DAFTAR FORMULARIUM PERTAMINA 2015

Kelas, Nama Generik DagangSediaan Dosis Strength Principal

01 GASTROINTESTINAL & HEPATOBILIARY SYSTEM

01a ANTACIDS, ANTIREFLUX AGENTS & ANTIULCERANTS
ALLUMINIUM HYDROXYDE; ETC

ANTASIDA DOEN SUSP 200 mg, 200 mg PT. Sanbe Farma

DEXANTA SUSP 200 mg, 200 PT. Dexa Medica
mg, 20 mg
ANFLAT SUSPENSI SUSP 400 mg, 400 PT. Hexpharm Jaya
mg, 100 mg

ANFLAT TAB 400 mg, 400 PT. Hexpharm Jaya

mg, 100 mg
STROMAG TAB 200 mg, 200 PT. Guardian Pharmatama
mg
ACITRAL TAB 200 mg, 200 PT. Interbat
mg, 20 mg
FAMOTIDINE

LEXMODINE-20 TAB 20 mg PT. Molex Ayus

LANSOPRAZOLE

LANSOPRAZOLE CAPS 30 mg PT. Hexpharm Jaya

LANZOPRAZOLE
LANZOPRAZOLE CAPS 30 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
OMEPRAZOLE

OMEPRAZOLE CAPS 20 mg PT. Hexpharm Jaya

OMEPRAZOLE 20 MG CAPS 20 mg PT. Sanbe Farma

OMEPRAZOLE INJ 40 mg PT. Dexa Medica

OZID IV G INJ 40 mg PT. Darya Varia
RANITIDINE
RANICHO SYR 75 mg/5 ml PT. Nicholas Laboratories Indonesia

RANITIDINE TAB 150 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 150 mg PT. Hexpharm Jaya

ACIBLOCK-300 TAB 300 mg PT. Molex Ayus

RANITIDINE INJ 50 mg/2 ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
INJ 50 mg/2 ml PT. Hexpharm Jaya

1
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

SUCRALFATE

PROFAT SUSP SUSP 500 mg/5 ml PT. Promedrahardjo Farmasi Industri

MUSIN SUSP 500 mg/5 ml Otto Pharmaceutical Industries
NUCRAL SUSP 500 mg/5 ml PT. Guardian Pharmatama

ULSICRAL TAB 500MG TAB 500 mg PT. Ikapharmindo Putramas(Dvc 2)

ULSIDEX 500 MG TAB 500 mg PT. Dexa Medica

01b GIT REGULATORS, ANTIFLATULENTS & ANTI-

INFLAMMATORIES
LACTOBACILLUS ACIDOPHILUS LA-5, BIFIDOBACTERIUM LACTIS

LACTERCON POWD 1,0 x 109 cfu/g

37,5 mg PT. Novell Pharmacutical Labs
LACTOBACILLUS ACIDOPHILUS, BIFIDOBACTERIUM LONGUM, ST
LACTODIA POWD PT. Indofarma (Promedika Branded)
MESALAZINE

MIDODRINE TAB 500 mg PT. Takeda Indonesia (PT. Apex

Pharma Indonesia)

SALOFALK SUPP 500 mg PT. Darya Varia

SULFASALAZINE
SULFITIS TAB 500 mg PT. Pratapa Nirmala & Divisi Ogb

01c ANTISPASMODICS
HYOSCINE N - BUTYLBROMIDE

PARIOS CAPL 10 mg PT. Hexpharm Jaya

SCOPAMIN TAB 10 mg Otto Pharmaceutical Industries

SCOPAMIN INJ 20 mg/ml Otto Pharmaceutical Industries

TIMEPIDIUM BROMIDE

SESDEN CAPS 30 mg PT. Tanabe Indonesia

01d ANTIDIARRHEALS
ATTAPULGITE

NEW DIATABS TAB 600 mg PT. Darya Varia

BIODIAR TAB 630 mg PT. Sandoz Indonesia
KAOLIN, PECTIN
NEOKAOLANA SUSP 700 mg; 50 mg PT. Sanbe Farma
LOPERAMIDE HCL

2
Kelas, Nama Generik Dagang Sediaan Dosis Strength
Principal

LOPAMID TAB 2 mg Harsen Laboratories

LEXADIUM TAB 2 mg PT. Molex Ayus
ZINC
ZANIC SYR 20 mg PT. Nicholas Laboratories Indonesia

ZINCPRO SYR PT. Combiphar

01e LAXATIVES,
PURGATIVES BISACODYL

DULCOLAX TAB TAB 5 mg Boehringer Ingelheim Indonesia

STOLAX SUPP 10 mg PT. Sanbe Farma

DULCOLAX SUP INF SUPP 5 mg Boehringer Ingelheim Indonesia
SODIUM PICOSULFATE
LAXOBERON DROPS 7.5 mg/ml Boehringer Ingelheim Indonesia

01f DIGESTIVES
PANKREATIN 150 MG; DIMETILPOLISILOKAS DAN VIT B

PT. Natura Laboratoria Prima

BERZYMPLEK TAB 112,5 mg
01g CHOLAGOGUES, CHOLELITHOLYTICS & HEPATIC
PROTECTORS URSODEOXYCHOLIC ACID
PT. Novell Pharmacutical Labs
URSODEOXYCHOLIC ACID TAB 250 mg
ESTAZOR TAB 250 mg PT. Pratapa Nirmala & Divisi Ogb

01i ANTIEMETICS
DOMPERIDONE

DOME DROP DROPS 5 mg/ml PT. Promedrahardjo Farmasi Industri

LEXADON SUSP 5 mg PT. Molex Ayus

DOMPERIDONE SYR 5 mg/5 ml PT. Hexpharm Jaya

DOMPERIDONE TAB 10 mg PT. Hexpharm Jaya

DOMPERIDON TAB 10 mg PT. Pratapa Nirmala & Divisi Ogb
DOMET TAB 10 mg PT. Hexpharm Jaya
METOCLOPRAMIDE
PRIMPERAN DROP DROPS 2.6 mg/1 ml PT. Soho Idustri Pharmasi - Alliance
Division
NAUSILE SYR 5 mg/5 ml PT. Promedrahardjo Farmasi Industri

SOTATIC TAB 10 mg PT. Pratapa Nirmala & Divisi Ogb

SOTATIC INJEKSI INJ 10 mg/2 ml PT. Pratapa Nirmala & Divisi Ogb
ONDANSETRON

3
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

CEDANTRON SYR 4 mg Ethica Industri Farmasi (Eagle)

ONDANSETRON INJ 4 mg/2 ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
INJ 4 mg/2 ml PT. Pratapa Nirmala & Divisi Ogb
INJ 8 mg/4 ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
PYRATHIAZINE THEOCLATE, VIT B6
ANVOMER B6 TAB 40 mg, 37.5 mg PT. Dexa Medica

02 CARDIOVASCULAR & HAEMATOPOIETIC SYSTEM

02a CARDIAC DRUGS
AMIODARONE HCL

CORDARONE TAB 200 mg Sanofi Group Indonesia

AMIODARONE HCL INJ 150 mg/3 ml PT. Darya Varia

DIGOXIN
DIGOXIN TAB 0,25 mg PT. Pratapa Nirmala & Divisi Ogb

FARGOXIN TAB 0,25 mg PT. Pratapa Nirmala & Divisi Ogb

FARGOXIN INJ INJ 0,25 mg PT. Pratapa Nirmala & Divisi Ogb
DOBUTAMINE

DOBUTAMINE INJ INJ 250 mg/5 ml PT. Novell Pharmacutical Labs

DOBUTAMIN INJ 50 mg/ml PT. Dexa Medica
DOPAMINE

INDOP INJ INJ 40 mg/ml PT. Pratapa Nirmala & Divisi Ogb
02b ANTI-ANGINAL DRUGS
GLYCERIL TRINITRATE

NITROKAF RETARD CAPS 2,5 mg PT. Kimia Farma (Persero), Tbk

NITRAL TAB 0,5 mg PT. Dipa Pharmalab Intersains
ISOSORBIDE DINITRATE
ISSOSORBIDE DINITRAT TAB 5 mg PT. Pratapa Nirmala & Divisi Ogb

FARSORBID TAB 5 mg PT. Pratapa Nirmala & Divisi Ogb

VASCARDIN TAB 10 mg PT. Nicholas Laboratories Indonesia

FARSORBID TAB 10 mg PT. Pratapa Nirmala & Divisi Ogb

4
 CEDOCARD INJ 10 mg/10 ml PT. Darya Varia
ISOSORBIDE MONONITRATE

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

CARDISMO TAB 20 mg PT. Phapros, Tbk

02c ACE INHIBITORS
CAPTOPRIL

CAPTOPRIL TAB 12,5 mg PT. Indofarma,Tbk.

TAB 25 mg PT. Indofarma,Tbk.
TAB 12,5 mg PT. Hexpharm Jaya
CAPTOPRIL 25/200 MG TAB 25 mg PT. Kimia Farma (Persero), Tbk
CAPTENSIN TAB 25 mg PT. Hexpharm Jaya
CAPTOPRIL TAB 50 mg PT. Hexpharm Jaya
LISINOPRIL

LISINOPRIL TAB 5 mg PT. Novell Pharmacutical Labs

TAB 10 mg PT. Novell Pharmacutical Labs
RAMIPRIL
RAMIPRIL

TAB 2,5 mg PT. Dexa Medica

TAB 5 mg PT. Novell Pharmacutical Labs
TAB 5 mg PT. Dexa Medica
TAB 10 mg PT. Novell Pharmacutical Labs
CARDACE TAB 2,5 mg Sanofi Group Indonesia

02d BETA-BLOCKERS
ATENOLOL

FARNORMIN TAB 50 mg PT. Pratapa Nirmala & Divisi Ogb

BETABLOK TAB 100 mg PT. Hexpharm Jaya
BISOPROLOL

BISOPROLOL TAB 5 mg PT. Hexpharm Jaya

TAB 5 mg PT. Dexa Medica
CONCOR TAB 2,5 mg Merck Serono - PT. Merck Tbk
TAB 1,25 mg Merck Serono - PT. Merck Tbk
CARVEDILOL
CARBLOXAL

TAB 6,25 mg PT. Sandoz Indonesia

VBLOC TAB 25 mg PT. Kalbe Farma

5
 PROPANOLOL
PROPANOLOL TAB 10 mg PT. Dexa Medica
TAB 40 mg PT. Dexa Medica
02e CALCIUM ANTAGONISTS
AMLODIPINE

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

AMLODIPINE TAB 5 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 5 mg PT. Hexpharm Jaya

AMLODIPIN TAB 5 mg PT. Dexa Medica

TAB 10 mg PT. Dexa Medica

AMLODIPINE TAB 10 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 10 mg PT. Hexpharm Jaya

DILTIAZEM HCL

DILTIAZEM HCL TAB 30 mg PT. Indofarma,Tbk.

DILTIAZEM TAB 30 mg PT. Dexa Medica

DILBRES TAB 60 mg Harsen Laboratories

DILMEN TAB 60 mg PT. Sanbe Farma

CORDILA SR TAB 180 mg PT. Dexa Medica

FARMABES INJ 5 mg/ml PT. Pratapa Nirmala & Divisi Ogb

NICARDIPINE

CARSIVE INJ 10 mg Landson Pertiwi Agung

NIFEDIPINE

NIFEDIPIN TAB 10 mg PT. Dexa Medica

VERAPAMIL

VERAPAMIL 80 MG
TAB 80 mg PT. Kimia Farma (Persero), Tbk
02f ANGIOTENSIN II
ANTAGONISTS IRBESARTAN

IRBESARTAN CAPL 150 mg PT. Indofarma,Tbk.

CAPL 300 mg PT. Indofarma,Tbk.
IRBEDOX TAB 150 mg PT. Sandoz Indonesia
IRBESARTAN TAB 150 mg PT. Ethica Industri Farmasi

6
 IRBESARATN TAB 300 mg PT. Ethica Industri Farmasi
LOSARTAN
LOSARTAN TAB 50 mg PT. Hexpharm Jaya

LOSARTAN KALIUM TAB 50 mg PT. Novell Pharmacutical Labs

02g OTHER ANTI

HYPERTENSIVES CLONIDINE
HCL

CLONIDINE 0,15 MG TAB 150 mcg PT. Kimia Farma (Persero), Tbk

CATAPRES INJ 150 mcg/ml Boehringer Ingelheim Indonesia

MANNITOL , OSMOLARITY

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

INFUSAN M20 INF 200 G/1000 ml, PT. Sanbe Farma

1098 Mosm/L
02h DIURETICS
FUROSEMIDE

FUROSEMIDE TAB 40 mg PT. Pratapa Nirmala & Divisi Ogb

TAB 40 mg PT. Indofarma,Tbk.

FUROSEMIDE INJ 10 mg/ml PT. Indofarma,Tbk.

FARSIX INJ 10 mg/ml PT. Pratapa Nirmala & Divisi Ogb
HCT

H.C.T (HYDROCHLORTIAZIDE) TABL 25 mg PT. Kimia Farma (Persero), Tbk

SPIRONOLACTONE

SPIRONOLACTON TAB 25 mg PT. Dexa Medica

TAB 100 mg PT. Dexa Medica
CARPIATON TAB 100 mg PT. Pratapa Nirmala & Divisi Ogb

02j PERIPHERAL VASODILATORS & ATORS

CEREBRAL ACTIV
CO-DERGOCRINE MESYLATE
4,5 mg
EXERGIN 4.5 TAB PT. Guardian Pharmatama
02k VASOCONSTRICTORS
EPHEDRINE

EPHEDRIN 25 MG TABLET
TAB 25 mg PT. Kimia Farma (Persero), Tbk
EPINEPHRINE

EPINEPHRINE INJ 1 mg/1ml PT. Ethica Industri Farmasi

7
 NOREPINEPHRINE

RAIVAS
INJ 1 mg/ml PT. Dexa Medica
02l DYSLIPIDEMIC AGENTS
ATORVASTATIN

ATORVASTATIN TAB 20 mg PT. Yarindo Farmatama

ATORWIN TAB 20 mg Sanofi Group Indonesia
TAB 10 mg Sanofi Group Indonesia
ATOFAR TAB 40 mg PT. Pratapa Nirmala & Divisi Ogb
FENOFIBRATE
HICHOLFEN CAPS 100 mg Harsen Laboratories

FENOFIBRATE CAPS 100 mg PT. Hexpharm Jaya

HICHOLFEN CAPS 300 mg Harsen Laboratories

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

FENOFIBRATE CAPS 300 mg PT. Hexpharm Jaya

ZUMAFIB CAPS 300 mg PT. Sandoz Indonesia
GEMFIBROZIL

ZILOP 600 MG CAPL 600 mg PT. Nicholas Laboratories Indonesia

PRAVASTATIN
PRAVASTATIN TAB 20 mg PT. Novell Pharmacutical Labs

PRAVINAT TAB 10 mg PT. Interbat

SIMVASTATIN

SINOVA CAPS 10 mg PT. Combiphar

SIMVASTATIN TAB 10 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
ESVAT 20 MG TAB 20 mg PT. Dexa Medica

SIMVASTATIN TAB 20 mg PT. Hexpharm Jaya

02mHAEMOSTATICS
ASAM TRANEKSAMAT

ASAM TRANEKSAMAT TAB 500 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
LEXATRANS-250 TABCAPS 250 mg PT. Molex Ayus

ASAM TRANEKSAMAT INJ 250 mg/5 ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TRANEXAMIC ACID INJ 100 mg/ml PT. Hexpharm Jaya
ASAM TRANEKSAMAT 250 MG INJ 250 mg/5 ml PT. Novell Pharmacutical Labs
ASAM TRANEKSAMAT 500 MG INJ 100 mg/ml PT. Novell Pharmacutical Labs

8
 FACTOR VII REKOMBINAN

NOVOSEVEN INJ 1 mg PT. Novo Nordisk Indonesia

FACTOR VIII

8Y 250 IU/ 10ML INJ 250 iu PT. Ikapharmindo Putramas(Dvc 2)

8Y 500 IU/ 20ML INJ 500 iu PT. Ikapharmindo Putramas(Dvc 2)
FAKTOR II, VII, IX DAN X

COFACT INJ 500 IU PT. Satya Abadi Pharma

02n ANTICOAGULANTS, & TICS TICS)
ANTIPLATELETS FIBRINOL (THROMBOLY
ACETYL SALYCILIC ACID Y
PT. Nicholas Laboratories Indonesia
APTOR 100 mg
TAB
ASPILET TAB 80 mg PT. Darya Varia
THROMBO ASPILET TAB 80 mg PT. Darya Varia
CARDIO ASPIRIN TAB 100 mg PT. Bayer Indonesia
ANAGRELIDE HCL

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

TROMBOREDUCTINE CAPS 0.5 mg PT. Combiphar

BERAPROST SODIUM

DORNER TAB 20 mcg PT. Astellas Pharma Indonesia

CILOSTAZOLE

AGGRAVAN TAB 50 mg PT. Ferron Par Pharmaceuticals

NALETAL 50 TAB 50 mg PT. Guardian Pharmatama
CILOSTAZOLE TAB 100 mg PT. Natura Laboratoria Prima
NALETAL 100 TAB 100 mg PT. Guardian Pharmatama
CLOPIDOGREL

CLOPIDOGREL TAB 75 mg PT. Hexpharm Jaya

TAB 75 mg PT. Dexa Medica
CLOPISAN TAB 75 mg PT. Sandoz Indonesia
DIPYRIDAMOLE

PERSANTIN TAB 75 mg Boehringer Ingelheim Indonesia

ENOXAPARIN NA

LOVENOX SYR 0.2 ml Sanofi Group Indonesia

SYR 0.4 ml Sanofi Group Indonesia

9
 SYR 0.6 ml Sanofi Group Indonesia
FONDAFARINUX

ARIXTRA INJ 2.5 ml/0.5 ml Glaxo Smith Kline

HEPARIN NA

VAXCEL HEPARIN SODIUM INJ 5000 iu PT. Bbraun Medical Indonesia

PHYTOMENADIONE

NEO - K INJ 2 mg/ml PT. Combiphar

STREPTOKINASE

STREPTASE INJ 1.500.000IU PT. Dexa Medica

WARFARIN
SIMARC TAB 2 mg PT. Pratapa Nirmala & Divisi Ogb

02r HAEMOTOPOIETICS
AGENTS ERYTHROPOEITIN

RECORMON INJ 2000 iu PT. Roche Indonesia

EPOTREX INJ 2000 IU PT. Novell Pharmacutical Labs

INJ 4000 IU PT. Novell Pharmacutical Labs

10
Kelas, Nama Generik DagangSediaan Dosis Strength Principal

03 RESPIRATORY SYSTEM
03b ANTIASTHMATICS & COPD PREPARATIONS
AMINOPHYLLINE

AMINOPHYLLINE TAB 200 mg PT. Indofarma,Tbk.

PHAMINOV INJ 24 mg PT. Phapros, Tbk

BUDESONIDE

PULMICORT RESP 0.5 mcg/ml PT. Astrazeneca Indonesia

FLUTICASONE PROPIONATE

FLUTIAS INH 50 mcg PT. Kalbe Farma

INH 125 mcg PT. Kalbe Farma
AVAMYS NASAL SPR 27.5 mcg Glaxo Smith Kline
PROCATEROL
OBUCORT SWINGHALER INH 200 mcg/PUFF PT. Otsuka Indonesia

ATAROC SYR 25 mcg/5 ml PT. Novell Pharmacutical Labs

MEPTIN SYRUP SYR 5 mcg/ml PT. Otsuka Indonesia

TAB 25 mcg PT. Novell Pharmacutical Labs

ATAROC
SALBUTAMOL

PT. Pratapa Nirmala & Divisi Ogb

FARTOLIN CAIRAN INHALASI INH 5 mg/5 ml
VENTOLIN INHALER MDI 100 mcg Glaxo Smith Kline
VENTOLIN NEBULES NEBULES 2,5 mg Glaxo Smith Kline

SALBUTAMOL SYR 2 mg/5 ml PT. Indofarma,Tbk.

SALBRON SYR 2 mg/5 ml PT. Hexpharm Jaya

SALBUTAMOL TAB 2 mg PT. Pratapa Nirmala & Divisi Ogb

TAB 4 mg PT. Pratapa Nirmala & Divisi Ogb

FARBIVENT INJ 2,5 mg PT. Pratapa Nirmala & Divisi Ogb

COMBIVENT INJ 2,5 mg/2,5 ml Boehringer Ingelheim Indonesia
SALMETEROL; FLUTICASONE PROPIONATE
SERETIDE DISKUS DPI 50/100 mcg Glaxo Smith Kline
TERBUTALINE

BRICASMA RESP 0,25 mcg/ml PT. Astrazeneca Indonesia

FORASMA SYRUP 1.5 mg/5 ml PT. Guardian Pharmatama

11
Kelas, Nama Generik DagangSediaan Dosis Strength Principal
SYR

NAIRET TAB 2,5 mg Otto Pharmaceutical Industries

NAIRET INJ 0,5 mg/ml Otto Pharmaceutical Industries

THEOPHYLLIN
BRONSOLVAN SYR 150 mg/15ml PT. Hexpharm Jaya

BRONSOLVAN TAB 150 mg PT. Hexpharm Jaya

ASMASOLON TAB 130 mg PT. Darya Varia
TIOTROPIUM BR

CAPS 18 mcg Boehringer Ingelheim Indonesia

SPIRIVA
03c COUGH & COLD
PREPARATIONS AMBROXOL

EPEXOL DROPS 15 mg PT. Sanbe Farma

DROPS 15 mg/ml Otto Pharmaceutical Industries
AMBROXOL SYR 15 mg/5 ml PT. Sanbe Farma
AMBROXOL HCL SYR 15 mg/5 ml PT. Indofarma,Tbk.
AMBROXOL SYR 30 mg/5 ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
MOLAPECT 30 MG/5 ML SYR 30 mg PT. Molex Ayus

AMBROXOL HCL TAB 30 mg

AMBROXOL TAB 30 mg

BROMHEXINE HCL

BISOLVON SOL DROPS 4 mg/2 ml Boehringer Ingelheim Indonesia

LEXAVON SYR 4 mg PT. Molex Ayus
MUCOSOLVAN SYR 4 mg/5 ml PT. Hexpharm Jaya

LEXAVON TAB 8 mg PT. Molex Ayus

THEPHIDRON TAB 8 mg PT. Combiphar

INJ 4 mg/2 ml Boehringer Ingelheim Indonesia

BISOLVON AMP
CODEIN; ETC

CODIPRONT SYR SYR 11,11 mg/5 ml PT. Kimia Farma (Persero), Tbk

CODEIN TABLET 15 MG TAB 15 mg PT. Kimia Farma (Persero), Tbk

DEXTROMETHORPHAN HBR, CHLORPHENIRAMINE MALEATE, PS
HUSTADIN 5 mg PT. Guardian Pharmatama
DEXTROMETHORPHAN; ETC

12
Kelas, Nama Generik DagangSediaan Dosis Strength Principal
SYR

DEXTROSIN SYR 12.5 mg/5 ml Otto Pharmaceutical Industries

IKADRYL DMP SYR PT. Ikapharmindo Putramas(Dvc 2)

DEXTROSIN TAB 15 mg Otto Pharmaceutical Industries

DIPHENHYDRAMINE HCL
INADRYL EXPECT SYR 12,5 mg, 135 PT. Interbat
mg, 2,5 mg/5
ml
SANADRYL SYR 12.5 mg PT. Sanbe Farma

SIDIADRYL INJ 10 mg/ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
LORATADINE; PSEUDOEPHEDRINE SULFATE

ALDISA SR CAPS 5 mg; 120 mg PT. Sanbe Farma

N-ACETYLCYSTEINE
FLUIMUCIL PEDIATRIC SACHET GR 100 mg PT. Zambon Indonesia 2.803 BRONCHOLIT SYR 250 mg PT.
Nicholas Laboratories Indonesia 15.000

ACETYLCYSTEIN CAPL 200 mg PT. Indofarma,Tbk.

ACETYLCYSTEINE CAPS 200 mg PT. Novell Pharmacutical Labs

INJ 300 mg/3 ml PT. Pratapa Nirmala & Divisi Ogb

N-ACE
PARACETAMOL; ETC

ALPARA SYR 125 mg ; PT. Molex Ayus

3,75 mg ;
3,125 mg ;
0,5 mg

FLUTAB CAPSTAB PT. Guardian Pharmatama

TUZALOS CAPSTAB 500 mg; 10 mg PT. Sanbe Farma
PSEUDOEPHEDRINE HCL
ALCO ORAL DROP7,5 mg per 0,8 PT. Interbat
ml
PSEUDOEPHEDRINE, TERFENADINE

RHINOFED SYR 15 mg, 20 mg PT. Dexa Medica

RHINOFED TAB 40 mg, 30 mg PT. Dexa Medica

TRIPROLIDINE HCL
NICHOFED 1.25 mg PT. Nicholas Laboratories Indonesia
NICHOFED TAB 2,5 mg PT. Nicholas Laboratories Indonesia
TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL

13
Kelas, Nama Generik DagangSediaan Dosis Strength Principal
SYR
TRIFEDRIN SYR 1.25 mg/5 ml Otto Pharmaceutical Industries

TRIFEDRIN TAB 2,5 mg Otto Pharmaceutical Industries

03d NASAL DECONGESTANT & OTHER NASAL PREPARATIONS

MOMETASONE FUROATE

NASONEX SPRAY 60 MDS PT. Msd Pharma Tbk

04 CENTRAL NERVOUS
SYSTEM
04a ANXIOLYTICS
ALPRAZOLAM

ALPRAZOLAM TAB 0,25 mg PT. Dexa Medica

TAB 0,50 mg PT. Dexa Medica
ALPRAZOLAM 0,5 MG TABLET TAB 0,5 mg PT. Kimia Farma (Persero), Tbk
CLOBAZAM
CLOBAZAM TAB 10 mg PT. Dexa Medica
DIAZEPAM

VALISANBE TAB 5 mg PT. Sanbe Farma

VALISANBE INJ 10 mg/2 ml PT. Sanbe Farma

TRAZEP RECT TUBE 5 mg PT. Pratapa Nirmala & Divisi Ogb

RECT TUBE 10 mg PT. Pratapa Nirmala & Divisi Ogb

04b HYPNOTICS &

SEDATIVES ESTAZOLAM

ESILGAN PT. Takeda Indonesia (PT.

TAB 1 mg Apex Pharma Indonesia)
04c ANTIDEPRESSANTS
AMITRIPTYLINE

AMITRIPTYLINE TAB 25 mg PT. Indofarma,Tbk.

FLUOXETINE
FORANSI CAPS 10 mg PT. Gracia Pharmindo

OXIPRESS CAPS 20 mg PT. Sandoz Indonesia

SERTRALINE

14
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

ANTIPRESS TAB 50 mg PT. Sandoz Indonesia

04d ANTIPSYCHOTICS
ARIPIPRAZOLE

ABILIFY DISCMELT 10 MG TAB 10 mg PT. Otsuka Indonesia

CHLORPROMAZINE

PROMACTIL TAB 100 mg PT. Combiphar

CLOZAPINE

NUZIP 25 TAB 25 mg PT. Guardian Pharmatama

NUZIP 100 TAB 100 mg PT. Guardian Pharmatama
HALOPERIDOL
SERENACE LIQUID DROPS 15 ml PT. Soho Idustri Pharmasi - Alliance
Division

HALOPERIDOL TAB 0,5 mg PT. Pratapa Nirmala & Divisi Ogb

TAB 1,5 mg PT. Pratapa Nirmala & Divisi Ogb
GOVOTIL 2 TAB 2 mg PT. Guardian Pharmatama

GOVOTIL INJEKSI INJ 5 mg/ml PT. Guardian Pharmatama

OLANZAPINE

OLANDOZ TAB 5 mg PT. Sandoz Indonesia

RISPERIDONE

RIPERIDONE TAB 2 mg PT. Dexa Medica

ZOFREDAL TABCAPS 1 mg PT. Kalbe Farma
SULPIRIDE

DOGMATIL 50 CAP PT. Soho Idustri Pharmasi -

TAB 50 mg Alliance Division
04e Anticonvulsant
CARBAMAZEPINE

TEGRETOL
TAB 200 mg PT. Novartis Indonesia
LAMOTRIGINE

LAMICTAL TAB 50 mg Glaxo Smith Kline

OXCARBAZEPINE

TRILEPTAL TAB 300 mg PT. Novartis Indonesia

PHENOBARBITAL
FENOBARBITAL TABLET 30 MG TAB 30 mg PT. Kimia Farma (Persero), Tbk 439

15
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

PHENTAL INJ 100 mg/ml PT. Combiphar

PHENYTOIN NA

DECATONA CAPS 100 mg Harsen Laboratories

IKAPHEN INJ 100 mg/2 ml PT. Ikapharmindo Putramas

PREGABALIN

LYRICA CAPS 75 mg PT. Pfizer Indonesia

CAPS 150 mg PT. Pfizer Indonesia
TOPIRAMATE

TOPAMAX PT. Soho Idustri Pharmasi - Alliance

TAB 25 mg Division
VALPROIC ACID
VALEPTIK SYR 250 mg/5 ml Otto Pharmaceutical Industries

DEPAKOTE ER TAB 250 mg PT. Abbott Indonesia

04f ANTICONVULSANTS
METHYLPHENIDATE

RITALIN LA CAPS 20 mg PT. Novartis Indonesia

04g NEURODEGENERATIVE DISEASE DRUGS
DONEPHEZILE HCL

ALMEN TAB 5 mg PT. Guardian Pharmatama

GALANTAMINE

PT. Soho Idustri Pharmasi - Alliance

REMINYL TAB 8 mg Division
04h ANTIPARKINSONIAN
DRUGS
LEVODOPA, BENSERAZIDE

LEPARSON 25MG TAB 100 mg PT. Dexa Medica

PRAMIPEXOLE DIHCL
SIFROL TAB 0,125 mg Boehringer Ingelheim Indonesia

TAB 0,25 mg Boehringer Ingelheim Indonesia

TRIHEXYPHENIDYL HCL

PARKINAL TAB 2 mg Harsen Laboratories

04i ANTIPARKINSONIAN DRUGS
BETAHISTINE

16
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

LEXIGO TAB 6 mg PT. Molex Ayus

NOVERTY TABLET TAB 6 mg PT. Novell Pharmacutical Labs
BETAHISTIN TAB 6 mg PT. Dexa Medica
DIMENHYDRINATE

DRAMAMINE TAB 50 mg PT. Taisho Pharmaceutical Indonesia

04j ANALGESICS (OPIOID)
MORPHINE

MORFINA 10 MG/ML INJEKSI

INJ 10 mg/ml PT. Kimia Farma (Persero), Tbk
PETHIDINE
PETHIDIN HCL 50 MG/ML INJEKSI INJ 50 mg PT. Kimia Farma (Persero), Tbk 11.992 TRAMADOL

TRAMADOL 50 MG CAPS 50 mg PT. Sanbe Farma

TRAMADOL CAPS 50 mg PT. Pratapa Nirmala & Divisi Ogb

TRAMADOL HCL INJ 50 mg/ml PT. Indofarma,Tbk.

TRAMADOL INJ 100 mg/2 ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
TRAMADOL 100 MG/2 ML INJ INJ 100 mg/2 ml PT. Novell Pharmacutical Labs

04k ANALGESICS (NON-OPIOID) &

ANTIPYRETICS PARACETAMOL

PT. Molex Ayus

ALPHAMOL DROPS 60 mg/0,6 ml
MORETIC DROPS 60 mg/0,6 ml PT. Gracia Pharmindo
PARACETAMOL SYR 120 mg/5 ml PT. Sanbe Farma
SYR 120 mg/5 ml PT. Indofarma,Tbk.
NAPREX SYR 250 mg/5 ml PT. Darya Varia
TEMPRA FORTE SYR 250 mg/5 ml PT. Taisho Pharmaceutical Indonesia

PARACETAMOL 500 MG TAB 500 mg PT. Sanbe Farma

SANMOL TAB 500 mg PT. Sanbe Farma
PARACETAMOL TABCAPL 500 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

PARACETAMOL INF 1g PT. Darya Varia

PORO SUPPOS SUPP 125 mg/5 ml Ethica Industri Farmasi (Eagle)

SUPP 250 mg Ethica Industri Farmasi (Eagle)

04l NONSTEROIDAL ANTI-INFLAMMATORY

AGENTS (NSAIDs) ASAM MEFENAMAT

ASAM MEFENAMAT CAPL 500 mg PT. Hexpharm Jaya

17
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

ASAM MEFENAMAT CAPL 500 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
ASAM MEFENAMAT 500 MG CAPL 500 mg PT. Sanbe Farma
IBUPROFEN
LEXAPROFEN SUSP 100 mg PT. Molex Ayus
BUFECT SUSP 100 mg/5 ml PT. Sanbe Farma

IBUPROFEN TAB 200 mg PT. Indofarma,Tbk.

TAB 400 mg PT. Pratapa Nirmala & Divisi Ogb
TAB 400 mg PT. Indofarma,Tbk.
OSTARIN TAB 200 mg Otto Pharmaceutical Industries
INDOMETASIN

DIALON CAPS 100 mg PT. Eisai Indonesia

KETOPROFEN
KETOPROFEN TAB 50 mg PT. Hexpharm Jaya
TAB 100 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

KETOPROFEN INJ 100 mg/ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
INJ 25 mg/ml PT. Hexpharm Jaya

PROFENID SUPP 100 mg Sanofi Group Indonesia

PRONALGES SUPP 100 mg PT. Dexa Medica
MELOXICAM

MELOXICAM PT. Bernofarm Pharmaceutical

TAB 7,5 mg Company ( Ogb Division )
TAB 7,5 mg PT. Dexa Medica
TAB 15 mg PT. Hexpharm Jaya
TAB 15 mg PT. Dexa Medica
NATRIUM DIKLOFENAK
NATRIUM DIKLOFENAC TAB 50 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
RENADINAC TAB 25 mg PT. Pratapa Nirmala & Divisi Ogb

NATRIUM DICLOFENAC TAB 50 mg PT. Novell Pharmacutical Labs

DICLOFLAM-25 TAB 25 mg PT. Molex Ayus

RENADINAC TAB 50 mg PT. Pratapa Nirmala & Divisi Ogb

VOLTAREN SUPP SUPP 50 mg PT. Novartis Indonesia

PIROXICAM

18
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

PIROXICAM TAB 10 mg PT. Pratapa Nirmala & Divisi Ogb

TAB 10 mg

TAB 20 mg

04mDRUGS FOR
NEUROPATHIC PAINT
GABAPENTINE

GANIN CAPS 300 mg

GABEXAL TAB 100 mg

MECOBALAMIN

MECOBALAMINE INJ INJ 500 mcg/ml

LANABAL INJ 500 mcg/ml

04n ANTIMIGRAINE
PREPARATIONS
ERGOTAMINE

ERGOTAMINE COFFEINE 1
MG-50 TAB 1 mg
FLUNARIZINE

FLUNARIZIN TAB 5 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 10 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

METHYL ERGOMETRINE
METHYLERGOMETRINE 0,125 TAB 0,125 mg PT. Kimia Farma (Persero), Tbk
MG
04p NOOTROPICS &
NEUROTONICS CITICOLINE

CITICHOLINE TAB 500 mg PT. Hexpharm Jaya

CITICOLIN TAB 1000 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

CITICOLINE INJ 250 mg/2 ml PT. Hexpharm Jaya

CITICOLINE 250 MG/ 2ML INJ INJ 250 mg/2 ml PT. Novell Pharmacutical Labs
CITICOLIN INJ 1000 mg/8 ml PT. Dexa Medica
SERFAC INJ 500 mg/4 ml Otto Pharmaceutical Industries
NIMODIPINE
CEREMAX INF 0.2 mg/ml PT. Kalbe Farma
PIRACETAM

19
 PIRACETAM CAPL 1200 mg PT. Hexpharm Jaya
TAB 800 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
TAB 800 mg PT. Dexa Medica

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

PIRACETAM TAB 1200 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )

PIRACETAM INF 12 g PT. Dexa Medica

INJ 1 g/5 ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
INJ 3 g/15 ml PT. Hexpharm Jaya

05 MUSCULO-SKELETAL SYSTEM
05a Disease-Modifying Anti-Rheumatic Drugs
(DMARDs) AZATHIOPRINE

Glaxo Smith Kline

IMURAN TAB 50 mg
05b DISEASE MODIFYING ANTI RHEUMATIC DRUGS
ALLOPURINOL

ALLOPURINOL TAB 100 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 100 mg PT. Hexpharm Jaya
TAB 300 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
PRITANOL-300 TAB 300 mg PT. Molex Ayus
COLCHICINE

RECOLFAR TAB 0,5 mg PT. Pratapa Nirmala & Divisi Ogb

05c MUSCLE RELAXANTS
EPERISONE HCL

EPERISONE HCL
TAB 50 mg PT. Novell Pharmacutical Labs
EPSONAL TAB 50 mg Pyridam Farma Tbk
ROCURONIUM

NOVERON INJ 50 mg PT. Novell Pharmacutical Labs

ESMERON INJ 10 mg/ml PT. Msd Pharma Tbk
TIZANIDINE
TIZACOM

TAB 2 mg PT. Combiphar

05e
NEOSTIGMINE METHYLSULFATE

NEOSTIGMIN HAMELN
INJ 0,5 mg/ml PT. Combiphar
PYRIDOSTIGMINE BR

20
 MESTINON TAB 60 mg PT. Transfarma Medica Indah

05f MUSCLE RELAXANTS

HYALURONIC ACID
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

HYALGAN INJ 10 mg PT. Combiphar

ADANT DISPO SYRNG 25 mg/2,5 ml PT. Meiji Indonesia

06 HORMONES
06a ANDROGENTS & RELATED
SYNTHETIC DRUGS DANAZOL

AZOL CAPS 200 mg Merck Serono - PT. Merck Tbk

06b OESTROGENTS & PROGESTERONES & RELATED
SYNTHETICS DRUGS ALLYLESTRENOL

PREMASTON TAB 5 mg PT. Kalbe Farma

DROSPIRENONE, ESTRADIOL (AS ESTRADIOL HEMIHYDRATE)

ANGELIQ TAB 2 mg, 1 mg PT. Bayer Indonesia

DYDROGESTERONE

DUPHASTON TAB 10 mg PT. Abbott Indonesia

ESTRADIOL VALERAT (WHITE TABLET), ESTRADIOL VALERAT, N

2 mg/ml, 0.5
CYCLO PROGYNOVA TAB mg PT. Bayer Indonesia
ETHINYL ESTRADIOL

LYNORAL TAB 0,05 mg PT. Msd Pharma Tbk

MEDROXYPROGESTERONE ACETATE

PROVERA TAB 5 mg PT. Pfizer Indonesia

TAB 10 mg PT. Pfizer Indonesia
TAB 100 mg PT. Pfizer Indonesia
NOMEGESTROL ACETATE

LUTENYL TAB 5 mg Merck Serono - PT. Merck Tbk

NORETHISTERONE
NORESTIL TAB 5 mg PT. Guardian Pharmatama

06d CORTICOSTEROID
HORMONES DEXAMETHASONE

DEXAMETHASON CAPL 0,5 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
DEXAMETHASONE 0,5 MG TAB 0,5 mg PT. Sanbe Farma

21
 DEXAMETHASONE INJ 5 mg/ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
METHYL PREDNISOLONE
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

METHYLPREDNISOLON TAB 4 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
METHYLPREDNISOLONE TAB 4 mg PT. Hexpharm Jaya
METHYLPREDNISOLON TAB 8 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
TAB 8 mg PT. Dexa Medica
TAB 16 mg PT. Dexa Medica
METHYLPREDNISOLONE TAB 16 mg PT. Hexpharm Jaya

METHYLPREDNISOLON INJ 125 mg PT. Dexa Medica

PHADILON INJ 125 mg PT. Phapros, Tbk
TRIAMCINOLONE

PT. Novell Pharmacutical Labs

TRIAMCINOLONE TAB 4 mg
TAB 10 mg PT. Dexa Medica
TRINOLON TAB 4 mg PT. Kimia Farma (Persero), Tbk

AMTOCORT INJ 40 mg/ml PT. Pharos Indonesia

06e TROPHIC HORMONES & RELATED SYNTHETICS DRUGS

CLOMIPHENE CITRATE

FERTIN TAB 50 mg

07 CONTRACEPTIVE
AGENTS
07a ORAL CONTRACEPTIVES
DESOGESTREL

CERAZETTE TAB 75 mcg

DROSPIRENONE, ETHYNIL ESTRADIOL

3.000 mg,
YAZ TAB 0.020 mg
ETHINYL ESTRADIOL, DESOGESTREL
TAB
MARVELON GOLD
30 mcg, 150
mcg
MERCILON GOLD TAB 20 mcg, 150
mcg
LEVONORGESTREL; ETHINYLESTRADIOL

22
 MIKRODIOL TAB 150 mcg PT. Kimia Farma (Persero), Tbk

07b DEPOT CONTRACEPTIVES

MEDROXYPROGESTERONE ACETATE

DEPO PROGESTIN INJ 50 mg/3ml Harsen Laboratories

GESTIN F1 INJ 50 mg/0,5 ml Harsen Laboratories
DEPO PROGESTIN 150 MG INJ 150 mg/1ml Harsen Laboratories
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

08 Anti-Infectives Systemes
08a AMINOGLYCOSIDES
AMIKACIN SULFATE

MIKASIN INJ 500 mg/2 ml PT. Kalbe Farma

GENTAMYCINE
SALTICIN INJ 80 mg/2 ml PT. Interbat
KANAMYCIN SULFATE

INJ 1g PT. Meiji Indonesia

KANAMYCIN MEIJI
08b CEPHALOSPORINS
CEFACLOR

CLORACEF DS FORTE SYR 250 mg Ethica Industri Farmasi (Eagle)

CLORACEF TAB 500 mg Ethica Industri Farmasi (Eagle)

CEFADROXIL
RENASISTIN OD DROPS 150 mg/ml PT. Pratapa Nirmala & Divisi Ogb
CEFADROXIL SYR 125 mg/5 ml PT. Hexpharm Jaya
SYR 250 mg/5 ml PT. Novell Pharmacutical Labs

CEFADROXIL CAPS 500 mg

CAPS 500 mg

CEFALEXIN

CEFALEXIN CAPS 500 mg

CEFEPIME

DARYACEF G INJ 1g PT. Darya Varia

CEFEPIME 1 G INJ 1g PT. Novell Pharmacutical Labs
CEFIXIME

CEFIXIME SYR 100 mg/5 ml PT. Hexpharm Jaya

SYR 100 mg/5 ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

23
 CEFIXIME CAPL 200 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
CAPS 100 mg PT. Hexpharm Jaya
CAPS 100 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
CAPS 200 mg PT. Novell Pharmacutical Labs
CEFOPERAZONE
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

CEFOPRAZON INJ 1g PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
CEFOTAXIME

CEFOTAXIME PT. Bernofarm Pharmaceutical

INJ 1g Company ( Ogb Division )
INJ 1g PT. Dexa Medica
INJ 0.5 g PT. Hexpharm Jaya
CEFPIROME

PT. Bernofarm Pharmaceutical

CEFPIROME INJ 1g Company ( Ogb Division )
INJ 1g PT. Natura Laboratoria Prima
CEFTAZIDIME

CEFTAZIDIME INJ 1g PT. Dexa Medica

CEFTRIAXONE
CEFTRIAXONE INJ 1g PT. Dexa Medica

INJ 1g PT. Hexpharm Jaya

CEFUROXIME

ZINNAT 500 MG TAB 500 mg Glaxo Smith Kline

ANBACIM INJ 1g PT. Sanbe Farma

08c PENICILLINS
AMOXYCILLIN

AMOXSAN DROPS 100 mg/ml PT. Sanbe Farma

AMOXICILLIN SYR 125 mg/5 ml PT. Sanbe Farma
SYR 125 mg/5 ml PT. Hexpharm Jaya
TOPCILLIN DS SYR 250 mg/5 ml PT. Hexpharm Jaya
NOVAX SYR 250 mg/5 ml PT. Gracia Pharmindo

AMOXICILLIN CAPL 500 mg PT. Hexpharm Jaya

AMOXYCILLIN CAPL 500 mg PT. Dexa Medica
AMOXICILLIN 250 MG CAPS 250 mg PT. Sanbe Farma

24
 AMOXICILLIN CAPS 500 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
PROCAINE BENZYL PENICILLIN
PROCAIN PENICILLIN-G MEIJI INJ 3000000 Ui PT. Meiji Indonesia

08d OTHER BETA-LACTAMS

MEROPENEM

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

MEROPENEM INJ 1g PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
INJ 500 mg PT. Dexa Medica
INJ 1g PT. Hexpharm Jaya

08e CHLORAMPHENICOLS
CHLORAMPHENICOL

CHLORAMPHENICOL SYR 125 mg/5 ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )

CHLORAMPHENICOL TAB 250 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
THIAMPHENICOL
THIAMFILEX DRY SYR 125 mg/5 ml PT. Molex Ayus

THIAMPHENICOL 500 MG CAPS 500 mg PT. Sanbe Farma

THIAMPENICOL CAPS 500 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
BHIOTICOL CAPS 250 mg PT. Sanbe Farma

08f MACROLIDES
AZITHROMYCIN

PT. Ethica Industri Farmasi

AZITHROMYCIN SYR 200 mg/5 ml
SYR 200 mg/5 ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

AZITHROMYCIN CAPL 250 mg PT. Ethica Industri Farmasi

ZITHROLIN CAPL 500 mg Otto Pharmaceutical Industries
AZITHROMYCIN 500 MG CAPL 500 mg PT. Kimia Farma (Persero), Tbk
KAPSALS
CLARITHROMYCIN
COMTRO SYR 125 mg/5ml PT. Combiphar

BICROLID CAPL 500 mg PT. Sanbe Farma

COMTRO TAB 250 mg PT. Combiphar
CLINDAMYCIN
CLINDAMYCIN

CAPS 150 mg PT. Indofarma,Tbk.

CAPS 150 mg PT. Novell Pharmacutical Labs

25
 CLINDAMYCINE CAPS 300 mg PT. Dexa Medica
CLINDAMYCIN 300 MG CAPS 300 mg PT. Sanbe Farma
ERYTHROMYCINE
ERYTHROMYCIN SIRUP KERING SYR 200 mg/5 ml PT. Kimia Farma (Persero), Tbk

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

ERYTHROMYCIN 250 MG KAPSULTAB 250 mg PT. Kimia Farma (Persero), Tbk

ROXITHROMYCINE

UPLORES CAPS 150 mg PT. Sanbe Farma

SITRO 150 FC TAB 150 mg PT. Interbat
SPIRAMYCIN
KALBIOTIC SYR 125 mg/5 ml PT. Hexpharm Jaya

SPIRAMYCIN TAB 500 mg PT. Novell Pharmacutical Labs

KALBIOTIC TAB 500 mg PT. Hexpharm Jaya

08g QUINOLONES
CIPROFLOXACINE

CIPROFLOXACIIN CAPL 500 mg PT. Novell Pharmacutical Labs

CIPROFLOXACIN CAPL 500 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
CIPROFLOXACIN 500 MG TAB 500 mg PT. Sanbe Farma

CIPROFLOXACIN INF 200 mg PT. Dexa Medica

INF 200 mg PT. Hexpharm Jaya
CIPROXIN INF 400 mg PT. Bayer Indonesia
LEVOFLOXACIN
LEVOFLOXACIN CAPL 500 mg PT. Bernofarm Pharmaceutical
TAB 500 mg PT. Dexa Medica

LEVOFLOXACIN 500 MG INFUS INF 500 mg PT. Novell Pharmacutical Labs

LEVOFLOXACIN INFUS INF 750 mg PT. Hexpharm Jaya
MOXIFLOXACIN

AVELOX TAB 400 mg PT. Bayer Indonesia

OFLOXACINE
OFLOXACIN TAB 400 mg PT. Novell Pharmacutical Labs

08h TETRACYCLINS
DOXYCYCLINE

DOXYCYCLINE 100 MG CAPS 100 mg PT. Sanbe Farma

DOXYCYCLINE HCL CAPS 100 mg PT. Indofarma,Tbk.

26
 08j ANTIBACTERIAL COMBINATIONS
AMOXYCILLIN, ASAM NAT

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

ERABAM SYR 125 mg, 31,25 Harsen Laboratories

mg/5 ml
CLAMIXIN SYR 125 mg, 31,25 Otto Pharmaceutical Industries
mg/5 ml
ERABAM FORTE SYR 250 mg, 62.5 Harsen Laboratories
mg/5 ml
CLAMIXIN SYR 250 mg, 62.5 Otto Pharmaceutical Industries
mg/5 ml

COYARIN CAPL 500 mg, 125 PT. Yarindo Farmatama

mg
SURPAS TAB 500 mg, 125 PT. Sandoz Indonesia
mg
CEFOPERAZONE; SULBACTAM
CEFOPERAZONE SULBACTAM 1 G INJ 500 mg, 500 mg PT. Novell Pharmacutical Labs 42.750
SULFAMETHOXAZOLE; TRIMETHOPRIM

COTRIMOXAZOLE SUSPENSI SYR 200 mg ; 40 mg PT. Kimia Farma (Persero), Tbk

INFATRIM FORTE CAPL 800 mg; 160 PT. Molex Ayus

mg
PRIMAZOLE FORTE CAPL 800 mg; 160 PT. Hexpharm Jaya
mg
COTRIMOXAZOLE TAB 400 mg, 80 mg PT. Indofarma,Tbk.

08k OTHER ANTIBIOTICS

FOSFOMYCIN

NOVELLMYCIN INJ 2g PT. Novell Pharmacutical Labs

08l ANTI TB AGENTS
ISONIAZIDE

ISONIAZID TABLET 100 MG*

TAB 100 mg PT. Kimia Farma (Persero), Tbk
RH

150 mg, 150

RIFANH CAPL mg PT. Indofarma (Promedika Branded)
RIMACTAZID PAED TAB 75 mg, 50 mg PT. Sandoz Indonesia
RIMACTAZID TAB 450 mg, 300 PT. Sandoz Indonesia
mg
RHZ

RIMCURE PAED TAB 75 mg, 50, 150 PT. Sandoz Indonesia

27
 RHZE
RIFASTAR CAPL 150 mg, 75, PT. Indofarma (Promedika Branded)
400, 275
RIMSTARS 4 FDC TAB 150 mg, 75, PT. Sandoz Indonesia
400, 275
RIFAMPICIN

RIFAMPICIN 450 MG CAPL 450 mg PT. Sanbe Farma

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

RIFAMPICIN 600 MG CAPL 600 mg PT. Sanbe Farma

08n ANTIFUNGALS
FLUCONAZOLE

CRYPTAL TAB 50 mg PT. Pratapa Nirmala & Divisi Ogb

FLUCONAZOLE 150 MG KAPSUL TAB 150 mg PT. Kimia Farma (Persero), Tbk

FLUCONAZOLE 200 MG INFUS INF 2 mg/ml PT. Novell Pharmacutical Labs

ITRACONAZOLE

PT. Bernofarm Pharmaceutical

ITRACONAZOLE TAB 100 mg Company ( Ogb Division )
KETOCONAZOLE

KETOCONAZOLE
TAB 200 mg PT. Dexa Medica
TAB 200 mg PT. Hexpharm Jaya
NYSTATIN
NYNDIA DROPS 100.000 IU/ml PT. Guardian Pharmatama
NYMIKO SUSP 100.000 IU/ml PT. Sanbe Farma

DECASTATIN ORAL TAB 500000 IU Harsen Laboratories

DECASTATIN VAGINAL VAGTAB 100.000 IU/ml Harsen Laboratories

08p ANTIVIRALS
ACYCLOVIR

ACYCLOVIR TAB 400 mg PT. Hexpharm Jaya

TAB 400 mg PT. Pratapa Nirmala & Divisi Ogb
ADEFOVIR

HEPSERA TAB 10 mg Glaxo Smith Kline

LAMIVUDINE

HEPLAV TAB 100 mg PT. Kimia Farma (Persero), Tbk

3 TC TAB 150 mg Glaxo Smith Kline
OSELTAMIVIR

28
 TAMIFLU CAPS 75 mg PT. Roche Indonesia
VALACYCLOVIR

VALVIR CAPL 500 mg Ethica Industri Farmasi (Eagle)

08q ANTHELMINTICS
ALBENDAZOLE

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

VERMIC SUSP 200 mg/5 ml PT. Indofarma (Promedika Branded)

PYRANTEL PAMOAT
PANTRIN CAPL 250 mg Harsen Laboratories

PYRANTEL TAB 125 mg PT. Pratapa Nirmala & Divisi Ogb

PYRANTEL 125 MG TAB 125 mg PT. Kimia Farma (Persero), Tbk

08r ANTIMALARIALS
SULFADOXIN PIRIMETAMIN

TAB 500 mg PT. Roche Indonesia

FANSIDAR
08s ANTI AMOEBICS
METRONIDAZOLE

METRONIDAZOLE SYR 125 mg/5 ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )

METRONIDAZOLE TAB 500 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 500 mg PT. Indofarma,Tbk.

METRONIDAZOLE INF 500 mg PT. Ethica Industri Farmasi

INF 500 mg PT. Hexpharm Jaya

09 ONCOLOGY
09a CYTOTOXIC
CHEMOTHERAPY
5-FLUOROURACIL

CURACIL INJ 250 mg PT. Kalbe Farma

INJ 500 mg PT. Kalbe Farma
BLEOMYCIN

BLEOCIN INJ 15 mg PT. Kalbe Farma

CABAZITAXEL

JEVTANA INJ 60 mg Sanofi Group Indonesia

CAPECITABINE

XELODA CAPS 500 mg PT. Roche Indonesia

29
 CARBOPLATIN

CARBOPLATIN KALBE INJ 150 mg PT. Kalbe Farma

INJ 450 mg PT. Kalbe Farma
CISPLATIN
CISTEEN 10 MG INJ 10 mg/20 ml PT. Kimia Farma (Persero), Tbk

CISPLATIN INJ 50 mg/100 ml PT. Kalbe Farma

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

CYCLOPHOSPHAMIDE

ENDOXAN INJ 200 mg PT. Transfarma Medica Indah

INJ 500 mg PT. Transfarma Medica Indah
INJ 1000 mg PT. Transfarma Medica Indah
CYTARABINE

ALEXAN INJ 500 mg/10 ml PT. Ferron Par Pharmaceuticals

DBL-CYTARABINE INJ 100 mg/ 5ml PT. Tempo Rx Farma
DACARBAZINE

DACARBAZINE MEDAC INJ 200 mg PT. Dipa Pharmalab Intersains

DAUNORUBICIN

DAUNOCIN INJ 20 mg PT. Novell Pharmacutical Labs

DOCETAXEL

DOCETERE INJ 20 mg PT. Ferron Par Pharmaceuticals

DOCETAXEL (20 MG) INJ 40 mg/ml PT. Sanbe Farma
DOCETERE INJ 80 mg PT. Ferron Par Pharmaceuticals
DOXORUBICIN

DOXORUBICIN KALBE INJ 10 mg PT. Kalbe Farma

DOXORUBICIN HCL (10 MG) INJ 2 mg/ml PT. Sanbe Farma
DOXORUBICIN KALBE INJ 50 mg PT. Kalbe Farma
EPIRUBICIN HCL
FARMORUBICIN

INF 10 mg/5 ml PT. Pfizer Indonesia

INF 50 mg/25 ml PT. Pfizer Indonesia
EPIRUBICIN HCL (10 MG) INJ 2 mg/ml PT. Sanbe Farma
EPEEDO 10 MG INJ 10 mg PT. Kimia Farma (Persero), Tbk
EPEEDO 50 MG INJ 50 mg PT. Kimia Farma (Persero), Tbk
ETOPOSIDE
POSYD INJ 100 mg/5 ml PT. Combiphar
FLUDARABINE PHOSPHATE

30
 FLUDARA TAB 10 mg Sanofi Group Indonesia

FLUDARA INJ 50 mg Sanofi Group Indonesia

GEMCITABINE
GEMCIKAL INJ 200 mg PT. Kalbe Farma

ABINGEM 1000 INJ 1000 - 1250 PT. Kimia Farma (Persero), Tbk
mg/m2
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

GEMCITABINE HCL

GEMCITABINE (200 MG) INJ 200 mg PT. Sanbe Farma

HYDROXYUREA

CYTODROX CAPS 500 mg PT. Combiphar

IFOSFAMIDE

HOLOXAN INJ 1000 mg PT. Transfarma Medica Indah

INJ 2000 mg PT. Transfarma Medica Indah
IRINOTECAN HCL

IRINOTECAN HCL (40 MG) INJ 20 mg/ml PT. Sanbe Farma

IRINOTECAN HCL TRIHIDRATE

CAMPTO INJ 40 mg/2ml PT. Pfizer Indonesia

INJ 100 mg/5 ml PT. Pfizer Indonesia
METHOTREXATE
METHOTREXTAT TAB 2,5 mg PT. Ferron Par Pharmaceuticals

METHOTREXATE KALBE INJ 50 mg PT. Kalbe Farma

EMTHEXATE INJ 5 mg/2ml PT. Combiphar
OXALIPLATIN

REXTA INJ 50 mg PT. Kalbe Farma

OXALIPLATIN MEDAC 100 MG INJ 100 mg PT. Dipa Pharmalab Intersains
PACLITAXEL

PACLITAXEL (30 MG) INJ 6 mg/ml PT. Sanbe Farma

NAPROTAX 30 MG INJ 30 mg PT. Kimia Farma (Persero), Tbk
PACLITAXEL (100 MG) INJ 6 mg PT. Sanbe Farma
EBETAXEL INJ 100 mg PT. Ferron Par Pharmaceuticals
ANZATAX 150 INJ 150 mg/25 ml PT. Tempo Rx Farma
PEMETREXED DISODIUM

ALIMTA INJ 100 mg Eli Lilly Division Of PT. Parazelsus

31
 INJ 500 mg Eli Lilly Division Of PT. Parazelsus
TEMOZOLOMIDE
TEMODAL CAPS 20 mg PT. Msd Pharma Tbk

CAPS 100 mg PT. Msd Pharma Tbk

VINBLASTINE

VINBLASTINE INJ 10 mg/10 ml PT. Combiphar

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

VINCRISTINE

VINCRISTINE KALBE INJ 1mg PT. Kalbe Farma

INJ 2mg PT. Kalbe Farma
VINORELBINE TARTRATE

NAVELBINE INJ 10 mg PT. Transfarma Medica Indah

INJ 50 mg PT. Transfarma Medica Indah

09b CYTOTOXIC
CHEMOTHERAPY
ANASTRAZOLE

ARIMIDEX TAB 1 mg PT. Astrazeneca Indonesia

BICALUTAMIDE

CASODEX TAB 50 mg PT. Astrazeneca Indonesia

EXEMESTANE

AROMASIN TAB 25 mg PT. Pfizer Indonesia

GOSERELINE ACETATE

ZOLADEX INJ 3.6 mg PT. Astrazeneca Indonesia

LETROZOLE

LETRAZ TAB 2,5 mg PT. Kalbe Farma

LEUPRORELINE ACETATE DEPOT

DAPROLIN INJ 3.75 mg PT. Darya Varia

MEGESTROL ACETATE

TRACETATE SYR 40 mg/ml PT. Pratapa Nirmala & Divisi Ogb

TAMOXIFEN

TAMOFEN TAB 10 mg PT. Kalbe Farma

TAMOXIFEN TAB 20 mg PT. Ferron Par Pharmaceuticals

32
 09c IMMUNOLOGICAL
CHEMOTHERAPY GEFITINIB

IRESA TAB 250 mg PT. Astrazeneca Indonesia

09d SUPPORTIVE CARE THERAPY
BEVACIZUMAB

AVASTIN INJ 100 mg PT. Roche Indonesia

ERLOTINIB
TARCEVA TAB 100 mg PT. Roche Indonesia
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal
Harga

IMATINIB MESILATE

GLIVEC TAB 100 mg PT. Novartis Indonesia

LENOGRASTIM

GRANOCYTE INJ 34 1 vl Sanofi Group Indonesia

RITUXIMAB
MABTHERA

INJ 100 mg PT. Roche Indonesia

INJ 500 mg PT. Roche Indonesia
TRASTUZUMAB

HERCEPTIN INJ 440 mg PT. Roche Indonesia

10 GENITO-URINARY
SYSTEM
10a PREPARATIONS FOR
VAGINAL CON DITIONS
METRONIDAZOLE

VAGIZOL OVULA 500 mg PT. Kimia Farma (Persero), Tbk

FLAGYL SUPP 0.5 g Sanofi Group Indonesia
SUPP 1g Sanofi Group Indonesia
METRONIDAZOLE, NYSTATIN

TRICHODAZOL PLUS OVULA 500 mg/1000 IU PT. Sanbe Farma

10b URINARY ANTISEPTICS
FLAVOXATE HCL

PT. Indofarma (Promedika

URISPAS TAB 200 mg Branded)
PIPEMIDIC ACID
UROTRACTIN CAPS 400 mg PT. Sanbe Farma

10c DRUGS ACTING ON THE UTERUS

ISOXSUPRINE

33
 HYSTOLAN TAB 20 mg PT. Dexa Medica

DUVADILAN INJ INJ 10 mg PT. Kimia Farma (Persero), Tbk

METHYL ERGOMETRINE

METHYLERGOMETRINE
MALEATE INJ 0,2 mg/10 ml PT. Ethica Industri Farmasi
MISOPROSTOL

CITROSOL TAB 200 mcg Otto Pharmaceutical Industries

OKSITOSIN
OXYTOCIN "S" INJ 10 IU/1ml PT. Ethica Industri Farmasi
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

10e DRUGS FOR BLADDER & PROSTATE DISORDERS

FINASTERIDE

REPROSID TAB 5 mg Harsen Laboratories

TAMSULOSIN

HARNAL D TAB 0,2 mg PT. Astellas Pharma Indonesia

TERAZOSIN

HYTROZ 1 MG TAB 1 mg PT. Dexa Medica

10f OTHER DRUGS ACTING ON GENITO- TEM
URINARY SYS SOLIFENACIN

5 mg
VESICARE TAB PT. Astellas Pharma Indonesia
11 ENDOCRINE & METABOLIC SYSTEMS
11a INSULINS PREPARATIONS
30 % REGULER INSULIN 70 % NPH HUMAN INJECTION (RDNA ORI

HUMULIN CATR CATRIDGES M100 IU/ml

Eli Lilly Division Of PT. Parazelsus
HUMULIN INJ M100 IU/ml Eli Lilly Division Of PT. Parazelsus
HUMAN INSULIN (PREMIX : 30% SOLUBLE + 70% NPH)

MIXTARD INJ M100 IU/ml PT. Novo Nordisk Indonesia

INSULIN ASPART

NOVORAPID INJ R100 IU/ml PT. Novo Nordisk Indonesia

INSULIN DETEMIR

LEVEMIR FLEXPEN INJ L100 IU/ml PT. Novo Nordisk Indonesia

INSULIN GLARGINE

LANTUS SOLOSTAR 100IU CATRIDGESL100 IU/ml Sanofi Group Indonesia

34
 ISOPHANE HUMAN INSULIN (INTERMEDIATE ACTING)

INSULATARD INJ L100 IU/ml PT. Novo Nordisk Indonesia

NPH HUMAN INSULIN INJECTION (RDNA ORIGIN)

HUMULIN N CTR CATRIDGES INT100 IU/ml Eli Lilly Division Of PT. Parazelsus
HUMULIN N INJ INT100 IU/ml Eli Lilly Division Of PT. Parazelsus
RECOMBINANT HUMAN INSULIN
SANSULIN N CATRIDGES INT100 IU/ml PT. Sanbe Farma
REGULER HUMAN INSULIN INJECTION (RDNA ORIGIN)

HUMULIN R CTR CATRIDGES R100 IU/ml Eli Lilly Division Of PT. Parazelsus
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

HUMULIN R INJ R100 IU/ml Eli Lilly Division Of PT. Parazelsus

11b ORAL ANTIDIABETICS
AGENTS ACARBOSE

ACARBOSE TAB 50 mg PT. Dexa Medica

ECLID TAB 50 mg PT. Dexa Medica
TAB 100 mg PT. Dexa Medica
ACARBOSE TAB 100 mg PT. Dexa Medica
GLIBENCLAMIDE

GLIBENCLAMIDE TAB 5 mg PT. Indofarma,Tbk.

RENABETIC TAB 5 mg PT. Pratapa Nirmala & Divisi Ogb
GLICLAZIDE

GLIDABET TAB 80 mg PT. Hexpharm Jaya

GLUCODEX 80 MG TAB 80 mg PT. Dexa Medica
GLIMEPIRIDE

GLIMEPIRIDE TAB 1 mg PT. Hexpharm Jaya

TAB 1 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
TAB 2 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
TAB 2 mg PT. Hexpharm Jaya
TAB 3 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
DIAVERSA 2 MG TAB 2 mg PT. Dexa Medica
GLIMEPIRIDE TAB 3 mg PT. Hexpharm Jaya
TAB 4 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
TAB 4 mg PT. Hexpharm Jaya

35
 GLIPIZIDE
GLUCOTROL
XL
TAB 10 mg PT. Pfizer Indonesia
GLIQUIDONE
GLIQUIDON TAB 30 mg PT. Dexa Medica
METFORMIN

METFORMIN TAB 500 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 500 mg PT. Hexpharm Jaya

DIABIT TAB 500 mg PT. Hexpharm Jaya

METFORMIN TAB 850 mg PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
TAB 850 mg PT. Dexa Medica

GLUCOTIKA 850 TAB 850 mg PT. Ikapharmindo Putramas(Dvc 2)

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

PIOGLITAZONE
PRABETIC TAB 15 mg PT. Pratapa Nirmala & Divisi Ogb
TAB 30 mg PT. Pratapa Nirmala & Divisi Ogb
GLIABETES TAB 30 mg PT. Sanbe Farma
REPAGLINIDE

DEXANORM
TAB 1 mg PT. Dexa Medica
11c THYROID HORMONES
LEVOTHYROXINE

EUTHYROX TAB 50 mcg Merck Serono - PT. Merck Tbk

TAB 100 mcg Merck Serono - PT. Merck Tbk

11d ANTITHYROIDS AGENTS

CARBIMAZOLE

NEO MERCAZOLE TAB 5 mg PT. Nicholas Laboratories Indonesia

PROPYLTHIOURACIL
PROPILTIOURASIL TAB 100 mg PT. Indofarma,Tbk.

PROPYLTHIOURASIL TAB 100 mg PT. Dexa Medica

THIAMAZOLE

Merck Serono - PT. Merck Tbk

THYROZOL TAB 5 mg
TAB 10 mg Merck Serono - PT. Merck Tbk
11f AGENTS AFFECTING BONE
METABOLISM CALCITRIOL

36
 OSTRIOL SOFT CAPS 0,25 mcg PT. Pratapa Nirmala & Divisi Ogb
OSCAL SOFT CAPS 0,5 mcg PT. Kalbe Farma

12 VITAMINS & MINERALS

12b VITAMIN B-
COMPLEX/WITH C B1, B6,
B12
100 mg, 100
NERVA 5000 CAPL mg, 5000 PT. Gracia Pharmindo
mcg

IKANEURON 5000 INJ 100 mg, 100 PT. Ikapharmindo Putramas

mg, 5000
mcg
CYANOCOBALAMINE
CYANOCOBALAMINE INJ 500 mg/ml PT. Indofarma,Tbk.
VIT. B 1 (THIAMIN)

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

VIT. B 1 (THIAMIN) INJ 100 mg/ml PT. Bernofarm Pharmaceutical

Company ( Ogb Division )
VIT. B 6 (PYRIDOXIN)
VIT. B 6 (PYRIDOXIN) INJ 100 mg/ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

12d CALCIUM/WITH VITAMINS

KALSIUM

CALCIDIN SYR 200 mg Otto Pharmaceutical Industries

CALCIDIN TAB 200 mg Otto Pharmaceutical Industries

12e VITAMINS &/OR MINERALS
K L-ASPARTATE, MG L-ASPARTATE

RENAPAR TAB
300 mg, 100 mg PT. Pratapa Nirmala & Divisi Ogb
VIT. B1 50 MG, VIT. B2 25 MG, VIT. B6 10 MG, VIT. B12 5 MCG, VIT.

FC CAPL 500 mg PT. Sanbe Farma

VIT.K

VITAMIN K 10 MG/ML INJEKSI INJ 10 mg/ml PT. Kimia Farma (Persero), Tbk
12g VITAMINS & MINERALS)
(PEDIATRIC FE GLUCONATE

FERRIZ DROPS
15 mg/5ml PT. Nicholas Laboratories Indonesia
SYR 15 mg/5ml PT. Nicholas Laboratories Indonesia

12h VITAMINS & MINERALS (PRE- 7 POST-

NATAL)/ANTIANEMICS

37
 OBIMIN TAB 3.000 iu, 2,5 PT. Darya Varia
mg, 15 mg, 4
mcg, 100
mg, 400 iu,
20 mg,
7,5 mg, 1 mg,
90 mg, 250
mg, 0.1 mg,
0.1 mg,
1 mg
FE FUMARATE
PT. Gracia Pharmindo

BIONEMI CAPS 360 mg

FE FUMARATE, FOLIC ACID, VIT. B12, VIT. C, CHO LECALCIFEROL,
VITALEX PT. Molex Ayus
CAPS 360 mg ; 1,5 mg
; 0,015 mg ; 75
mg ; 400 mg ;
200 mg
FE SUCROSE
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

NEFROFER INJ 100 mg PT. Kalbe Farma

FOLIC ACID

FOLAS TAB 400 mcg Landson Pertiwi Agung

FOLAC TAB 400 mcg Otto Pharmaceutical Industries

13 NUTRITIONS
13c PARENTERAL
NUTRITION
AMINO ACID

AMINOSTERIL INFANT INF 6% Fresenius Kabi Indonesia

AMINOSTERIL N HEPA INF 8% Fresenius Kabi Indonesia
AMINOLEBAN INJ. INF PT. Otsuka Indonesia
AMINO ACID 29,2 G/L, SORBITOL 50G

PAN AMIN G INF PT. Otsuka Indonesia

AMINO ACID 50 G,BCAA, LOLA, XYLITOL, VITAMIN, ELEKTROLIT

COMAFUSIN HEPAR INF 5%,50% PT. Kalbe Farma

AMINO ACID, BCAA

RENXAMIN INF 0,09 PT. Kalbe Farma

KIDMIN INF PT. Otsuka Indonesia
AMINO ACID, GLUKOSA DAN LIPID MCT/LCT

NUTRIFLEX LIPID SPECIAL INF 35,9, 90, 25 PT. Bbraun Medical Indonesia

38
 NUTRIFLEX LIPID PERI INF 40, 80, 50 PT. Bbraun Medical Indonesia
AMINO ACID, GLUKOSA, BCAA

AMINOFUSIN PAED INF 0,05 PT. Kalbe Farma

AMINOFLUID INF PT. Otsuka Indonesia
FRUKTOSA, GLUKOSA, XYLITOL

TRIOFUSIN 500 INF 500 kkal/L PT. Kalbe Farma

FRUKTOSA, GLUKOSA, XYLITOL, ELEKTROLIT

TRIOFUSIN E1000 INF 1,000 kkal/L PT. Kalbe Farma

HUMAN ALBUMIN

ALBUMIN INF 20% PT. Kimia Farma (Persero), Tbk

INF 20% PT. Kimia Farma (Persero), Tbk
ZENALB SOLUTION 20% 100ML INJ 20% PT. Ikapharmindo Putramas(Dvc 2)
HUMAN ALBUMIN 25%
PLASBUMIN 25% / 50 ML INJ 25% PT. Dipa Pharmalab Intersains

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

MALTOSE ; 278 MOSM/L; 400 KCAL/L

INFUMAL 10 DP INF 100 G/L; 278 PT. Sanbe Farma

Mosm/L; 400
Kcal/L
MALTOSE 100G/L;OSMOLARITY 278 MOSM/L; CALORIE 400 KCAL/
INFUMAL 10 SP INF PT. Sanbe Farma

100 G/L; 278

Mosm/L; 400
Kcal/L
N(2) L-ALANYL -L-GLUTAMINE Fresenius Kabi Indonesia

DIPEPTIVEN INF
13d ELECTROLYTES
ELECTROLYTE (NA+ 60 ; K+ 10 ;CL- 50 ; LACTATE 2 g/kg/body wt
20) MEQ/L;GLUC

TRIDEX 27A INF - PT. Sanbe Farma

K-L ASPARTATE

ASPAR K TAB 300 mg PT. Tanabe Indonesia

ORALIT

ORALIT POWD 200 ml PT. Indofarma,Tbk.

39
14 EYE
14a EYE ANTI-INFECTIVES &
ANTISEPTIC
ACYCLOVIR
S
TUB
ZOVIRAX OPTALMIC E 4.5 mg Glaxo Smith Kline
CHLORAMPHENICOL
CHLORAMFENIKOL SM 1% (STERILEYE OINT 0,01 PT. Kimia Farma (Persero), Tbk

FENICOL EYE 5 mg PT. Cendo Pharmaceutical Industries

DROPS
CIPROFLOXACINE

EYE
ULCORI DROPS 3 mg PT. Cendo Pharmaceutical Industries
GATIFLOXACIN

EYE
GIFLOX DROPS 3 mg PT. Cendo Pharmaceutical Industries
GENTAMYCINE

EYE
SAGESTAM ED DROPS 3 mg/ml PT. Sanbe Farma
LEVOFLOXACIN
LEVOCIN ED EYE DROPS 5 mg/ml PT. Sanbe Farma
NEOMYCIN SULFATE, POLYMYXIN B SULPHATE, PHENYLEPHEDR

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

POLIFRISIN EYE DROPS 3.5 mg, 16.250 PT. Sanbe Farma

IU, 1.2 mg
OFLOXACINE

EYE
FLOXA DROPS 3 mg PT. Cendo Pharmaceutical Industries
OXYTETRACYCLINE

OKSITETRASIKLIN SM 1% EYE OINT 0,01 PT. Kimia Farma (Persero), Tbk

POLYMIXIN B SULPHATE, NEOMYCIN SULPHATE, TETRAHYDROZ

STATROL EYE DROPS 16.250 iu; 5 PT. Cendo Pharmaceutical Industries

mg; 0,25 mg
14b EYE ANTISEPTICS WITH
CORTICOSTEROIDS FRAMYCETIN SULFATE

SOFRADEX DROPS EYE DROPS 5 mg Sanofi Group Indonesia

NEOMYCINE SULFATE, POLYMIXIN B SULFATE, DEXAMETHASON

ISOTIC NEOLYSON EYE DROPS 5 ml PT. Pratapa Nirmala & Divisi Ogb

40
 PREDNISOLONE DISODIUM PHOSPHATE, SODIUM SULPHACETA

CETAPRED EYE DROPS 3,5 mg; 100 mg PT. Cendo Pharmaceutical Industries
TOBRAMYCINE + DEXAMETHASONE

TOBROSON EYE DROPS 3 mg; 1 mg PT. Cendo Pharmaceutical Industries

14c EYE CORTICOSTEROIDS
BETAMETHASONE NATRIUM PHOSPHATE

VOSAMA EYE DROPS 1 mg PT. Cendo Pharmaceutical Industries

PREDNISOLONE ACETATE MICRONIZED

P-PRED EYE DROPS 10 mg PT. Cendo Pharmaceutical Industries

14d MYDRIATIC DRUGS
ATROPINE SULPHATE

TROPINE EYE DROPS

5 mg PT. Cendo Pharmaceutical Industries
14e MIOTIC DRUGS
PILOCARPINE HCL

CARPINE EYE DROPS

10 mg PT. Cendo Pharmaceutical Industries
14f ANTIGLAUCOMA PREPARATIONS
ASETAZOLAMID

GLAUSETA TAB 250 mg PT. Sanbe Farma

BETAXOLOL HCL

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

TONOR EYE DROPS 2,5 mg PT. Cendo Pharmaceutical Industries

EYE 5 mg
DROPS
GLYCERIN ANHYDROUS

EYE
OPHTALGON DROPS 3 mg
LATANOPROST

GLAOPEN EYE DROPS 0,05 mg PT. Cendo Pharmaceutical Industries TIMOLOL

ISOTIC ADRETOR 0,25% EYE DROPS 2.5 mg/ml PT. Pratapa Nirmala & Divisi Ogb
ISOTIC ADRETOR 0,5% EYE DROPS 5 mg/ml PT. Pratapa Nirmala & Divisi Ogb

14g OPHTALMIC DECONGESTANT, ANAESTHETICS, ANTI-

INFLAMMATORIES PEMIROLAST K

41
 ALEGYSAL EYE DROPS 0,001 PT. Ferron Par Pharmaceuticals

14h OPHTALMIC LUBRICANTS

DEXTRAN 70, HYDROXYPROPYL METHYLCELULOSE

SANBE TEARS ED EYE DROPS 1 mg, 3 mg PT. Sanbe Farma

HYDROXIPROPHYLMETHYLCELLULOSE

CMC EYE DROPS 20 mg

VITAMIN A; ANEURIN HYDROCHLORIDE; CALCIUM PANTOTHENA

REPHITEL EYE DROPS 1,000 iu; 0.5

mg; 5 mg
14i OTHER EYE PREPARATIONS
ACYCLOVIR

HERVIS EYE OINT 30 mg

HYDROXIPROPHYLMETHYLCELLULOSE, OXYMETAZOLINE HCL, V

ASTHENOF EYE DROPS5 mg; 0,25 mg;

1.000 iu
NAPHAZOLINE HCL, ANTAZOLINE HCL

VASACON A EYE DROPS 1 mg; 2,5 mg

NATRIUM DIKLOFENAK

NONCORT EYE DROPS 1 mg PT. Cendo Pharmaceutical Industries 39.081 15 EAR &
MOUTH/THROAT
15a EAR ANTI-INFECTIVES & ANTISEPTICS
CHLORAMPHENICOL

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

COLME EAR DROPS 0,1 PT. Interbat

CHLORAMPHENICOL, POLYMIXIN B.SULPHAT E, BENZOCAIN

OTOLIN EAR DROPS5%, 10000IU, PT. Kalbe Farma

1 %, 1%
OFLOXACINE

AKILEN ED EAR DROPS3 mg/ml PT. Sanbe Farma

42
 15b EAR ANTISEPTICS WITH CORTICOSTEROIDS
POLYMIXIN B SULPHATE, NEOMYCIN SULPHATE, FLUDROCORTI

OTOPAIN EAR DROPS 10.000 IU, 5

mg, 1 m, 40
mg/1 ml
PT. Interbat
15e MOUTH/THROAT
PREPARATIONS
BENZYDAMINE

PT. Soho Idustri Pharmasi - Alliance

TANTUM VERDE ORAL RINSE GARGLE 7.5 mg Division
HEXETIDINE

HEXADOL GARGLE 0.1 %, 120 ml Otto Pharmaceutical Industries

HEXADOL MINT GARGLE 0.1 %, 100 ml Otto Pharmaceutical Industries
TRIAMCINOLONE

KETRICIN ORABASE OINT 1 mg PT. Ferron Par Pharmaceuticals

16 DERMATOLOGICALS
16a TOPICAL
ANTIBIOTICS FUCIDIC ACID

FUCILEX CREAM 20 mg PT. Molex Ayus

OINT 20 mg PT. Molex Ayus
GENTAMYCINE

GENTAMISIN SULFAT 0,1%

KRIM CREAM 0,1% PT. Kimia Farma (Persero), Tbk
GENTAMYCINE CREAM 0,1 % PT. Indofarma,Tbk.
NEOMYCIN SULFAT 5 MG; BACITRACIN

TRACETIN GEL 5 mg/g Otto Pharmaceutical Industries

OXYTETRACYCLINE
OKSITETRASIKLIN SK CREAM 0,03 PT. Kimia Farma (Persero), Tbk
3% SILVER SULFADIAZINE

BURNAZIN CREAM 1%/35mg PT. Darya Varia

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

BURNAZIN CREAM 1%/500mg PT. Darya Varia

16b TOPICAL ANTIFUNGALS ASITES
& ANTIPAR CICLOPIROXOLAMIN

LOPROX NAIL LAQUER SOLN 15 g Sanofi Group Indonesia

KETOCONAZOLE
FUNGASOL-SS 2% SOLN 2% PT. Guardian Pharmatama

43
 KETOKONAZOLE CREAM CREAM 2% PT. Novell Pharmacutical Labs
MUZORAL CREAM 2% PT. Transfarma Medica Indah
MICONAZOLE

MICONAZOLE KRIM 2% CREAM 0,02 PT. Kimia Farma (Persero), Tbk

SPOREND CREAM 0,02 PT. Transfarma Medica Indah
NYSTATIN & ZINK OXIDE

MYCO Z 100.000 PT. Taisho Pharmaceutical Indonesia

OINT IU/ml/10 gr
TERBINAFINE

TERMISIL
CREAM 0,01 PT. Ferron Par Pharmaceuticals
16c TOPICAL ANTIVIRALS
ACYCLOVIR

ACYCLOVIR CREAM 5% PT. Indofarma,Tbk.

POVIRAL CREAM 5% PT. Hexpharm Jaya

16d TOPICAL ANTI-INFECTIVES WITH DS

CORTICOSTEROI ATE
BETAMETHASONE VALERATE, NEOMYCINE SULF
1 mg, 5 mg
BEVALEX CREAM PT. Molex Ayus
OVISKIN N-10 CREAM 0,1%, 0,5% PT. Hexpharm Jaya
CHLORAMPHENICOL, PREDNISOLONE
PT. Molex Ayus

KLORFESON CREAM 20 mg ; 2,5 mg

GENTAMYCINE SULPHATE, FLUOCINOLONE ACETONIDE
PT. Guardian Pharmatama
GENOLON CREAM 1 mg, 0,25 mg
16e TOPICAL CORTICOSTEROIDS
BETAMETHASONE

SKIZON CREAM 0.5 mg/5g PT. Hexpharm Jaya

CREAM 0.5 mg/10g PT. Hexpharm Jaya
BETAMETHASONE, ASAM SALISILAT

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

DIPROSALIC CR OINT 5g PT. Msd Pharma Tbk

CLOBETASOL PROPIONATE

TEMPOVATE CREAM 0,05% PT. Tempo Rx Farma

DESOXIMETASONE

PYDERMA CREAM 0,0025/10 gr Pyridam Farma Tbk

44
 DERCASON CREAM 2.5 mg/5g PT. Nicholas Laboratories Indonesia
DIFLUOCORTOLONE VALERATE

NERILON CREAM 0,1%/10g PT. Interbat

HYDROCORTISONE

HYDROCORTISON CREAM 0,01 PT. Hexpharm Jaya

HIDROKORTISON ASETAT CREAM 0,025 PT. Kimia Farma (Persero), Tbk
2,5% KRI
CHLORAMFECORT CREAM CREAM 25 mg PT. Kimia Farma (Persero), Tbk
MOMETASONE FUROATE

MOFULEX CREAM 1 mg PT. Molex Ayus

ELOX 10 CREAM 0,001 PT. Guardian Pharmatama
TRIAMCINOLONE ACETONIDE

KENACORT CREAM 0,1 %/10g PT. Taisho Pharmaceutical Indonesia

16f ACNE TREATMENT PREPARATIONS
CLINDAMYCIN

OPICLAM GEL 1.0 % Otto Pharmaceutical Industries

16k SKIN ANTISEPTICS &S
DISINFECTANT POVIDONE SOL
N
IODINE

MOLEXDINE SOLUTION 0,1 PT. Molex Ayus

SOLN 0,1 PT. Molex Ayus

16l MEDICATED SURGICAL

DRESSINGS FRAMYCETIN
SULFATE

DARYANTTULLE SHEET 10 cm PT. Darya Varia

SOFRATULLE SHEET 10 cm Sanofi Group Indonesia

17 ANAESTHETICS LOCAL &

GENERAL
17ANAESTHETICS LOCAL & GENERAL
ATRACURIUM

ATRACURIUM HAMLN INJ 25 INJ PT. Combiphar

ATRACURIUM HAMLN INJ 50 INJ 10 mg/ml PT. Combiphar
BUPIVACAINE HCL
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal
Harga

BUPIVACAINE INJ 5 mg/ml PT. Dexa Medica

BUPIVACAIN INJ 5 mg/ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

45
 SPICA SPINAL 0,5% INJ 20 mg PT. Phapros, Tbk
REGIVELL INJ 20 mgR PT. Novell Pharmacutical Labs
HALOTHANE

HALOTAN INJ PT. Dexa Medica

ISOFLURANE

AERRANE INH 250 ml PT. Kalbe Farma (New)

KETAMINE

KETAMINE HAMELN INJ 50 mg/ml PT. Combiphar

KTM INJEKSI INJ 100 mg/ml PT. Guardian Pharmatama
LIDOCAINE

XILOCAIN SPRAY SPRAY 0,1 PT. Astrazeneca Indonesia

LIDOCAIN INJ 0,02 PT. Bernofarm Pharmaceutical
Company ( Ogb Division )
LIDOCAIN 2% INJEKSI INJ 0,02 PT. Kimia Farma (Persero), Tbk

XILOCAIN GELL GEL 0,02 PT. Astrazeneca Indonesia

MIDAZOLAM
DORMICUM

INJ 5 mg PT. Roche Indonesia

SEDACUM INJ 15 mg PT. Dexa Medica
PROPOFOL

PROANES 1% (MCT/LCT) INJ 200 mg/20 ml PT. Sanbe Farma

PROPOFOL LIPURO MCT/LCT INJ 10 mg PT. Bbraun Medical Indonesia
SEVOFLURANE

SEVODEX
INJ 250 ml PT. Dexa Medica
18 ALERGY & IMMUNE SYSTEM
18a ANTIHISTAMINES & ANTIALLERGICS
BETAMETHASONE, DEXCHLORPHENIRAMINE MALEATE

CELESTAMINE SYR 0.25 mg/5 ml

PT. Msd Pharma Tbk
BETAMETHASONE; DEXCHLORPHENIRAMINE MALEATE
NILACELIN SYR 2 mg PT. Nicholas Laboratories Indonesia

OCUSON TAB 0,25 mg, 2 mg PT. Sanbe Farma

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

GRATAMIN TAB 2 mg PT. Gracia Pharmindo

CETIRIZINE

46
 CETIRIZINE DROPS 10 mg/ml PT. Indofarma,Tbk.
ESTIN DROPS 10 mg/ml PT. Gracia Pharmindo
CETIRIZINE SYR 5 mg/5 ml PT. Indofarma,Tbk.
ZINE SYR 5 mg/5 ml PT. Promedrahardjo Farmasi Industri

CETIRINE TAB 10 mg PT. Dexa Medica

CETIRIZINE TAB 10 mg PT. Hexpharm Jaya
DEXAMETHASONE, DEXCHLORPHENIRAMINE MALEATE
PRITACORT TAB 0,5 mg, 2 mg PT. Molex Ayus
LORATADINE

ALLOHEX SYR 5 mg/5 ml PT. Hexpharm Jaya

LORATADINE TAB 10 mg PT. Hexpharm Jaya

TAB 10 mg PT. Novell Pharmacutical Labs

18b VACCINES, ANTISERA & IMMUNOLOGICALS

DIPHTERIA TOXOID, TETANUS TOXOID,ACELLULAR PERTUSIS, FI

INFANRIX IPV HIB INJ 0,5 ml

Glaxo Smith Kline
DIPHTERIA TOXOID, TETANUS TOXOID,ACELLULAR PERTUSIS, FI

INFANRIX HEXA (BOX/1VL) INJ 0,5 ml Glaxo Smith Kline

HAEMOPHILUS INFLUENZAE TYPE B 10 MCG

ACTHIB SYRINGE 10 g/0.5 ml Sanofi Group Indonesia

HEPATITIS A VACCINE

AVAXIM 80 SYRINGE 80 unit/0.5 ml Sanofi Group Indonesia

HEPATITIS B SURFACE ANTIGEN (HBSAG)

EUVAX B 0.5ML INJ 10 g/1.0 ml Sanofi Group Indonesia

EUVAX B 1ML INJ 20 g/1.0 ml Sanofi Group Indonesia
HUMAN BOVINE ROTAVIRUS REASSORTANTS (G1, G2, G3, G4, P1

ROTATEQ DROPS 2 ml PT. Msd Pharma Tbk

HUMAN TETANUS IMUNOGLUBULIN

TETAGAM PREFILLED INJ 250 IU PT. Dexa Medica

MEASLES, MUMPS, RUBELLA
MMR II INJ 0,5 ml PT. Msd Pharma Tbk

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

MEASLES-MUMPS-RUBELLA

TRIMOVAX SYRINGE 1000 CCID50, Sanofi Group Indonesia

47
 5000 CCID50,
1000 CCID50
PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT

PREVENAR 13 INJ 0.5 ml PT. Pfizer Indonesia

PNEUMOCOCUS HAEMOPHILUS INFLUENZA PROTEIN D-CONJUG

SYNFLORIX INJ 0,5 ml Glaxo Smith Kline

RABIES VACCINE
25 IU/dose Sanofi Group Indonesia

VERORAB REGULER SYRINGE

VARICELLA (LIVE ATTENUATED) VACCINE
Glaxo Smith Kline
VARILRIX INJ 0,5 ml
18c IMMUNOSUPPRESSANTS
CYCLOSPORINE

SANDIMMUN NEORAL SOFT CAPS 25 mg PT. Novartis Indonesia

SOFT CAPS 50 mg PT. Novartis Indonesia
SOFT CAPS 100 mg PT. Novartis Indonesia
MYCOPHENOLATE NA

MYFORTIC TAB 180 mg PT. Novartis Indonesia

TAB 360 mg PT. Novartis Indonesia

19 ANTIDOTES &TS
DETOXIFYING AGEN S
19 ANTIDOTES &
DETOXIFYING AGENT
ATROPINE SULPHATE
INJ

ATROPIN 0.25 mg/1ml PT. Ethica Industri Farmasi

CA-LEUCOVORIN

PT. Novell Pharmacutical

NOVORIN INJ 10 mg/ml Labs
MESNA

UROMITEXAN INJ 400 mg PT. Transfarma Medica Indah

N-ACETYLCYSTEINE
HIDONAC 20% INFUSION INJ 5 g/25 ml PT. Zambon Indonesia
NALOXONE

NOKOBA INJ 0,4 mg/ml

20 INTRAVENOUS & OTHER STERIL

SOLUTIONS
PT. Pratapa Nirmala & Divisi Ogb

48
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

20INTRAVENOUS & OTHER STERIL SOLUTIONS

0,9 % SODIUM CHLORIDE

OTSU NS INF 0.9% PT. Otsuka Indonesia

ECOSOL NaCl INF 0.90 g, 154 PT. Bbraun Medical Indonesia
mmol/l, 154
mmol/l, 1 l
INF 0.90 g, 154 PT. Bbraun Medical Indonesia
mmol/l, 154
mmol/l, 1 l
OTSU NS INF 0.9 NaCl Inj. PT. Otsuka Indonesia
10% DEXTRAN 40 IN RL INJ.

OTSUTRAN 40 INF 10%, 40 PT. Otsuka Indonesia

10% DEXTROSE INJ.

OTSU D10 INF 0,1 PT. Otsuka Indonesia

10% MALTOSE INJ.

MARTOS 10 INF 0,1 PT. Otsuka Indonesia

2,5% DEXTROSE IN 0,45% NACL INJ

OTSU D 2.5, 1/2 NS INF 2,5%; 4,5% PT. Otsuka Indonesia

20% MAGNESIUM SULFATE

OTSU MgSO4 20 INJ 0,2 PT. Otsuka Indonesia

3% SODIUM CHLORIDE INJ.

OTSU SALIN 3 INF 0,03 PT. Otsuka Indonesia

40% DEXTROSE INJ.

OTSU D40 INJ 40% PT. Otsuka Indonesia

40% MAGNESIUM SULFATE

OTSU MgSO4 40 INJ 0,4 PT. Otsuka Indonesia

6% DEXTRAN 70 IN NORMAL SALINE INJ.

OTSUTRAN 70 INF 6%, 70 PT. Otsuka Indonesia

7,46% KCL INJ.
OTSU KCL
7.46
INJ 7.46% PT. Otsuka Indonesia
AQUA PRO
AQUA PRO INJ 10 mg PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

49
 INJ 20 ml PT. Bernofarm Pharmaceutical
Company ( Ogb Division )

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

ASETAT & MALAT (CRISTALOID BALANCED ISOTONIC)

RINGERFUNDIN INF 24 mg, 5 mg PT. Bbraun Medical Indonesia

DEXTROSE

DIANEAL SOLN 1,5% PT. Kalbe Farma

DEXTROSE 100G/L;OSMOLARITY 560 MOSM/L; CALORIE 400 KCA

INFUSAN D10 INF - PT. Sanbe Farma

DEXTROSE 25 G/L+ELECTROLYTE (NA+ 77 ; CL- 77 ) MEQ/L;OSMO

INFUSAN D2.5 + 1/2NS INF - PT. Sanbe Farma

DEXTROSE 5%

OTSU D5 (RUBBER ELLIPSE) INF 0,05 PT. Otsuka Indonesia

OTSU D5, 1/2 NS INF 5%, 0.45% PT. Otsuka Indonesia
OTSU D5, 1/4 NS INF 5%, 0.225% PT. Otsuka Indonesia
OTSU RD 5 INF 0,05 PT. Otsuka Indonesia
OTSU D5 INJ INF 0,05 PT. Otsuka Indonesia
DEXTROSE 50 G/L+ELECTROLYTE (NA+ 154 ; CL- 154 ) MEQ/L;OS

INFUSAN D5 + NS INF - PT. Sanbe Farma

DEXTROSE 50 G/L+ELECTROLYTE (NA+ 38.5 ; CL- 38.5 ) MEQ/L;O

INFUSAN D5 + 1/4 NS SP INF - PT. Sanbe Farma

INFUSAN D5 + 1/4 NS DP INF - PT. Sanbe Farma
DEXTROSE 50 G/L+ELECTROLYTE (NA+ 77 ; CL- 77 ) MEQ/L;OSMO

INFUSAN D5 + 1/2 NS SP INF 50 G/L, (Na+ PT. Sanbe Farma

77 ; Cl- 77 )
Meq/L;Osmola
ri ty 432
Mosm/L;
Calorie 200
Kcal/L
DEXTROSE 50G/L;OSMOLARITY 278 MOSM/L; CALORIE 200 KCAL/
INFUSAN D5 SP INF PT. Sanbe Farma
50 G/L; 278
Mosm/L; 200
Kcal/L
INFUSAN D5 (250ML) INF 50 G/L; 278 PT. Sanbe Farma
Mosm/L; 200
Kcal/L

50
 INFUSAN D5 (100ML) INF 50 G/L; 278 PT. Sanbe Farma
Mosm/L; 200
Kcal/L
DEXTROSE, ELECTROLYTE, OSMOLARITY, CALORIE
Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

INFUSAN D5 + 1/2 NS DP INF 50 PT. Sanbe Farma

G/L+Electrolyte
(Na+ 77 ; Cl- 77
)
Meq/L;Osmola
ri ty 432
Mosm/L;
Calorie 200
Kcal/L
DEXTROSE; OSMOLARITY; CALORIE

INFUSAN D5 DP INF PT. Sanbe Farma

50 G/L; 278
Mosm/L; 200
Kcal/L
ELECTROLYTE (NA+ 130; K+ 4 ; CA2+ 2,7; CL- 109;LACTATE 28 ) M

INFUSAN RL SP INF - PT. Sanbe Farma

INFUSAN RL DP INF - PT. Sanbe Farma
ELECTROLYTE (NA+ 131; K+ 4; CA2+ 2,7 ; CL- 109; ACETATE 28) M

INFUSAN RING AS SP INF - PT. Sanbe Farma

ELECTROLYTE (NA+ 147; K+ 4; CA2+ 4,4; CL- 156) MEQ/L+ GLUCO

INFUSAN R + D SP INF - PT. Sanbe Farma

INFUSAN R + D DP INF - PT. Sanbe Farma
ELECTROLYTE (NA+ 154 ; CL- 154) MEQ/L;OSMOLARITY 308 MOS

INFUSAN NS IRIGASI INF - PT. Sanbe Farma

ELECTROLYTE( NA+ 154 ; CL- 154) MEQ/L; OSMOLARITY 308 MOS

INFUSAN NS SP INF - PT. Sanbe Farma

INFUSAN NS DP INF - PT. Sanbe Farma
INFUSAN NS (250ML) INF - PT. Sanbe Farma
INFUSAN NS (100ML) INF - PT. Sanbe Farma
ELECTROLYTE, ACETATE RINGER

ASERING INF PT. Otsuka Indonesia

ELECTROLYTE, ACETATE RINGER, 5% DEXTROSE

ASERING 5 INF 0,05 PT. Otsuka Indonesia

51
 ELECTROLYTE, GLUCOSE

KA-EN 1B INJ. INF PT. Otsuka Indonesia

KA-EN MG3 INJ. INF PT. Otsuka Indonesia
ELEKTROLYTE (NA+ 131; K+ 4; CA2+ 2,7 ; CL- 109; ACETATE 28) M
INFUSAN RING AS DP INF - PT. Sanbe Farma
GELATIN (KOLOID MFG 4%/NACL)

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

GELOFUSIN INF 40 g, 7,01, 1,36 PT. Bbraun Medical Indonesia

108.040 g
GELAFUSAL INF PT. Dexa Medica
GLUCOSE MONOHYDRATE FOR PARENTERAL USE 11.0 G

ECOSOL G5 INF 5.5 G PT. Bbraun Medical Indonesia

ECOSOL G10 INF 11.0 G PT. Bbraun Medical Indonesia
HES, BM

FIMAHES INF 6%, 200 kD PT. Kalbe Farma

HES:BM=130.000/0.4+(NA+ 154 ;CL- 154) MEQ/L; OSMOLARITY: 308

SANBE HEST 130 INF - PT. Sanbe Farma

HES:BM=200.000/0.5+(NA+ 154 ;CL- 154) MEQ/L; OSMOLARITY: 308

SANBE HEST 200 INF - PT. Sanbe Farma

KALSIUM GLUKONAT

CALCII GLUCONAS INJ 100 mg/10 ml PT. Ethica Industri Farmasi

MALTOSE 50G/L+ELECTROLYTE (NA+130;K+ 4 ; CA2+ 2,7 ; CL - 10

HYDROMAL INF - PT. Sanbe Farma

MANITOL INJ.

OTSU MANITOL 20 INF PT. Otsuka Indonesia

INF PT. Otsuka Indonesia
NA. ETC.
POTACOL
INJ.
INF PT. Otsuka Indonesia
NACL 219,66 G;KCL 5,64 G;CACL2.2H2O 90 MG

ACENTRAT INF PT. Sanbe Farma

52
 NAHCO3

BICARLIS INF 50 G PT. Sanbe Farma

NATRIUM BIKARBONAT

MEYLON INJ PT. Otsuka Indonesia

NATRIUM CHLORIDE

OTSU NS INJ. INF PT. Otsuka Indonesia

PLASMA PROTEIN FRACTION HUMAN
PLASMANATE INJ 250 ml PT. Dipa Pharmalab Intersains
RINGER LACTATED

Kelas, Nama Generik Dagang Sediaan Dosis Strength Principal

OTSU RL (RUBBER ELLIPSE) INF PT. Otsuka Indonesia

RINGER SOLUTION

OTSU RS INF PT. Otsuka Indonesia

RL D5

OTSU RL D5 INF 5% PT. Otsuka Indonesia

RL, NS

ECOSOL RL INF 0,600 g, 0,312 PT. Bbraun Medical Indonesia

g, 0,040 g,
0,027 g
K18; CA2+4; MG
SORBITOL 50 G/L+ELECTROLYTE (NA 100; CL-90;

FUTROLIT INF - PT. Sanbe Farma

SORBITOL, ELEKTROLIT

TUTOFUSIN OPS INF 50 g/L PT. Kalbe Farma

STERILE WATER

STERIL WATER FOR IIRRIGATION U PT. Otsuka Indonesia

STERILE WATER FOR INJ.

OTSU WI INJ PT. Otsuka Indonesia

WATER FOR INJECTION

SANBE WATER FOR IRRIGATION UINF 1000 ml PT. Sanbe Farma

WATER FOR INJECTION 1000 ML
SANBE WATER FOR IRRIGATION UINF 2,000 ml PT. Sanbe Farma

53