,375 mg
14 PSIKOFARMAKA
14.1 ANTIANSIETAS (TRANSKUILIZER MINOR)
1 Alprazolam Xanax Tablet 0,25 mg
Tablet 0,5 mg
Tablet 1 mg
Zypras Tablet 0,25 mg
Tablet 0,5 mg
Tablet 1 mg
Injeksi 10 mg/2 ml
2 Diazepam Valium Tablet 2 mg
Tablet 5 mg
Injeksi 10 mg/2 ml
Stesolid Injeksi 10 mg/2 ml
rectal cream 10 mg/2.5 ml
Tablet 2 mg
Sirup 60 ml
Tablet 5 mg
Rectal cream 5 mg/2.5 ml
3 Klobazam Frisium Tablet 10 mg
4 Lorazepam Merlopam Tablet 0,5 mg
Tablet 1mg
Tablet 2 mg
Ativan Tablet 0,5 mg
Tablet 1mg
Tablet 2 mg
5 Bromazepam Lexotan Tablet 1,5 mg
Tablet 3 mg
Tablet 6 mg
6 Estazolam Esilgan Tablet 1 mg
Tablet 2 mg
7 Clonazepam Riklona Tablet 2mg
14.2 ANTIDEPRESI
1 Amitriptilin HCl Amitriptilin Tablet 10 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

2 Maprotilin HCl Ludiomil Tablet 10 mg

3 Escitalopram Cipralex Tablet 10 mg
Tablet 20 mg
4 Sertraline HCL Zoloft Tablet 5 mg
Tablet 10 mg
Tablet 15 mg
5 Zolpidem tartrate Stilnox Tablet 10 mg
6  Fluoxetine Kalxetin Capsul 10 mg
Capsule 20 mg
7 Veblafaxine Efexor Xr Capsule 75 Mg
8 Escitalopram Cipralex T Tablet 20 mg
14.3 ANTIPSIKOTIK / TRANSKUILIZER MAYOR
1 Haloperidol Haloperidol Tablet 1,5 mg
Tablet 5 mg
Tablet 0,5 mg
Lodomer Ampul 5 mg/ml
2 Chlorpromazin HCl Chlorpromazin HCl Tablet 25 mg
Tablet 100 mg
Cepezet Tablet 100 mg
Risperdal Tablet 1 mg
Tablet 2 mg
3 Sulpirida Dogmatil Capsul 50 mg
4 Trifluoperazina Stelazine Kapsul 1 mg
Kapsul 5 mg
5 Clozapine Clozapine Tablet 100 mg

6 Aripiprazole Abilify Tablet 10 mg

7 Quetiapin Fumarat Seroquel Tablet 100 mg

Tablet 25 mg
Tablet XR 300 mg
15 OBAT SISTIM PERNAFASAN
15.1 ANTI INFLUENZA DAN DEKONGESTAN
1 Kombinasi :
Asetaminofen 120 mg;Khlorfeniramin maleat 0,75
Nipe Drop
mg;Penilpropanolamin HCl 25 mg; Tipepidin hibenzat 3,5 mg

2 Kombinasi:
Fenilpropanolamin HCl 15 mg, Klorfeniramin maleat 2 mg Nalgestan Tablet
3 Kombinasi :
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Pseudoefedrin 30 mg (15 mg), Terfenadin 40 mg (20mg) Rhinofed Tablet

4 Kombinasi :
Triprolidin HCl 2,5 mg (1,25 mg)+Pseudoefedrin HCl 60 mg (30 mg) Tremenza Tablet
Sirup 30 mg+1.25 mg/60ml
5 Xylometazolin HCl Otrivin Nasal Drop 0.01 %
Nasal Drop 0.005 %
6 Kombinasi :
Loratadine 5 mg, Pseudoephedrine HCI lepas segera 60 mg, Rhinos SR Kapsul
Pseudoephedrine HCI lepas lambat 60 mg
Rhinos Junior Syrup 60 Ml
Rhinos Neo Drops oral 0.8 Ml X 10 Mml
7 Kombinasi :
Pseudoephedrine HCl + dextromethorphan HBr Triaminic sirup Sirup 7.5 mg/0.8 mL
Pseudoephedrine HCl 15 mg, chlorpheniramine maleate 1 mg Triaminic pilek Sirup 15 mg + 1 mg
8 Oxomemazine 1,65 mg; guaifenesin 33,3 mg Toplexil Sirup 60 ml

9 Triamcinolone Acetonide Nasacort AQ nasal spray Botol / Spray

10 Loratadine Claritin Syr 30ML
Syr 60ML
15.2 ANTITUSIF
1 Kodein HCl Codipront Kapsul
Kombinasi Syrup
Kodein 30 mg, Feniltoloksamin 10 mg
2 Paracetamol, Codeine Coditam Tablet 30/500 Mg
15.3 EKSPEKTORAN DAN MUKOLITIK
1 Ambroksol HCl Ambroxsol Tablet 30 mg/ 5 ml
Mucopect Tablet 30 mg
Syrup 30 mg/ 5 ml, 60 ml
Syrup 15mg/5ml 60ml
Interpec Tablet 30 mg
2 Ammonium chloride,diphenhydramine,dextromethorpan Sanadryl Expectorant Syrup 60 ml
3 Asetilsistein Fluimucyl Kapsul 200 mg
Sacchet 200 mg
Syrup 100 mg
Injeksi 300 mg
4 Bromheksin HCl Bisolvon Tablet
Syrup
Injeksi 4 mg/ml, 2 ml
5 Karbosistein Rhinathiol Syrup 500 mg/ 5 ml
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Adult Romethazine 100 Ml Syrup

Infant 100 Ml Syrup
6 Erdosteine Vectrine Kapsul 300 mg
Sirup 175 mg/5 ml
15.4 ANTIASMA
1 Aminofilin Aminophilin Tablet 100 mg
Tablet 200 mg
Injeksi 24 mg/ml
2 Budesonide, Aero 200 Pulmicort Turbuhaller 100 Y
Respules 0.5mg
3 Deksametason Deksametason Tablet 0,5 mg
Injeksi 5 mg/ml
Kalmethason Tablet 0,5 mg
Injeksi 5 mg/ml
4 Fenoterol BR Berotec Semprot Aero 100 Y
5 Salbutamol Salbutamol Tablet 2 mg
Tablet 4 mg
Ventolin Nebules 2.5 mg/2.5 ml
6 Teofilin Euphylin Retard Mite Tablet 250 mg
7 Terbutalin sulfat Bricasma Tablet 2,5 mg
Injeksi 0,5 mg/ml
8 Kombinasi
Budesonid 80 mcg / 160 mcg; Formoterol Fumarat 4,5 mcg Symbicort Turbuhaler 60 dosis 80/4,5 mcg
Turbuhaler 60 dosis 160/4,5 mcg
Turbuhaler 120 dosis 160/4,5 mg
9 Kombinasi
inhalasi Salmeterol xinafoate 50 meg, fluticasone
Salmeterol + fluticasone propionate Seretide Diskus 100
propi¬onate 100 meg

inhalasi Salmeterol 50 mcg, fluticasone propionate 250 mcg.

Inhaler 500 mcg
Inhaler 125 mcg
Inhaler 50 mcg
10 Montelukast Sodium Singulair Tablet 10 mg
Granul 4 mg
11 Tiotropium Br Spiriva Refill 18 Mcg/1 Inhalation Inhalation Powder Capsule
Respimat 2.5mcg/puff Liquid for inhalation
18 Mcg/1 Inhalation Inhalation Powder Capsule
12 Procaterol Hydrochloride Meptin Inhalation Solution 100 Mcg/0,3ml
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Tablet 50 mcg
Syrup 25 mcg/5 ml, 60 ml
Turbuhaler 10 mcg
13 Fluticasone propionate Flixotide Injeksi 0,5 mg/amp
14 Montelukast Sodium Monarin Tablet 10mg
16 HORMON, HORMON KONTRASEPSI DAN KONTRASEPSI LAIN
16.1 KORTIKOSTEROID
1 Deksametason Deksametason Injeksi 5mg/ml
Indexon Injeksi 5mg/ml
Kalmethason Injeksi 5mg/ml
2 Methilprednisolon Methylpredisolon Tablet 16 mg
Medixon Tablet 4 mg
Tablet 8 mg
Tablet 16 mg
Injeksi 125mg
Medrol Tablet 4 mg
Tablet 16 mg
3 Prednisolone Prednison Tablet 5mg
Triamcinolone Tablet 4mg
4 Kombinasi
Betametason, deksklorfeniramin maleat Celestamin Tablet
16.2 ESTROGEN DAN ANTIESTROGEN
1 Estradiol Valerate Progynova 28 Tablet 1 mg
2 Etinil Estradiol Lynoral Tablet 50 mcg
3 Megestrol acetate Tracetate Suspensi 40 mg/ml
16.3 PROGESTERON
1 Hidroksiprogesteron kaproat Prolutan Depo Injeksi 250mg/ml
2 Norestisteron Primolut N Tablet 5 mg
3 Utrogestan Utrogestan capsul 100 mg
capsul 200 mg
16.4 ANDROGEN

1 Testosterone Propionat 30 mg, Testosterone Fenilpropionat 60 Sustanon "250" Injeksi 1 ml

mg, Testosteron Isokaproat 60 mg, Testosteron Dekanoat 100 mg

16.5 HORMON ANTIDIURETIK

1 Vasopresin Farpresin Injeksi 20 Unit
16.6 HORMON LAIN
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

16.7 HORMON KONTRASEPSI

1 Medoksiprogesteron asetat Depo progestin Injeksi 50mg/ml
Provera Tablet 10 Mg
Tablet 100 Mg
2 kombinasi
levonogestrol,etinilestradiol Microgynon Tablet
3 Kombinasi
Medoksiprogesteron asetat, Estradiol sipionat Cyclofem Injeksi
4 Kombinasi
Siproteron, etinilestradiol Diane 35 Tablet
5 Nomegastrol acetate Lutenyl Tablet
6 Desogestrel 150 mcg, ethinylestradiol 30 mcg plus 7 inactive Tablet Marvelon Tablet
17 THYROID DAN ANTITHYROID
17.1 THYROID
1 Levothyroxine na Euthyrox Tablet 100 mcg
2 L-thyroxine, natrium Thyrax Tablet 100 mcg
17.2 ANTI THYROID
1 Thiamazole Thyrozol Tablet 5 mg
18 ANTIDIABETIK
18.1. ANTIDIABETIK ORAL
1 Glimepirid Glimepirid Tablet 1 mg
Metrix Tablet 1 mg
Tablet 2 mg
Tablet 3 mg
Amaryl Tablet 1 mg
Tablet 2 mg
Tablet 3 mg
Amaryl 4 mg Tablet
Amaryl M 1/250 mg film-coated Tablet
Amaryl M 2/500 mg film-coated Tablet
2 Glibenklamid Glibenklamid Tablet 5mg
3 Gliquidon Glurenorm Tablet 30mg
4 Metformin HCL Metformin HCL Tablet 500 mg
Tablet 850 mg
Glucophage Tablet 500 mg
Tablet 850 mg
Tablet 1000 mg
Glumin XR Tablet 500mg
5 Kombinasi Glucovance 1.25mg/250mg Tablet 1.25mg/250mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

Glibenclamide, metformin Tablet 2.5mg/500mg

Tablet 5mg/500mg
6 Pioglitazon Actos Tablet 15 mg
Tablet 30 mg
7 Linagliptin Trajenta Tablet 5mg
8 Sitagliptin Januvia Tablet 50 mg
Tablet 100 mg
Tablet 25 mg
9 Vildagliptin Galvus Tablet 50mg
10 Kombinasi
Sitagliptin + metformin HCl Janumet Tablet 50/500 mg
Tablet 50/1000 mg
18.2 ANTIDIABETIK PARENTAL
1 Insulin Determinan Novorapid inj 100UI/ml-3ml
Novo Mix inj 30/ 3 mL
2 Insulin Glargine Lantus solostar Solostar 100IU/ml x3ml
18.3 ANTIDIABETIK LAINNYA
1 Kombinasi
Glibenclamide, Metformin Glucovance Tablet 1.25/250 mg
2 Pioglitazone HCl , Metformin Pionix Tablet 15/500 mg
Tablet 30/ 500 mg
3 Empagliflozin Jardiance Tablet 10mg
Tablet 25mg
19 OBAT YANG BEKERJA PADA RAHIM
19.1 UTEROTONIN
1 Oksitosin Syntocinon Inj 10 IU/ml
19.2 TOKOLITIK
1 Isoksuprin HCL Duvadilan Tablet 20 mg
Injeksi 5mg/ml
Proterine Injeksi 10mg/2ml inj
2 Magnesium sulfat Magnesium sulfat Inj 20% x25ml
Inj 40% x 25ml
3 Terbutalin Sulfat Bricasma Tablet 2.5mg
Inj 0.5mg/ml
20 OBAT YANG BEKERJA PADA SALURAN KEMIH
20.1 ANALGESIK SALURAN KEMIH
1 Fenozopiridin HCL Urogetix 100 Mg Caplet Caplet 100 mg
20.2 UROLITIKUM
1 Tamsulosin HCL Harnal D Tablet 0.2mg
2 Flavoxate HCl Urispas Tablet 200mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

21 VITAMIN DAN MINERAL

21.1 VITAMIN
1 Asam askorbat Vitamin C Tablet 50 mg
2 Mekobalamin Methycobal Kapsul 250 mcg
Kapsul 500 mcg
Megabal Kapsul 500 mcg
3 Neurotropik vitamin Neurobion Tablet
Neurosanbe 5000 Tablet
4 Ossein hydroksiapatite Ossopan Tablet 800 mg
5 Piridoksin HCl Vitamin B6 Tablet 10 mg
6 Vitamin A (Retinol) 50.000IU Vitamin A Tablet 10 mg
7 Tiamin HCl Vitamin B1 Tablet 100 mg
8 Vitamin B Komp Vitamin B Comp Tablet
9 kombinasi :
Fursultiamine HCl + Vit. B2 5 mg Alinamin F Ampul 25 mg/10 ml Fursultiamine HCl + Vit.B2 5 mg

kombinasi : Vit A 3,500 iu+ vit D3 200 iu+ vit E 11.2 iu + vit C 125
mg + vit B1 3.51 mg + vit B2 4.14 mg + vit B3 46 mg + vit B5 17.25
10 mg + vit B6 4.53 mg + vit B12 6 mcg + folic acid 414 mcg + biotin 69 Cernevit Injeksi
mcg + pantothenic acid 17.25 mg + nicotinamide 46 mcg + glycine
250 mg + glycocol ic acid 140 mg + soybean lecithin 112.5 mg

21.2 MINERAL
1 Kalsium Glukonat Calcium Gluconate Ampul 10%/10 ml
2 Kalsium Laktat Kalk Tablet 500 mg
3 Kalium L-aspartat Aspar-K Tablet 300 mg
4 KCL KSR Tablet 600 mg
21.3 Preparat osteoporosis
1 Kalsitrol Kolkatriol Kapsul 0,25 mcg
Kapsul 0,5 mg
22 Vaksin dan Serum
22.1 Vaksin
1 Vaksin Influenza Fluquadri injeksi 0.25ml Injeksi 0,25 ml
2 Vaksin Hepatitis A Havrix Injeksi
Injeksi
22.2 Serum
1 Human Immunoglobulin Tetagam Ampul 250 IU
2 Per mL Agkistrodon rhodostoma ≥10 LD50, Bungarus fasciatus ≥10 LD
A.B.U I Ampul
A.B.U II Ampul
23 Cairan Nutrisi dan Mineral
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

23.1 Cairan Nutrisi

1 Maltosa Martos Infus 500 ml
2 Nutrisi parenteral Aminoleban Oral Infus

3 Nutrisi parenteral infus Per 1000 mL Natrium laktat 3,1 gram + air Ringer Laktat Infus
untuk injeksi ad 1,000 mL.
Infus Per liter Fruktosa 120 g + Glukosa 66 g + Xylitol 60 g + elektrolit
4 + vitamin. Triofusin Infus
Triofusin E 1000 Infus
5 Kombinasi:
Asam amino, elektrolit, Glukosa, Kalsium. Clinimix Infus 1000 ml
Vitalipid N Infant Infus 10 ml
6 Asam Amino Comafusin Hepar Infus 500 ml
Kidmin 200 Ml Infusion 7,2 % infus

 Alanine, Aspartic Acid, Calcium Chloride Dihydrate, Glucose

Monohydrate, Glutamic Acid, Glycine, Isoleucine, L, L, L-Arginine, L-
7 Kabiven Infus 1440ml
Histidine, L-Methionine, L-Threonine, L-Tryptophan, L-
Tyrosine and Leucine

phosphate (equiv to vit B2 3.6 mg) 4.9 mg, nicotinamide 40 mg, Kabiven Infus 1920ml
8 pyridoxine HCl (equiv vit B6 4 mg) 4.9 mg, Na pantothenate (equiv Soluvit N Inj. Powder 166mg
to pantothenic acid 15 mg) 16.5 mg, Na ascorbate (equiv to vit C
100 mg) 113 mg, biotin 60 mcg, folic acid 0.4 mg, cyanocobalamin 5 Tetraspan Infus 500 ml
23.2 Cairan Mineral
1 Glukosa Glukosa 5 % Infus 5%
Infus 10%
Infus 40%
Glukosa 10% Infus
Otsu-D40 Infus
2 Natrium Klorida Nacl Infus Na.Cl 0,9 %
Ecosol Natrium Klorida 4,5 g
Ecosol infusion 0.9% Infus 9%, 1000 ml
Infus 9%, 100 ml
Infus 9%, 500 ml
Ecosol RL Infus 500 ml
Natrium Laktat + Na.Cl + Kalsium
3 Ringer Lactat Infus
Klorida dihidrat + Kalium Klorida
Ringer Lactate Otsu Infus 500 ml
Ringer Acetate Infus 500 ml
Ringerfundin Infus 500 ml
4 Dextrose Monohidrat + Na.Cl + Na. Asetat amhidrose + Kalium KloridDextrosa dalam RL Infus
5 Glukosa + NaCl D5 + 1/2 NS Infus
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

D5 + 1/4 NS Infus
6 Ca+ Na + K + Cl Asering Infus
Asering-5 Infus
7 Na + Cl + Glukosa KA EN 1B Infus
8 Na + K + Cl + Glukosa + Laktat KA EN 3A Infus
KA EN 3B Infus
KA EN 4B Infus
KA EN MG3 Infus
24 Obat Topikal pada Kulit
24.1 Anti jamur
1 Ketoconazol Ketokonazol Salep 2%
Ketomed 2 % Cream 2% 15 gr
Solutio 2%, 60 ml
Nizoral Salep2 % x 15 g cream
Salep2 % x 15 g cream
2 Mikonazol nitrat Miconazole Salep 2%
3 Kotrimazol + deksamethason Baycuten - N Salep
4 Diflucortolone Valerate 1% & Chlorguinaldol 1% Nerisona Combi Cream 10 gr
Nerisona Fatty Oint 0,1%, 10 gr
24.2 Anti Parasit
1 PERMETHRIN Scabimite Salep 5%, 10 gr
Salep 5%, 30 gr
24.3 Anti bakteri
1 Framisetin sulfat Sofra-tulle Salep 1%
Garamycin Salep 1mg/gr
2 Perak Sulfadiazin Burnazin Salep 1% (35 g)
3 Asam fusidat Fusycom Salep 5 gram
24.4 Anti inflamasi dan anti puritik
1 Desoximethasone Inerson Salep 0,25 %
Esperson 0.25 % x 15 g ointment
0.25 % x 5 g ointment
15 gr Krim
2 Diflukortolon valerat Nerisona Combi Salep 0,1%
3 Fluocinolon asetonid Cinolon N Salep 0,25 mg
4 Triamsinolon asetonid Kenacort-A Salep 0,1%
6 Betametason dipeopionat + Gentamisin sulfat Diprogenta Salep
7 Iodixanol Visipaque injeksi 320mg/ml 100ml injeksi 320mg/ml 100ml
8 Fluocinolone Acetonide 0.25 mg + Neomycin Sulfate 5 mg Medicort Tube 10 gram
Fluticasone propionate 0.05% Nebacetin Tube 5 g ointment
Neomicyn Sulfat & Bacitracin Pot 5 g topical powder
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

24.5 Obat topikal untuk luka bakar

1 Silver Sulfadiazin Dermazin Salep 1%
2 Ekstark pasenta + Neomisin Sulfat Bioplacenton Salep
24.6 DESINFEKTANS & ANTISEPTIK
1 Povidon iodida 10% Betadine Cairan Povidon iodida 10%
24.7 PHLEBITIS
1 Heparin Sodium Inviclot Injeksi
24.8 Anti Psioriasis
1 Calcipotriol 50mcg Daivonex 0.005 % x 30 g ointment Oint 30 gr
25 Obat topikal pada mata
25.1 Antiinfeksi
1 Gentamisin Gentamycin Salep
Tetes mata 0,1 %, 5 ml
Cendo Gentamycin Drop 0.3% 5 ml
Eye Oint 3,5Gr
Garamycin Ophthalmic 0.3 % x 4 g eye oint Gentamicin
2 Kloramfenikol Fenicol Eye drops
Eye ointment
3 Siprofloksasin Tobradex 5 mL eye suspension
Tobroson Monodose 0.3% x 0.6 mL eye drops
4 Neomisin sulfat 3,5 mg + Polimiksin B sulfat 6000 IU Cendo statrol Salep
5 Levofloxacin Cendo LFX MD Tetes mata
6 Potassium Iodide 5 mg, Sodium Iodide 10 mg,VIT A Siloxan Monodose Tetes mata
7 Dextran/Dekstran 0,1 %, Hidroksi Metilselulosa 0,3 % Tears Naturale II Tetes mata
25.2 Kombianasi anti infeksi dan Anti Inflamasi
1 As borat + Seng sulfat + Eskulin + Benzalkonium klorida+ Dinatriun e Cendo asthenof Tetes mata
2 Neomisin sulfat + Deksametason + Polimiksin B Sulfat Cendoxitrol Tetes mata
Polydex Tetes mata
Tetes mata
3 Neomycin Sulphate, Polymixin B Sulphate, Gramicidin Polygran Salep mata/ Tetes mata
4 Flourometholone, Neomycin Sulfat Polynel 5 Ml Eye Drops Eye Drops
5 Fluorometholon 1mg Posop 0.1% X 0.6 Ml Eye Drops Eye Drops
6 Natrium hyaluronate Hialid ED Tetes mata 0,1%
7 Tobramycin + dexamethasone Tobroson Tetes mata
25.3 Anti katarak
1 Kalium iodida + Kalium Chlorida + Natrium tiosulfat + Timersol Cendo Catarlent Tetes mata
25.4 Miotik
1 Pilokarpin HCl Cendo Carpine Tetes mata 1%, 2%, 4%
25.5 Anti Glaukoma
1 Asetazolamid Cendo Glaucon Tablet 250 mg
NO. ZAT AKTIF OBAT MEREK/ NAMA DAGANG SEDIAAN

2 Timolol maleat Cendo Timolol Tetes mata 0,25%, 0,5%

3 Pirenoxine 0.05mg Kary Uni ED Tetes mata
25.6 Midriatik
1 Atropin sulfat Cendo Tropin Tetes mata
Cendo Mydriatil Tetes mata
Strip/5botol 0.6 ml
25.7 ANTI ALERGI TOPIKAL
Kombinasi Tetes mata Antazolin-PO4 5 mg + Nafazolin HCl 1 mg +
1 Fenilraksa (II) asetat 0,02 mg + Asam borat 12 mg Vasacon A Tetes mata
25.8 Anestetik Lokal
1 Tetrakain Pantocain Tetes mata 0,5%
Tetes mata 2 %
Salep mata
25.9 Lain-lain
1 Carboxymethyl Cellulose Sodium 5 mg Cenfresh Tetes mata
26 Obat Telinga, Tenggorokan dan Hidung
26.1 Sediaan Telinga
26.2 Sediaan Mulut dan Tenggorokan
1 Fradiomisin sulfat, gramisidin S HCL FG Troches Tablet Hisap 2.5 mg + 1 mg
2 Povidon iodida Betadine Larutan 10 %
3 Triamsinolon asetonid Kenalog in orabase Salep 0.10 %
26.3 Sediaan Hidung
1 Oksimetazolin HCl Illiadin kinder Tetes hidung 0,025 mg/ml
Spray 0.05mg/ml
Afrin Spray 0.05mg/ml
tetes hidung 0,025 mg/ml
27 Lain-lain
27.1 Obat Susunan Syaraf Pusat
1 Mekobalamin Methycobal Kapsul 250 mg
Kapsul 500 mg
Sirup 500 mcg/ml
2 Nimodipine Nimotop Infus 10 mg/ 50 ml
Tablet 30 Mg
3 Pirasetam Neurotam Tablet 800mg
Tablet 1200 mg
Injeksi 12g/60ml
Injeksi 3g/15mL
Syrup 500mg/5ml 100ml
4 Citicoline Brainact Injeksi 250mg/2 ml
5 Donepezil Aricept Tablet 5 mg
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Aricept Evess Tablet 10 mg

6 Nicergoline Serolin Tablet 10 mg
Tablet 30 mg
7 Pyritinol D monohidrate Encephabol Syrup 100 Ml Tablet 100Mg
27.2 Lipotropik
1 Asam ursodeoksikholik Urdafalk Kapsul 250 mg
Urdahex Kapsul 250 mg
28 ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN
28.1 Umum
1 Karbon activ Norit Tablet 125 mg
2 sevelamir carbonat Renvela 800 Sachet granul
3 kalsium polistirene sulfonate 5 g Kalitake Sachet granul
28.2 Khusus
1 Atropin sulfat Atropin Sulfat Injeksi 0.25 mg/ml
2 Natrium bikarbonat Bicnat Tablet 500 mg
29 Diagnostik
29.1 Bahan kontras Radiologi Angiografi
29.2 Bahan kontras Radiologi Bronkografi
1 Lopromid Ultravist Injeksi 150 mg I/ml
Injeksi 240 mg I/ml
Injeksi 300 mg I/ml
Injeksi 370 mg I/ml
2 Lohekssol Omnipaque Injeksi 300 mg/ ml, 50 ml
29.3 Bahan kontras Radiologi Histerosalpingografi
29.4 Bahan kontras Radiologi Limfangiografi
1 Etil ester dari oleum papaveris, teriodisasi (oleum lodatum) Lipiodol Ultra Injeksi 10 mg/ml
29.5 Bahan kontras Radiologi Mielografi
1 Iopromid Ultravist Injeksi 150 mg I/ml
2 Loheksol Omnipaque Injeksi 300 mg/ ml, 20 ml
29.6 Bahan kontras Radiologi Saaluran Cerna
1 Barium sulfat Barium Sulphate suspensi 300mg l/ml
29.7 Bahan kontras Radiologi Urografi
1 Iopamidol iopamiro Injeksi 0.612 g/ ml, 20 ml
scanlux
Injeksi 0.755 g/ ml, 20 ml
29.8 Test Kulit
1 Tuberkulin protein purified derivative Tuberkulin protein purified derivative Injeksi
30 Antineoplastik
30.1 Hormon dan Antihormon
1 Anastrozole Arimidex Tablet 1 mg
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2 Exemestan Aromasin Tablet 25 mg

3 Letrozol Femara Tablet 2.5 mg
4 Leuprorelin Acetate Tapros 1,88 vial 1.88 mg
Endrolin vial 3.75 mg
Tapros 3,75 vial 3.75 mg
5 Tamoksifen sitrat Tamofen Tablet 10 mg
6 Erlotinib HCl. Tarceva Tablet 100 mg
Tablet 150 mg
30.2 Sitotoksik
1 Bevacizumab Avastin Injeksi 100 mg/4 ml
2 Bleomisin Bleocin injeksi 15 mg
Tablet 150 mg
3 Capecibatine Xeloda Tablet 500 mg
Carboplatine Infus 150 mg/ml
Infus 450 mg/ml
4 Cetuximab Erbitux vial 5 mg/ml
5 Dakarbazin Dacarbazin Medac Vial 200 mg/ml
6 Dounorubisin Daunocin Injeksi 20 mg/4 ml
7 Doksorubisin Doxorubicin Injeksi 10 mg
8 Docetaxel Brexel Injeksi 20 mg
Taxotere Injeksi 20 mg
Injeksi 80 mg
9 Etoposid Etopul Injeksi 100 mg/ml, 5 ml
10 Fluorourasil 5-Fluorouracil Ebewe Injeksi 250 mg/ml
Injeksi 500 mg/ml
Curacil Injeksi 250 mg/ml
Injeksi 500 mg/ml
11 Goserelin Asetate Zoladex Syringe 3.6 mg
Syringe 10.8 mg
12 Hidroksi Urea Hydroxyurea Medac Kapsul 500 mg
13 Ifosfamide Holoxan Vial 1 gr
14 Irinotecan HCL Campto Injeksi 40 mg/ml
15 Lapatinib ditosylate Tykerb Tablet 250 mg
16 Mesna Uromitexan Injeksi 400 mg/ml
17 Metotreksat Methotreksat Ebewe Tablet 2.5 mg
Injeksi 5 mg/ml
Injeksi 50 mg/ml
18 Oxaliplatine Eloxatin 50 Sol Injeksi 50 mg/ml
Oxaliplatin Actavis Injeksi 50 mg/ml
19 Paclitaxel Fonkopac Injeksi 100mg/ 16,7 ML
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Injeksi 30mg/ 5 ML
20 Rituximab Mabhtera Injeksi 100 mg/ml
Injeksi 500 mg/ml
21 Sorafenib Tosylate Nexavar Tablet 200 mg
22 Trastuzumab Herceptin Injeksi 440 mg/ml
23 Vinblastin Vinblastin Injeksi 10 mg/ml
24 Vinkristin Vincristine Kalbe Injeksi 1mg/ml
Injeksi 2 mg/ml
25 Vinorelbine Navelbine Injeksi 10 mg/ml
Injeksi 50 mg/ml
26 Gefitinib Iressa Tablet 250mg
Injeksi 40mg/2ml
27 Imatinib Glivec Tablet 100 Mg
28 Eribulin mesylate Halaven Injeksi 0.88mg/2ml
29 Ifosfamide Holoxan Injeksi Pwd 2gr
30 Cefepime Vipime Powder for injeksi 1g
30.3 Antineoplastik lain
1 Zoledronic Acid Zometa Injeksi 4 mg/ml
2 Filgrastrim Leukokine Injeksi 300 mcg/ml
3 Lenogastrim Granocyte 34 Vial 263 mcg/ml
4 Eritripoetin-Alfa Epotrex Syringe 10,000 IU
5 Eritropoetin - Beta Recormon PFS 5000 IU

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