DAFTAR OBAT POLIKLINIK

NO.

1
2
3
4
5
6
7
8
9
11
13
15
16
17
18
19
20
24
25
27
29
30
31
35
36
40
41
42
47
52
55
56
58
60
64
65
71
72
74
75

NAMA OBAT

ACT INJEKSI
ACT TABLET
ALAT SUNTIK SEKALI PAKAI 2,5/3 ML
ALAT SUNTIK SEKALI PAKAI 5 ML
ALAT SUNTIK SEKALI PAKAI 10 ML
ALBENDAZOL TABLET 400 MG
ALLOPURINOL TABLET 100 MG
AMBROXOL TABLET 30 MG
AMINOFILINA TABLET 200 MG
AMITRIPTILIN TABLET 25MG
AMOKSISILIN KAPLET 500MG
AMOKSISILIN SIRUP KERING 125MG/5ML
ANTASIDA DOEN SYR
ANTASIDA DOEN TAB KUNYAH
ANTI HEMMOROID DOEN
ANTIBAKTERI DOEN (BASITRASIN+POLIMIKSIN)
ANTIFUNGI DOEN (AS BENZ 3%+AS SALIS 6%)
ASAM ASETILSALISILAT TAB 100MG ( ASETOSAL )
ASAM ASKORBAT (VIT C) TABLET 50 MG
ASAM MEFENAMAT TAB SALUT SELAPUT 500MG
ASAM TRANEKSAMATE TABLET 500 MG
ASIKLOVIR KRIM 5%
ASIKLOVIR TABLET 400 MG
BESI II SULFAT (TABLET TAMBAH DARAH KOMB.)
BETAMETASON KRIM 0,1%
BETAHISTINE MESYLATE 6 MG
BORAX GLYCERYL
BROMHEKSIN TABLET 8 MG
DEKSAMETASON TAB 0,5 MG
DIAZEPAM TABLET 2 MG
DIGOKSIN TABLET 0,25MG
DIMENHIDRINAT TABLET 50 MG
DOMPERIDON TABLET 10 MG
EKSTRAK BELLADON TABLET 10 MG
ERITROMISIN SIRUP 200MG/5ML
ETAKRIDIN LAR. 0,1% (RIVANOL)
FENOBARBITAL TABLET 100 MG
FENOBARBITAL TABLET 30 MG
FENOKSIMETIL PENISILIN TABLET 500 MG
FENOL GLISEROL TETES TELINGA 10%

SATUAN

AMPUL
TABLET
BIJI
BIJI
BIJI
TABLET
TABLET
TABLET
TABLET
TABLET
KAPLET
BOTOL
BOTOL
TABLET
SUPP
TUBE
POT
TABLET
TABLET
TABLET
TABLET
TUBE
TABLET
TABLET
TUBE
TABLET
BOTOL
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
BOTOL
BOTOL
TABLET
TABLET
TABLET
BOTOL

76
78
83
86
89
90
91
92
94
98
99
100
101
102
103
106
107
116
117
120
121
129
132
133
134
135
138
140
141
142
147
152
153
154
155
156
158
160
162
164
171
186
187
188
189

FITOMENADION ( VIT K1 ) INJ 10 MG/ML

FITOMENADION (VIT K1) TABLET SALUT GULA 10 MG
FUROSEMID TABLET 40 MG
GARAM ORALIT UNTUK 200 ML AIR
GENTAMISIN SALEP KULIT 0,1%
GENTIAN VIOLET LAR. 1%
GLIBENKLAMIDA TABLET 5MG
GLISERIL GUAIAKOLAT TABLET 100MG
GRISEOFULVIN TABLET 125 MG
HALOPERIDOL TABLET 0,5 MG
HALOPERIDOL TABLET 1,5 MG
HALOPERIDOL TABLET 5 MG
HIDROGEN PEROKSIDA LARUTAN 10 % BTL 1 L
HIDROKLOROTIAZIDA TABLET 25MG
HIDROKORTISON KRIM 2,5%
IBUPROFEN TABLET 200MG
IBUPROFEN TABLET 400MG
KALIUM PERMANGANAT
KALSIUM LAKTAT TABLET 500 MG
KAPTOPRIL TABLET 12,5 MG
KAPTOPRIL TABLET 25 MG
KETOKONAZOL KRIM 2%
KLORAMFENIKOL KAPSUL 250 MG
KLORAMFENIKOL SALEP MATA 1%
KLORAMFENIKOL TETES TELINGA 3%
KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 MG
KLORPROMAZIN TABLET 100 MG
KOTRIMOKSAZOL DOEN I ( DEWASA )
KOTRIMOKSAZOL DOEN II ( PEDIATRIK )
KOTRIMOKSAZOL SUSPENSI
LOPERAMID TABLET 2 MG
MELOKSIKAM TABLET 15 MG
METAKRESOL KONDENSAT (ALBOTHYL)
METFORMIN TAB 500MG
METHYLPREDNISOLONE 8 MG
METILERGOMETRIN MALEAT TABLET 0,125MG
METOKLOPRAMID TABLET 10 MG
METRONIDAZOL TABLET 500MG
NATRIUM DIKLOFENAK TABLET 50 MG
NIFEDIPIN TABLET 10 MG
OBAT BATUK HITAM ( OBH )
OKSITETRASIKLIN HCL SALEP KULIT 3%
OKSITETRASIKLIN HCL SALEP MATA 1%
OKSITOSIN INJ. 10 IU/ML-1ML
OMEPRAZOL KAPSUL 20 MG

AMPUL
TABLET
TABLET
SACHET
TUBE
BOTOL
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
BOTOL
TABLET
TUBE
TABLET
TABLET
POT
TABLET
TABLET
TABLET
TUBE
KAPSUL
TUBE
BOTOL
TABLET
TABLET
TABLET
TABLET
BOTOL
TABLET
TABLET
BOTOL
TABLET
KAPLET
TABLET
TABLET
TABLET
TABLET
TABLET
BOTOL
TUBE
TUBE
AMPUL
KAPSUL

190
191
193
195
196
197
200
201
207
210
241
242
243
244
245
251
252
259
260
261
264
269
271
272
274
275
276
282

ONDANSENTRON TABLET 4 MG
ONDANSENTRON TABLET 8 MG
PARACETAMOL SIRUP 120MG/5ML
PARACETAMOL TABLET 500MG
PIRACETAM 400 MG TABLET
PIRACETAM 800 MG TABLET
PIRIDOKSIN (VITAMIN B6) TABLET 10MG
PIROKSIKAM TABLET 20 MG
PREDNISON TABLET 5 MG
RANITIDIN TABLET 150 MG
RISPERIDON 2 MG
SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT )
SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT )
SALEP 2-4
SALISIL BEDAK 2%
SEFADROKSIL KAPSUL 500 MG
SEFOTAKSIM INJEKSI
SIMETIDIN TABLET 200 MG
SIMVASTATIN TABLET 10 MG
SIPROFLOKSASIN TABLET 500 MG
SULFASETAMIDA NATRIUM TETES MATA 15%
TIAMIN (VITAMIN B1) TABLET 50MG (HCL/NITRAT)
TRIFLUOPERAZIN 5 MG
TRIHEKSIFENIDIL TABLET 2MG
VITAMIN B KOMPLEKS TABLET
BIOLYSIN TABLET
BIOLYSIN SIRUP
ZINC TABLET 20 MG

TABLET
TABLET
BOTOL
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
POT
KOTAK
KAPSUL
VIAL
TABLET
TABLET
TABLET
BOTOL
TABLET
TABLET
TABLET
TABLET
TABLET
BOTOL
TABLET

OLIKLINIK
KETERANGAN

DAFTAR OBAT
NO.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

NAMA OBAT

ACT INJEKSI
ACT TABLET
ALAT SUNTIK SEKALI PAKAI 2,5/3 ML
ALAT SUNTIK SEKALI PAKAI 5 ML
ALAT SUNTIK SEKALI PAKAI 10 ML
ALBENDAZOL TABLET 400 MG
ALLOPURINOL TABLET 100 MG
AMBROXOL TABLET 30 MG
AMINOFILINA TABLET 200 MG
AMINOFILINA INJ 24 MG/ML - 10 ML
AMITRIPTILIN TABLET 25MG
AMOKSISILIN INJEKSI 1 G/VIAL
AMOKSISILIN KAPLET 500MG
AMOKSISILIN KAPSUL 250 MG
AMOKSISILIN SIRUP KERING 125MG/5ML
ANTASIDA DOEN SYR
ANTASIDA DOEN TAB KUNYAH
ANTI HEMMOROID DOEN
ANTIBAKTERI DOEN (BASITRASIN+POLIMIKSIN)
ANTIFUNGI DOEN (AS BENZ 3%+AS SALIS 6%)
ANTIMIGREN DOEN (ERGOT 1MG+KOFEIN 50MG)
AQUA PRO INJEKSI 20 ML
AQUADEST STERIL BTL 500 ML
ASAM ASETILSALISILAT TAB 100MG ( ASETOSAL )
ASAM ASKORBAT (VIT C) TABLET 50 MG
ASAM FOLAT TABLET 1 MG
ASAM MEFENAMAT TAB SALUT SELAPUT 500MG
ASAM TRANEKSAMATE INJEKSI
ASAM TRANEKSAMATE TABLET 500 MG
ASIKLOVIR KRIM 5%
ASIKLOVIR TABLET 400 MG
ATENOLOL TABLET 50 MG
ATROPINA SULFAT INJEKSI 0.25 MG/ML
ATROPINA SULFAT TABLET 0,5 MG
BESI II SULFAT
BETAMETASON KRIM 0,1%
BISAKODIL SUPP 10 MG
BISAKODIL SUPP 5 MG
BISAKODIL TABLET
BETAHISTINE MESYLATE 6 MG

SATUAN

AMPUL
TABLET
BIJI
BIJI
BIJI
TABLET
TABLET
TABLET
TABLET
AMPUL
TABLET
VIAL
KAPLET
KASUL
BOTOL
BOTOL
TABLET
SUPP
TUBE
POT
TABLET
VIAL
BOTOL
TABLET
TABLET
TABLET
TABLET
AMPUL
TABLET
TUBE
TABLET
TABLET
AMPUL
TABLET
TABLET
TUBE
SUPP
SUPP
TABLET
TABLET

41
42
43
44
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84

BORAX GLYCERYL
BROMHEKSIN TABLET 8 MG
CATGUT CHROMIC
CATGUT PLAIN
DEKSAMETASON INJ. IV 5MG/ML
DEKSAMETASON TAB 0,5 MG
DEKSTROMETORFAN SIRUP 10MG/5ML
DEKSTROMETORFAN TAB 15MG (HBr)
DIAZEPAM INJ. 5MG/ML
DIAZEPAM REKTAL 5 MG
DIAZEPAM TABLET 2 MG
DIAZEPAM TABLET 5 MG
DIFENHIDRAMIN HCl INJ. 10MG/ML
DIGOKSIN TABLET 0,25MG
DIMENHIDRINAT TABLET 50 MG
DOMPERIDON SYR
DOMPERIDON TABLET 10 MG
EFEDRIN HCL TABLET 25 MG
EKSTRAK BELLADON TABLET 10 MG
EPINEFRIN / ADRENALIN INJ
ERITROMISIN KAPSUL 250 MG
ERITROMISIN KAPSUL 500MG
ERITROMISIN SIRUP 200MG/5ML
ETAKRIDIN LAR. 0,1% (RIVANOL)
ETANOL (ALKOHOL) 70 %
ETANOL (ALKOHOL) 95 %
FENITOIN INJEKSI 50MG/ML 2ML
FENITOIN KAPSUL 100 MG
FENOBARBITAL INJ. IM/IV 50MG/ML
FENOBARBITAL TABLET 100 MG
FENOBARBITAL TABLET 30 MG
FENOKSIMETIL PENISILIN TABLET 250 MG
FENOKSIMETIL PENISILIN TABLET 500 MG
FENOL GLISEROL TETES TELINGA 10%
FITOMENADION ( VIT K1 ) INJ 10 MG/ML
FITOMENADION ( VIT K1 ) INJ 2 MG/ML
FITOMENADION (VIT K1) TABLET SALUT GULA 10 MG

BOTOL
TABLET
SET
SET
AMPUL
TABLET
AMPUL
TABLET
AMPUL
TUBE
TABLET
TABLET
AMPUL
TABLET
TABLET
BOTOL
TABLET
TABLET
TABLET
AMPUL
KAPSUL
KAPSUL
BOTOL
BOTOL
BOTOL
BOTOL
AMPUL
KAPSUL
AMPUL
TABLET
TABLET
TABLET
TABLET
BOTOL
AMPUL
AMPUL

FOLLEY CATHETER NO 14
FOLLEY CATHETER NO 16
FOLLEY CATHETER NO 18
FUROSEMID INJ. IV/IM 10MG/ML
FUROSEMID TABLET 40 MG
FURSULTIAMIN HCL+GLUCOSE KOMBINASI /
ALINAMIN INJEKSI

SET
SET
SET
AMPUL
TABLET

TABLET

AMPUL

GAMEKSAN LOTION 1%
GARAM ORALIT UNTUK 200 ML AIR
GAS OKSIGEN 1 M 3
GAS OKSIGEN 6 M 3
GENTAMISIN SALEP KULIT 0,1%
GENTIAN VIOLET LAR. 1%
GLIBENKLAMIDA TABLET 5MG
GLISERIL GUAIAKOLAT TABLET 100MG
GLUKOSA LAR. INFUS 5%
GRISEOFULVIN TABLET 125 MG
GRISEOFULVIN TABLET 250 MG
HALOPERIDOL TTS 2 MG/ML
HALOPERIDOL INJ 50 MG/ML
HALOPERIDOL TABLET 0,5 MG
HALOPERIDOL TABLET 1,5 MG
HALOPERIDOL TABLET 5 MG
HIDROGEN PEROKSIDA LARUTAN 10 % BTL 1 L
HIDROKLOROTIAZIDA TABLET 25MG
HIDROKORTISON KRIM 2,5%
HIOSIN N-BUTIL BROMIDE INJ (SPASHI INJ)
HIOSIN N-BUTIL BROMIDE TAB ( SPASHI TABLET )
IBUPROFEN TABLET 200MG
IBUPROFEN TABLET 400MG
INFUSION SET ANAK
INFUSION SET DEWASA
INTRA VENA CATETER NO. 18
INTRA VENA CATETER NO. 20
INTRA VENA CATETER NO. 22
ISOSORBID DINITRAT TABLET SUBLINGUAL 5MG
JARUM JAHIT UNTUK KULIT
JARUM JAHIT UNTUK OTOT
KALIUM PERMANGANAT
KALSIUM LAKTAT TABLET 500 MG
KAOLIN 550 MG + PEKTIN 20MG TAB KOMB (NEO
118 DIAFORM)

BOTOL
SACHET
TABUNG
TABUNG
TUBE
BOTOL
TABLET
TABLET
BOTOL
TABLET
TABLET
BOTOL
AMPUL
TABLET
TABLET
TABLET
BOTOL
TABLET
TUBE
AMPUL
TABLET
TABLET
TABLET
SET
SET
SET
SET
SET
TABLET
SET
SET
POT
TABLET

KAPAS PEMBALUT / ABSORBENS 250 GRAM

KAPTOPRIL TABLET 12,5 MG
KAPTOPRIL TABLET 25 MG
KAPTOPRIL TABLET 50 MG
KASA KOMPRES 40/40 STERIL
KASA PEMBALUT 2 M X 80 CM
KASA PEMBALUT HIDROFIL 4M X 15CM
KASA STERIL 16 X 16
KETOKONAZOL KRIM 2%
KETOROLAK INJEKSI 10 MG

ROL
TABLET
TABLET
TABLET
BIJI
BIJI
BIJI
BIJI
TUBE
AMPUL

85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117

119
120
121
122
123
124
125
126
129
130

TABLET

KLORAMFENIKOL INJEKSI 1 G / VIAL

KLORAMFENIKOL KAPSUL 250 MG
KLORAMFENIKOL SALEP MATA 1%
KLORAMFENIKOL TETES TELINGA 3%
KLORFENIRAMINA MALEAT ( CTM ) TABLET 4 MG
KLOROKUIN TABLET 250 MG
KLORPROMAZIN HCl INJEKSI2 5 MG/ML - 2 ML
KLORPROMAZIN TABLET 100 MG
KODEIN TABLET 10 MG
KOTRIMOKSAZOL DOEN I ( DEWASA )
KOTRIMOKSAZOL DOEN II ( PEDIATRIK )
KOTRIMOKSAZOL SUSPENSI
KUININ DIHIDROKSIDA INJ. 25%-2ML
KUININ DIHIDROKSIDA TABLET
LIDOKAIN COMP INJEKSI
LIDOKAIN INJEKSI 2%
LOPERAMID TABLET 2 MG
MAAG SLANG ( STOMACH TUBE )
MAGNESIUM SULFAT INJ. 20 MG
MEBENDAZOL TABLET 100 MG
MELOKSIKAM TABLET 15 MG
METAKRESOL KONDENSAT (ALBOTHYL)
METFORMIN TAB 500MG
METHYLPREDNISOLONE 8 MG
METILERGOMETRIN MALEAT TABLET 0,125MG
METOKLOPRAMID TABLET 5 MG
METOKLOPRAMID TABLET 10 MG
METRONIDAZOL TABLET 250MG
METRONIDAZOL TABLET 500MG
NATRIUM BIKARBONAT TABLET 500 MG
NATRIUM DIKLOFENAK TABLET 50 MG
NATRIUM KLORIDA INFUS 0,9% STERIL
NIFEDIPIN TABLET 10 MG
NISTATIN 500.000 IU TABLET
NISTATIN VAGINAL TABLET 100.000 IU/G
OBAT ANTITUBERKULOSIS KAT. 1 DEWASA ( FDC)
OBAT ANTITUBERKULOSIS KAT. 2 DEWASA (FDC
168 LANJUTAN)

VIAL
KAPSUL
TUBE
BOTOL
TABLET
TABLET
AMPUL
TABLET
TABLET
TABLET
TABLET
BOTOL
AMPUL
TABLET
AMPUL
AMPUL
TABLET
SET
AMPUL
TABLET
TABLET
BOTOL
TABLET
KAPLET
TABLET
AMPUL
TABLET
TABLET
TABLET
TABLET
TABLET
BOTOL
TABLET
TABLET
TABLET
PAKET

OBAT ANTITUBERKULOSIS KAT. ANAK

OBAT ANTITUBERKULOSIS SISIPAN DEWASA
OBAT BATUK HITAM ( OBH )
OKSITETRASIKLIN HCL SALEP KULIT 3%
OKSITETRASIKLIN HCL SALEP MATA 1%
OKSITOSIN INJ. 10 IU/ML-1ML
OMEPRAZOL KAPSUL 20 MG

PAKET
PAKET
BOTOL
TUBE
TUBE
AMPUL
KAPSUL

131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167

169
170
171
186
187
188
189

PAKET

190
191
192
193
194
195
196
197
198
199
200
201
207
208
209
210
237
238
239
240
241
242
243
244
245
251
252
253
254
255
256
257
258
259
260
261
263
264
267
268
269
270
271
272
273

ONDANSENTRON TABLET 4 MG
ONDANSENTRON TABLET 8 MG
PAPAVERIN TABLET
PARACETAMOL SIRUP 120MG/5ML
PARACETAMOL TABLET 100MG
PARACETAMOL TABLET 500MG
PIRACETAM 400 MG TABLET
PIRACETAM 800 MG TABLET
PIRACETAM INJEKSI
PIRANTEL TABLET SCORED ( BASE) 125MG
PIRIDOKSIN (VITAMIN B6) TABLET 10MG
PIROKSIKAM TABLET 20 MG
PREDNISON TABLET 5 MG
PRIMAKUIN TABLET 15 MG
RANITIDIN INJ. 25MG/ML
RANITIDIN TABLET 150 MG
RESERPIN TABLET 0,25 MG
RETINOL (VITAMIN A) 100.000 KAPSUL LUNAK
RETINOL (VITAMIN A) 200.000 KAPSUL LUNAK
RINGER LAKTAT LAR. INFUS
RISPERIDON 2 MG
SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT )
SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT )
SALEP 2-4
SALISIL BEDAK 2%
SEFADROKSIL KAPSUL 500 MG
SEFOTAKSIM INJEKSI
SEFTRIAXON INJEKSI
SERUM ANTI BISA ULAR I
SERUM ANTI TETANUS 1.500 IU
SIANOKOBALAMIN ( VITAMIN B12) INJEKSI
SILK
SIMETIDIN INJEKSI 200 MG/2ML
SIMETIDIN TABLET 200 MG
SIMVASTATIN TABLET 10 MG
SIPROFLOKSASIN TABLET 500 MG
SOHOBION 5000 INJEKSI
SULFASETAMIDA NATRIUM TETES MATA 15%
TIAMFENIKOL KAPSUL 500MG
TIAMIN (VITAMIN B1) INJ. 100MG/ML
TIAMIN (VITAMIN B1) TABLET 50MG (HCL/NITRAT)
TRAMADOL TABLET 50 MG
TRIFLUOPERAZIN 5 MG
TRIHEKSIFENIDIL TABLET 2MG
URINE BAG

TABLET
TABLET
TABLET
BOTOL
TABLET
TABLET
TABLET
TABLET
AMPUL
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
KAPSUL
KAPSUL
BOTOL
TABLET
TABLET
TABLET
POT
KOTAK
KAPSUL
VIAL
VIAL
VIAL
AMPUL
AMPUL
SET
AMPUL
TABLET
TABLET
TABLET
AMPUL
BOTOL
KAPSUL
AMPUL
TABLET
TABLET
TABLET
TABLET
SET

274
275
276
282

VITAMIN B KOMPLEKS TABLET

BIOLYSIN TABLET
BIOLYSIN SIRUP
ZINC TABLET 20 MG
ALAT SUNTIK 0.05 ML
ALAT SUNTIK 0.5 ML
ANAFILAKTIK SHOK
BRONCHITIN SY
CAVIPLEK SYR
COMBIVENT
DEMACOLIN
HIDROGEN PEROKSIDA LARUTAN 10 % BTL 100ML
HYPAFIK 10 X 5
INTRAVENA 24
JARUM 23
JARUM 24
JARUM 26
JARUM GT 11
JARUM GT 12
JARUM GT 13
KLORAMFENIKOL TETES MATA
LOMATUL
LISOFIT SYR
MDT COMBI
MINICLEAN
MINIDIL
MINILYSE
MINOCLEAR
MINOTROL
NGT 16
PEHAVRAL
RAMADRYL SYR
RISPERIDON 3 MG
RISPERIDON INJ
TETRASIKLIN 500
TETRSIKLIN 250
UNDER PAD
YELLOW TIP
MATA BOOR HS
MATA BOOR LS
CLOZAPINE 100 MG
THF

TABLET
TABLET
BOTOL
TABLET
BIJI
BIJI
SET
BOTOL
BOTOL
AMPUL
TABLET
BIJI
BIJI
BIJI
BIJI
BIJI
BIJI
BIJI
BIJI
BOTOL
BIJI
BOTOL
SET
BOTOL
BOTOL
BOTOL
BOTOL
BOTOL
BIJI
TABLET
BOTOL
TABLET
PAKET
KAPSUL
KAPSUL
BIJI
BIJI
SET
SET
TABLET
BOTOL

OBAT
KETERANGAN