No. Kelas No.

Urut Kelas Terapi, Nama Obat, Bentuk Sediaan, Nama Dagang

Terapi Obat Kemasan

1
Harga Dosis Catatan
 DRAFT FORMULARIUM REVISI 2017

Keterangan:

Obat Death Stock

Obat Stock Kosong
Obat sudah tidak beredar di pasaran
Obat > 10 item merk dagang
No.
No. Kls
Urut Kelas Terapi, Nama Obat No Nama Dagang Satuan Ket
Terapi
1 Obat ALIMENTARY SYSTEM

1.1 ANTACID, ANTI ULCER

1 Antasida DOEN
a. Aluminium hidroksida 200 mg 1 Antasida DOEN tab OGB
b. Magnesium hidroksida 200 mg

2 Antasida DOEN
a. Aluminium hidroksida 200 mg/ 5 ml 1 Antasida DOEN syr OGB
b. Magnesium hidroksida 200 mg/ 5 ml

3 Kombinasi
a. Aluminium hidroksida 250 mg 1 Gastrinal tab Mexpro
b. Magnesium trisilikat 500 mg

4 Kombinasi Simetikon 1 Acitral tab Interbat

Tab., 2 Lagesil tab Lapi
3 Mylanta tab Parke D
4 Promag tab Kalbe

Susp., 1 Acitral susp Interbat

2 Lagesil susp Lapi
3 Mylanta susp Parke Davis

Kombinasi Dimetilpolisiloksan 1 Dexanta tab/susp. Dexa M

Metiska
2 Gestamag tab/susp.
Farma
3 Gastran tab Medifarma
4 Plantacid tab/susp. Kalbe
5 Plantacid F tab/susp. Kalbe
6 Farmacrol F susp Fahrenheit

5 Cimetidin
Tab., 200 mg 1 Cimetidin tab OGB
2 Ulsikur tab Kalbe
3 Sanmetidin tab Sanbe

6 Ranitidin HCl
Tab., 150 mg 1 Ranitidin tab OGB
Sirup 2 Gastridin tab Interbat
3 Rantin tab Kalbe
4 Acran tab Sanbe
5 Radin tab Dexa M
6 Ratinal tab Gracia
7 Ranivel sirup Fahrenheit

Injeksi., 25 mg/ml
1 Ranitidin ampul OGB
2 Gastridin ampul Interbat
3 Fordin ampul Promed
4 Acran ampul Sanbe
5 Radin ampul Dexa M
Darya varia 6 Rantin ampul Kalbe
Injeksi., 50 mg/ml
1 Rantin ampul Kalbe
7 Famotidine
Tab., 20 mg
1 Famotidine tab OGB
2 Famocid tab Sanbe
3 Facid tab Kalbe
Tab., 40 mg
1 Famocid tab Sanbe
2 Facid tab Sanbe
Famotidine, Ca Carbonate, Tab 200 mg
Page 3
 1 Magard FA tab Soho
8 Omeprazole
Cap., 30 mg
1 Omeprazole cap OGB
2 OMZ cap Dexa M
3 Ozid cap Darya
4 Rocer cap Soho
5 Zolacap cap Capri
6 Pumpitor cap Sanbe
7 Ulpraz cap Coronet
Injeksi., 40 mg / ml
1 Omeprazol vial OGB
2 OMZ vial Dexa
3 Ozid vial Darya Varia
4 Rocer vial Otto
5 Pumpitor vial Sanbe Farma
9 Lansoprazole
Cap., 30 mg
1 Lansoprazole cap OGB
2 Prosogan FD cap Takeda
3 Prazotec cap Fahrenheit
4 Gastrolan cap Gracia
5 Lapraz cap Sanbe
6 Lancid cap Kalbe
7 Caprazol cap Capri
8 Lasgan cap Lapi
Inj.
1 Prosogan ampul Takeda
2 Prozotec ampul Fahrenheit
10 Pantoprazole
Tab.,
1 Pantoprazol tablet OGB
Inj., 40 mg / ml
1 Pantoprazole ampul OGB
2 Panzol ampul Pyridam
3 Pepzol vial Mahakam
4 Pranza vial Kalbe
5 Pantoz ampul Pyridam
6 Topazol ampul Lapi
7 Pumpisel vial Sanbe
8 Panso vial Soho
9 Pantopum ampul Interbat

11 Sucralfat 1 Neciblok cap Dankos

Tab., 500 mg 2 Musin tab Otto
3 Ulsicral tab Ikhaparmindo
4 Mucogard tab Combiphar
Syr., 500 mg /ml
1 Ulsicral syr Ikhapharm
2 Inpepsa syr Fahrenheit
3 Propepsa syr Meprofarm
4 Episan syr Sanbe
5 Mucogard syr Combiphar

12 Esomeprazol 1 Esofer vial Ferron

1.2 GIT Regulator, antiflatulents and Anti inflammatories

1 Metoklopramide HCl
Tab., 10 mg
1 Metoklopramide tab OGB
2 Primperan tab Soho
3 Piralen tab Otto
4 Tomit tab Interbat
5 Damaben tab Capri

Tab., 5 mg 1 Primperan tab Soho

Syr., 5 mg/ml 1 Metoklopramide syr OGB

2 Primperan syr Soho
Drop., 4 mg/ml
1 Primperan drops Soho

Injeksi., 10 mg/2ml 1 Metoklopramide ampul OGB

2 Primperan ampul Soho
Page 4
 3 Sotatic ampul Fahrenheit
4 Piralen ampul Otto
5 Tomit ampul Interbat
Metoklopramide HCl 5 mg, parasetamol 500 mg
Tab., 1 Primadol tab Soho

2 Domperidon 1 Domperidon tab OGB

Tab., 10 mg 2 Vomerin tab Soho
3 Vometa tab Dexa
4 Dombaz tab Zenith
5 Vomitas tab Kalbe
6 Vosedon tab Sanbe
Syr., 5 mg / 5 ml
1 Domperidon syr OGB
2 Vomitas syr Kalbe
3 Vosedon syr Sanbe
4 Vometa syr Dexa M
5 Vomerin syr Soho

Drop., 5 mg / 10 ml 1 Vometa drops Dexa

2 Vomitas drops Kalbe
3 Cisapride
Tab., 5 mg 1 Pridesia tab Sanbe

4 Sulfasalazine
Tab., 500 mg
1 Sulcolon tab Bernofarm
5 Ondansetron
Tab 4 mg; 8mg
1 Ondansetron tab OGB
2 ODR tab Lapi
3 Vometron tab MBF
4 Trovensis tab Sanbe
5 Vometras tab Dexa M
6 Invomit tab Interbat
7 Cedantron tab Soho
Inj 4mg; 8mg
1 Ondansetron vial OGB
2 Viisme vial Soho
3 Vometron vial MBF
4 Trovensis vial Sanbe
5 Vomitras vial Dexa M
6 Invomit vial Interbat
7 Cedantron vial Soho
8 ODR ampul Lapi
6 Granistron
Inj., 1 Opigran ampul Soho
2 Granon ampul Dexa medica
7 Misoprostol
Tab., 1 Invitec tab Kalbe
2 Mipros tab MBF
3 Gastrul tab Mepro
1.3 ANTI SPASMODIC
1 Atropin sulfat
Tab., 0,5 mg 1 Atropin sulfat tab OGB
Ampul., 1 mg /ml 1 Atropin sulfat inj OGB

2 Chlordiazepoksida 5 mg, Clidinium Br 2.5 mg

Tab., 1 Braxidin tab Sanbe
2 Cliad tab Interbat
3 Librax tab Roche
3 Hyosine N-butylbromide
Tab., 20 mg 1 Scopamin tab Otto

Inj., 20 mg / ml 1 Scopamin ampul Otto

2 Gitas ampul Interbat

4 Hyosine N-butylbromide + Parasetamol

Tab., 10 mg + 500 Parasetamol 1 Gitas Plus tab Interbat
2 Scopamin Plus tab Otto

5 Metampiron 250mg + Skopolamin bromobutilat 10mg

Tab., 1 Procolic tab Mepropharm

Page 5
 6 Metampiron 250mg + Diazepam 2mg
Tab.,
1 Analsik tab Otto
2 Proneuron tab Metiska
3 Opineuron tab Otto
7 Chlordiazepokside HCl 5mg, fenilpropilmetilamina 30mg 4 Danalgin tab Kalbe
Tab.,

8 Pramiverine 2mg + metamizol Na 250 mg

Tab., 30 mg
Inj., 2,5 mg

10 Timepidium bromide
Tab., 30 mg

11 Ekstrak Belladone, Metampiron 500, Papaverin 25

1 Spasminal tab Hexpharm
12 Papaverine HCl
Tab., 1 Papaverine HCl tab KF
Inj., 1 Papaverine HCl ampul KF
Inj., 1 Papaverine HCl ampul Soho

1.4 ANTIDIARRHEAL
1 Active attapulgite
Tab., 1 Biodiar tab Sandoz
2 New Diatab tab Medifarma

tab., kombinasi attapulgite, pektin (lainnya) 1 Diagit tab Interbat

tab., kombinasi attapulgite, pektin (lainnya) 2 Neo Enterostop tab Kalbe Farma

2 Kaolin dan pektin 1 Opidiar syr Otto

Syr., 2 Neo Kaolana syrp Sanbe Farma

3 Loperamide HCl
Tab., 2 mg
1 Imodium tab Janssen
2 Lodia tab Sanbe Farma
3 Opox tab Guardian F
4 Lactobacillus kombinasi
Tab.,
1 Lacbon tab Kimia Farma
2 Dialac serbuk Kalbe
Serb.,
1 L Bio serbuk Lapi
2 Liprolac serbuk Kalbe
3 Lacto B serbuk Soho
Syr.,
1 Interlac syr
2 Lactulac syr
5 Zinc
Tab., 20 mg
1 Zinkid tab Indofarma
2 Zinkcare tab Kalbe
Syr., 20 mg / ml
1 Daryazinc syr Darya Varia
2 L-zinc syr Lapi
6 Kodeina HCl
Tab., 10 mg, 15 mg dan 20 mg
1 Codein tab Kimia Farma

Syr 1 Codipront syr Kimia

7 Garam Oralit
• Natrium klorida 3,5 g
• Kalium klorida 1,5 g
• Natrium bikarbonat 2,5 g
• Glukosa (Glucosum) 20 g
Serbuk , tiap sach utk 1000 ml air
1 Oralit powder OGB
2 Pharolit powder Novell
8 Garam Oralit
• Natrium klorida 0,7 g
• Kalium klorida 0,3 g
• Natrium bikarbonat 0,5 g
• Glukosa (Glucosum) 4 g 1 Oralit powder OGB
Page 6
 Serbuk , tiap sach utk 200 ml air 2 Pharolit powder Novell

9 Mineral dan elektrolit

Lar., 1 Renalyte liq. Fahrenheit
2 Pedyalite liq. Abbot
3 Trolit sac Corronet
4 Dehaf sac.
5 Disolf tab
1.5 LAXATIVE, FURGATIVE
1 Bisakodil
Tab., 10 mg
Supp., 5 mg 1 Dulcolax tab Boehringer I
Sup., 10 mg 1 Dulcolax paed suppo Boehringer I
1 Dulcolax suppo Boehringer I
2 Lactulosa
Syr., 3,335 mg/ml
1 Lactulax syr Ikapharmindo
2 Opilax syr Otto
3 Fenolftalein 56 mg, parafin cair 1200 mg, gliserin 736
Syr.,
1 Laxadine syr Yupharin
4 Na picosulfat
Drops., 7,5 mg /ml
1 Laxoberon drops Boehringer I
Na lauryl sulfoacetat 45 mg, Na sitrat 450 mg, asam sorbat 5
5
mg, PEG 400 625 mg, sorbitol 4 465 mg
Rectal Tube
rectal
1 Microlax Pharos
tube
6 Dioktil Na-sulfosuksinat 50 mg
tab 1 Laxatab tab Yupharin
Monobasik sodium fosfat 1H2O 19 g, dibasik sodium fosfat
7
7H2O 7g
Rectal 1 Fosen Enema Enema Fahrenheit
2 Yal Enema
1.6 DIGESTIVES
1 Pankreatin 170 mg; dimetilpolisiloksan 80 mg
Amilase, protease, lipase, desoxycholic acid,
2 dimetylpolisiloksan 25 mg, niacinamida, vit. B6, vit. B12, Ca 1 Vitazym tab Kalbe Farma
Tab.,
pantotenat 2 Gasflat tab Fahrenheit
3 Enzyplex tab Medifarma
Sanactase, proctase, olipase, meicelase, pancreatic digestive
3
enzyme
Cap., 1 Car Q 100 tab Kalbe farma
Pancreatic lipase, pancreatic amylase, pancreatic protease,
4
activated dimetylpolisiloksan
Tab., 1 Xepazym tab Kimia Farma
Metoklopramide HCl, pepsin, fungal amylase, fungal lipase,
5
pancreatic enzym complex
Tab.,
Pancreatin, papain, ox bile, curcuma xanthorhyza, vit.,
6 1 Cobazym 1000 cap Interbat
mineral, liver extract
Tab., 2 Cobazym 3000 cap Interbat

7 Fucoidan
Tab 1 Fucoidan tab Soho
2 Fucobac tab Meprofarm
3 Codan tab MBF

syr 1 Fucoidan syr Soho

8 Arabinoxylan derivat 250 mg.

Tab., 1 Biobran tab Ferron

CHOLAGOGUES, CHOLELYTHOLYTICS &

1.7
HEPATIC PROTECTOR
High conc. Of brainched-chain amino acid and low conc. of
1
aromatic amoni acid
Infus., 1 Aminoleban inf Otsuka

2 Curcumin, sylimarin
Cap.,

3 Lecithin, vit. B1, vit. B6, vit. B12, vit. E, beta caroten
Cap.,

4 Lecithin, vit. B1, vit. B6, vit. B12, vit. E, nicotinamida

Cap.,
Page 7
 Metionin, Choline bitartat, vit. B1, vit. B6, vit. B12, asam
5
folat, Ca pantotenat, biotin
Tab.,
6 Chenodeoxy cholic acid
Softcap., 25 mg
Extr. Curcuma xanth., scinzandrae fruct., liquiritae radix,
7
gardeniae fruct., capilarisi herba
Cap., 1 Curliv cap Soho
2 Curliv plus caps Soho
Extr. Chelidonii, extrc. Curcuma, extrc. Spinaceae, pure
8
lecithin, ol. Menthae pep., ol Curcuma
Cap.,
9 Asam amino, elektrolit, sorbitol, vitamin
Infus., 1 Tutofucin LC inf Baxter
10 Urseodeoxy cholic acid
Tab., 1 Urdafalk tab Darya Varia
2 Urdahex tab Kalbe
PPC 95% 150 ml, Silimarin 100 mg, Schizanda ext. 37.5mg,
11
d-a-tokoferol 5 ui
Kaplet., 1 Hepamax cap Kalbe
2 Biocurlam cap Soho
12 Ekstrak Curcuma longa Silymarin Phytosome
Ekstrak Schindarae Fructus 1 Biocurliv cap Soho
Cap.,

13 Curcuma
Tab., 1 Curcuma tab Soho
Syr. 2 Curcuma syr Soho
2 CARDIOVASCULAR & HAEMTOPOIETICS SYSTEM

2.1 CARDIAC DRUG

1 Digoxin
Tab., 0,25 mg 1 Digoxin tab OGB
2 Digoxin Sandoz tab Sandoz
3 Fargoxin tab Fahrenheit
Injeksi
1 Fargoxin ampul Fahrenheit

2 Dopamin HCl
Inj., Ampul 10 mg/ml
Inj. Ampul 20 mg/ml 1 Dopamin ampul Abbot
2 Dopac ampul Kalbe Farma
3 Udopa ampul Dipa Farma
3 Mexiletine HCl
Cap.,100 mg
Inj. ,Ampul 250 mg/ml
4 Amiodaron 1 Cordarone tab Sanofi Aventis
Tab., 200 mg 1 Cordarone ampul Sanofi Aventis
Inj.,150mg/3ml
5 Dobutamin
Inj., 25 mg / ml 1 Dobutamin vial OGB
2 Dobuject vial Dexa M
2.2 ANTIANGINAL DRUGS
1 Isosorbid Dinitrat (Isosorbid Dinitras)
Tab., Sub. Lingual 5 mg 1 Isosorbid dinitrat tab OGB
2 Cedocard tab Darya Varia
Tab., Sub. Lingual 5 mg
1 Cedocard tab Darya Varia
Inj., 10 mg / ml
1 Cedocard ampul Darya Varia
2 Isoket IV ampul Pharos
2 Nitrogliserin
Tab., Sub. Lingual 5 mg 1 Nitral tab Pharos
Inj., 1 NTG vial Mahakam

3 Propanolol Hidroklorida
(Propanololum Hydrochloridum)
Tab., 10 mg 1 Propanolol tab OGB
Tab., 40 mg 2 Propanolol tab OGB

4 Dipiridamole
Tab., 25 mg
Tab., 75 mg
Page 8
 5 Amlodipine besylate
Tab., 5 mg 1 Amlodipin tab OGB
Tab., 10 mg 2 Amlocor tab Merck
3 Divask tab Kalbe
4 Norvask tab Pfizer
5 Tensivask tab Dexa M
6 Cardivask tab Kalbe
6 Carvedilol
Tab., 6,25 mg 1 V-Block tab Sanbe

2.3. ACE-INHIBITORS/ OTHER ANTI HYPERTENSIVES

1 Captopril
Tab., 12,5 mg 1 Captopril tab OGB
2 Tensicap tab Sanbe

Tab., 25 mg 1 Captopril tab Kimia Farma

2 Tensicap tab Sanbe Farma
3 Tensobon tab Coronet

2 Irbesartan 1 Irbesartan tab OGB

Tab ., 150 mg 1 Irtan tab Kalbe
2 Irvask tab Kalbe
Tab., 300 mg
1 Irbesartan tab OGB
2 Irtan tab Kalbe
3 Irvask tab Kalbe
3 Clonidin HCl
Tab., 0,15 mg 1 Clonidine tab OGB
2 Catapres tab Boehringer I.
Tab., 0,075 mg
1 Catapres tab Boehringer I.
Inj., 0,15 mg / ml
1 Catapres tab Boehringer I.

4 Lisinopril
Tab., 5 mg 1 Interpril tab Interbat

Tab., 10 mg 1 Interpril tab Interbat

5 Verapamil HCl
Tab., 1 Verapamil tab OGB

6 Imidapril
Tab., 5 mg 1 Tanapress tab Tanabe

7 Ramipril
Tab. 2.5 mg + 12.5 mg HCT 1 Ramipril tab OGB
2 Cardace tab Aventis

8 Enalapril maleat
tab., 10 mg

9 Reserpin 0.1 mg., dihydralazine 10 mg., HCT 10 mg

Tab

10 Losartan
Tab., 50 mg 1 Insaar tab Interbat

2.4 BETA BLOCKERS

1 Propanolol
Tab., 10 mg dan 40 mg 1 Propanolol tab Indo Farma

2 Atenolol
Tab., 50 mg 1 Internolol tab Interbat

3 Bisoprolol fumarate
Tab., 2,5 mg 1 Bisoprolol tab OGB
Tab., 5 mg 2 Maintate tab Tanabe

2.5 ALFA BLOCKER

1 Doksazosin
Tab., 1 mg , 2 mg

2 Terazosin HCl
Tab 1 mg., Tab 2 mg 1 Hytrin tab Abbot
Page 9
2.6 Ca ANTAGONIST
1 Nifedipine
Tab 5 mg., 10 mg 1 Nifedipine tab OGB
2 Diltiazem HCl
Tab., 30 mg 1 Diltiazem HCl tab Indo Farma
2 Herbesser tab Tanabe A
Inj., 50 mg
1 Herbesser ampul Tanabe A
3 Candesartan 1 Blopres tab Takeda
Tab 8 mg , 16 mg

2.7 DIURETICS
1 Spironolactone
Tab., 25 mg 1 Spironolactone tab Phapros
2 Spirolacton tab Phapros
3 Spirola tab Kalbe
Tab., 100 mg
1 Spironolactone tab Phapros
2 Letonal tab Otto
3 Spirolacton tab Phapros
4 Spirola tab Kalbe
2 Furosemide
Tab., 40 mg 1 Furosemide tab OGB
2 Lasix tab Sanofi Aventis
3 Farsix tab Fahrenheit
Inj.,
1 Furosemide ampul OGB
2 Lasix ampul Sanofi Aventis
3 Farsix ampul Fahrenheit
4 Uresix ampul Sanbe
3 Hidroclorthiazid
Tab., 12,5 mg 1 Hidroclorthiazid tab OGB
Tab., 25 mg

PERIPHERAL VASODILATORS & CEREBRAL

2.8
ACTIVATORS
1 Flunarizine
Tab., 5 mg 1 Flunarizine tab OGB
2 Unalium tab Guardian
3 Frego tab Kalbe

2 Co-dercogrine mesilate
Tab., 10 mg 1 Xepadergin tab Metiska F

Tab., 4,5 mg
1 Xepadergin tab Metiska F

3 Citicoline
Cap., 250 mg 1 Citicholine capsul OGB
Cap., 500 mg 2 Neulin PS capsul Ferron
3 Soholin capsul Soho
4 Neuciti capsul Lapi
5 Brainact capsul Dankos
6 Nicholin capsul Takeda
Inj. 250 mg / ml
Inj., 500 mg / ml 1 Citicholine ampul OGB
2 Neulin PS ampul Ferron
3 Soholin ampul Soho
4 Neuciti ampul Lapi
5 Brainact ampul Dankos
6 Nicholin ampul Takeda
4 Cinnarizine
Tab., 25 mg 1 Perifas tab Sanbe

5 Pentoxyfilline 1 Trental tab Sanofi Aventis

Tab., 400 mg

6 Nicergolin
Tab., 10 mg 1 Serolin tab Kalbe Farma

Page 10
 2.9 VASOCONSTRICTORS
1 Adrenalin bitartras
Inj. 1 mg/ml 1 Adrenalin ampul Kimia Farma

2.10 MIGRAINS DRUGS

1 Belladona 0.1mg., ergotamin tartrat 0.3 mg., luminal 20 mg
tab

2 Pizotifen
tab. 500 μg 1 Lysagor tab Kalbe Farma
3 Dimethothiazine
tab. 10 mg
4 Flunarizine
tab. 5 mg 1 Flunarizine tab OGB
2 Unalium tab Guardian
3 Frego tab Kalbe

2.11. HAEMOSTATICS
1 Carbazochrome Na sulfonate
tab. 10 mg 1 Adona tab Tanabe
tab. 30 mg 1 Adona F tab Tanabe

Ampul 50 mg / ml
1 Carbazochrome ampul Ferron
1 Adona ampul Tanabe
2 Ethamsylate 2 Crome ampul Ferron
tab. 500 mg

3 Tranexamid acid 1 Asam Traneksamat cap OGB

Cap. 250 mg 2 Kalnex cap Kalbe Farma
3 Clonex cap Corsa
4 Transamin cap Otto-Daiichi

Tab. 500 mg 1 Asam Traneksamat cap OGB

2 Kalnex cap Kalbe Farma
3 Clonex cap Corsa
4 Plasminex cap Sanbe
5 Transamin cap Otto-Daiichi

Inj. 250mg/ml 1 Asam Traneksamat ampul OGB

2 Kalnex ampul Kalbe Farma
3 Clonex ampul Corsa
4 Transamin ampul Otto-Daiichi

Inj. 500mg/ml 1 Asam Traneksamat ampul OGB

2 Kalnex ampul Kalbe Farma
3 Clonex ampul Corsa
4 Plasminex ampul Sanbe
5 Transamin ampul Otto-Daiichi
4 Vitamin K
tab. 10 mg
Inj. 10mg/ml 1 Vit. K tab Kimia Farma
1 Vit. K ampul Kimia Farma

5 Phytonadion
Inj. 2mg/ml 1 Neo K ampul Combiphar
2 Vitka ampul Phapros
6 Phytomenadione
1 Vitka ampul Phapros
7 Lain - lain
1 Enercore sac
2 L-core sac Lapi
3 Dehaf sac Soho

ANTIKOAGULANTS, ANTIPLATELET,
2.12.
ANTITHROMBOTICS & FIBRINOLYTICS
1 Acetylsalicylic acid
tab. 80 mg 1 Aspilet tab UAP
2 Trombo Aspilet tab UAP

tab 100 mg 1 Acetosal tab OGB

2 Aspirin tab Ikapharmindo
2 Dipiridamol
Page 11
 tab 25 mg 1 Vasotin tab Metiska
tab 75 mg

3 Clopidogrel
tab 75 mg 1 Clopidogrel tab OGB
2 CPG tab Kalbe
4 Ticlopidin
tab 250mg

5 Cylostazol
tab 50 mg; 100 mg 1 Pletaal tab Otsuka

6 Fondaparinux
Inj. 2,5mg 1 Arixtra Inj Glaxo SK

7 Warfarin Sodium 1 Simarc tab Fahrenheit

HAEMORRHOIDAL, PHLEBITIS & VARICOSE

2.13.
PREPARATIONS
1 Heparin Na 1 Antithrom jelly Mecosin
jelly 200 iu/g
Inj. 5000 ui 1 Inviclot vial Fahrenheit
Graptophillum, sphora j., rubia c., coleus a., sanguisorba of.,
2
kaepferia a, curcuma h.
Cap 1 Ambeven cap Medikon
Lithospremi radix, prednisolon, lidokain base, benzokain,
3 1 Boraginol-S oint Takeda
cetrimide, yolk lecithin, oxypoliethoxydodecana
oint 2 Boraginol-N oint Takeda
supp 1 Boraginol-S supp Takeda
2 Boraginol-N supp Takeda
4 Policresulen, cinchocain
oint 20 gr 1 Faktu oint Pharos
supp 1 Faktu supp Pharos

5 Soya bean ext., hipocastani ext., citrus complex ext.

Cap 1 Lanaven cap Landson
2 Venosmil cap Soho

6 Heparin 20.000 ui
Gel 1 Thrombophob gel Abdi
Fluocortolone t., fluocortolone caproate cinchocain,
7
clemizole undecylate
oint 1 Ultraproct oint Schering P.
supp 2 Ultraproct suppo Schering P.

8 O-hydroxyethyl-rutoside
Cap. 300 mg 1 Venaron cap Teguhsindo

9 Hespiridin 50 mg, Disomin 450 mg

Kap. 500 mg 1. Hesroid kaplet Mahakam
2. Hesmin kaplet Interbat
2.14 1 HAEMORRHEOLOGICALS
Pentoxyfilin 1 Trental kaplet Sanovi
Kaplet 400 mg

2.15 OTHER CARDIOVASCULAR DRUGS

1 Adenosin 3-phosphat disodium 3-hydrat
Tab., 20 mg 1 ATP tab Dankos
ATP 20 mg, vit. B1 100 mg, vit. B6 200 mg., vit. B12 200
2
μg., vit E 30 mg
Tab.,

3 Heptaminol
Tab., 150 mg 1 Heptamyl tab Corsa

3 RESPIRATORY SYSTEM
3.1. ANTIASMATHIC PREPARATIONS
1 Aminofilina (Aminophyllinum)
Tab., 200 mg 1 Aminofilin tab OGB
2 Erphapyllin tab
Inj., 24 mg/ml
1 Aminofilin ampul OGB
2 Phaminov ampul

Page 12
 2 Asefilinapiperazine
Tab., 250 mg 1 Etaphyline tab Corsa

3 Deksametason (Dexamethasonum) 1 Deksametason tab OGB

Tab., 0,5 mg 2 Kalmethasone tab Kalbe Farma
3 Cortidex tab Sanbe Farma
4 Indexon tab Interbat
Inj., 5 mg/ml
1 Deksametason ampul Kimia Farma
2 Cortidex ampul Sanbe
3 Kalmethasone ampul Kalbe Farma
4 Indexon ampul Interbat
4 Efedrina
Tab.m 25 mg
1 Efedrin tab Kimia Farma

5 Epinefrina Hidroklorida/ Bitartat

(Adrenalina Hidroklorida/ Bitartat)
Inj. 0.1% (sebagai basa) 1 Adrenalin ampul Kimia

6 Zafirlukas
Tab., 20 mg 1 Accolate tab Astra Zeneca

7 Budesonide
Semprot 100 mg; 200 mg/dosis semprot 1 Pulmicort respules Astra Zeneca
Respules 0,25 & 0,5 mg 2 Flixotide respules

8 Ipatropium bromida
0,02 mg tiap semprot
1 Seretide spray Glaxo
9 Salmeterol 25μ; Flutikason 50 25μg tiap semprot
Inh., 125 mcg 1 Fluthias spray Glaxo

10 Ketotifen
tab. 1 mg 1 Profilas tab Dankos

11 Metaproterenol sulfat
tab. 20 mg

semprot 0,75mg/dosis semprot

12 Prokaterol HCl hemhydrate

1 Meptin tab Otsuka
25 mcg 2 Ataroc tab
3 Ataroc syr
13 Salbutamol Sulfat
tab. 2 mg 1 Salbutamol tab Kimia Farma
2 Lasal tab Lapi
3 Ventolin tab Glaxo W

tab. 4 mg
1 Salbutamol tab Kimia Farma
2 Lasal tab Lapi
syr. 2mg/5ml
1 Lasal syr Lapi
spray, 100 μg
1 Ventolin spray Glaxo W
Nebulize
1 Ventolin nebules Glaxo W
Salbutamol 2 mg, GG 75 mg
syr., per 5 ml 1 Lasal Eksp. syr Lapi

Salbutamol 2 mg., guaifenesin 90 mg

syr., per 5 ml
1 Teosal syr Dexa M
Salbutamol 1 mg., teofilin 150 mg

14 Teofilina
tab. 150 mg 1 Aminophillinum tab OGB
tab. 130 mg 1 Theobron tab Interbat
2 Teosal tab Dexa M

15 Terbutalina Sulfat
tab. 2.5 mg

semprot

Page 13
 16 Trimetoquinol HCl
Drops 1 mg/ml

17 Efedrin HCl 12.5 mg., teofilin 130 mg

tab 1 Asmasolon tab Probus

18 Efedrin HCl 12.5 mg., teofilin 125 mg

tab 1 Asthma tab Soho

19 Fenoterol HBr
inhalatio
inhalation sol. 0.1% 1 Berotec Boehringer I.
n sol.
20 Fluticasone propionate
0,5mg/2ml 1 Flixotide nebules Glaxo

21 Ipratropium Bromida 0,5 mg., Salbutamol 2,5 mg

Nebule., 1 Farbivent nebule Fahrenheit
Handihall
22 Tiopromium bromida 1 Spiriva Glaxo
er
3.2 COUGH & COLD REMEDICS
1 Tripolidin, pseudo efedrin 1 Tremenza tab Sanbe
tab 2 Trifed tab Interbat
3 Lapifed tab Lapi
4 Actifed tab Glaxo SK
syr
1 Tremenza syr Sanbe
2 Trifed syr Interbat
3 Lapifed syr Lapi
4 Actifed syr Glaxo SK
2 Tripolidin, pseudo efedrin, dekstromethorphan
syr 1 Actifed DM syr Glaxo W
2 Lapifed DM syr Lapi

3 Tripolidin, pseudo efedrin, guaifenesin

syr 1 Actifed Eksp. syr Glaxo W

4 GG, Na citrat, diphenhidramin HCl, PPA

syr 1 Allerin syr UAP

1 Anadex tab
5 Parasetamol, dekstrometorphan, CTM, PPA 2 Intunal tab Interbat
tab 3 Lacoldin tab Meprofarm
4 Sanaflu tab Lapi

syr 1 Anadex syr Interbat

2 Intunal syr Interbat
3 Lacoldin syr Meprofarm

6 Dekstrometorphan, guaifenesin, CTM, PPA

syr 1 Anakonidin syr Konimex

7 Dekstrometorphan, PPA, ipecac liq., diphenhidramin, GG

syr

Benadryl cough
8 Diphenhidramin, ammon Cl., Na citrat, menthol 1 syr Parke Davis
Medicine
syr
Benadryl cough
9 Diphenhidramin, fenilephrin HCl, ammon Cl., Na citrat 1 syr Parke Davis
Medicine
syr
1 Inadryl syr Interbat

10 Pseudoefdrin 30 mg., Terfenadin 40 mg., 1 Rhinofed kap Dexa

Kap.,
Syr., 1 Rhinofed syr Dexa

11 lain - lain syr 1 Inadryl Plus syr Interbat

syr 2 Prome eksp. syr Interbat
3 OBH Itrasal syr Itrasal
4 Promedex syr Interbat
5 Prospan syr Transfarma

1 Lapisiv-T syr Lapi

Page 14
 tab 1 Nalgestan tab Interbat

DECONGESTANTS & OTHER NASAL

3.3
PREPARATIONS
1 Oxynetazoline HCl
nasal spray dewasa 0.05%

2 Camphor, menthol, metilsalisilat

Inhaler 1 Vicks Inhaler P&G

3 Ephedrin
Inj., 1 Ephedrin ampul
2 Vasodrin ampul
OTHER DRUGS ACTING ON RESPIRATORY
3.4
SYSTEM
Gentinae radix, primulaecum, c. flores, verbenae herba,
1
sambuci fl.
tab

3.5 MUCOLITIC & EKSPEKTORAN

1 Ambroxol HCl 1 Ambroxol HCl tab Indo Farma
tab. 30 mg 2 Epexol tab Sanbe Farma
3 Interpec tab Interbat
4 Mucopect tab Boehringer I
5 Extropect tab Guardian
6 Betalitic tab Mahakam
7 Lapimuc tab Lapi
8 Erdobat tab
9 Promoxul cap Gracia
10 Lactrin cap Lapi

drops 15mg/ml 1 Interpec syr Interbat

syr. 15 mg 2 Transbroncho syr Soho
3 Bronchopront syr Combiphar
4 Extropect tab Guardian
syr. 30 mg
1 Ambroksol HCl syr Interbat
2 Epexol syr Sanbe
3 Interpec syr Interbat

2 Karbosistein 1 Broncholit syr

tab. 375 mg 2 Rhinathiol P syr

syr. 250 mg

3 N-asetilsistein 1 Cecil tab

kaps 200 mg 2 Pectocil syr Soho
3 Fluimucyl cap Zambo
4 N-Ace tab Fahrenheit
5 Nalitik cap Guardian

syr 1 Nalitik syr Guardian

4 Erdostein
cap 1 Vestein cap Kalbe
2 Vectrine cap Dexa

syrp 1 Vestein syr Kalbe

2 Vectrin Dexa
5 Oxomemazin 1.65 mg, Gliseril Guaikolat 33,3
syrp 1 Oxopect syr Mahakam

4 NEUROMUSCULAR SYSTEM
4.1 ANTI INFLAMMATORY ENZYM
1 Dansera tab Otto

4.2. ANALGETICS AND ANTIPYRETICS

1 Mefenamic acid
tab. 250 mg 1 Mefinal cap Sanbe Farma
2 Mefinter tab Interbat
tab. 500 mg
1 Asam Mefenamat tab OGB
2 Mefinter tab Interbat
3 Lapistan tab Lapi
4 Analspec tab Metiska
5 Mefinal tab Sanbe Farma
Page 15
 6 Datan F tab Pyridam
7 Mefix tab Meprofarm
8 Maxtan tab Mahakam

syr 1 Asam Mefenamat syr Dexa M

2 Pondex syr Dexa M

2 Tramadol HCl
tab. 50 mg 1 Tramadol tab OGB
2 Tradosik tab Sanbe
Injeksi
1 Tramadol ampul OGB
2 Tramal ampul Pharos
3 Tradyl ampul Interbat
4 Tragesik ampul Dankos
5 Tradosik ampul Sanbe
3 Parasetamol
tab. 500 mg 1 Parasetamol tab OGB
2 Pamol tab Interbat
3 Sanmol tab Sanbe Farma
4 Farmadol tab Fahrenheit
5 Biogesic tab Biomedia
6 Panadol tab Sterling

Syr 1 Parasetamol syr Kimia Farma

2 Progesic syr Metiska
3 Tempra syr Bristol-Myers
4 Ottopan syr Otto
5 Pamol syr Interbat
6 Sanmol syr Sanbe Farma
7 Panadol syr Glaxo W
8 Cupanol syr Guardian
9 Naprex syr Darya Varia

drops, 60 mg/0.6 ml 1 Sanmol drops Sanbe Farma

2 Xepamol drops Metiska F
3 Ottopan drops Otto
4 Tempra drops Bristol-Myers
5 Panadol drops Sterling

Infus, 1 Paracetamol inf Kimia

2 Farmadol inf Fahrenheit
3 Sanmol inf Sanbe Farma
4 Tamoliv inf Kalbe Farma

Suppo, 80 mg, 160mg, 240mg 1 Propyretic supp Combiphar

2 Pamol supp Interbat
3 Pyrexine supp Mepro
4 Metamizol Na
tab. 500 mg 1 Antrain tab Interbat

inj. 500 mg/ml

1 Antrain ampul Interbat
Syr
1 Novalgin syr Sanofi Aventis
5 Fentanyl
Inj., 50 μg 1 Fentanyl ampul Janssen

6 Metampiron, vit. B1., vit. B6., vit. B12, cofein

tab 1 Neuralgin tab Kalbe Farma

7 Dypirone
tab. 500 mg
Metamizole, chlordiazepokside, vit. B1., vit. B6., vit. B12,
8
cofein
tab 1 Analsik tab Sanbe Farma

9 Kombinasi Tramadol 37,5mg& Parasetamol 325 mg 1 Tramifen tab Otto

tab 2 Patral tab MBF
3 Analtram tab Interbat
10 Morphine
tab 10 mg 1 MST Continuous tab KF
tab 15 mg
tab 20 mg 1 MST Continuous tab KF

11 Dexketoprofen trometamol 1 Keren tab Nulab

Page 16
 tab 2 Tofedex tab Lapi
3 Ketesse tab Ferron
4 Fendex tab Fahrenheit
5 Simprofen tab Simex

Inj. 50 mg/ml 1 Keren ampul Nulab

2 Ketesse ampul Ferron
3 Fendex ampul Fahrenheit

12 Diaceri 1 Artoflam tab

ANTIRHEUMATIC, ANTI INFLAMMATORY

4.3
ANALGESICS
1 Ibuprofen
tab. 200 mg 1 Ibuprofen tab Indo Farma
tab. 400 mg
1 Ibuprofen tab Indo Farma
syr
1 Ibuprofen syr Indofarma
2 Proris syr Pharos
3 Bufect Syr Sanbe
4 Fenris syr Interbat

2 Kalium diklofenak 1 Kalium diklofenak tab Kimia Farma

tab. 25 mg 2 Cataflam tab Novartis
3 Kaflam tab Mexpharm
4 Laflanac tab Lapi
5 Exaflam tab Guardian
6 Eflagen tab Sanbe
tab. 50 mg
1 Kalium diklofenak tab
2 Xepathritis tab Metiska
3 Kaflam tab Kalbe
4 Merflam tab Mersi
5 X-flam tab Kimia Farma
6 Cataflam tab Novartis
7 Catanac tab Ethica
8 Eflagen tab Sanbe
9 Flamic tab Gracia
10 Exaflam tab Guardian
3 Celcoxib
cap 100 mg 1 Celebrex cap Pfizer
cap 200 mg

4 Fenbufen
cap. 300 mg 1 Cybufen cap Lederle

5 Na diklofenak CR
cap. 75 mg 1 Deflamat CR cap Dumex

6 Na diklofenak
tab 25 mg 1 Na diklofenak tab OGB
2 Flamar tab Sanbe
3 Voltaren tab Novartis
tab. 50 mg
1 Na diklofenak tab Dexa M
2 Voltadex tab Dexa M
3 Voltaren tab Novartis
4 Klotaren tab Kimia Farma
5 Renadinac tab Fahrenheit
Gel 10mg/g
1 Voltaren tab Sandoz

7 Piroksikam
tab. 10 mg 1 Piroksikam tab OGB
tab. 20 mg
1 Piroksikam tab OGB
gel
1 Infeld gel Interbat
8 Ketoprofen
tab. 50 mg 1 Ketoprofen tab OGB
2 Kaltrofen tab Kalbe Farma
3 Pronalges tab Dexa M
tab. 100 mg
1 Ketoprofen tab OGB
2 Kaltrofen tab Kalbe Farma
Page 17
 3 Pronalges tab Dexa M
supp. 100 mg
1 Kaltrofen supp Kalbe Farma
2 Profenid supp Rhone P
3 Pronalges supp Dexa M
Inj.
1 Kaltrofen ampul Kalbe Farma

9 Ca fenilbutazon 200 mg., carisoprodol 125 mg

Cap., 1 New Skelan Cap Medifarma

10 Tinoridine HCl
Cap. 50 mg 1 Nonflamin cap Takeda

11 Tenoksikam HCl
Film Coated Tablet 1 Tilcotil tab Roche
2 Thenil tab Interbat
12 Glucosamin HCl, Chondroitin sulfat, Vit C, Mg, Zn.
Cap., 1 Oste cap Soho
2 Vosteon tab
3 Osteokom tab
13 Ekstrak, Vit B6, Vit B 12, Kalsium
Tab., 1 Femosa tab Pyridam

13 Oxyphenbutazon
tab. 200 mg

14 Tiaprofenic acid
Tab., 300 mg

15 Ketorolac 1 Ketorolac ampul OGB

Inj., 30 mg 2 Torasic ampul Kalbe
3 Toramin ampul Otto
4 Remopain ampul Dexa M
5 Ketopain ampul Soho
6 Lactopain ampul Lapi
7 Matolac ampul Mahakam

Inj., 10 mg 1 Ketorolac ampul OGB

2 Torasic ampul Kalbe
3 Ketopain ampul Soho
4 Lantipain ampul Landson
5 Toramin ampul Otto
7 Remopain ampul Dexa M
6 Trolac ampul Bernofarm

Tab 10 mg 1 Ketorolac tab OGB

2 Torasic tab Kalbe

16 Meloxicam 1 Meloxicam tab OGB

Tab 7,5 mg 2 Meloxin tab Interbat
3 Moxic tab Otto
4 Movix tab Pharos
5 Meflam tab Novell

Tab 15 mg 1 Meloxicam tab OGB

2 Meloxin tab Interbat
3 Moxic tab Otto
4 Movix tab Pharos
5 Meflam 15 tab Novell P
17 Ristonat
Tab., 1 Allovel tab Novell P

18 Eterecoxib
Tab., 60 mg 1 Arcoxia tab

4.4 GOUT PREPARATIONS

1 Allopurinol 1 Allopurinol tab Kimia Farma
tab. 100 mg 2 Tylonic tab Metiska
3 Zyloric tab Glaxo W

tab. 300 mg 1 Allopurinol tab Kimia Farma

2 Tylonic tab Metiska
3 Benoxuric tab Bernofarm

Page 18
4.5. ANTI ANXIETAS
1 Diazepam (Diazepamum) 1 Diazepam tab Kimia Farma
Tab., 2 mg 2 Valisanbe tab Sanbe Farma

Tab., 5 mg 1 Diazepam tab Kimia Farma

2 Valisanbe tab Sanbe Farma

Inj., 5 mg/ml 1 Diazepam ampul Kimia Farma

2 Valisanbe ampul Sanbe Farma
3 Stesolid ampul Dumex
rectal
Rectal Tube 5 mg 1 Stesolid Dumex
tube
rectal
Rectal Tube 10 mg 1 Stesolid Dumex
tube
2 Klobazam
Tab., 10 mg 1 Clobazam tab Dexa M
2 Frisium tab Sanofi Aventis
3 Lorazepam
Tab., 0,5 mg 1 Ativan tab Wyeth
Tab., 1 mg 1 Ativan tab Wyeth

4 Alprazolam
Tab., 0,25 mg 1 Alganax tab Guardian F
2 Zypras tab Kalbe
Tab., 0,5 mg
1 Alprazolam tab OGB
2 Alganax tab Up John
2 Zypras tab Guardian F
3 Xanax tab Kalbe

Tab., 1 mg 1 Alprazolam tab OGB

2 Alganax tab Guardian
3 Zypras tab Kalbe
5 Escitalopram
Tab., 1 Xiparelac tab Lundbeck

6 Chlordiazepokside
Tab., 5 mg 1 Cetabrium tab Soho

7 Kava-kava rhizoma
Cap., 30 mg

8 Bromazepam
Tab., 1,5 mg 1 Lexotan tab Roche

Tab., 3 mg 1 Lexotan tab Roche

2 Lexzepam tab Mersifarma
9 MethylPenidat
Tab., 1 Prohiper tab Mersipharma

4.6 ANTI PSICOTICS

1 Flufenazin Hidroklorida 1 Abilify tab Otsuka
(Fluphenazinum Hydrochloridum) 2 Fridep tab Mersipharma
Tab., 5 mg 3 Frimania tab Mersipharma
4 Serequel tab Astra Zenica
5 Zofredal tab Kalbe Farma
6 Zyprexa tab Ely Lili
7 Lithium tab

2 Flufenazin Dekanoat
(Flufenazinum Decanoat) 1 Modecate tab Squib
Inj., 25 mg/ml 2 Siksonat tab MersiPharma

4 Haloperidol (Haloperidolum)
1 Haloperidol tab OGB
Tab., 1 mg 2 Persidal tab Mersipharma
Tab., 5 mg 3 Respirdal tab Jansen Cilag
4 Govotil tab Guardian

Inj., 5 mg / ml 1 Lodomer vial Mersipharma

5 Klorpromazina Hidroklorida 1 Chlorpromazine tab OGB

(Chlorpromazinum Hydrochloridum) 2 Clorilex tab Mersipharma
Page 19
 Tab salut 25 mg 3 Closaril tab Novartis

Tab salut 100 mg 1 Chlorpromazine tab Indo Farma

Inj., 25 mg / ml 1 Chlorpromazine ampul OGB

6 Perfenazin
Tab., 4 mg
Tab., 10 mg
Tab., 50 mg
Tab., 100 mg

8 Trifluoperazin
Tab., 5 mg 1 Stelosi tab Mersipharma

9 Sulpiride
Cap., 50 mg

10 Perphenazine 2 mg., amitriptilin HCl 10 mg

Tab.,

11 Rizodal
Tab., 2 mg 1 Rizodal tab Guardian

4.7. HYPNOTICS SEDATIVES

1 Midazolam 1 Midazolam ampul OGB
Inj., 5mg/5ml 2 Midazolam Hamelin ampul Combiphar
3 Fortanest ampul Kalbe
4 Dormicum ampul Roche
Inj., 15 mg/3ml
1 Midazolam ampul OGB
2 Fortanest ampul Kalbe
3 Dormicum ampul Roche

4.8 ANTI CONVULSANTS

1 Etosuksimid (Ethosuximidum) 1 Depakene syr Abbot
Cap., 250 mg 2 Depakote ER tab Abbot

2 Natrium Fenitoin (Phenytoinum Natricum)

Cap., 100 mg 1 Phenitoin Na cap Ikapharmindo
2 Dilantin cap Parke D
3 Kutoin cap Mersi
Inj., 50 mg/ml
1 Phenitoin Na ampul Ikapharmindo
2 Dilantin ampul Parke D
3 Kutoin ampul Mersi

3 Fenobarbital (Phenobarbitalum)
Tab., 30 mg 1 Phenobarbital tab Kimia Farma
Inj., 50mg/ml
1 Phental ampul Pentavalent
2 Luminal ampul Kimia Farma
3 Sibital ampul MersiPharma
4 Valproat Acid
Syr., 1 Asam Valproat syr Dexa
2 Vellepsy syr Novell
tab 1 Dipalpi tab Kalbe Farma

5 Karbamazepina (Carbamazepinum)
tab. 200 mg

4.9 ANTI DEPRESSANTS

1 Imipramin Hidroklorida
Tab., 25 mg

2 Fluoxetin HCl
Tab., 10 mg 1 Kalxetin tab Kalbe Farma
Tab., 20 mg 1 Kalxetin tab Kalbe Farma

3 Maprotiline HCl
Tab., 10 mg

4 Moclobemide
Tab., 150 mg
Page 20
 5 Setraline
Tab., 30 mg 1 Nudep tab Guardian

4.10 NOOTROPICS AND NEUROTROPICS

1 Sulbutiamin
tab 200 mg 1 Arcalion tab Servier

2 Piracetam 1 Piracetam cap OGB

Cap., 400 mg 2 Noocephal cap Pyridam
3 Pirabrain cap Interbat
4 Neurotam cap Dankos

Cap., 800 mg 1 Piracetam cap OGB

2 Neurotam cap Dankos

Cap., 1200 mg 1 Piracetam cap OGB

2 Neurotam cap Dankos
3 Pirabrain cap Interbat

Inj., 1 gr 1 Piracetam ampul OGB

2 Neurotam ampul Dankos
3 Pirabrain ampul Interbat

Inj., 3 gr 1 Piracetam ampul OGB

2 Neurotam ampul Dankos
3 Pirabrain ampul Interbat
4 Resibron ampul

Syr., 500 mg 1 Neurotam syr Dankos

2 Noocephal syr
3 Nootropil syr
4 Latropil syr Lapi
3 Pyritinol HCl
Tab., 100 mg
Syr., 80,5 mg
Inj., 20 mg

4 Mekobalamin
Cap. 250 μg 1 Lapibal cap Lapi

Cap. 500 μg
1 Mecobalamin cap OGB
2 Lapibal cap Lapi
Injeksi 500 μg/ml
1 Mecobalamin ampul OGB
2 Methycobal ampul Eisai
3 Lapibal ampul Lapi
Larutan Heptapeptida 0,1% (Methionil-Glutamil-Histidil-
5
Phenylalanin-Prolil-Glycil-Proline) Semax
Inj., 1 Semax ampul
Axomedica
6 Pregabalin 1 Pregabalin capsul Dexa
Capsul 75 2 Provelyn capsul Kalbe

4.11 ANTI EMETICS AND VERTIGO

1 Dymenhidrinat 1 Dimenhidrinate tab Kimia Farma
Tab., 50 mg 2 Antimo tab Phapros
3 Dramamin tab Soho
2 Clebopride maleat
Tab., 0,5 mg

3 Sulpiride
Cap., 50 mg 1 Dogmatil cap Soho

4 Pyrathiazine theoclate, vit B6

Tab.,

5 Purathiazine chloroteophilinat, vit B6

Tab.,

6 Betahistine mesylate
Tab., 6 mg 1 Betahistin Mesylate tab OGB
2 Vastigo tab Dexa
Page 21
 3 Vesitab tab Kalbe
4 Merislon tab Eisai
5 Mertigo tab Dexa M

7 Metoklopramide HCl
Tab., 10 mg 1 Metoklopramida tab Kimia Farma
2 Primperan tab Soho
3 Piralen tab Otto
4 Tomit tab Interbat
Tab., 5 mg
1 Primperan tab Soho
Syr.,
1 Primperan syr Soho
2 Piralen syr Otto
3 Sotatic syr Fahrenheit
Drops., 4 mg/ml
1 Primperan drops Soho

Injeksi., 10 mg/2 ml 1 Primperan ampul Soho

2 Piralen ampul Otto
3 Tomit ampul Interbat
4 Sotatic ampul Fahrenheit
4.12 ANTI PARKINSON PREPARATIONS
1 Triheksilfenidil Hidroklorida 1 Trihexyphenidyl tab Indo Farma
(Trihexyphenidylum Hydrochloridum) 2 Artane tab Lederle
Pyridam
Tab., 2 mg 3 Arkine tab
Farma
4 Hexymer tab Mersipharma
2 Kombinasi :
Karbidopa (Carbidopum) 25 mg 1 Levazide tab
Lavodopa (Lavodopum) 250 mg
Tab.,

3 Bromokriptin mesilat
Tab., 2,5 mg

4.13 NEUROMUSCULAR DISORDER DRUGS

1 Neostigmin methylsulfate
Inj., 0,5 mg / ml 1 Neostigmin ampul Combiphar
2 Prostigmin ampul Roche
4.14 MUSCLE RELAXANTS
1 Eperisone HCl 1 Eperisone tab OGB
Tab., 50 mg 2 Myonal tab Eisai
3 Myonep tab Lapi
4 Epsonal tab Pyridam
2 Rocuronium Br.
Inj., 50 mg/10ml

3 Succinyl Cholin
Inj., 20 mg/10ml

4 Atracurium besylate
Inj., 25mg/ 2.5 ml 1 Atracurium Hamelin ampul
2 Atracurium bes. ampul Abbot
3 Tramus ampul Dexa
5 HORMONES
5.1 ANDROGENS & RELATEED SYNTHETICS DRUGS
1 Mesterolone
tab., 25 mg 1 Proviron tab Schering

ESTROGEN & PROGESTERONES & RELATED

5.2
SYNTHETICS DRUGS
1 Dietilsibestrol (Diethylstilbestrolum)
Inj. Dalam minyak 50 mg/ml

2 Etinilestradiol (Ethinylestradiolum)
Tab., 0,05 mg
Tab., 0,5 mg 1 Lynoral tab Organon

3 Lynestrenol
Tab., 5 mg 1 Endometril tab Organon

4 Methylestrenolol 5 mg., methyl oestradiol 0.3 mg

Tab.,
Page 22
 5 Allyestrenol
Tab., 5 mg 1 Premaston tab Kalbe Farma

6 Medroxyprogesteron acetat
Tab., 2,5 mg 1 Provera tab Upjohn
Inj.,
1 Depo Provera vial
7 Progesteron
Supp., 1 Cygest supp Activa

Tab., 1 Utrogestan tab Lapi

Inj., 1 Depo Progeston vial

8 Epimestrol
Tab., 5 mg

9 Norestisteron
Tab., 1 Norestril tab

5.3 CORTICORSTEROIDS HORMONES

1 Deksametason (Dexamethasonum)
Tab., 0,5 mg 1 Deksametason tab Kimia Farma
2 Cortidex tab Sanbe Farma
3 Indexon tab Interbat
4 Kalmethasone tab Kalbe Farma
Inj., 4 mg/ml
1 Deksametason ampul Kimia Farma
2 Cortidex ampul Sanbe Farma
3 Kalmethasone ampul Kalbe Farma
4 Indexon ampul Interbat
5 Inthesa ampul Fahrenheit
Inj., 5 mg/ml
1 Deksametason ampul Kimia Farma
2 Indexon ampul Interbat
3 Kalmethasone ampul Kalbe Farma
4 Cortidex ampul Sanbe
2 Betamethasone
Tab., 500 mg 1 Benoson tab Bernofarm
Cream 2 Betametasone cream

3 Kartikotropina (A.C.T.H. Corticotrophinum)

serb. Inj. 5 iu/ml 1 vial 1 Cortison ampul

4 Prednison (Prednisonum)
tab. 5 mg 1 Prednison tab Kimia Farma
2 Lupred tab Fahrenheit
5 Metilprednisolon
tab. 4 mg 1 Metilprednisolon tab OGB
2 Lameson tab Lapi
3 Somerol tab
4 Dipasolon tab
5 Intidrol tab Interbat
6 Hexilon tab Dankos
7 Sanexon tab Sanbe
tab. 8 mg
1 Metil Prednisolon tab OGB
2 Lameson tab Lapi
3 Somerol tab Soho
4 Xilon tab Mahakam
5 Mesol tab Soho
6 Sanexon tab Sanbe
tab.16 mg
1 Somerol tab Soho
Inj. 125mg
1 Metil Prednisolon vial OGB
1 Hexilon vial Dankos
2 Lameson vial Lapi
3 Xilon vial Mahakam
6 Triamcinolone
tab. 4 mg 1 Triamcinolone tab
2 Triamcort tab Interbat
3 Kenacort tab Squib
4 Ketricin tab

Page 23
 5 Trilac tab Novell
TROPHICS HORMONES & RELATED SYNTHETICS
5.4
DRUGS
1 Clomiphene citrate
tab. 50 mg
1 Profertil tab Kalbe Farma

5.5 ANABOLIC AGENTS

1 Ethylestrenol
tab. 2 mg

6 CONTRACEPTIC AGENTS
6.1. ORAL CONTRACEPTIVES
1 Lynestrenol
tab. 0.5 mg 1 Exluton tab Organon

2 Levonorgestrol 150 μg., etinilestradiol 30 μg., lactosa

tab. Limas 1 Microgynon tab Schering

7 ANTIBIOTICS
7.1. AMINOGLICOSIDES
1 Gentamisina (Gentamicinum)
Inj. 10mg/ml 1 Gentamycin ampul Indo Farma
Inj. 40mg/ml 2 Garamycin ampul Schering
3 Salticin ampul Interbat
4 Sagestam ampul Sanbe Farma
2 Kanamisina Sulfat
(Kanamycinum Sulfas)
Serb. Inj. 1 g (sebagai basa) 1 Kanamycin ampul Meiji

7.2 CEPHALLOSPORINS
1 Cefuroxime Na. 1 Cefuroxime vial OGB
Inj. 750 mg. 2 Anbacim vial Sanbe Farma
3 Oxtercid vial Interbat
2 Ceftriaxone Na.
Inj., 0.5 gr 1 Ceftriaxone vial OGB
2 Terfacef vial Sanbe Farma
Inj., 1 gr
1 Ceftriaxone vial OGB
2 Betrix vial Mahakam
3 Terfacef vial Sanbe
4 Ceftrimet vial Metiska
5 Ceftrimax vial Metiska
7 Bioxon vial Otto
8 Broadced vial Kalbe
9 Starxon vial

3 Cefadroxil Na. 1 Cefadroxil cap Indo Farma

Cap. 500 mg 2 Cefat cap Sanbe Farma
3 Sedrofen cap Interbat
4 Lapicef cap Lapi
5 Qidrox cap Soho
6 Opicef cap Otto
7 Tisacef cap Metiska
8 Ethicef cap Ethica
9 Maxcef cap Simex
10 Q-cef cap
11 Pyricef cap Pyridam
12 Longcef cap
13 Roksicap cap Capri
syr., 125 mg/ 5ml
1 Cefadroksil syr OGB
2 Opicef syr Otto
3 Cefat syr Sanbe Farma
4 Lapicef syr Lapi
5 Qidrox syr Soho
6 Kelfex syr Combi
7 Sedrofen syr Interbat
syr., 250 mg/5ml
1 Qidrox syr Soho
2 Opicef syr Otto
3 Sedrofen syr Interbat
4 Cefat syr Sanbe
5 Lapicef syr Lapi
Page 24
 6 Kelfex syr Combi
4 Cefixime
Cap. 50 mg 1 Cefixime cap OGB
2 Cefspan cap Kalbe Farma
3 Opixime cap Otto
4 Sporetic cap Sanbe Farma
5 Cefarox cap Gracia
6 Fixatic cap Gracia

Cap. 100 mg 1 Cefixime cap OGB

2 Ximesco cap Escolab
3 Anfix cap MBF
4 Cefspan cap Kalbe
5 Cefarox cap Gracia
6 Sporetik cap Sanbe Farma
7 Opixime cap Otto
8 Nucef cap Nufarindo
9 Cefila cap Lapi
10 Ceptik cap Interbat

Cap. 200 mg 1 Cefixime cap OGB

2 Anfix cap MBF
3 Ximesco cap Escolab
4 Simfix cap simex

Syr., 125 mg/5ml 1 Cefixime syr OGB

2 Anfix syr MBF
3 Cefspan syr Kalbe

5 Cefotaxime Na. 1 Cefotaxime vial OGB

Inj., 1 gr. Vial 2 Taxecap vial Simex
3 Clafexime vial Coronet
4 Simexim vial Simex
5 Claforan vial Aventis
6 Efotax vial Meprofarm
7 Clatax vial Fahrenheit
8 Kalfoxim vial Kalbe Farma
9 Fobet vial MBF
10 Lapixim vial Lapi
11 Goforan vial
12 Tirdicef vial Bernofarm
Inj., 0.5 gr. Vial
1 Kalfoxim vial Kalbe Farma
2 Taxegram vial Sanbe Farma
7 Cefamandole nafate
Inj., 1 gr., vial

8 Cefazoline Na.
Inj, 1 gr., vial 1 Cefazoline vial OGB
2 Cefazol vial Dankos
Inj., 0.5 gr., vial 3 Cefazol vial Dankos

Sefoperazone &
9 Sefoperazone & Sulbactam 1 vial OGB
Sulbactam
Inj. 2 Cefoject vial MBF
3 Bactraz vial MBF

10 Cefoperazone Sodium 1 Cefoperazone vial OGB

Inj., 2 Cefobet vial Mahakam
3 Cepraz vial Lapi

11 Cefpirom Sulfat
Inj. 1 gr 1 Cefpirom vial OGB
2 Bactirom vial Sanbe Farma
12 Cefaclor
Syr., 125 mg / 5 ml 1 Forifex syr Sanbe

Cap., 500 mg
1 Forifex cap Sanbe
Inj.,
1 Soclor ampul Soho
13 Ceftizoxime
Inj. 1 gr 1 Ceftizoxime vial OGB
2 Cefim vial Lapi
14 Cefotiam
Inj. 1 gr
Page 25
 15 Cephradin
Tab. 500 & 1000 mg 1 Velosef tab Bristol Meyer
2 Velodine tab Soho
Syr., 125mg/ 5ml
1 Lovecef syr Medikon
Syr.,250mg/ml
1 Lovecef syr Medikon
15 Ceftazidime
Inj., 1 Ceftazidim ampul OGB
1 Ceftum ampul Mahakam
3 Thidim ampul
7.3 CHLORAMPHENICOLS
1 Kloramfenikol
Cap., 250 mg 1 Chloramphenicol cap Kimia Farma
2 Colsancetin cap Sanbe Farma
Susp., 125 mg / 5 ml
1 Chloramphenicol susp. Kimia Farma
2 Colsancetin susp. Sanbe Farma

2 Tiamfenikol 1 Tiamfenikol cap Indo Farma

Cap., 250 mg 2 Biothicol cap Sanbe Farma
3 Thiamycin cap Interbat

Cap., 500 mg 1 Tiamfenikol cap Indo Farma

2 Biothicol cap Sanbe Farma
3 Lacophen cap Lapi
4 Thiamycin cap Interbat
5 Sendicol cap Coronet
6 Opiphen cap Otto
7 Canicol cap Capri

Syr., 125 mg / 5 ml 1 Biothicol syr Sanbe Farma

2 Thiamycin syr Interbat
3 Opiphen syr Otto

Syr., 250 mg / 5 ml 1 Thiamycin F syr Interbat

2 Opiphen syr Otto
7.4 MACROLIDES
1 Eritromisina Stearate
(Erythromucinum Stearas)
Cap., 250 mg (sebagai basa) 1 Erythromycin cap Kimia Farma
Cap., 500 mg (sebagai basa)
1 Erythromycin cap OGB
2 Erysanbe cap Sanbe Farma
Sir., 200 mg/ 5 ml (sebagai basa)
1 Erythromicin syr OGB
2 Erysanbe syr Sanbe Farma
2 Roxithromycin
Tab., 150 mg 1 Uplores tab Sanbe Farma
2 Sitro tab Interbat
3 Spiramycin
Tab., 500 mg 1 Spiramisin tab Indo Farma

Syr., 125 mg / 5 ml
1 Rovadin tab Otto
4 Azythromycin
Cap., 500 mg 1 Azythromycin tab OGB
2 Azythromycin syr
3 Zithromax tab Pfizer
6 Polimixin B Sulfat
Tab., 250.000 UI 1 Colistin tab Alpharma

7 Chlaritromycin
Tab., 500 mg 1 Hecobac tab Nufarindo

7.5 1 PENICILLINS
Amoksisilin
Cap., 250 mg 1 Amoksisilin cap OGB
2 Amoxsan cap Sanbe Farma

Cap., 500 mg 1 Amoksisillin cap OGB

2 Intermoxil cap Interbat
3 Opimax cap Corsa
4 Amoxsan cap Sanbe Farma
Page 26
 5 Lapimox cap Lapi

Sir., 125 mg/ 5 ml 1 Amoksisillin syr Kimia Farma

2 Lapimox syr Lapi
3 Amoxsan syr Sanbe Farma
4 Intermoxil syr Interbat

Syr., 250 mg/ 5 ml 1 Amoxsan F syr Sanbe Farma

2 Kalmoxicillin syr Kalbe
3 Intermoxil syr Interbat

Drops 100 mg 1 Amoxsan drops Sanbe Farma

2 Supramox drops Meprofarm
Inj., 1 gr.
1 Amoksisilin vial Kima Farma
2 Amoxsan vial Sanbe Farma
3 Kalmoksilin vial Kalbe
4 Pehamoxil vial Phapros
2 Ampisilina (Ampicillinum)
Tab., 500 mg 1 Ampisillin tab Kimia Farma

Serb., Inj 1000 mg / vial

Serb. Inj 1000 mg/vial 1 Ampisillin vial Indo Farma
2 Kalpicillin vial Kalbe Farma
3 Ampicilin Sulbactam
Inj., 0.75 mg dan 1,5 mg 1 Bactesyn vial Mahakam

4 Amoxicillin 500 mg, 125 mg Asam Clavulanat

Capl., 625 mg 1 Co-Amoxiclav cap OGB
2 Clamixin capl. Otto
3 Claneksi capl. Sanbe Farma
4 Clavamox capl. Kalbe F
5 Capsinat capl. Sanbe Farma
Syr., Amoksisillin 125 mg., as. Klavulanat 31,25 mg
1 Claneksi syr Sanbe Farma
2 Capsinat syr Sanbe
3 Clavamox syr Kalbe Farma
Inj
1 Claneksi vial Sanbe
2 Capsinat vial Sanbe
5 Subenicillin disodium
Inj., 1 gr., vial 1 Kedacillin vial Takeda

6 Procain benzyl penicillin

Inj., 1 gr., vial 1 PPC vial Meiji

7.6 QUINOLONS
1 Siprofloksasin
Tab. 250 mg 1 Ciprofloksasin tab Indo Farma
2 Simflox tab Simfix

1 Ciprofloxacin tab Indo Farma

2 Interflox tab Interbat
3 Clorec tab
4 Meflosin tab Metiska
5 Vioquin tab Gracia
6 Lapiflox tab Lapi
7 Ciprec tab Indo Farma
8 Coroflox tab Coronet
Inf. 2mg/ml (100ml)
1 Ciprofloxacin inf Indo Farma
2 Sparfloxacin
200 mg

3 Pipemidic acid trihydrate

tab. 400 mg 1 Urinter tab Interbat
2 Urotractin tab Sanbe F

4 Ofloxacin
tab, 200 mg 1 Ofloxacin tab OGB

tab. 400 mg 1 Tarivid tab Kalbe Farma

ttes mata 1 Tarvid fls Kalbe Farma

Levofloxacin 1 Levofloxacin tab OGB

Page 27
 Tab. 500 mg 2 Cravit tab Kalbe
3 Cravox tab Lapi
4 Simlef tab Simex
5 Rilevo tab Metiska
6 LQ cap Mahakam

Inf. 500 mg 1 Levofloxacin Inf OGB

2 Cravit Inf Kalbe
3 Levocin Inf Sanbe

Inf. 750 mg 1 Cravit Inf Kalbe

7.7 TETRACYCLINES
1 Tetrasiklina Hidroklorida
(Tetracyclinum Hydrochloridum) 1 Tetrasiklin cap OGB
Cap., 250 mg 2 Tetrin cap Interbat
3 Tetrasanbe cap Sanbe Farma
Cap., 500 mg
1 Tetrasiklin cap OGB
2 Oksitetrasiklin Hidroklorida
(Oxytetracyclinum Hydrochloridum)
Inj. i.v. 250mg/3ml (sebagai basa)
Inj. i.m. 50mg/ml (sebagai basa) 1 Terramycin ampul Pfizer

3 Doksisiklin (Doxycyclinum)
Cap., 100 mg 1 Doksisiklin cap Indo Farma
2 Siclidon cap Sanbe Farma
Sir., 50mg/5ml

7.8 ANTIFUNGALS
1 Griseofulvin: Micronize (Griseofulvinum)
Tab. 125 mg 1 Griseofulvin tab Kimia Farma

2 Nistatin
Tab. Salut 500.000 iu
Tab. Vagina 100.000 iu 1 Nystatin tab OGB

Susp. 100.000 iu 1 Kandistatin susp. Metiska

2 Nymiko susp. Sanbe Farma
3 Fungatin susp. Dexa M

Oral Gel 1 Daktarin oral gel Bristol M

3 Ketokonazole 1 Ketokonazole tab OGB

Tab., 200 mg 2 Mycoral tab Kalbe Farma
3 Interzole tab Interbat

Cream, 5 gr 1 Ketokonazole cream Indo Farma

2 Mycoral cream Kalbe Farma
3 Interzole cream Interbat

4 Fluconazole
Tab., 50 mg; 150 mg 1 Govazol tab Guardian
Inj. 2mg/ml 1 Govazol inj Guardian

5 Polyvinil pyrolidone, aloe vera 1 Aloclair plus oral fles Kalbe

7.9 1 ANTIBACTERIAL COMBINATIONS

Linkomisin Hidroklorida
(Lincomyccinum Hydrochloridum)
Cap., 500 mg 1 Lyncomycin cap OGB
2 Lyncomec cap
2 Kotrimoksasol
a. Sulfametoksasol
(Sulfamethoxazolum) 400 mg 1 Cotrimoxazol tab OGB
b. Trimetoprim (Trimethoprimum) 80 mg 2 Trimoxul tab Interbat
tab 3 Sanprima tab Sanbe
4 Sanprima Forte tab Sanbe
tab., Trimetoprim 180 + Sulfametoksazol 800 mg
1 Trimoxul F tab Interbat
Syr
1 Cotrimoxasol syr Interbat
2 Sanprima syr Sanbe Farma
Syr
1 Trimoxul F syr Interbat
Page 28
 3 Kotrimoksazol Pediatrik
a. Sulfametoksasol
(Sulfamethoxazolum) 100 mg
b. Trimetoprim (Trimethoprimum) 20 mg 1 Cotrimoksazol paed tab Kimia Farma

7.10 OTHER ANTIBIOTICS

1 Klindamisin Hidroklorida
Cap. 150 mg 1 Clinmas cap Lapi
2 Monuril sachet Sandoz
Cap. 300 mg
1 Clindamycin cap OGB
1 Clinmas Cap Lapi
2 Metronidazol (Metronidazolum)
Tab. 250 mg 1 Metronidazole tab OGB

Tab. 500 mg
1 Metronidazole tab OGB
2 Flagyl tab Rhoce P
Sup. 500 mg
1 Flagyl inf Rhoce P
Infus 5mg/ml
1 Metronidazole inf OGB
2 Farnat inf Fahrenheit
3 Lincomycin
Tab., 1 Linkomisin tab Indo farma

4 Golongan Penem
Meropenem 1 g inj. 1 Meropenem ampul OGB
2 Merosan ampul Sanbe
3 Merofen ampul Dankos
5 Parammoxy sulfate
Tab., 1 Gabbryl tab Kalbe

8 OTHER CHEMOTHERAPEUTICS
8.1 ANTITUBERCULOUS AGENT
1 Etambutol Hidroklorida
(Ethambutolum Hydrochloridum)
Tab. 250 mg 1 Etambutol tab OGB
Tab. 500 mg
1 Etambutol tab OGB
2 Santibi tab Sanbe Farma
Etambutol 250 mg, INH 100 mg, vit B6 6 mg
1 Etibi tab Ethica
2 Santibi Plus tab Sanbe Farma
2 Isoniazid (Isoniazidum)
Tab., 100 mg 1 INH tab Kimia Farma
2 INH 400 mg tab
3 INH CIBA tab
Tab., 300 mg
1 INH tab Kimia Farma
3 Pirazinamid (Pyrazinamidum)
Tab., 500 mg 1 Pyrazinamide tab OGB

4 Rifampisin (Rifampicinum)
Tab., 450 mg 1 Rifampicin tab Indo Farma

Tab. ,600 mg
1 Rifampicin tab OGB
Tab., 300 mg
1 Rifampicin cap OGB
5 Streptomisin Sulfat
(Streptomycinum Sulfas)
Inj. 1000 mg/vial 1 Streptomycin ampul Meiji
Inj 1500 mg/vial
Inj. 5000 mg/vial

6 INH 400 mg, vit B6 10 mg

Tab 1 Pehadoxin F tab Phapros
2 Tb vit B6 tab Mersi
3 Pulmolin tab Pharos
4 INHA tab Meprofarm
7 Kombinasi Rifampisin 450 mg, INH 300 mg
Tab
1 Rimactacid tab Sandoz
8 Kombinasi Rifampisin 150 mg, INH 75 mg,
Page 29
 Pirazinamid 400 mg
1 Rimcure tab Sandoz
9 Kombinasi Rifampisin 150 mg, INH 75 mg,
Pirazinamid 400 mg, Etambutol 275 mg 1 Rimstar tab Sandoz

8.2 ANTIAMOEBICS
1 Metronidazole (Metronidazolum)
tab. 250 mg lihat 7.10.2
tab. 500 mg

8.3 ANTHELMINTICS
1 Dietilkarbamazin Sitrat
(Diethylcarbamazinum Citras)
Tab., 100 mg

2 Mebendazole (Mebendazolum)
Tab., 100 mg 1 Mebendazol tab OGB
Tab., 500 mg 1 Vermox tab Janssen
Sir., 200 mg / ml

3 Piperazine Sitrat/ Adipat/ Fosfat

(Piperazini Citrat/ Adipat/ Phosphas)
Tab. 500 mg (sebagai Heksahidrat)
Sir. 20% (sebagai Heksahidrat)

4 Pirantel Pamoat
Tab., 125 mg 1 Pyrantel Pamoat tab OGB
2 Combantrin tab Pfizer

Tab., 250 mg 1 Combantrin tab Pfizer

Susp., 125 mg 1 Combantrin susp. Pfizer

Susp., 50 mg/ml 1 Combantrin susp. Pfizer

5 Levamizole HCl
tab. 25 mg 1 Askamex sir Konimex

8.4 ANTIVIRALS
1 Acyclovir
tab. 200 mg 1 Acyclovir tab Indo Farma
tab. 400 mg
1 Ayclovir tab Indo Farma
cr. 5 gr
1 Acyclovir cr Indo Farma
2 Isoprinosin
Tab 1 Isoprinosin tab Darya Varia
Syr
1 Isoprinosin syr Darya Varia
3 Phillantus niruri L., herba
cap., 50 mg 1 Stimuno cap Dexa Medica
2 Starmuno cap
3 Imunos cap
syr.,
1 Stimuno cap Dexa Medica
2 Starmuno cap
3 Imunos cap
8.5 ANTI MALARIALS
1 Kinin Sulfat 7H2O
tab 222 mg 1 Kinin Sulfat tab OGB

2 Kinina Dihidroklorida
Inj. i.v 25% 1 Kinin HCl ampul OGB

3 Klorokuin Fosfat (Chloroquinum Phosphas)

tab. Sesuai dengan 150 mg basa 1 Chloroquin tab OGB
2 Mexaquin tab Konimex
4 Primakina (Primaquinum)
tab. 15 mg 1 Primaquin tab Kimia Farma

5 Kombinasi :
a. Pirimetamin (Pyrimethaminum) 25 mg
b. Sulfadoksin (Sulfadoxinum) 500 mg

9 GENITO URINARY SYSTEM

Page 30
 9.1 PREPARATION FOR VAGINAL CONDITIONS
1 Policresulen
conc. 360 mg/g 1 Albothyl btl 10 ml Pharos
vag. Supp 90mg 1 Albothyl susp Pharos

2 Povidon Iodin 1 Iodin Povidon sol. Kimia Farma

Sol 10% 2 Betadine Mahakam

3 Metronidazole, nistatin 1 Vagistin ovula Combiphar

Ovulae 2 Neo Gynoxa ovula
Lihat 7.10.2
9.2 URINARY ANTISEPTICS
Hexamin, strobilanthus, Na salisilat, as.Benzoat, sonchus
1 1 Nephrolit cap Bintang Tj.
arvensis, orthosiphon s., phillanthus
2 Phenazopiridine HCl
1 Pyridium tab Warner L.
3 Pipemidic acid
1 Urotractin cap Sanbe F

9.3 DRUG ACTING ON UTERUS

1 Methyl ergometrine hidrogen maleat
Tab., 0.125mg 1 Methergin tab Novartis
2 Metilat tab Metiska F
Inj., 0.2mg/ml
1 Methergin ampul Novartis
2 Syntocinon oxytosin
Inj., 10iu/2ml
1 Syntocinon ampul Novartis
OTHER DRUGS ACTING ON GENITO URINARY
9.4
SYSTEM
1 Juniper oil, Pep. Oil, turpentine oil, sulfur, essential fatty acid 1 Enatin softcap Pharos
Chimaphila, extr. Equiset sicc., MgCl, Na taurocholat,
2
populus tremula, pulsatilla, ol. Germinitritic
3 Finasteride 5 mg 1 Prostacom tab Combiphar
Extr. Berberidis des., extr. Rubiae., saxifragae, lithium HCl,
4
Na fosfat
5 Essential ketoacid 1 Ketosteril tab Ikapharmindo
Tab., 600 mg 2 Prorenal cap Novell
3 Nocid Cap Kalbe
4 Aminoral cap Soho

6 Flavoxate 1 Urispas Tab Indofarma

Tab., 200 mg 2 Sohoproat Soho

7 Kalium Sitrat 1 Kalium Sitrat Powder

2 Kalium sitrat serbuk

10 METABOLISME
10.1 INSULIN
Neutral sol. Of human monocomponent insulin.
1
Recombinant DNA origin
Inj., 40 iu/ml 1 Novorapid penfill Novel
penfill, 100 iu
A neutral isophanesusp. Of human monocomponent insulin.
2
Recombinant DNA origin
Inj., 40 iu/ml 1 Sansulin R penfill Dexa M
penfill, 100 iu

3 Insulin glargine 1 Lantus penfill Novell

4 Insulin detemir 1 Lavemir penfill Novell

5 Insulin mix 1 Mixstar penfill Novell

6 Insulin nispro 1 Humalog mix 25 penfill

7 Insulin aspartate 30 :70 1 Novomix penfill Novel

2 Novomix vial Novel

10.2 ORAL DIABETICS AGENT

1 Glibenclamid (Glibenclamidum)
Tab., 5 mg 1 Glibenclamide tab OGB

Page 31
 2 Klorpropamid (Chlorpropamidum)
Tab., 100 mg

3 Metformin (Metforminum)
Tab., 500 mg dan 850 mg 1 Metformin tab OGB
2 Glucophage tab Merck
4 Glipizide
Tab., 5 mg

5 Glimepiride
Tab., 1 mg 1 Glimepiride tab OGB
2 Amadiab tab Lapi
3 Amaryl tab Sanofi Aventis
Tab., 2 mg
1 Glimepiride tab OGB
2 Amadiab tab Lapi
3 Amaryl tab Sanofi Aventis
Tab., 3 mg
1 Glimepiride tab OGB
2 Amadiab tab Lapi
3 Amaryl tab Sanofi Aventis
Tab., 4 mg
1 Glimepiride tab OGB
2 Amadiab tab Lapi
3 Amaryl tab Sanofi Aventis
6 Gliclazide
Tab., 80 mg 1 Diamicron tab Servier

7 Gliquidone 1 Gliquidone tab Dexa M

Tab., 30 mg 2 Glurenorm tab Boehringer

8 Pioglitazone 1 Pionix tab Kalbe Farma

Tab., 15 mg dan 30 mg 2 Deculin tab

9 Vildagliptin 50 mg, Metformin 500 mg 1 Galvusmet tab

Tab.,

10.3 THYROID PREPARATIONS

1 Etil ester dari oleum

Papaveris teryodisasi (Oleum Yodatum) Inj 1 ml
mengandung 0.96 ml (sesuai dengan 0.48 g yod)
2 Larutan Lugol

3 Tiroida
100 mg

4 Propiltiourasil (Propylthiouracillum)
Tab., 100 mg 1 PTU tab Indo Farma

5 Karbimazol
5 mg

10.4 ANTIHYPERLIPIDAEMIC AGENT

Gemfibrozil
Cap., 300 mg 1 Gemfibrozil cap Indo Farma
2 Lapibros tab Lapi
2 Lovastatin
Tab., 200 mg

3 Atovarstatin
Tab., 10 mg dan 20 mg 1 Atovarsatatin tab Ogb
2 Atofar tab
3 Truvaz tab Kalbe
4 Lipitor tab Lapi
4 Cholestiramin
Serb., 5 gr 1 Sequest sac Novell

5 Fenofibrate 1 Ferosup tab

10.5 OTHER AGENT AFFECTING METABOLISM

1 Calcitriol
0.25 μg 1 Kolkatriol softcap Phapros
2 Oscal softcap Dankos
3 Ostriol softcap

Page 32
 2 Lagestroemiaspeciosa, Cinnamomum
Kap 1 Inlancin kap Dexa

10.6 1 PLASMA SUBSITUTION

Human Albumin
1 Albupure inf Dexa
2 Human Albumin 20% inf Behring
3 Plasbumin inf Dipa
4 Octalbin inf Kalbe
2 Ochocepalus Striatus Extract
Kaps., 1 Vip albumin kaps Royal
Herbal
2 Channa kaps
Nusantara
11 VITAMIN & MINERALS
11.1 VITAMIN A, D, E, K
1 Dalfa-tocopherol 1 Natur E softcap Darya Varia
200 iu
100 iu

2 Vit E
100 mg 1 Santa E cap Sanbe Farma

3 Betakaroten, ekstrak bilberry, vit C, vit E, lutein,likopen seng

Kap., 1 Optimax kap Ferron
Syr.,
1 Optimax syr Ferron
11.2 VITAMIN B's/ WITH C
1 Fursultiamin (& vit. B2 5 mg)
Tab., 5 mg 1 Alinamin tab Takeda

Inj., 25 mg/10ml 1 Alinamin ampul Takeda

2 Coenzym B12 1 Cobazym 3000 cap Interbat

Cap., 3 mg
Kombinasi vit. B1, vit B2, vit B6, vit C, vit E, Ca pantotenat,
3 1 Becefort tab Phapros
nikotinamid
Kombinasi vit. B1, vit. B2, vit. B6, vit. C, Ca pantotenat,
4 1 Becombion tab Merck
nikotinamid, biotin
2 Becombion syr Merck
3 Becombion drop Merck
4 Enervon C tab UAP
5 Enervon C syr UAP
Kombinasi vit. B1, vit. B2, vit. B6, vit. C, vit. E, Ca
5 1 Cebex tab Otto
pantotenat, nikotinamid
6 Kombinasi vit. B1, vit. B12, vit. B6 1 Corobion tab Coronet
Tab., 2 Neurosanbe tab Sanbe F
3 Neurobion tab Merck
4 Neurodex tab Dexa M
5 Neurobat tab Interbat
6 N-DA tab
Inj.,
1 N-DA ampul
2 Mersibion ampul Mersi
7 Kombinasi vit. B1, vit. B12, vit. B6, vit. E
Tab., 1 Fundamin-E tab Medifarma
2 Lapibion tab Lapi
8 Bisbentiamin, vit. B6, vit. B12
Yab., 1 Neurobeston tab Tanabe

11.3 VITAMIN C
1 Asam Ascorbat
Inj. 100mg/ml 1 Extrace ampul Ethica

Inj. 200mg/ml
1 Sancorbin ampul Sanbe
2 Asam Ascorbat
Tab., 50 mg., / 100 mg 1 Vit C tab Kimia Farma
Tab.,500 mg 1 Vitacimin tab Takeda
2 Xonce tab Kalbe Farma

11.4 CALCIUM WITH VITAMIN

1 Dibasic Ca fosfat, Ca lactat, vit. C, vit. D 1 Calcidin tab Otto
2 Calcidin syr Otto
Page 33
 3 Imforce syr Mahakam
4 Imforce tab Mahakam
5 Calnic tab Gracia
6 Calnic syr Gracia
7 Calplex tab Mahakam

2 Ca., vit. B6, vit. C, vit. D 1 CDR tab eff Roche

3 Ca Gluconolactobionat, Ca lactobionate 1 Calsium sandoz tab eff Novartis

4 Ca hidrogen fosfat 1 Dumocalcin tab Dumex

500 mg

5 Ossein hidroxy aptite 200 mg

6 Kalsium karbonat, Tuna Fish, D3
Soft cap,. 1 Osfit DHA softcap Kalbe

11:05 MULTIVITAMIN WITH MINERALS 1 Apialys syr Lapi

Vit. A, vit. B1, vit. B2, vit. B6, vit. B12, vit. C, vit. D,
1 2 Nufagrabion tab Nufarindo
nikotinamida, lysin, pantotenol, asam glutamat
3 Stobled tab Ethica
4 Beneuron tab
5 Coxavit tab
6 Enerplus tab
2 Beta karoten, vit. C, vit. E
1 Becom C cap Sanbe F
Vit. B1, vit. B2, vit. B6, vit. B12, vit. C, Ca pantotenat,
3
nikotinamid
cap
1 Bexicom Z cap Nufarindo
2 Elkana cap Sanbe F
3 Elkana syr Sanbe F

4 Vitamin A, Vit D3, Vit E, Vit C, Vit B1

Inj., 1 Cernevit vial Kalbe

11.6 PAEDIATRICS VITAMIN & MINERALS

Vit. A, vit. B1, vit. B2, vit. B6, vit. B12, vit. D, niacinamida,
1
d-panthenol

Vit. A, vit. B1, vit. B2, vit. B6, vit. B12, vit. D, nicotinamida,
2
d-panthenol
1 Pedimin drops Metiska F
Ca pantotenat, lysine HCl, nicotinamida, vit. B1, vit. B12,
3
vit. B2, vit. B6
11.7 ELECTROLYTES AND MINERALS
1 K l-aspartat
300 mg 1 Aspar K tab Tanabe

2 NaCl 2.25g/l
1 KA-EN 1 B inf Otsuka
NaCl 1.75g, KCl 1.5g, Na laktat 2.24 g, anhidrous dextr
3
27gr/L
1 KA-EN 3B inf Otsuka
NaCl 1.75g, KCl 1.5g, Na laktat 2.24 g, anhidrous dextr
4 1 KA-EN Mg3 Inf Otsuka
100gr/L
5 KCl 600 mg
Glucose anhydrous 4gr, NaCl 0.7gr, Na bicarbonat 0.5gr,
6
CaCl2 0.3gr
1 Oralit powder Kimia Farma
7 NaCl 3.5 gr, Na citrat 2.5 gr., KCl 1.5 gr., Glucosa 20 gr
1 Pharolit powder Pharos
11:08 ANTIANEMICS PRE & POST NATAL VITAMINS
Fe gluconat 250 mg, MgSO4 200 μg, vit. C 50 mg., as. Folat
1 1 Nonemi tab Lapi
1000 μg., vit. B12 7.5 μg
2 Bionemi tab Gracia
3 Maltofer tab Combiphar
4 Vibrion tab Mahakam
5 Promavit tab Lapi
6 Biostarth tab Bio Strath AG
7 Emibion tab
8 Fetavita tab
2 Fe sulfat heptahidrat
1 Sulfas Ferrosus tab Kimia Farma
Fe sulfat, vit. B1, vit. B2, vit. B6, vit. B12, Na ascorbat,
3
niasinamida, Ca pantotenat

Page 34
 1 Forneuro tab Kalbe Farma
Vit. A, vit. B1, vit. B2, vit. B6, vit. B12, vit. C, vit. D, vit. E,
4 niasinamida, Ca pantotenat, as. Folat, Ca carbonat, Fe, Mg,
Zn 2 Inbion tab Interbat
5 Vit. B6, Asam Folat
Tab., 1 Vomilat tab Kalbe

11.9 Antioxidant
1 Natural Asthaxantin
Tab., 4 mg 1 Asthin Force tab Soho
Syr 1 Asthin force syr Soho
12 NUTRITIONS
12.1 INFANTS/ FOLLOW ON FORMULAE
Per 100 gr. Protein 12 g, fat 25 g, lactose 7 g, sucrose 20 g,
1
maltose 29 g, linoleic acid 5.4 g, vit., minerals
150 g, 300 g 1 LLM bks Sari Husada

Per 100 ml. Protein 2.4 g, fat 4.4 g, linoleic acid 0.6 g,
2
karbohidrat 7.8 g, lactose 6 g
400 g 1 Nenatal bks Nutricia

Protein, karbohidrat, as. Linoleat, cholin, mineral, as.

3
Linolenat, vit.
150 g, 300 g, 600 g 1 SGM bks Sari Husada

4 Lain - lain
1 Nutri baby 123 bks Nestle
2 Nutri Baby BBLR bks Nestle
Nutri baby royal
3 bks Nestle
comfort
4 PHP BMT bks Morrinanga
5 PHP Childkid bks Morrinanga
6 PHP Chilmil bks Morrinanga
7 Prenan bks Nestle
8 SGM 123 bks SGM
9 SGM BBLR bks Nestle
10 Susu Al 110 bks Nestle
11 Pro kids btl Mahakam
12 NAN HA 123 bks Nestle
13 NAN Soya bks Nestle
12.2 ENTERAL/ NUTRITIONAL PRODUCTS
1 Aspartame, lactose 1 Equal tab Soho
Fat 11 g, karbohidrat 65 g., protein 17 g., taurin 26 mg., as.
Linoleat 0.45 g., as. Linolenat 60 mg., DHA 15 mg., vit. A,
2
vit. D, vit. E, vit. C, vit. K, vit. B2, kolin, vit. B1., niacin, as.
1 Enfagrow bks Mead Johnson
Per 100 g. Protein
Pantotenat, 15Ca
inositol, g, fat 11.5 g, karbohidrat total 64.5 g,
3
laktosa 4 g, dietary fiber 3.33 g, vit, mineral
185 g 1 Diabetasol bks Kalbe Farma
Per 100 g. Protein 11.1 g, fat 5.4 g, karbohidrat 76.2 g, vit,
4
mineral, energy 398 kCl
185 g 1 Entrasol bks Kalbe Farma
Per 100 g. fat 13 g, protein 15 g, karbohidrat 64 g, vit,
5
Per 100 g.
mineral, Protein
energy 43318.8
kClg, fat 18.3 g, saturates 8.3 g,
200 gr, 400 gr 1 Lactamil bks Sari Husada
monounsaturates 6.3 g, polyunsaturates, as. Linoleat 3.1 g,
as. Linolenat, karbohidrat, vit. A, vit. D3, mineral, vit. E, vit.
6
K, niasin, vit. B2, vit. B1, as. Pantotenat, Fe, as. Folat, biotin,
54 g 1 Nutridrik sacch Nutricia
cholin, Co, Mg, fosfor, fluoride, Zn, Na, K, Cl, Ca, Se,
12.3 molibdenum
PARENTERAL NUTRITIONS
1 Per L. Amino acid 50 g, sorbitol 50 g, xylitol 50 g, electolytes
500 ml 1 Aminofusin L 600 inf Pfrimmer

2 Per L-amino acid 50 g, sorbitol 100 g, electolytes, vit.

500 ml 1 Aminovel 600 inf Otsuka
Per L. Total free amino acid 100 g, nitrogen 15.7 g, Na 2
3
mEq, acetate 120 mEq
Sol 500 ml 1 Amiparen inf Otsuka
Per 1 L. Amino acid 27.2 g, essential amino acid 20.6 g, semi
4 essential amino acid 3.2 g, non essential amino acid 4.4 g,
500 ml 50 g
sorbitol 1 Pan Amin G inf Otsuka

12.4 TONICS
L l-aspartat 100 mg, Mg l-aspartat 100 mg, bisbentiamin 10
1 1 Aspar tab Tanabe
Per
mg, 15
vit.ml.
B6Vit B12 2.5mg, vit. B2 1.5 mg, vit. B6 1 mg, vit.
5 mg
B12 10 μg, nicotinamide 12.5 mg, as. Pantotenat 5 mg, as.
2
Folat, Na gliserofosfat, K gliserofosfat, Mg sulfat, Fe ammon
Ginseng extr., vit. A, vit. B1, vit. B2, nicotinamide, vit. C, 1 Durol syr Alpharma
citrat, ethanol
3 vit. D, vit. E, Ca pantotenat, vit. K, as. Folat, Ca., Co., fosfor,
Mg, Fe, Zn, iodin, molibdenum 1 Provital cap Landson
Page 35
 phenylalanine, l-triptopan, l-metionin, l-trionin, l-lysin, l-
4
isolisin, l-valin
5 Ekstrak biji fenugreek 600 mg, ekstrak daun
katuk 1 Lactamor tab Kalbe
Tab.,

12.5 Per 5 ml, vit.STIMULANTS

APPETITE B1 3 mg, vit. B2 2 mg, vit. B6 5 mg, vit. B12 5
1 μg, beta karoten 10% 4 mg, dexpanthenol 3 mg, curcuminoid 1 Curcuma Plus syr Soho
Per
2 mg5 ml, vit. B1 3 mg, vit. B2 2 mg, vit. B6 5 mg, beta 2 Vitagrow syr Mahakam
2 karoten 10% 4 mg, dexpanthenol 3 mg, curcuminoid 2 mg.,
Ca gluconate 300 mg 1 Curvit syr Soho
Curcuma extr. 8%, lisin 27.5%, taurin 4%, inositol 4.8%,
3
fructo oligosaccharida 53%
1 Xanda syr Teguhsindo L.
13 EYE, EAR, MOUTH THROAT
13.1 EYE ANTI INFECTIVES & ANTISEPTICS
1 Asetazolamid (Acetazolamidum)
250 mg 1 Glaucon tab Cendo

2 Chloramphenicol
drops 1% 1 Cendo Fenicol drops Cendo
drops 0.5% 2 Colme drops Interbat
oint 1 % 3 Ikamicetin tube Ikapharmindo

3 Gentamycin sulfate
drops 0.3% 1 Garamycin tube Schering P
oint 0.3%

4 Oxytetracycline
oint 0.3% 1 Terramycin tube Pfizer

13.2 EYE ANTISEPTICS WITH CORTICOSTEROIDS

Deksametason 0.1%, neomisin sulfat 3.5 mg/ml, polymyxin
1 1 Cendo Xitrol sol Cendo
B sulfate 6.000 iu/ml
2 Isotic neolyson sol Fahrenheit
3 Polidemisin sol Sanbe F
4 Inmatrol sol Interbat
2 Oxytetracycline 5mg, hydrocortison 5 mg
1 Terra Cortil oint Pfizer
3 Tobramisin + deksametason
1 Tobroson sol Cendo
13.3 MYDRIATICS DRUGS
1 Tropicamide
drops 0.5% 1 Cendo Mydriatil drops Cendo

2 Atropin sulfat
drops 0.5% 1 Cendo Tropine drops Cendo

13.4 MIOTICS
1 Pilocarpine HCl
drops 1% & 2% 1 Cendo Carpine drops Cendo

13.5 GLAUCOMA PREPARATIONS

1 Pilocarpine HCl
drops 1% & 2% 1 Cendo Carpine drops Cendo

2 Timolol maleat
0.25%, drops 1 Cendo Timolol drops Cendo
0.5%, drops 1 Cendo Timolol drops Cendo

13.6 OTHER EYE PREPARATIONS

1 Tetrahidrazoline HCl
Sol. 0.5% 1 Braito drops Konimex

2 CaCl anhidrous, K iodide, Na tiosulfat, phenilmercuric nitrat

1 Cendo Catarlent drops Cendo
Tetrahidrazoline HCl 0.05%, benzalkonium Cl 0.01%, as.
3
Borat 1.5%
1 Insto drops Sterling
Per ml. Hydroxypropy methylcellulose 5mg, dextran 70 1
4
mg, gliserin 2 mg, benzalkonium Cl 0.01% w/v
1 Isotic Tearin drops Fahrenheit
5 Tetracaine
drops, 0.5% 1 Pantocain drops Cendo

EAR
13.7 EAR ANTI INFECTIVES & ANTISEPTICS
1 Chloramphenicol 10%, lidocain HCl 4% 1 Colme drops Interbat
Chloramphenicol 5%, polymixin B sulfat 10.000 ui,
2
benzokain 1%, nipagin 1%
1 Otolin drops Kalbe Farma
Page 36
 3 Gentamycin sulfat
drops, 3mg/ml 1 Sagestam drops Sanbe F

13.8 EAR ANTISEPTICS WITH CORTICOSTEROID

Per 5 ml. Polymixin B sulfat 50.000 ui, neomisin sulfat 25
1 1 Otolin drops Kalbe Farma
mg, fludrocortison acetate 5 mg, lidocain HCl 200 mg
2 Otopain drops Interbat

13.9 MOUTH THROAT

MOUTH/ THROAT PREPARATIONS
1 Policresulen
Sol. Conc. 360mg/g 1 Albothyl sol Pharos

2 Miconazole
Oral gel, 20mg/g 1 Daktarin gel Janssen

3 Povidon iodin
gargle & mouthwash 1% 1 Betadin sol Mahakam

4 Dequalinium Cl.
Loz., 0.25 mg 1 Degirol loz Darya Varia
2 SP Troches loz Meiji
5 Fradiomycin sulfat 2.5mg, gramicidin-S HCl 1mg
1 FG Troches tab loz Meiji
6 Hexetidine 0.1%, alcohol 9%
1 Hexadol gargle Otto

7 Triamcinolon acetonide
Oint, 1% 1 Kenalog in oral base Oint Bristol M
Thymol 0.06%, eucalyptol 0.09%, menthol 0.04%, metil
8 1 Listerine Gargle Warner L
salisilat 0.05%, alkohol 0.02%
9 Protein free haemodialisate 5%, polidocanol 1%

10 Benzydamine HCl
Loz., 3mg 1 Tantum Loz Loz Soho
Gargle, 7.5mg/5ml 1 Tantum Verde Gargle Soho

11 Kandistatin
Drops., 1 Mycostatin drops -
2 Kandistatin drops Metiska
3 Nymiko drops Sanbe
12 Serratipeptidase, Pancreatin, Lesitin
Caps., 1 Nutriflam caps Tropica

13 Morindra citrifolia, Zingaber

Kaps., 1 Fortibi kap Soho

14 DERMATOLOGICALS
14.1 1 ANTI INFECTIVES
1 Mupirocin
oint, 2%

2 Neomisin sulfat 0.5%, placenta extr. 10%

Jelly 1 Bioplacenton gel Kalbe Farma

3 Silver sulfadiazin
cream, 10mg/g

4 Gentamycin sulfat
cream, 0.1% 1 Gentamycin cream Interbat
2 Garamycin cream Schering P
3 Salticin cream Interbat
4 Sagestam cream Sanbe F
oint, 0.1%
1 Gentamycin oint Kimia Farma
5 Chloramphenicol
oint, 2% 1 Ikamicetin oint Ikapharmindo
2 Kemicetin oint Kalbe F

6 Neomisin sulfat 5mg, Zn bacitracin 500 iu

oint

7 Neomisin sulfat 5mg, Zn bacitracin 250 iu

oint 1 Nebacetin oint Pharos
powder 1 Nebacetin powder Pharos

Page 37
14.2 ANTI INFECTIVES WITH CORTICOSTEROIDS
1 Deksametason acetate 0.4mg, clotrimazole 10 mg
Cream.,

2 Betametason valerate 0.1%, neomisin sulfat 0.5%

Cream., 1 Betason N cream Kimia Farma

3 Miconazole nitrat 2%, hidrocortison 1%

Cream.,

4 Flucinolon acetonide 0.025%, neomisin sulfat 0.5%

Cream., 1 Cinolon N cream Sanbe F
2 Fluocort N cream Phapros
3 Neosinol cream Interbat
Flupredniden 0.1%, neomisin 0.5%, 5-chloro-8
5
hidroxiquinolin 0.5%
Cream

6 Betametason dipropionate 0.05%, gentamisin sulfat 0.1%

Cream., 1 Digenta cream Interbat

7 Diflucortolon valera 0.1%, chlorquinaldol 1%

Cream.,

8 Oxytetracycline HCl 30mg, hidrocortison 10 mg

Oint.,

9 Clotrimozasol 1 %, Betametason dipropionat

Cream., 1 Heltiskin cream Konimax

14.3 TOPICAL CORTICOSTEROIDS

1 Desonide
Cream., 0,05 mg/g 1 Apolar cream Alpharma

2 Flucinolon acetonide
Cream., 0,25 mg/g 1 Cinolon cream Sanbe F

3 Flupredniden 21 acetat
Cream., 0,1 mg/g 1 Decoderm cream Merck

4 Prednicarbate
Cream., 2,5 mg/g

5 Mometason furoate
Cream., 0,1 mg/g 1 Elocon cream Schering P

6 Desoximetason
Cream., 0,25 mg/g 1 Esperson cream Sanofi Aventis
2 Inerson cream Interbat
7 Clobetasol propionat
Cream., 0,05 mg/g 1 Ikaderm cream Ikapharmindo

8 Diflucortolone valerate
cream., 0.1%

9 Triamcinolon
Tab. 4 mg 1 Triamcort tab Interbat
cream 2 Trilac tab
3 Ketricin tab Dexa M

1 Triamcort cream Interbat

2 Kenalog cream
3 Ketricin cream Dexa M

14.4 ACNE TRAETMENT PREPARATIONS

1 Benzoil peroksida
cream., 10%

14.5 ANTISEPTIC & DESINFECTANS

1 Etakridin (Rivanol; Ethacridinum)
Lar 0.1% 1 Rivanol sol

Etanol 70% 1 Ethanol sol

serbuk,
3 Kalsium hipoklorida
20g
Page 38
 4 Klorheksidin Glukonat
Lar., 4%

5 Tetra chloro deca-oksigen anion complex

sol., 0.001% 1 Oxoferin sol Pharos

6 Paraformaldehid 1 Formalin tab

7 Iodin Povidon 10%

Sol., 60 ml 1 Iodin Povidon sol Kimia Farma
2 Betadine sol Mahakam
Sol., 1000 ml
1 Iodin Povidon sol Kimia Farma

8 Policresulen
Conc., 360mg/10ml 1 Albothyl sol Pharos

14.6 MEDICATED SURGICALS DRESSING

1 Framycetin sulfate
Gauze dressing, 10 cm x 10 cm 1 Sofra Tulle pcs Aventis
2 Daryant Tulle pcs Darya Varia

14.7 FUNGICIDES AND ANTI PARASITES

1 Clotrimazole
Cream., 1 % 1 Canesten tube Bayer
2 Fungiderm tube Konimex

2 Miconazole nitrate
Cream., 2 % 1 Mikonazole tube OGB
2 Daktarin tube Janssen
3 Ketokonazole
Cream., 2 % 1 Ketokonazole cream OGB
2 Fungasol cream Guardian
3 Mycoral cream Kalbe F
4 Formyco cream Sanbe F
4 Naftifine HCl 5 Interzol cream Interbat
cream, 10mg/g
Menthol 0.25%, as. Salisilat 10%, as. Undesilinat 5%, as.
5
Benzoat 4%
6 Bifonazole
cream, 1%

7 Nistatin
cream, 100.000 iu/g 1 Mycostatin cream Bristol M

8 Lindane 1%, usnic acid 1%

cream 1 Scabicid cream Kimia Farma
PSORIASIS, SEBORRHEA, ICHTYOSIS
14.8
PREPARATIONS
Iodin Povidon
Shampo, 4% 1 Betadine Shampo sol Mahakam

2 Ketokonazole
Scalp. Sol. 1%

3 Selenium sulfide 2.5%

14.9 ANTIVIRALS
1 Acyclovir
cream, 5% 1 Acyclovir cream Indo Farma

2 Lain-lain
1 Tenovovir tab
2 Isprinol syr Novell

14.10 KERATOLYTICS
1 Salicylic acid 2g, lactic acid 0.5%, polidocanol 0.2g 1 Collomack sol Merck
2 Calusol sol
14.11 SKIN PROTECTIVES
1 Padimate O, oxibenzone, titanium oksida 1 Pabanox cream SDM Lab.

14.12 ANTIHISTAMINES/ ANTIPRURITICS

1 Calamin 10%, ZnO 2%, camphora 0.05%, menthol 0.01%
Powder 1 Caladine powder Yupharin
Page 39
 Diphenhidramine HCl 2%, Calamin 15%, ZnO 2%
Lotion 1 Caladine lotion Yupharin

14.13 ANALGESICS & ANTI-INFLAMATORIES

Lihat No.4.3.6
1 Diclofenac Na
(Antirheumatics…)
2 Methyl salisilat 102 mg, menthol 54,4 mg, eugenol 13.6 mg 1 Counterpain cream Bristol M

3 Per 100 g oint. Chamazulene 0.4 mg, bisabolol 7 mg

4 Piroksikam Gel Lihat No. 4.3.7.

14.14 OTHER DERMATOLOGICS

1 Hidroquinon

2 Prespitated sulfur
Soap 5% 1 JF Sulfur soap Yupharin

3 Protein free extr. Of hemolysed blood of young calves

4 Acid Salicyl
1 Acid Salicyl Powder
15 ANAESTHETICS LOCAL & GENERAL
15.1 ANAESTHETICS LOCAL
1 Bupivacain HCl 1 Buvanest ampul Dexa medica
2 Decain ampul Dexa medica

2 Etilklorida (Kloretan)
1 Chlorethyl spray
3 Lidocain HCl
Inj., 2% 1 Lidocain ampul OGB
Inj., 2% + adrenalin
Inj 4%
Semprot.,
1 Xylocain spray AstraXenica
2 Xylonor spray Multisinar
4 Kombinasi:
Lidocain HCl 5% + glucose 5% + NaOH 1 Lidodex ampul Bernofarm

15.2 ANAESTHETICS GENERAL

1 Dinitrogen Oksida 1 N2O Tabung

2 Propofol 1 Recofol Dexa M

3 Enfluran (Enfluranum)

4 Sevoflurane 1 Sojourn Liq Fahrenheit

5 Halothane (Halothanum) 1 Halothane Liq. Dexa M

2 Flouthane Astra Z

6 Ketamina Hidroklorida 1 KTM vial

Inj., 50mg/ml 2 Ketamine Hamelin inj Combiphar

7 Natrium Tiopental

8 Trikloretilen (Trichlorethylenum)
1 Umarone vial ampul
15.3 1 Lain - lain

16 ALLERGY & IMMUNE SYSTEM

16.1 ANTIHISTAMINE & ANTI ALLERGICS
Lihat No.2.3.4
1 Dexamethasone
(Antiasthmatic…..)

2 Loratadin
Tab., 1 Clarihis tab Lapi

3 Ciproheptadin
Tab., 1 Heptasan tab Sanbe F

4 Betametason 0.25mg, dexchlorpheniramin maleat 2mg.

Tab., 1 Cortamine tab Interbat
Page 40
 Syr., 2 Celestamin tab Schering P
3 Ocuson tab Sanbe F

1 Cortamine syr Interbat

5 Dexametason 500μg, dexchlorpheniramin maleat 2mg.
tab 1 Dextamine tab Phapros
2 Dextafen tab Interbat
6 Mebhydrolin napadisilat
tab 1 Histapan tab Sanbe F
2 Interhistin tab Interbat
7 Cetirizine HCl
tab 1 Cetirizine tab OGB
syr 2 Cetirizine syr OGB
3 Incidal OD cap Bayer

8 Clemastine hidrogen fumarate

9 Pheniramine Hydrogen Maleate

Inj., 50mg/2ml
Tab., 1 Avil ampul
1 Avil tab
10 Loratadin, Pseudoephedrin
Tab., 1 Aldisa SR tab Sanbe

11 Fexofenadine 60 mg., Pseudoephedrin 120 mg

Tab., 1 Fexofed tab Kalbe

16.2 VACCINE, ANTISERA, & IMMUNOLOGICALS inj.,

1 Serum Anti Bisa Ular 20.000
A.B.U. I (Khusus ular dari luar Irian Jaya) 1 ABU iu/ vial, Bio Farma
A.B.U.II (Khusus ular dari Irian Jaya) ktk, 10
vial
2 Serum Anti Difteri (A.D.S)
inj.,
3 Serum Anti Tetanus (A.T.S)
amp.,
1500 iu 1 ATS
inj.,
ktk., 100
10.000 iu
amp.,
amp.
1 ATS
ktk., 100
20.000 iu inj., vial,
amp.
1 ATS ktk., 10
vial
4 Anti hepatitis
1 vaksin hepatitis inj amp Sanofi
2 Hepatitis B inj. amp
3 Hepac vaksin inj .amp
5 DPT (Diphteri, Pertusis, Tetanus)
1 Pediacel inj.amp Sanofi
2 DPT Infarix inj.amo Sanofi
3 Tripacel inj.amp Sanofi
6 Pneumococcol Vaccine
1 Prevener inj.amp Sanofi
7 Measles Vaccine
1 Vaksin Campak inj.am Sanofi
2 Trimovax inj.amp Sanofi
8 BCG Vaccine
1 Vaksin BCG inj.amp Sanofi
9 Varricela Vaccine
1 Varilix Vaksin inj.amp Sanofi
10 Lain - Lain
1 Rotatix Vaccine inj.amp Sanofi
2 Rotatex Vaccine inj.amp Sanofi
17 ANTI DOTES & DETOXIFYING AGENTS
1 Naloxone HCl. 1 Nokoba Inj Fahrenheit

18 INTRA VENOUS & OTHER STERILE SOLUTIONS

Inf., Btl
1 Per 1000ml CaCl2 0.2g., KCl 0.3g., NaCl 6g., Na Acetat 3.8g 1 Asering Otsuka
500ml
Per L. NaCl 6g., KCl 0.3g., CaCl2 0.2g., Na Lactat 3.1g.,
2
maltose 50g.
19 MISCELLANEOUS
1 Pulverised curcuma roots 1 Curcuma tab Soho
Vit. B1 1.4mg., vit B2 1.6mg., vit B6 2mg., vit B12 3μg.,
2 echinacea dry extr.125mg., turmeric dry extr.50mg., l-
Per 45ml extr. Abrus precatorius folia eq. To dried powd.
tyrosine 5mg
75mg extr. Liquiritae radix eq. to dry root powder 20mg.,
3
extr. Piper betle folia eq. to fresh leaves 450mg., menthol
1 Enkasari btl 170 Kimia Farma
10mg
4 Per tab. Echinacea 250mg, zinc picolinate 10mg. Film coated
Page 41
 1 Imboost tab Ethica
2 Imboost syr Ethica
Pure lecithin 300mg, vit B1 1.4mg, vit B2 1.6mg, vit B6
5
2mg, vit B12 3μg, vit E 10mg, nicotinamid 18mg
6 Tribulus terrestir L.
1 Tribestan cap Teguhsindo L
Curcuma 20mg, tocopherol 10mg, ginseng 6mg,
7
phospholipid 300mg
1 Tripid cap Teguhsindo L
8 Phillantus niruri L., herba
cap., 50 mg 1 Stimuno cap Dexa Medica
2 Starmuno cap
3 Imunos cap
syr.,
1 Stimuno cap Dexa Medica
2 Starmuno cap
3 Imunos cap
Asam malat 700 mg, glucosamin HCl 800 mg, L-argine HCl
9
800 mg
1 Aviter tab Interbat

20 Hepatoprotektor
1 Monoamin glycyrrhizanate, Aminocetic Acid 1 SNMC vial Dexa Medica
L-cystein Hydrocloride

21 1 Hematopoetik 1 Dialifer ampul Novell

2 Eprex btl Jansen
3 Eprex btl Jansen
4 Hemapo PFE Kalbe Farma
5 Recormon PFE Roche
6 Venofer ampul Combiphar
7 Neprofer ampul Kalbe Farma

Page 42
SNMC
Cern

dogmatil

Inj 1 Metxime inj Metiska

2 Cefarin inj Gracia

3 Clafixime inj Coronet