Lampiran 1.

DAFTAR OBAT BARU DALAM FORMULARIUM

   

N KETERANGA
NAMA GENERIK SATUAN NAMA DAGANG
O N

1 AMPICILIN SULBAKTAM 1,5 GR VIAL CINAM  

2 ALYLLSTRENOL 5 MG TABLET PREMASTON  
3 ANALOG INSULIN LONG ACTING PEN 300 UI LANTUS SOLOSTAR  
4 ASALM VALPROAT 250 MG TABLET DIVALPI  
5 ASAM FOLAT TABLET FOLAC  
6 ASAM SALISILAT 500 MG TABLET ASPIRIN  
7 AZYTROMICIN   INFIMICYN  
BUNASCAN
8 BUPIVACAIN
INJEKSI EPIDURAL  
9 CEFIXIM 200 MG KAPSUL SPORETIK  
INJEKSI,
10 CITICHOLIN 250 MG, 500 MG CITICOLIN
TABLET  
11 CITICHOLIN 500 MG AMPUL CITION  
12 CLINDAMICIN 300 MG TABLET PROLIC  
13 CO AMOKSICLAV KAPLET CO-AMOKSICLAV  
14 CO AMOKSICLAV SIRUP CLANEKSI  
15 CO AMOXICLAV TABLET CO AMOXICLAV  
16 CO AMOXICLAV SIRUP CLANEKSI  
17 CODEIN 10 MG+PARACETAMOL 500 MG TABLET CODITAM  
18 DEKSLORATADIN 5 MG TABLET L-FALERGI  
DEXAMMETASON, NEOMISIN, BOTOL 5 ML / XITROL,PLIDEX,
19  
POLIMIXIN MONO DOSE POLIDEMICIN
20 DEXKETOPROFEN 30 MG INJEKSI DEXTOFEN  

21 DEXTRAN HPMC BOTOL 5 ML / SANBE TEARS

MONO DOSE  
22 DIAZEPAM + METAMPIRON KAPSUL ANALSIK  
23 DIAZEPAM + METAMPIRON KAPSUL OPINEURON  
24 EPHINEFRIN/LIDOCAIN PEHACAIN PEHACAIN  
25 FENILEFRIN 10 % TTS MATA EFRISEL  
26 FONDAPARINUX 2,5 MCG SYRINGE DIVITI  
27 GENTAMICIN TUBE GENTAMICIN  
GLUCOSAMIN 500 MG, CONDROITIN
28 KAPSUL ARTRIOX
SULFAT 200 MG  
BOTOL 100
29 GLUTAMIN INFUS  
ML GLIUTAMIN
30 HEPARIN GEL GEL-TUBE TROMBOFOB GEL  
31 HYDSOXYZIN TABLET BESTALIN  
32 Isosuprin 20 mg TABLET HYSTOLAN  
33 KETOROLAC   ETOFION  
34 KOMBINASI ASAM FOLAT 400 UG, VIT E KAPSUL FORNEURO
NATURAL, VITAMIN B  
35 LUBRICEN BOTOL 5 ML / C.HYALOPH
MONO DOSE  
36 MELOXICAM TABLET MELOXICAM  
37 METRONIDAZOL   FIONDAZOL  
38 MIDIATRIL 1% BOTOL 5 ML / C. MIDRIATIL  
MONO DOSE
39 MOXIFLOXACIN   INFIMOX  
40 N-ACE NEBULES N-ACE  
BOTOL 100
41 N-ACETYLSYSTEIN 200MG/ML
ML RESFAR  
42 NICARDIPIN AMPUL NICARDEX  
43 NICARDIPIN   NICARFION  
44 Nicardipin 10 mg /ml AMPUL NIMOTROP  
INJEKSI,
45
NIMODIPIN TABLET NIMOTROP  
46 NOREPHINEFRIN   NORFION  
47 NORETISTERON 5 MG TABLET NORESTIL  
48 PANTOPRAZOL   FIOPRAZ  
49 Pantoprazol 40 mg AMPUL PANTOPRAZOL INJ  
50 PARACETAMOL   FIORAMOL  
51 PHENOBARBITAL INJEKSI AMPUL PHENTAL  
52 PSEUDOEFEDRIN+LORATADIN KAPSUL ALDISA SR  
53 PSEUDOEFEDRIN+TRIPOLIDIN TABLET LAPIFED  
54 SODIUM HIALURONAT + NaCl BOTOL 5 ML / C. SILOXAN
MONO DOSE  
55 SODIUM IODIDA, KALIUM IODIDA BOTOL 5 ML / C. VITROLENTA
MONO DOSE  
56 TOBRAMISIN, DEKSAMETASON BOTOL 5 ML / BRALIFEX PLUS,
MONO DOSE TOBROSON  
57 TRAMADOL TAB TABLET TRAMADOL