Anda di halaman 1dari 57

DAFTAR OBAT STANDAR PERTAMEDIKA - IHC

KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
01 GASTROINTESTINAL & HEPATOBILIARY SYSTEM
01a. ANTACIDS, ANTIREFLUX AGENTS & ANTIULCERANTS
Cimetidine
Cimetidine fc tablet 200 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB

Cimetidine tablet 200 mg BERNO GENERIK


Lexamet 200 Mg tablet 200 mg MOLEX AYUS
Corsamet 400 tablet 400 mg CORSA
Domperidone
Gerdilium drops 5 mg / ml OTTO ETHICAL
Domperidone drops 5 mg / ml BERNO GENERIK
Vomistop drops 5 mg / ml GRACIA

Domperidone 10 Mg kaplet 10 mg YA HEXPHARM JAYA OGB

Grameta syrup 5 mg / 5 ml GRAHA FARMA


Domperidone syrup 5 mg / 5 ml HEXPHARM JAYA OGB
Lexadon syrup 5 mg / 5 ml YA MOLEX AYUS
Vomina syrup 5 mg / 5 ml HEXPHARM JAYA BRANDED
Domperidone syrup 5 mg / 5 ml LANDSON
Domperidone syrup 5 mg / 5 ml QUANTUM LABS
Gerdilium syrup 5 mg / 5 ml OTTO ETHICAL
Motilium syrup 5 mg / 5 ml JOHNSON2

Domperidone 10 Mg tablet 10 mg NOVELL


Domperidon tablet 10 mg BUMN INDOFARMA
Domperidone 10 Mg tablet 10 mg NULAB PHARMACEUTICAL INDONESIA OGB
Grameta tablet 10 mg GRAHA FARMA
Domperidone tablet 10 mg DEXA MEDICA
Lexadon 10 Mg tablet 10 mg YA MOLEX AYUS
Vomina tablet 10 mg HEXPHARM JAYA BRANDED
Galdom tablet 12,75 mg GALENIUM
Dome tablet 10 mg / ft PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Motilium tablet 10 mg JOHNSON2

Monell Ft tablet ft 10 mg / ft NOVELL


Famotidine
Famocid syrup 20 mg SANBE

Famotidine tablet 20 mg BUMN INDOFARMA


Lexmodine 20 Mg tablet 20 mg MOLEX AYUS
Famotidine tablet 40 mg BUMN INDOFARMA
Renapepsa tablet 20 mg FAHRENHEIT
Famocid tablet 40 mg SANBE
Lansoprazole
Prosogan injeksi 30 mg YA TAKEDA

Lansoprazole kapsul 30 mg EXELTIS NUFARINDO


Lansoprazole 30 Mg kapsul 30 mg NOVELL
Lansoprazole 30 Mg kapsul 30 mg NULAB PHARMACEUTICAL INDONESIA OGB
Lansoprazole 30 Mg kapsul 30 mg YA HEXPHARM JAYA OGB
Sopralan 30 Mg kapsul 30 mg MERSIFARMA
Lansoprazole kapsul 30 mg YA BUMN INDOFARMA
Lanzogra kapsul 30 mg GRAHA FARMA
Nufaprazol kapsul 30 mg EXELTIS NUFARINDO
Acilaz kapsul 30 mg ABBOT

Prosogan Fd tablet 15 mg TAKEDA


Prosogan Fd tablet 30 mg TAKEDA
Misoprostol
Misoprostol tablet 200 mcg NULAB PHARMACEUTICAL INDONESIA OGB
Misoprostol tablet 200 mcg MAHAKAM BETA FARMA
Invitec tablet 200 mcg KALBE FARMA
Cytostol tablet 200 mcg COMBIPHAR
Cytotec tablet 200 mcg SOHO GLOBAL HEALTH
Omeprazole
Omeprazole injeksi 40 mg DEXA MEDICA
Omeprazole injeksi 40 mg BERNO GENERIK
Omeprazole injeksi 40 mg QUANTUM LABS
Omeprazole injeksi 40 mg YA MAHAKAM BETA FARMA
Rocer injeksi 40 mg ABBOT
Pumpitor 40 Mg injeksi 40 mg SANBE
Ozid Iv injeksi 40 mg DARYA VARIA

Rocer kapsul 20 mg ABBOT

Omeprazole 20 Mg tablet 20 mg HEXPHARM JAYA OGB


Omeprazole 20 Mg tablet 20 mg NULAB PHARMACEUTICAL INDONESIA OGB
Omeprazole 20 Mg tablet 20 mg NOVELL
Omeyus 20 Mg tablet 20 mg YA MOLEX AYUS
Lanacer tablet 20 mg GRAHA FARMA
Tamezol 20 Mg tablet 20 mg HEXPHARM JAYA BRANDED
Promezol tablet 20 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Pumpitor 20 Mg tablet 20 mg SANBE
Pantoprazole
Generik injeksi 40 mg BUMN PHAPROS
Pantoprazole injeksi 40 mg QUANTUM LABS
Pantoprazole injeksi 40 mg OTTO OGB
Panto-Gas injeksi 40 mg BUMN PHAPROS
Pantoprazole (Generik) injeksi 40 mg IKAPHARMINDO PUTRAMAS
Panso injeksi 40 mg ETHICA INDUSTRI FARMASI
Ottozol injeksi 40 mg ABBOT
Pantozol 40 Mg injeksi 40 mg TAKEDA

Pantoprazole tablet 20 mg DEXA MEDICA


Pantoprazole 20 Mg tablet 20 mg MAHAKAM BETA FARMA
Pantoprazole tablet 40 mg DEXA MEDICA
Panvell tablet 40 mg NOVELL
Pantoprazole 40 Mg tablet 40 mg MAHAKAM BETA FARMA
Pantopump Kap tablet 20 mg INTERBAT
Pepzol tablet 20 mg MAHAKAM

Halaman 1 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Pepzol tablet 40 mg MAHAKAM
Pantozol 20 Mg tablet 20 mg TAKEDA
Pantozol 40 Mg tablet 40 mg TAKEDA
Polymigel
Strocain P tablet 400 mg EISAI
Rabeprazole
Pariet tablet 10 mg EISAI
Pariet tablet 20 mg EISAI
Ranitidine
Ranitidine injeksi 50 mg / 2 ml HEXPHARM JAYA OGB
Ranitidin injeksi 50 mg / 2 ml QUANTUM LABS
Ranitidine injeksi 50 mg / 2 ml OTTO OGB
Gastridin Injeksi injeksi 50 mg / 2 ml INTERBAT
Getidin 25 Mg Amp injeksi 50 mg / 2 ml GUARDIAN PHARMATAMA
Ulceranin injeksi 50 mg / 2 ml ABBOT
Zantac Injection injeksi 50 mg / 2 ml GLAXO WELLCOME INDONESIA

Ranitidine 150 Mg tablet 150 mg YA HEXPHARM JAYA OGB


Ranitidine tablet 150 mg BERNO GENERIK
Ranitidin tablet 150 mg DEXA MEDICA
Ranitidin 150 Mg Fc tablet 150 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Rancus 150 Mg tablet 150 mg MERSIFARMA
Aciblock 150 Mg tablet 150 mg YA MOLEX AYUS
Ulceranin tablet 150 mg ABBOT
Zantac 150 Mg tablet 150 mg GLAXO WELLCOME INDONESIA
Acran 300 Mg tablet 300 mg SANBE
Zantac Tablet 300 Mg tablet 300 mg GLAXO WELLCOME INDONESIA
Rebamipide
Mucosta Granule powder 100 mg OTSUKA

Repimide tablet 100 mg NOVELL


Rebamipide 100 Mg tablet 100 mg NOVELL
Rebamipide tablet 100 mg YARINDO
Becantex tablet 100 mg PT PHAROS INDONESIA
Mucosta tablet 100 mg OTSUKA
Sukralfat
Nucral 1000 Mg granul 1000 mg / 10 ml GUARDIAN PHARMATAMA

Molafate 500 Mg / 5 Ml Suspensi syrup 500 mg / 5 ml YA MOLEX AYUS


Ulsafate Suspensi 100 Ml syrup 500 mg / 5 ml COMBIPHAR
Nucral 100 Mg 500 Mg / 5 Ml Syr syrup 500 mg / 5 ml GUARDIAN PHARMATAMA
Musin syrup 500 mg / 5 ml ABBOT
Nucral syrup 500 mg / 5 ml GUARDIAN PHARMATAMA
Ulcera syrup 500 mg / 5 ml MAHAKAM
Ulsafate Suspensi syrup 500 mg / 5 ml COMBIPHAR

Ulsidex tablet 500 mg DEXA MEDICA


Ulsicral tablet 500 mg IKAPHARMINDO PUTRAMAS
Musin tablet 500 mg ABBOT
Teprenone
Purubex tablet 50 mg EISAI
Fucoidan
Fuco tablet 50 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Allumunium
Magten Suspensi syrup al. hydroxide 250 mg, PROMEDRAHARDJO FARMASI INDUSTRI OGB
mg.hydroxide 250 mg,
simetikon 50 mg

Lexacrol Forte 400 Mg ; 400 Mg ; 100 Mg Suspensi syrup 400 mg : 400 mg : 100 MOLEX AYUS
mg
Magtral Forte syrup 400 mg / 120 ml OTTO ETHICAL

Antasida Doen Tablet tablet al. hydroxide 200 mg, PROMEDRAHARDJO FARMASI INDUSTRI OGB
mg. hydroxide 200 mg

Magten tablet al. hydroxide 250 mg, PROMEDRAHARDJO FARMASI INDUSTRI OGB
mg.hydroxide 250 mg,
simetikon 50 mg

Antasida 200 Mg tablet 200 mg : 200 mg YA MOLEX AYUS


Dexanta Blister tablet 200 mg; 200 mg DEXA MEDICA
Lexacrol tablet 300 mg : 300 mg : 50 MOLEX AYUS
mg
Decamag tablet 250 mg HARSEN LABORATORIES
Esomeprazole
E-Some injeksi 40 mg / ml BUMN PHAPROS
Esomeprazole injeksi 40 mg / ml OTTO OGB
Esomax injeksi 40 mg / ml OTTO ETHICAL
Esozid Iv injeksi 40 mg / ml DARYA VARIA
Nexium injeksi 40 mg / ml ASTRA ZANECA

Nexium tablet 20 mg tab ASTRA ZANECA


Nexium tablet 40 mg ASTRA ZANECA
01b. GIT REGULATORS, ANTIFLATULENTS & ANTI-INFLAMMATORIES
Budesonide
Budenofalk kapsul 3 mg DARYA VARIA
Cisapride
Cisapride tablet 5 mg DEXA MEDICA
Guarposid 5 Mg tablet 5 mg GUARDIAN PHARMATAMA
Acpulsif tablet 5 mg DEXA MEDICA
Mesalazine
Salofalk rect tube 4g DARYA VARIA

Salofalk supp 500 mg DARYA VARIA

Salofalk tablet 250 mg DARYA VARIA


Salofalk tablet 500 mg DARYA VARIA
Metoclopramide Hcl
Metolon Drops drops 2 mg / ml BERNO BRANDED
Vomipram vomipram 2 mg / ml CORSA

Halaman 2 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Sotatic injeksi 5 mg / ml PRATAPA NIRMALA
Metoclopramide injeksi 5 mg / ml BERNO GENERIK
Piralen injeksi 5 mg / ml OTTO ETHICAL

Vosea Syrup syrup 5 mg / 5 ml GRAHA FARMA


Lexapram 5 Mg Sirup syrup 5 mg / 5 ml YA MOLEX AYUS
Nausile Syrup 60 Ml syrup 5 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI OGB
Piralen syrup 5 mg / 5 ml OTTO ETHICAL

Metoclopramid tablet 10 mg GRAHA FARMA


Metoclopramide Hcl tablet 10 mg BUMN PHAPROS
Nausile 10 tablet 10 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Vosea tablet 10 mg GRAHA FARMA
Lexapram 10 Mg tablet 10 mg YA MOLEX AYUS
Enakur tablet 10 mg HARSEN LABORATORIES
Sotatic tablet 10 mg PRATAPA NIRMALA
Sulfasalazine
Salivon capl 500 mg PT PHAROS INDONESIA

Sulcolon tab 500 mg BERNO BRANDED

Sulfasalazine tablet 500 mg BERNO GENERIK


Sulfitis tablet 500 mg PRATAPA NIRMALA
Zinc Sulphate
Diagro drops 20 mg / 5 ml MAHAKAM

Interzinc Syr syrup 20 mg / 5 ml YA INTERBAT

Zirea syrup 10 mg / ml ACTAVIS


Daryazinc Syrup syrup 20 mg / 5 ml DARYA VARIA

Zink Dispersibel Tablet tablet 20 mg BUMN KIMIA FARMA


Zinc 20 Mg Tablet Dispersibel tablet 20 mg YA BUMN INDOFARMA
Interzinc tablet 20 mg INTERBAT
Atropine
Atropine injeksi 0.25 mg / ml YA ETHICA INDUSTRI FARMASI
Lactobacillus
Lacbon kapsul 50,000,000 spora BUMN KIMIA FARMA
Lacidofil kapsul 1.9 x 109 DEXA MEDICA

Lacbon Granule sachet 50,000,000 spora BUMN KIMIA FARMA


Geebio sachet 1 x 108 QUAMED

Lactodia serbuk 10.000.000.000 (10¹⁰) PROMOSINDO


bakteri probiotik

01c. ANTISPASMODICS
Hyoscine
Hyoscine injeksi 20 mg / ml OTTO OGB
Scopamin Injeksi injeksi 20 mg / ml ABBOT
Gitas Injeksi injeksi 20 mg / ml INTERBAT

Unthecol Dragee tablet 10 mg BERNO BRANDED


Scopamin tablet 10 mg ABBOT
Gitas Plus tablet 10 mg INTERBAT
Timepidium Bromide
Sesden kapsul 30 mg TANABE
Chlordiazepoxide + Clinidium
Braxidin tablet 5 mg / 2.5 mg SANBE
Clixid tablet 5 mg / 2.5 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Librax tablet 5 mg / 2.5 mg TRANSFARMA
Hyoscine + Paracetamol
Hiopar tablet 10 mg GRAHA FARMA
Scopamin Plus tablet 10 mg ABBOT
Antalgyn + Papaverin
Spasmal tablet 500 mg DARYA VARIA
01d. ANTIDIARRHEALS
Attapulgite
Tagyt tablet attapulgite 600 mg, PROMEDRAHARDJO FARMASI INDUSTRI OGB
pectin 50 mg
Molagit tablet 700 mg : 50 mg MOLEX AYUS
Neo Diagon tablet 60 ml YA HARSEN LABORATORIES
Kaolin
Neokaominal 700 Mg ; 66 Mg Suspensi susp 700 mg / 15 ml : 66 mg MOLEX AYUS
/ 15 ml

Neo Diaform 500 tablet 550 mg CORSA


Neo Diaform Botol 100'S tablet 550 mg CORSA
Loperamide
Gradilex tablet 2 mg GRAHA FARMA
Renamid tablet 2 mg PRATAPA NIRMALA
Lexadium 2 Mg Tablet tablet 2 mg YA MOLEX AYUS
Imodium 2Mg tablet 2 mg JOHNSON2

Lodia tablet salut 2 mg SANBE


Nifuroxazide
Fuzide syrup 250 mg / 60 ml OTTO ETHICAL
Nifural syrup 60 ml DARYA VARIA
Octreotide
Octide injeksi 0,1 mg / ml FAHRENHEIT
Sandostatin Sc 0.1 Mg injeksi 0,1 mg YA PT NOVARTIS INDONESIA
Sandostatin 20 Mg injeksi 625 mg / 2,5 ml YA PT NOVARTIS INDONESIA
Lactulose Solution
Lactulosa syrup lactulossa 3.335 g / 5 IKAPHARMINDO PUTRAMAS
ml
Graphalac syrup 3,335 gram / 5 ml GRACIA
Lantulos 60 syrup 3,43gr / 5 ml LANDSON
Lactulosa syrup lactulossa 3.335 g / 5 IKAPHARMINDO PUTRAMAS
ml

Halaman 3 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Dulcolactol syrup 10 g / 15 ml AVENTIS PHARMA
Duphalac syrup 3.35 mg / 5 ml ABBOT
Zinc Elemental
Zincpro Drops drops 10 mg / ml COMBIPHAR
Zink Elemental
Diazink tablet 20 mg BUMN KIMIA FARMA
Probiotik 7 Strain
Protexin Natural Care kapsul 7 strain COMBIPHAR

Protexin Infant sachet 7 strain COMBIPHAR


01e. LAXATIVES, PURGATIVES
Bisacodyl
Stolax 10 Mg supp 10 mg SANBE
Dulcolax Supp Inf supp 5 mg YA AVENTIS PHARMA
Dulcolax Supp Ad supp 10 mg YA AVENTIS PHARMA

Prolaxan tablet 5 mg HARSEN LABORATORIES


Bisacodyl 5 Mg tablet 5 mg YA NOVELL
Laxacod 5 Mg tablet 5 mg GALENIUM
Dulcolax tablet 5 mg AVENTIS PHARMA
Sodium Picosulfate
Pisucon drops 7,5 mg / 10 ml MAHAKAM
Laxoberon drops 7,5 mg / ml AVENTIS PHARMA
Phenolphtalein
Laxadine 56 Mg Syr 60 Ml syrup 56 mg GALENIUM
Laxadine Emulsi 110 Ml syrup 1200 mg GALENIUM
Lactulose Solution
Opilax syrup 3,335 g / 5 ml OTTO ETHICAL
Opilax syrup 3,335 g / 5 ml OTTO ETHICAL
Monobasic Na Posphate
Fleet Phosphosoda syrup 45 ml COMBIPHAR
Fleet Enema syrup 133 ml COMBIPHAR

Fosen turb 19 g FAHRENHEIT


Peg (Macrogol) 4000
Niflec sachet 118 gr YA MEIJI INDONESIA
01f. DIGESTIVES
Diosmectite
Smecta sachet diosmectite COMBIPHAR
Pancreatin
Berzymplex dragee BERNO BRANDED

Enzyplex tablet 10.000 u, 9000 u, 240 DARYA VARIA


u
01g. CHOLAGOGUES, CHOLELITHOLYTICS & HEPATIC PROTECTORS
L-Ornithine L-Aspartate
Hepa-Merz ampul 5 g / 10 ml COMBIPHAR

Ornispar injeksi 5g NOVELL


Lolindex injeksi 500 mg DEXA MEDICA

Ornispar powder dalam 3g NOVELL


sachet
Hepa-Merz Granulate powder dalam 3g COMBIPHAR
sachet
Ursodeoxycholic Acid
Estazor kapsul 250 mg FAHRENHEIT
Ursolic 250 Mg Caps kapsul 250 mg GUARDIAN PHARMATAMA

Ursodeoxycholic Acid 250 Mg tablet 250 mg NOVELL


Ursodeoxycholic Acid tablet 250 mg DEXA MEDICA
Ursochol 300 tablet 300 mg ZAMBON
Amino Acid 80 G/L + Bcaa 35% + Electrolyte (Na + 14 ;Cl- 94 ) Meq/L;Osmolarity 700 Mosm/L; Calorie 320 Kcal/L
Renosan inf SANBE
01h. ANORECTAL PREPARATIONS
Lithospermi
Borraginol N Oint oint 0,09 mg; 10 mg; 0,25 TAKEDA
mg; 0,25 mg; 1,25 mg

Borraginol S Oint oint 0,1 mg; 0,5 mg; 7,5 TAKEDA


mg;10 mg; 1,25 mg; 50
mg

Borraginol N supp 0,18 mg; 20 mg; 0,5 TAKEDA


mg; 0,5 mg ; 2,5 mg
Borraginol S supp 0,18 mg; 1 mg; 15 mg; TAKEDA
20 mg; 2,5 mg; 100 mg

01i. ANTIEMETICS
Dimenhydrinate
Dramasine tablet dimenhydrinate 50 mg SOHO GLOBAL HEALTH
+ vit b6 50 mg
Dramamine tablet 50 mg TAISHO PHARMACEUTICAL
Granisetron
Granisetron injeksi 1 mg / ml OTTO OGB
Granisetron 1 injeksi 1 mg / ml YARINDO
Granisetron injeksi 1 mg / ml DEXA MEDICA
Granovell Inj 1 Mg injeksi 1 mg / ml NOVELL
Gravomit Inj 1Mg(Box/5Amp) injeksi 1 mg / ml FERRON
Granisetron injeksi 3 mg / ml OTTO OGB
Granisetron 3 injeksi 3 mg / ml YARINDO
Opigran injeksi 1 mg / ml ABBOT
Granovell 3 Mg injeksi 3 mg / ml NOVELL
Gravomit Inj 3Mg(Box/5Amp) injeksi 3 mg / ml FERRON
Opigran injeksi 3 mg / ml ABBOT
Ondansetron
Ondansetron injeksi 4 mg / 2 ml QUANTUM LABS
Ondansetron injeksi 4 mg / 2 ml BERNO GENERIK
Ondansetron injeksi 4 mg / 2 ml YA MAHAKAM BETA FARMA
Ondansetron injeksi 4 mg / 2 ml NOVELL
Ondansetron injeksi 4 mg / 2 ml YA ETHICA INDUSTRI FARMASI

Halaman 4 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Ondansetron injeksi 8 mg / 4 ml BERNO GENERIK
Ondansetron injeksi 8 mg / 4 ml QUANTUM LABS
Ondansetron injeksi 8 mg / 4 ml BUMN INDOFARMA
Ceteron injeksi 2 mg / ml COMBIPHAR
Invomit 4Mg Injeksi injeksi 4 mg / 2 ml INTERBAT
Cedantron injeksi 4 mg / 2 ml ETHICA INDUSTRI FARMASI
Tronadex Inj injeksi 2 mg / ml GRACIA
Vomceran 8 Mg Ampul 4 Ml/5 injeksi 8 mg / 4 ml KALBE FARMA
Invomit 8Mg Injeksi injeksi 8 mg / 4 ml INTERBAT

Cedantron syrup 4 mg / 5 ml QUAMED


Narfoz syrup 4 mg / 5 ml PT PHAROS INDONESIA

Ondansetron 4 Mg tablet 4 mg NOVELL


Ondansetron tablet 4 mg YA BUMN INDOFARMA
Ondansetron tablet 4 mg PRATAPA NIRMALA
Vometraz tablet 4 mg DEXA MEDICA
Ondansetron tablet 4 mg NULAB PHARMACEUTICAL INDONESIA OGB
Ondansetron tablet 8 mg YA NOVELL
Ondansetron tablet 4 mg YA MAHAKAM BETA FARMA
Ondansetron tablet 8 mg PRATAPA NIRMALA
Ondansetron tablet 8 mg BUMN INDOFARMA
Ondansetron tablet 8 mg NULAB PHARMACEUTICAL INDONESIA OGB
Vometraz tablet 8 mg DEXA MEDICA
Ondansetron tablet 8 mg YA MAHAKAM BETA FARMA
Ceteron tablet 4 mg COMBIPHAR
Invomit 8Mg Tablet tablet 8 mg INTERBAT
Piratiasin
Mediamer tablet salut gula 40 mg, 3,75 mg DARYA VARIA
Tropisetron
Setrovel injeksi 5 mg NOVELL
02 CARDIOVASCULAR & HAEMATOPOIETIC SYSTEM
02a. CARDIAC DRUGS
Acetylsalicylic Acid
Aspilets Thrombo tablet 80 mg DARYA VARIA
Amiodarone
Lamda injeksi 150 mg / 3 ml PT PHAROS INDONESIA
Tyaryt Inj injeksi 150 mg / 3 ml FAHRENHEIT
Cordarone injeksi 150 mg / 3 ml AVENTIS PHARMA
Amiodarone Iv Generik injeksi 50 mg / ml YA DARYA VARIA

Tyarit tablet 200 mg PRATAPA NIRMALA


Rexidron 200 Mg tablet 200 mg NOVELL
Kendarone Tablet tablet 200 mg YA DARYA VARIA
Cordarone tablet 200 mg AVENTIS PHARMA
Digoxin
Fargoxin Injeksi injeksi 0,5 mg / 2 ml FAHRENHEIT

Digoxin tablet 5 mg PRATAPA NIRMALA


Fargoxin tablet 0.25 mg PRATAPA NIRMALA
Dobutamine
Dobutamine 50 Mg Ampul injeksi 2,5-10 mcg / kg berat LANDSON
badan / menit
Dobutamin Hameln injeksi 12,5 mg / ml COMBIPHAR
Cardiotone injeksi 250 mg PT PHAROS INDONESIA
Inotrop injeksi 250 mg / 10 ml FAHRENHEIT
Dobuject injeksi 250 mg / 5 ml DEXA MEDICA
Dopamine
Proinfark injeksi 20 mg BUMN PHAPROS
Indop injeksi 40 mg / ml PRATAPA NIRMALA
Dopamine Hcl
Cetadop injeksi dopamine hcl 40 mg / YA ETHICA INDUSTRI FARMASI
ml
Milrinone
Inovad injeksi 10 mg / 10 ml FAHRENHEIT
Propafenone Hcl
Rytmonorm tablet 150 mg ABBOT
Epinephrine Injeksi 0,1%
Epinephrine Inj injeksi 0.001 BUMN PHAPROS
Epinephrine epinephrineeksi 1 mg / ml YA ETHICA INDUSTRI FARMASI

Dobutamine Hcl
Dobutamine 250 Mg / 5 Ml Inj injeksi 250 mg / 5 ml NOVELL
Dobutel injeksi 250 mg / 5 ml NOVELL
02b. ANTI-ANGINAL DRUGS
Amlodipine Besylate
Stamoten 5 Mg tablet 5 mg LANDSON
Stamoten 10 Mg tablet 10 mg LANDSON
Tensiblat 5 Mg tablet 5 mg HARSEN LABORATORIES
Vasgard tablet 5 mg EXELTIS NUFARINDO
Tensiblat 10 Mg tablet 10 mg HARSEN LABORATORIES
Theravask tablet 10 mg DARYA VARIA
Norvask tablet 5 mg PFIZER
Norvask tablet 10 mg PFIZER
Diltiazem
Herbesser injeksi 50 mg powder YA TANABE

Diltiazem tablet 30 mg DEXA MEDICA


Diltiazem tablet 30 mg BUMN INDOFARMA
Farmabes tablet 30 mg PRATAPA NIRMALA
Dilbres 30 Mg tablet 30 mg HARSEN LABORATORIES
Dilbres 60Mg tablet 60 mg HARSEN LABORATORIES
Dilmen 60 Mg tablet 60 mg SANBE
Herbesser tablet 30 mg TANABE
Cordila Sr tablet 90 mg DEXA MEDICA
Cordila Sr tablet 180 mg DEXA MEDICA
Herbesser Cd tablet cd 100 mg YA TANABE
Herbesser Cd tablet cd 200 mg YA TANABE
Isosorbide Dinitrate
Isorbid injeksi 10 mg / ml PT PHAROS INDONESIA
Farsorbid Inj injeksi 10 mg / ml FAHRENHEIT

Halaman 5 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Cedocard Iv injeksi 10 mg / ml DARYA VARIA

Isosorbide Dinitrat tablet 5 mg PRATAPA NIRMALA


Isosorbide Dinitrate tablet 5 mg BUMN INDOFARMA
Farsorbid tablet 5 mg PRATAPA NIRMALA
Farsorbid tablet 10 mg PRATAPA NIRMALA
Isorbid tablet 5 mg PT PHAROS INDONESIA
Cedocard tablet 5 mg DARYA VARIA
Isonat 10 tablet 10 mg BUMN KIMIA FARMA
Cedocard tablet 10 mg DARYA VARIA
Cedocard Retard tablet 20 mg DARYA VARIA
Ivabradine
Coralan 5 Mg tablet salut 5 mg YA SERVIER INDONESIA
selaput
Coralan 7,5 Mg tablet salut 7,5 mg SERVIER INDONESIA
selaput
Trimetazidine
Zatrimet tab sal trimetazidine 35 mg PT PHAROS INDONESIA
mr

Trimetazidine 35 Mg tablet 35 mg NOVELL

Angintriz Mr 35 Mg tablet pelepasan 35 mg NOVELL


lambat

Trizedon Mr 35 Mg tablet salut 35 mg SERVIER INDONESIA


selaput pelepasan
lambat

Isosorbide Mononitrate
Cardismo tab 20 mg BUMN PHAPROS

Monecto 20 tablet 20 mg FAHRENHEIT

Imocard Sr tablet pelepasan 60 mg NOVELL


lambat

Glyceril
Nitrokaf Retard tablet 2.5 mg YA BUMN KIMIA FARMA
Nitral tablet 0,5 mg YA DIPA PHARMALAB INTERSAINS
Nitrokaf Retard Forte tablet 5 mg YA BUMN KIMIA FARMA
Nitroglycerine 10Mg/10Ml
Ntg 10Mg/10Ml injeksi 10 mg / 10 ml FERRON
02c. ACE INHIBITORS
Captopril
Captopril tablet 12,5 mg YA BUMN PHAPROS
Captopril tablet 25 mg BUMN PHAPROS
Captopril 25 Mg tablet 25 mg YA LANDSON
Captopril 25 Mg tablet 25 mg HEXPHARM JAYA OGB
Captopril tablet 12,5 mg BUMN INDOFARMA
Acendril tablet 12,5 mg HARSEN LABORATORIES
Dexacap tablet 12,5 mg DEXA MEDICA
Forten 12,5 Mg tablet 12,5 mg HEXPHARM JAYA BRANDED
Captopril 50 Mg tablet 50 mg YA HEXPHARM JAYA OGB
Captopril tablet 50 mg BUMN INDOFARMA
Acendril 25 Mg tablet 25 mg HARSEN LABORATORIES
Forten 25 Mg tablet 25 mg HEXPHARM JAYA BRANDED
Dexacap tablet 25 mg DEXA MEDICA
Forten 50 Mg tablet 50 mg HEXPHARM JAYA BRANDED
Otoryl tablet 25 mg ABBOT
Dexacap tablet 50 mg DEXA MEDICA
Enalapril
Tenace tablet 5 mg COMBIPHAR
Tenace tablet 10 mg COMBIPHAR
Imidapril
Tanapress tablet 5 mg YA TANABE
Tanapress tablet 10 mg YA TANABE
Lisinopril
Lisinopril 5 Mg tablet 5 mg NOVELL
Lisinopril tablet 5 mg DEXA MEDICA
Lisinopril 10 Mg tablet 10 mg NOVELL
Tensiphar tablet 5 mg ACTAVIS
Lisinopril tablet 10 mg DEXA MEDICA
Tensiphar tablet 10 mg ACTAVIS
Interpril 5 Mg tablet 5 mg INTERBAT
Interpril tablet 10 mg INTERBAT
Perindopril Arginine
Bioprexum 5 Mg tablet salut 5 mg YA SERVIER INDONESIA
selaput
Bioprexum 10 Mg tablet salut 10 mg SERVIER INDONESIA
selaput
Ramipril
Ramipril tablet 2.5 mg DEXA MEDICA
Ramipril 5 Mg tablet 5 mg YA NOVELL
Ramipril tablet 5 mg DEXA MEDICA
Ramipril 10 Mg tablet 10 mg YA NOVELL
Decapril 5 Mg tablet 5 mg HARSEN LABORATORIES
Decapril tablet 10 mg HARSEN LABORATORIES
Tenapril tablet 2.5 mg DEXA MEDICA
Tenapril tablet 5 mg DEXA MEDICA
Prohyten tablet 2.5 mg NOVELL
Tenapril tablet 10 mg DEXA MEDICA
Prohyten tablet 5 mg NOVELL
Prohyten tablet 10 mg NOVELL
Triatec tablet 2.5 mg AVENTIS PHARMA
Triatec tablet 5 mg AVENTIS PHARMA
Triatec tablet 10 mg AVENTIS PHARMA
Perindopril Arginine Dan Amlodipine
Coveram tablet 5 mg dan 10 mg SERVIER INDONESIA
Coveram tablet 5 mg dan 5 mg SERVIER INDONESIA

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Coveram tablet 10 mg dan 10 mg SERVIER INDONESIA
Coveram tablet 10 mg dan 5 mg SERVIER INDONESIA
Perindopril Arginine Dan Indapamide
Bioprexum Plus tablet salut 5 mg dan 1,25 mg SERVIER INDONESIA
selaput
02d. BETA-BLOCKERS
Atenolol
Farnormin tablet 50 mg PRATAPA NIRMALA
Betablok 50 Mg tablet 50 mg YA HEXPHARM JAYA BRANDED
Betablok tablet 100 mg YA HEXPHARM JAYA BRANDED
Niften Caps tablet 50 mg ASTRA ZANECA
Bisoprolol
Bisoprolol 5 Mg tablet 5 mg YA HEXPHARM JAYA OGB
Bisoprolol tablet 5 mg DEXA MEDICA
Bisoprolol 5 Mg tablet 5 mg NOVELL
Beta One 2,5 Mg tablet 2,5 mg YA KALBE FARMA
Biscor tablet 5 mg DEXA MEDICA
Hapsen tablet 2,5 mg PT PHAROS INDONESIA
Carbisol tablet 5 mg GRACIA
Concor tablet 1.25 mg MERCK BIOPHARMA
Concor 2,5 Mg tablet 2,5 mg MERCK BIOPHARMA
Concor Heart Shape tablet 5 mg MERCK BIOPHARMA
Lodoz tablet 5 mg MERCK BIOPHARMA
Carvedilol
V-Bloc 6,25 Mg tablet 6,25 mg YA KALBE FARMA
V-Bloc tablet 25 mg KALBE FARMA
Blorec tablet 25 mg FAHRENHEIT
Propanolol
Farmadral tablet 10 mg PRATAPA NIRMALA
Metoprolol
Farpresor injeksi 5 mg / 5 ml FAHRENHEIT
Propranolol
Propranolol 10 tablet 10 mg DEXA MEDICA
Propranolol 40 tablet 40 mg DEXA MEDICA
Bisoprolol + Hct
Lodoz tablet 2,5 mg MERCK BIOPHARMA
02e. CALCIUM ANTAGONISTS
Amlodipine
Amlodipine tablet 5 mg BUMN PHAPROS
Amlodipine tablet 5 mg BUMN KIMIA FARMA
Amlodipine tablet 5 mg EXELTIS NUFARINDO
Generik tablet 10 mg BUMN PHAPROS
Amlodipine tablet 10 mg EXELTIS NUFARINDO
Amlodipine 5 Mg tablet 5 mg YA LANDSON
Pehavask tablet 5 mg BUMN PHAPROS
Amlodipine tablet 10 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Pehavask tablet 10 mg BUMN PHAPROS
Amlodipine 5 Mg tablet 5 mg YA MAHAKAM BETA FARMA
Gravask 5 tablet 5 mg GRAHA FARMA
Dilavask tablet 5 mg DEXA MEDICA
Amlodipine 10 Mg tablet 10 mg YA MAHAKAM BETA FARMA
Gravask 10 tablet 10 mg GRAHA FARMA
Amcor 5 Mg tablet 5 mg MERCK BIOPHARMA
Dilavask tablet 10 mg DEXA MEDICA
Amcor 10 Mg tablet 10 mg MERCK BIOPHARMA
Nicardipine
Nicardipine Hcl injeksi 10 mg / 10 ml NOVELL
Nicardipine injeksi 10 mg / 10 ml PRATAPA NIRMALA
Nicardipine 1Mg/Ml injeksi 10 mg / 10 ml LANDSON
Nicardipin injeksi 10 mg / 10 ml DEXA MEDICA
Nidaven injeksi 10 mg / 10 ml NOVELL
Nicafer 10Mg/10Ml injeksi 10 mg / 10 ml FERRON
Perdipine injeksi 10 mg / 10 ml ASTELLAS
Nifedipine
Nifedipin tablet 10 mg DEXA MEDICA
Farmalat tablet 10 mg PRATAPA NIRMALA
Adalat Oros tablet 20 mg YA BAYER
Adalat Oros tablet 30 mg YA BAYER
Amlodipine, Olmesartan Medoxomil
Normetec tablet 20 mg / 5 mg PFIZER
Normetec tablet 40 mg / 10 mg PFIZER
Normetec tablet 40 mg / 5 mg PFIZER
Lercanidipine
Zanidip tablet 10 mg ABBOT
Zanidip tablet 20 mg ABBOT
Verapamil
Isoptin tablet 80 mg ABBOT
Amlodipine Besylate + Valsartan
Exforge 5/80 Mg tablet 5 mg PT NOVARTIS INDONESIA
Exforge 5/160 Mg tablet 5 mg PT NOVARTIS INDONESIA
Verapamil Strong Released
Isoptin Sr tablet 240 mg YA ABBOT
02f. ANGIOTENSIN II ANTAGONISTS
Candesartan
Candesartan 8 Mg tablet 8 mg YA NOVELL
Candesartan 16 Mg tablet 16 mg YA NOVELL
Candotens 8 Mg tablet 8 mg NOVELL
Candesartan Cilexetil 8 Mg Tab tablet 8 mg BERNO GENERIK
Candesartan tablet 8 mg DEXA MEDICA
Gionix tablet 8 mg PT PHAROS INDONESIA
Candesartan tablet 16 mg DEXA MEDICA
Candotens 16 Mg tablet 16 mg NOVELL
Gionix tablet 16 mg PT PHAROS INDONESIA
Canderin tablet 16 mg DEXA MEDICA
Candesartan Cilexetil
Candesartan Cilexetil tablet 16 mg BERNO GENERIK
Candepress 8 tablet 8 mg BERNO BRANDED
Candepress 16 tablet 16 mg BERNO BRANDED
Blopress 8 Mg tablet 8 mg TAKEDA
Unisia tablet 8 mg TAKEDA
Blopress Plus 16 Mg tablet 16 mg TAKEDA

Halaman 7 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Blopress 16 Mg tablet 16 mg TAKEDA
Clonidine Hcl
Catapres tablet 75 mcg BOEHRINGER
Irbesartan
Irbesartan tablet 150 mg BUMN INDOFARMA
Irbesartan tablet 150 mg OTTO OGB
Irbesartan 150 Mg Fc tablet 150 mg LANDSON
Irbesartan tablet 300 mg BUMN INDOFARMA
Irbesartan tablet 300 mg OTTO OGB
Irbesartan 300 Mg tablet 300 mg NOVELL
Nortens tablet 150 mg HARSEN LABORATORIES
Cardiocom tablet 150 mg COMBIPHAR
Nortens tablet 300 mg HARSEN LABORATORIES
Irtan tablet 150 mg IKAPHARMINDO PUTRAMAS
Cardiocom tablet 300 mg COMBIPHAR
Opisar tablet 300 mg ABBOT
Irtan tablet 300 mg IKAPHARMINDO PUTRAMAS
Opisar tablet 150 mg ABBOT
Aprovel tablet 150 mg AVENTIS PHARMA
Aprovel tablet 300 mg AVENTIS PHARMA
Losartan
Santesar 50 Mg f-c tablet 50 mg SANBE

Losartan tablet 50 mg HEXPHARM JAYA OGB


Losartan 50 Mg tablet 50 mg NOVELL
Lifezar tablet 50 mg DARYA VARIA
Angioten tablet 50 mg KALBE FARMA
Lifezar tablet 100 mg DARYA VARIA
Acetensa tablet 50 mg FAHRENHEIT
Losartan Potassium
Koinsar tablet 50 mg HARSEN LABORATORIES
Telmisartan
Micardis tablet 40 mg BOEHRINGER
Micardis tablet 80 mg BOEHRINGER
Irbesartan + Hct
Irtan Plus tablet 300 mg IKAPHARMINDO PUTRAMAS
Co-Aprovel tablet 150 mg AVENTIS PHARMA
Co-Aprovel tablet 300 mg AVENTIS PHARMA

Co-Irvell 150 tablet salut 150 mg NOVELL


selaput
Co-Irvell 300 tablet salut 300 mg NOVELL
selaput
Valsartan
Valsartan 80 Mg tablet 80 mg NOVELL
Diovan 80Mg'30 S Jkn tablet 80 mg SOHO GLOBAL HEALTH
Diovan 160Mg'30 S Jkn tablet 160 mg YA SOHO GLOBAL HEALTH
Valsartan 160 Mg tablet 160 mg NOVELL
Valdix 80Mg 80Mg Tablet tablet 80 mg DEXA MEDICA
Valsartan tablet 80 mg DEXA MEDICA
Valdix 160Mg 160Mg Kaplet tablet 160 mg DEXA MEDICA
Valsartan tablet 160 mg DEXA MEDICA
Varten 160 Mg Tab tablet 160 mg ACTAVIS
Diovan 80Mg'28 S tablet 80 mg SOHO GLOBAL HEALTH
Codiovan 80Mg tablet 80 mg SOHO GLOBAL HEALTH
Diovan 160Mg'28 S tablet 160 mg SOHO GLOBAL HEALTH
Olmesartan Medoxomil 20Mg
Olmetec 20Mg tablet 20 mg PFIZER
Olmesartan Medoxomil + Hydrochlorothiazide
Olmetec Plus 40Mg tablet 40 mg PFIZER
Fenoterol Hbr
Berotec Metered Aerosol inh 100 mcg / puff YA BOEHRINGER

Berotec Solution For Inhalation soln 0.001 YA BOEHRINGER


02g. OTHER ANTI HYPERTENSIVES
Clonidine Hcl
Clonidine tablet 150 mcg YA BUMN KIMIA FARMA
Clonidine tablet 150 mcg BUMN INDOFARMA
Alfa Methyldopa
Dopamet tablet 250 mg YA ACTAVIS
Ipratropium
Atrovent inhaler 20 mcg / puff YA BOEHRINGER

Atrovent solution 0.00025 BOEHRINGER


Alteplase
Actilyse injeksi 50 mg YA BOEHRINGER
02h. DIURETICS.
Furosemide
Furosemide injeksi 10 mg / ml BUMN INDOFARMA
Furosemide injeksi 10 mg / ml DEXA MEDICA
Farsik injeksi 10 mg / ml PRATAPA NIRMALA
Edemin injeksi 10 mg / ml IKAPHARMINDO PUTRAMAS
Lasix injeksi 10 mg / ml AVENTIS PHARMA

Furosemide tablet 40 mg PRATAPA NIRMALA


Furosemide tablet 40 mg YA BUMN KIMIA FARMA
Gralixa 40 tablet 40 mg GRAHA FARMA
Furosemide tablet 40 mg BUMN INDOFARMA
Laveric tablet 40 mg HARSEN LABORATORIES
Naclex tablet 40 mg PT PHAROS INDONESIA
Lasix tablet 40 mg AVENTIS PHARMA
Spironolactone
Spironolactone tablet 25 mg DEXA MEDICA
Spironolactone tablet 25 mg OTTO OGB
Carpiaton tablet 25 mg PRATAPA NIRMALA
Spirolacton tablet 25 mg BUMN PHAPROS
Spironolacton tablet 100 mg DEXA MEDICA
Letonal tablet 25 mg ABBOT
Letonal tablet 25 mg OTTO ETHICAL
Spironolactone tablet 100 mg OTTO OGB
Aldactone 25 tablet 25 mg SOHO GLOBAL HEALTH

Halaman 8 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Carpiaton tablet 100 mg PRATAPA NIRMALA
Spirolacton tablet 100 mg BUMN PHAPROS
Letonal tablet 100 mg ABBOT
Letonal tablet 100 mg OTTO ETHICAL
Aldactone 100 tablet 100 mg SOHO GLOBAL HEALTH
02j. PERIPHERAL VASODILATORS & CEREBRAL ACTIVATORS
Cinnarizine
Merron 25 Mg tablet 25 mg MERSIFARMA
Perifas tablet 25 mg OTTO ETHICAL
Goron tablet 25 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Stugeron tablet 25 mg JOHNSON2
Citicholine
Citicholine injeksi 250 mg / 2 ml QUANTUM LABS
Citicholine injeksi 250 mg / 2 ml BERNO GENERIK
Citicholine injeksi 250 mg / 2 ml HEXPHARM JAYA OGB
Citicholine injeksi 125 mg / ml NOVELL
Citicholine injeksi 125 mg / ml BUMN PHAPROS
Cercul injeksi 250 mg / 2 ml BUMN PHAPROS
Citicholine injeksi 125 mg / ml DEXA MEDICA
Citicholine injeksi 500 mg / 4 ml HEXPHARM JAYA OGB
Proteclin injeksi 250 mg / 2 ml PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Citicholine injeksi 500 mg / 4 ml MAHAKAM BETA FARMA
Citicholine injeksi 500 mg / 4 ml MERSIFARMA
Takelin injeksi 500 mg / 4 ml MERSIFARMA
Serfac injeksi 250 mg / 2 ml ABBOT
Beclov injeksi 125 mg / ml SANBE
Naquacol injeksi 125 mg / ml QUANTUM LABS
Incelin 500 Injeksi injeksi 500 mg / 4 ml INTERBAT
Citicholine injeksi 1000 mg / 8 ml MERSIFARMA
Serfac injeksi 500 mg / 4 ml ABBOT
Incelin injeksi 1000 mg / 8 ml INTERBAT
Takelin injeksi 1000 mg / 8 ml MERSIFARMA
Serfac injeksi 1000 mg / 8 ml ABBOT

Citicholine tablet 500 mg HEXPHARM JAYA OGB


Citicholine tablet 500 mg NOVELL
Citicholine tablet 500 mg QUANTUM LABS
Takelin tablet 500 mg MERSIFARMA
Incelin tablet 500 mg INTERBAT
Citicholine tablet 1000 mg NOVELL
Takelin tablet 1000 mg MERSIFARMA
Bralin tablet 1000 mg BERNO BRANDED
Citicholine tablet 1000 mg BERNO GENERIK
Citicholine tablet 1000 mg QUANTUM LABS
Egb 761
Tanakan tablet 40 mg COMBIPHAR
Tebokan Spesial tablet 80 mg BUMN PHAPROS
Tebokan Forte tablet 120 mg BUMN PHAPROS
Co-Dergocrine Mesylate
Ergotika injeksi 1 ml IKAPHARMINDO PUTRAMAS

Ergotika 1 Mg tablet 1 mg IKAPHARMINDO PUTRAMAS


Exergin tablet 4.5 mg GUARDIAN PHARMATAMA
Ergotika tablet 4.5 mg IKAPHARMINDO PUTRAMAS
Nicergoline
Serolin tablet 10 mg KALBE FARMA
Serolin tablet 30 mg KALBE FARMA
02k. VASOCONSTRICTORS
Norephinephrine Bitartate
N-Epi injeksi 4 mg / 4 ml NOVELL
Norephinephrine Bitartate injeksi 4 mg / 4 ml BERNO GENERIK
Arespin injeksi 4 mg / 4 ml PT PHAROS INDONESIA
Raivas injeksi 4 mg / 4 ml DEXA MEDICA
Ephedrin Hcl
Ephedrin Hcl injeksi 50 mg / ml YA MAHAKAM BETA FARMA
02l. DYSLIPIDEMIC AGENTS
Atorvastatin
Atorvastatin tablet 10 mg YARINDO
Atorvastatin 10 Mg tablet 10 mg HEXPHARM JAYA OGB
Atorvastatin tablet 20 mg YA NOVELL
Atorvastatin tablet 10 mg DEXA MEDICA
Cholestor Film Coated tablet 10 mg DEXA MEDICA
Atorvastatin tablet 20 mg HEXPHARM JAYA OGB
Actalipid tablet 20 mg ACTAVIS
Atorvastatin tablet 20 mg YARINDO
Atorvastatin tablet 40 mg YARINDO
Actalipid tablet 40 mg ACTAVIS
Atorvastatin tablet 20 mg DEXA MEDICA
Atorvastatin tablet 40 mg NOVELL
Litorcom tablet 10 mg COMBIPHAR
Litorcom tablet 20 mg COMBIPHAR
Litorcom tablet 40 mg COMBIPHAR
Debostin tablet 10 mg ABBOT
Debostin tablet 20 mg ABBOT
Debostin tablet 40 mg ABBOT
Ezetimibe
Ezetrol 10 Mg tablet 10 mg TRANSFARMA
Fenofibrate
Hicholfen 100 Mg kapsul 100 mg HARSEN LABORATORIES
Hicholfen 300 Mg kapsul 300 mg HARSEN LABORATORIES
Fenofibrate 100 kapsul 100 mg YA HEXPHARM JAYA OGB
Fenofibrate 300 Mg kapsul 300 mg YA HEXPHARM JAYA OGB
Evothyl 100 Mg kapsul 100 mg GUARDIAN PHARMATAMA
Hyperchol 100 Mg kapsul 100 mg IKAPHARMINDO PUTRAMAS
Yosenob kapsul 300 mg EXELTIS NUFARINDO
Fibramed kapsul 300 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Lipofibrat kapsul 200 mg SUNTHI SEPURI
Lipofibrat kapsul 300 mg SUNTHI SEPURI
Fenosup Lidose kapsul 160 mg ETHICA INDUSTRI FARMASI
Hyperchol 200 M kapsul 200 mg IKAPHARMINDO PUTRAMAS
Profibrat kapsul 200 mg PT PHAROS INDONESIA

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK

Lipanthyl tablet 200 mg ABBOT


Lipanthyl Supra tablet 160 mg ABBOT
Lipanthyl Penta tablet 145 mg ABBOT
Gemfibrozil
Gemfibrozil kapsul 300 mg BUMN INDOFARMA
Mersikol 300 Mg kapsul 300 mg MERSIFARMA
Gemfibrozil kapsul 300 mg BUMN PHAPROS
Lipira Cap kapsul 300 mg COMBIPHAR
Renabrazin kapsul 600 mg FAHRENHEIT
Lipira Cap kapsul 600 mg COMBIPHAR
Lopid 900Mg kapsul 900 mg PFIZER
Lovastatin
Lotyn tablet 20 mg INTERBAT
Cholvastin 20 Mg tablet 20 mg SANBE
Pravastatin
Pravastatin 20 Mg tablet 20 mg YA NOVELL
Pravinat 10Mg tablet 10 mg INTERBAT
Novales 10 Mg tablet 10 mg NOVELL
Pravinat 20Mg tablet 20 mg INTERBAT
Novales 20 Mg tablet 20 mg NOVELL
Cholespar tablet 40 mg PT PHAROS INDONESIA
Rosuvastatin
Rosuvastatin tablet 10 mg NULAB PHARMACEUTICAL INDONESIA OGB
Rosuvastatin tablet 20 mg NULAB PHARMACEUTICAL INDONESIA OGB
Rovator tablet 10 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Recansa tablet 10 mg YA AVENTIS PHARMA
Crestor tablet 5 mg ASTRA ZANECA
Recansa tablet 20 mg AVENTIS PHARMA
Rosufer 10 Mg tablet 10 mg FERRON
Rovator tablet 20 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Rosufer 20 Mg tablet 20 mg FERRON
Crestor tablet 40 mg ASTRA ZANECA
Simvastatin
Simvastatin fc tablet 10 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB

Simvastatin 10 Mg tablet 10 mg LANDSON


Simvastatin 10 Mg tablet 10 mg HEXPHARM JAYA OGB
Norpid 10 tablet 10 mg GRAHA FARMA
Valansim 10 Mg tablet 10 mg LANDSON
Simvastatin 20 Mg tablet 20 mg GRAHA FARMA
Mersivas 10 Mg tablet 10 mg MERSIFARMA
Simvastatin tablet 20 mg BERNO GENERIK
Simvastatin tablet 20 mg QUANTUM LABS
Norpid 20 tablet 20 mg GRAHA FARMA
Esvat tablet 20 mg DEXA MEDICA
Svt 20 Mg tablet 20 mg HEXPHARM JAYA BRANDED
Rechol tablet 5 mg PT PHAROS INDONESIA
Pravastatin Na
Novosta tablet 20 mg NOVELL
(pravastatin) +
tablet salut
enterik (asetosal)

Atorvastatin Ca
Lipitor tablet 10 mg PFIZER
Lipitor tablet 20 mg PFIZER
Lipitor tablet 40 mg PFIZER
Pitavastatin
Livalo tablet 2 mg TANABE
Livalo tablet 4 mg TANABE
Ezetimibe + Simvastatin
Vytorin 10/10 tablet 10 mg TRANSFARMA
Vytorin 10/20 tablet 10 mg TRANSFARMA
02m. HAEMOSTATICS
Ethamsylate
Dicynone injeksi 250 mg / 2 ml CORSA

Dicynone tablet 500 mg CORSA


Fibrin Sealant Set
Beriplast P Combiset 1 Ml injeksi 1 ml DEXA MEDICA
Asam Traneksamat
Asam Traneksamat injeksi 250 mg / 5 ml NOVELL
Asam Traneksamat injeksi 250 mg / 5 ml BERNO GENERIK
Asam Traneksamat injeksi 250 mg / 5 ml YA MAHAKAM BETA FARMA
Asam Traneksamat injeksi 500 mg / 5 ml YA HEXPHARM JAYA OGB
Asam Traneksamat injeksi 500 mg / 5 ml NOVELL
Clonex injeksi 250 mg / 5 ml CORSA
Asam Traneksamat injeksi 500 mg / 5 ml BERNO GENERIK
Kalnex injeksi 250 mg / 5 ml KALBE FARMA
Tramix 10% injeksi 500 mg / 5 ml FERRON
Plasminex injeksi 500 mg / 5 ml SANBE

Tranexamic 250 Mg kapsul 250 mg HARSEN LABORATORIES


Kalnex 250 Mg kapsul 250 mg KALBE FARMA

Clonex tablet 250 mg CORSA


Asam Traneksamat tablet 500 mg BERNO GENERIK
Nexa 500 Mg tablet 500 mg HEXPHARM JAYA BRANDED
Clonex tablet 500 mg CORSA
Carbazochrome
Saldona injeksi 5 mg / ml IKAPHARMINDO PUTRAMAS
Carbazochrome injeksi 1g NOVELL
Adona injeksi 25 ml TANABE
Crome injeksi 50 mg FERRON
Adona injeksi 50 ml TANABE

Saldona tablet 10 mg IKAPHARMINDO PUTRAMAS


Crome tablet 10 mg FERRON
Adona tablet 10 mg TANABE
Adona Forte tablet 30 mg TANABE

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Saldona tablet 30 mg IKAPHARMINDO PUTRAMAS
Human Factor Viii
Octanate injeksi 250 iu YA SATYA ABADI PHARMA
Hemoctin 250 injeksi 250 iu YA BUMN KIMIA FARMA
Hemoctin 250 injeksi 250 iu YA BUMN KIMIA FARMA
Koate Dvi injeksi 250 iu YA DIPA PHARMALAB INTERSAINS
Octanate injeksi 500 iu YA SATYA ABADI PHARMA
Hemoctin 500 injeksi 500 iu YA BUMN KIMIA FARMA
Hemoctin 500 injeksi 500 iu YA BUMN KIMIA FARMA
Koate Dvi injeksi 500 iu YA DIPA PHARMALAB INTERSAINS
Octanate injeksi 1000 iu SATYA ABADI PHARMA
Hemoctin 1000 injeksi 1000 iu YA BUMN KIMIA FARMA
Koate Dvi injeksi 1000 iu YA DIPA PHARMALAB INTERSAINS
Human Factor Ix
Octanine injeksi 500 iu YA SATYA ABADI PHARMA
Octanine injeksi 1000 iu YA SATYA ABADI PHARMA
Human Factor Viia
Novoseven serbuk injeksi 1 mg YA NOVO NORDISK
Phytonadione
Neo-K amp 2 mg / ml COMBIPHAR
Phytomenadione
Phytomenadione injeksi 2 mg / ml YA BUMN PHAPROS
Phytomenadione injeksi 100 mg / tab YA BUMN PHAPROS
Vitka Infant injeksi 2 mg / ml BUMN PHAPROS
Vitadion injeksi 2 mg / ml KALBE FARMA

Phytomenadione tablet 10 mg YA BUMN PHAPROS


02n. ANTICOAGULANTS, ANTIPLATELETS & FIBRINOLYTICS (THROMBOLYTICS)
Acetylsalicylic Acid
Acetosal tablet 100 mg BUMN PHAPROS
Gramasal tablet 100 mg GRAHA FARMA
Miniaspi 80 Mg tablet 80 mg MERSIFARMA
Acetosal tablet 500 mg BUMN PHAPROS
Astika 100 Mg tablet 100 mg IKAPHARMINDO PUTRAMAS
Cartylo tablet 80 mg BUMN KIMIA FARMA
Farmasal 100 tablet 100 mg FAHRENHEIT
Cardio Aspirin tablet 100 mg BAYER
Clonidine Hcl
Catapres injeksi 0.15 mg / ml YA BOEHRINGER

Catapres tablet 150 mcg BOEHRINGER


Clopidogrel
Clopidogrel kapsul 75 mg HEXPHARM JAYA OGB

Clopidogrel tablet 75 mg DEXA MEDICA


Clopidogrel tablet 75 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Placta tablet 75 mg ACTAVIS
Clopidogrel tablet 75 mg YA MAHAKAM BETA FARMA
Copidrel tablet 75 mg LANDSON
Febrogrel tablet 75 mg ABBOT
Clopidogrel tablet 75 mg YA BUMN KIMIA FARMA
Platogrix tablet 75 mg AVENTIS PHARMA
Pladogrel tablet 75 mg FAHRENHEIT
Plavix tablet 75 mg AVENTIS PHARMA
Plavix tablet 300 mg YA AVENTIS PHARMA
Collagenase, Fibrinolysin, Profibrinolysin Activator
Plasmin kapsul LANDSON
Enoxaparin Na
Lovenox injeksi 0.2 ml YA AVENTIS PHARMA
Lovenox injeksi 0.4 ml YA AVENTIS PHARMA
Lovenox injeksi 0.6 ml YA AVENTIS PHARMA
Filgrastim
Leucogen injeksi 300 μg YA KALBE FARMA
Neukine injeksi 300 mcg / 1 ml YA SANBE
Heparin Na
Vaxcel Heparin cair 25000 unit B BRAUN

Inviclot injeksi 5000 iu / ml FAHRENHEIT


Parnaparin
Fluxum 4250 injeksi 4250 iu FAHRENHEIT
Fluxum 6400 injeksi 6400 iu FAHRENHEIT
Streptokinase
Fibrion-1.500.000Iu injeksi 1.500.000 iu DEXA MEDICA
Warfarin Sodium
Notisil 2 Mg tablet 2 mg NOVELL
Notisil 5 Mg tablet 5 mg NOVELL
Simarc 2 tablet 2 mg PRATAPA NIRMALA
Warfarin tablet 1 mg YA EISAI
Asam Traneksamat
Tranexamic Acid injeksi 250 mg / 5 ml DEXA MEDICA
Tranexamic Acid injeksi 500 mg / 5 ml DEXA MEDICA
Cilostazole
Pletaal Sr kapsul 100 mg OTSUKA

Pletaal Powder powder 100 mg OTSUKA

Naletal tablet 50 mg GUARDIAN PHARMATAMA


Naletal tablet 100 mg GUARDIAN PHARMATAMA
Citaz tablet 50 mg KALBE FARMA
Pletaal tablet 50 mg OTSUKA
Fibrozol tablet 100 mg SANBE
Pletaal tablet 100 mg OTSUKA
Clopidogrel Bisulfate
Medigrel tablet 75 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Clotix tablet 75 mg FERRON
Ticagleror
Brilinta tablet 90 mg ASTRA ZANECA
Rivaroksaban
Xarelto tablet 10 mg YA BAYER
Xarelto tablet 15 mg YA BAYER
Xarelto tablet 20 mg YA BAYER

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Ibandronic Acid
Bondronat injeksi 6 mg YA ROCHE

Bondronat tablet 50 mg ROCHE


Fondaparinux
Diviti injeksi 5 mg / ml DEXA MEDICA
Arixtra injeksi 2.5 mg / 0.5 ml YA TANABE
Arixtra injeksi 7.5 mg / 0.5 ml TANABE
Antitrombin Iii
Kybernin injeksi 50iu / ml DEXA MEDICA
Ticlopidine
Goclid tablet 250 mg GUARDIAN PHARMATAMA
Beraprost Sodium
Dorner tablet 20 µg ASTELLAS
Apixaban
Eliquiz tablet 2.5 mg PFIZER
Bioactive Protein Fraction Dlbs1033 (Lumbrokinase)
Degrade tablet 490 mg FERRON
02p. PHLEBITIS & VARICOSE PREPARATIONS
Polidocanol
Venodenol injeksi 30 mg FAHRENHEIT
Purifiet Soya Bean
Lanaven kapsul 100 mg LANDSON
Diosmin,Hesperidin
Osmigra tablet 450 mg GRAHA FARMA
Dios tablet 450 mg BUMN PHAPROS
Micronized Disomin
Haemogal tablet 450 mg GALENIUM
Rhodium tablet 450 mg FAHRENHEIT
02q. HAEMORRHEOLOGICALS
Naftidrofuryl Oxalate
Praxilene 200 Mg - Blister tablet 200 mg MERCK BIOPHARMA
02r. HAEMOTOPOIETICS AGENTS
Filgrastim
Leukokine injeksi 300mcg NOVELL
Lenograstim
Granocyte injeksi 34 1 vl YA AVENTIS PHARMA
Asam Traneksamat
Lexatrans tablet 500 mg MOLEX AYUS
Eritropoietin
Hemapo 2000 injeksi 2000 iu KALBE FARMA
Epotrex injeksi 2000iu YA NOVELL
Hemapo 3000 injeksi 3000 iu YA KALBE FARMA
Epotrex injeksi 4000iu NOVELL
Epotrex injeksi 10000iu NOVELL
Erythropoetin Alfa
Eprex 2000 Iu injeksi 2000 iu / 0.4 ml YA JOHNSON2
Eprex 4000 injeksi 4000 iu / 0.3 ml JOHNSON2
Eprex 10000 Iu injeksi 10000 iu / ml JOHNSON2
Eprex 40000 Iu injeksi 40000iu / ml YA JOHNSON2
Methoxy Polyethylene Glycol-Epoetin Beta
Mircera injeksi 50 mcg ROCHE
Mircera injeksi 75 mcg ROCHE
Mircera injeksi 100 mcg ROCHE
Epoetin Beta
Recormon injeksi 2,000 iu inj YA ROCHE
Recormon injeksi 5,000 iu inj ROCHE
Recormon injeksi 10,000iu / 0.6ml ROCHE
Recormon injeksi 30,000iu / 0.6ml ROCHE
02S. OTHER CARDIOVASCULAR DRUGS
Coenzyme Q10
Co-En Q 10 softgel 30 mg CORSA
Q Ten 30 Mg softgel 30 mg NOVELL
Qutan softgel 50 mg IKAPHARMINDO PUTRAMAS
Nu Q-Ten 100 softgel 100 mg NOVELL
Ubi-Q softgel 100 mg EISAI
Adenosine Fosfat & Vit B Komp
Enerplus kaplet adenosine 20 mg, vit ETHICA INDUSTRI FARMASI
b1 100 mg, vit b6 200
mg, vit b12 200 mg, vit
e 30 mg
Adenosin Trifosfat
Myoviton tablet atp 25 mg PT PHAROS INDONESIA
Bio Atp tablet 20 mg, BUMN PHAPROS
Coenzyme Q11
Q Ten 60 Mg softgel 60 mg NOVELL
Omega
Cormega soft caps 1 gr LANDSON
Cormega Blister soft caps 1 gr LANDSON
Human Factor Ii
Octaplex injeksi 20 ml SATYA ABADI PHARMA
Amlodipine Besylate + Atorvastatin Calcium
Caduet tablet 5 mg / 10 mg PFIZER
Caduet tablet 5 mg / 20 mg PFIZER
Caduet tablet 10 mg / 10 mg PFIZER
Caduet tablet 10 mg / 20 mg PFIZER
Beractant / Surfaktant
Survanta injeksi 25 mg / ml YA ABBOT
03 RESPIRATORY SYSTEM
03b. ANTIASTHMATICS & COLD PREPARATIONS
Budesonide
Pulmicort inhaler 0,25 mg resp ASTRA ZANECA
Pulmicort inhaler 0,5 mg resp ASTRA ZANECA

Obucort Swinghaler serbuk 200 mcg / dosis YA OTSUKA


Ketotifen Fumarat
Tosma 1 Mg/5 Ml syrup 1 mg / 5 ml SANBE
Profilas Syrup / 60Ml syrup 1 mg / 5 ml KALBE FARMA

Ditensa tablet 1 mg HARSEN LABORATORIES


Intifen tablet 1 mg INTERBAT

Halaman 12 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Profilas 1 Mg tablet 1 mg KALBE FARMA
Salbutamol
Suprasma Nebule inh 100 mcg DEXA MEDICA
Salbuven inh 100 mcg PT PHAROS INDONESIA
Dipsamol inh 100 mcg YA DIPA PHARMALAB INTERSAINS

Farbivent injeksi 2.5 ml FAHRENHEIT

Ventolin Inhaler 100 Mcg mdi 100 mcg GLAXO WELLCOME INDONESIA

Ventolin Nebules 2.5 Mcg nebules 2.5 ml YA GLAXO WELLCOME INDONESIA

Ventolin Rotacaps 200 Mcg rotacaps 200 mcg YA GLAXO WELLCOME INDONESIA

Fartolin Inhalasi solution 1.2 mg FAHRENHEIT

Salbutamol syrup 2 mg / 5 ml YA BUMN INDOFARMA


Salbuven syrup 2 mg / 5 ml PT PHAROS INDONESIA
Salbutamol syrup 5 mg / 5 ml PRATAPA NIRMALA
Fartolin Expetorant syrup 5 mg / 5 ml FAHRENHEIT
Glitaven Syrup syrup 75 mg NOVELL
Ventolin Syrup 100 Ml syrup 2 mg / 5 ml GLAXO WELLCOME INDONESIA

Salbutamol tablet 2 mg PRATAPA NIRMALA


Salbutamol tablet 2 mg YA BUMN PHAPROS
Salbutamol tablet 2 mg YA BUMN KIMIA FARMA
Salbutamol 2 Mg tablet 2 mg GRAHA FARMA
Pritasma 4 Mg tablet 4 mg YA MOLEX AYUS
Salbutamol tablet 4 mg YA BUMN PHAPROS
Salbutamol tablet 4 mg YA BUMN KIMIA FARMA
Grafalin 2 Mg tablet 2 mg GRAHA FARMA
Salbutamol tablet 2 mg BUMN INDOFARMA
Salbutamol tablet 4 mg PRATAPA NIRMALA
Grafalin 4 tablet 4 mg GRAHA FARMA
Salbron 2 Mg tablet 2 mg HEXPHARM JAYA BRANDED
Suprasma tablet 4 mg DEXA MEDICA
Bromosal tablet 2 mg HARSEN LABORATORIES
Ventolin 2 Mg tablet 2 mg GLAXO WELLCOME INDONESIA
Aminophilin
Aminophilin injeksi 24 mg / ml YA BUMN PHAPROS
Phaminov Inj 24 Mg Inj injeksi 24 mg / ml BUMN PHAPROS
Aminophylline injeksi 24 mg / ml YA ETHICA INDUSTRI FARMASI

Decafil tablet salut 150 mg HARSEN LABORATORIES


selaput
Salbutamol Sulphate + Ipratropium
Combivent Udv injeksi 3.01 mg / 2.5 ml YA BOEHRINGER

Velutine Plus solution 2.5 mg NOVELL


Fluticasone Propionate
Flixotide Inhaler 50 Mcg mdi 50 mcg / inhaler GLAXO WELLCOME INDONESIA

Flixotide Nebules 0,5 Mg/ 2 Ml nebules 0.5 mg / 2 ml YA GLAXO WELLCOME INDONESIA


Theophyline
Theobron Syrup syrup 130 mg INTERBAT

Asmasolon tablet 130 mg DARYA VARIA


Theobron tablet 130 mg INTERBAT
Retaphyl Sr tablet 300 mg YA BUMN KIMIA FARMA
Euphyllin R.Mite tablet 250 mg PT PHAROS INDONESIA
Retaphyl Sr tablet 300 mg YA BUMN KIMIA FARMA
Euphyllin Retard tablet 125 mg PT PHAROS INDONESIA
Terbutaline Sulfate
Bricasma Turbo 0.5 Mg Inh Can inhaler 0.5 mg inh ASTRA ZANECA

Nairet injeksi 0,5 mg / 1 ml OTTO ETHICAL


Bricasma injeksi 0.5 mg / ml inj ASTRA ZANECA

Bricasma respules 2,5 mg / ml resp ASTRA ZANECA

Forasma 1.5 Mg / 5 Ml Syr syrup 1.5 mg / 5 ml GUARDIAN PHARMATAMA

Molasma 2,5 Mg tablet 2,5 mg YA MOLEX AYUS


Nairet tablet 2,5 mg OTTO ETHICAL
Forasma 2.5 Mg tablet 2.5 mg GUARDIAN PHARMATAMA
Procaterol Hcl Hemihidrate
Meptin Swinghaler serbuk 10 mcg YA OTSUKA

Meptin Inhalation Solution 0,3 Ml solution 30 mcg / 0 ,3 ml YA OTSUKA


Meptin Inhalation Solution 0,5 Ml solution 50 mcg / 0,5 ml YA OTSUKA

Meptin Syrup syrup 25 mcg / 5 ml OTSUKA

Vactiv tablet 25 mcg PT PHAROS INDONESIA


Vactiv tablet 50 mcg PT PHAROS INDONESIA
Meptin Mini tablet 25 mcg OTSUKA
Meptin tablet 50 mcg OTSUKA
Alat
Ventolin Rotahaler alat YA GLAXO WELLCOME INDONESIA
Terbutaline
Flohale injeksi 0,5 mg PT PHAROS INDONESIA
Zafirlukast
Accolate tablet 20 mg tab ASTRA ZANECA
Dabigatran Etexylate
Pradaxa kapsul 75 mg YA BOEHRINGER
Indacaterol Maleate
Onbrez 150 Mcg inh 150 mcg YA PT NOVARTIS INDONESIA
Onbrez 300 Mcg inh 300 mcg YA PT NOVARTIS INDONESIA
Tiotropium Br
Spiolto Respimat inh 2.5mcg BOEHRINGER

Halaman 13 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Spiriva Respimat soln 2.5 mcg BOEHRINGER
Ipratropium Bbromide
Ipratropium Bromide inhaler 0.25 mg / ml PRATAPA NIRMALA
Ipratropium
Midatro nebulizer 0,25 mg / ml FAHRENHEIT
Salmeterol + Fluticasone
Seretide Diskus 50/ 100 Mcg dpi 100 mcg YA GLAXO WELLCOME INDONESIA
Seretide Diskus 50/ 250 Mcg dpi 250 mcg YA GLAXO WELLCOME INDONESIA
Seretide Diskus 50/ 500 Mcg dpi 500 mcg YA GLAXO WELLCOME INDONESIA

Flutias 50 Mcg Inhaler inhaler salmeterol 25 mcg + KALBE FARMA


fluticasone 50 mcg
Flutias 125 Mcg Inhaler inhaler salmeterol 25 mcg + KALBE FARMA
fluticasone 125 mcg

Seretide Mdi 25/ 50 Mg mdi 50 mcg YA GLAXO WELLCOME INDONESIA


Seretide Mdi 25/ 125 Mcg mdi 125 mcg GLAXO WELLCOME INDONESIA
Budesonide + Formoterol
Symbicort Turbuhaler 80/4.5 Mcg Inh, 60 Dosis Can inhaler 80 / 4.5 mcg inh, 60 ASTRA ZANECA
dosis
Symbicort Turbuhaler 160/4.5 Mcg Inh, 60 Dosis Ca inhaler 160 / 4.5 mcg inh, 60 ASTRA ZANECA
dosis
Symbicort Turbuhaler 160/4.5 Mcg Inh, 120 Dosis C inhaler 160 / 4.5 mcg inh, 120 ASTRA ZANECA
dosis
Salbutamol + Guaifenesin
Salbron Ekspektoran 100 syrup 2 mg / 5 ml HEXPHARM JAYA BRANDED
Ephedrin Hcl
Ephedrin Hcl injeksi 50 mg / ml YA ETHICA INDUSTRI FARMASI
03c. COUGH & COLD PREPARATIONS
Ambroxol
Mucera drops 15 mg / ml OTTO ETHICAL
Limoxin drops 15 mg / ml PT PHAROS INDONESIA
Epexol 15 Mg drops 15 mg / ml SANBE
Mucopect Sol drops 7,5 mg / ml AVENTIS PHARMA

Ambroxol syrup 15 mg / 5 ml BUMN PHAPROS


Ambroxol 15 Mg/5 Ml syrup 15 mg / 5 ml QUANTUM LABS
Ambroxol syrup 15 mg / 5 ml BUMN INDOFARMA
Ambroxol syrup 30 mg / 5 ml QUANTUM LABS
Molapect 15 Mg Sirup syrup 15 mg / 5 ml MOLEX AYUS
Ambroxol Elixir syrup 30 mg / 5 ml BERNO GENERIK
Molapect 30 Mg Sirup syrup 30 mg / 5 ml MOLEX AYUS
Nufanibrox syrup 15 mg / 5 ml EXELTIS NUFARINDO
Transmuco syrup 15 mg / 5 ml HEXPHARM JAYA BRANDED
Mucera Forte syrup 30 mg / 5 ml OTTO ETHICAL
Limoxin syrup 30 mg / 5 ml PT PHAROS INDONESIA
Epexol Forte 30 Mg syrup 30 mg / 5 ml SANBE
Mucopect Syr Anak syrup 15 mg / 5 ml AVENTIS PHARMA
Mucopect Syr Adult syrup 30 mg / 5 ml AVENTIS PHARMA

Ambroxol tablet 30 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB


Bromer 30 Mg tablet 30 mg MERSIFARMA
Ambroxol tablet 30 mg BUMN INDOFARMA
Ambroxol tablet 30 mg BUMN PHAPROS
Mosapec tablet 30 mg HARSEN LABORATORIES
Molapect 30 Mg tablet 30 mg MOLEX AYUS
Transmuco tablet 30 mg HEXPHARM JAYA BRANDED
Mucopect Tablet tablet 30 mg AVENTIS PHARMA
Mucopect Retard tablet 75 mg AVENTIS PHARMA
Mosapec tablet 15 mg HARSEN LABORATORIES
Bromhexine Hcl
Bisolvon Sol drops 2 mg / ml AVENTIS PHARMA

Farmavon Injeksi injeksi 4 mg / 2 ml FAHRENHEIT


Bisolvon Injeksi injeksi 4 mg / 2 ml AVENTIS PHARMA

Lexavon 4 Mg Sirup syrup 4 mg / 5 ml MOLEX AYUS


Bronkris Elixir syrup 4 mg / 5 ml GRAHA FARMA
Mosavon syrup 4 mg / 5 ml HARSEN LABORATORIES
Nufadipect syrup 4 mg / 5 ml EXELTIS NUFARINDO
Exovon Syr syrup 4 mg / 5 ml BERNO BRANDED
Bisolvon Elixir syrup 4 mg / 5 ml AVENTIS PHARMA
Bisolvon Kids syrup 4 mg / 5 ml AVENTIS PHARMA
Bisolvon Extra syrup 4 mg / 5 ml AVENTIS PHARMA

Bromedcyl tablet 8 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB


Dexolut tablet 8 mg DEXA MEDICA
Bisolvon tablet 8 mg AVENTIS PHARMA
Erdosteine
Edotin Ds 175Mg/5Ml 60Ml syrup 175 mg / 5 ml FERRON
Mucotein syrup 175 mg / 5 ml COMBIPHAR
Erdosteine Dry Syrup 175 Mg/5 Ml syrup 175 mg / 5 ml NOVELL
Vectrine syrup 175 mg / 5 ml DEXA MEDICA

Muctrien tablet 300 mg ACTAVIS


Erdosteine 300 Mg tablet 300 mg NOVELL
Edotin Cap (Box/20) tablet 300 mg FERRON
Levodropropizine
Levopront syrup 60 mg / 10 ml COMBIPHAR
N-Acetylcysteine
Fluimucil Pediatric 100 gran 100 mg ZAMBON
Fluimucil 200 gran 200 mg ZAMBON

N-Acetylcysteine infus 200 mg / ml YARINDO

Fluimucil 10% injeksi 300 mg / 3 ml YA ZAMBON


N-Ace injeksi 300 mg / 3 ml FAHRENHEIT
Resfar injeksi 5 g / 25 ml FAHRENHEIT
Hidonac 20 % injeksi 5 g / 25 ml ZAMBON

Acetylcysteine 200 Mg kapsul 200 mg NOVELL

Halaman 14 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Acetylcystein kapsul 200 mg BUMN INDOFARMA
Simucil 200 Mg kapsul 200 mg MERSIFARMA
Acetylcysteine 200Mg kapsul 200 mg MAHAKAM BETA FARMA
Cecyl kapsul 200 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Fluimucil 200 kapsul 200 mg ZAMBON

Nalitik syrup 100 mg / 5 ml MAHAKAM


Nytex syrup 100 mg / 5 ml PT PHAROS INDONESIA
Fluimucil syrup 100 mg / 5 ml ZAMBON

Acetin 600 Mg 600 Mg Eff tab eff 600 mg SANBE

Siran Forte tablet 600 mg DEXA MEDICA


Fluimucil Eff tablet 600 mg ZAMBON
Noscapine
Mercotin drops 10 mg / ml EISAI

Longatin kapsul 25 mg ACTAVIS


Longatin kapsul 50 mg ACTAVIS
Pseudoephedrine Hcl
Edorisan 7.5 Mg drops 7,5 mg / 0,8 mg SANBE
Rhinos Neo drops 7,5 mg / 5 ml DEXA MEDICA
Oxomemazine, Guaifenesin
Comtusi Forte kapsul 3,34 mg COMBIPHAR

Oxfezin syrup 1,65 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL


Oroxin syrup 1,65 mg / 5 ml PT PHAROS INDONESIA
Glyceril
Transpulmin 60 Ml syrup TRANSFARMA
Transpulmin 100 Ml syrup TRANSFARMA
Carbocistein
Rhinathiol Infant Syrup syrup 100 mg AVENTIS PHARMA
Rhinathiol Adult Romethazine romethazine 100 mg AVENTIS PHARMA

Rhinathiol tablet 375 mg AVENTIS PHARMA


Dextromethorphan : Glyceryl Guaiacolate : Phenylprophanolamine Hcl : Chlorpheniramine Maleate
Dextral 10 Mg ; 50 Mg ; 12,5 Mg ; 1 Mg Sirup syrup 10 mg : 50 mg : 12,5 MOLEX AYUS
mg : 1 mg

Dextral 10 Mg tablet 10 mg : 50 mg : 12,5 MOLEX AYUS


mg : 1 mg
Pseudoephedrine Hcl + Tripolidine
Protifed Syr syrup 1,25 mg GRAHA FARMA
Trifedrin syrup 30 mg / 5 ml OTTO ETHICAL
Tremenza 30 Mg / 125 Ml syrup 30 mg / 5 ml SANBE
Actifed Syrup 60 Ml syrup 30 mg / 5 ml STERLING PRODUCT INDONESIA

Mertisal 30 Mg tablet 30 mg MERSIFARMA


Neo Protifed tablet 2,5 mg GRAHA FARMA
Tremenza 60 Mg tablet 60 mg SANBE
Alerfed tablet 60 mg GUARDIAN PHARMATAMA
Grafed tablet 30 mg GRACIA
Dextromethorphan
Ikadryl Dmp tablet dextromethorphan IKAPHARMINDO PUTRAMAS
Codein Phosphate
Codikaf10 tablet 10 mg BUMN KIMIA FARMA
Codikaf 15 tablet 15 mg BUMN KIMIA FARMA
Codikaf 20 tablet 20 mg BUMN KIMIA FARMA
Paracetamol;
Sistenol tablet 500 mg DEXA MEDICA
Loratadine + Pseudoephedrine
Aldisa Sr kapsul 5 mg SANBE
Rhinos Sr kapsul 60 mg DEXA MEDICA

Clarinase 5Mg;120Mg Tab tablet loratadine 5 mg / 120 BAYER


mg
Diphenhidramine : Ammon Cl : Na Citrate : Menthol
Molexdryl 12,5 Mg ; 125 Mg ; 50 Mg ; 1 Mg Sirup syrup 12,5 mg / 5 ml : 125 MOLEX AYUS
mg / 5 ml : 50 mg / 5
ml : 1 mg / 5 ml
Diphenhydramine Hcl, Ammon Cl, Kalsium Guaiacolsulfonat, Na Citrate, Menthol
Sanadryl60 Ml 12.5 Mg Syr syrup diphenhydramine hcl SANBE
12,5 mg, ammon cl
100 mg, kalsium
guaiacolsulfonat 30
mg, na citrate 50 mg,
menthol 1 mg
Codein Anhidrate
Codipront 100 soft caps 30 mg BUMN KIMIA FARMA
Codipront 10 soft caps 30 mg BUMN KIMIA FARMA
Codipront Cum Exp soft caps 30 mg BUMN KIMIA FARMA

Codipront Syrup syr 11,11 mg / 5 ml BUMN KIMIA FARMA


Codipront Cum Exp Syrup syr 11,11 mg / 5 ml BUMN KIMIA FARMA
Dabigatran Etexylate
Pradaxa kapsul 110 mg YA BOEHRINGER
Hedera Helix
Ob-Ivy sirup hedera helix ext 0,7 g / IKAPHARMINDO PUTRAMAS
100 ml
Eucalyptus, Camomile Extract, Menthol Camphor
Transpulmin Balsam 20 Mg cream TRANSFARMA
Eucalyptus, Camomile Extract
Transpulmin Baby Balsam 20 Mg cream TRANSFARMA
Acetaminophen, Isothiphendil, Phenylephrin
Nipe cream TRANSFARMA

Nipe syrup TRANSFARMA


Hedera Helix/Ivy Lead Extract 7Mg/Ml
Prospan 100 Ml syrup hedera helix / ivy lead SOHO INDUSTRI PHARMASI
extract 7 mg / ml

Halaman 15 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Paracetamol + N-Acetylcysteine
Dorbigot tablet 500 mg EXELTIS NUFARINDO
Pseudoephedrine Hcl + Terfenadine
Rhinofed syr DEXA MEDICA

Rihest Syrup 60 Ml syrup 15 mg ABBOT


Rhinos Junior rhinos 15 mg DEXA MEDICA

Rhinofed tablet 30 mg DEXA MEDICA


Paracetamol + Phenylprophanolamine Hcl + Chlorpheniramine Maleate
Molexflu 125 Mg ; 3,125 Mg ; 0,5 Mg Sirup syrup 125 mg / 5 ml : 3,125 MOLEX AYUS
mg / 5 ml : 0,5 mg / 5
ml

Molexflu tablet 500 mg : 12,5 mg : 2 MOLEX AYUS


mg
Paracetamol + Phenylpropanolamin Hcl + Ctm
Fludexin syrup 500 mg; 2 mg DEXA MEDICA

Flunax tablet 500 mg GRAHA FARMA


Corsagrip tablet 500 mg CORSA
Flutab Tab tablet GUARDIAN PHARMATAMA
Tuzalos tablet paracetamol 500 mg, SANBE
dextromethrophan hbr
10 mg,
phenylpropanolamine
hcl 15 m,
chlorpheniramine
maleate 1 mg

Paracetamol + Pseudoephedrin + Ctm + Dmp


Anadex Syrup syrup paracetamol 500 mg / INTERBAT
120 mg +
dextromethorphan hbr
15 mg / 3,5 mg +
chlorpheniramine
maleate 1 mg / 0,5 mg
+
phenylpropanolamine
hcl 3,5 mg per 5 ml

Anadex Dragee tablet paracetamol 500 mg / INTERBAT


120 mg +
dextromethorphan hbr
15 mg / 3,5 mg
+chlorpheniramine
maleate 1 mg / 0,5 mg
+
phenylpropanolamine
hcl 15 mg
Parasetamol + Noskapin
Paratusin Sirup sirup 125 mg DARYA VARIA

Paratusin Tablet tablet 500 mg DARYA VARIA


Paracetamol + Dextromethorphan + Phenylprophanolamine Hcl + Chlorpheniramine Maleate
Alpara 125 Mg ; 3,75 Mg ; 3,125 Mg ; 0,5 Mg Sirup syrup 125 mg : 3,75 mg : MOLEX AYUS
3,125 mg : 0,5 mg
Oxomemazine + Glyceryl Guaiacolate + Na Benzoate + Paracetamol
Toplexil syrup 60 ml AVENTIS PHARMA
Diphenhydramine Hcl + Glycerylguaiacolate + Natrium Citrate + Phenilpropanolamin Hcl
Triadex Expectoran syrup diphenhydramine hcl INTERBAT
12,5 mg +
glycerylguaiacolate 50
mg + natrium citrate
180 mg +
phenilpropanolamin
hcl 12,5 mg per 5 ml

Eucalyptol
Chiby Baby Balm tube @ 20 gr 2000 mg GALENIUM
Dextromethorphan Hbr
Ventusif Syr 60 Ml syrup 10 mg GRAHA FARMA
Dextromethorphan Hbr +Glyceryl Guaiacolate + Pseudoephedrinhcl + Ctm + Sodium Citrate
Tussigon 60 syrup 100 mg NOVELL
Ephedrin Hcl
Vasodrin injeksi 50 mg / 1 ml MAHAKAM
03d. NASAL DECONGESTANT & OTHER NASAL PREPARATIONS
Mometasone Furoate
Nasonex 60 Mds spray 60 mds MSD
Nasonex 140 Mds spray 140 mds MSD
Triamcinolone Acetonide
Nasacort Aq drops 55 mc gr, 120 ds YA AVENTIS PHARMA
Oxymetazoline Hcl
Iliadin Drops drops 0.0025 YA MERCK

Iliadin Spray spray 0.0005 YA MERCK


Fluticasone Furoate
Avamys Nasal Spray nasal spray 27.5 mcg / 1 spray YA GLAXO WELLCOME INDONESIA
04 CENTRAL NERVOUS SYSTEM
04a. ANXIOLYTICS
Alprazolam
Alprazolam tablet 0,5 mg OTTO OGB
Alprazolam tablet 0,25 mg DEXA MEDICA
Alprazolam tablet 0,5 mg BUMN KIMIA FARMA
Alprazolam 0.5 Mg tablet 0,5 mg MERSIFARMA
Alprazolam tablet 1 mg OTTO OGB
Alprazolam tablet 1 mg BUMN KIMIA FARMA
Alprazolam 1 Mg tablet 1 mg MERSIFARMA
Frixitas 0,25 tablet 0,25 mg NOVELL

Halaman 16 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Atarax 0.5 Mg tablet 0,5 mg MERSIFARMA
Alganax 0.25 Mg tablet 0,25 mg GUARDIAN PHARMATAMA
Zypraz 0,5 Mg tablet 0,5 mg KALBE FARMA
Apazol tablet 1 mg DEXA MEDICA
Calmlet tablet 0,5 mg SUNTHI SEPURI
Xanax 0.25Mg tablet 0,25 mg PFIZER
Alganax 1 Mg tablet 1 mg GUARDIAN PHARMATAMA
Calmlet tablet 1 mg SUNTHI SEPURI
Xanax Xr 0.5Mg tablet 0,5 mg PFIZER
Xanax Xr 1Mg tablet 1 mg PFIZER
Clobazam
Clofritis 10 Mg tab 10mg MERSIFARMA

Clobazam tablet 10 mg DEXA MEDICA


Frisium tablet 10 mg AVENTIS PHARMA
Diazepam
Stesolid injeksi 10 mg / 2 ml ACTAVIS
Valdimex 2 Mg Inj injeksi 10 mg / 2 ml MERSIFARMA
Valium injeksi 10 mg / 2 ml ROCHE

Trazep rectal tube 5 mg PRATAPA NIRMALA


Stesolid rectal tube 5 mg YA ACTAVIS
Stesolid rectal tube 10 mg YA ACTAVIS
Trazep rectal tube 10 mg PRATAPA NIRMALA

Stesolid syrup 2 mg ACTAVIS

Valisanbe tablet 2 mg SANBE


Valisanbe 5 Mg tablet 5 mg SANBE
Valdimex 5 Mg tablet 5 mg MERSIFARMA
Lorazepam
Merlopam 0.5 Mg tablet 0.5 mg MERSIFARMA
Merlopam 2 Mg tablet 2 mg MERSIFARMA
Renaquil tablet 1 mg FAHRENHEIT
Ativan tablet 0,5 mg SUNTHI SEPURI
Ativan tablet 1,0 mg YA SUNTHI SEPURI
Ativan tablet 2,0 mg SUNTHI SEPURI
04b. HYPNOTICS & SEDATIVES
Estazolam
Elgran tablet 1 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Alena 1Mg tablet 1 mg NOVELL
Elgran tablet 2 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Alena 2Mg tablet 2 mg NOVELL
Esilgan 1Mg tablet 1 mg TAKEDA
Esilgan 2Mg tablet 2 mg TAKEDA
Midazolam
Milos 5 Mg injeksi 5 mg / 5 ml NOVELL
Anesfar injeksi 5 mg / 5 ml FAHRENHEIT
Dormicum injeksi 5 mg / 5 ml ROCHE
Milos 15 Mg injeksi 15 mg / 3 ml NOVELL
Anesfar 5 injeksi 15 mg / 3 ml FAHRENHEIT
Dormicum injeksi 15 mg / 3 ml ROCHE
Zolpidem
Zudem 10 Mg tablet 10 mg GUARDIAN PHARMATAMA
Zolmia tablet 10 mg FAHRENHEIT
Stilnox tablet 10 mg AVENTIS PHARMA
04c. ANTIDEPRESSANTS
Amitriptyline
Amitriptyline tablet 25 mg BUMN INDOFARMA
Amitriptyline tablet 25 mg PRATAPA NIRMALA
Clobazam
Asabium tablet 10 mg OTTO OGB
Fluoxetine Hcl
Zac 10 kapsul 10 mg IKAPHARMINDO PUTRAMAS
Prestin kapsul 20 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Foransi 10 kapsul 10 mg GRACIA

Nopres tablet 20 mg DEXA MEDICA


Sertraline Hcl
Fatral tablet 50 mg PRATAPA NIRMALA
Serlof tablet 50 mg KALBE FARMA
Zoloft 50Mg tablet 50 mg PFIZER
Maprotiline
Sandepril 50 Mg tablet 50 mg MERSIFARMA
Escitalopram
Depram 10 Mg tablet 10 mg NOVELL
Depram 20 Mg tablet 20 mg NOVELL
Escitalopram 10 Mg
Cipralex 10 Mg Tab tablet 10 mg LUNDBECK
04d. ANTIPSYCHOTICS
Aripiprazole
Abilify Oral Solution 150 Ml oral solutiom 1 mg / ml OTSUKA

Abilify Discmelt 15 Mg tab discmelt 15 mg OTSUKA

Abilify Discmelt 10 Mg tabdiscmelt 10 mg YA OTSUKA

Avram tablet aripiprazole 5 PT PHAROS INDONESIA


Avram tablet 10 mg PT PHAROS INDONESIA
Avram tablet aripiprazole 15 PT PHAROS INDONESIA
Abilify Tab 5 Mg tablet 5 mg OTSUKA
Ariski tablet 10 mg ACTAVIS
Ariski tablet 15 mg ACTAVIS
Abilify 10 Mg tablet 10 mg OTSUKA
Abilify 15 Mg tablet 15 mg OTSUKA
Chlorpromazine
Chlorpromazine injeksi 25 mg / ml YA BUMN PHAPROS
Chlorpromazine injeksi 5 mg / ml YA BUMN PHAPROS
Cepezet 50 Mg Inj injeksi 50 mg / 2 ml MERSIFARMA

Chlorpromazine tablet 25 mg BUMN PHAPROS

Halaman 17 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Chlorpromazine tablet 100 mg BUMN PHAPROS
Promactil tablet 100 mg COMBIPHAR
Cepezet 100 Mg tablet 100 mg MERSIFARMA
Clozapine
Cycozam tablet 25 mg SUNTHI SEPURI
Clozapine tablet 25 mg DEXA MEDICA
Nuzip 25 Mg tablet 25 mg GUARDIAN PHARMATAMA
Clozapine 25 Mg tablet 25 mg MERSIFARMA
Nuzip 100 100 Mg Tab tablet 100 mg GUARDIAN PHARMATAMA
Cycozam tablet 100 mg SUNTHI SEPURI
Clozapine tablet 100 mg DEXA MEDICA
Clozer tablet 100 mg DEXA MEDICA
Clozapine 100 Mg Ogb tablet 100 mg MERSIFARMA
Haloperidol
Lodomer 5 Mg Inj injeksi 2 mg / 15 ml MERSIFARMA
Govotil 5 Mg/Ml Amp injeksi 5 mg / ml GUARDIAN PHARMATAMA
Haldol Decanoas injeksi 50 mg YA JOHNSON2

Lodomer 2 Mg Drops oral drops 5 mg / ml MERSIFARMA

Haloperidol tablet 0,5 mg PRATAPA NIRMALA


Haloperidol tablet 1,5 mg PRATAPA NIRMALA
Haloperidol tablet 0,5 mg BUMN INDOFARMA
Haloperidol tablet 1,5 mg BUMN INDOFARMA
Haloperidol tablet 5 mg PRATAPA NIRMALA
Haloperidol tablet 5 mg BUMN INDOFARMA
Lodomer 2 Mg tablet 2 mg MERSIFARMA
Govotil 2 Mg tablet 2 mg GUARDIAN PHARMATAMA
Lodomer 5 Mg tablet 5 mg MERSIFARMA
Govotil 5 Mg tablet 5 mg GUARDIAN PHARMATAMA
Olanzapine
Zyprexa Raim injeksi 10 mg YA ELI LILY

Onzapin tablet 5 mg YA ACTAVIS


Onzapin tablet 10 mg YA ACTAVIS
Remital tablet 5 mg PT PHAROS INDONESIA
Remital tablet 10 mg PT PHAROS INDONESIA
Zyprexa tablet 5 mg ELI LILY
Zyprexa Zydis tablet 5 mg ELI LILY
Zyprexa tablet 10 mg ELI LILY
Zyprexa Zydis tablet 10 mg ELI LILY
Risperidone
Risperdal Consta Alaris/Deltoid 37.5Mg injeksi 37.5 mg JOHNSON2
Risperdal Consta Alaris/Deltoid 50Mg injeksi 50 mg JOHNSON2
Risperdal Consta Alaris/Deltoid 25Mg injeksi 25 mg JOHNSON2

Noprenia Oral Solution oral solution 5 mg / 5 ml NOVELL

Risperidone 1 Mg/Ml Syr solution 1 mg / ml BERNO GENERIK


Neripros solution 1 mg / ml PT PHAROS INDONESIA

Risperdal Os 1Mg/Ml syrup 1 mg / ml JOHNSON2


Respirex Syr syrup 1 mg / ml BERNO BRANDED

Risperidone tablet 2 mg NULAB PHARMACEUTICAL INDONESIA OGB


Risperidon tablet 1 mg DEXA MEDICA
Risperidon tablet 2 mg DEXA MEDICA
Zophrena tablet 2 mg DEXA MEDICA
Risperidone 2 Mg tablet 2 mg MERSIFARMA
Risperidon tablet 3 mg DEXA MEDICA
Persidal 1 Mg tablet 1 mg MERSIFARMA
Rizodal 1 Mg tablet 1 mg GUARDIAN PHARMATAMA
Nodiril tablet 2 mg ACTAVIS
Persidal 3 Mg tablet 3 mg MERSIFARMA
Neripros tablet 3 mg PT PHAROS INDONESIA
Paliperidone
Invega 3Mg tablet 3 mg JOHNSON2
Invega 6Mg tablet 6 mg JOHNSON2
Invega 9Mg tablet 9 mg JOHNSON2
Quetiapine
Seroquel tablet 25 mg ASTRA ZANECA
Seroquel tablet 100 mg ASTRA ZANECA
Seroquel tablet 50 mg ASTRA ZANECA
Seroquel tablet 200 mg ASTRA ZANECA
Seroquel tablet 300 mg ASTRA ZANECA
Seroquel tablet 400 mg ASTRA ZANECA
Trifluoperazine
Stelosi 5 Mg tablet 5 mg MERSIFARMA
Trifluoperazine Tab tablet 5 mg DARYA VARIA
Stelazine tablet 5 mg PT PHAROS INDONESIA
Sulpiride
Dogmatil Forte 20 capl sulpiride SOHO GLOBAL HEALTH

Dogmatil 50 Mg kapsul sulpiride SOHO GLOBAL HEALTH


04e. ANTICONVULSANTS
Asam Valproat
Valpi 250 Mg/5 Ml Syrup / 60 Ml syrup 250 mg / 5 ml KALBE FARMA
Asam Valproat syrup 250 mg / 5 ml DEXA MEDICA
Valproic Acid 250 Mg/5 Ml syrup 250 mg / 5 ml NOVELL

Depakote Er tab er 250 mg er YA ABBOT


Depakote Er 500 Mg Tab Box tab er 500 mg er YA ABBOT

Ikalep tablet 250 mg IKAPHARMINDO PUTRAMAS


Depakote 100S 250Mg Tab tablet 250 mg YA ABBOT
Carbamazepine
Bamgetol 200 Mg capl 200 mg MERSIFARMA

Tegretol 200 Mg tablet 200 mg PT NOVARTIS INDONESIA


Tegretol Cr tablet 200 mg PT NOVARTIS INDONESIA
Clonazepam

Halaman 18 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Riklona 2 Mg tablet 2 mg MERSIFARMA
Rivotril tablet 2 mg ROCHE
Phenobarbital
Phental 100 Mg/Ml Injection injeksi 100 mg / ml COMBIPHAR
Sibital 200 Mg Inj injeksi 200 mg / 2 ml MERSIFARMA

Sibital 50 Mg tablet 50 mg MERSIFARMA


Topiramate
Topamax Sprinkle 15 Mg kapsul 15 mg JOHNSON2
Topamax Sprinkle 25 Mg kapsul 25 mg JOHNSON2

Topamax 25 Mg tablet 25 mg YA JOHNSON2


Topamax 50 Mg tablet 50 mg YA JOHNSON2
Topamax 100 Mg tablet 100 mg YA JOHNSON2
Phenytoin
Na. Phenytoin injeksi 50 mg / ml YA BUMN PHAPROS
Phenytoin 100 Mg / 2 Ml Inj injeksi 50 mg / ml NOVELL
Phenytoin 100 Mg Inj injeksi 100 mg / 2 ml MERSIFARMA
Phenytoin injeksi 50 mg / ml IKAPHARMINDO PUTRAMAS
Kutoin 100 Mg injeksi 100 mg / 2 ml MERSIFARMA
Ikaphen injeksi 50 mg / ml IKAPHARMINDO PUTRAMAS
Dilantin 250Mg/5Ml injeksi 250 mg / 5 ml PFIZER

Decatona 30 Mg kapsul 30 mg YA HARSEN LABORATORIES


Decatona 100 Mg kapsul 100 mg HARSEN LABORATORIES
Phenytoin kapsul 100 mg YA IKAPHARMINDO PUTRAMAS
Kutoin 100 Mg kapsul 100 mg MERSIFARMA
Dilantin kapsul 100 mg PFIZER
Oxcabarzepin
Prolepsi 300 Mg tablet 300 mg MERSIFARMA
Barzepin 300 Mg tablet 300 mg NOVELL
Trileptal 300 Mg tablet 300 mg PT NOVARTIS INDONESIA
Prolepsi 600 Mg tablet 600 mg MERSIFARMA
Barzepin 600 Mg tablet 600 mg NOVELL
Trileptal 600 Mg tablet 600 mg PT NOVARTIS INDONESIA
Pregabalin
Pregabalin 75 Mg kapsul 75 mg NOVELL
Pgb Capsule 75 Mg kapsul 75 mg FERRON
Pregabalin 75Mg kapsul 75 mg MAHAKAM BETA FARMA
Glinov 75 kapsul 75 mg NOVELL
Pregabalin kapsul 150 mg DEXA MEDICA
Pregabalin 150 Mg kapsul 150 mg NOVELL
Provelyn kapsul 75 mg KALBE FARMA
Lyrica 50Mg kapsul 50 mg PFIZER
Pgb Capsule 150 Mg kapsul 150 mg FERRON
Glinov 150 kapsul 150 mg NOVELL
Lyrica 75Mg kapsul 75 mg PFIZER
Aprion kapsul 300 mg PT PHAROS INDONESIA
Lyrica 150Mg kapsul 150 mg PFIZER
Natrium Divalproat
Sodium Valproate sirup 250 mg / 5 ml OTTO OGB

Sodium Valproate syrup 250 mg / 5 ml BUMN PHAPROS


Ikalep syrup 250 mg / 5 ml IKAPHARMINDO PUTRAMAS
Depakene syrup 250 mg / 5 ml ABBOT

Divalpi 250 Mg Ec tablet 250 mg KALBE FARMA


Levetiracetam
Levitam 500 Mg tablet 500 mg NOVELL
Lethira tablet 500 mg PT PHAROS INDONESIA
Keppra Tablet 250 Mg tabket 250 mg GLAXO WELLCOME INDONESIA
Keppra Tablet 500 Mg tabket 500 mg GLAXO WELLCOME INDONESIA
04f. OTHER CNS DRUGS & AGENTS FOR ADHD
Methylphenidate
Prohiper 10 Mg tablet 10 mg MERSIFARMA
Ritalin tablet 10 mg PT NOVARTIS INDONESIA
Concerta 18Mg tablet 18 mg JOHNSON2
Concerta 36Mg tablet 36 mg JOHNSON2
04g. NEURODEGENERATIVE DISEASE DRUGS
Donepezil
Donepezil Hcl 5 Mg tablet 5 mg NOVELL
Alzim tablet 5 mg FAHRENHEIT
Almen 5 Mg Tab tablet 5 mg GUARDIAN PHARMATAMA
Aricept tablet 5 mg EISAI
Aricept Evess tablet 10 mg YA EISAI
Galantamine
Reminyl Prc 8Mg kapsul lepas 8 mg JOHNSON2
lambat
Reminyl Prc 16Mg kapsul lepas 16 mg JOHNSON2
lambat
04h. ANTIPARKINSONIAN DRUGS
Levodopa
Leparson tablet 100 mg DEXA MEDICA
Eugenix tablet 100 mg PT PHAROS INDONESIA
Madopar tablet 100 mg ROCHE
Stalevo 100 Mg tablet 100 mg YA PT NOVARTIS INDONESIA
Trihexyphenidyl
Parkinal tablet 2 mg HARSEN LABORATORIES
Hexymer 2 Mg tablet 2 mg MERSIFARMA
Pramipexole
Sifrol tablet 0.125 mg YA BOEHRINGER
Sifrol tablet 0.25 mg BOEHRINGER
Sifrol tablet 0.375 mg YA BOEHRINGER
Sifrol tablet 0.75 mg YA BOEHRINGER
Ropinirole
Requip Pd 2 Mg tablet 2 mg YA GLAXO WELLCOME INDONESIA
Requip Pd 4 Mg tablet 4 mg YA GLAXO WELLCOME INDONESIA
Requip Pd 8 Mg tablet 8 mg YA GLAXO WELLCOME INDONESIA
04i. ANTIVERTIGO DRUGS
Betahistine
Lexigo 6 Mg tablet 6 mg YA MOLEX AYUS

Halaman 19 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Betahistine 6 Mg tablet 6 mg NOVELL
Vastigo tablet 6 mg DEXA MEDICA
Versilon 6 Mg tablet 6 mg MERSIFARMA
Noverty Odt tablet 6 mg NOVELL
Vertikaf 8 tablet 8 mg BUMN KIMIA FARMA
Betaserc tablet 8 mg ABBOT
Mertigo Sr tablet 12 mg DEXA MEDICA
Vertikaf 24 tablet 24 mg BUMN KIMIA FARMA
Merislon tablet 12 mg EISAI
Betaserc tablet 24 mg ABBOT
04j. ANALGESICS (OPIOID)
Morphine Sulfat
Mst Continus tablet 10 mg MAHAKAM
Mst Continus tablet 15 mg MAHAKAM
Mst Continus tablet 30 mg MAHAKAM
Hydro
Jurnista 8Mg tablet 8 mg / tablet YA JOHNSON2
Jurnista 16Mg tablet 16 mg / tablet YA JOHNSON2
Fentanyl
Fentanyl 2Ml injeksi 50mcg / ml x 2 ml YA JOHNSON2
Fentanyl 10 Ml injeksi 50mcg / ml x 10 ml YA JOHNSON2

Durogesic 12Mcg patch 12mcg / jam YA JOHNSON2


Durogesic 25Mcg patch 25mcg / jam YA JOHNSON2
Durogesic 50Mcg patch 50mcg / jam YA JOHNSON2
Codein
Codein tablet 10 mg YA BUMN KIMIA FARMA
Codein tablet 15 mg YA BUMN KIMIA FARMA
Codein tablet 20 mg YA BUMN KIMIA FARMA
Coditam tablet 30 mg BUMN KIMIA FARMA
Sufentanil
Sufenta injeksi 5mcg / ml x 10 ml YA JOHNSON2
04k. ANALGESICS (NON-OPIOID) & ANTIPYRETICS
Capsaicin
Flexozin cream 0,75 mg COMBIPHAR
Metamizole
Novalgin drops 500 mg AVENTIS PHARMA

Antrain injeksi 500 mg / ml INTERBAT


Santagesik 500 Mg injeksi 500 mg / ml SANBE
Novalgin Ampoule 2Ml injeksi 500 mg / ml AVENTIS PHARMA

Novalgin syrup 250 mg AVENTIS PHARMA

Metamizole Sodium 500 Mg tablet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB


Corsanural F/Coated tablet 250 mg CORSA
Antrain tablet 500 mg INTERBAT
Viron tablet 500 mg YARINDO
Novalgin Oblong tablet 500 mg AVENTIS PHARMA
Paracetamol
Paracetamol drops 100 mg / ml BUMN INDOFARMA
Grafadon Drops drops 60 mg / 0,6 ml GRAHA FARMA
Alphamol 60 Mg / 0,6 Ml Drops drops 60 mg / 0,6 ml MOLEX AYUS
Turpan drops 100 mg / ml CORSA
Paramol Drops drops 100 mg / ml BERNO BRANDED
Sanmol 60 Mg drops 60 mg / 0,6 ml SANBE
Panadol 15 Ml drops 80 mg / 0.8 ml STERLING PRODUCT INDONESIA
Tempra 15 Ml drops 80 mg / 0.8 ml TAISHO PHARMACEUTICAL

Paracetamol infus 1 g / 100 ml QUANTUM LABS


Paracetamol infus 1 g / 100 ml BERNO GENERIK
Paracetamol infus 1 g / 100 ml DARYA VARIA
Farmadol Infus 50 Ml infus 500 mg / 50 ml FAHRENHEIT
Sanmol 1000 Mg infus 1 g / 100 ml SANBE
Tamoliv 500 Mg infus 500 mg / 100 ml KALBE FARMA
Cetapain Infus infus 1 g / 100 ml DARYA VARIA

Dumin rectal tube 125 mg ACTAVIS


Dumin rectal tube 250 mg ACTAVIS

Pamol 125 Suppositoria supp 125 mg INTERBAT


Propyretic Suppo 80 supp 80 mg COMBIPHAR
Propyretic Suppo 160 supp 160 mg COMBIPHAR
Propyretic Suppo 240 supp 240 mg COMBIPHAR
Pamol 250 Suppositoria supp 250 mg INTERBAT

Paracetamol syrup 120 mg / 5 ml BUMN INDOFARMA


Paracetamol 120 Mg/5 Ml syrup 120 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI OGB
Paracetamol syrup 120 mg / 5 ml BERNO GENERIK
Procet Sirup syrup 120 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI OGB
Grafadon Syr syrup 160 mg / 5 ml GRAHA FARMA
Alphamol 120 Mg Sirup syrup 120 mg / 5 ml YA MOLEX AYUS
Ottopan syrup 120 mg / 5 ml OTTO ETHICAL
Turpan syrup 160 mg / 5 ml CORSA
Tempra Syr 60 Ml syrup 160 mg / 5 ml TAISHO PHARMACEUTICAL
Panadol 60 Ml syrup 160 mg / 5 ml STERLING PRODUCT INDONESIA
Panadol Plus 60 Ml syrup 250 mg / 5 ml STERLING PRODUCT INDONESIA
Tempra Forte 60 Ml syrup 250 mg / 5 ml TAISHO PHARMACEUTICAL
Tempra 100 Ml syrup 160 mg / 5 ml TAISHO PHARMACEUTICAL

Paracetamol tablet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB


Paracetamol tablet 500 mg BERNO GENERIK
Procet tablet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Grafadon tablet 500 mg GRAHA FARMA
Fasgo 500 Mg tablet 500 mg HEXPHARM JAYA BRANDED
Paracetamol tablet 500 mg BUMN INDOFARMA
Alphamol 600 Mg tablet 600 mg YA MOLEX AYUS
Grafadon Forte tablet 650 mg GRAHA FARMA
Gunaceta tablet 650 mg SUNTHI SEPURI
Fasgo Forte tablet 650 mg HEXPHARM JAYA BRANDED
Sumagesic tablet 600 mg DARYA VARIA

Halaman 20 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Panadol Chewable tablet 120 mg STERLING PRODUCT INDONESIA
Sanmol Eff 120 Mg tablet 120 mg SANBE
Tramadol
Tramadol 100 Mg / 2 Ml Inj injeksi 50 mg / ml NOVELL
Tramadol 100Mg/2Ml injeksi 100 mg / 2 ml YA MAHAKAM BETA FARMA
Tramadol injeksi 50 mg / ml OTTO OGB
Tramadol injeksi 100 mg / 2 ml QUANTUM LABS
Tramadol injeksi 100 mg / 2 ml BERNO GENERIK
Dolgesik 100 Mg Inj injeksi 100 mg / 2 ml MERSIFARMA
Tradyl Injeksi injeksi 100 mg / 2 ml INTERBAT
Forgesic Inj injeksi 50 mg / ml BERNO BRANDED
Tramal 50 Mg/Ml injeksi 50 mg / ml PT PHAROS INDONESIA

Tramadol kapsul 50 mg BUMN INDOFARMA


Tramadol kapsul 50 mg OTTO OGB
Tramadol kapsul 50 mg PRATAPA NIRMALA
Centrasic kapsul 50 mg GRAHA FARMA
Trunal kapsul 50 mg DEXA MEDICA
Thramed kapsul 50 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Seminac Continus kapsul 100 mg MAHAKAM

Tramal supp 100 mg PT PHAROS INDONESIA

Trasix Kapsul tablet 100 mg FAHRENHEIT


Paracetamol Micronized
Naprex Taste Rite Susp syrup 250 mg / 5 ml DARYA VARIA
Paracetamol,Vit B1.B6
Doloneurobion tab 500 mg MERCK
Ibuprofen + Paracetamol
Alaxan Fr kapsul 325 mg DARYA VARIA

Tyrema tablet 200 mg GRAHA FARMA


Aknil tablet 200 mg SUNTHI SEPURI
Paracetamol + Tramadol
Sincronik Kaplet Ss / 3X10 kaplet tramadol KALBE FARMA
37.5mg+paracetamol
325 mg

Tracedol tablet 37.5 mg / 325 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL


Trampara tablet 37.5 mg / 325 mg BUMN PHAPROS
Tramifen tablet 37.5 mg / 325 mg ABBOT
Dotramol tablet 325 mg YARINDO
Ultracet tablet 37.5 mg / 325 mg JOHNSON2
04l. NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS)
Asam Mefenamat
Asimat 500 Mg kaplet 500 mg MERSIFARMA
Asam Mefenamat 500 Mg Fc Kaplet kaplet 500 mg HEXPHARM JAYA OGB
Asam Mefenamat 500 Mg Fc kaplet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Freedol 250 Mg kaplet 250 mg HARSEN LABORATORIES
Molasic 500 Mg kaplet 500 mg YA MOLEX AYUS
Mefinal 500 Mg kaplet 500 mg SANBE

Mefinal 250 Mg kapsul 250 mg SANBE

Asam Mefenamat syrup 50 mg / 5 ml BERNO GENERIK

Asam Mefenamat tablet 500 mg BERNO GENERIK


Grafamic 500 Mg tablet 500 mg GRAHA FARMA
Pehastan tablet 500 mg BUMN PHAPROS
Ponstan 500Mg tablet 500 mg PFIZER
Etoricoxib
Arcoxia 60 Mg tablet 60 mg MSD
Arcoxia 90 Mg tablet 90 mg MSD
Arcoxia 120 Mg tablet 120 mg MSD
Ibuprofen
Proris supp 125 mg PT PHAROS INDONESIA

Ibuprofen syrup 100 mg / 5 ml BUMN INDOFARMA


Ibufrofen syrup 100 mg / 5 ml GRACIA
Ibuprofen syrup 200 mg / 5 ml BUMN INDOFARMA
Lexaprofen 100 Mg Suspensi syrup 100 mg / 5 ml YA MOLEX AYUS
Bufect 100 Mg / 5 Ml syrup 100 mg / 5 ml SANBE
Fenida Suspensi syrup 100 mg / 5 ml HARSEN LABORATORIES
Fenatic syrup 100 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Bufect Forte 200 Mg / 5 Ml syrup 200 mg / 5 ml SANBE
Brufen Suspension 60Ml 100 Mg Syrup syrup 100 mg / 5 ml ABBOT

Ibuprofen tablet 200 mg PRATAPA NIRMALA


Ibuprofen tablet 200 mg BUMN INDOFARMA
Ibuprofen tablet 400 mg PRATAPA NIRMALA
Ibuprofen 400 Mg Fc tablet 400 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Lexaprofen 200 Mg tablet 200 mg YA MOLEX AYUS
Ibuprofen tablet 400 mg BUMN INDOFARMA
Fenida 200 Mg tablet 200 mg HARSEN LABORATORIES
Lexaprofen 400 Mg tablet 400 mg YA MOLEX AYUS
Fenatic tablet 400 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Ribunal tablet 400 mg COMBIPHAR
Bufect 200 Mg tablet 200 mg SANBE
Proris tablet 100 mg PT PHAROS INDONESIA
Brufen tablet 400 mg ABBOT
Ibuprofen Arginine
Spedifen gran 600 mg ZAMBON

Spedifen tablet 400 mg ZAMBON


Kalium Diklofenak
Cataflam oral drops 15 mg / ml PT NOVARTIS INDONESIA

Cataflam Fast powd 50 mg PT NOVARTIS INDONESIA

Diclofenac K tablet 25 mg NULAB PHARMACEUTICAL INDONESIA OGB


Flamigra tablet 50 mg GRAHA FARMA

Halaman 21 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Kalium Diklofenak tablet 25 mg DEXA MEDICA
Kalium Diklofenak 50 Mg tablet 50 mg HEXPHARM JAYA OGB
Diclofenac K tablet 50 mg NULAB PHARMACEUTICAL INDONESIA OGB
Kalium Diklofenak tablet 50 mg DEXA MEDICA
Nacoflar 25 tablet 25 mg BUMN PHAPROS
Eflagen 25 Mg tablet 25 mg SANBE
Matsunaflam tablet 50 mg EXELTIS NUFARINDO
Merflam 50 Mg tablet 50 mg MERSIFARMA
Cataflam 25 Mg tablet 25 mg PT NOVARTIS INDONESIA
Cataflam D tablet 50 mg PT NOVARTIS INDONESIA
Cataflam 50 Mg tablet 50 mg PT NOVARTIS INDONESIA
Ketoprofen
Profenid gel 30 g, 2,5% AVENTIS PHARMA

Ketoprofen injeksi 100 mg / 2 ml BERNO GENERIK


Ketoprofen 100 Mg / 2 Ml injeksi 50 mg / ml NOVELL
Rematof Inj injeksi 100 mg / 2 ml BERNO BRANDED
Altofen 50 Mg injeksi 50 mg / ml SANBE
Pronalges injeksi 100 mg / 2 ml DEXA MEDICA

Fetik Suppositoria supp 100 mg YA INTERBAT


Profenid supp 100 mg AVENTIS PHARMA
Protofen Supp supp 50 mg BUMN KIMIA FARMA

Remapro 50 Mg tablet 50 mg MERSIFARMA


Ketoprofen 50 Mg tablet 50 mg NOVELL
Ketoprofen tablet 100 mg BERNO GENERIK
Ketoprofen 100 Mg tablet 100 mg NOVELL
Ketoprofen tablet 100 mg DEXA MEDICA
Nasaflam tablet 50 mg PRATAPA NIRMALA
Molaflam 100 Mg tablet 100 mg MOLEX AYUS
Protofen 100 tablet 100 mg BUMN KIMIA FARMA
Nasaflam tablet 100 mg PRATAPA NIRMALA
Profenid tablet 100 mg AVENTIS PHARMA
Pronalges Cr tablet 200 mg DEXA MEDICA
Meloxicam
Movicox injeksi 10 mg / 1.5 ml BOEHRINGER

Cameloc Suppo supp 15 mg DEXA MEDICA


Meloxicam supp 15 mg DEXA MEDICA
Ostelox 15 Mg supp 15 mg SANBE

Meloxicam 7,5 tablet 7,5 mg NOVELL


Meloxicam 15 Mg tablet 15 mg HEXPHARM JAYA OGB
Meloxicam tablet 15 mg OTTO OGB
Meloxicam 7,5 Mg / 50 Tablet tablet 7,5 mg NULAB PHARMACEUTICAL INDONESIA OGB
Meloxicam 7,5 Mg tablet 7,5 mg MAHAKAM BETA FARMA
Meloxicam 15 Mg tablet 15 mg NOVELL
Melogra 7,5 tablet 7,5 mg GRAHA FARMA
Melogra 15 tablet 15 mg GRAHA FARMA
Cameloc tablet 7,5 mg DEXA MEDICA
Hexcam 15 Mg tablet 15 mg HEXPHARM JAYA BRANDED
Cameloc tablet 15 mg DEXA MEDICA
Movicox tablet 7,5 mg BOEHRINGER
Movicox tablet 15 mg BOEHRINGER

Velcox tablet odt 15 mg NOVELL


Velcox tablet odt 7,5 mg NOVELL
Methampyrone
Antalgin Injeksi 25 % injeksi 250 mg BUMN PHAPROS
Antalgyn injeksi 250 mg BERNO GENERIK
Antalgyn injeksi 500 mg BERNO GENERIK
Decamidon injeksi 250 mg HARSEN LABORATORIES

Antalgyn tablet 500 mg BERNO GENERIK


Lexagin 500 Mg tablet 500 mg MOLEX AYUS
Infalgin tablet 500 mg GRAHA FARMA
Antalgin tablet 500 mg CORSA
Antalgin tablet 500 mg BUMN PHAPROS
Antalgin tablet 500 mg BUMN INDOFARMA
Piroxicam
Infeld Gel gel piroxicam 0,5% INTERBAT
Feldene Gel 15Gr 0.005 gel 15g PFIZER

Lexicam 10 Mg kapsul 10 mg MOLEX AYUS


Lanareuma 20 Mg kapsul 20 mg LANDSON
Lexicam 20 Mg kapsul 20 mg MOLEX AYUS
Campain 10 Mg kapsul 10 mg HARSEN LABORATORIES

Piroxicam tablet 10 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB


Piroxicam tablet 10 mg PRATAPA NIRMALA
Piroxicam 10 Mg tablet 10 mg GRAHA FARMA
Piroxicam tablet 20 mg PRATAPA NIRMALA
Piroxicam tablet 10 mg BUMN KIMIA FARMA
Grazeo 10 tablet 10 mg GRAHA FARMA
Piroxicam tablet 20 mg BUMN KIMIA FARMA
Piroxicam 20 Mg tablet 20 mg GRAHA FARMA
Grazeo 20 tablet 20 mg GRAHA FARMA
Feldene Flash 20Mg tablet 20 mg PFIZER
Tenoxicam
Thenil tablet 20 mg INTERBAT
Pilopil 20 Mg tablet 20 mg GUARDIAN PHARMATAMA
Dexketoprofen
Dexketoprofen Trometamol injeksi 25 mg / ml NOVELL
Dexketoprofen injeksi 25 mg / ml NULAB PHARMACEUTICAL INDONESIA OGB
Dextofen Iv injeksi 50 mg / 2 ml DARYA VARIA
Keren injeksi 25 mg / ml NULAB PHARMACEUTICAL INDONESIA ETHICAL
Fendex Injeksi injeksi 25 mg / ml FAHRENHEIT

Dexketoprofen tablet 25 mg NULAB PHARMACEUTICAL INDONESIA OGB


Dexketoprofen 25 Mg tablet 25 mg NOVELL

Halaman 22 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Keren tablet 25 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL
Fendex Tab tablet 50 mg FAHRENHEIT
Dexketoprofen Trometamol
Dexketoprofen Inj injeksi 50 mg / 2 ml YARINDO

Dexketoprofen tablet 25 mg YARINDO


Natrium Diclofenac
Fenavell Inj injeksi 75 mg / 3 ml NOVELL
Renadinac Injeksi injeksi 75 mg / 3 ml FAHRENHEIT
Voltaren injeksi 75 mg / 3 ml PT NOVARTIS INDONESIA

Voltaren supp 100 mg PT NOVARTIS INDONESIA

Natrium Diklofenak tablet 50 mg YA BUMN PHAPROS


Natrium Diklofenak tablet 25 mg YA BUMN PHAPROS
Tirmaclo 50 Mg tablet 50 mg MERSIFARMA
Natrium Dklofenac 50 Mg Tablet tablet 50 mg BERNO GENERIK
Natrium Diclofenac 50 Mg tablet 50 mg NOVELL
Dicloflam 50 Mg tablet 50 mg YA MOLEX AYUS
Gratheos 50 tablet 50 mg GRAHA FARMA
Divoltar 50 Mg Tab Box tablet 50 mg HEXPHARM JAYA BRANDED
Klotaren 25 tablet 25 mg BUMN KIMIA FARMA
Voltaren Ec 25 Mg tablet 25 mg PT NOVARTIS INDONESIA
Neurofenac Plus tablet 50 mg MERCK
Deflamat Cr tablet 75 mg ACTAVIS
Voltaren Ec 50 Mg tablet 50 mg PT NOVARTIS INDONESIA
Deflamat Cr tablet 100 mg ACTAVIS
Voltaren Sr tablet 75 mg PT NOVARTIS INDONESIA
Voltaren Retard tablet 100 mg PT NOVARTIS INDONESIA

Proklaf 25 Mg tablet salut gula 25 mg HARSEN LABORATORIES


Methampyrone : Vit. B1 : Vit. B6 : Vit. B12
Ikaneuron Plus kaplet vit b1 50 mg, vit b6 100 IKAPHARMINDO PUTRAMAS
mg, vit b 12 100 mcg,
methampyrone 250
mg

Stileran Cap kapsul 500 mg COMBIPHAR

Pritagesic tablet 500 mg : 50 mg : 100 MOLEX AYUS


mg : 100 mcg
Biomega tablet 500 mg GRAHA FARMA
Goralgin 500 Mg tablet 500 mg GUARDIAN PHARMATAMA
Ketorolac Thromethamine
Ketorolac injeksi 30 mg / ml BUMN PHAPROS
Ketorolac 30 Mg injeksi 30 mg / ml YA HEXPHARM JAYA OGB
Ketorolac injeksi 30 mg / ml ETHICA INDUSTRI FARMASI
Ketorolac injeksi 10 mg / ml BUMN PHAPROS
Ketorolak Iv injeksi 30 mg / ml DARYA VARIA
Ketorolak injeksi 10 mg / ml DEXA MEDICA
Ketorolac injeksi 10 mg / ml BERNO GENERIK
Ketorolac 30Mg Inj injeksi 30 mg / ml YA MAHAKAM BETA FARMA
Ketrobat 10 Injeksi injeksi 10 mg / ml INTERBAT
Xevolac Inj 30 Mg injeksi 30 mg / ml NOVELL
Farpain 10 injeksi 10 mg / ml FAHRENHEIT
Toramine injeksi 30 mg / ml OTTO ETHICAL
Remopain Prefilled Syringe injeksi 30 mg / ml DEXA MEDICA

Ketorolac tablet 10 mg QUANTUM LABS


Ketorolac tablet 10 mg BERNO GENERIK
Ketorolac 10 Mg tablet 10 mg NOVELL
Rindopain tablet 10 mg YARINDO
Toramine tablet 10 mg OTTO ETHICAL
Indometacin Farnesil
Dialon kapsul 100 mg EISAI
Hylan G-F 20
Synvisc (Classic) injeksi 8 mg / ml AVENTIS PHARMA
Synvisc One injeksi 8 mg / ml AVENTIS PHARMA
Metamphyron + Diazepam
Metaneuron tablet 500 mg BUMN PHAPROS
Analsik tablet methampyrone 500 SANBE
mg, diazepam 2 mg
Neurodial tablet 500 mg BUMN KIMIA FARMA
Methampyrone + Chlordiazepoxide + Vit B6
Neurogen tablet BERNO BRANDED
Celecoxib
Celebrex 100Mg tablet 100 mg PFIZER
Celebrex 200Mg tablet 200 mg PFIZER
Metampiron + Amidopirin + Lidocaine
Benodon Inj injeksi metampiron 250 mg, BERNO BRANDED
amidopirin 50 mg,
lidocaine hcl 15 mg

Piroxicam + Methylsalicilate
Counterpain Pxm 25 Gr gel 5 mg / g TAISHO PHARMACEUTICAL
Parecoxib
Dynastat 40Mgim injeksi 40 mg PFIZER
04m. DRUGS FOR NEUROPATHIC PAIN
Duloxetine
Cymbalta kapsul 30 mg ELI LILY
Cymbalta kapsul 60 mg ELI LILY
Gabapentin
Gabapentin 300 Mg kapsul 300 mg NOVELL
Alpentin kapsul 300 mg ACTAVIS
Alpentin kapsul 100 mg YA ACTAVIS
Nepatic kapsul 300 mg KALBE FARMA
Neurontin 300Mg kapsul 300 mg PFIZER
Choline Citrate, Cytidine Monophosphate, Phosphatidylserine
Moryne Ps tablet choline citrate 147.5 ACTAVIS
mg

Halaman 23 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Neulin Ps tablet 147,5 mg FERRON
Neugain tablet NOVELL
04n. ANTIMIGRAINE PREPARATIONS
Flunarizine
Funar 5 tablet 5 mg GRAHA FARMA
Funar 10 tablet 10 mg GRAHA FARMA
Flunarizine tablet 5 mg NULAB PHARMACEUTICAL INDONESIA OGB
Flunarizine tablet 10 mg NULAB PHARMACEUTICAL INDONESIA OGB
Bartolium tablet 5 mg EXELTIS NUFARINDO
Flunarizin tablet 5 mg BERNO GENERIK
Flunarizin tablet 10 mg BERNO GENERIK
Frego tablet 5 mg KALBE FARMA
Dizine tablet 10 mg PT PHAROS INDONESIA
Sibelium tablet 5 mg JOHNSON2
Sibelium 10Mg tablet 10 mg JOHNSON2
Methylergometrine
Methylergometrine 0,125 Mg Tablet tablet 0.125 mg BUMN KIMIA FARMA
Ergotamine Coffeine
Ergotamine Coffeine tablet 1 mg YA BUMN KIMIA FARMA
Flunnarize
Silum 5 Mg tablet 5 mg MERSIFARMA
Silum 10 Mg tablet 10 mg MERSIFARMA
04p. NOOTROPICS & NEUROTONICS
Mecobalamine
Mecobalamin injeksi 500 mcg / ml NULAB PHARMACEUTICAL INDONESIA OGB
Mecobalamine 500 Mcg Inj injeksi 500 mcg / ml NOVELL
Lanabal injeksi 500 mcg / ml LANDSON
Magerix injeksi 500 mcg / ml PT PHAROS INDONESIA
Methycobal injeksi 500 mcg / ml EISAI

Mecobalamine 250 Mcg kapsul 250 mcg NOVELL


Mecobalamin 500 Mcg kapsul 500 mcg NULAB PHARMACEUTICAL INDONESIA OGB
Mecobalamine 500 Mcg kapsul 500 mcg NOVELL
Rincobal kapsul 500 mcg YARINDO
Magerix kapsul 250 mcg PT PHAROS INDONESIA
Megabal 500 Mcg kapsul 500 mcg SANBE
Methycobal kapsul 500 mcg EISAI
Methylcobalamine
Mecolin kapsul 500 mcg GRACIA
Nimodipine
Nimodipine 40Mg Iv infus 0,2 mg / ml NOVELL
Nimodipine Infus 10 Mg/50 Ml infus 0,2 mg / ml BERNO GENERIK
Nimox infus 0,2 mg / ml BERNO BRANDED
Nimotop Infus infus 0,2 mg / ml BAYER

Nimotop Tablet tablet 30 mg YA BAYER


Pentoxifylline
Tarontal 300 injeksi 300 mg BERNO BRANDED
Trental Ampoule 15 Ml injeksi 20 mg / ml AVENTIS PHARMA

Tarontal 100 tablet 100 mg BERNO BRANDED


Tioxad Tab tablet 400 mg FAHRENHEIT
Tarontal 400 tablet 400 mg BERNO BRANDED
Trental Tablet 400 Mg tablet 400 mg AVENTIS PHARMA
Piracetam
Piracetam infus 12 g / 60 ml DEXA MEDICA
Piracetam infus 12 g / 60 ml QUANTUM LABS
Piracetam 12 G infus 12 g / 60 ml NOVELL
Mersitropil 12 G infus 12 g / 60 ml MERSIFARMA
Neurotam infus 12 g / 60 ml KALBE FARMA

Piracetam injeksi 1 gr / 5 ml BERNO GENERIK


Piracetam injeksi 1 gr / 5 ml QUANTUM LABS
Piracetam injeksi 1 gr / 5 ml DEXA MEDICA
Piracetam injeksi 3 g / 15 ml QUANTUM LABS
Piracetam Inj 3 Gram / 15 Ml / 4 Ampul injeksi 3 g / 15 ml HEXPHARM JAYA OGB
Piracetam injeksi 3 g / 15 ml BERNO GENERIK
Gotropil 1 Gr 1 G/5 Ml Amp injeksi 1 gr / 5 ml GUARDIAN PHARMATAMA
Quapira injeksi 1 gr / 5 ml QUANTUM LABS
Mersitropil 3 G Inj injeksi 3 g / 15 ml MERSIFARMA
Neurotam injeksi 3 g / 15 ml KALBE FARMA

Piracetam 800 Mg kaplet 800 mg HEXPHARM JAYA OGB

Piracetam kapsul 400 mg DEXA MEDICA


Zetropil 400 Mg kapsul 400 mg HARSEN LABORATORIES

Pirabrain Syrup syrup 500 mg / 5ml INTERBAT


Mersitropil 500 Mg Syrup syrup 500 mg / 5ml MERSIFARMA

Piracetam tablet 400 mg BERNO GENERIK


Piracetam 400 Mg tablet 400 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Piracetam tablet 800 mg BERNO GENERIK
Piracetam tablet 800 mg DEXA MEDICA
Piracetam tablet 1200 mg DEXA MEDICA
Piracetam tablet 1200 mg BERNO GENERIK
Piracetam 1200 Mg tablet 1200 mg MERSIFARMA
Zetropil 800 Mg tablet 800 mg HARSEN LABORATORIES
Mersitropil 400 Mg tablet 400 mg MERSIFARMA
Mersitropil 800 Mg tablet 800 mg MERSIFARMA
Chepamed tablet 800 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Mersitropil 1200 Mg tablet 1200 mg MERSIFARMA
Pirabrain 1200 Mg tablet 1200 mg INTERBAT
Vit B1,B6,B12
Corsaneuron Tablet tablet CORSA
Pyritinol Dihydrochloride Monohydrate 100 Mg
Encephabol Liquid syrup 100 mg / 5 ml MERCK BIOPHARMA

Encephabol tablet 100 mg MERCK BIOPHARMA


Encephabol Forte tablet 200 mg MERCK BIOPHARMA
Sulbuthiamine

Halaman 24 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Arcalion 200 Mg tablet salut gula 200 mg SERVIER INDONESIA
Mecobalamine + Vit B1,B6
Rebal Plus kapsul 500 mcg FAHRENHEIT
05 MUSCULO-SKELETAL SYSTEM
05b. HYPERURICEMIA & GOUT PREPARATIONS
Allopurinol
Allopurinol 100 Mg tablet 100 mg LANDSON
Allopurinol tablet 100 mg BERNO GENERIK
Anuric tablet 100 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Allupurinol tablet 100 mg PRATAPA NIRMALA
Sinoric 100 Mg tablet 100 mg MERSIFARMA
Pritanol 100 Mg tablet 100 mg YA MOLEX AYUS
Allopurinol 300 Mg tablet 300 mg YA HEXPHARM JAYA OGB
Pritanol 300 Mg tablet 300 mg YA MOLEX AYUS
Allopurinol tablet 300 mg BERNO GENERIK
Alodan tablet 300 mg HEXPHARM JAYA BRANDED
Sinoric 300 Mg tablet 300 mg MERSIFARMA
Reucid tablet 100 mg ABBOT
Zyloric 100 Mg tablet 100 mg GLAXO WELLCOME INDONESIA
Zyloric 100 Mg tablet 100 mg GLAXO WELLCOME INDONESIA
Reucid tablet 300 mg ABBOT
Zyloric Tablet 300 Mg/ Box 100'S tablet 300 mg GLAXO WELLCOME INDONESIA
Zyloric Tablet 300 Mg/ Box 30'S tablet 300 mg GLAXO WELLCOME INDONESIA
Colchicine
Recolfar tablet 0.5 mg FAHRENHEIT
Probeneside
Probenid tablet 500 mg DEXA MEDICA
05c. MUSCLE RELAXANTS
Atracurium
Notrixum 25 injeksi 25 mg / ml NOVELL
Atracurium Hameln 25 injeksi 10 mg / ml COMBIPHAR
Tramus 1% 2.5Ml injeksi 10 mg / ml DEXA MEDICA
Notrixum 50 injeksi 50 mg / 5 ml NOVELL
Atracurium Hameln injeksi 10 mg / ml COMBIPHAR
Farelax injeksi 50 mg / 5 ml FAHRENHEIT
Chlorzoxaxone
Solaxin tablet 200 mg EISAI
Eperisone Hcl
Eperisone Hcl 50 Mg tablet 50 mg NOVELL
Gasogal 50 Mg tablet 50 mg GALENIUM
Forres tablet 50 mg KALBE FARMA
Myonal tablet 50 mg EISAI
Tizanidine Hcl
Tizacom tablet 2 mg COMBIPHAR
Phardex tablet 2 mg PT PHAROS INDONESIA
Sirdalud tablet 2 mg PT NOVARTIS INDONESIA
Neostigmine
Neostigmine-Hameln 05Mg/Ml injeksi 0,5 mg / ml COMBIPHAR
Prostigmin injeksi 0,5 mg / ml TRANSFARMA
Rocuronium Bromide
Kabiroc injeksi 10 mg / ml ETHICA INDUSTRI FARMASI
Noveron injeksi 50 mg / 5 ml NOVELL
Rocuronium Bromide 50 Mg/5 Ml injeksi 50 mg / 5 ml BERNO GENERIK
Rocum injeksi 10 mg / ml DEXA MEDICA
Esmeron 50Mg/5Ml injeksi 50 mg / 5 ml MSD
Vecuronium Bromide
Ecron injeksi vecuronium bromide 4 PT PHAROS INDONESIA
g
Ecron injeksi vecuronium bromide PT PHAROS INDONESIA
10 g
05e. NEUROMUSCULAR DISORDER DRUGS
Pyridostigmine Bromide
Mestinon tablet YA TRANSFARMA
05f. OTHER DRUGS ACTING ON THE MUSCULO-SKELETAL SYSTEM
Glucosamine
Mediflex 75Gr cream 0.1 KALBE FARMA

Glucosamine 250 Mg tablet 250 mg HEXPHARM JAYA OGB


Hyaluronic Acid
Hyalgan injeksi 10 mg / ml COMBIPHAR
Hyalone injeksi COMBIPHAR
Durolane injeksi 60 mg / 3 ml YA KALBE FARMA
Sodium Hyaluronate
Aragan injeksi 25 mg / 2.5 ml ETHICA INDUSTRI FARMASI
Lydium injeksi sodium hyaluronate 25 PT PHAROS INDONESIA
mg / 2.5 ml
Osflex-Lg 5 injeksi 25 mg / 2,5 ml NOVELL
Adant Dispo injeksi 25 mg / 2.5 ml MEIJI INDONESIA
Diacerin
Artoflam kapsul 50 mg ETHICA INDUSTRI FARMASI
Nocel kapsul 50 mg NOVELL
Artrodar kapsul 50 mg COMBIPHAR
N-Acetyl Glucosamine
Fitajoint Roller Gel gel 1 mg / g COMBIPHAR
Methyl Salicilate
Painkila cream TRANSFARMA
Counterpain Cream 60 Gr cream 102 mg TAISHO PHARMACEUTICAL
Glucosamine + +
Flexamine 15 Gr cream NOVELL

Ostine tablet 250 mg GRAHA FARMA


Naturema tablet 250 mg, 200 mg, 30 BERNO BRANDED
mg, 2,5 mg
Osteotin tablet 250 mg, 200 mg, 30 BUMN PHAPROS
mg, 2,5 mg
Glucosamine 500 Mg Chondroitin 400 Mg Vitamin C 50 Mg tablet 500 mg BUMN INDOFARMA
Ostine Forte tablet 500 mg GRAHA FARMA
Osteofree tablet 500 mg ACTAVIS

Halaman 25 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Oste Forte tablet glucosamine hcl 500 SOHO INDUSTRI PHARMASI
mg, chondroitin so4
400 mg, vit c 50 mg,
mg 10 mg, zn 5 mg, mn
0.5 mg (caplet )
#N/A
Azathioprine 50 Mg Fc Tab
Imuran Tablet 50 Mg tablet 50 mg YA GLAXO WELLCOME INDONESIA
Leflunomide
Arava tablet 20 mg YA AVENTIS PHARMA
06 HORMONES
06a. ANDROGENTS & RELATED SYNTHETIC DRUGS
Danazol
Danocrine tablet 200 mg AVENTIS PHARMA
Testosterone Undecanoate
Nebido injeksi 250 mg YA BAYER
Testosteron Propionate
Sustanon injeksi 30 mg QUAMED
06b. ESTROGEN, PROGESTERON & PREPARAT SINTETIKNYA
Allylestrenol
Prestrenol tablet 5 mg INTERBAT
Alynol tablet 5 mg PT PHAROS INDONESIA
Obstanon tablet 5 mg SUNTHI SEPURI
Dienogest
Visanne tablet 2 mg BAYER
Dydrogesterone
Duphaston tablet 10 mg ABBOT
Norethisterone
Nosthyra tablet 5 mg SUNTHI SEPURI
Norestil 5 Mg tablet 5 mg YA GUARDIAN PHARMATAMA
Primolut N tablet 5 mg BAYER
Mebeverine
Irbosyd tablet 135 mg FAHRENHEIT
Duspatalin tablet 135 mg ABBOT
Medroxy Progesteron Acetat
Gestin F1 injeksi 5 ml HARSEN LABORATORIES
Depo Progestin 150Mg injeksi 3 ml HARSEN LABORATORIES
Depo Progestin 50Mg injeksi 1 ml HARSEN LABORATORIES

Prothyra tablet 10 mg YA SUNTHI SEPURI


Provera 100Mg tablet 100 mg PFIZER
Nomegestrol Acetate 5 Mg
Lutenyl tablet 5 mg MERCK BIOPHARMA
Progesteron
Cygest pessary 200 mg ACTAVIS
Cygest pessary 400 mg ACTAVIS
Esteriol
Ovestin cream 15 gr QUAMED

Ovestin tablet 1 mg QUAMED


Estrogen Conjugated
Esthero tablet 0,625 mg SUNTHI SEPURI
Estradiol Valerate 2 Mg + Norgestrel
Cyclo Progynova tablet 2 mg BAYER
Drospirenone 2 Mg + Estradiol
Angeliq tablet 2 mg BAYER
Estradiol + Dydogesterol
Femoston tablet 1 mg ABBOT
06e. TROPHIC HORMONES & RELATED SYNTHETICS DRUGS
Choriogonadotropin Alfa 250 Mcg/ 0.5 Ml
Ovidrel Syringe 250 Mcg injeksi 250 mcg / 0.5 ml MERCK BIOPHARMA
Leuprorelin Acetate
Tapros 1,88Mg injeksi 1,88 mg YA TAKEDA
Eligard injeksi 7,5 mg ASTELLAS
Tapros 3.75 Mg injeksi 3.75 mg / vial YA TAKEDA
Eligard injeksi 22,5 mg ASTELLAS
Tapros 3 M injeksi 11,25 mg YA TAKEDA

Endrolin Pack 3.75 Mg tablet 3.75 mg / vial YA KALBE FARMA


Clomiphen Citrate
Clomiphene Citrate 50 Mg tablet 50 mg YA NOVELL
Fertin Tablet tablet 50 mg INTERBAT
Fensipros tablet 50 mg PT PHAROS INDONESIA
Clomifil tablet 50 mg SUNTHI SEPURI
Recombinant Human Somatropin
Novell Eutropin injeksi 4 iu NOVELL
Follitropin Alfa 75 Iu (5.5 Mcg)/ Vial
Gonal-F 75 Iu syringe 75 iu (5.5 mcg) / vial MERCK BIOPHARMA
06g. OTHER HORMONE RELATED DRUGS
Progesteron
Crinone Gel 8 % 90 Mg syringe 1.125 g MERCK BIOPHARMA
Extrak Placenta : 15 Mg, Vit B12: 20 Mcg
Moloco tablet extract placentae: 20 DARYA VARIA
mg
06d. CORTICOSTEROID HORMONES
Dexamethasone
Dexamethasone injeksi 5 mg / ml YA BUMN PHAPROS
Dexamethasone injeksi 5 mg / ml BERNO GENERIK
Corsona Injeksi injeksi 5 mg / ml BUMN PHAPROS
Dexa Harsen Ampul injeksi 1 ml HARSEN LABORATORIES
Indexon Injeksi injeksi 5 mg / ml INTERBAT
Etason injeksi 5 mg ABBOT

Dexamethasone tablet 0,5 mg YA PROMEDRAHARDJO FARMASI INDUSTRI OGB


Kaldexon 0.5 tablet 0,5 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Molacort 0,5 Mg tablet 0,5 mg YA MOLEX AYUS
Dexamethasone 0,5 Mg tablet 0,5 mg GRAHA FARMA
Molacort 0,75 Mg tablet 0,75 mg MOLEX AYUS
Kalmethasone 0,5 Mg tablet 0,5 mg HEXPHARM JAYA BRANDED
Dexamethason tablet 0,5 mg BERNO GENERIK
Dexamethasone tablet 0,5 mg BUMN KIMIA FARMA

Halaman 26 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Etason tablet 0,5 mg ABBOT
Dexa Harsen 0.75 Mg tablet 0,75 mg HARSEN LABORATORIES
Methylprednisolon
Methylprednisolon injeksi 125 mg / ml YA BUMN PHAPROS
Methylprednisolon injeksi 125 mg / ml QUANTUM LABS
Methylprednisolon injeksi 125 mg / ml BERNO GENERIK
Methylprednisolon 125Mg Inj injeksi 125 mg / ml YA MAHAKAM BETA FARMA
Phadilon 125 injeksi 125 mg / ml BUMN PHAPROS
Methylprednisolone injeksi 125 mg / ml OTTO OGB
Prednicort injeksi 125 mg / ml OTTO ETHICAL
Methylprednisolon injeksi 500 mg / ml BUMN PHAPROS
Xilon injeksi 250 mg / ml MAHAKAM
Phadilon 500 injeksi 500 mg / ml BUMN PHAPROS
Methylprednisolon injeksi 500 mg / ml QUANTUM LABS
Methylprednisolon 500 Mg Injeksi injeksi 500 mg / ml BERNO GENERIK
Medixon Inj 500Mg (Fpp) injeksi 500 mg / ml FERRON

Methylprednisolone 4 Mg kaplet 4 mg HEXPHARM JAYA OGB


Methylprednisolone 16 Mg kaplet 16 mg HEXPHARM JAYA OGB

Methylprednisolon tablet 4 mg QUANTUM LABS


Methylprednisolon 4 Mg tablet 4 mg YA MAHAKAM BETA FARMA
Methylprednisolone tablet 4 mg PRATAPA NIRMALA
Methylprednisolone 4 Mg tablet 4 mg NOVELL
Methylprednisolone 4 Mg tablet 4 mg YA MOLEX AYUS
Methylprednisolon 8 Mg tablet 8 mg YA MAHAKAM BETA FARMA
Methyl Prednisolone 8 Mg tablet 8 mg NULAB PHARMACEUTICAL INDONESIA OGB
Methylprednisolone 8 Mg tablet 8 mg NOVELL
Grasolon 4 tablet 4 mg GRAHA FARMA
Lexcomet 4 Mg tablet 4 mg MOLEX AYUS
Methylprednisolon 8 Mg tablet 8 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Phadilon tablet 4 mg BUMN PHAPROS
Methylprednisolon 16 Mg tablet 16 mg YA MAHAKAM BETA FARMA
Grasolon 8 tablet 8 mg GRAHA FARMA
Methylprednisolone 16 Mg tablet 16 mg NOVELL
Methylprednisolone tablet 16 mg BUMN INDOFARMA
Gamesolone 8 Mg tablet 8 mg GALENIUM
Sanexon 8 Mg tablet 8 mg SANBE
Sanexon 16 Mg tablet 16 mg SANBE
Medrol 4Mg tablet 4 mg PFIZER
Hexilon 16 Mg tablet 16 mg KALBE FARMA
Medrol 16Mg tablet 16 mg PFIZER
Mometasone Furoate
Dermovel 5 Gr cream 5 mg FERRON
Dermovel 10 Gr cream 10 mg FERRON
Prednisone
Lexacort 5 Mg tablet 5 mg YA MOLEX AYUS
Prednison tablet 5 mg BERNO GENERIK
Prednison tablet 5 mg BERNO GENERIK
Lupred tablet 5 mg FAHRENHEIT
Triamcinolone
Amtocort injeksi 40 mg / ml PT PHAROS INDONESIA
Trilac Im injeksi 40 mg / ml NOVELL
Trilac Ia injeksi 10 mg / ml NOVELL
Flamicort injeksi 40 mg / ml DEXA MEDICA
Flamicort injeksi 10 mg / ml DEXA MEDICA

Triamcinolone tablet 4 mg NULAB PHARMACEUTICAL INDONESIA OGB


Triamcinolone 4 Mg tablet 4 mg NOVELL
Triamcinolon tablet 4 mg DEXA MEDICA
Trinolon tablet 4 mg BUMN KIMIA FARMA
Opicort tablet 4 mg OTTO ETHICAL
Kenacort tablet 4 mg TAISHO PHARMACEUTICAL
Cortisone Acetate 25 Mg
Cortisone injeksi 25 mg / ml DARYA VARIA
Cortisone injeksi 10 ml HARSEN LABORATORIES
Metilprednisolon Sodium Succinate Buffered 3% Setara Dgn Metilprednisolon 125 Mg
Intidrol injeksi 250 mg / ml INTERBAT
Solumedrol 125Mg/2Ml injeksi 125 mg / ml PFIZER
Depomedrol 40Mg injeksi 40 mg / ml PFIZER
Solumedrol 500Mg injeksi 500 mg / ml PFIZER
Betamethason Valerat 0.1% + Miconazol
Benoson M cream BERNO BRANDED
Betamethason Valerat 0.1% + Gentamycin Sulfat
Benoson G cream BERNO BRANDED
07 CONTRACEPTIVE AGENTS
07a. ORAL CONTRACEPTIVES
Desogestrel
Ceerazette tablet 75 mg MSD
Levonorgestrel
Mirena ius 52 mg BAYER
Lynestrenol
Exluton 0.5 Mg tablet 0.5 mg MSD
Levonorgestrel 0,030 Mg
Microlut tablet 0,030 mg BAYER
Desogestrel, Ethynilestradiol
Marvelon Gold tablet 0.15 mg, 0.03 mg MSD
Mercilon Gold tablet 0.15 mg, 0.02 mg MSD
Cyproterone Acetate 2 Mg
Diane 35 tablet 2 mg BAYER
Drospirenone 3,000 Mg
Yaz tablet 3,000 mg BAYER
Levonorgestrel + Etinil Estradiol
Mikrodiol tablet 0.15 mg BUMN KIMIA FARMA
Mycrogynon tablet 0,150 mg BAYER
Pilkab tablet 0,03 & 0,15 mg HARSEN LABORATORIES
Etinil Estradiol+Levonogestrol
Trinordiol tablet 0,03mg SUNTHI SEPURI
07c. OTHER CONTRACEPTIVES
Cu 380A
Copper-T Limas Sl sheet BUMN KIMIA FARMA

Halaman 27 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Copper With Silver Wire With Silver Core
Nova T iud BAYER
08 ANTI-INFECTIVES SYSTEMIC
08a. AMINOGLYCOSIDES
Amikacin Sulphate
Amikacin Sulfat injeksi 500 mg / 2 ml BUMN PHAPROS
Mikasin 250 Mg injeksi 250 mg / 2 ml KALBE FARMA
Amikasin injeksi 250 mg / 2 ml DEXA MEDICA
Mikaject injeksi 250 mg / 2 ml MAHAKAM
Amikasin injeksi 500 mg / 2 ml DEXA MEDICA
Mikaject injeksi 500 mg / 2 ml MAHAKAM
Mikasin 500 Mg injeksi 500 mg / 2 ml KALBE FARMA
Gentamicine Sulfate
Gentamicin injeksi 40 mg / ml BUMN INDOFARMA
Gentanal 80 Mg injeksi 3 ml HARSEN LABORATORIES
Sagestam 40 Mg injeksi 40 mg / ml SANBE
Gentanal 120 Mg injeksi 3 ml HARSEN LABORATORIES
Salticin Injeksi injeksi gentamicine sulfate 80 INTERBAT
mg / 2 ml
Netilmycin Sulfat
Hypobhac 25 injeksi 50 mg BUMN PHAPROS
Hypobhac 100 injeksi 150 mg BUMN PHAPROS
Hypobhac 200 injeksi 300 mg BUMN PHAPROS
Streptomycin Sulphate
Streptomycin Sulfat 1 G Inj injeksi 1000 mg BUMN PHAPROS
Streptomycin Sulphate Meiji injeksi 1000 mg MEIJI INDONESIA
Procain Benzyl Penicillin
Procain Benzyl Penicillin Inj 3.000.000 Iu injeksi 3.000.000 iu BERNO GENERIK
Procaine Penicillin-G Meiji injeksi 3 jt unit MEIJI INDONESIA
Kanamycin Sulphate Yang SetaraDengan Kanamycin Base 1 G
Kanamycin 1G injeksi 1 gram HARSEN LABORATORIES
08b. CEPHALOSPORINS
Cefaclor
Capabiotic tablet 500 mg YARINDO
Cefadroxil
Valos Drop drops 150 mg / 15 ml MAHAKAM
Renasistin Od drops 150 mg / 15 ml FAHRENHEIT

Cefadroxil dry syrup 125 mg / 5 ml BUMN INDOFARMA

Cefadroxil 500 Mg kapsul 500 mg HEXPHARM JAYA OGB


Cefadroxil kapsul 500 mg BERNO GENERIK
Cefadroxil kapsul 500 mg QUANTUM LABS
Dexadrox kapsul 500 mg DEXA MEDICA
Cefadroxil kapsul 500 mg BUMN INDOFARMA
Grafacef 500 kapsul 500 mg GRAHA FARMA
Cefat 250 Mg kapsul 250 mg SANBE
Opicef kapsul 500 mg OTTO ETHICAL

Cefadroxil 125 Mg Ds 60 Ml syrup 125 mg / 5 ml HEXPHARM JAYA OGB


Cefadroxil syrup 125 mg / 5 ml BERNO GENERIK
Cefadroxil 125Mg/5Ml syrup 125 mg / 5 ml YA MAHAKAM BETA FARMA
Cefadroxil syrup 250 mg / 5 ml BERNO GENERIK
Cefadroxil Dry Syrup 250 Mg/5 Ml syrup 250 mg / 5 ml NOVELL
Dexacef D S. 125Mg/5Ml X 60Ml (Fpp) syrup 125 mg / 5 ml FERRON
Opicef syrup 125 mg / 5 ml OTTO ETHICAL
Cefat 125 Mg / 5 Ml syrup 125 mg / 5 ml SANBE
Opicef Forte syrup 250 mg / 5 ml OTTO ETHICAL
Vocefa Fds syrup 250 mg / 5 ml GRACIA
Cefat Forte 250 Mg / 5 Ml syrup 250 mg / 5 ml SANBE
Cefazolin
Cefazolin injeksi 500 mg DEXA MEDICA
Cefazol 1000 Mg injeksi 1000 mg KALBE FARMA
Cefditoren Pivoxil
Meiact tablet 200 mg MEIJI INDONESIA
Cefepime
Cefepime Iv injeksi 1 gr DARYA VARIA
Cefepime injeksi 1 gr BERNO GENERIK
Cefepime injeksi 1 gr QUANTUM LABS
Biocepime injeksi 1 gr OTTO ETHICAL
Maximer 1 G injeksi 1 gr MERSIFARMA
Cefixime
Cerafix 30Mg drops 100 mg / 30 ml HARSEN LABORATORIES
Fixacep Od drops 100 mg / 30 ml FAHRENHEIT
Anfix drops 100 mg / 30 ml MAHAKAM

Cefixime dry syrup 100 mg / 5 ml BUMN INDOFARMA

Cefixime 100 Mg kapsul 100 mg YA HEXPHARM JAYA OGB


Cefixime 100 Mg kapsul 100 mg NOVELL
Cefixime kapsul 100 mg NULAB PHARMACEUTICAL INDONESIA OGB
Cefixime kapsul 100 mg BERNO GENERIK
Cefixime 200 Mg kapsul 200 mg NOVELL
Cerafix kapsul 50 mg HARSEN LABORATORIES
Befixim kapsul 100 mg DEXA MEDICA
Taxime kapsul 100 mg HEXPHARM JAYA BRANDED
Cefixime kapsul 200 mg DEXA MEDICA
Cefixime kapsul 200 mg BERNO GENERIK
Taxime kapsul 200 mg HEXPHARM JAYA BRANDED
Befixim kapsul 200 mg DEXA MEDICA
Sporetik 50 Mg kapsul 50 mg SANBE
Opixime kapsul 100 mg ABBOT
Cefspan 100 Mg kapsul 100 mg KALBE FARMA
Cefspan 200 Mg kapsul 200 mg KALBE FARMA

Cefixime Dry Syrup 100 Mg / 5 Ml syrup 100 mg / 5 ml HEXPHARM JAYA OGB


Cefixime syrup 100 mg / 5 ml QUANTUM LABS
Taxime syrup 100 mg / 5 ml HEXPHARM JAYA BRANDED
Lanfix Syrup syrup 100 mg / 5 ml LANDSON
Opixime syrup 100 mg / 5ml ABBOT
Cefoperazone

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Cefoperazone 1 Gr injeksi 1 gr MAHAKAM BETA FARMA
Cefoperazone injeksi 1 gr YARINDO
Cefoperazon 1 Gr Inj injeksi 1 gr BERNO GENERIK
Biorazon injeksi 1 gr OTTO ETHICAL
Ferzobat injeksi 1 gr INTERBAT
Fopebac injeksi 500 mg NOVELL
Bifotik 1 G injeksi 1 gr SANBE
Ferotam injeksi 500 mg PT PHAROS INDONESIA
Cefotaxime
Cefotaxime 1 Gram Injection / 2 Vial injeksi 1 gr YA HEXPHARM JAYA OGB
Cefotaxim Injeksi 1 Gram injeksi 1 gr BUMN PHAPROS
Cefotaxime injeksi 1 gr QUANTUM LABS
Cefotaxime injeksi 1 gr BERNO GENERIK
Quafota injeksi 1 gr QUANTUM LABS
Taxef injeksi 1 gr BUMN PHAPROS
Kalfoxim 500 Mg injeksi 500 mg KALBE FARMA
Taxegram 0.5 G injeksi 500 mg SANBE
Taxegram 1 G injeksi 1 gr SANBE
Cefotiam
Cefradol 1G Injek@1Vial injeksi 1 gr FERRON
Aspil injeksi 1 gr FAHRENHEIT
Cefotiam 1Gr Inj injeksi 1 gr BERNO GENERIK
Cefpirome
Cefpirome injeksi 1 gr BUMN PHAPROS
Cefpirome 1Gr injeksi 1 gr YA MAHAKAM BETA FARMA
Cefpirome 1 G injeksi 1 gr NOVELL
Cefpirome injeksi 1 gr DEXA MEDICA
Bioprom injeksi 1 gr OTTO ETHICAL
Cefmer 1 G injeksi 1 gr MERSIFARMA
Ceftazidime
Ceftazidime 1 Gram Injection / 2 Vial injeksi 1 gr YA HEXPHARM JAYA OGB
Ceftazidine injeksi 1 gr PRATAPA NIRMALA
Ceftazidime injeksi 1 gr BUMN PHAPROS
Ceftazidime injeksi 1 gr BERNO GENERIK
Ceftum 0.5G injeksi 500 mg FERRON
Cetazum injeksi 1 gr LANDSON
Biozim injeksi 1 gr OTTO ETHICAL
Fortum 1 Gr injeksi 1 gr GLAXO WELLCOME INDONESIA
Ceftizoxime
Ceftizoxime 1 G injeksi 1 gr NOVELL
Ceftizoxime 1 G Serbuk Injeksi injeksi 1 gr BERNO GENERIK
E-Zox injeksi 1 gr NULAB PHARMACEUTICAL INDONESIA ETHICAL
Chromagen injeksi 1 gr PT PHAROS INDONESIA
Cefizox 1000 Mg injeksi 1 gr KALBE FARMA
Ceftriaxone
Ceftriaxone 1 Gram Injection / 2 Vial injeksi 1 gr HEXPHARM JAYA OGB
Ceftriaxone injeksi 1 gr QUANTUM LABS
Ceftriaxon injeksi 1 gr BERNO GENERIK
Trixon injeksi 1 gr BUMN PHAPROS
Cocefin injeksi 1 gr CORSA
Cefuroxime
Cefuroxim injeksi 750 mg DARYA VARIA
Oxtercid injeksi 750 mg YA INTERBAT
Cefuroxime 750Mg injeksi 750 mg YA MAHAKAM BETA FARMA
Celocid injeksi 750 mg DEXA MEDICA
Sharox Injeksi injeksi 500 mg FAHRENHEIT

Celocid kaplet 500 mg DEXA MEDICA


Anbacim 500 Mg kaplet 500 mg SANBE

Zinnat Tablet 250 Mg tablet 250 mg YA GLAXO WELLCOME INDONESIA


Zinnat Tablet 500 Mg tablet 500 mg YA GLAXO WELLCOME INDONESIA
Cefalexine
Cefabiotic Syr syr 125 mg / 5 ml BERNO BRANDED

Cefabiotic 500 tablet 500 mg BERNO BRANDED


Cefuroxime Na
Anbacim 1 G injeksi 1 gr SANBE
Cephalexin
Cephalexin kapsul 500 mg BUMN INDOFARMA
Cefoperazone + Sulbactam
Cefoperazone Sulbactam injeksi 1 gr HEXPHARM JAYA OGB
Cefoperazone Sulbactam injeksi 500 mg QUANTUM LABS
Cefoperazone+Sulbactam I Gr Inj injeksi 500 mg BERNO GENERIK
Cefoperazone Sulbactam 1 Gr injeksi 1 gr NOVELL
Bactraz injeksi 500 mg OTTO ETHICAL
Fosular injeksi 500 mg NOVELL
Csb injeksi 500 mg SUNTHI SEPURI
Stabactam injeksi 1 gr FAHRENHEIT
Sulperazon 500Mg injeksi 1 gr PFIZER
08c. PENISILIN
Amoxicillin
Amoxicillin drops 100 mg / ml QUANTUM LABS
Amoxsan 100 Mg/Ml drops 100 mg / ml SANBE
Amobiotic Drops drops 100 mg / ml BERNO BRANDED

Amoxycillin Injeksi 1 Gram injeksi 1 gr BUMN PHAPROS


Opimox injeksi 1 gr OTTO ETHICAL
Amoxicillin injeksi 1 gr BERNO GENERIK
Intermoxil 1000 Injeksi injeksi 1 gr INTERBAT

Amoxicillin 500 Mg kaplet 500 mg HEXPHARM JAYA OGB


Amoxicillin kaplet 500 mg QUANTUM LABS
Amoxicillin kaplet 500 mg BERNO GENERIK
Wiamox 500 Mg kaplet 500 mg LANDSON

Decamox 250 Mg kapsul 250 mg HARSEN LABORATORIES

Amoxicillin syrup 250 mg / 5 ml QUANTUM LABS


Amoxicillin syrup 125 mg / 5 ml BERNO GENERIK
Amoxicillin syrup 125 mg / 5 ml BUMN INDOFARMA

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Amoxicillin 125 Mg / 5 Mg Ds 60 Ml syrup 125 mg / 5 ml HEXPHARM JAYA OGB
Pritamox 125 Mg/5 Ml Dry Syrup syrup 125 mg / 5 ml YA MOLEX AYUS
Mexylin Dry Syrup 60 Ml syrup 125 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI OGB
Opimox syrup 125 mg / 5 ml OTTO ETHICAL
Opimox Forte syrup 250 mg / 5 ml OTTO ETHICAL
Decamox Forte 250 Mg syrup 250 mg / 5 ml HARSEN LABORATORIES
Amoxsan 125 Mg / 5 Ml syrup 125 mg / 5 ml SANBE
Novax Fds syrup 250 mg / 5 ml GRACIA
Amoxsan 250 Mg / 5 Ml syrup 250 mg / 5 ml SANBE

Mokbios 500 Mg tablet 500 mg MERSIFARMA


Amoxicillin tablet 500 mg BUMN KIMIA FARMA
Pritamox 500 Mg tablet 500 mg YA MOLEX AYUS
Amoxsan 250 Mg tablet 250 mg SANBE
Amoxsan 250 Mg tablet 250 mg SANBE
Amoxsan 500 Mg tablet 500 mg SANBE
Ampicillin
Ampicillin injeksi 250 mg BERNO GENERIK
Ampicillin injeksi 500 mg BERNO GENERIK
Viccillin injeksi 1 gr MEIJI INDONESIA
Ampicillin Injeksi 1 Gram injeksi 1 gr BUMN PHAPROS

Ambiopi 500 Mg kaplet 500 mg MERSIFARMA


Decapen kaplet 125 mg HARSEN LABORATORIES
Ampicllin/Sulbactam
Viccillin-Sx injeksi 1.5 gr YA MEIJI INDONESIA
Bactesyn 0.75 G Vial/1 injeksi 750 mg YA KALBE FARMA
Pycin injeksi 750 mg BERNO BRANDED
Cinam 1.5 G injeksi 1.5 gr SANBE
Pycin injeksi 1500 mg BERNO BRANDED

Bactesyn 375 Mg Kaplet / 3X10 kaplet 375 mg KALBE FARMA


Dibekacin Sulfat
Dibekacin Meiji injeksi 100 mg / 2 ml MEIJI INDONESIA
Sulbenicillin
Sulbenicillin injeksi 1g BERNO GENERIK
Amoxycillin + Clavulanic Acid
Claneksi 1 G / 200 Mg injeksi 1 gr SANBE

Clamixin syrup 125 mg / 5 ml OTTO ETHICAL


Palentin Ds syrup 125 mg / 5 ml BUMN PHAPROS
Clamixin Forte syrup 250 mg / 5 ml OTTO ETHICAL
Claneksi 250 Mg / 5 Ml syrup 250 mg / 5 ml SANBE

Betaclav tablet 500 mg CORSA


Co Amoxiclav 625 Mg tablet 500 mg BUMN INDOFARMA
Clamixin tablet 500 mg OTTO ETHICAL
Lansiclav tablet 500 mg LANDSON
Benz.Benzyl Pen
Benz.Benzyl Pen. 1.2 Jt Iu injeksi 1,2 jt iu YA BUMN PHAPROS
Benz.Benzyl Pen. 2 .4Jt Iu injeksi 2,4 jt iu YA BUMN PHAPROS
Piperacillin + Tazobactam
Tazocin 1000Mg injeksi 4.5g PFIZER
Phenoxymethyl
Phenoxymethyl Pen. tablet 250 mg YA BUMN PHAPROS
Phenoxymethyl Pen. tablet 500 mg YA BUMN PHAPROS
08d. OTHER BETA-LACTAMS
Doripenem
Doripenem Iv Generik injeksi 500 mg DARYA VARIA
Doripenem injeksi 500 mg DEXA MEDICA
Dorbaz 500 Mg Powd Inf injeksi 500 mg FERRON
Daryaven Iv injeksi 500 mg DARYA VARIA
Ertapenem
Invanz 1G injeksi 1 gr MSD
Meropenem
Meropenem 500 Gr injeksi 500 mg YA MAHAKAM BETA FARMA
Meropenem injeksi 1 gr QUANTUM LABS
Meropenem injeksi 1 gr DEXA MEDICA
Meropenem 1 Gr Injeksi injeksi 1 gr BERNO GENERIK
Meropenem injeksi 1 gr HEXPHARM JAYA OGB
Meropenem injeksi 500 mg QUANTUM LABS
Meropenem 500 Mg Injeksi injeksi 500 mg BERNO GENERIK
Meropenem 1 Gr injeksi 1 gr YA MAHAKAM BETA FARMA
Meropenem injeksi 500 mg DEXA MEDICA
Penemac injeksi 1 gr ACTAVIS
Tripenem injeksi 500 mg DEXA MEDICA
Merobat 0,5Gr injeksi 500 mg INTERBAT
Opimer injeksi 1 gr OTTO ETHICAL
Aztreoname
Vebac injeksi 1g / vial FAHRENHEIT
Amoxycillin + Clavulanic Acid
Erabam Forte tablet 250 mg HARSEN LABORATORIES
Imipenem + Cilastatin
Imiclast injeksi 500 mg NOVELL
Timipen injeksi 500 mg INTERBAT
Imipenem Cilastatin injeksi 500 mg QUANTUM LABS
Imipenem + Cilastatin 1 Gr injeksi 500 mg BERNO GENERIK
Tienam 500Mg injeksi 500 mg MSD
08e. CHLORAMPHENICOLS
Chloramphenicol
Colsancetine 1 G injeksi 1 gr SANBE

Chloramphenicol 250 Mg Kapsul kapsul 250 mg BERNO GENERIK


Oscetin kapsul 250 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Grafacetin kapsul 250 mg GRAHA FARMA
Chloramphenicol kapsul 250 mg BUMN INDOFARMA
Chlorampenicol kapsul 250 mg BUMN PHAPROS
Colme 250 Mg kapsul 250 mg INTERBAT

Chloramphenicol syrup 125 mg / 5 ml BERNO GENERIK


Colme Syrup syrup 125 mg / 5 ml INTERBAT

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Thiamphenicol
Thiamycin 1000Mg kaplet 1 gr INTERBAT

Fulsatrak 250 Mg kapsul 250 mg HARSEN LABORATORIES


Zicafen 500 kapsul 500 mg GRAHA FARMA
Thiamfilex 500 Mg kapsul 500 mg MOLEX AYUS
Thiampenicol kapsul 250 mg BERNO GENERIK
Thiamphenicol kapsul 500 mg BUMN PHAPROS
Thiamphenicol kapsul 500 mg BUMN INDOFARMA
Phenomed kapsul 500 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Thiamycin 250Mg kapsul 250 mg INTERBAT
Biothicol 250 Mg kapsul 250 mg SANBE
Urfamycin kapsul 500 mg ZAMBON

Thiamfilex 125 Mg/5 Ml Dry Syrup syrup 125 mg / 5 ml MOLEX AYUS


Fulsatrak 60 Mg syrup 125 mg / 5 ml HARSEN LABORATORIES
Thiampenicol syrup 125 mg / 5 ml BERNO GENERIK
Thiamycin Syrup syrup 125 mg / 5 ml INTERBAT
Thiamycin Forte Syrup syrup 250 mg / 5 ml INTERBAT
Fosicol Fds syrup 250 mg / 5 ml GRACIA
08f. MACROLIDES
Azithromycin
Azithromycin injeksi 500 mg QUANTUM LABS
Azithromycin 500Mg Serbuk Infus injeksi 500 mg BERNO GENERIK
Azitum injeksi 500 mg QUANTUM LABS
Azivol injeksi 500 mg NOVELL
Zistic Inf injeksi 500 mg BERNO BRANDED
Zithromax Iv 500 Mg injeksi 500 mg PFIZER

Azithromycin 500 Mg kaplet 500 mg NOVELL


Azithromycin kaplet 500 mg NULAB PHARMACEUTICAL INDONESIA OGB
Azitromycine kaplet 500 mg OTTO OGB
Zitrolin kaplet 500 mg OTTO ETHICAL
Aztercon kaplet 500 mg NOVELL

Zycin 250Mg kapsul 250 mg INTERBAT


Mezatrin 250 Mg kapsul 250 mg SANBE
Zithromax 250Mg kapsul 250 mg PFIZER

Azithromycin syrup 200 mg / 5 ml DEXA MEDICA


Iztron syrup 200 mg / 5 ml DEXA MEDICA
Azithromycin syrup 200 mg / 5 ml QUANTUM LABS
Azithromycin 200Mg/5Ml Dry Syr syrup 200 mg / 5 ml BERNO GENERIK
Zibramax 200 Mg syrup 200 mg / 5 ml GUARDIAN PHARMATAMA
Zithromax Pos 600 Mg/15Ml syrup 600 mg PFIZER

Zithromax 500Mg tablet 500 mg PFIZER


Clarithromycin
Clarithromycin 500 Mg kaplet 500 mg YA NOVELL
Hecobac kaplet 500 mg EXELTIS NUFARINDO
Clarolid kaplet 500 mg NULAB PHARMACEUTICAL INDONESIA ETHICAL

Comtro syrup 125 mg / 5 ml YA COMBIPHAR


Abbotic Granulle syrup 125 mg / 5 ml ABBOT
Abbotic Granulle syrup 250 mg / 5 ml ABBOT

Comtro tablet 250 mg COMBIPHAR


Abbotic Xl tablet 500 mg ABBOT
Erythromycin
Narlecin 500 Mg capl 500 mg MERSIFARMA

Erythromycin dry syrup 200 mg / 5 ml BUMN INDOFARMA

Erythromycin kaplet 500 mg PRATAPA NIRMALA


Roxithromycin
Rokdisit 150 Mg kaplet 150 mg HARSEN LABORATORIES
Sitro 150 Mg kaplet 150 mg INTERBAT
Uplores 150 Mg kaplet 150 mg SANBE
Sitro 300Mg kaplet 300 mg INTERBAT
Biostatik kaplet 300 mg PT PHAROS INDONESIA
Spiramycin
Provamed syrup 125 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Rovadin syrup 125 mg / 5 ml OTTO ETHICAL

Spiramycin 500 Mg tablet 500 mg NOVELL


Rofacin tablet 500 mg CORSA
Provamed tablet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Erythromycin Stearate
Erybiotic kaplet 500 mg BERNO BRANDED

Corsatrocin tablet 500 mg CORSA


Erytromicin Ethylsuccinate 200Mg/5Ml
Corsatrocin dry syrup 200 mg / 5 ml CORSA

Erybiotic Syrup syrup 200 mg / 5 ml BERNO BRANDED


08g. QUINOLONES
Ciprofloxacin
Ciprofloxacin infus 200 mg / 100 ml BERNO GENERIK
Ciprofloxacin infus 200 mg / 100 ml QUANTUM LABS
Ciprofloxacin Infus 200 Mg / 100 Ml infus 200 mg / 100 ml YA HEXPHARM JAYA OGB
Ciprofloxacin 200 Mg / 100 Ml infus 200 mg / 100 ml NOVELL
Ciprofloxacin 2% infus 200 mg / 100 ml BUMN PHAPROS
Ciprofloxacin 200Mg/100Ml infus 200 mg / 100 ml YA MAHAKAM BETA FARMA
Renator Infus ( 100 Ml) infus 200 mg / 100 ml FAHRENHEIT
Interflox 200 Mg infus 200 mg / 100 ml INTERBAT
Renator Infus ( 200 Ml) infus 400 mg / 200 ml FAHRENHEIT
Ciproxin Infus 200 Mg infus 200 mg / 100 ml BAYER
Ciproxin Infus 400Mg infus 400 mg / 200 ml BAYER

Ciprofloxacin 500 Mg tablet 500 mg HEXPHARM JAYA OGB


Ciprofloxacin tablet 500 mg BERNO GENERIK

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Ciprofloxacin 500 Mg Fc tablet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Siflox 500 Mg tablet 500 mg MERSIFARMA
Floxigra 500 tablet 500 mg GRAHA FARMA
Phaproxin tablet 500 mg BUMN PHAPROS
Baquinor 250 Mg tablet 250 mg SANBE
Ciproxin Xr tablet 500 mg BAYER
Ciproxin tablet 500 mg BAYER
Ciproxin Xr 1000 Mg tablet 1000 mg BAYER
Levofloxacin
Levofloxacin 500Mg/100Ml infus 500 mg / 100 ml YA MAHAKAM BETA FARMA
Levofloxacin infus 500 mg / 100 ml BERNO GENERIK
Levofloxacin Infus 500 Mg / 100 Ml infus 500 mg / 100 ml HEXPHARM JAYA OGB
Levofloxacin 500 Mg / 100 Ml infus 500 mg / 100 ml NOVELL
Levofloxacin infus 500 mg / 100 ml QUANTUM LABS
Levofloxacin 750 Mg / 150 Ml infus 750 mg / 150 ml HEXPHARM JAYA OGB
Voxin Infus infus 500 mg / 100 ml GRACIA
Ikaquix infus 500 mg / 100 ml IKAPHARMINDO PUTRAMAS
Levofloxacin infus 750 mg / 100 ml DEXA MEDICA
Rinvox 750 infus 750 mg / 150 ml YARINDO
Lefos 750 Mg infus 750 mg / 150 ml GUARDIAN PHARMATAMA
Cravit 500 Mg infus 500 mg / 100 ml KALBE FARMA
Cravit 750 Mg Iv Flexy Bag infus 750 mg / 150 ml KALBE FARMA

Levofloxacin kaplet 500 mg BERNO GENERIK

Levofloxacin 500 Mg tablet 500 mg NOVELL


Levofloxacin tablet 500 mg NULAB PHARMACEUTICAL INDONESIA OGB
Tevox tablet 500 mg ACTAVIS
Lovequin tablet 500 mg BUMN KIMIA FARMA
Cravit 250 Mg tablet 250 mg KALBE FARMA
Difloxin tablet 500 mg ABBOT
Cravit 500 Mg tablet 500 mg KALBE FARMA
Farlev 750 Tab tablet 750 mg FAHRENHEIT

Floxidin 250 Mg tablet salut 250 mg HARSEN LABORATORIES


selaput
Floxidin 500 Mg tablet salut 500 mg HARSEN LABORATORIES
selaput
Moxifloxacin
Moxifloxacin infus 400 mg / 250 ml FAHRENHEIT
Avelox Infus infus 400 mg YA BAYER

Respira kaplet 400 mg NOVELL


Maxiflon kaplet 400 mg YA NULAB PHARMACEUTICAL INDONESIA ETHICAL

Avelox Tablet tablet 400 mg YA BAYER


Ofloxacin
Akilen 200 Mg f-c tablet 200 mg SANBE
Akilen 400 Mg f-c tablet 400 mg SANBE

Pharflox kaplet 400 mg PT PHAROS INDONESIA

Ofloxacin 200 Mg tablet 200 mg NOVELL


Ofloxacin tablet 200 mg YA BUMN INDOFARMA
Flotavid 200 Mg tablet 200 mg MERSIFARMA
Ofloxacin 400 Mg tablet 400 mg NOVELL
Ofloxacin tablet 400 mg YA BUMN INDOFARMA
Grafloxin 400 tablet 400 mg GRAHA FARMA
Loxinter tablet 200 mg INTERBAT
Tarivid 200 Mg tablet 200 mg KALBE FARMA
Berkapin tablet 400 mg PROMOSINDO
Tarivid 400 Mg tablet 400 mg KALBE FARMA
Ofloxacine
Ofloxacin infus 200 mg / ml DEXA MEDICA
Pefloxacin
Felox capl 400 mg GRACIA
Dexaflox capl 400 mg DEXA MEDICA
Sparfloxacin
Resflox tablet 200 mg SANBE
08h. TETRACYCLINS
Tetracyclines Hcl
Tetra Sanbe 250 Mg kapsul 250 mg SANBE
Tetracycline Kapsul 250 Mg kapsul 250 mg BUMN PHAPROS
Tetracycline kapsul 250 mg BERNO GENERIK
Tetracycline kapsul 500 mg BUMN PHAPROS
Tetra Sanbe 500 Mg kapsul 500 mg SANBE
Doxycycline
Doxycycline kapsul 100 mg YA BUMN INDOFARMA
Doxcycicline kapsul 100 mg PRATAPA NIRMALA
Interdoxin 50 kapsul 50 mg INTERBAT
Interdoxin 100 kapsul 100 mg INTERBAT
Tetracycline Phospate Buffered 500 Mg
Tetrin kapsul 500 mg INTERBAT
Oksitetrasiklin
Oksitetrasiklin Sm 1% eye oint 0.01 BUMN KIMIA FARMA
Terramycin 1% Oph Oint eye oint PFIZER
Oxytetracyclin
Oxytetracyclin injeksi 50 mg BERNO GENERIK
Oxybiotic Inj injeksi 50 mg BERNO BRANDED
08j. ANTIBACTERIAL COMBINATIONS
Cotrimoxazole
Cotrimoxazole syrup 240 mg / 5 ml BERNO GENERIK
Cotrimoxazole syrup 240 mg / 5 ml BUMN INDOFARMA

Cotrimoxazole tablet 480 mg BERNO GENERIK


Cotrimoxazole tablet 400 mg / 80 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Cotrimoxazole tablet 480 mg BUMN INDOFARMA
Cotrimoxazole Forte 960 Mg Kaptab tablet 960 mg BERNO GENERIK
Sulfamethoxazole & Trimethoprim
Infatrim Forte kaplet 800 mg YA MOLEX AYUS

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Infatrim 200 Mg ; 40 Mg Suspensi syrup 240 mg / 5 ml YA MOLEX AYUS
Bactrim syrup 240 mg / 5 ml ROCHE

Infatrim 480 Mg tablet 400 mg / 80 mg YA MOLEX AYUS


Sisoprim tablet 400 mg / 80 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Graprima Forte tablet 800 mg GRAHA FARMA
Bactoprim Forte tablet 800 mg COMBIPHAR
Bactrim tablet 960 mg ROCHE
Cotrimoxazole + Trimethoprim
Ottoprim Adult tablet 800 mg ABBOT
08k. OTHER ANTIBIOTICS
Fosfomycin Sodium
Novellmycin 1 G injeksi 1 gr NOVELL
Fosmicin injeksi 1 gr MEIJI INDONESIA
Fosfomycin injeksi 1 gr QUANTUM LABS
Fosfomycin Sodium Serbuk Injeksi 1 Gr injeksi 1 gr BERNO GENERIK
Fosmidex 1 G Vial injeksi 1 gr DEXA MEDICA
Novellmycin 2 G injeksi 2 gr NOVELL
Fosfomycin injeksi 2 gr QUANTUM LABS
Fosfomycin Sodium Serbuk Injeksi 2 Gr injeksi 2 gr BERNO GENERIK
Fosmicin injeksi 2 gr MEIJI INDONESIA
Focyn 2 injeksi 2 gr FAHRENHEIT

Monuril powd 3 gr ZAMBON


Lincomycin
Lincomycin kapsul 500 mg BUMN INDOFARMA
Pritalinc 500 Mg kapsul 500 mg MOLEX AYUS
Lincyn kapsul 500 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Teicoplanin
Vellanin injeksi 400 mg NOVELL
Targocid injeksi 400 mg AVENTIS PHARMA
Tigecycline
Tygacil 50Mg/5Ml injeksi 50 mg PFIZER
Clindamycin
Dacin 150 Mg kapsul 150 mg MERSIFARMA
Clindamycin kapsul 150 mg BUMN PHAPROS
Dacin 300 Mg kapsul 300 mg MERSIFARMA
Clindamycin 150 Mg kapsul 150 mg NOVELL
Clindamycine kapsul 150 mg DEXA MEDICA
Ficodan 150 Mg kapsul 150 mg HARSEN LABORATORIES
Clindamycin 300 Mg kapsul 300 mg NOVELL
Clindamycine kapsul 300 mg DEXA MEDICA
Clindamycin kapsul 300 mg BUMN INDOFARMA
Opiclam kapsul 150 mg OTTO ETHICAL
Ficodan 300 Mg kapsul 300 mg HARSEN LABORATORIES
Clinium 300 kapsul 300 mg INTERBAT
Polimixin Sulfat
Colistine 250.000 Iu tablet 0.25 miu ACTAVIS
Colistine 1.500.000 Iu tablet 1.5 miu ACTAVIS
Clindamycin Hcl
Dalacin C 150Mg kapsul 150 mg PFIZER
Dalacin C 300Mg kapsul 300 mg PFIZER
Vancomycin
Vantocil injeksi 500 mg PT PHAROS INDONESIA
Vancodex injeksi 500 mg DEXA MEDICA
Linezolid 600Mg
Zyvox 600 Mg tablet 600 mg PFIZER
Linezolid 600Mg/300Ml
Zyvox 600 Mg/300 Ml injeksi 600 mg PFIZER
08l. ANTI-TB AGENTS
Ethambutol
Tibitol 250 Mg tablet 250 mg MERSIFARMA
Ethambutol tablet 500 mg BERNO GENERIK
Tibitol 500 Mg tablet 500 mg MERSIFARMA
Ethambutol tablet 500 mg BUMN INDOFARMA
Oat Fdc Katagori Anak
Oat Fdc Katagori Anak paket BUMN PHAPROS
Oat Fdc Kategori I
Oat Fdc Kategori I paket BUMN PHAPROS
Oat Fdc Kategori Ii
Oat Fdc Kategori Ii paket YA BUMN PHAPROS
Pyrazinamide
Pyrazinamide 500 Mg tablet pyrazinamide 500 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB

Corsazinamide tablet 500 mg CORSA


Siramid 500 Mg tablet 500 mg MERSIFARMA
Rifampicin
Rifampicin kapsul 300 mg YA BUMN INDOFARMA
Rifampicin kapsul 450 mg YA BUMN INDOFARMA
Rifampicin kapsul 450 mg BERNO GENERIK
Rifampicin kapsul 600 mg YA BUMN INDOFARMA
Rifampicin kapsul 600 mg BERNO GENERIK
Merimac 450 Mg kapsul 450 mg MERSIFARMA
Merimac 600 Mg kapsul 600 mg MERSIFARMA
Oat Fdc Katagori Sisipan-Ktd (4 Fdc)
Oat Fdc Katagori Sisipan-Ktd (4 Fdc) paket YA BUMN PHAPROS
Isoniazid + Vit B6
Pyravit 110 100 Mg Syr syrup 400 mg GALENIUM
Pyravit 225 Syr syrup 400 mg GALENIUM

Inoxin tablet 400 mg DEXA MEDICA


Inha 400 Mg tablet 400 mg MERSIFARMA
Pehadoxin Forte tablet 400 mg BUMN PHAPROS
Ethambutol + Inh + Vit B6
Metham tablet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Rifampicin + Inh + Pyrazinamid
Pro Tb 3 tablet 75 mg BUMN PHAPROS
Rifampicin + Inh + Pyrazinamid + Ethambutol

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Rifastar kaplet rifampicin 150mg, PROMOSINDO
isoniazid 75mg,
pyrazinamide 400mg,
ethambuthol 275mg

Pro Tb 4 tablet 150 mg, 75 mg BUMN PHAPROS


Rifampicin + Inh
Rifanh tablet rifampicin 150 mg, PROMOSINDO
isoniazid 150 mg
Pro Tb 2 tablet 150 mg BUMN PHAPROS
08m. ANTIFUNGALS
Bicalutamide
Casodex tablet 150 mg ASTRA ZANECA
Fluconazole
Fluconazole infus 200 mg / 100 ml BERNO GENERIK
Fluconazole infus 200 mg / 100 ml QUANTUM LABS
Fluconazole 200 Mg / 100 Ml infus 200 mg / 100 ml NOVELL
Fcz infus 200 mg / 100 ml LANDSON
Fludis Inf infus 200 mg / 100 ml BERNO BRANDED
Diflucan Iv 2Mg/Ml infus 200 mg / 100 ml PFIZER

Cryptal 50 kapsul 50 mg FAHRENHEIT


Fluconazole kapsul 150 mg YA BUMN KIMIA FARMA
Zemyc kapsul 50 mg PT PHAROS INDONESIA
Kifluzol 150 kapsul 150 mg BUMN KIMIA FARMA
Diflucan 50Mg kapsul 50 mg PFIZER
Govazol 150 Mg kapsul 150 mg GUARDIAN PHARMATAMA
Diflucan 150Mg kapsul 150 mg PFIZER

Cryptal 200 tablet 200 mg FAHRENHEIT


Itraconazole
Itraconazole kapsul 100 mg BERNO GENERIK
Sporax kapsul 100 mg DEXA MEDICA
Spyrocon kapsul 100 mg INTERBAT
Sporanox kapsul 100 mg JOHNSON2
Ketoconazole
Ketoconazole 200 Mg tablet 200 mg HEXPHARM JAYA OGB
Ketoconazole 200 Mg tablet 200 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Dexazol tablet 200 mg DEXA MEDICA
Pronazol tablet 200 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB
Nystatin
Nyndia 100.000 Iu/Ml Drops drops 100.000 iu / ml GUARDIAN PHARMATAMA
Nymiko 100.000 Iu drops 100.000 iu / ml SANBE
Nystatin Drops 100.000 Ui/Ml drops 100.000 ui / ml BERNO GENERIK
Mycostatin 12 Ml drops 100.000 unit / ml TAISHO PHARMACEUTICAL

Mycostatin 30 Ml syrup 500.000 unit / 5 ml TAISHO PHARMACEUTICAL


Voriconazole 200Mg
Vfend 200Mg injeksi 200 mg PFIZER

Vfend 200Mg tablet 200 mg PFIZER


Micafungin
Mycamine injeksi 50 mg ASTELLAS
Anidulafungin 100Mg
Ecalta 100Mg injeksi 100 mg PFIZER
Griseofulvin
Griseofulvin tablet 125 mg BUMN PHAPROS
Griseofulvin tablet 125 mg BUMN INDOFARMA
Griseofulvin 125 Mg-Strip 10X10 Tablet tablet 125 mg YA BUMN KIMIA FARMA
Griseofulvin tablet 500 mg DARYA VARIA
Mycostop 250 Mg tablet 250 mg GALENIUM
Mycostop 500 Mg tablet 500 mg GALENIUM
Fungistop tablet 500 mg BERNO BRANDED
Nystatin Tab Vaginal 100000 Iu
Nystatin Tab Vaginal 100000 Iu tablet 100000 iu YA BUMN PHAPROS
Nystatin Tab Salut 500000 Iu
Nystatin Tab Salut 500000 Iu tablet 500000 iu YA BUMN PHAPROS
08p. ANTIVIRALS
Acyclovir
Acyclovir Cream 5% cream 0.05 BUMN PHAPROS

Acyclovir tablet 400 mg PRATAPA NIRMALA


Acyclovir tablet 200 mg YA BUMN PHAPROS
Acyclovir tablet 200 mg BUMN INDOFARMA
Acyclovir tablet 400 mg YA BUMN PHAPROS
Acyclovir 200 Mg tablet 200 mg NOVELL
Acyclovir 400 Mg tablet 400 mg HEXPHARM JAYA OGB
Zorel tablet 200 mg DEXA MEDICA
Zorel tablet 400 mg DEXA MEDICA
Ganciclovir
Cymevene injeksi 500 mg / 10 ml 1 YA ROCHE
Lamivudine
Hiviral tablet 150 mg BUMN KIMIA FARMA
Heplav tablet 100 mg BUMN KIMIA FARMA
3Tc Tablet 150 Mg tablet 150 mg GLAXO WELLCOME INDONESIA
3Tc Hbv 100 Mg tablet 100 mg GLAXO WELLCOME INDONESIA
Methisoprinol
Methysoprinol syrup 250 mg / 5 ml BUMN PHAPROS
Visoprin Syrup syrup 250 mg / 5 ml BUMN PHAPROS
Viridis syrup 250 mg / 5 ml PT PHAROS INDONESIA
Isoprinosine syrup 250 mg / 5 ml DARYA VARIA

Methysoprinol tablet 500 mg BUMN PHAPROS


Methisoprinol 500 Mg tablet 500 mg LANDSON
Visoprin tablet 500 mg BUMN PHAPROS
Viridis tablet 500 mg PT PHAROS INDONESIA
Moprin tablet 100 mg DEXA MEDICA
Ribavirin
Rebetol 200 Mg kapsul 200 mg MSD

Halaman 34 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Copegus tablet 200 mg ROCHE
Telbivudine
Sebivo tablet 600 mg YA PT NOVARTIS INDONESIA
Valacyclovir
Vandavir kaplet 500 mg PT PHAROS INDONESIA
Iclofar kaplet 500 mg FAHRENHEIT
Valacyclovir kaplet 500 mg BERNO GENERIK
Valtrex Tablet 500 Mg kaplet 500 mg GLAXO WELLCOME INDONESIA
Zidovudine
Duviral kapsul 300 mg BUMN KIMIA FARMA
Valganciclovir Hydrochloride
Valcyte tablet 450 mg YA ROCHE
Oseltamivir
Tamiflu kapsul 75 mg ROCHE
Acyclovir 400 Mg
Lovires tablet 400 mg GRAHA FARMA
Acyclovir 200 Mg
Clinovir tablet 200 mg PT PHAROS INDONESIA
Acyclovir 200 Mg Tab
Zovirax Tablet 200 Mg tablet 200 mg GLAXO WELLCOME INDONESIA
Adenovir Dipivoxil 10 Mg Tab
Hepsera tablet 10 mg YA SMITHKLINE BEECHAM PHARMACEUTICALS
Acyclovir 2 Gr Tube
Zovirax Cream 2 Gr cream 2 gr GLAXO WELLCOME INDONESIA
Acyclovir 250 Mg Inj
Zovirax Iv injeksi 250 mg GLAXO WELLCOME INDONESIA
Pegylated Interferon Alfa 2B
Peg Intron 50 Mcg injeksi 50 mcg MSD
Peg Intron 80 Mcg injeksi 80 mcg MSD
Peg Intron 100 Mcg injeksi 100 mcg MSD
Peginterferon Alpha-2A
Pegasys injeksi 135mcg / 0.5 ml YA ROCHE
Pegasys injeksi 180mcg / 0.5 ml YA ROCHE
08q. ANTHELMINTIKA
Pyrantel
Pyrantel tablet 25 mg PRATAPA NIRMALA
Albendazol
Vermic suspensi albendazole 400 PROMOSINDO
mg/10 ml

Albendazol Tablet Kunyah tablet 400 mg BUMN KIMIA FARMA


Albendazole tablet 400 mg BUMN PHAPROS
Pyrantel Pamoate
Pantrin 150 Mg syrup 60 ml HARSEN LABORATORIES
Upixon Susp syrup 125 mg BAYER

Pantrin tablet 125 mg HARSEN LABORATORIES


Pantrin 250 Mg tablet 250 mg HARSEN LABORATORIES
08r. ANTI MALARIA
Primaquine
Primaquine tablet 15 mg YA BUMN PHAPROS
Sulfadoxine - Pyrimehamine
Sulfadoxine - Pyrimehamine 525 Mg Tablet tablet 525 mg BUMN INDOFARMA
08s. ANTIAMUBA
Metronidazole
Metronidazole infus 500 mg / 100 ml ETHICA INDUSTRI FARMASI
Metronidazole infus 500 mg / 100 ml QUANTUM LABS
Metronidazole Infus infus 500 mg / 100 ml DARYA VARIA
Metronidazole Infus infus 500 mg / 100 ml YA HEXPHARM JAYA OGB
Metronidazole 500Mg Inj infus 500 mg / 100 ml YA MAHAKAM BETA FARMA
Dazolin infus 500 mg / 100 ml INTERBAT
Vadazole infus 500 mg / 100 ml IKAPHARMINDO PUTRAMAS
Flagyl Inf 100 Ml infus 500 mg / 100 ml AVENTIS PHARMA

Fladex Suppositoria 0.5 G supp 500 mg DEXA MEDICA


Flagyl supp 500 mg AVENTIS PHARMA
Trichodazol 1 G supp 1 gr SANBE
Fladex Suppositoria 1 G supp 1 gr DEXA MEDICA
Flagyl supp 1 gr AVENTIS PHARMA

Progyl Suspensi syrup 125 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI OGB


Metronidazol syrup 125 mg / 5 ml GRACIA
Metrolet Suspensi syrup 125 mg / 5 ml HARSEN LABORATORIES
Trogyl syrup 125 mg / 5 ml OTTO ETHICAL
Flagyl syrup 125 mg / 5 ml AVENTIS PHARMA

Metronidazole Tab 250 tablet 250 mg BUMN PHAPROS


Metronidazole tablet 500 mg BERNO GENERIK
Metronidazol 500 tablet 500 mg GRAHA FARMA
Molazol 500 Mg tablet 500 mg YA MOLEX AYUS
Metronidazol tablet 500 mg BUMN INDOFARMA
Grafazol 500 tablet 500 mg GRAHA FARMA
Corsagyl tablet 500 mg CORSA
Flagyl tablet 500 mg AVENTIS PHARMA

Metrolet 250 Mg tablet salut 250 mg HARSEN LABORATORIES


#N/A
Terbinafine Hcl
Interbi tablet terbinafine 250 mg INTERBAT
09 ONCOLOGY
09a. KEMOTERAPI SITOTOKSIK
5 Fluorouracil
Curacil 500 injeksi 500 mg YA KALBE FARMA
Fluorouracil 500 Mg injeksi 500 mg YA KALBE FARMA
Anagrelide Hcl
Thromboreductin kapsul 0,5 mg COMBIPHAR
Bicalutamide
Diproca tablet 50 mg DIPA PHARMALAB INTERSAINS
Bleomycin
Bleocin injeksi 15 mg YA KALBE FARMA
Cabazitaxel

Halaman 35 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Jevtana injeksi 60 mg AVENTIS PHARMA
Carboplatin
Kemocarb injeksi 150 mg / 15 ml YA ETHICA INDUSTRI FARMASI
Carboplatin 150 Mg injeksi 150 mg / 15 ml YA KALBE FARMA
Actoplatin injeksi 150 mg / 15 ml YA ACTAVIS
Kemocarb injeksi 450 mg / 45 ml YA ETHICA INDUSTRI FARMASI
Carboplatin 450 Mg injeksi 450 mg / 45 ml YA KALBE FARMA
Actoplatin injeksi 450 mg / 45 ml YA ACTAVIS
Cisplatin
Cisplatin 10 Mg injeksi 10 mg YA KALBE FARMA
Cisplatin 50 Mg injeksi 50 mg YA KALBE FARMA
Cyclophosphamide
Cyclophosphamide 200 Mg injeksi 200 mg YA KALBE FARMA
Endoxan 200 Mg injeksi 200 mg YA TRANSFARMA
Cyclophosphamide 1000 Mg injeksi 1000 mg YA KALBE FARMA
Endoxan 500 Mg injeksi 500 mg TRANSFARMA
Endoxan 1000 Mg injeksi 1000 mg YA TRANSFARMA
Docetaxel
Daxotel 20 Mg injeksi 20 mg YA ETHICA INDUSTRI FARMASI
Brexel Tm 20 Mg injeksi 20 mg YA KALBE FARMA
Docetaxel Actavis injeksi 20 mg YA ACTAVIS
Daxotel injeksi 80 mg YA ETHICA INDUSTRI FARMASI
Dochemo injeksi 80 mg NOVELL
Brexel Tm 80 Mg injeksi 80 mg YA KALBE FARMA
Docetaxel Actavis injeksi 80 mg YA ACTAVIS
Taxotere injeksi 20 mg AVENTIS PHARMA
Brexel 80 Mg injeksi 80 mg KALBE FARMA
Docetaxel (80 Mg) injeksi 80 mg YA SANBE
Taxotere injeksi 80 mg AVENTIS PHARMA
Doxorubicin
Doxorubicin 10 Mg injeksi 10 mg YA KALBE FARMA
Sindroxocin injeksi 10 mg ACTAVIS
Doxorubicin (10 Mg) injeksi 10 mg / 5 ml YA SANBE
Doxotil injeksi 10 mg / 5 ml YA DIPA PHARMALAB INTERSAINS
Doxorubicin 50 Mg injeksi 50 mg YA KALBE FARMA
Doxorubicin (50 Mg) injeksi 50 mg / 25 ml YA SANBE
Sindroxocin injeksi 50 mg YA ACTAVIS
Doxotil injeksi 50 mg / 25 ml DIPA PHARMALAB INTERSAINS
Epirubicin
Ciazil injeksi 10 mg / 5 ml YA DIPA PHARMALAB INTERSAINS
Epirubicin 10 Mg injeksi 10 mg / 5 ml YA KALBE FARMA
Episindan injeksi 10 mg / 5 ml YA ACTAVIS
Epirubicin (10 Mg) injeksi 10 mg / 5 ml YA SANBE
Ciazil injeksi 50 mg / 25 ml YA DIPA PHARMALAB INTERSAINS
Epirubicin 50 Mg injeksi 50 mg / 25 ml YA KALBE FARMA
Episindan injeksi 50 mg / 25 ml YA ACTAVIS
Epirubicin (50 Mg) injeksi 50 mg / 25 ml YA SANBE
Erlotinib
Tarceva tablet 100 mg YA ROCHE
Tarceva tablet 150 mg YA ROCHE
Etoposide
Etopul injeksi 100 mg YA NOVELL
Fludarabine Phosphate
Fludara injeksi 50 mg YA AVENTIS PHARMA

Fludara tablet 10 mg YA AVENTIS PHARMA


Hydroxyurea 500 Mg
Hydroxyurea Medac kapsul 500 mg YA DIPA PHARMALAB INTERSAINS
Ifosfamide
Holoxan 500 Mg injection 500 mg TRANSFARMA
Holoxan 1000 Mg injection 1 gr YA TRANSFARMA
Holoxan injection 2 gr YA TRANSFARMA
Methotrexate
Methotrexate injeksi 50 mg / 2 ml YA KALBE FARMA
Methotrexate (50 Mg) injeksi 50 mg / 2 ml YA SANBE

Texorate tablet 2,5 mg FAHRENHEIT


Oxaliplatin
Oxitel injeksi 50 mg YA NOVELL
Rexta Tm injeksi 50 mg YA KALBE FARMA
Oxaliplatin Medac injeksi 50 mg YA DIPA PHARMALAB INTERSAINS
Rexta injeksi 50 mg KALBE FARMA
Oxaliplatin(50 Mg) injeksi 50 mg YA SANBE
Oxaliplatin Medac injeksi 100 mg YA DIPA PHARMALAB INTERSAINS
Eloxatine injeksi 50 mg YA AVENTIS PHARMA
Eloxatine injeksi 100 mg YA AVENTIS PHARMA
Paclitaxel
Paclon injeksi 30 mg / 5 ml YA NOVELL
Fonkopac 30 injeksi 30 mg / 5 ml YA FERRON
Paclitaxel 30 Mg injeksi 30 mg / 5 ml YA KALBE FARMA
Sindaxel injeksi 30 mg / 5 ml YA ACTAVIS
Paclon injeksi 100 mg YA NOVELL
Paclimedac injeksi 30 mg / 5 ml YA DIPA PHARMALAB INTERSAINS
Fonkopac 100 injeksi 100 mg YA FERRON
Paclitaxel 100 Mg injeksi 100 mg YA KALBE FARMA
Paclitaxel (30 Mg) injeksi 30 mg / 5 ml YA SANBE
Sindaxel injeksi 100 mg YA ACTAVIS
Paclitaxel (100 Mg) injeksi 100 mg YA SANBE
Paclimedac injeksi 100 mg YA DIPA PHARMALAB INTERSAINS
Fonkopac 300 injeksi 300 mg YA FERRON
Paclimedac injeksi 300 mg YA DIPA PHARMALAB INTERSAINS
Sindaxel injeksi 260 mg ACTAVIS
Rituximab
Mabthera injeksi 100 mg / 10 ml YA ROCHE
Mabthera injeksi 500 mg / 50 ml YA ROCHE
Sorafenib
Nexavar tablet 200 mg BAYER
Sunitinib Malate
Sutent 12.5Mg tablet 12,5 mg PFIZER
Tamoxifen
Tamofen tablet 10 mg YA KALBE FARMA

Halaman 36 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Temozolomide
Temodal 20 Mg kapsul 20 mg MSD
Temodal 100 Mg kapsul 100 mg MSD
Trastuzumab
Herceptin injeksi 440 mg / 20 ml YA ROCHE
Vincristine
Vincristine Klb 1 Mg injeksi 1 mg / 1 ml YA KALBE FARMA
Vincristine Sulfate (1 Mg) injeksi 1 mg / 1 ml YA SANBE
Vincristine Klb 2 Mg injeksi 2 mg / 2 ml YA KALBE FARMA
Vincristine Sulfate (2 Mg) injeksi 2 mg / 2 ml YA SANBE
Vinorelbine
Vinorelbine Generik injeksi 10 mg YA FERRON
Vinorelsin injeksi 10 mg YA ACTAVIS
Navelbine 10 Mg injeksi 10 mg YA TRANSFARMA
Navelbine injeksi 50 mg TRANSFARMA
Pemetrexed
Alimta injeksi 100 mg ELI LILY
Alimta injeksi 500 mg YA ELI LILY
Capecitabine
Xeloda tablet 500 mg YA ROCHE
Gemcitabine Hci
Gemfix injeksi 200 mg YA NOVELL
Fonkogem 200 injeksi 200 mg YA FERRON
Gemcikal 200 Mg injeksi 200 mg YA KALBE FARMA
Gemedac injeksi 200 mg YA DIPA PHARMALAB INTERSAINS
Gemcitabine 200 injeksi 200 mg YA SANBE
Gemfix injeksi 1 gr YA NOVELL
Fonkogem 1000 injeksi 1 gr YA FERRON
Gemcikal 1000 Mg injeksi 1 gr YA KALBE FARMA
Gemedac injeksi 1 gr YA DIPA PHARMALAB INTERSAINS
Gemcitabine 1,000 injeksi 1 gr YA SANBE
Dacarbazine
Dacarbazine Medac injeksi 200 mg YA DIPA PHARMALAB INTERSAINS
Docetaxel Trihydrat
Dochemo injeksi 20 mg NOVELL
Irinotecan
Irinotecan (40 Mg) injeksi 40 mg / 2 ml YA SANBE
Actatecan injeksi 100 mg / 5 ml YA ACTAVIS
Campto 40Mg/2Ml injeksi 40 mg / 2 ml PFIZER
Irinotecan (100 Mg) injeksi 100 mg / 5 ml YA SANBE
Campto 100Mg/5Ml injeksi 100 mg / 5 ml PFIZER
Docetaxel Anhidrat
Docetaxel (20 Mg) injeksi 20 mg YA SANBE
Cyclofosfamid
Cyclovid injeksi 200 mg YA NOVELL
Cyclovid injeksi 500 mg YA NOVELL
Cyclovid injeksi 1000 mg YA NOVELL
Daunorubicin
Daunocin injeksi 20 mg YA NOVELL
Afatinib
Giotrif tablet 40 mg YA BOEHRINGER
L-Asparaginase 10.000 K.U/Vial
Leunase 10.000 Iu serbuk injeksi 10000 k. u YA WIDATRA BHAKTI
Oksaliplatin
Plaxat injeksi 50 mg YA ACTAVIS
Plaxat injeksi 100 mg YA ACTAVIS
09b. KEMOTERAPI HORMONAL
Bicalutamide
Bicastra tablet 50 mg YA FERRON
Gefitinib
Iressa tablet 250 mg tab ASTRA ZANECA
Letrozole
Lebrest tablet 2,5 mg YA FERRON
Lezra tablet 2,5 mg ACTAVIS
Letraz tablet 2,5 mg KALBE FARMA
Femaplex tabfet 2,5 mg DIPA PHARMALAB INTERSAINS
Aromara tabart 2,5 mg YA IKAPHARMINDO PUTRAMAS
Femara 2.5 Mg tabfet 2,5 mg YA PT NOVARTIS INDONESIA
Megestrol Acetat
Tracetate susp 40 mg / ml FAHRENHEIT

Tracetate Tab tablet 160 mg FAHRENHEIT


Anastrozole
Bracer tablet 1 mg YA FERRON
Anamidex tablet 1 mg IKAPHARMINDO PUTRAMAS
Arimidex 1 Mg Tab Box tablet 1 mg tab ASTRA ZANECA
Exemestane 25 Mg
Aromasin 25Mg tablet 25 mg PFIZER
Goserelin Acetate
Zoladex 3.6 Mg Imp Inj Vial injeksi 3.6 mg imp inj ASTRA ZANECA
Zoladex La 10.8 Mg Sds Inj Vial injeksi 10.8 mg sds inj ASTRA ZANECA
09d. TARGETED CANCER THERAPY
Bevacizumab
Avastin injeksi 100 mg / 4 ml YA ROCHE
Imatinib
Glivec 100 Mg tablet 100 mg YA PT NOVARTIS INDONESIA
Glivec 400 Mg tablet 400 mg YA PT NOVARTIS INDONESIA
Cetuximab 5 Mg/Ml
Erbitux 5 Mg injeksi 5 mg / ml MERCK BIOPHARMA
Lapatinib Ditosylate
Tykerb 250 Mg tablet 250 mg YA PT NOVARTIS INDONESIA
Nilotinib
Tasigna 150 Mg tablet 150 mg YA PT NOVARTIS INDONESIA
Tasigna 200 Mg tablet 200 mg YA PT NOVARTIS INDONESIA
09e. TERAPI SUPORTIF
Palonosetron
Prosmol injeksi palonosetron 50 mcg / PT PHAROS INDONESIA
ml
Paloxi injeksi 0.25 mg KALBE FARMA
Ramosetron Hydrochloride
Nasea injeksi 0.3 mg ASTELLAS

Halaman 37 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK

Nasea Od tablet 0.1 mg ASTELLAS


10 GENITO-URINARY SYSTEM
10a. PREPARATIONS FOR VAGINAL CONDITIONS
Metronidazole
Vagizol ovula 500 mg YA BUMN KIMIA FARMA
Trogystatin ovula 500 mg OTTO ETHICAL
Metronidazole, Nystatin
Trichodazolplus 500 Mg / 1000 Iu ovula 500 mg SANBE
Flagystatin ovula 500 mg AVENTIS PHARMA
Povidone Iodine
Betadine Vaginal Douche 100 ml pa MUNDI PHARMA

Betadine Vaginal Douche 100 ml ta MUNDI PHARMA

Betadine Vaginal Douche 225 ml MUNDI PHARMA


Clotrimazole
Canesten Sd Vag Tab tablet BAYER
10b.URINARY ANTISEPTICS
Phenazopyridine Hcl
Urogetix kaplet TRANSFARMA
10c. DRUGS ACTING ON UTERUS
Pipemidic Acid
Urinter tablet 400 mg YA INTERBAT
Urotractin 400 Mg tablet 400 mg SANBE
Urixin Tab tablet 400 mg ABBOT
Methylergometrine
Metilergomaleat injeksi 0.2 mg / ml YA ETHICA INDUSTRI FARMASI
Myomergin injeksi 0.2 mg / ml ETHICA INDUSTRI FARMASI
Pospargin 0,2 Mg Amp 1Ml / 10 injeksi 0.2 mg / ml KALBE FARMA
Oxytosin S 10 Iu
Oxytocin injeksi 10 iu YA ETHICA INDUSTRI FARMASI
Pitogin injeksi 10 iu ETHICA INDUSTRI FARMASI

Decatocin injeksi/ampul 1 ml HARSEN LABORATORIES


Isoksuprine
Duvadilan Tab tablet 20 mg BUMN KIMIA FARMA
10e. DRUGS FOR BLADDER & PROSTATE DISORDERS
Dutasteride
Avodart 0,5 soft caps 0.5 mg YA SMITHKLINE BEECHAM PHARMACEUTICALS

Terod tablet dutasteride 0.5 mg IKAPHARMINDO PUTRAMAS


Finasteride
Finpro tablet 5 mg YA INTERBAT
Reprosid tablet 5 mg HARSEN LABORATORIES
Terazosin
Hytroz tablet 1 mg DEXA MEDICA
Hytroz tablet 2 mg DEXA MEDICA
Tamsulosin Hydrochloride
Harnal D tablet 0.2 mg ASTELLAS
Harnal Ocas tablet 0.4 mg ASTELLAS
Tamsulosin
Prostam Sr tablet 0,4 mg NOVELL
Dutasteride + Tamsulosin
Duodart Kapsul 0.5/ 0.4 Mg kapsul 0.5 mg GLAXO WELLCOME INDONESIA
10f. OTHER DRUGS ACTING ON GENITO-URINARY SYSTEM
Essential Ketoacids
Liotrix capl 630 mg PT PHAROS INDONESIA

Ketosteril tablet 630 mg FRESINIUS KABI


Tolterodine Tartrate
Detrusitol 2Mg tablet 2 mg PFIZER
Solifenacin Succinate
Vesicare tablet 5 mg ASTELLAS
Vesicare tablet 10 mg ASTELLAS
Sildenafil
Sildenafil Citrate 50 Mg tablet 50 mg NOVELL
Viagra 50Mg tablet 50 mg PFIZER
11 ENDOCRINE & METABOLIC SYSTEM
11a. INSULINS PREPARATIONS
Insulin Aspart
Novorapid Flexpen flexpen 100 unit / ml YA NOVO NORDISK
Insulin Glargine
Lantus Solostar 100Iu catridges 3 ml YA AVENTIS PHARMA

Ezelyn injeksi 1000 iu / 10 ml YA KALBE FARMA

Basaglar Kwikpen pen 100 iu ELI LILY


Insulin Glulisine
Apidra Solostar 100Iu catridges 3 ml YA AVENTIS PHARMA
Insulin Lispro
Humalog Kwikpen pen 100 iu YA ELI LILY
25% Insulin Lispro Dan 75% Insulin Lispro Protamine
Humalog Mix 25 Kwikpen pen 100 iu YA ELI LILY
Premix Insulin Aspart
Novomix 30 Flexpen flexpen 100 unit / ml YA NOVO NORDISK
50% Insulin Lispro Dan 50% Insulin Lispro Protamine
Humalog Mix 50 Kwikpen pen 100 iu YA ELI LILY
Insulin Determir
Levemir Flexpen flexpen 100 unit / ml YA NOVO NORDISK
Recombinant Human Insulin
Sansulin M30 cartridge 100 iu / ml YA SANBE
Sansulin N cartridge 100 iu / ml SANBE
Sansulin R cartridge 100 iu / ml YA SANBE
11b. ORAL ANTIDIABETICS AGENTS
Acarbose
Glubose 50Mg tablet 50 mg FERRON
Eclid tablet 50 mg DEXA MEDICA
Acarbose tablet 50 mg DEXA MEDICA
Acarbose tablet 50 mg PRATAPA NIRMALA
Glubose 100Mg tablet 100 mg FERRON

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Acarbose tablet 100 mg DEXA MEDICA
Glucobay tablet 50 mg BAYER
Acarbose tablet 100 mg PRATAPA NIRMALA
Glucobay tablet 100 mg BAYER
Carbotrap 100 tablet 100 mg FAHRENHEIT
Glibenclamide
Glibenclamide tablet 5 mg BUMN PHAPROS
Glibenclamide tablet 5 mg BUMN INDOFARMA
Renabetic tablet 5 mg PRATAPA NIRMALA
Harmida 2.5 Mg tablet 2,5 mg HARSEN LABORATORIES
Harmida 5 Mg tablet 5 mg HARSEN LABORATORIES
Daonil tablet 5 mg AVENTIS PHARMA
Gliclazide
Glucodex tablet 80 mg DEXA MEDICA
Glukolos tablet 80 mg SANBE

Diamicron Mr 60 Mg tablet modified 60 mg YA SERVIER INDONESIA


release
Glimepiride
Glimepiride 1 Mg tablet 1 mg YA HEXPHARM JAYA OGB
Glimepiride tablet 1 mg BERNO GENERIK
Versibet 1 tablet 1 mg HARSEN LABORATORIES
Glimepiride 1 Mg tablet 1 mg NULAB PHARMACEUTICAL INDONESIA OGB
Glimepiride 2 Mg tablet 2 mg YA HEXPHARM JAYA OGB
Versibet 2 tablet 2 mg HARSEN LABORATORIES
Glimepiride tablet 1 mg YA BUMN KIMIA FARMA
Glimepiride tablet 2 mg BERNO GENERIK
Glimepiride tablet 2 mg QUANTUM LABS
Diaversa tablet 1 mg DEXA MEDICA
Glimepiride 3 Mg tablet 3 mg YA HEXPHARM JAYA OGB
Versibet 3 tablet 3 mg HARSEN LABORATORIES
Glimepiride tablet 3 mg OTTO OGB
Glimepiride tablet 3 mg BERNO GENERIK
Glimepiride 4 Mg tablet 4 mg HEXPHARM JAYA OGB
Glimepiride tablet 4 mg BERNO GENERIK
Diaversa tablet 2 mg DEXA MEDICA
Glucokaf tablet 1 mg BUMN KIMIA FARMA
Glimepiride tablet 4 mg BUMN INDOFARMA
Diaversa tablet 3 mg DEXA MEDICA
Glimepiride tablet 4 mg YA BUMN KIMIA FARMA
Diaversa tablet 4 mg DEXA MEDICA
Glucokaf tablet 4 mg BUMN KIMIA FARMA
Amaryl tablet 1 mg AVENTIS PHARMA
Amaryl tablet 2 mg AVENTIS PHARMA
Amaryl tablet 3 mg AVENTIS PHARMA
Amaryl tablet 4 mg AVENTIS PHARMA
Gliquidone
Gliquidone tablet 30 mg DEXA MEDICA
Lodem tablet 30 mg DEXA MEDICA
Glurenorm tablet 30 mg BOEHRINGER
Linagliptin
Trajenta tablet 5 mg BOEHRINGER
Metformin
Metformin 500 Mg tablet 500 mg YA HEXPHARM JAYA OGB
Metformin tablet 500 mg BERNO GENERIK
Metformin tablet 500 mg BUMN PHAPROS
Metformin tablet 850 mg BERNO GENERIK
Diafac tablet 500 mg BUMN PHAPROS
Adecco tablet 500 mg PT PHAROS INDONESIA
Glukotika 850 Mg tablet 850 mg IKAPHARMINDO PUTRAMAS
Pioglitazone
Pioglitazone 15 tablet 15 mg YARINDO
Pioglitazone 15Mg tablet 15 mg MAHAKAM BETA FARMA
Protaz tablet 15 mg MAHAKAM
Pioglitazone 30 tablet 30 mg YARINDO
Pioglitazone 30Mg tablet 30 mg MAHAKAM BETA FARMA
Prabetic 15 tablet 15 mg FAHRENHEIT
Prabetic 30 tablet 30 mg FAHRENHEIT
Protaz tablet 30 mg MAHAKAM
Actos 15 Mg tablet 15 mg TAKEDA
Actos 30 Mg tablet 30 mg TAKEDA
Sitagliptin
Januvia 100 Mg tablet 100 mg MSD
Januvia 50 Mg tablet 50 mg MSD
Vildagliptin
Galvus 50 Mg tablet 50 mg PT NOVARTIS INDONESIA
Durvik 50Mg tablet vildagliptin SOHO GLOBAL HEALTH
Sulfamethoxazole & Trimethoprim
Sisoprim Suspensi syrup 240 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI OGB

Sisoprim Forte tablet 800 mg PROMEDRAHARDJO FARMASI INDUSTRI OGB


Metformin Xr
Diaformin Xr tablet 500 mg OTTO ETHICAL
Diabemin Xr tablet 500 mg DEXA MEDICA
Glucophage Xr 500 Mg tablet 500 mg MERCK BIOPHARMA
Glucophage Xr 750 Mg tablet 750 mg MERCK BIOPHARMA
Glucophage Xr 1 G tablet 1000 mg MERCK BIOPHARMA
Glipizide
Glucotrol Xl 5Mg tablet 10 mg PFIZER
Glucotrol Xl 10Mg tablet 5 mg PFIZER
Sitagliptin, Metformin
Janumet 50/1000 Mg tablet 50 mg:1000 mg MSD
Janumet 50/500 Mg tablet 50 mg:500 mg MSD

Janumet Xr 100/1000 Mg tablet slow 100 mg:1000 mg MSD


release
Janumet Xr 50/1000 Mg tablet slow 50 mg:1000 mg MSD
release
Janumet Xr 50/500 Mg tablet slow 50 mg:500 mg MSD
release
Metformin Hcl

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Diabemin Fc tablet 500 mg DEXA MEDICA
Forbetes 850 Mg tablet 850 mg SANBE
Glucophage 500 Mg tablet 500 mg MERCK BIOPHARMA
Glucophage 850 Mg tablet 850 mg MERCK BIOPHARMA
Glumin-Xr 750Mg tablet 750 mg FERRON

Heskopaq 500 tablet salut 500 mg HARSEN LABORATORIES


selaput
Heskopaq 850 tablet salut 850 mg HARSEN LABORATORIES
selaput
Dexchlorpheniramin Maleat 2 Mg
Polaris tablet 2 mg BERNO BRANDED
Glimepiride + Metformin
Amaryl M 1/250 Bid tablet 1 mg AVENTIS PHARMA
Amaryl M 2/500 Bid tablet 2 mg AVENTIS PHARMA

Velacom Plus tablet salut 1 mg NOVELL


selaput
Velacom Plus tablet salut 2 mg NOVELL
selaput
Metformin Hcl + Glibenclamid
Glucovance 250/1.25 Mg tablet 250 mg MERCK BIOPHARMA
Glucovance 500/2.50 Mg tablet 500 mg MERCK BIOPHARMA
Glucovance 500/5 Mg tablet 500 mg MERCK BIOPHARMA
Vildagliptin + Metformin Hcl
Galvusmet 50/500 Mg tablet 50 mg PT NOVARTIS INDONESIA
Galvusmet 50/850 Mg tablet 50 mg PT NOVARTIS INDONESIA
Durvikmet 50Mg/500Mg tablet vildagliptin SOHO GLOBAL HEALTH
Linagliptin + Metformin
Trajenta Duo tablet 2,5 mg BOEHRINGER
Dabigatran Etexylate
Pradaxa kapsul 150 mg BOEHRINGER
Pioglitazone + Metformin
Pionix M 15/500 Mg Kaplet/30'S kaplet 15 mg KALBE FARMA
Pionix M 850 Mg 3 Strip @ 10 Tab kaplet 15 mg KALBE FARMA

Actos Met tablet 15 mg TAKEDA


11c. THYROID HORMONES
Levothyroxine Sodium
Euthyrox 50 Mcg tablet 50 mcg MERCK BIOPHARMA
Euthyrox 100 Mcg tablet 100 mcg MERCK BIOPHARMA
Thyrax tablet 100 mcg QUAMED
11d. ANTITHYROIDS AGENTS
Thiamazole
Thyrozol 5 Mg tablet 5 mg MERCK BIOPHARMA
Thyrozol 10 Mg tablet 10 mg MERCK BIOPHARMA
Propilthiourasil
Propiltiourasil tablet 100 mg DEXA MEDICA
11e. ANTI-OBESITY AGENT
Orlistat
Xenical kapsul 120 mg ROCHE
11f. AGENTS AFFECTING BONE METABOLISM
Alfacalcidol
Bone One tablet 0.25 mg DIPA PHARMALAB INTERSAINS
Bone One tablet 0.5 mg DIPA PHARMALAB INTERSAINS
Bone One tablet 1 mg DIPA PHARMALAB INTERSAINS
Calcitriol
Triocol 0.25 0.25 Mcg Caps kapsul 0,25 mcg GUARDIAN PHARMATAMA
Triocol 0.5 0.5 Mcg Caps kapsul 0,5 mcg GUARDIAN PHARMATAMA

Kolkatriol Forte softgel 0,5 mcg BUMN PHAPROS


Risedronate
Osteonate Oaw tablet 35 mg KALBE FARMA
Ristonat tablet 35 mg BUMN PHAPROS
Actonel tablet 150 mg ACTAVIS
Strontium Ranelate
Protos 2 Gr granul 2 gram SERVIER INDONESIA
Zoledronic Acid
Zometa inf 4 mg / 100 ml YA PT NOVARTIS INDONESIA

Aclasta infus 5 mg / 100 ml PT NOVARTIS INDONESIA

Zolenic injeksi 4 mg NOVELL


Zoledronic Acid Generik injeksi 4 mg FERRON
Calcitriol 0,25Mcg
Kolkatriol 0,25 soft caps 0,25 mcg BUMN PHAPROS
Disodium Clodronate Tetrahidrate
Bonefos Infus infus 60 mg YA BAYER

Bonefos Capsule kapsul 400 mg BAYER


Ibandronic Acid
Bonevell injeksi 6 mg / 6 ml NOVELL
Bonviva injeksi 3 mg ROCHE

Bonviva tablet 150 mg ROCHE


Alendronate Sodium
Alovell 10 Mg tablet 10 mg NOVELL
Alovell 70 Mg tablet 70 mg NOVELL
12 VITAMIN & MINERALS
12b. VITAMIN B-COMPLEX/WITH C
Ascorbic Acid
Vitamin C injeksi 100 mg / ml ETHICA INDUSTRI FARMASI
Extrace Injlq 200Mg injeksi 200 mg / 2 ml ETHICA INDUSTRI FARMASI
Extrace Injlq injeksi 500 mg / 5 ml ETHICA INDUSTRI FARMASI
Extrace Injlq injeksi 1000 mg / 5 ml ETHICA INDUSTRI FARMASI
Ulvice injeksi 1000 mg / 5 ml LANDSON

Cester Capl Fc kaplet vitamin c lipid SOHO INDUSTRI PHARMASI


metabolite 300 mg,
citrus bioflavonoid 100
mg

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Vitamin C tablet 50 mg YA BUMN KIMIA FARMA


Vitamin C tablet 250 mg YA BUMN KIMIA FARMA

Seter Ce tablet salut 300mg HARSEN LABORATORIES


selaput
Folic Acid
Profolat tablet 400 mcg YA PROMEDRAHARDJO FARMASI INDUSTRI OGB
Starfolat tablet 400 mcg DEXA MEDICA
Nufolic tablet 400 mcg EXELTIS NUFARINDO
Folas tablet 400 mcg LANDSON
Folavit 1000 Mcg tablet 1 mg SANBE
Pyridoxine
Vit. B 6 (Pyridoxin) 50 Mg / Ml Injeksi injeksi 50 mg / ml BERNO GENERIK
Vit. B 1 (Thiamin)
Vitamin B1 Injeksi 100 Mg/Ml injeksi 100 mg / ml BUMN PHAPROS
Vit. B 1 (Thiamin) 100 Mg / Ml Injeksi injeksi 100 mg / ml BERNO GENERIK
Vit B1,B6,B12
Ikaneuron 1000 injeksi vit b1 100 mg, vit b6 IKAPHARMINDO PUTRAMAS
100 mg, vit b 12 1000
mcg
Sohobion 5000 injeksi vit. b1 100 mg, vit. b6 ETHICA INDUSTRI FARMASI
100 mg, vit b12 5000
mcg
Mersibion 5000 Mcg injeksi 5000 mg MERSIFARMA
Neurobion Dual Ampul injeksi 100 mg, 200 mg, 5000 MERCK
mcg

Probion tablet vit b b1 100 mg, vit b6 PROMEDRAHARDJO FARMASI INDUSTRI OGB
200 mg, vit b12 200
mcg
Gunabion tablet 40 mg SUNTHI SEPURI
Neurobion tablet 100 mg, 200 mg, 200 MERCK
mcg
Neurohax 5000 Mcg tablet 5000 mcg GUARDIAN PHARMATAMA
Neurosanbe 5000 Mg tablet vit b1 100 mg, vit b6 SANBE
100 mg, vit b12 5,000
mcg
Neurobion Forte tablet 100 mg, 200 mg, 5000 MERCK
mcg
Vit B6, B12
Grahabion tablet 100 mg GRAHA FARMA
Rindobion tablet 100 mg YARINDO
Rindobion 5000 tablet 100 mg YARINDO
Vit B2 ; Vit B6; Vit B12 ; Nicotinamide ; Ca Pantothenate
Therabex tablet 15 mg COMBIPHAR
Vit B1 100 Mg, Vit B6 50 Mg, Vit B12 100 Mcg, Vit E 30 Iu
Fundamin E tablet 100 mg, 50 mg, DARYA VARIA
100mcg, 30iu
Fursultiamine
Alinamin tablet 5 mg TAKEDA
Vit.C 500 Mg (Asam Askorbat)
tablet 500 mg ABBOT
12d. CALCIUM/WITH VITAMINS
Calcium Lactate
Prokalk tablet 500 mg GRAHA FARMA
Polinacea
Proza capl 250 mg LANDSON

Proza Syrup syr 125 mg / 5 ml LANDSON


Kalsium Glukonat
Calcii Gluconas injeksi 100 mg / ml YA ETHICA INDUSTRI FARMASI
Calcium + Vit D3
Calvit D caplet 500 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL

Hi-Bone Active Grape flash tab 300 mg OTTO ETHICAL

Cavea tablet 500 mg PT PHAROS INDONESIA


Dumocalcin Plus tablet 500 mg ACTAVIS
Cavit D3 tablet 500 mg MERCK BIOPHARMA
Bonistein
Hi-Bone capl 15 mg OTTO ETHICAL
Hi-Bone 600 capl 15 mg OTTO ETHICAL
Ossein Hydroxyapatite
Ossoral tablet 800 mg DEXA MEDICA
Ossopan 800 tablet 830 mg DARYA VARIA
12e. VITAMINS &/OR MINERALS
Beta Carotene Plus
Folamil Genio kapsul 1 mg DEXA MEDICA
Fe Sucrose
Nefrofer injeksi 100 mg fe / 5 ml KALBE FARMA
Pyridoxine
Pyridoxine (Vit B6) tablet 10 mg YA BUMN KIMIA FARMA
Vit. B 1 (Thiamin)
Vitamin B1 tablet 50 mg BUMN KIMIA FARMA
Nicotinamide
Vitamin B Kompleks tablet 2 mg BUMN KIMIA FARMA
Vit B1,B6,B12
Neurobat Dragee tablet vit. b1 100 mg + vit. b6 INTERBAT
200 mg + vit. b12 200
mcg
Calcium Citrate 2000 Mg + Magnesium 100 Mg + Zinc 100 Mg + Manganese 2 Mg + Vit D3 200 Iu + Vit K1 5 Mcg + Copper 100 Mcg + Soy Isoflavone 60 Mg
Ossovit Syr botol calcium citrate 2000 INTERBAT
mg + magnesium 100
mg + zinc 100 mg +
manganese 2 mg + vit
d3 200 iu + vit k1 5
mcg + copper 100 mcg
+ soy isoflavone 60 mg

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Ossovit Plus sachet calcium citrate 2000 INTERBAT


mg + magnesium 100
mg + zinc 100 mg +
manganese 2 mg + vit
d3 200 iu + vit k1 5
mcg + copper 100 mcg
+ soy isoflavone 60 mg

Β-Carotene 10% 30 Mg (5000 Iu), Vit. C 200 Mg, Vit. E 50 Mg, Zn 15 Mg, Sellenium 25 Mcg
Bevizil 500 Mg caplet β-carotene 10% 30 mg SANBE
(5000 iu), vit. c 200 mg,
vit. e 50 mg, zn 15 mg,
sellenium 25 mcg

Vitamin B12
Vitamin B12 tablet 0.05 mg BUMN KIMIA FARMA
Ferrous Fumarate Setara Dengan Fe Elemen
Tablet Tambah Darah Neo-Dus 10X10 Tablet tablet 60 mg YA BUMN KIMIA FARMA
Vit B6, Vit C, Vit D, Ca Phosphate, Ca Lactate
Elkana 200 Mg tablet vit b6 200 mg, vit c 25 SANBE
mg, vit d3 100iu, ca
phosphate 100 mg, ca
lactate 200 mg

Vit B1 50 Mg, Vit B2 25 Mg, Vit B6 10 Mg, Vit B12 5Mcg, Vit C 500 Mg, Nicotinamide 100 Mg, Pantothenic Acid 18.4 Mg
Becom C 500 Mg tablet vit b1 50 mg, vit b2 25 SANBE
mg, vit b6 10 mg, vit
b12 5mcg, vit c 500
mg, nicotinamide 100
mg, pantothenic acid
18.4 mg

D-Alfa-Tocopherol 200 Iu
Lanturol 200 soft caps 200 iu LANDSON
Beta Carotene 10,000Iu
Oxyvit Cap 25 @100 (Fpp) kaplet FERRON
Multivitamin (Vit C 750Mg, Vit B1 15Mg, Vit B2 15Mg, Vit B6 25Mg, Vit B12 15Mcg, Niacinamide 100Mg, Folic Acid 0.4Mg, Ca 20Mg, Pantothenic Acid 20Mg, Zn 20Mg)
Zegavit kaplet multivitamin (vit c 750 KALBE FARMA
mg, vit b1 15 mg, vit
b2 15 mg, vit b6 25
mg, vit b12 15mcg,
niacinamide 100 mg,
folic acid 0.4 mg, ca 20
mg, pantothenic acid
20 mg, zn 20 mg)

D-Alfa-Tocopherol 400 Iu
Lanturol 400 soft caps 400 iu LANDSON
Vitamin A, Vit B1, Vit B2, Vit B6, Vit B12, Vit C, Vit D
Theragran M 10.000 Iu 65 Mg kaplet vitamin a 10.000 iu, vit TAISHO PHARMACEUTICAL
b1 10 mg, vit b2 10
mg, vit b6 5 mg, vit
b12 5mcg, vit c 200
mg, vit d 400 iu
Lutein 3Mg, Lycopene 2Mg Vit C, E, Beta Carotene
Optimax kaplet FERRON
Ekstrak Mirtogenol 120 Mg (Ekstrak Bilberry Terstandard-Mirtoselect 31.6%, Ekstrak Kulit Kayu Terstandard-Pycnogenol 63.4%)
Optimax For G kaplet FERRON
Cyanocobalamine 1000 Mcg
Vitamin B12 injeksi 8 ml HARSEN LABORATORIES
Vit A, Vit D, Vit B Komplek,Cod Liver Oil, Dha, Aa, Curcuma Extr , Nicotinamide, Choline, Inositol, Calcium, Na, I-Lysine Hcl, Gos
Elkana Cl Emulsi 120 Ml emulsi vit a 2.400 iu, vit d 400 SANBE
iu, vit b1 4 mg, vit b2
1.2 mg, vitb6 1.2 mg,
vit b12 4 mcg,cod liver
oil 8 mg, dha 10 mg, aa
15 mg, curcuma extr ,
nicotinamide 16 mg,
choline 12 mg, inositol
12 mg, calcium, na 5.2
mg, i-lysine hcl 100
mg, gos 500 mg

12g. VITAMINS & MINERALS (PEDIATRIC)


Vit. B1, B6, B12
Seven Seas Becombion Syrup syrup 5 mg, 2 mg,2.5 MERCK
mg,3mcg
Vit A, D, E, K
Vitalipid N-Infant injeksi 4 ml / kg bb / hari atau YA FRESINIUS KABI
10 ml / hari
Vitalipid N-Adult injeksi 10 ml / hari YA FRESINIUS KABI
12h. VITAMINS & MINERALS (PRE- 7 POST-NATAL)/ANTIANEMICS
Folic Acid
Folic Acid tablet 1 mg BUMN PHAPROS
Vit A 6000 Units, Vit D 400 Unis, Vit C 100 Mg, Vit B1 10 Mg, Vit B2 2,5 Mg, Vit B6 15 Mg, Vit B12 4 Mcg, Niacinamide 20 Mg, Calcium Panthothenate 7,5 Mg, Folic Acid 1 Mg, Ferrous Fumerate 90 Mg,
Calcium Lactate 250 Mg, Copper 0,1 Mg, Iodium 0,1 Mg, Fluoride 1 Mg
Obimin tablet asam folat : 1 mg DARYA VARIA
Vit A : 3000 Si, Vit D: 200 Si, Vit E:30 Si, Vit B1: 20 Mg, Vit B2 : 2 Mg, Vit B6: 3 Mg, Vit B12 : 3 Mg, Asam Folat: 100 Mcg, Kalsium Pantotenat: 8 Mg, Biotin: 35 Mg, Nikotinamida: 20 Mg,Vit C: 100 Mg,
Iodium:150 Mcg, Kalsium Karbonat:100 Mg, Seng: 15 Mg, Magnesium: 5 Mg, Mangan:1 Mg, Tembaga: 1000 Mcg, Minyak Ikan: 500 Mg, Omega 3: 135 Mg
Obipluz soft cap asam folat 1000 mcg DARYA VARIA
Fe Fumarate + Folic Acid
Ferlin Drops drops 30 ml DARYA VARIA

Vitalex kapsul 360 mg : 1,5 mg : YA MOLEX AYUS


0,015 mg : 75 mg : 400
mg : 200 mg
Sangobion kapsul 250 mg MERCK

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Bionemi kapsul 360 mg GRACIA

Sangobion Vitatonik syrup 113 mg, ( elemental MERCK


zat besi 15 mg )
Sangobion Kids syrup 113 mg MERCK
Ferlin Syrup syrup 100 ml DARYA VARIA
Fe Gluconate, Folic Acid, Magnesium Sulfate, Copper Sulfat, Vit B12, Vit C, Sorbitol
Emibion 250 Mg kapsul GUARDIAN PHARMATAMA
Iron (Iii) Hydroxide Polymaltose Complex (Ipc)
Maltofer Syr syr 50 mg / 5 ml COMBIPHAR

Maltofer Chew tablet 100 mg COMBIPHAR


Maltofer Fol Chew tablet 100 mg COMBIPHAR
Fish Oil 18/12 Epa/Dha, Vit E
Nulacta kapsul GUARDIAN PHARMATAMA
Iron Sucrose
Dialifer injeksi 20 mg / ml YA NOVELL
Venofer injeksi 100 mg COMBIPHAR
Iron (Iii) Hydroxide Polymaltose Complex (Ipc
Maltofer Drops drops 50 mg / ml COMBIPHAR
13 NUTRITION
13b. ENTERAL/NUTRITIONAL PRODUCTS
L-Ornithine L-Aspartate
Hepatosol Lola (Jeruk) powder dalam 4 gram / persaji KALBE FARMA
sachet
Maltodextrine, Inulin, Dextrine, Vegetables Oil, Protein Whey Concentrate, Sorbitol Sweetener, Caseinet, Soya Lecitin Flavour (Choclate), Alpha Lipolic Acid, Cinnamon Extract, Chromium Picolinate,
Mineral Dan Vitamin
Dianeral Coklat serbuk maltodextrine, inulin, SOHO INDUSTRI PHARMASI
dextrine, vegetables
oil, protein whey
concentrate, sorbitol
sweetener, caseinet,
soya lecitin flavour
(choclate), alpha lipolic
acid, cinnamon
extract, chromium
picolinate, mineral dan
vitamin

Bcaa, Amino Acid


Aminoleban Oral powder OTSUKA
Protein 22%
Peptisol (Coklat, Mocca, Vannila) powder dalam KALBE FARMA
sachet
Nutrisi Rendah Protein
Nephrisol Vanila powder dalam KALBE FARMA
sachet
Nutrisi Tinggi Protein
Nephrisol D powder dalam KALBE FARMA
sachet
Vit B Complex + C
Soluvit N injeksi 1 ml / kg bb / hari atau YA FRESINIUS KABI
10 ml / hari
13c. PARENTERAL NUTRITIONS
Karbohidrat
Triofusin 500 cairan infus 500 kkal / l YA KALBE FARMA
Triofusin 1000 cairan infus 1000 kkal / l KALBE FARMA
Triofusin 1600 cairan infus 1600kkal / l YA KALBE FARMA
Triofusin E 1000 cairan infus 1000 kkal / l YA KALBE FARMA
Amino Acids
Aminosteril Infant infus 6% YA FRESINIUS KABI
Renxamin infus KALBE FARMA
Benutrion Ve infus SANBE
Electrolyte, Glucose
Aminovel injeksi OTSUKA
Essential & Non Essential Amino Acid
Nephrosteril infus 7% amino acid YA FRESINIUS KABI
Asam Amino 5%
Aminofusin L 600 cairan infus YA KALBE FARMA
Aminofusin Paed cairan infus YA KALBE FARMA
Comafusin Hepar cairan infus YA KALBE FARMA
Aminofusin Hepar cairan infus YA KALBE FARMA
Clinimix N9G15E 1 cairan infus YA KALBE FARMA
Clinimix N9G20E cairan infus YA KALBE FARMA
Amino Acid
Pan Amin G injeksi OTSUKA
Kidmin injeksi OTSUKA
Amiparen injeksi OTSUKA
Aminofluid injeksi OTSUKA
Aminoleban injeksi OTSUKA
Aminofluid injeksi OTSUKA
Asam Amino 10%
Kalbamin cairan infus KALBE FARMA
Soybean Oil, Medium Chain Triglycerides, Olive Oil, Fish Oil
Smof Lipid infus 1-2 g fat / kg bb / hari YA FRESINIUS KABI

Lipid Mct Lct


Lipofundin 100 cair YA B BRAUN
Lipofundin 250 cair YA B BRAUN
Soya Oil 100 G/L,; Medium-Chain Triglycerides 100 G/L; Egg Lecithin 12 G/L; Glycerol 25 G/L; Osmolarity 380 Mosm/L; Calorie 2000 Kcal/L
Lipomed 20% (Mct/Lct) (250 Ml) inf YA SANBE
Lipid 20 %
Clinoleic 20% 100 Ml cairan infus 200 g / l KALBE FARMA
Clinoleic 20% 250 Ml cairan infus 200 g / l YA KALBE FARMA
Asam Amino + Glucose
Combiflex Peri 1000 cair YA B BRAUN
Combiflex Plus 1000 cair B BRAUN
Nutriflex Special 625 cair YA B BRAUN

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Nutriflex Lipid Peri 1250 cair YA B BRAUN
Nutriflex Special 1250 cair YA B BRAUN
N(2) L-Alanyl -L-Glutamine
Dipeptiven infus max daily dose : 2 g YA FRESINIUS KABI
amino acids / kg / body
wt
Glucose, Amino Acids, Fat Emulsion & Electrolytes
Kabiven 1440 Ml infus 1440 ml; 19-39 ml / YA FRESINIUS KABI
kgbw / day
Kabiven 1920 Ml infus 1920 ml; 19-39 ml / YA FRESINIUS KABI
kgbw / day
13d. ELECTROLYTES
Calcium Lactate
Calcium Lactate tablet 500 mg BUMN PHAPROS
Kalium Aspartat
Renapar tablet 300 mg FAHRENHEIT
Oralit Serbuk 200 Ml
Oralit Serbuk 200 Ml sachet 200 mg BUMN PHAPROS
Indoralyte sachet oralit : nacl 0.52 gr; kcl PROMOSINDO
0.30 gr; trinatrium
sitrat 0.58; glukosa anh
2.7 gr

Zinc
Zinc tablet 20 mg BUMN PHAPROS
Diapros tablet 20 mg BUMN PHAPROS
Kalium L-Aspartate
Aspar K tablet 300 mg TANABE
Potassium Chloride 600 Mg
Ksr 600 Mg Alufoil tablet 600 mg MERCK BIOPHARMA
Natural Astaxanthin 4 Mg ( Astareal® 200Mg )
Asthin Force 4 Mg kapsul natural astaxanthin 4 SOHO INDUSTRI PHARMASI
mg ( astareal® 200 mg
)
Natural Astaxanthine 6 Mg ( Astareal® 300Mg )
Asthin Force 6 Mg kapsul natural astaxanthine 6 SOHO INDUSTRI PHARMASI
mg ( astareal® 300 mg
)
Natural Astaxanthin 4Mg (Astareal® 50 Fc 80Mg), Extramel ®
Asthin B-Ond soft caps natural astaxanthin 4 SOHO INDUSTRI PHARMASI
mg (astareal® 50 fc 80
mg), extramel ®

Electrolytes Dextrose
Pedialyte Bg 500 Ml Soln solution na 45meq,k20 meq,cl ABBOT
35 meq,citrate
30meq,dextrose 25 g

Pedialyte Bg 500 Ml Soln solution na 45meq,k20 meq,cl ABBOT


35 meq,citrate
30meq,dextrose 25 g

Natural Astaxanthin 2 Mg (Astareal® 50 Fc 40Mg)


Asthin Force syrup natural astaxanthin 2 SOHO INDUSTRI PHARMASI
mg (astareal® 50 fc 40
mg)
13f. SUPPLEMENTS & ADJUVANT THERAPY
Bioactive Fraction Dlbs 1442 Phalleria Macrocarpa
Dismeno kapsul 100 mg DEXA MEDICA
Lumbrokinase
Disolf tablet 490 mg DEXA MEDICA
Fucoidan
Fucoidan 120 Ml syrup 100 mg / 15 ml SOHO INDUSTRI PHARMASI

Codan tablet 50 mg MAHAKAM


Fucoidan 100 Mg tablet 100 mg SOHO INDUSTRI PHARMASI
Codan tablet 100 mg MAHAKAM
Bilberry Dry Ekstrak
Berry Vision Disp tablet 40 mg / g SANBE
Glycyrrhizin
Stronger Neo-Minophagen C injeksi 40 mg DEXA MEDICA
Ektrak Plasenta ,
Laktafit tablet 15 mg DEXA MEDICA
Dlbs 3233 Lagestromin
Inlacin tablet 50 mg DEXA MEDICA
Inlacin tablet 100 mg DEXA MEDICA
Echinacea Purpurea 250 Mg, Black Elderberry 400 Mg, Zn Picolinate
Imboost Force kaplet echinacea purpurea SOHO INDUSTRI PHARMASI
250 mg, black
elderberry 400 mg, zn
picolinate
80 Mg Extract Bilberry,2 Mg Natural Astaxanthin(Asta Real 100 Mg) ,Lutein 3 Mg,Zeaxanthin 0,25 Mg, 2.5 Mg Zinc, 10 Ug Selenium.
Matovit Ax kaplet 80 mg SOHO INDUSTRI PHARMASI
Aphanizomenone Floss Aqua
Afamed kaps 320 mg FUTAMED
Echinacea Purpurea 1000 Mg, Black Elderberry 400 Mg, Zn Picolinate
Imboost Force Es kaplet echinacea purpurea SOHO INDUSTRI PHARMASI
1000 mg, black
elderberry 400 mg, zn
picolinate
Red Yeast Rice, Exstrak Psidii Folium, Nacl, Kcl, Sod. Sitrat, Dextrose, Zinc Gluconate, Mult. Vit
Trolit Sachet 4 G / 6 sachet red yeast rice, exstrak KALBE FARMA
psidii folium, nacl, kcl,
sod. sitrat, dextrose,
zinc gluconate, mult.
vit

Bioactive Fraction Dlbs 2411 Cinnamomum Burmannii


Redacid capl 250 mg DEXA MEDICA

Halaman 44 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
D-Ribose, L-Carnitin , Q 10 , Magnesium
Enercore 5 sachet d-ribose, l-carnitin , q SOHO INDUSTRI PHARMASI
10 , magnesium
Echinacea, Zn Picolinate
Imboost Force syrup echinacea, zn SOHO INDUSTRI PHARMASI
picolinate
Lutein
Optimax Syrup syrup 1 mg FERRON
Histidine 120 Mg, Arginine 250 Mg, Cysteine 150 Mg, Glutamine 10 Mg, L-Carnitine 250 Mg, Vit B1 50 Mg, Vit B6 50 Mg, Vit B12 100 Mg, Vit E 20 Mg, Selenium 10 Mcg
Minowell sachet 5 asam amino NOVELL
14 EYE
14a. EYE ANTI-INFECTIVES & ANTISEPTICS
Acyclovir
Temiral Sm eye oint 30 mg / g YA SANBE
Hervis eye oint 30 mg YA CENDO
Zovirax Opt. Oint. 4,5 Gr eye oint 4.5 gr GLAXO WELLCOME INDONESIA
Chloramphenicol
Decacetine Eye Drops eye drops YA HARSEN LABORATORIES
Colme Eye Drops eye drops chloramphenicole INTERBAT
0,5%
Fenicol 0.25% 0.6Ml @ 5'S Minidose eye drops 2.5 mg, CENDO
Fenicol 0.5 % 0.6 Ml @5'S Minidose eye drops 5 mg. YA CENDO
Fenicol 0.25 % 5 Ml eye drops 2.5 mg, CENDO
Fenicol 0,5% eye drops 5 mg YA CENDO

Fenicol Eo 3.5 Gram eye oint 10 mg YA CENDO


Ciprofloxacin
Ulcori eye drops 3 mg YA CENDO
Interflox Tetes Mata eye drops ciprofloxacin 3 mg + INTERBAT
benzalkonium chloride
0.006% / 1 ml

Baquinor Tm eye drops 3 mg / ml SANBE


Levofloxacin
Levocin Tm eye drops 5 mg / ml SANBE
Lfx 5Ml eye drops 5 mg YA CENDO
Moxifloxacin
Vigamox Ed eye drop PT NOVARTIS INDONESIA
Ofloxacine
Floxa Tetes Mata eye drops 3 mg CENDO
Povidone Iodine
Solujod 2.5 % 0.6 Ml @ 5'S Minidose eye drops 25.00 mg CENDO
Polymixin B Sulphate, Neomycin Sulphate, Tetrahydrozoline Hcl
Statrol eye drops 16.250 iu; 5 mg; 0,25 CENDO
mg
Gentamisin Sulfat 0,3%
Sagestam Tm eye drops 3 mg / ml SANBE

Sagestam Sm eye oint 3 mg / g SANBE


Polymixin B Sulphate, Neomycin Sulphate,Gramicidin
Polygran 0.6 Ml @ 5'S Minidose eye drops 10000 iu, 2,5 mg, 0.025 CENDO
mg
Polygran 5 Ml eye drops 10000 iu, 2,5 mg, 0.025 CENDO
mg

Polygran E O 3.5 Gram eye oint 10000 iu, 2,5 mg, 0.025 CENDO
mg
Tobramycine
Tobro 0.6 Ml @ 5'S Minidose eye drops 3 mg / ml YA CENDO
Tobro 5 Ml eye drops 3 mg / ml CENDO
Bralifex Tm eye drops 3 mg / ml SANBE
Bralifex Plus Tm eye drops 3 mg; 1 mg SANBE
Gentamisin Sulfat
Genta 0.3 % 0.6 Ml @ 5'S Minidose eye drops 3 mg, YA CENDO
Genta 0,3 % 5 Ml eye drops 3 mg, CENDO

Gentamycine 0.3 % 3,5 Gram eye oint 3 mg, YA CENDO


Natamycin 50 Mg/Ml
Fukricin Tm eye drops 50 mg / ml SANBE
Dibekacin Sulfat 0,3%/5Ml
Dibekacin Meiji Eye Drops eye drops 0.3% / 5 ml MEIJI INDONESIA
Gatifloksasin 3 Mg/Ml
Gaforin Tm eye drops 3 mg / ml SANBE
Gatifloksasin
Giflox eye drops 3 mg / ml CENDO
14b. EYE ANTISEPTICS WITH CORTICOSTEROIDS
Dexamethasone, Neomycin Sulfate, Polymixin B Sulfate
Polidemisin Tm eye drops 3.5 mg / ml SANBE
Xitrol 0.6 Ml @ 5'S Minidose eye drops 1 mg, 3.5 mg, 10000 iu CENDO

Polydex 0.6 Ml @ 5'S Minidose eye drops 1 mg, 3.5 mg, 10000 iu CENDO

Polydex 5 Ml eye drops 1 mg, 3.5 mg, 10000 iu CENDO

Xitrol E O 3.5 Gram eye oint 1 mg, 3.5 mg, 10000 iu CENDO

Tobramycine + Dexamethasone
Tobroson eye drops 3 mg; 1 mg CENDO
Tobroson 5 Ml eye drops 3 mg; 1 mg CENDO
Prednisolone, Polymyxin B Sulfate Neomycin Sulffate
Polypred 0.6 Ml @5'S Minidose eye drops 5 mg, 10000 iu, 5 mg CENDO
Polypred 5 Ml eye drops 5 mg, 10000 iu, 5 mg CENDO
Dexametason,Neomycin,Polymyxin
Isotic Neolyson eye drops 5 ml PRATAPA NIRMALA
Neomycin Sulfate 3.5 Mg, Polymyxin B Sulfate 6,000 Iu, Dexamethasone 1 Mg
Polidemisin Sm eye oint 3.5 mg / g SANBE
Betamethasone Dihydrogen-Phosphate Dinatrium 1 Mg, Gentamicin Sulphate 5 Mg
Betagentam Tm eye drops 5 mg / ml SANBE
Framicetin Sulphate
Blecidex Tm botol 5 mg / ml SANBE

Halaman 45 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Prednisolone Acetate Micronized
P-Pred eye drops 10 mg YA CENDO
Framycetin Sulfate, Gramicidine
Sofradex Drops eye drops 5 mg AVENTIS PHARMA
14c. EYE CORTICOSTEROIDS
Polymixin B Sulfat 6000Lu
Nelydex Eye Drops eye drops 5 ml HARSEN LABORATORIES
Polymycin B Sulfat 16.2501U
Nelimix Eye Drops eye drops 5 ml HARSEN LABORATORIES
Betamethasone Dihydrogen-Phosphate Dinatrium 1 Mg/Ml
Betam Opthal Tm eye drops 1 mg / ml SANBE
Fluorometholon
Ocuflam Tm eye drops 1 mg / ml SANBE
Posop 5 Ml eye drops 1 mg YA CENDO

Flumetholon tetes mata 5 ml FERRON


Prednisolone Acetate Micronized
P.Pred 5 Ml eye drops 10 mg CENDO
Prednisolone Disodium Phosphate, Sodium Sulphacetamide
Cetapred eye drops 3,5 mg; 100 mg CENDO
Betametasone Natrium Phosphate
Vosama eye drops 1 mg YA CENDO
Flourometholon
Posop eye drops 0,1 mg YA CENDO
14d. MYDRIATIC DRUGS
Atropine Sulphate
Tropine eye drops 5 mg YA CENDO
Tropicamide
Midric Tm eye drops 5 mg / ml SANBE
Mydriatil 0.5% 0.6 Ml @5'S Minidose eye drops 5 mg / ml YA CENDO
Mydriatyl 0.5 % 5 Ml eye drops 5 mg / ml CENDO
Mydriatil 1% 0.6 Ml @ 5'S Minidose eye drops 10 mg CENDO
Mydriatyl 1 % 5 Ml eye drops 10 mg CENDO
14e. MIOTIC DRUGS
Phenyleprine Hci
Efrisel 10% 5 Ml eye drops 100 mg CENDO
Efrisel 10 % 0.6 Ml @ Minidose eye drops 100 mg CENDO
Efrisel 2.5 % 0.6 Minidose 6'S eye drops 25 mg CENDO
Pilocarpine Hcl
Miokar Tm eye drops 10 mg / ml SANBE
Carpine 1% eye drops 10 mg / ml CENDO
Betaxolol Hcl
Tonor eye drops 5 mg YA CENDO
14f. ANTIGLAUCOMA PREPARATIONS
Acetazolamide
Glauseta tablet 250 mg SANBE
Glaucon Tablet 2X10'S tablet 250 mg YA CENDO
Timolol Maleate
Isotic Adretor 2.5Mg eye drops 2.5 mg / ml PRATAPA NIRMALA
Isotic Adretor 5 Mg eye drops 5 mg / ml PRATAPA NIRMALA
Tim Opthal 0.25% Tm eye drops 2.5 mg / ml SANBE
Timol 0.5 % 0.6 Ml Minidose eye drops 5 mg YA CENDO
Tim Opthal 0.5% Tm eye drops 5 mg / ml SANBE
Timol 0.5 % 5 Ml eye drops 5 mg YA CENDO
Travoprost
Travatan Eye Drop, 2.5 Ml eye drop PT NOVARTIS INDONESIA
Duotrav Ed eye drop PT NOVARTIS INDONESIA
Latanoprost
Glaopen eye drops 0,05 mg YA CENDO
Latanoprost, Timolol Maleat
Glaoplus eye drops 0,05 mg / ml, 5 mg / ml CENDO

14g. OPHTALMIC DECONGESTANTS, ANESTHETICS, ANTI-INFLAMMATORIES


Tetracaine Hci
Pantocain 0.5 % 5 Ml eye drops 5 mg YA CENDO
Pantocain 0.5 % 0.6 Ml @ 5'S Minidose eye drops 5 mg CENDO
Pantocain 2 % 5 Ml eye drops 20 mg CENDO
Pantocain 2% 0.6 Ml @ 5'S Minidose eye drops 20 mg CENDO
Pemirolast Potassium 0.1%
Alegysal 5 Ml eye drops FERRON
Olopatadine Hcl
Patanol Ed eye drop YA PT NOVARTIS INDONESIA
Latanoprost 50Mcg, Timolol Mg
Xalatan Ed botol 2.5 ml PFIZER
14h. OTHER EYE PREPARATIONS
Hydroxiprophylmethylcellulose
Cmc eye drops 20 mg CENDO
Hydroxyprophylmethylcellulose
Lubricen eye drops 20 mg CENDO
Sodium Hyaluronate
Hyaloph Tm eye drops 1 mg / ml SANBE
Hyalub eye drops 1 mg YA CENDO
Hyalub eye drops 1 mg CENDO
Hialid 5 Ml Tm eye drops FERRON
Diclofenac Sodium
Noncort 5 Ml eye drops 1 mg YA CENDO
Polyethylene Glycol, Sodium Hyaluronate, Sodium Chloride
Siloxan eye drops 5 mg / ml, 1.5 mg / ml, CENDO
50 mg / ml
Siloxan 5 Ml eye drops 5 mg, 1,5 mg, 50 mg CENDO
Cerboxymethylcellulose
Cenfresh 0.6 Ml @ 5'S Minidose eye drops 5 mg CENDO
Cenfresh 5 Ml eye drops 5 mg YA CENDO
Naphazoline
Flamergi Tm eye drops 3 mg / ml SANBE
Vasacon 0.6 Ml @ 5'S Minidose eye drops 1 mg CENDO
Vasacon A eye drops 1 mg; 2,5 mg CENDO
Dextran
Sanbe Tears Tm botol 1 mg / ml SANBE
Afliberceft
Eylea injeksi 40 mg BAYER

Halaman 46 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Sodium Chromoglycate
Conver 2 % 15 Ml eye drops 20 mg CENDO
Conver 2 % 0.6 Ml @ 5'S Minidose eye drops 20 mg CENDO
Conver 4 % 0.6 Ml @ 5'S Minidose eye drops 40 mg CENDO
Naci, Kci
Lyteers 0.6 Ml @ 5'S Minidose eye drops 4.4 mg, 0.8 mg CENDO
Lyteers 15 Ml eye drops 4.4 mg, 0.8 mg CENDO
Kalium Iodide
Catarlent 0.6 Ml @ 5'S Minidose eye drops 5 mg CENDO
Catarlent 5 Ml eye drops 5 mg CENDO
Catarlent 15 Ml eye drops 5 mg YA CENDO
Polyvinylpyrrolidone, Vit A
Protagenta eye drops 20 mg CENDO
Protagenta eye drops 20 mg CENDO
#N/A
Hydroxiprophylmethylcellulose, Oxymetazoline Hcl, Vitamin A Palmitate
Asthenof eye drops 5 mg; 0,25 mg; 1.000 CENDO
iu
Asthenof eye drops 5 mg; 0,25 mg; 1.000 CENDO
iu
Diclofenac Sodium
Flamar Tm eye drops 1 mg / ml SANBE
Noncort eye drops 1 mg YA CENDO
Bilberry Dry Ekstrak
Lanavision Plus kapsul 80 mg LANDSON
15 EAR
15a. EAR ANTI-INFECTIVES & ANTISEPTICS
Chloramphenicol
Decacetine ear drops 10 ml HARSEN LABORATORIES
Colme Ear Drops 8Ml ear drops chloramphenicole 10% INTERBAT
+ lidocain hcl 4%

Gentamicin
Sagestam Tt ear drops 3 mg / ml SANBE
Levofloxacin
Cravit 5 Ml ear drops FERRON
Ofloxacin
Tarivid Otic Solution ear drops 3 mg / 5 ml YA KALBE FARMA
Akilen Tt ear drops 3 mg / ml SANBE
Tarivid 5 Ml ear drops FERRON
Silver Nanocrystalline Dressing
Acticoat 10X10Cm lembar YA KALBE FARMA
Acticoat Flex 3 10X10 Cm lembar YA KALBE FARMA
Acticoat 10X20 Cm lembar YA KALBE FARMA
Acticoat Flex 3 10X20 Cm lembar YA KALBE FARMA
15b. EAR ANTISEPTICS WITH CORTICOSTEROIDS
Polymyxin B Sulfate
Otopain Ear Drop ear drops polymixin b sulfate INTERBAT
10.000 i.u + neomycin
sulfate 5 mg +
fludrocortisone acetat
1 mg + lidocain hcl 40
mg / 1 ml

Otilon Tt ear drops 5 mg / ml SANBE


Otozambon ear drops 10000 iu, 3390 iu,1 mg, ZAMBON
40 mg
Framicetin Sulphate
Blecidex Tt botol 5 mg / ml SANBE
15d. OTHER EAR PREPARATIONS
Docusate Sodium
Forumen Tt ear drops 5 mg / ml SANBE
Polimiksin B Sulfat
Otopraf ear drops 10000ui, 5 mg DARYA VARIA
15e. MOUTH/THROAT PREPARATIONS
Benzydamine
Tantum Verde Or 60 Ml gargle benzydamine 90 mg / SOHO GLOBAL HEALTH
60 ml
Dequalinium Chloride
Degirol 100 tablet hisap 0.25 mg DARYA VARIA
Fradiomycin Sulfate, Gramicidin-S Hcl
Fg Troches Meiji tablet throces 2.5 mg, 1 mg MEIJI INDONESIA
Hexetidine
Hexadol gargle 0,1 % OTTO ETHICAL
Hexadol Mint gargle 0,1 % OTTO ETHICAL
Povidone Iodine
Molexdine Mw gargle 0.1 MOLEX AYUS
Betadine Obat Kumur gargle MUNDI PHARMA
Triamcinolone Acetonide
Ketricin Orabase 0.1% @5Gr oralbase 1 mg / g FERRON
Kenalog In Orabase oralbase 0.001 TAISHO PHARMACEUTICAL

Trilac tube 1 mg NOVELL


Chlorhexidine Gluconate
Minosep Gargle 0.1% 60 Ml gargle 0.1% / 60 ml PROMEDRAHARDJO FARMASI INDUSTRI OGB
Aloe Vera Extract
Aloclair Plus Gel gel YA HEXPHARM JAYA BRANDED

Aloclair Plus Oral Rinse oral rinse YA HEXPHARM JAYA BRANDED

Aloclair Plus Spray spray YA HEXPHARM JAYA BRANDED


Chlorhexidine Glukonate
Kin Moutwash gargle 0.12% / 250 ml EXELTIS NUFARINDO
16 DERMATOLOGICALS
16a. TOPICAL ANTIBIOTICS
Fucidic Acid
Fucilex 20 Mg Krim cream 20 mg MOLEX AYUS
Fusigra Cream 5 Gr cream 0.02 GRAHA FARMA
Fuladic Cream 0.02 Oint cream 0.02 GUARDIAN PHARMATAMA
Fusycom cream 0.02 YA COMBIPHAR

Halaman 47 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Mupirocin
Bactroban Cream 5 Gr cream 0.02 SMITHKLINE BEECHAM PHARMACEUTICALS
Mertus cream 0.02 PT PHAROS INDONESIA
Pirotop 10Gr cream 0.02 SURYA DERMATO
Bactroban 10 Gr cream 0.02 SMITHKLINE BEECHAM PHARMACEUTICALS
Bactoderm cream 0.02 IKAPHARMINDO PUTRAMAS

Mupirocin Ointment 2% ointment 0.02 NOVELL


Pibaksin 20 Mg Oint ointment 0.02 SANBE
Bactroban Oint 5 Gr ointment 0.02 SMITHKLINE BEECHAM PHARMACEUTICALS
Bactroban 10 Gr ointment 0.02 SMITHKLINE BEECHAM PHARMACEUTICALS
Gentamisin Sulfat
Gentamisin Sulfat 0,1% Krim cream 0.001 BUMN KIMIA FARMA
Gentalex 1 Mg Krim cream 0.001 MOLEX AYUS
Gragenta Krim 5 Gr cream 0.001 GRAHA FARMA
Sagestam 10 G cream 0.001 SANBE
Salticin Cream cream 0.001 INTERBAT

Ikagen ointment 0.001 IKAPHARMINDO PUTRAMAS


Oksitetrasiklin
Oksitetrasiklin Sk 3% cream 0.03 BUMN KIMIA FARMA
Clindamycin Phosphate
Clinium Gel 10 Mg gel 0.01 INTERBAT
Mediklin Gel 15Gr gel 1,2 (%) SURYA DERMATO
Av Clinika gel 0.01 IKAPHARMINDO PUTRAMAS
Silver Sulfadiazin
Burnazin cream 10 mg DARYA VARIA
Burnazin cream 10 mg DARYA VARIA
Oxytetracyclin
Terramycin 50Mg tube 50 mg PFIZER
16b. TOPICAL ANTIFUNGALS & ANTIPARASITES
Ciclopiroxolamin
Loprox Nail Laquer soln 15 gr AVENTIS PHARMA
Ketoconazole
Ketokonazole 2% Krim cream 0.02 YA BUMN KIMIA FARMA
Fexazol 20 Mg Krim cream 0.02 YA MOLEX AYUS
Ketoconazole Cream 2% / 10 Gram cream 0.02 HEXPHARM JAYA OGB
Ketokonazol Cream 2 % /10 Gram cream 0.02 BUMN PHAPROS
Ketoconazole 0,02 cream 0.02 NOVELL
Ketoconazole cream 0.02 NULAB PHARMACEUTICAL INDONESIA OGB
Ketokonazol Cream 2 % /15 Gram cream 0.02 BUMN PHAPROS
Tokasid Cream 10 Gr cream 0.02 GRAHA FARMA
Muzoral Cream 5 Gr cream 0.02 TRANSFARMA
Interzol Cream cream 0.02 INTERBAT
Dermaral cream 0.02 CORSA
Fungoral Cr 10 G cream 0.02 BUMN KIMIA FARMA
Ketomed Cr 15Gr cream 0.02 SURYA DERMATO
Nizoral 2% Cr cream 0.02 JOHNSON2
Nizoral 2% Cr cream 0.02 JOHNSON2

Interzol Ss 2% solution 0.02 YA INTERBAT


Ketomed Sol 60Ml solution 0.02 SURYA DERMATO
Fungasol-Ss 2% 0.02 Soln solution 0.02 GUARDIAN PHARMATAMA
Zoloral Ss solution 0.02 IKAPHARMINDO PUTRAMAS
Nizoral 1% Ss solution 0.01 JOHNSON2
Nizoral 2% Ss solution 0.02 JOHNSON2
Nystatin
Myco Z Ointment ointment 100.000 unit / gr TAISHO PHARMACEUTICAL
Terbinafine Hcl
Interbi Cream cream terbinafine hcl 1% INTERBAT
Termisil Cr cream 100 mg FERRON
Miconazole Nitrate 2%
Miconazole Krim 2% cream 0.02 BUMN KIMIA FARMA
Moladerm 20 Mg Krim cream 20 mg MOLEX AYUS
Fungares 5 0.02 Cream cream 0.02 GUARDIAN PHARMATAMA
Mycorine 0.02 Cream 5 G cream 2% GALENIUM

Mycorine 2% powder 2% GALENIUM


Clotrimazole
Canesten Cream 5 G cream 5 gr BAYER
Baycuten N-Cream 5 G cream 5 gr BAYER
Trosyd
Trosyd 10Mg tube 10 mg PFIZER
Miconazole Nitrate 2% + Hydrocortison
Thecort Cream cream GUARDIAN PHARMATAMA
16c. TOPICAL ANTIVIRALS
Acyclovir
Acyclovir 5 % Krim cream 0.05 BUMN INDOFARMA
Molavir 50 Mg Krim cream 50 mg MOLEX AYUS
Acyclovir 5%
Lovires Cream cream 0.05 GRAHA FARMA
Acyclovir 5 %
Zoter Cream cream acyclovir 5 % INTERBAT
16d.TOPICAL ANTI-INFECTIVES WITH CORTICOSTEROIDS
Chloramphenicol
Ikamicetin Salep cream 0.02 IKAPHARMINDO PUTRAMAS
Chloramphenicol : Prednisolone
Klorfeson 20 Mg ; 2,5 Mg Krim cream 20 mg : 2,5 mg MOLEX AYUS
Betamethasone Valerate : Neomycine Sulfate
Bevalex 1 Mg ; 5 Mg Krim cream 1 mg : 5 mg MOLEX AYUS
Chloramphenicol + Prednisolon
Chloramfecort H Cream cream 2,5 mg BUMN KIMIA FARMA
Chloramphenicol + Hydrocotison Acetate
Chloramfecort Cream cream 25 mg BUMN KIMIA FARMA
Gentamicin Sulfate + Fluorocinolon
Gentasolon cream 0,1% IKAPHARMINDO PUTRAMAS
Genolon Cream cream 0.001 GUARDIAN PHARMATAMA
Betamethasone Dipropionate 0,64 Mg, Gentamicin Sulfate 1,7 Mg
Diprogenta Cream cream TRANSFARMA
Betamethasone Valerate + Neomycin Sulfate
Betason - N Krim cream 1 mg BUMN KIMIA FARMA

Halaman 48 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
16e. TOPICAL CORTICOSTEROIDS
Alclometasone Dipropionate
Cloderm cream 0,05% IKAPHARMINDO PUTRAMAS
Betametason
Betametason 0,1% Krim cream 0,1% YA BUMN KIMIA FARMA
Clobetasol Propionate
Bersol 5 G cream 5g BERNO BRANDED
Hercum cream 0.5 mg PT PHAROS INDONESIA
Kloderma Cr 10Gr cream 0,05 (%) SURYA DERMATO
Forderm 10 Gr cream 0,5 mg FERRON
Dermovate Cream 0,05% cream 5g GLAXO WELLCOME INDONESIA

Lotasbat Ointment ointment clobetasol propionat INTERBAT


0,05 %
Kloderma Oint 10Gr ointment 0,05 (%) SURYA DERMATO
Dermovate Oint 0,05% 10 G ointment 10 g GLAXO WELLCOME INDONESIA
Fluocinolone Acetonide
Cinolon 0.25 Mg cream 0.25 mg SANBE
Dermasolon cream 0,025% IKAPHARMINDO PUTRAMAS

Dermasolon gel 0,025% IKAPHARMINDO PUTRAMAS

Dermasolon ointment 0,025% YA IKAPHARMINDO PUTRAMAS


Hydrocortisone 17-Butyrate
Dermacoid Lipocream cream 0,1 % COMBIPHAR
Dermacoid Cream cream 0,1 % COMBIPHAR
Dermacoid Scalp cream 0,1 % COMBIPHAR
Mometasone Furoate
Mometasone Cream 0,1% cream 0.001 NOVELL
Mometasone Furoate cream 5 gr NULAB PHARMACEUTICAL INDONESIA OGB
Metagra Cream 5 Gr cream 0,1% GRAHA FARMA
Mometasone Cream 0,1% cream 0.001 YA NOVELL
Mometasone Furoate cream 10 gr NULAB PHARMACEUTICAL INDONESIA OGB
Mesonta 1 Mg Cream cream 1 mg GALENIUM
Elox 10 Cream cream 0,1% GUARDIAN PHARMATAMA
Elocon 5 Gr cream TRANSFARMA

Elocon Lotion 30 Ml lotion TRANSFARMA

Intercon Oint ointment mometasone furoate INTERBAT


0.1% ( 10 g )
Mofacort Oint 10Gr ointment 0,1 (%) SURYA DERMATO
Elocon Ointment 10 Gr ointment TRANSFARMA
Prednicarbate
Dermatop 0.25% Cream 5 Gr salep 5 gram AVENTIS PHARMA
Dermatop 0.25% Cream 15 Gr salep 15 gram AVENTIS PHARMA
Triamcinolone
Triamcinolone Cream 0,1% cream 0.001 NOVELL
Triamcinolone Acetonide
Triamcort A Cream cream triamcinolone INTERBAT
acetonide 0,1 %
Kenacort-A Cream cream 0.001 TAISHO PHARMACEUTICAL
Betametason 0,1%
Betametason Cream 0.1% / 1 Tube cream 0.001 BUMN PHAPROS
Hidrokortison Asetat
Hidrokortison Asetat 2,5% Krim cream 2,5% YA BUMN KIMIA FARMA
Lexacorton 25 Mg Krim cream 25 mg YA MOLEX AYUS
Cortigra Cream 5 Gr cream 25 mg / g (2%) GRAHA FARMA
Hydrocortisone 0,1%
Hydrocortison 0.01 Cream cream 1% / 5 gr HEXPHARM JAYA BRANDED
Desoximetasone
Desoximetasone cream 15 g DEXA MEDICA

Esperson salep 5 gr AVENTIS PHARMA


Esperson salep 15 gr AVENTIS PHARMA
Betamethasone Dipropionate 0.05%
Protocort cream 0.0005 PT PHAROS INDONESIA
Fluticasone Propionate
Medicort 10Gr cream 0,05 (%) SURYA DERMATO
Bethametasone Dipropionate, Salycyl Acid
Diprosalic Oint 0.25Mg/5Ml Oint oint 0.25 mg / 5 ml MSD
Hidrokortison 2,5%
Hydrocortisone 2,5% Cream Tube, 5 G cream 2.5% / 5 gr HEXPHARM JAYA BRANDED
Desonide
Calacort 0.005 Cream cream 0,05 (%) GALENIUM
Dermanide Cream cream 0,05 (%) INTERBAT
Desolex N 10Gr cream 0,05 (%) SURYA DERMATO

Desolex Sol 10Ml solution 0,05 (%) SURYA DERMATO


Desoximethasone
Dexosyn cream 2.5 mg PT PHAROS INDONESIA
Dexocort 10 cream 0,25 % YA BUMN KIMIA FARMA
Hydrocortisone Cream 2.5% / 1 Tube
Hydrocortisone Cream 2.5% / 1 Tube krim 0.025 YA BUMN PHAPROS
Desoxymethasone + Neomycine
Denomix cream 0,05% COMBIPHAR
Fluocinolone Acetonide + Gentamycin
Sinobiotik 0,025, 0,1% Cream cream 0.1% GALENIUM
Diflucortolone Valerate 0,1 %
Nerilon Cream tube diflucortolone valerate YA INTERBAT
0,1 %
Fluocinolone Acetonide + Neomycin
Cinolon N 0.25 Mg cream 0.25 mg SANBE
Hydrocortisone
Hydrocortisone 2,5 % cream 2,5 % BUMN INDOFARMA
16f. ACNE TREATMENT PREPARATIONS
Azelaic Acid
Av F Aza Acne Foundation cream 0.2 IKAPHARMINDO PUTRAMAS
Erythromycin
Erymed Crm 20Gr cream 2 (%) SURYA DERMATO

Halaman 49 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Erymed Gel 15Gr gel 2 (%) SURYA DERMATO
Tretinoin
Vitacid Cr 0,025 15Gr cream 0,025 (%) SURYA DERMATO
Nuface 0.025 0.00025 Cream cream 0,025 (%) GUARDIAN PHARMATAMA
Trentin cream 0,05% IKAPHARMINDO PUTRAMAS
Trentin cream 0,1% IKAPHARMINDO PUTRAMAS
Nuface 0.05 0.0005 Cream cream 0,05% GUARDIAN PHARMATAMA
Vitacid Cr 0,05 20Gr cream 0,05% SURYA DERMATO
Vitacid Cr 0,1 20Gr cream 0,1% SURYA DERMATO
Retin-A 0.025% cream 0.00025 JOHNSON2
Retin-A 0.05% cream 0.0005 JOHNSON2
Retin-A 0.1% cream 0.001 JOHNSON2

Vitacid Sol 0,05 solution 0,05% SURYA DERMATO


Clindamycin Phosphate
Mediklin Tr 15Gr cream 1,2 (%) SURYA DERMATO

Mediklin Sol 30Ml solution 1,2 (%) SURYA DERMATO


Clinidac solution 10 mg PT PHAROS INDONESIA
Adapalen 10%
Evalen Cream 10 Gr cream 1 mg FERRON

Evalen Gel 10 Gr gel 1g FERRON


Caprylic / Capric Triglycerides, Squalane, Ceramide 3, Phytosterol, Phospholipids
Physiogel 75 Ml cream 75 ml STERLING PRODUCT INDONESIA
Palmitoylethanolamide (Pea) And Dms Concentrate Containing Physiological Lipids
Physiogel Ai 50 Ml cream 50 ml STERLING PRODUCT INDONESIA
16k. SKIN ANTISEPTICS & DISINFECTANTS
Povidone Iodine
Betadine Dry Powder dry powder 0.025 MUNDI PHARMA

Betadine Ointment oinment 0.1 YA MUNDI PHARMA


Betadine Ointment oinment 0.1 YA MUNDI PHARMA
Betadine Ointment oinment 0.1 YA MUNDI PHARMA

Betadine Solution solution 0.1 MUNDI PHARMA


Molexdine Solution Cairan solution 0.1 MOLEX AYUS
Iodine Povidone Lar 10% solution 0.1 BUMN KIMIA FARMA
Iodine Povidon 10% solution 0.1 BUMN KIMIA FARMA
Molexdine Solution Cairan solution 0.1 MOLEX AYUS
Betadine Solution solution 0.1 MUNDI PHARMA
Dinasept solution 0.1 HARSEN LABORATORIES
Betadine Solution solution 0.1 YA MUNDI PHARMA
Betadine Feminin Higine solution 0.1 MUNDI PHARMA
Betadine Sabun Cair solution 0.075 MUNDI PHARMA
Betadine Solution solution 0.1 YA MUNDI PHARMA
Betadine Sabun Cair solution 0.075 YA MUNDI PHARMA
Iodine Povidon 10% solution 0.1 BUMN KIMIA FARMA
Molexdine Solution Cairan solution 0.1 MOLEX AYUS
Betadine Solution solution 0.1 MUNDI PHARMA
Betadine Sabun Cair solution 0.075 YA MUNDI PHARMA
Betadine Solution solution 0.1 MUNDI PHARMA

Betadine Stick stick 0.1 MUNDI PHARMA


Chlorhexidine Gluconate
Minoscrub 2% 1 L cair chlorhexidine PROMEDRAHARDJO FARMASI INDUSTRI OGB
gluconate 2%
Minoscrub 4% 1000 Ml cair chlorhexidine PROMEDRAHARDJO FARMASI INDUSTRI OGB
gluconate 4%
Octenidine Dihidrocloride
Octedine cair 0.001 IKAPHARMINDO PUTRAMAS
Ferracrylum
Hemolok Gel gel 0.03 DEXA MEDICA

Hemolok Feracrylum 1% 100Ml soln 0.01 DEXA MEDICA


Asam Hialuronat, Shea Butter, Asam Glisiretinat, Vitis Vinifera, Telmestein, Vitamin C Dan Vitamin E
Atopicalair 40 Ml cream YA TRANSFARMA
Atopicalair 120 Ml cream YA TRANSFARMA
Atopicalair 100 Ml cream YA TRANSFARMA
16l. MEDICATED SURGICAL DRESSINGS
Framycetin Sulfat Bp 1%
Sofratulle sheet 10 cm AVENTIS PHARMA

Daryant-Tulle tulle 10x10 0.01 DARYA VARIA


Chlorhexidine Acetate (0.5%) Tulle Gras Dressing
Bactigras 10X10Cm lembar YA KALBE FARMA
Bactigras 15X20 Cm lembar YA KALBE FARMA
16m. OTHER DERMATOLOGICALS
Allium Cepa Extract
Dermakel Gel gel allium cepa 12%, SOHO INDUSTRI PHARMASI
centella asiatica 10%,
aloe vera 2%, paper
mullbery extract 1%,
allantoin 0.1%, n
hydroxy prolisilane
2.25% (gel)

Dermakel Kids gel allium cepa 12%, SOHO INDUSTRI PHARMASI


centella asiatica 10%,
aloe vera 2%, paper
mullbery extract 1%,
allantoin 0.1%, n
hydroxy prolisilane
2.25% (gel), ipomoea
extract 0.5%, perrila
1%, portulaca 1% (gel)

Mederma gel 0.1 COMBIPHAR


Centella Asiatica
Lanakeloid capl 30 mg LANDSON

Halaman 50 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Hyaluronic Acid
Bionect Cream cream 0.002 COMBIPHAR

Bionect Gauze Pads gauze pads 0,05% COMBIPHAR


Asiaticoside 40%;Asiatic Acid 30%;Madecassic Acid 30%
Madecassol Ointment 1% salep 0.01 CORSA

Madecassol Powder serbuk CORSA

Madecassol tablet CORSA


Stable Emulsion System (Ambiphilic)
Biocream tube 20 gram MERCK BIOPHARMA
Eco Honey + Glyceryn + Propylene Glycol + Peg 4000 + Tulle
Sanoskin Melladerm Plus Tulle tulle eco honey + glyceryn + INTERBAT
propylene glycol + peg
4000 + tulle

Stimutex-As
Ezerra cream 0.03 TAISHO PHARMACEUTICAL
Psedoceramide (Myristoyl/Palmiroyl Oxostearamide/Arachamide Mea), Phytosterols, Asam Stearat Dan Minyak Nabati, Squalene
Noroid 80 Ml cream psedoceramide SOHO INDUSTRI PHARMASI
(myristoyl / palmiroyl
oxostearamide /
arachamide mea),
phytosterols, asam
stearat dan minyak
nabati, squalene

Noroid Lotion 200 Ml cream psedoceramide SOHO INDUSTRI PHARMASI


(myristoyl / palmiroyl
oxostearamide /
arachamide mea),
phytosterols, asam
stearat dan minyak
nabati, squalene

Eco Honey + Glyceryn + Propylene Glycol + Peg 4000


Sanoskin Melladerm Plus tube eco honey + glyceryn + INTERBAT
propylene glycol + peg
4000

Psedoceramide (Myristoyl/Palmiroyl Oxostearamide/Arachamide Mea), Phytosterols, Asam Stearat Dan Minyak Nabati, Squalene, Zinc Oxide
Noroid Derma Rash60 Ml cream psedoceramide SOHO INDUSTRI PHARMASI
(myristoyl / palmiroyl
oxostearamide /
arachamide mea),
phytosterols, asam
stearat dan minyak
nabati, squalene, zinc
oxide

Hyaluronic Acid + Silver Sulfadiazine


Ialuset Plus Cream cream 100 g x 1's DIPA PHARMALAB INTERSAINS
Radix Scutellariae
Mebo Ointment oint radix scutellariae COMBIPHAR
17 ANAESTHETICS LOCAL & GENERAL
17. ANAESTHETICS LOCAL & GENERAL
Bupivacaine Hcl
Bupivacain injeksi 5 mg / ml QUANTUM LABS
Bupivacain 0,5% Inj injeksi 0,5% BERNO GENERIK
Indevus injeksi bupivacaine hcl 0.5% x PT PHAROS INDONESIA
20 ml
Regivell Spinal injeksi 20 mg NOVELL
Bucain Inj injeksi 5 mg / ml BERNO BRANDED
Bunascan Spinal 0.5% injeksi 5 mg / ml FAHRENHEIT
Marcain 0,50% Hvy 4 Ml Amp injeksi 0,50% hvy 4 ml ASTRA ZANECA
Marcain 0,50% Pdf 20 Ml Amp injeksi 0,50% pdf 20 ml ASTRA ZANECA
Isoflurane
Terrell 100 botol 100 ml FAHRENHEIT
Forane Inhalasi botol 250 ml ABBOT

Aerrane 250 Ml cairan volatil KALBE FARMA

Isofluran inhalasi 250 ml DEXA MEDICA


Ketamine
Ktm 100 Mg injeksi 100 mg / ml GUARDIAN PHARMATAMA
Ivanes injeksi 100 mg / ml YA IKAPHARMINDO PUTRAMAS
Ketamin injeksi 50 mg / ml COMBIPHAR
Ketalar 100Mg injeksi 100 mg / ml PFIZER
Lignocaine Hcl
Xylocaine 2% Pdf injeksi 2% pdf 20 ml ASTRA ZANECA

Xylocaine 2% Jelly 10Gr Stringe jelly 2% jelly 10gr ASTRA ZANECA

Xylocaine 10% Spray spay 10 ASTRA ZANECA


Midazolam
Midazolam-Hameln injeksi 5 mg / 5 ml COMBIPHAR
Fortanest 15/3 injeksi 15 mg / 3 ml YA KALBE FARMA
Propofol
Fresofol injeksi 1.5-2.5 mg kg body wt YA FRESINIUS KABI
/ day
Proanes 1% (Mct/Lct) injeksi SANBE
Diprivan injeksi 20 ml ASTRA ZANECA
Sevoflurane
Sevorane botol 250 ml ABBOT

Sevoflurane Baxter cairan volatil 0.5-3% KALBE FARMA

Sevodex 250Ml inhalasi 250 ml DEXA MEDICA


Ropivacaine Hcl. Inj

Halaman 51 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Naropin 7,5 Mg/Ml Amp injeksi 7,5 mg / ml ASTRA ZANECA
Lidocain Injeksi 2%
Lidocain Injeksi 2% injeksi 0.02 YA BUMN PHAPROS
Lidocain injeksi 0.02 QUANTUM LABS
Lidocain Hcl 2 % Injeksi injeksi 0.02 BERNO GENERIK
Lignovell injeksi 20 mg NOVELL
Lidocain Injeksi 5%
Lidocain Hcl 5% injeksi 0.05 BERNO GENERIK
Lidodex Inj injeksi 0.05 BERNO BRANDED
Lidocaine 2.5%, Prilocaine 2.5%
Topsy Cr 2,5% 3G cream 2.5% GALENIUM
Lidocaine Hcl 5% Alumunium Subacetate 3.5%Hydrocortisone Acetate 0.25%Zinc Oxide 18%
Hemocaine 0.05 Oint oinment 5% GALENIUM
Thiopental Sodium
Thiopental Sodium 0.5 Gr Injeksi injeksi 0,5 g BERNO GENERIK
Tiopol 0,5 injeksi 0,5 g BERNO BRANDED
Thiopental Sodium 1 Gr Injeksi injeksi 1g BERNO GENERIK
Tiopol 1 injeksi 1g BERNO BRANDED
Lidocain Injeksi 2% + Adrenalin
Pehacain Inj injeksi 20 mg BUMN PHAPROS
Desflurane
Suprane cairan volatil 0.03 KALBE FARMA
18 ALLERGY & IMMUNE SYSTEM
18a. ANTIHISTAMINES & ANTIALLERGICS
Bepotastine Besilate
Talion tablet 10 mg TANABE
Cetirizine Hcl
Cetirizine Drops 10 Mg/Ml drops 10 mg / ml BUMN INDOFARMA
Estin Drop drops 10 mg / ml GRACIA
Betarhin S drops 10 mg / ml MAHAKAM

Cerini 10 Mg f-c caplet 10 mg SANBE

Incidal Capsule kapsul BAYER

Zine syrup 5 mg / 5 ml PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL


Yarizine Syr syrup 5 mg / 5 ml YARINDO

Cetirizin tablet 10 mg YA BUMN PHAPROS


Cetirizine 10 Mg tablet 10 mg NOVELL
Cetirizine 10 Mg tablet 10 mg HEXPHARM JAYA OGB
Zine tablet 10 mg PROMEDRAHARDJO FARMASI INDUSTRI ETHICAL
Alergine tablet 10 mg BUMN KIMIA FARMA
Histrine Ft 5Mg Tab tablet 5 mg FERRON
Ritez Ft tablet 10 mg DEXA MEDICA
Desloratadine
Altera syrup 2,5 mg / 5 ml BUMN PHAPROS
Aleros syrup 0.5 mg / ml / 60 ml ACTAVIS
Aerius Syr 60 Ml syrup 0.5 mg / ml MSD

Destavell tablet 5 mg NOVELL


Aerius 5 Mg Tab tablet 5 mg MSD
Enoxaparin Na
Claritin Syrup syrup loratadine 5 mg BAYER
Loratadine
Alloris 5 Mg / 5 Ml syrup 5 mg / 5 ml SANBE

Loratadine 10 Mg tablet 10 mg NOVELL


Loratadine 10 Mg tablet 10 mg YA PROMEDRAHARDJO FARMASI INDUSTRI OGB
Loratadine 10 Mg tablet 10 mg YA HEXPHARM JAYA OGB
Gradine 5 tablet 5 mg GRAHA FARMA
Gradine 10 tablet 10 mg GRAHA FARMA
Soneryl 10 Mg tablet 10 mg HARSEN LABORATORIES
Clatatin 10 Mg tablet 10 mg YA MOLEX AYUS
Rihest tablet 5 mg ABBOT
Claritin tablet 10 mg BAYER
Fexofenadine Hcl
Telfast tablet 30 mg AVENTIS PHARMA
Telfast Od tablet 120 mg AVENTIS PHARMA
Telfast Hd tablet 180 mg AVENTIS PHARMA
Chlorpheniramine Maleate 4 Mg
Decaphenon tablet 4 mg HARSEN LABORATORIES
Chlorpheniramine Maleat (Ctm) tablet 4 mg BUMN PHAPROS
Dexamethasone : Dexchlorpheniramine Maleate
Dextamine Syr syrup 0,5 mg BUMN PHAPROS
Colergis syrup 2 mg / 5 ml DEXA MEDICA

Grafachlor tablet 0,5 mg GRAHA FARMA


Desloratadine, Pseudoephedrine
Aerius D-12 tablet 2.5 mg + 120 mg MSD
Dipenhidramine Hcl
Ikadryl injeksi 10 mg / ml IKAPHARMINDO PUTRAMAS
Dexamethasone + Ctm
Prodex tablet dexamethasone 0.5 PROMEDRAHARDJO FARMASI INDUSTRI OGB
mg
Mebhydrolin Napadisylate ~ Mebhydrolin Base 50 Mg
Interhistin Syrup syrup mebhydrolin INTERBAT
napadisilate 50 mg per
5 ml

Interhistin tablet 50 mg INTERBAT


Nooronal tablet 50 mg HARSEN LABORATORIES
Dexchlorpheniramine Maleate
Histaklor tablet 2 mg GRAHA FARMA
Betamethasone + Dexchlorpheniramin
Durocort syrup 0.25 mg PT PHAROS INDONESIA
Cortamine Syrup syrup betamethasone 0.25 INTERBAT
mg +
dexchlorpheniramine
maleat 2 mg / 5 ml

Halaman 52 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Celestamine 30 Ml Syr syrup 0.25 mg / 30 ml MSD

Ocuson tablet 0.25 mg SANBE


Cortamine tablet betamethasone 0.25 INTERBAT
mg +
dexchlorpheniramine
maleat 2 mg
Celestamine tablet 250 mcg + 2 mg MSD
Pheniramine Hydrogen Maleate
Avil tablet 25 mg AVENTIS PHARMA
Diphenhydramine Injeksi 10 Mg/Ml
Diphenhydramine injeksi 10 mg / ml BUMN PHAPROS
Cetirizine Hcl + Pseudoephedrin
Ryvell Plus tablet pelepasan 5 mg NOVELL
lambat

Fexofenadine Hcl + Pseudoephedrin


Telfast Plus tablet 60 mg AVENTIS PHARMA
Deferoksamin Mesilat
Desferal 500 Mg injeksi 500 mg YA PT NOVARTIS INDONESIA
Deferasiroks
Exjade 250 Mg tablet 250 mg YA PT NOVARTIS INDONESIA
Exjade 500 Mg tablet 500 mg YA PT NOVARTIS INDONESIA
18b. VACCINES, ANTICERA & IMMUNOLOGICALS
Arabinoxylan Derivative
Biobran tablet FERRON
Freeze-Dried Rabies Vaccine Produced (Wistar Strain Rabies Pmiwi 38-1503-3M) Produced In Vero Cell Line, Inactivated And Purified ≥ 2.5 Iu
Verorab Reguler injeksi 25 iu / dose AVENTIS PHARMA
1 Ml Tuberkulin Ppd 2 Tu Mengandung1 Ml Tuberkulin Ppd Rt 23Mycobacterium Tubercolosis 0,4 Mcgdisodium Phospate Dihydrate 7,6 Mgpottasium Dihydrogen Phospate 1,45 Mgsodium Chloride 4,8
Mgpottasium Hydroxyquinoline Sulphate 100 Mcgpolysorbate 50 Mcgwater For Injection 1 Ml
Ppd Rt23 2 Ut injeksi BUMN BIOFARMA
Human Immunoglobulin G (Igg)
Intratect injeksi 50 g / l YA BUMN KIMIA FARMA
Intratect injeksi 50 g / l YA BUMN KIMIA FARMA
Lysate Bakteri Saluran Pernafasan Atas
Broncho Vaxom kapsul lysate bakteri ACTAVIS
Lysate Bakteri
Broncho Vaxom kapsul lysate bakteri ACTAVIS
Tiap Dosis (0,5 Ml) Mengandung :Zat Berkhasiat :Toksoid Tetanus Murni 10Lf Zat Tambahan Alumunium Fosfat1,5 Mcg Thimerosal 0,05 Mg
Bio-Tt injeksi BUMN BIOFARMA
Tiap Dosis (0.5Ml) Mengandung :Zat Berkhasiat :Toksoid Tetanus Murni 7,5Lftoksoid Difteri Murni 2Lf Zat Tambahan :Alumunium Fosfat1,5 Mcg Thimerosal 0,05 Mg
Bio-Td injeksi BUMN BIOFARMA
Mengandung 10 Mcg Hbsag,Al3 + 0,25 Mcg,Thimerosal 0,01W/V%
Hbv 0.5 Ml (Vaksin Hepatitis B Anak) injeksi BUMN BIOFARMA
Tiap Dosis (2 Tetes=0,1 Ml) Mengandung: Zat Berkhasiat : Virus Polio Dilemahkan (Strain Sabin) Tipe 1≥106.0 Ccid50, Tipe 1≥105.0, Ccid50Tipe, 1≥105.8 Ccid50
Polio (Sabin) Bivalen injeksi BUMN BIOFARMA
Purified Hbsag 10 µg /Dosis
Euvax B 0.5Ml injeksi AVENTIS PHARMA
Mengandung 20 Mcg Hbsag, Al3 + 0,5 Mcg, Thimerosal 0,01W/V%
Hbv 1.0 Ml (Vaksin Hepatitis B Dewasa) injeksi BUMN BIOFARMA
Hepatitis B Virus (Recombinant)
Engerix 10 Mcg 0.5Ml injeksi 10 mcg, 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Engerix 20Mcg 1Ml injeksi 20 mcg, 1 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Zat Berkhasiat:Toksoid Difteri Murni 20 Lftoksoid Tetanus Murni 7,5 Lfzat Tambahanalumunium Fosfat 1,5 Mgthimerosal 0,05 Mg
Jerap Difteri Tetanus (Dt) injeksi 5 ml/10 ds BUMN BIOFARMA
Zat Berkhasiat:Toksoid Difteri Murni 2 Lftoksoid Tetanus Murni 7,5 Lfzat Tambahanalumunium Fosfat 1,5 Mgthimerosal 0,05 Mg
Jerap Td (Tetanus Difteri) injeksi 5 ml/10 ds BUMN BIOFARMA
Zat Berkhasiat:Toksoid Tetanus Murni 10 Lfzat Tambahanalumunium Fosfat 1,5 Mgthimerosal 0,05 Mg
Jerap Tetanus (Tt) injeksi 5 ml/10 ds BUMN BIOFARMA
Purified Hbsag 20 µg /Ml
Euvax B 1Ml injeksi 20 µg / 1.0 ml AVENTIS PHARMA
Euvax B Multidose injeksi 20 µg / 1.0 ml AVENTIS PHARMA
Mengandung Strain A/H1N1 15µg Ha, A/H3N2 µg Ha, B 15 µg Ha, Sesuai Rekomendasi Who
Flubio (Vaksin Influenza) injeksi BUMN BIOFARMA
Zat Berkhasiat :Toksoid Difteri Murni 20 Lftoksoid Tetanus Murni 7,5 Lfb. Pertussis Yang Di Inaktivasizat Tambahanalumunium Fosfat 1,5 Mgthimerosal 0,05 Mg
Jerap Difteri Tetanus Pertusis (Dtp) injeksi 5 ml/10 ds BUMN BIOFARMA
Zat Aktif: Mengandung Virus Campak Strain Cam 70 Tidak Kurang Dari 1.000 Ccid50 Zat Tambahan : Kanamisin Sulfat Tidak Lebih Dari 100 Mcg Eritromisin Tidak Kurang Dari 30Mcg Pelarut Mengandung
:Air Untuk Injeksi

Campak injeksi BUMN BIOFARMA


Inactivated Polio Virus Type 1-40 Antigen D Units, Inactivated Polio Virus Type 2-8, Antigen D Units, Inactivated Polio Virus Type 3-32 Antigen D Units
Imovax Polio injeksi type 1 40 antigen d AVENTIS PHARMA
units
type 2 8 antigen d
units
type 3 31 antigen d
units
Inactivated Influenzae Virus Type A And Type B
Vaxigrip 0.25Ml (Junior) injeksi 7.5 mcg ha** per 0.25 AVENTIS PHARMA
ml dose
Vaxigrip 0.5Ml (Adult) injeksi 15 mcg ha** per 0,5 AVENTIS PHARMA
ml dose
Toksoid Difteri Murni 20 Lf (≥ 30 Iu),Toksoid Tetanus Murni 5 Lf(≥ 60 Iu),B. Pertusis Inaktif 12 Ou (≥4 Iu),Hbsag 10 Mcg, Konjugat Hib 10 Mcg
Pentabio (Vaksin Dtp-Hb-Hib) injeksi vial 0,5ml (1ds) BUMN BIOFARMA

Influvac 0,5 Ml Vial injeksi 0,5 ml ABBOT


Tiap Ampul Mengandung :Bacillus Calmette Guerin Hidup 1,5 Mcg, Pelarut Mengandung : Natrium Klorida 0,9 %
Bcg injeksi BUMN BIOFARMA
Zat Aktifantitoksin Tetanus 1.500 Iuzat Tambahanfenol 2,5 Mcg
Biosat-1.5 (Ats 1500) injeksi BUMN BIOFARMA
Hemaglutinin A/California/07/2009 X-179 A (H1N1) 15 Mcg Ha| Hemaglutinin A/Hongkong/4801/2014 X-263B (H3N2) 15 Mcg Ha | Hemaglutinin B/Phuket/3073/2013(Yamagatalineage) 15 Mcg Ha |
Hemaglutinin B/Brisbane/60/2008 (Victoria Lineage) 15 Mcg Ha
Fluquadri 0.25Ml (Junior) syr AVENTIS PHARMA
Haemophilus Influenzae Type B
Hiberix Pfs injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Human Tetanus Imunoglobulin 250 Iu
Tetagam P. Prefilled Syringe injeksi 250 iu DEXA MEDICA
Human Bovine Rotavirus Reassortants (G1,G2,G3,G4, P1 (8))
Rotateq drops 2 ml MSD

Halaman 53 dari 57
DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Hemaglutinin A/California/07/2009 X-179 A (H1N1) 7.5 Mcg Ha| Hemaglutinin A/Hongkong/4801/2014 X-263B (H3N2) 7.5 Mcg Ha | Hemaglutinin B/Phuket/3073/2013(Yamagatalineage) 7.5 Mcg Ha |
Hemaglutinin B/Brisbane/60/2008 (Victoria Lineage) 7.5 Mcg Ha
Fluquadri 0.5Ml (Adult) syr AVENTIS PHARMA
Haemophilus Influenzae Type B 10 Mcg
Acthib injeksi 10 µg / 0.5 ml AVENTIS PHARMA
Diphteria Toxoid, Tetanus Toxoid, Acellular Pertusis
Boostrix 0.5 Ml injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Hepatitis A Viral Protein ( Hm 175 Strain)
Havrix 720 Junior injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Rotavirus
Rotarix oral 1,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Polisakarida Meningokokus Dimurnikan Tipe Acywtipe A 50Mcg Tipe C 50 Mcg Tipe Y 50 Mcg Tipe W 50 Mcglaktosa 3.5 Mg
Meningitis injeksi BUMN BIOFARMA
Hepatitis A Viral Protein
Havrix 1440 Adult injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Inactivated Hepatitis A Virus 80 Unit/0.5 Ml
Avaxim 80 injeksi 80 unit / 0.5 ml AVENTIS PHARMA
Hepatitis A Viral Protein ( Hm 175 Strain), Hepatitis B Virus Recombinant (Combination)
Twinrix Pfs injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Live, Attenuated, Recombinant Japanese Encephalitis Virus 4.0-5.8 Log Pfu/0.5 Ml
Imojev amp + syr AVENTIS PHARMA
Inactivated Hepatitis A Virus 160 Au/Dosis (0.5 Ml)
Avaxim 160 injeksi 160 iu / dose (0.5 ml) AVENTIS PHARMA

Varicella (Live Attenuated) Vaccine


Varilrix 0.5 Ml injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Lyophilized Preparation Of The Oka/Merck Strain Of Varicella
Varivax injeksi 1,350 pfu / 0.5 ml MSD
Pneumococus Haemophilus Influenza Protein D-Conjugate Vaccine (Phid-Cv)
Synflorix Pfs injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Diphteria Toxoid, Tetanus Toxoid,Acellular Pertusis, Filamentous Haemaglutinin, Pertactin, H Influenzae Type B (Hib), Ipv (Polio)
Infanrix Ipv Hib injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Diphteria Toxoid, Tetanus Toxoid,Acellular Pertusis, Filamentous Haemaglutinin, Pertactin, H Influenzae Type B (Hib), Ipv (Polio), Hepatitis B Virus Recombinat
Infanrix Hexa injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Human Papiloma Virus
Cervarix injeksi 0,5 ml SMITHKLINE BEECHAM PHARMACEUTICALS
Setiap Ml Mengandung Anti Bisa Ularagkistrodon Rhodostoma≥10 Ld50Bungarus Fsdcistus≥25 Ld50Naja Sputatrix ≥25 Ld50Zat Tambahanfenol 2,5 Mg
Biosave (Abu) injeksi BUMN BIOFARMA
Hepatitis A (Inactivated, Adsorbed) And Typhoid (Polysaccharide) Vaccine
Vivaxim syr AVENTIS PHARMA
Pneumococcal Conjugate Vaccine
Prevenar 13 Prefilled Synginge @ 0.5 Ml injeksi PFIZER
Adsorbed Purified Pertussis Toxoid 20 Mcg, Adsorbed Purified Filamentous Haemaglutinin (Fha) 20Mcg, Adsorbed Purified Fimbrial Agglutinigers 2 + 3 (Fim) 5Mcg, Adsorbed Purified Prn 3Mcg,
Adsorbed Purified Diphtheria Toxoid 15 Lf, Adsorbed Purified Tetanus Toxoid 5Lf, Inactivated Poliomyelitis Type 1-40 Du Units, Inactivated Poliomyelitis Type 2-8 Du Units, Inactivated Poliomyelitis Type
3-32 Du Units, Purified Polyribose Ribitol Phosphate Capsular Polysaccharide (Prp) Of Haemophillus Influenzae Type B Covalently Bound To 20 Mcg Of Tetanus Protein 10 Mcg

Pediacel injeksi AVENTIS PHARMA


Hpv Type 6 L1 Protein, Hpv Type 11 L1 Protein, Hpv 16 L1 Protein, Hpv 18 L1 Protein
Gardasil suspension per hpv type 6 l1 protein MSD
injection (20 mcg) hpv type 11
l1 protein (40 mcg),
hpv 16 l1 protein (40
mcg), hpv 18 l1 protein
(20 mcg)

Diphtheria Toxoid ≤ 20 Iu, Tetanus Toxoid≤ 40 Iu, Bordetella Pertussis Antigens Pertussis Toxoid 25 µg, Filamentous Haemagglutinin 25 µg, Poliovirus (Inactivated) Type 1 (Mahoney) 40 D Antigen Units
Type 2 (Mef-1) 8 D Antigen Units Type 3 (Saukett) 32 D Antigen Units Hepatitis B Surface Antigen 10 µg, Haemophilus Influenza Type B
Polysaccharide (Polyribosylribitol 12 µg
Phosphate) Conjugated To Tetanus Protein 22-36 µg
Hexaxim syr AVENTIS PHARMA
Tiap Ml Mengandungzat Aktif :Antitoksin Difteri 2000 Iuzat Tambahanfenol 2,5 Mcg
Bioads (Ads 200000) injeksi BUMN BIOFARMA
Live, Attenuated, Cyd Dengue Virus Serotipe 1,2,3,4 Masing-Masing 4.8 - 6.0 Log10Ccid50
Dengvaxia injeksi AVENTIS PHARMA
Immune Globulin Iv
Gamunex inf 10% x 10 ml DIPA PHARMALAB INTERSAINS
Gamunex inf 10% x 50 ml DIPA PHARMALAB INTERSAINS
Lyophilized Preparation Of The Oka/Merck Strain Of LiveAttenuated Varicella Zoster Virus (Vzv)
Zostavax injection each 0.65-mdl ose MSD
contains a minimum of
19,400 pfu (plaque-
forming units) of oka /
merck vzv

Hepatitis B Immune Globulin (Human)


Hyperhep B injeksi 0,5 ml YA DIPA PHARMALAB INTERSAINS
Rho (D) Immunnoglobuline Human
Hyper Rho injeksi 300 mcg DIPA PHARMALAB INTERSAINS
Immunoglobulin Infravena 5%
Octagam injeksi 50 ml SATYA ABADI PHARMA
Zat Aktif :Antibisa Brown Snake 1.000 Unitantibisa Tiger Snake 3.000 Unitantibisa Death Adder 6.000 Unitantibisa Taipan 12.000 Unitantibisa Black Snake 18.000 Unit
Serum Abu Ii injeksi BUMN BIOFARMA
18c. IMMUNOSUPPRESSANTS
Mycophenolate Na
Myfortic 180 Mg tablet 180 mg PT NOVARTIS INDONESIA
Myfortic 360 Mg tablet 360 mg PT NOVARTIS INDONESIA
Leucovorin Calcium
Leucovorin 50 Mg injeksi 50 mg YA KALBE FARMA
Novorin injeksi 10 mg / ml NOVELL
Ciclosporin
Sandimmun Neoral 25 Mg soft caps 25 mg YA PT NOVARTIS INDONESIA
Sandimmun Neoral 100 Mg soft caps 100 mg YA PT NOVARTIS INDONESIA
Mycophenolate Mofetil
Cellcept tablet 500 mg YA ROCHE
Human Gammaglobulin
Gamaraas injeksi 2,5 g / 50 ml COMBIPHAR
19 ANTIDOTES & DETOXIFYING AGENTS
19. ANTIDOTES & DETOXIFYING AGENTS
Mesna
Uromitexan 400 Mg injection YA TRANSFARMA

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Naloxone Hcl
Nokoba injeksi 0.4 mg / ml FAHRENHEIT
Calcium Polistiren
Kalquest powd 5 mg NOVELL
Kalitake powd 5 g x 20's YA DIPA PHARMALAB INTERSAINS
Deferiprone
Ferriprox sirup 250 ml YA QUAMED

Ferriprox tablet 500 mg YA QUAMED


20 INTRAVENOUS & OTHER STERILE SOLUTIONS
#N/A
Hydroxyethyl Starch 6%; Bm 130Kd; Ds 0.4
Sanbe Hest 200 infus SANBE
20. INTRAVENOUS & OTHER STERIL SOLUTIONS
10% Dextran 40 In Rl Inj.
Otsutran - 40 infus OTSUKA
40% Dextrose
Otsu - D40 infus OTSUKA
40% Mgso4 Inj.
Otsu - Mgso4 40 infus OTSUKA
6% Dextran 70 In Normal Saline Inj.
Otsutran - 70 infus OTSUKA
7.46% Kcl Inj.
Otsu - Kcl 7.46 infus OTSUKA
Dextrose 5%
Wida D5 infus 0.05 WIDATRA BHAKTI
Otsu - D5 infus OTSUKA
Otsu - D5 infus OTSUKA
Infusan D5 Sp infus SANBE
Infusan D5 Dp infus SANBE
Infusan D5 (250Ml) infus YA SANBE
Infusan D5 (100Ml) infus YA SANBE
Electrolyte, Acetate Ringer
Asering infus OTSUKA
Electrolyte, Acetate Ringer, 5% Dextrose
Asering - 5 infus OTSUKA
Human Albumin
Plasbumin infus 5% / 50 ml YA DIPA PHARMALAB INTERSAINS
Plasbumin infus 25% / 20 ml YA DIPA PHARMALAB INTERSAINS
Human Albumin 20% Biotest infus 20% / 50 ml YA BUMN KIMIA FARMA
Plasbumin infus 20% / 50 ml YA DIPA PHARMALAB INTERSAINS
Octalbin 25% 50 Ml infus 25% 50 ml YA KALBE FARMA
Octalbin 5% 250 Ml infus 5% 250 ml YA KALBE FARMA
Plasbumin infus 25% / 50 ml YA DIPA PHARMALAB INTERSAINS
Albunorm infus 50 ml YA SATYA ABADI PHARMA
Human Albumin 20% Biotest infus 100 ml YA BUMN KIMIA FARMA
Plasbumin infus 20% / 100 ml YA DIPA PHARMALAB INTERSAINS
Zenalb infus human albumin 20% IKAPHARMINDO PUTRAMAS
100 ml
Plasbumin infus 5% / 250 ml YA DIPA PHARMALAB INTERSAINS
Plasmanate infus 250 ml YA DIPA PHARMALAB INTERSAINS
Octalbin 25% 100 Ml infus 25% 100 ml YA KALBE FARMA
Plasbumin infus 25% / 100 ml YA DIPA PHARMALAB INTERSAINS
Albunorm infus 100 ml YA SATYA ABADI PHARMA
Hydroxyethyl Starch 6%; Bm 130Kd; Ds 0.4
Voluven infus 50 ml / kg body wt / YA FRESINIUS KABI
day
Fimahes infus KALBE FARMA
Terastarch infus KALBE FARMA
Tetraspan 500Ml infus B BRAUN
Natrium Klorida
Ecosol Nacl 100Ml infus nacl 100 ml B BRAUN
Wida Ns infus 0.009 WIDATRA BHAKTI
Ecosol Nacl 500Ml infus nacl 500 ml B BRAUN
Infusan Ns Sp infus SANBE
Otsu - Ns 100 Ml infus nacl 100 ml OTSUKA
Otsu - Ns 500 Ml infus nacl 500 ml OTSUKA
Infusan Ns Dp infus SANBE
Infusan Ns (250Ml) infus SANBE
Infusan Ns (100Ml) infus SANBE
Ecosol Nacl 1000Ml infus nacl 1000 ml B BRAUN
Natrium Klorida 0,9% infus 0.009 WIDATRA BHAKTI
Wida Nsi infus 0.009 WIDATRA BHAKTI
Otsu - Ns 1000 Ml infus nacl 1000 ml OTSUKA
Ringer Solution
Wida Rs infus WIDATRA BHAKTI
Otsu - Rs infus OTSUKA
Water For Injection
Otsu - Wi infus OTSUKA
Sanbe Water For Irrigation Usp infus SANBE
Wida Wi infus WIDATRA BHAKTI
Sanbe Water For Irrigation infus SANBE

Aqua Pro 10Ml Inj injeksi 10 ml BERNO GENERIK


Aqua Pro injeksi 20 ml BERNO GENERIK
Aqua Pro 50Ml Inj injeksi 50 ml BERNO GENERIK
Glucose
Ecosol G5 100Ml plabot glucose 100 ml B BRAUN
Ecosol G5 500Ml plabot glucose 500 ml B BRAUN
Ecosol G10 500Ml plabot glucose 500 ml B BRAUN
20% Mgso4 Inj
Otsu - Mgso4 20 infus OTSUKA
Ringer Lactate
Otsu - Rl infus OTSUKA
Wida Rl infus WIDATRA BHAKTI

Ecosol Rl 500Ml plabot ringer lactate 500 ml B BRAUN

Dextrose + Natrium Klorida


Wida D5-1/2Ns infus 0.05 YA WIDATRA BHAKTI
Wida D5-1/4Ns infus 0.05 YA WIDATRA BHAKTI

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Dextrose 10%
Wida D10 infus 0.1 WIDATRA BHAKTI
Infusan D10 infus SANBE
Otsu - D10 infus OTSUKA
1/2 Darrow
Wida Hsd infus YA WIDATRA BHAKTI
Meylon
Meylon 8,4% infus OTSUKA
Sterile Water
Sterile Water infus OTSUKA
3% Sodium Chloride Inj.
Otsu - Salin 3 infus OTSUKA
Elektrolit
Tutofusin Ops infus YA KALBE FARMA
Dextrose
Wida 2A infus 0.025 YA WIDATRA BHAKTI
Dianeal 1.5% infus 1,5% KALBE FARMA
Dianeal 2.5% infus 2,5% KALBE FARMA
Dianeal 4.25% infus 4,25% KALBE FARMA
Manitol Inj
Otsu - Manitol 20 infus OTSUKA
Infusan M20 infus SANBE
Otsu - Manitol 20 infus OTSUKA
Nahco3 50 G
Bicarlis infus SANBE
Nacl 219,66 G;Kcl 5,64 G;Cacl2.2H2O 90 Mg;Mgcl2 7.54 Mg;Acetat Acid Glasial 4.69 G
Acentrat infus SANBE
Maltose 10%
Martos - 10 infus OTSUKA
Lactate
Totilac infus YA KALBE FARMA
Gelatin
Gelafusal infus 20 g / 500 ml DEXA MEDICA
Gelofusine 500 infus B BRAUN
Ico Dextrin
Extraneal infus 7,25% KALBE FARMA
N(2)-L-Alanyl-L-Glutamin 20G
Glutiven Infus infus 20 g DEXA MEDICA
Sodium Chloride
Otsu - Ns infus OTSUKA
Dextrose + Nacl
Wida D5-Ns infus 0.05 YA WIDATRA BHAKTI
Ringer + Dextrose
Infusan R + D Sp infus SANBE
Wida Rd infus YA WIDATRA BHAKTI
Otsu - Rd 5 infus OTSUKA
Otsu - Rl D5 infus OTSUKA
Infusan R + D Dp infus SANBE
Ringer Laktat
Wida Rl infus WIDATRA BHAKTI
Electrolyte (Na + 130; K + 4 ; Ca2 + 2,7; Cl- 109;Lactate 28 ) Meq/L; Osmolarity 273 Mosm/L
Infusan Rl Sp infus SANBE
Infusan Rl Dp infus SANBE
Dextrose 50 G/L + Electrolyte (Na + 38.5 ; Cl- 38.5 ) Meq/L;Osmolarity 355 Mosm/L; Calorie 200 Kcal/L
Infusan D5 + 1/4 Ns Sp infus SANBE
Infusan D5 + 1/4 Ns Dp infus SANBE
Dextrose 50 G/L + Electrolyte (Na + 77 ; Cl- 77 ) Meq/L;Osmolarity 432 Mosm/L; Calorie 200 Kcal/L
Infusan D5 + 1/2 Ns Sp infus SANBE
Infusan D5 + 1/2 Ns Dp infus SANBE
Kcl
Wida Kdn-1 infus 0.0015 YA WIDATRA BHAKTI
Wida Kn-1 infus 0.0015 YA WIDATRA BHAKTI
Wida Kn-2 infus 0.003 YA WIDATRA BHAKTI
Wida Kdn-2 infus 0.003 YA WIDATRA BHAKTI
Electrolyte (Na + 131; K + 4; Ca2 + 2,7 ; Cl- 109; Acetate 28) Meq/L;Osmolarity 273 Mosm/L
Infusan Ring As Sp infus SANBE
Dextrose 25 G/L + Electrolyte (Na + 77 ; Cl- 77 ) Meq/L;Osmolarity 293 Mosm/L; Calorie 100 Kcal/L
Infusan D2.5 + 1/2Ns infus SANBE
Dextrose 50 G/L + Electrolyte (Na + 154 ; Cl- 154 ) Meq/L;Osmolarity 586 Mosm/L; Calorie 200 Kcal/L
Infusan D5 + Ns infus SANBE
Elektrolyte (Na + 131; K + 4; Ca2 + 2,7 ; Cl- 109; Acetate 28) Meq/L;Osmolarity 273 Mosm/L
Infusan Ring As Dp infus SANBE
Acetate + Malat + Electrolit
Ringerfundin 500Ml infus YA B BRAUN
Dextrose 37,5 G/L + Electrolyte (Na + 38.5 ; Cl- 38,5) Meq/L;Dextrose 37,5G/L;Osmolarity 285 Mosm/L; Calorie 150 Kcal/L
Tridex Plain infus SANBE
Electrolyte (Na + 60 ; K + 10 ;Cl- 50 ; Lactate 20) Meq/L;Glucose 27G/L;Osmolarity 290 Mosm/L; Calorie 108 Kcal/L
Tridex 27A infus SANBE
Electrolyte (Na + 50 ; K + 20 ;Cl- 50 ; Lactate 20) Meq/L;Glucose 27G/L;Osmolarity 290 Mosm/L; Calorie 108 Kcal/L
Tridex 27B infus SANBE
2.5% Dext In 0.45% Nacl Inj.
Otsu - D2.5, 1/2Ns infus OTSUKA
5% Dext. In 2.225% Nacl Inj.
Otsu - D5, 1/4 Ns infus OTSUKA
10% Dext In 0.18% Nacl Inj.
Otsu - D10, 1/5 Ns infus OTSUKA
5% Dext In 0.9 Nacl Inj.
Otsu - D5, Ns infus OTSUKA
5% Dext In 0.45% Nacl Inj.
Otsu - D5, 1/2 Ns infus OTSUKA
Electrolyte (Na + 50 ; K + 20 ;Cl- 50 ; Lactate 20 ) Meq/L;Glucose 100G/L;Osmolarity 695 Mosm/L; Calorie 400 Kcal/L
Tridex 100 infus SANBE
Electrolyte (Na + 154 ; Cl- 154) Meq/L;Osmolarity 308 Mosm/L
Infusan Ns Irigasi infus SANBE
Electrolyte, Glucose
Ka - En 1B infus OTSUKA
Ka - En 3A infus OTSUKA
Ka - En 3B infus OTSUKA
Ka - En 4A infus OTSUKA
Ka - En 4B infus OTSUKA
Ka - En Mg3 infus OTSUKA

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DAFTAR OBAT STANDAR PERTAMEDIKA - IHC
KELAS SUBKELAS ISI OBAT NAMA DAGANG SEDIAAN DOSIS STRENGHT E-KATALOG PABRIK
Sorbitol 50 G/L + Electrolyte (Na 100; Cl-90; K18; Ca2 + 4; Mg2 + 20; Acetate + 38) Meq/L;Osmolarity 525 Mosm/L; Calorie 200 Kcal/L
Futrolit infus SANBE
Maltose 50G/L + Electrolyte (Na + 130;K + 4 ; Ca2 + 2,7 ; Cl - 109 ; Lactate 20) Meq/L;Osmolarity 412 Mosm/L; Calorie 200 Kcal/L
Hydromal infus YA SANBE
Manitol 20 %
Mannitol 20% infus mannitol 20 % YA KALBE FARMA
Maltose 100G/L ;Osmolarity 278 Mosm/L; Calorie 400 Kcal/L
Infumal 10% Sp infus SANBE
Maltose 100G/L;Osmolarity 278 Mosm/L; Calorie 400 Kcal/L
Infumal 10% Dp infus SANBE
Maltose 5% In Rl Inj.
Potacol infus OTSUKA

Halaman 57 dari 57

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