Formularium
No Nama Obat Ketersediaan Obat
Obat
1 Allopurinol
2 Ambroxol
3 Ambroxol sirup
5 Amlodipin 5 mg
6 Amoxicilin 500 mg
7 Amoxicilin 250 mg
8 Amoxicilin sirup 125 mg/ml
9 Amoksiilin sirup 250 mg/5 ml
10 Antasid sirup
11 Antasid tablet
12 Aqua Bidest -
13 Asam Askorbat (Vit.C)
14 Asam Mefenamat
15 Asetosal 80 mg
16 Asiklovir 5% krim
17 Asiklovir 200 mg
18 Betametason 0,1% krim
19 Cetirizine
20 Ciprofloksasin 500 mg
21 Clindamycin 150 mg
22 Clindamycin 300 mg
23 Deksametason Inj 5mg/ml-1 ml
30 Deksametason tablet 0,5 mg
31 Digoksin tablet 0,25 mg
32 Domperidon
33 Eritromisin kapsul 250 mg
34 Eritromisin kapsul 500 mg
35 Eritromisin syrup 200 mg/5 ml
36 Etakridin (rivanol) larutan 0,1%
37 Etanol 70 %
40 Fitomenadion (Vit K) tablet salut 10 mg
41 Fitomenadion (Vit K) injeksi 10 mg/ml-1ml
42 Furosemid tablet 40 mg
43 Garam oralit untuk 200 ml air
44 Gentian violet larut 1 %
45 Glibenklamid tablet 5 mg -
46 Gliserin Guayakolat tablet 100 mg -
47 Glukosa larutan infus 5% steril
48 Griseofulvin tablet 125 mg Mikronized
49 Halopridol tablet 0,5 mg
50 Halopridol tablet 1,5 mg
51 Hidroklorotiazid (HCT) tablet 25 mg
52 Hidrokortison krim 2,5 %
53 Ibuprofen tablet 200 mg
54 Ibuprofen tablet 400 mg -
55 Ibu profen suspensi
56 Kalsium Kaktat (Kalk) tablet 500 mg
57 Kaptopril 12,5 mg
58 Kaptopril 25 mg -
59 Karbamazepin tablet 200 mg -
60 Ketokonazol tab 200 mg
61 Ketorolac injeksi
62 Kloramfenikol salep mata 1 %
63 Kloramfenikol tetes telinga 3 % -
64 Klorfeniramin maleat (ctm) tablet 4 mg
66 Klorpromazin (CPZ) HCL tablet salut 100
-
mg
67 Kotrimoksazol dewasa tablet
68 Kotrimoksazol pediatrik tablet -
69 Kotrimoksazol suspensi
70 Lansoprazol kapsul 30 mg
71 Lidokain HCl 2% + epinefrin (1:80.000)
72 Lidokain injeksi
73 Lisol - -
74 Loperamid 2 mg -
75 Magnesium sulfat injeksi (IV) 40 %-25 ml -
76 Magnesium sulfat injeksi (IV) 20%-25 ml -
77 Mebendazol tablet 100 mg
78 Meloksikam 15 mg -
79 Metformin tab 500 mg
80 Metilergometrin maleat inj. 0,200 mg- 1 ml
82 Metilprednisolon 4 mg
83 Metoklopramide tab 10 mg
84 Metronidazol tablet 500 mg
85 Miconazol krim
86 Natrium bikarbonat (Bicnat) tablet 500 mg
87 Natrium diklofenak 25 mg
88 Natrium diklofenak 50 mg -
89 Natrium klorida larutan infus 0,9% steril
90 Nipedipin 10 mg
91 Nistatin 500.000 iu tablet salut
92 Nistatin 100.000 iu/g tablet vagina -
93 Obat batuk hitam (o.b.h) cair
94 Oksitetrasilin HCl salep kulit 3% -
95 Oksitetrasilin HCl salep mata 1 %
96 Oksitosin injeksi 10 iu / ml-1 ml
97 Omeprazol kap 20 mg
98 Papaverin tablet 40 mg
99 Parasetamol drop
100 Parasetamol sirup 120 mg/ 5 ml
101 Parasetamol tablet 100 mg -
102 Parasetamol tablet 500 mg
103 Pirantel pamoat tablet 125 mg
104 Piridoksin HCl tablet 10 mg
105 Piroksikam tablet 10 mg -
106 Piroksikam tablet 20 mg -
107 Povidon iodida 10% (Bethadine) 30 ml -
108 Povidon iodida 10% (Bethadine) 60 ml -
109 Povidon iodida 10% (Bethadine) 300 ml -
110 Prednison tablet 5 mg -
111 Primakuin tablet 15 mg
112 Propanolol HCl tablet 10 mg
113 Propiltiourasil tablet 100 mg -
114 Ranitidin injeksi 25 mg/ml
115 Ranitidin tab 150 mg
115 Ringer laktat larutan infus steril -
116 Salbutamol tab 4 mg
117 Salbutamol tablet 2 mg
118 Salep 2 – 4 kombinasi
119 Salisil bedak 2 %
120 Sefotaksim injeksi kering
121 Seftriakson serbuk injeksi 1 g/ml – 10 ml -
122 Sianokobalamin (Vit.B 12) tab 50 mcg
123 Simvastatin tab 10 mg
124 Sulfadoksiin 500 mg + pirimetamin 25 mg (
anti malaria )
125 Tablet tambah darah kombinasi
126 Tetrasiklin HCl kapsul 500 mg -
127 Tetrasiklin HCl kapsul 250 mg -
129 Tiamin HCl Mononitra (Vit.B1) tablet 50 mg
132 Triheksifenidil Hidroklorida tablet 2 mg
133 Vitamin B kompleks tablet
134 Molagit
135 Stesolid rectal -
136 Z ink