Formularium Obat PT PGM 2020

STANDAR PENGGUNAAN OBAT
( FORMULARIUM FARMASI )
DI RS PETROKIMIA GRESIK GRUP
TAHUN 2020
SURAT KEPUTUSAN
DIREKSI PT PETRO GRAHA MEDIKA
NOMOR : 004/03/TU.04.02/SK/PGM/2020
TENTANG
STANDAR PENGGUNAAN OBAT (FORMULARIUM FARMASI)

DI RUMAH SAKIT PETROKIMIA GRESIK GRUP
DIREKSI PT PETRO GRAHA MEDIKA
Menimbang : a. bahwa dalam rangka tertib adminsitrasi serta keteraturan dalam pemberian obat
di Rumah Sakit Petrokimia Gresik Grup, maka dipandang perlu untuk
menetapkan Standar Penggunaan Obat (Formularium Farmasi);
b. bahwa untuk itu perlu diatur dan ditetapkan dalam Surat Keputusan Direksi.
Mengingat : 1. Undang-Undang RI No. 35 Tahun 2009 tentang Narkotika;

2. Undang-Undang RI No. 36 Tahun 2009 tentang Kesehatan;
3. Undang-Undang RI No. 44 Tahun 2009 tentang Rumah Sakit;
4. Keputusan Menteri Kesehatan RI No. 129 Tahun 2008 tentang Standar
Pelayanan Minimal di Rumah Sakit;
5. Peraturan Pemerintah RI No. 72 Tahun 2016 tentang Standar Pelayanan
Kefarmasian Di Rumah Sakit;
6. Akta Notaris No. 8 tanggal 7 April 2004 tentang Pendirian Perseroan Terbatas PT
Petro Graha Medika, dibuat di Gresik dihadapan Notaris Ratnasari Harwanti, S.H.
dan telah mendapatkan persetujuan dari Menteri Kehakiman & Hak Asasi
Manusia Republik Indonesia No. C-14532 HT.01.01.TH.2004 tanggal 11 Juni
2004 yang telah beberapa kali mengalami perubahan anggaran dasar dan
perubahan anggaran dasar terakhir sesuai dengan akta Notaris No. 10 tanggal
17 Januari 2019 yang dibuat di Gresik dihadapan Notaris Ratnasari Harwanti,
S.H. M.Kn., dan telah mendapatkan persetujuan dari Menteri Kehakiman & Hak
Asasi Manusia Republik Indonesia No. AHU-0002853.AH.01.02. TH.2019 tanggal
18 Januari 2019.
MEMUTUSKAN
Mencabut : Surat Keputusan Direksi No. 09/03/TU.04.02/SK/PGM/2018 tanggal 5 Maret 2018

tentang Standar Penggunaan Obat (Formularium Farmasi) di Rumah Sakit
Petrokimia Gresik Grup.
Menetapkan : KEPUTUSAN DIREKSI TENTANG STANDAR PENGGUNAAN OBAT

(FORMULARIUM FARMASI) DI RUMAH SAKIT PETROKIMIA GRESIK
KESATU : Pemberlakuan Standar Penggunaan Obat (Formularium Farmasi) di Rumah Sakit

Petrokimia Gresik Grup sebagaimana tertuang dalam lampiran Surat Keputusan ini.
KEDUA : Keputusan ini berlaku sejak tanggal 1 Maret 2020 dan apabila dikemudian hari
ternyata tedapat kekeliruan dalam penetapannya akan diadakan pembetulan
sebagaimana mestinya.
Ditetapkan di :Gresik
Pada tanggal : 2 Maret 2020
__________________________
Direksi,
PT Petro Graha Medika
dr. Hery Sulistianto

Direktur Utama
Lampiran Surat Keputusan Direksi PT Petro Graha Medika
No. 004/03/TU.04.02/SK/PGM/2020
KELAS NAMA OBAT PABRIKAN KOMPOSISI SEDIAAN

TERAPI
1. ANALGESIK, ANTIPIRETIK, ANTIINFLAMASI NON STEROID DAN ANTIPIRAI

1.1 ANALGESIK NON NARKOTIK, ANTIPIRETIK
1 Asam Mefenamat Generik Asam Mefenamat 500 mg Kaplet
Fimestan First Medipharma Asam Mefenamat 500 mg Kaplet
Mefinter 500 mg Interbat Asam Mefenamat 500 mg Kaplet
Mefinal 500 mg Sanbe Asam Mefenamat 500 mg Kaplet
2 Mefinal 250 mg Sanbe Asam Mefenamat 250 mg Kaplet
3 Asam Mefenamat Syr Generik Asam Mefenamat 50 mg/5ml Sirup
Pondex Syr Dexa Asam Mefenamat 50 mg/5ml Sirup
4 Paracetamol Generik Paracetamol 500 mg Tablet
Sanmol 500 mg Sanbe Paracetamol 500 mg Tablet
Pamol 500 mg Interbat Paracetamol 500 mg Tablet
5 Sanmol Forte Sanbe Paracetamol 650 mg Tablet
6 Paracetamol Syr Generik Paracetamol 120 mg/5ml Sirup
Sanmol Syr Sanbe Paracetamol 120 mg/5ml Sirup
Pamol Syr Interbat Paracetamol 120 mg/5ml Sirup
7 Xepamol Syr Metiska Paracetamol 250 mg/5ml Sirup
8 Sanmol Drop Sanbe Paracetamol 100 mg/ml Drop
Fasidol Drop IFARS Paracetamol 100 mg/ml Drop
9 Paracetamol Generik Paracetamol 1000 mg/100 ml Infus
Sanmol Infus Sanbe Paracetamol 1000 mg/100 ml Infus
Pyrex Infus Novell Paracetamol 1000 mg/100 ml Infus
10 Eterfix Infus Novell Paracetamol 5000 mg/50 ml Infus
Pamol Supp Interbat Paracetamol 125 mg Suppo
Propyretik Supp 80 Combiphar Paracetamol 80 mg Suppo
11 Dumin Rektal Actavis Paracetamol 125 mg/2,5 ml Rektal
12 Doloneurobion Merck Paracetamol 500 mg, vit B6 100 mg, Tablet
Vit B1 50 mg, Vit B12 100mcg
13 Sistenol Dexa Parasetamol 500 mg, N-Asetilsistein Kapsul
200 mg
1.2 ANTIINFLAMASI NON STEROID (AINS)
1 Analsik Sanbe Methampyrone 500 mg, Diazepam 2 Kaplet
mg
2 Antalgin Generik Antalgin / Metamizol Na 500 mg Tablet
Novalgin Sanofi Metamizol Na 500 mg Tablet
3 Antalgin Inj Generik Antalgin / Metamizol Na 500 mg/ml Ampul
Santagesik Inj Sanbe Metamizol Na 500 mg/ml Ampul

Antrain Inj Interbat Metamizol Na 500 mg/ml Ampul
4 Novalgin Syr Sanofi Metamizol Na 250 mg/5 ml Sirup
5 Celebrex 100 mg Pfizer Celecoxib 100 mg Kapsul
6 Celebrex 200 mg Pfizer Celecoxib 200 mg Kapsul
7 Dexketoprofen Generik Dexketoprofen 25 mg Tablet
Ketesse Ferron Dexketoprofen 25 mg Tablet
1
TERAPI
8 Dexketoprofen Inj Generik Dexketoprofen 25 mg/ml Ampul

Ketesse Inj Ferron Dexketoprofen 25 mg/ml Ampul
Dextofen Inj Darya Varia Dexketoprofen 25 mg/ml Ampul
9 Diklovit Novell Natrium Diklofenak 50 mg, Vit B1 50 Tablet
mg, B6 50 mg, B12 1 mg
10 Dynastat Pfizer Parecoxib Na 20 mg Ampul
11 Ibuprofen Generik Ibuprofen 200 mg Tablet
Bufect 200 mg Sanbe Ibuprofen 200 mg Tablet
12 Ibuprofen Generik Ibuprofen 400 mg Tablet
Bufect 400 mg Sanbe Ibuprofen 400 mg Tablet
Dofen Forte Dexa Ibuprofen 400 mg Tablet
13 Ibuprofen Syr Generik Ibuprofen 100 mg/5 ml Sirup
Buffect Syr Sanbe Ibuprofen 100 mg/5ml Sirup
Iprox s Syr Novell Ibuprofen 100 mg/5ml Sirup
14 Ibuprofen F Syr Generik Ibuprofen 200 mg/5 ml Sirup
Buffect Forte Syr Sanbe Ibuprofen 200 mg/5 ml Sirup
15 Peinlos Inj 400 mg Fahrenheit Ibuprofen 400 mg/4 ml Infus
16 Peinlos Inj 800 mg Fahrenheit Ibuprofen 800 mg/4 ml Infus
17 Proris Supp Pharos Ibuprofen 125 mg Suppo
18 Kalium Diklofenak Generik Kalium Diklofenak 50 mg Tablet
Cataflam 50 mg Novartis Kalium Diklofenak 50 mg Tablet
Cataflam-D Novartis Kalium Diklofenak 50 mg Tablet
Eflagen 50 mg Sanbe Kalium Diklofenak 50 mg Tablet
19 Ketoprofen 100 mg Generik Ketoprofen 100 mg Tablet
Pronalges 100 mg Dexa Ketoprofen 100 mg Tablet
20 Pronalges 50 mg Dexa Ketoprofen 50 mg Tablet
21 Pronalges Supp Dexa Ketoprofen 100 mg Suppo
22 Ketorolac Inj Generik Ketorolac 30 mg/ml Ampul
Remopain Inj Dexa Ketorolac 30 mg/ml Ampul
Rativol Inj Sanbe Ketorolac 30 mg/ml Ampul
23 Meloxicam 7,5 mg Generik Meloxicam 7,5 mg Tablet
Ostelox 7,5 mg Sanbe Meloxicam 7,5 mg Tablet
Mecox 7,5 mg Ferron Meloxicam 7,5 mg Tablet
24 Meloxicam 15 mg Generik Meloxicam 15 mg Tablet
Ostelox 15 mg Sanbe Meloxicam 15 mg Tablet
Mecox 15 mg Ferron Meloxicam 15 mg Tablet
25 Meloxicam Supp Generik Meloxicam 15 mg Suppo
26 Natrium Diklofenak Generik Natrium Diklofenak 50 mg Tablet
Flamar 50 mg Sanbe Natrium Diklofenak 50 mg Tablet
27 Flamar 25 mg Sanbe Natrium Diklofenak 25 mg Tablet
28 Flamar Gel Sanbe Natrium Diklofenak Gel
Voltadex Gel Dexa Natrium Diklofenak Gel
Voltaren Gel Novartis Natrium Diklofenak Gel
29 Neurosanbe Plus Sanbe Metamizole Na 500 mg, vit B6 100 Tablet
mg, Vit B1 50 mg, Vit B12 100mcg
30 Orinox 60 mg Dexa Etoricoxib 60 mg Tablet
Etorvel 60 mg Novell Etoricoxib 60 mg Tablet
31 Orinox 90 mg Dexa Etoricoxib 90 mg Tablet
2
TERAPI
Etorvel 90 mg Novell Etoricoxib 90 mg Tablet

32 Piroxicam 10 mg Generik Piroxicam 10 mg Tablet
33 Piroxicam 20 mg Generik Piroxicam 20 mg Tablet
34 Feldene Gel Pfizer Piroxicam 0,5% Gel
1.3 ANALGESIK OPIOID
1 Tramadol Generik Tramadol 50 mg Kapsul
Tradosik Sanbe Tramadol 50 mg Kapsul
2 Tramadol Inj Generik Tramadol 100 mg/2 ml Ampul
Tradosik Inj Sanbe Tramadol 100 mg/2 ml Ampul
3 Trapasin Combiphar Tramadol 37,5 mg, Paracetamol 325 Kapsul
mg
4 Fentanyl Inj Kimia Farma Fentanyl 50 mcg/ml Ampul
Etanyl Inj Mahakam Beta Fentanyl 50 mcg/ml Ampul
Farma
5 Durogesic Patch 12,5 Kimia Farma Fentanyl 12,5 mcg/hour Patch
mcg/hour
6 Durogesic Patch 25 Kimia Farma Fentanyl 25 mcg/hour Patch
mcg/hour
7 Pethidin HCl Inj Kimia Farma Pethidin HCl 50 mg/ml Ampul
Clopedin Inj Kimia Farma Pethidin HCl 50 mg/ml Ampul
8 Morphin HCl Inj Kimia Farma Morphin HCl 10 mg/ml Ampul
9 MST Continus 10 mg Mahakam Beta Morphin Sulfate 10 mg Tablet
Farma
10 MST Continus 15 mg Mahakam Beta Morphin Sulfate 15 mg Tablet
Farma
1.4 ANTIPIRAI
1 Allopurinol 100 mg Generik Allopurinol 100 mg Tablet
Isoric 100 mg Interbat Allopurinol 100 mg Tablet
2 Allopurinol 300 mg Generik Allopurinol 300 mg Tablet
Puricemia 300 mg Sanbe Allopurinol 300 mg Tablet
Isoric 300 mg Interbat Allopurinol 300 mg Tablet
3 Feburic Astellas Febuxostat 80 mg Tablet
4 Probenid Dexa Probenesid 500 mg Tablet
5 Recolfar Fahrenheit Colchicine 0,5 mg Tablet
2 ANESTESI
2.1 ANESTESI UMUM
1 Isorane Dexa Isoflurane 250 ml Botol
2 Norcuron Inj MSD Vecuronium Bromide 10 mg/ml Ampul
3 Recofol Inj Dexa Propofol 10 mg/ml Ampul
Proanes Inj Sanbe Propofol 10 mg/ml Ampul
Nupovel Inj Novell Propofol 10 mg/ml Ampul
4 Roculax Inj Kalbe Rocuronium Bromide 10 mg/ml Ampul
5 Sevoflurane Generik Sevoflurane 250 ml Botol
Norevell Novell Sevoflurane 250 ml Botol
6 Tramus Inj Dexa Atracurium Besylate 10 mg/ml Ampul
2.2 ANESTESI LOKAL
1 Bupivacain HCl Generik Bupivacain HCl 5 mg Ampul
Regivell Novell Bupivacain HCl 5 mg Ampul
2 Ketamin HCl Generik Ketamine HCl 50 mg/ml Vial
3
TERAPI
KTM Guardian Ketamine HCl 100 mg/ml Vial

Pharmatama
3 Lidocaine HCl Inj Generik Lidocaine HCl 2% Ampul
4 Lidodex Bernofarm Lidocaine 50 mg/ml Ampul
5 Pehacain Phapros Lidocaine HCl 20 mg, Epinephrine Ampul
0,0125 mg/ml
6 Xylocaine Spray Astra Zeneca Lidocaine HCl 10% 50 ml Spray
7 Topsy Galenium Lidocain 2,5%, Prilokain 2,5% Krim
Pharmasia Lab
8 Ropivel Novell Ropivacain HCl 7,5 mg/ml Ampul
9 Vopicain Fahrenheit Levobupivacaine 0,5% Vial
3 ANTI HISTAMIN DAN ANTI ALERGI
3.1 ANTI HISTAMIN 1ST GENERATION
1 Heptasan Sanbe Cyproheptidine HCl 4 mg Tablet
3.2 ANTIHISTAMIN 2ND GENERATION
1 Aerius MSD Desloratadine 5 mg Tablet
2 Destavell Novell Desloratadine 2,5 mg/5ml Sirup
3 Alleron Mega Esa Farma Chlorpheniramin maleat 4 mg Tablet
4 Avil Sanofi Feniramin Hidrogen Maleat 25 mg Tablet
5 Cetirizine HCl 10 mg Generik Cetirizine HCl 10 mg Tablet
Cerini Sanbe Cetirizine HCl 10 mg Tablet
Histrin Ferron Cetirizine HCl 10 mg Tablet
6 Histrin FT 5 mg Ferron Cetirizine HCl 5 mg Tablet
7 Histrin FT 10 mg Ferron Cetirizine HCl 10 mg Tablet
8 Cetirizine Syr Generik Cetirizine HCl 5 mg/5 ml Sirup
Cerini Syr Sanbe Cetirizine HCl 5 mg/5 ml Sirup
Histrin Syr Ferron Cetirizine HCl 5 mg/5 ml Sirup
9 Cetirizine Drop Generik Cetirizine HCL 10 mg/ml Drop
Histrin Drop Ferron Cetirizine HCL 10 mg/ml Drop
Cerini Drop Sanbe Cetirizine HCL 10 mg/ml Drop
Ryvel Drop Novell Cetirizine HCL 10 mg/ml Drop
10 Diphenhydramin Generik Diphenhydramine HCl 10 mg/ml Ampul
Diphenhydramin Generik Diphenhydramine HCl 150 mg/15 ml Vial
Iphadryl Bernofarm Diphenhydramine HCl 10 mg/ml Ampul

11 Histrin Levo Ferron Levocetirizine Dihydrochloride 5 mg Tablet
12 Loratadine Generik Loratadine HCl 10 mg Tablet

Alloris Sanbe Loratadine HCl 10 mg Tablet
Inclarin Interbat Loratadine HCl 10 mg Tablet
13 Telfast OD Sanofi Fexofenadine HCl 120 mg Tablet
14 Telasft HD Sanofi Fexofenadine HCl 180 mg Tablet
3.3 ANTI ALERGI
1 Colergis Dexa Betamethason 0,25 mg, Tablet
Dexchlorpheniramine Maleate 2 mg
Ocuson Sanbe Betamethason 0,25 mg, Tablet

4
TERAPI
2 Colergis Syr Dexa Betamethason 0,25 mg, Sirup

3 Histapan Sanbe Mebhidroline Napadisylate 50 mg Tablet

Interhistin Interbat Mebhidroline Napadisylate 50 mg Tablet
4 Interhistin Syr Interbat Mebhidrolin Sirup
4 PRODUK DARAH DAN PENGGANTI PLASMA
4.1 PRODUK DARAH FAKTOR VIII
1 Koate DVI 500 IU Dipa Pharmalab Anti Hemofilik Faktor VIII Vial
4.2 PENGGANTI PLASMA DAN PLASMA EKSPANDER
1 Albumin Biotest 20% Kimia Farma Human Albumin 20% Infus
100 ml
Plasbumin 20% 100 ml Dipa Pharmalab Human Albumin 20% Infus
2 Plasbumin 25% 100 ml Dipa Pharmalab Human Albumin 25% Infus
Albuminar 25% Ferron Human Albumin 25% Infus

3 Channa Kapsul MMP Ekstrak Channa Striata Kapsul
4 Channa Plus Sachet MMP Ekstrak Channa Striata, Sea Sachet
Cucumber
5 Inbumin Dexa Striatin 250 mg Kapsul
6 Vipalbumin Royal Medicalink Ekstrak Ophiocephalus Striatus Kapsul
Pharmalab
5 DIURETIK
5.1 LOOP DIURETIK
1 Furosemid tab Generik Furosemid 40 mg Tablet
Lasix Sanofi Furosemid 40 mg Tablet
2 Furosemid Inj Generik Furosemid 10 mg/ml Ampul
Roxemid Inj Novell Furosemid 10 mg/ml Ampul
Uresix Inj Sanbe Furosemid 10 mg/ml Ampul
Farsix inj Fahrenheit Furosemid 10 mg/ml Ampul
Lasix Inj Sanofi Furosemid 10 mg/ml Ampul
5.2 DIURETIK HEMAT KALIUM
1 Spironolacton 25 mg Generik Spironolacton 25 mg Tablet
Letonal 25 mg Otto Spironolacton 25 mg Tablet
2 Spironolacton 100 mg Generik Spironolacton 100 mg Tablet
Letonal 100 mg Otto Spironolacton 100 mg Tablet
5.3 DIURETIK TIAZID
1 HCT 25 mg Generik Hidroklorotiazid 25 mg Tablet
6 HIPERPLASIA PROSTAT
6.1 5 ALPHA-REDUCTASE INHIBITOR
1 Avodart Glaxo Smith Kline Dutasteride 0,5 mg Kapsul
2 Harnal 0,2 mg Astellas Tamsulosin HCl 0,2 mg Tablet
3 Harnal Ocas Astellas Tamsulosin HCl 0,4 mg Tablet
Prostam SR Novell Tamsulosin HCl 0,4 mg Tablet
6.2 KOMBINASI
1 Duodart Glaxo Smith Kline Dutasteride 0,5 mg, Tamsulosin HCl Kapsul
0,4 mg
5
TERAPI
7 URINARY SYSTEM
7.1 PREPARATION VAGINAL CONDITION
1 Albothyl Ovula Pharos Policresulen 90 mg Ovula
2 Lactacyd FH Pink Sanofi Lactoserum 0,9 mg, Lactic acid 1 g Sol
3 Multigin Gel Infion Galactoarabinan Polyglucuronic Acid Gel

Crosspolymer, Xanthan Gum,
Glycerin, Caprylyl Glycol
4 Prodiva Gel Darya Varia Lactobacillus Ferment Gel
7.2 ANTI MUSKARINIK
1 Vesicare 5 mg Astellas Solifenacin Succinate 5 mg Tablet
7.3 LAIN-LAIN
1 Cystone Himalaya Didymocarpus pedicellata 65 mg, Tablet
Saxifraga ligulata 49 mg, Rubia
cordifolia 16 mg, Cyperus scariosus
16 mg, Achyranthes aspera 16 mg,
Onosma bracteatum 16 mg,
Vernonia cinerea 16 mg, Hajrul
yahood bhasma bubuk 16 mg,
shilajeet, Ocimum sanctum, Tribulus
terrestris, Mimosa pudica, Dolichos
biflorus, Pavonia odorata, Equisetum
arvense, Tectona grandis.
2 Prorenal Novell DL-3 metil-2 oxo valeric acid, 4- Tablet

metil-2 oxo valeric acid, 2-oxo-3-
fenil propionic acid, 3-metil-2-oxo
butyric acid, DL-2 hydroxy-4-
methylthio-buthyric acid, DL-2
hydroxy-4-methylthio butyric acid, L-
lysine monoacetate, L-threonine
3 Renalof Tobbest Busindo Agaropyron Repens Kapsul

4 Renax Interbat Sericocalyx Folium 21,4%, kapsul
Orthosiphon Herba 21,4%,
Sonchus, Plantago
8 SISTEM KARDIOVASKULAR
8.1 ANTI ANGINA
1 Angintriz MR Novell Trimetazidin Dihidroklorida 35 mg Tablet
Trizedon MR Servier Trimetazidin Dihidroklorida 35 mg Tablet
2 Cardismo Phapros Isosorbid Mononitrat 20 mg Tablet
3 Imdur Astra Zeneca Isosorbid Mononitrat 60 mg Tablet
4 Herbesser tab Tanabe Diltiazem HCl 30 mg Tablet
5 Herbesser CD 100 Tanabe Diltiazem HCl 100 mg Kapsul
6 Herbesser CD 200 Tanabe Diltiazem HCl 200 mg Kapsul
7 Herbesser Inj Tanabe Diltiazem HCl 50 mg/ml Vial
8 Isosorbid Dinitrat 5 mg Generik Isosorbid Dinitrat 5 mg Tablet
Farsorbid 5 mg Fahrenheit Isosorbid Dinitrat 5 mg Tablet
Cedocard 5 mg Darya Varia Isosorbid Dinitrat 5 mg Tablet
9 Farsorbid 10 mg Fahrenheit Isosorbid Dinitrat 10 mg Tablet
Cedocard 10 mg Darya Varia Isosorbid Dinitrat 10 mg Tablet
6
TERAPI
10 Cedocard Inj Darya Varia Isosorbid Dinitrat 1 mg/ml Ampul

11 Nitrokaf Retard Kimia Farma Gliceril Trinitrat 2,5 mg Kapsul
(Nitroglycerin)
12 Nitrokaf Retard Forte Kimia Farma Gliceril Trinitrat 5 mg (Nitroglycerin) Kapsul
13 NTG Inj Ferron Nitroglycerin 10 mg Ampul

8.2 ANTIDISRITMIA
1 Adenosin Inj Generik Adenosin Ampul
2 Kendaron Darya Varia Amiodaron HCl 200 mg Tablet
Cordaron Sanofi Amiodaron HCl 200 mg Tablet
3 Amiodaron Inj Generik Amiodaron HCl 150 mg/3ml Ampul
Cordaron Inj Sanofi Amiodaron HCl 150 mg/3ml Ampul
8.3 ANTI HIPERTENSI
GOLONGAN ACE INHIBITOR
1 Bioprexum 5 mg Servier Perindopril Arginine 5 mg Tablet
2 Captopril 12,5 mg Generik Captopril 12,5 mg Tablet
Tensicap 12,5 mg Sanbe Captopril 12,5 mg Tablet
3 Captopril 25 mg Generik Captopril 25 mg Tablet
Tensicap 25 mg Sanbe Captopril 25 mg Tablet
4 Lisinopril 5 mg Generik Lisinopril 5 mg Tablet
Noperten 5 mg Dexa Lisinopril 5 mg Tablet
5 Lisinopril 10 mg Generik Lisinopril 10 mg Tablet
Noperten 10 mg Dexa Lisinopril 10 mg Tablet
6 Ramipril 2,5 mg Generik Ramipril 2,5 mg Tablet
Hyperil 2,5 mg Ferron Ramipril 2,5 mg Tablet
7 Ramipril 5 mg Generik Ramipril 5 mg Tablet
Hyperil 5 mg Ferron Ramipril 5 mg Tablet
8 Ramipril 10 mg Generik Ramipril 10 mg Tablet
9 Tanapress 5 mg Tanabe Imidapril Hidroklorida 5 mg Tablet
10 Tanapress 10 mg Tanabe Imidapril Hidroklorida 10 mg Tablet
GOLONGAN BETA BLOCKER
1 Concor 1,25 mg Merck Bisoprolol Fumarat 1,25 mg Tablet
2 Concor 2,5 mg Merck Bisoprolol Fumarat 2,5 mg Tablet
Beta One 2,5 mg Kalbe Bisoprolol Fumarat 2,5 mg Tablet
Maintate 2,5 mg Tanabe Bisoprolol Fumarat 2,5 mg Tablet
3 Bisoprolol 5 mg Generik Bisoprolol Fumarat 5 mg Tablet
Concor 5 mg Merck Bisoprolol Fumarat 5 mg Tablet
Bisovell Novell Bisoprolol Fumarat 5 mg Tablet
B-Beta 5 mg Ferron Bisoprolol Fumarat 5 mg Tablet
Maintate 5 mg Tanabe Bisoprolol Fumarat 5 mg Tablet
4 Internolol Interbat Atenolol 50 mg Tablet
5 Nevodio Dexa Nebivolol Hidroklorida 5 mg Tablet
6 Propanolol 10 mg Generik Propanolol 10 mg Tablet
7 Propanolol 40 mg Generik Propanolol 40 mg Tablet
8 V Block 6,25 mg Kalbe Carvedilol 6,25 mg Tablet
GOLONGAN CALCIUM CHANNEL BLOCKER
1 Amlodipin 5 mg Generik Amlodipin 5 mg Tablet
Tensivask 5 mg Dexa Amlodipin 5 mg Tablet
7
TERAPI
Norvask 5 mg Pfizer Amlodipin 5 mg Tablet

2 Amlodipin 10 mg Generik Amlodipin 10 mg Tablet
Tensivask 10 mg Dexa Amlodipin 10 mg Tablet
Norvask 10 mg Pfizer Amlodipin 10 mg Tablet
3 Isoptin Abbott Verapamil HCl 80 mg Tablet
4 Nicardipine Inj Generik Nicardipin HCl 10 mg Ampul
Nidaven Inj Novell Nicardipin HCl 10 mg Ampul
Nicafer Inj Ferron Nicardipin HCl 10 mg Ampul
5 Nifedipin Generik Nifedipin 10 mg Tablet
6 Adalat Oros 20 mg Bayer Nifedipin 20 mg Tablet
7 Adalat Oros 30 mg Bayer Nifedipin 30 mg Tablet
8 Nimotop 30 mg Bayer Nimodipin 30 mg Tablet
9 Nimotop Infus Bayer Nimodipin 10 mg Infus
GOLONGAN ANGIOTENSIN II ANTAGONIST
1 Candesartan 8 mg Generik Candesartan 8 mg Tablet
Canderin 8 mg Dexa Candesartan 8 mg Tablet
Blopress 8 mg Takeda Candesartan 8 mg Tablet
2 Candesartan 16 mg Generik Candesartan 16 mg Tablet
Canderin 16 mg Dexa Candesartan 16 mg Tablet
Blopress 16 mg Takeda Candesartan 16 mg Tablet
3 Exforge 5/80 Novartis Amlodipin 5 mg, Valsartan 80 mg Tablet
6 Irbesartan 150 mg Generik Irbesartan 150 mg Tablet

Irvell 150 mg Novell Irbesartan 150 mg Tablet
7 Irbesartan 300 mg Generik Irbesartan 300 mg Tablet
Irvell 300 mg Novell Irbesartan 300 mg Tablet
8 Losartan 50 mg Generik Losartan 50 mg Tablet
Angioten 50 mg Kalbe Losartan 50 mg Tablet
9 Olmetec 10 mg Pfizer Olmesartan 10 mg Tablet
12 Telsat 80 mg Ferron Telmisartan 80 mg Tablet
13 Valsartan 80 mg Generik Valsartan 80 mg Tablet
Diovan 80 mg Novartis Valsartan 80 mg Tablet
14 Valsartan 160 mg Generik Valsartan 160 mg Tablet
Diovan 160 mg Novartis Valsartan 160 mg Tablet
15 Co-Diovan 80 mg Novartis Valsartan 80 mg, Hidroklorotiazid Tablet
12,5 mg
16 Co-Diovan 160 mg Novartis Valsartan 160 mg, Hidroklorotiazid Tablet
12,5 mg
GOLONGAN ALPHA 2 RECEPTOR AGONIS
1 Dopamet Actavis Methyldopa 250 mg Tablet
GOLONGAN ALPHA BLOCKER
1 Hytroz 2 mg Dexa Terazosin hidroklorida 2 mg Tablet
GOLONGAN GLIKOSIDA JANTUNG
1 Digoxin 0,25 mg Generik Digoxin 0,25 mg Tablet
8
TERAPI
Fargoxin 0,25 mg Fahrenheit Digoxin 0,25 mg Tablet

2 Fargoxin Inj Fahrenheit Digoxin 0,25 mg/ml Ampul
GOLONGAN OBAT UNTUK SYOK INOTROPIK
1 Dopamin Inj Generik Dopamin HCl 40 mg/ml Ampul
Proinfark Inj Phapros Dopamin HCl 40 mg/ml Ampul
Udopa Inj Novell Dopamin HCl 40 mg/ml Ampul
Cetadop Inj Ethica Dopamin HCl 40 mg/ml Ampul
2 Dobutamin Inj Generik Dobutamin HCl 250 mg/5 ml Ampul
Dobuject Inj Dexa Dobutamin HCl 250 mg/5 ml Ampul
Inotrop Inj Fahrenheit Dobutamin HCl 250 mg/5 ml Ampul
VASOKONSTRIKTOR
1 Raivas Inj Dexa Norepinephrine 1 mg/ml Ampul
Vascon Inj Fahrenheit Norepinephrine 1 mg/ml Ampul
AGONIS ALFA ADRENERGIK
1 Atropine Sulfate Inj Generik Atropine Sulfate 0,25 mg/ml Ampul
2 Ephedrin Generik Ephedrin 25 mg Tablet
3 Ephedrin Inj Generik Ephedrin HCl 50 mg/ml Ampul
Vasodrin Inj Mahakam Beta Ephedrin HCl 50 mg/ml Ampul
Farma
AGONIS RESEPTOR V2 SELEKTIF
1 Samsca Otsuka Tolvaptan 15 mg Tablet
PHOSPHODIESTERASE-5 INHIBITOR
1 Sildenafil Generik Sildenafil 50 mg Tablet
ANTI HIPERLIPIDEMIA
1 Simvastatin 10 mg Generik Simvastatin 10 mg Tablet
2 Simvastatin 20 mg Generik Simvastatin 20 mg Tablet
3 Stator 10 mg Dexa Atorvastatin 10 mg Tablet
Lipitor 10 mg Pfizer Atorvastatin 10 mg Tablet
4 Atorvastatin 20 mg Generik Atorvastatin 20 mg Tablet
Stator 20 mg Dexa Atorvastatin 20 mg Tablet
Removchol 20 mg Novell Atorvastatin 20 mg Tablet
5 Removchol 40 mg Novell Atorvastatin 40 mg Tablet
6 Rosufer 10 mg Ferron Rosuvastatin 10 mg Tablet
Crestor 10 mg Astra Zeneca Rosuvasttain 10 mg Tablet
7 Rosufer 20 mg Ferron Rosuvastatin 20 mg Tablet
Crestor 20 mg Astra Zeneca Rosuvastatin 20 mg Tablet
8 Novales 10 mg Novell Pravastatin 10 mg Tablet
Novales 20 mg Novell Pravastatin 20 mg Tablet
9 Vitor 2 mg Dexa Pitavastatin 2 mg Tablet
10 Fenofibrate 100 mg Generik Fenofibrate 100 mg Kapsul
Trolip 100 mg Dexa Fenofibrate 100 mg Kapsul
11 Lipanthyl Penta Abbott Fenofibrate 145 mg Kapsul
12 Lipanthyl Supra Abbott Fenofibrate 160 mg Kapsul
Micronized
9
TERAPI

15 Gemfibrozil 300 mg Generik Gemfibrozil 300 mg Kapsul
Hypofil 300 mg Sanbe Gemfibrozil 300 mg Kapsul
16 Ezetrol 10 mg MSD Ezetimibe 10 mg Tablet
17 Vytorin 10/10 MSD Ezetimibe 10 mg, Simvastatin 10 mg Tablet
18 Vytorin 10/20 MSD Ezetimibe 10 mg, Simvastatin 20 mg Tablet
9 LARUTAN ELEKTROLIT DAN NUTRISI

9.1 ORAL
1 Aspar K tablet Tanabe Kalium L-Aspartate 300 mg Tablet
2 Dehidralyte Novell NaCl 2,6 g, Ma Citrate 2,9 g, KCl 1,5 Sol
g, Glukosa 13,5 g
3 Indoralite Indofarma Natrium Klorida 0,52 gram, Kalium Sachet
Klorida 0,30 gram, Trinatrium Sutrat
Dihidrat 0,58 gram, Glukosa
Anhidrat 2,7 gram
4 KSR tablet Merck Kalium Klorida 600 mg Tablet
5 Oralit Sachet Generik NATRIUM KLORIDA 0,52 G, KALIUM Sachet
KLORIDA 0,3 G, TRISODIUM
SITRAT DEHIDRAT 0,58 G,
GLUKOSA ANHIDRAT 2,7 G
6 Pharolit Sachet Novell NACL 3,5 G, NA CITRATE 2,5 G, KCL Sachet

1,5 G, GLUCOSE 20 G PER LITER
9.2 PARENTERAL
1 Aminofusin Hepar Infus Kalbe 50 G AA, 45% BCAA, 8 G/L LOLA, Infus
200 KKAL XYLITOL, SORBITOL,
ELEKTROLIT
2 Aminofusin Ped Infus Kalbe ASAM AMINO 50 G, VIT, Infus
ELEKTROLIT
3 Aminofusin L 600 ml Kalbe ASAM AMINO 50 G, SORBITOL 50 Infus
MG, XYLITOL 50 G, VIT,
ELEKTROLIT PER L
4 Aminosteril Infant Fresenius Amino acids 6% Infus
5 Asering Otsuka CA++ 3 MEQ, K+ 4 MEQ, NA+ 130 Infus

MEQ, CL- 109 MEQ, ASETAT 28 MEQ
TIAP LITER LARUTAN INFUS
6 Asering-5 Otsuka Na 130 mEq, K 4 mEq, Cl 109 mEq, Infus
Ca 3 mEq, Acetat 28 mEq,
Anhydrous Dextrose 50 g
7 Aminofluid 500 ml Otsuka NATRIUM 35 MEQ, KALIUM 20 MEQ, Infus
MAQNESIUM 5 MEQ, FLORIDA 35
MEQ, SULFAT 5 MEQ, ASETAT 13
MEQ, GLUKONAT 5 MEQ, LAKTAT 20
MEQ, SITRAT 6 MEQ, FOSFOR 10
MMOL, ZINC 5 µ MOL, GLUCOSA,
ASAM AMINO 30 G, BCAA 30% PER
L
10
TERAPI
8 Aminofluid 1000 ml Otsuka NATRIUM 35 MEQ, KALIUM 20 MEQ, Infus

MAQNESIUM 5 MEQ, FLORIDA 35
MEQ, SULFAT 5 MEQ, ASETAT 13
MEQ, GLUKONAT 5 MEQ, LAKTAT 20
MEQ, SITRAT 6 MEQ, FOSFOR 10
MMOL, ZINC 5 µ MOL, GLUCOSA,
ASAM AMINO 30 G, BCAA 30% PER
L
9 Aminoleban Infus Otsuka L-TREONIN 4,5 G, L-SERIN 5,0 G, L- Infus

PROLIN 8,0 G, L-SISTEIN-HCL
MONOHIDRAT 0,4 G SETARA 0,3 G
SISTEIN, ASAM AMINO ASETAT 9,0
G, L-ALANIN 7,5 G, L-VALIN 8,4 G, L-
METIONIN 1,0 G, L-ISOLEUSIN 9,0
G, L-LEUSIN 11,0 G, L-FENILALANIN
1,0 G, L-TRIPTOFAN 0,7 G, L-LISIN-
HCL 7,6 G SETARA L-LISIN 6,1 G, L-
HISTIDIN-HCL 3,2 G SETARA L-
HISTIDIN 2,4 G, L-ARGININ-HCL 7,3
G SETARA L-ARGININ 6,0 G PER L
10 Calcium Glukonat Inj Generik Calcium Glukonat Inj 100 mg/ml Ampul
11 Clinoleic 20% 100 ml Kalbe CAMPURAN OLIVE OIL YANG Infus
DIMURNIKAN DAN SOYA BEAN OIL
YANG DIMURNIKAN 20 G, 2000
KKAL/L, 270 MOSM/L
12 Comafusin Hepar Infus Kalbe 50 G AA, 50% BCAA, 10 G/L LOLA, Infus
200 KKAL XYLITOL, ELEKTROLIT,
VITAMIN
13 Benutrion VE 250 ml Sanbe AA 5%, (BCAA 14,8%), VIT. B6, Infus
NA+ 30 MEQ/L, K+ 25 MEQ/L,
KALORI 200 KCAL/L,
OSMOLARITAS: 600 MOSM/L (L-
ISOLEUSIN 2,512 G, L-LEUSIN, L-
LISIN, L-METIONIN, L-
FENILALANIN, L-TREONIN, L-
TRIPTOFAN, L-VALIN, L-ARGININ, L-
HISTIDIN, L-ALANIN, L-ASAM
ASPARTAT, N-ASETIL-L-SISTEIN, L-
ASAM GLUTAMAT, GLISIN, L-
PROLIN, N-ASETIL-L-SISTEIN, L-
ASAM GLUTAMAT, GLISIN, L-
PROLIN, N-ASETIL-L-TIROSIN,
NIKOTINAMIDA, PIRIDOKSIN
HIDROKLORIDA, RIBOFLAVIN
5'NATRIUM FOSFAT, KOH, NaOH,
CaCl 2H2O, Mg ASETAT)/L
14 Dextrose Otsu 5% 500 Otsuka Glucose 5% Infus
ml
15 Dextrose 5% 500 ml Widatra GLUCOSE 5% Infus
16 Dextrose 5% + NaCl Widatra GLUCOSE 5% + SODIUM CHLORIDE Infus
0,45% 0,45%
11
TERAPI
17 Dextrose 5% + NaCl Widatra GLUCOSE 5% + SODIUM CHLORIDE Infus

0,225% 0,225%
18 Dextrose 10% 500 ml Widatra Glucose 10% Infus
19 Dextrose 10% In Saline Otsuka GLUCOSE 10%+ SODIUM Infus
0,18 CHLORIDE 0,18
20 Dextrose 40% 25 ml Otsuka Glucose 40% Infus
21 Dianeal PD-4 1,5% Kalbe NACL 538 MG, NA LAKTAT 448 MG, Infus
Dextwin CACL2 25,7 MG, MGCL2 5,08 MG,
DEKSTROSA 1,5 G
22 Dianeal PD-4 2,5% Kalbe NACL 538 MG, NA LAKTAT 448 MG, Infus
Dextwin CACL2 25,7 MG, MGCL2 5,08 MG,
DEKSTROSA 2,5 G
23 Futrolit Sanbe NA+ 100 MEQ/L, CL- 90 MEQ/L, K+ Infus
18 MEQ/L, CA+2 4 MEQ/L, MG+2 6
MEQ/L, ASETAT 38 MEQ/L,
SORBITOL 50 G/L (NATRIUM
KLORIDA 3,624 G, KALIUM
KLORIDA 0,2942 G, MAGNESIUM
KLORIDA 5,712 G, NATRIUM
ASETAT, AIR UNTUK INJEKSI 1000
ML), OSMOLARITAS 525 MOSM/L
24 Infusan D5 SP Sanbe GLUKOSA ANHIDRAT 50 G/L, Infus
OSMOLARITAS 278 MOSM/L
25 Infusan D5 250 ml SP Sanbe GLUKOSA ANHIDRAT 50 G/L, Botol
OSMOLARITAS 278 MOSM/L
26 Infusan D5 + 1/2 NS SP Sanbe NA+ 77 MEQ/L, CL- 77 MEQ/L, Botol
DEKSTROSA 50 G/L (NATRIUM
KLORIDA 4,5 G, AIR UNTUK INJEKSI
1000 ML)
27 Infusan D5 + 1/4 NS SP Sanbe NA+ 38,5 MEQ/L, CL- 38,5 MEQ/L, Botol
DEKSTROSA 50 G/L (NATRIUM
KLORIDA 2,25 G, AIR UNTUK
INJEKSI 1000 ML)
28 Infusan Ring-AS SP Sanbe NA+ 131 MEQ/L, CL- 109 MEQ/L, Botol
K+ 4 MEQ/L, CA+2 2,7 MEQ/L,
ASETTAT 28 MEQ/L (NATRIUM
KLORIDA 6 G, KALIUM KLORIDA 0,3
G, KALSIUM KLORIDA 0,2 G,
NATRIUM ASETAT 3,8 G, AIR
UNTUK INJEKSI 1000 ML)
29 Infusan NS Sanbe NA+ 154 MEQ/L, CL- 154 MEQ/L Botol

(NATRIUM KLORIDA 9 GRAM, AIR
30 Infusan NS 250 ml SP Sanbe NA+ 154 MEQ/L, CL- 154 MEQ/L Botol
31 Infusan NS 100 ml Sanbe NA+ 154 MEQ/L, CL- 154 MEQ/L Botol
12
TERAPI
32 Infusan R + D Sanbe NA+ 147 MEQ/L, CL- 156 MEQ/L, Botol

K+ 4 MEQ/L, CA+2 4,4 MEQ/L,
DEXTROSE 50 G/L (NATRIUM
KLORIDA 8,6 G, KALIUM KLORIDA
0,3 G, KALSIUM KLORIDA 0,48 G,
AIR UNTUK INJEKSI 1000 ML)
33 Infusan RL SP Sanbe NA+ 130 MEQ/L, CL- 109 MEQ/L, Botol
CA+2 2,7 MEQ/L, LAKTAT 28 MEQ/L
(NATRIUM KLORIDA 6 G, KALIUM
KLORIDA 0,3 G, KALSIUM KLORIDA
0,2 G, NATRIUM LAKTAT 3,1 G, AIR
34 Infusan M20 Sanbe Manitol 200 g/L Botol

35 Kalbamin Infus Kalbe Asam Amino 100 g/1000 ml Botol
36 KCL 25 ml Otsuka KCL 25 mEq Botol
37 KN-1 WIDA Widatra KCL 1,5 G, NACL 9 G, PER LITER Botol
38 KN-2 WIDA Widatra KCL 3 G, NACL 9 G, PER LITER Botol
39 KA-EN MG3 500 ml Otsuka NA 50 MEQ, K 20 MEQ, CL 50 MEQ, Botol
LACTATE 20 MEQ, GLUCOSE 100 G
PER LITER
40 KA-EN 1B 500 ml Otsuka NA 38,5 MEQ, CL 38,5 MEQ, Botol
GLUCOSE 37,5 G PER LITER
41 KA-EN 3B 500 ml Otsuka NA 50 MEQ, K 20 MEQ, CL 50 MEQ, Botol
PER LITER
42 KA-EN 4A 500 ml Otsuka Natium 30 mEq, chlorida 20 mEg, Botol
lactate 10 mEq, glucose 40 gram
43 KA-EN 3A 500 ml Otsuka NA 60 MEQ, K 10 MEQ, CL 50 MEQ, Botol

PER LITER
44 KDN-1 WIDA Widatra KCL 1,5 G, NACL 4,5 G, DEXTROSE Botol
MONOHYDRATE 27,5 G
45 KDN-2 WIDA Widatra KCL 3 G, NACL 4,5 G, DEXTROSE Botol

MONOHYDRATE 27,5 G
13
TERAPI
46 Kidmin Infus Otsuka L-LEUSIN 14,0 G, L-ISOLEUSIN 9,0 Botol

G L-VALIN 10,0 G, L-LISIN ASETAT
SETARA 5,05 G L-LISIN 7,1 G, L-
TREONIN 3,5 G, L-TRIPTOFAN 2,5
G, L-METIONIN 3,0 G, L-
FENILALANIN 5,0 G, L-SISTEIN 1,0
G, L-TIROSIN 0,5 G, L-ARGININ 4,5
G, L-HISTIDIN 3,5 G, L-ALANIN 2,5
G, L-PROLIN 3,0 G, L-SERIN 3,0 G, L
ASAM ASPARTAT 1,0 G, L-ASAM
GLUTAMAT 1,0 G, TOTAL ASAM
AMINO BEBAS 72,05 G, ASAM
AMINO ESENSIAL 52,05 G, ASAM
AMINO NONESENSIAL 20 G/L,
RATIO E/N 2,6, BCAA 45,8% W/W,
TOTAL NITROGEN 10,00 G, NA+ +/-
2MEQ, CL- TIDAK ADA, ASETAT +/-
46 MEQ
47 Livamin Sanbe AMINO ACID, SORBITOL, XYLITOL, Botol

ELEKTROLIDE
48 Martos Otsuka Maltose 10% Botol
49 Meylon 25 ml Otsuka NA BICARBONAS 84 MG/ML Botol
50 MgSO4 20% 25 ml Otsuka MgSO4 20% Botol
51 MgSO4 40% 25 ml Otsuka MgSO4 40% Botol
52 Manitol Otsuka Manitol 100g Botol
53 Nacl 0,9% 500 ML Widatra NA 154 MEQ, CL 154 MEQ, PER Botol
LITER
54 Nacl 0,9% 500 ml Otsuka NA 154 MEQ, CL 154 MEQ, PER Botol
LITER
LITER
LITER
57 Nacl 3% 500 ml Otsuka SODIUM CHLORIDE 3 G, WATER Botol
FOR INJECTION
58 Nacl 0,9% 1 liter Unicap Widatra NA 154 MEQ, CL 154 MEQ, PER Botol
Wida LITER
59 Nacl 0,9% 1000 ml Widatra NA 154 MEQ, CL 154 MEQ, PER Botol
twist off wida LITER
60 Nacl irrigation 1000 ml Widatra NORMAL SALINE IRRIGATION Botol
61 Panamin G Otsuka AMINO ACID 27,2 G Botol
62 Renxamin Kalbe ASAM AMINO ESENSIAL DAN NON- Botol
ESENSIAL UNTUK PASIEN DENGAN
GANGGUAN GINJAL, 9 G/1000 ML
AA
63 Ringer Dextrose 5% Widatra NA+ 147 MEQ/L, CL- 156 MEQ/L, Botol
500 ml K+ 4 MEQ/L, CA+2 4,4
MEQ/L,GLUCOSE 50 G/L, (NATRIUM
KLORIDA 8,6 G, KALIUM KLORIDA
0,3 G, KALSIUM KLORIDA 0,48 G,
AIR UNTUK INJEKSI 1000 ML)
14
TERAPI
64 Ringer Laktat 0,9% 500 Widatra NA LAKTAT 3,1 G, NACL 6 G, KCL Botol
ml 0,3 G, CACL2 0,2 G, AIR UNTUK
INJEKSI AD 1000 ML
65 Ringer Laktat 0,9% 500 Otsuka NA LAKTAT 3,1 G, NACL 6 G, KCL Botol
ml 0,3 G, CACL2 0,2 G, AIR UNTUK
INJEKSI AD 1000 ML
66 Tridex 100 Sanbe NA+ 50 MEQ/L, CL- 50 MEQ/L, K+ Botol
20 MEQ/L, LAKTAT 20 MEQ/L,
DEKSTROSA 100 G/L (NACL 1,75 G,
KCL 1,5 G, NATRIUM LAKTAT 2,24
G, AIR UNTUK INJEKSI 1000 ML)
67 Tridex 27 B Sanbe NA+ 50 MEQ/L, CL- 50 MEQ/L, K+ Botol

20 MEQ/L, LAKTAT 20 MEQ/L,
DEKSTROSA 27 G/L (NACL 1,75 G,
KCL 1,5 G, NATRIUM LAKTAT 2,24
G, AIR UNTUK INJEKSI 1000 ML)
68 Triofusin 500 ml Kalbe FRUKTOSE 60 G, GLUKOSE 33 G, Botol

XYLITOL 30 G
69 Triofusin E 1000 ml Kalbe FRUKTOSE 120 G, GLUKOSE 66 G, Botol
XYLITOL 60 G, ELEKTROLIT,
VITAMIN
70 Tutofusin-LC Kalbe AMINO ACIDS, ELECTROLYTES, Botol
SORBITOL, VITS
71 Otsutran Otsuka Dextran(40)100 gram , calcium Botol
chloride 0,2 gram, KCL 0,3 gram,
natium chloride 6 gram, natium
lactate 3,1 gram
72 Sanbe Hest 130 Sanbe HYDROXYETHYL STARCH (HES Botol
130/0,42) 60 G, NA 154 MEQ, CL
154 MEQ, (NACL 9 G)
73 Valamin Sanbe 2,72% Amino acid with 5% Sorbitol Botol
74 Widahes Widatra HYDROXYETHYL STARCH (HES Botol

130/0,42) 60 G, NA 154 MEQ, CL
154 MEQ, (NACL 9 G)
75 Prontosan Sol 350 ml B-Braun Purified water phmb Gel
(polyhexamethylene biguanide)
10 RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE
10.1 PENGHAMBAT NEUROMUSKULAR
1 Eperison Generik Eperison 50 mg Tablet
Eprinoc Sanbe Eperison 50 mg Tablet
Myonal Eisai Eperison 50 mg Tablet
Rizonax Novell Eperison 50 mg Tablet
2 Lioresal Novartis Baclofen 10 mg Tablet
3 Zitanid Novell Tizanidin HCl 2 mg Tablet
10.2 Mistenia Gravis
1 Mestinon Combiphar Piridostigmin Br 60 mg Tablet
2 Prostigmin Inj Combiphar Neostigmin sbg garam metilsulfat Ampul
0,5 mg/amp
11 ANTI PARKINSON
1 Leparson Dexa Levodopa 100 mg, Benserazide HCl Tablet
28,5 mg
15
TERAPI
2 Sifrol 0,125 mg Boehringer Pramipexole di HCl 0,125 mg Tablet

Ingelheim
Sifrol ER 0,375 mg Boehringer Pramipexole di HCl 0,375 mg Tablet
Ingelheim
3 Stalevo Novartis Levodopa 100 mg, Carbidopa 25 Tablet
mg, Entacapone 200 mg
4 Triheksifenidil HCl Generik Triheksifenidil HCl 2 mg Tablet
Hexymer Mersi Triheksifenidil HCl 2 mg Tablet
Arkine Pyridam Triheksifenidil HCl 2 mg Tablet
12 OBAT YANG MEMPENGARUHI DARAH
12.1 ANTI ANEMIA
1 Starfolat 400 mcg Dexa Asam Folat 400 mcg Tablet
Folavit 400 mcg Sanbe Asam Folat 400 mcg Tablet
2 Asam Folat 1000 mcg Generik Asam Folat 1000 mcg Tablet
Folavit 1000 mcg Sanbe Asam Folat 1000 mcg Tablet
3 Biosanbe Sanbe FE GLUCONATE, Mg Tablet
SULFAT,COPPER SULF,VIT
C,B6,SORB
4 Prenamia Sanbe FE FUMARAT, FOLIC ACID, B12,VIT Tablet
C,D3, CA CARBONATE
5 Inbion Interbat FE GLUCONAT 250 mg, Mangan Sulfat Tablet
0,2 mg, Cupro Sulfat 0,2 mg, Vit C 50
mg, Asam Folat 1 mg, Vit B12, Intrinsik
Faktor 7,5 mcg, Sorbitol 25 mg
6 Maltofer tab Combiphar FE (III) 100 mg Tablet

7 Maltofer Fol Combiphar` FE (III) 100 mg, Folic acid 0,35 mg Tablet
8 Maltofer Syr Combiphar Fe (III) 50 mg/5 ml Sirup

9 Ferro K Syr Novell FE 3 15 mg/ml Sirup
10 Maltofer drop Combiphar FE (III) Hydroxyde Polymaltose Drop
Complex 50 mg/ml
11 Maltofer Inj Combiphar FE (III) Hydroxyde Polymaltose Ampul
Complex
12 Starbion First Medipharma Vitamin B12 7,5 mcg, Vitamin C 50 Tablet
mg, Fe30 mg, manganese 200 mcg,
cooper 200 mcg, asam folat 1000
mcg
13 Venofer Inj Combiphar Iron sukrose 20 mg/ml Ampul
14 Dialifer Inj Novell Iron sukrose 20 mg/ml Ampul
12.2 ANTI KOAGULAN, ANTI PLATELET DAN TROMBOLITIK
ANTI PLATELET
1 Aspilet Darya Varia Asam Asetilsalisilat 80 mg Tablet
Ascardia 80 mg Pharos Asam Asetilsalisilat 80 mg Tablet
Thrombo Aspilet Darya Varia Asam Asetilsalisilat 80 mg Tablet
2 Cardio Aspirin Bayer Asam Asetilsalisilat 100 mg Tablet
3 Ascardia 160 mg Pharos Asam Asetilsalisilat 160 mg Tablet
4 Brilinta Astra Zeneca Ticagrelor 90 mg Tablet
5 Cilostazol Generik Cilostazol 100 mg Tablet
Pletaal 100 mg Otsuka Cilostazol 100 mg Tablet
6 Pletaal 50 mg Otsuka Cilostazol 50 mg Tablet
7 Clopidogrel Generik Clopidogrel 75 mg Tablet
16
TERAPI
Therodel Sanbe Clopidogrel 75 mg Tablet

Vaclo Dexa Clopidogrel 75 mg Tablet
Plavix Sanofi Clopidogrel 75 mg Tablet
8 Dorner Astellas Beraprost Na 20 mcg Tablet
9 Pradaxa Boehringer Dabigatran Etexilate 110 mg Tablet
Ingelheim
10 Praxillene Merck Naftidrofuryl 100 mg Tablet
11 Praxillene Merck Naftidrofuryl 200 mg Tablet
12 Proxime Sanbe Asam Asetilsalisilat 100 mg, Glisin Tablet
45 mg
13 Trental Sanofi Pentoxifillin 400 mg Tablet
14 Trental Inj Sanofi Pentoxifillin 20 mg/ml Ampul
15 Warfarin 1 mg Generik Warfarin 1 mg Tablet
16 Simarc 2 mg Fahrenheit Warfarin 2mg Tablet
17 Xarelto 10 mg Bayer Rivaroxaban 10 mg Tablet
TROMBOLITIK
1 Arixtra Inj Glaxo Wellcome Fondaparinux Na 2,5 mg Syringe
2 Inviclot Inj Fahrenheit Heparin 5000 IU/ml Syringe
3 Lovenox Inj Sanbe Enoxaparin Na 60 mg/0,6 ml Syringe
HEMOSTATIK
1 Asam Traneksamat 500 Generik Asam Traneksamat 500 mg Tablet
mg
Lexatrans Molex Ayus Asam Traneksamat 500 mg Kaplet
Plasminex Sanbe Asam Traneksamat 500 mg Tablet
2 Asam Traneksamat Inj Generik Asam Traneksamat 100 mg/ml Ampul
Plasminex Inj Sanbe Asam Traneksamat 100 mg/ml Ampul
Transamin Inj Otto Asam Traneksamat 100 mg/ml Ampul
3 Octide Inj Fahrenheit Octreotide 0,1mg/ml Ampul
Sandostatin Inj Novartis Octreotide 0,1mg/ml Ampul
4 Somatostatin Inj Combiphar Somatostatin Acetate 3 mg Ampul
FIBRINOLITIK
1 Fibrion Inj Dexa Streptokinase 1.500.000 IU Vial
HEMATOPOETIK
1 Eporon 2000 Inj Combiphar Recomb Human eritropoetin Syringe
(eritropoetin α) 2000 IU
Epotrex 2000 Inj Novell Recomb Human eritropoetin Syringe
2 Eporon 3000 Inj Combiphar Recomb Human eritropoetin Syringe
3 Hemapo Inj Kalbe Recomb Human eritropoetin Syringe
4 Epotrex 4000 Inj Novell Recomb Human eritropoetin Syringe
5 NESP Inj Dexa Darbepoetin alfa Syringe
6 Neukine Inj Sanbe Filgrastim 300 mcg/ml Syringe
13 HORMON, ENDOKRIN LAIN, DAN KONTRASEPSI
13.1 ANTIDIABETIK
13.1.1 ANTIDIABETIK ORAL
17
TERAPI
SULFONILUREA
1 Glibenclamide Generik Glibenclamide 5 mg Tablet
Renabetic Fahrenheit Glibenclamide 5 mg Tablet
2 Gliclazide Generik Gliclazide 80 mg Tablet
Glucodex Dexa Gliclazide 80 mg Tablet
Glukolos Sanbe Gliclazide 80 mg Tablet
3 Diamicron MR 30 mg Servier Gliclazide 30 mg Tablet
4 Diamicron MR 60 mg Servier Gliclazide 60 mg Tablet
Fonylin MR 60 mg Ferron Gliclazide 60 mg Tablet
5 Glimepirid 1 mg Generik Glimepirid 1 mg Tablet
Gluvas 1 mg Dexa Glimepirid 1 mg Tablet
Amaryl 1 mg Sanofi Glimepirid 1 mg Tablet
9 Gliquidone Generik Gliquidone 30 mg Tablet
Glurenorm Boehringer Gliquidone 30 mg Tablet
Ingenheim
10 Glucotrol XL 5 Merck Glipizide 5 mg Tablet
11 Glucotrol XL 10 Merck Glipizide 10 mg Tablet
INHIBITOR DPP-4
1 Galvus Novartis Vidagliptin 50 mg Tablet
2 Trajenta Boehringer Linagliptin 5 mg Tablet
Ingenheim
BIGUANID
1 Metformin 500 mg Generik Metformin 500 mg Tablet
Forbetes 500 mg Sanbe Metformin 500 mg Tablet
Glumin 500 mg Dexa Metformin 500 mg Tablet
Glucophage 500 mg Merck Metformin 500 mg Tablet
2 Metformin 850 mg Generik Metformin 850 mg Tablet
Forbetes 850 mg Sanbe Metformin 850 mg Tablet
Glucophage 850 mg Merck Metformin 850 mg Tablet
3 Metformin XR 500 mg Generik Metformin 500 mg Tablet
Glumin XR 500 mg Dexa Metformin 500 mg Tablet
Glucophage XR 500 mg Merck Metformin 500 mg Tablet
Metphar XR 500 mg Novell Metformin 500 mg Tablet
4 Glucophage XR 750 mg Merck Metformin 750 mg Tablet
Metphar XR 750 mg Novell Metformin 750 mg Tablet
5 Glucophage XR 1000 Merck Metformin 1000 mg Tablet
mg
THIAZOLIDINEDIONE
1 Pioglitazone 15 mg Generik Pioglitazone 15 mg Tablet
Pio LN 15 mg Landson Pioglitazone 15 mg Tablet
18
TERAPI
Deculin 15 mg Dexa Pioglitazone 15 mg Tablet

Actos 15 mg Takeda Pioglitazone 15 mg Tablet
2 Pioglitazone 30 mg Generik Pioglitazone 30 mg Tablet
Pio LN 30 mg Landson Pioglitazone 30 mg Tablet
Deculin 30 mg Dexa Pioglitazone 30 mg Tablet
Actos 30 mg Takeda Pioglitazone 30 mg Tablet
PENGHAMBAT GLUKOSIDASE ALFA
1 Acarbose 50 mg Generik Acarbose 50 mg Tablet
Eclid 50 mg Dexa Acarbose 50 mg Tablet
2 Acarbose 100 mg Generik Acarbose 100 mg Tablet
Glubose 100 mg Ferron Acarbose 100 mg Tablet
Eclid 100 mg Dexa Acarbose 100 mg Tablet
SGLT-2 INHIBITOR
1 Forxiga Astra Zeneca Dapagliflozin 10 mg Tablet
KOMBINASI
1 Amaryl M1 Sanofi Glimepirid 1 mg, Metformin 250 mg Tablet
2 Amaryl M2 Sanofi Glimepirid 2 mg, Metformin 500 mg Tablet
3 Galvusmet 500 mg Novartis Vidagliptin 50 mg, Metformin 500 Tablet

mg
4 Galvusmet 850 mg Novartis Vidagliptin 50 mg, Metformin 850 Tablet
mg
5 Glucovance 1,25 mg Merck Glibenclamide 1,25 mg, Metformin Tablet
250 mg
6 Glucovance 2,5 mg Merck Glibenclamide 2,5 mg, Metformin Tablet
500 mg
7 Glucovance 5 mg Merck Glibenclamide 5 mg, Metformin 500 Tablet
mg
8 Pionix M Kalbe Pioglitazone 15 mg, Metformin 500 Tablet
mg
9 Velacom Plus 1/250 mg Novell Glimepiride 1 mg, Metformin 250 Tablet
mg
10 Velacom Plus 2/500 mg Novell Glimepirid 2 mg, Metformin 500 mg Tablet
11 Xigduo XR 10/500 mg Astra Zeneca Dapagliflozin 10 mg, Metformin 500 Tablet

mg
13.1.2 ANTIDIABETIK PARENTERAL
SHORT ACTING INSULIN
1 Apidra Solostar Sanofi Glulisin 100 IU/ml Flexpen
2 Novorapid Novo Nordisk Aspart 100 IU/ml Flexpen
INTERMEDIATE ACTING INSULIN
1 Novomix Novo Nordisk 30% Insulin Aspart solubel, 70% Flexpen
Insulin Aspart kristal protamina
LONG ACTING INSULIN
1 Levemir Novo Nordisk Detemir 100 IU/ml Flexpen
2 Sansulin Sanbe Glargine 100 IU Flexpen
Lantus Sanofi Glargine 100 IU Flexpen
3 Lantus XR Sanofi Glargine 300 IU Flexpen
13.2 HORMON KELAMIN DAN OBAT YANG MEMPENGARUHI FERTILITAS
13.2.1 ESTROGEN
19
TERAPI
1 Cyclo progynova Bayer Estradiol valerat 2 mg, Norgestrel Tablet

0,5 mg
2 Cygest 200 mg Actavis Progesterone 200 mg Ovula /
Rektal
Cygest 400 mg Actavis Progesterone 400 mg Ovula /
Rektal
3 Esthero Sunthi S Estrogen 0,625 mg Tablet
4 Norelut Dexa Norethisteron 5 mg Tablet
5 Progynova Bayer Estradiol valerat1 mg Tablet
13.2.2 PROGESTOGEN
1 Diane 35 Bayer Siproteron 2 mg, etinilestradiol Tablet
0,035 mg
2 Duphaston Abbott Dydrogesterone Tablet
3 Lutenyl Merck Nomegestrol asetat 5 mg Tablet
4 Primolut N Bayer Noretisteron 5 mg Tablet
5 Utrogestan 100 Lapi Micronised progesterone 100 mg Kapsul
6 Utrogestan 200 Lapi Micronised progesterone 200 mg Kapsul
13.2.3 KONTRASEPTIK
1 Exluton Schering Plough Linestrenol 0,5 mg Tablet
2 Microgynon Bayer Etinilestradiol 0,03 mg Tablet
3 Microlut Bayer Levonorgestrel 0,03 mg Tablet
4 Yasmin Bayer Drospirenon 3 mg, etinilestradiol Tablet
0,03 mg
5 Yaz Bayer Drospirenon 3 mg, etinilestradiol Tablet
0,02 mg
INDUKTOR
1 Fertin Interbat Klomifen sitrat 50 mg Tablet
LAIN-LAIN
1 Visanne Bayer Dienogest 2 mg Tablet
14 HORMON TIROID DAN ANTITIROI D
14.1 ANTIHIPERTIROIDISME
1 Propilthiouracil Generik Propilthiouracil 100 mg Tablet
2 Thyrozol 5 mg Merck Tiamazol 5 mg Tablet
3 Thyrozol 10 mg Merck Tiamazol 10 mg Tablet
14.2 ANTIHIPOTIROIDISME
1 Euthyrox 50 mcg Merck Levotiroksin 50 mcg Tablet
2 Euthyrox 100 mcg Merck Levotiroksin 100 mcg Tablet
15 KORTIKOSTEROID DAN KORTIKOTROPIN
1 Dexamethason 0,5 mg Generik Dexamethason 0,5 mg Tablet
Cortidex Sanbe Dexamethason 0,5 mg Tablet
Indexon Interbat Dexamethason 0,5 mg Tablet
Grathazon Graha Farma Dexamethason 0,5 mg Tablet
Carbidu Sampharindo Dexamethason 0,5 mg Tablet
Perdana
2 Dexamethason Inj Generik Dexamethasone 5 mg/ml Ampul
Cortidex Inj Sanbe Dexamethasone 5 mg/ml Ampul
Indexon Inj Interbat Dexamethasone 5 mg/ml Ampul
3 Ketricin orabase 0,1% Ferron Triamcinolon 0,1% Tube
4 Methylprednisolon 4 mg Generik Methylprednisolon 4 mg Tablet
20
TERAPI
Medixon 4 mg Ferron Methylprednisolon 4 mg Tablet

Sanexon 4 mg Sanbe Methylprednisolon 4 mg Tablet
Novestrol 4 mg Novell Methylprednisolon 4 mg Tablet
5 Methylprednisolon 8 mg Generik Methylprednisolon 8 mg Tablet
Medixon 8 mg Ferron Methylprednisolon 8 mg Tablet

6 Methylprednisolon 16 Generik Methyprednisolon 16 mg Tablet
mg
Medixon 16 mg Ferron Methyprednisolon 16 mg Tablet
Sanexon 16 mg Sanbe Methyprednisolon 16 mg Tablet
Novestrol 16 mg Novell Methyprednisolon 16 mg Tablet
7 Methylprednisolon Inj Generik Methylprednisolon 125 mg Ampul
Medixon Inj Ferron Methylprednisolon 125 mg Ampul
Sanexon Inj Sanbe Methylprednisolon 125 mg Ampul
8 Prednison Generik Prednison 5 mg Tablet
Pehacort Phapros Prednison 5 mg Tablet
9 Triamcinolon 4 mg Generik Triamcinolon 4 mg Tablet
Ketricin Ferron Triamcinolon 4 mg Tablet
10 Trilac IA/ID Novell Triamsinolon asetonid 10 mg/ml Vial
Flamicort IA/ID Dexa Triamsinolon asetonid 10 mg/ml Vial
11 Trilac IM Novell Triamsinolon asetonid 40 mg/ml Vial
Flamicort IM Dexa Triamsinolon asetonid 40 mg/ml Vial
16 OBAT YANG MEMPENGARUHI TULANG (MUSKULOSKELETAL)
1 Actonel Sanofi Risedonat Na 35 mg Tablet
2 Alovell Novell Na Alendronat 10 mg Tablet
3 Artrodar Combiphar Diacerein 50 mg Kapsul
Nocel Novell Diacerein 50 mg Kapsul
4 Fita joint Combiphar N-ACETYL GLUCOSAMINE 1 MG, Roller
MINT CONCENTRATE 332 MG,
NANO VITAMIN E 1 MG, LAVENDER
OIL 2 MG/GRAM
5 Hyalgan Combiphar Na Hyaluronate 20 mg/2ml Syringe
Umarone Fahrenheit Na Hyaluronate 10 mg/ml Syringe
Osflex Novell Na Hyaluronate 25 mg/2,5 ml Syringe
6 Hyalone Combiphar Na Hyaluronate 1,5% / 4 ml Syringe
7 Kolkatriol Phapros Calcitriol 0,25 mg Kapsul
8 Kokaltriol Forte Phapros Calcitriol 0,5 mg Kapsul
9 Mediflex Kalbe Glucosamin Slufate Tube
17 ANTIMIGRAIN / VERTIGO
17.1 ANTIMIGRAIN
1 Flunarizin 5 mg Generik Flunarizin 5 mg Tablet
Degrium Ferron Flunarizin 5 mg Tablet
2 Flunarizin 10 mg Generik Flunarizin 10 mg Tablet
Frego Kalbe Flunarizin 10 mg Tablet
3 Ericaf Tempo Scan Pacifi Ergotamin tartrat 1 mg, kafein 100 Tablet
mg
4 Serolin 10 mg Kalbe Nicergoline 10 mg Tablet
5 Stugeron 25 mg Taisho Sinarizin 25 mg Tablet
17.2 ANTIVERTIGO
21
TERAPI
1 Betahistin Mesylate 6 Generik Betahistin Mesylate 6 mg Tablet

mg
Mertigo Dexa Betahistin Mesylate 6 mg Tablet
2 Betaserc 24 mg Abbott Betahistin Di HCl 24 mg Tablet
3 Dramamin Pfizer Dimenhydrinate 50 mg Tablet
18 ANTI NEOPLASTIK, IMUNOSUPRESAN DAN OBAT UNTUK TERAPI PALIATIF
18.1 ANTI HORMON
1 Aromasin Pfizer Exemestane 25 mg Tablet
2 Divalin 3,75 mg Darya Varia Leuprorelin acetate 3,75 mg Vial
Tapros Takeda Leuprorelin acetate 3,75 mg Vial
3 Tapros 3M Takeda Leuprorelin acetate 11,25 mg Vial
4 Lebrest 2,5 mg Ferron Letrozole 2,5 mg Tablet
5 Tamoxifen 10 mg Generik Tamoxifen 10 mg Tablet
Tamofen 10 mg Kalbe Tamoxifen 10 mg Tablet
6 Tamoxifen 20 mg Generik Tamoxifen 20 mg Tablet
Tamofen 20 mg Kalbe Tamoxifen 20 mg Tablet
18.2 IMUNOSUPRESAN
1 Arava Sanofi Leflunomide 20 mg Tablet
2 Cellcept Roche Mycophenolate Mofetil 500 mg Tablet
3 Imuran Glaxo Smith Kline Azatioprine 50 mg Tablet
4 Prograf 0,5 mg Astellas Tacrolimus 0,5 mg Tablet
Prograf 1 mg Astellas Tacrolimus 1 mg Tablet
5 Sandimun 25 mg Novartis Siklosporin 25 mg Tablet
Sandimun 50 mg Novartis Siklosporin 50 mg Tablet
18.3 ANTINEOPLASTIK
1 Agrylin 0,5 mg Fahrenheit Anagrelide HCl 0,5 mg Tablet
2 Binecap Ferron Capecitabine 500 mg Tablet
3 Carboplatin 150 mg Generik Carboplatin 150 mg/15 ml Vial
4 Carboplatin 450 mg Generik Carboplatin 450 mg/45 ml Vial
5 Cisplatin 10 mg/20 ml Generik Cisplatin 10 mg/20 ml Vial
6 Cisplatin 50 mg/100 ml Generik Cisplatin 50 mg/100 ml Vial
7 Cyclophospamide Generik Cyclophospamide 200 mg Vial

Cyclovid 200 mg Novell Cyclophospamide 200 mg Vial
Endoxan 200 mg Transfarma Cyclophospamide 200 mg Vial
8 Cyclovid 500 mg Novell Cyclophosphamide 500 mg Vial
Endoxan 500 mg Transfarma Cyclophosphamide 500 mg Vial
9 Cyclophospamide Generik Cyclophospamide 1000 mg Vial
Cyclovid 1000 mg Novell Cyclophospamide 1000 mg Vial
Endoxan 1000 mg Transfarma Cyclophospamide 1000 mg Vial
10 Dacarbazine 200 mg Generik Dacarbazine 200 mg Vial
11 Dacarbazine 400 mg Generik Dacarbazine 400 mg Vial
12 Docetaxel 20 mg Generik Docetaxel 20 mg Vial
Brexel 20 mg Kalbe Docetaxel 20 mg Vial
Taceedo 20 mg Kimia Farma Docetaxel 20 mg Vial
Taxotere 20 mg Aventis Docetaxel 20 mg Vial
13 Docetaxel 80 mg Generik Docetaxel 80 mg Vial
Brexel 80 mg Kalbe Docetaxel 80 mg Vial
22
TERAPI
Taceedo 80 mg Kimia Farma Docetaxel 80 mg Vial

Taxotere 80 mg Aventis Docetaxel 80 mg Vial
14 Doxorubicin 10 mg/5 ml Generik Doxorubicin 10 mg/5 ml Vial
15 Doxorubicin 50 mg/25 Generik Doxorubicin 50 mg/25 ml Vial

ml
16 Epirubicin 10 mg Generik Epirubicin 10 mg/5 ml Vial
Epirol Futamed Epirubicin 10 mg/5 ml Vial
Epeedo Kimia Farma Epirubicin 10 mg/5 ml Vial
17 Epirubicin 50 mg Generik Epirubicin 50 mg/25 ml Vial
Epirol Futamed Epirubicin 50 mg/25 ml Vial
Epeedo Kimia Farma Epirubicin 50 mg/25 ml Vial
18 Etoposide Generik Etoposide 100 mg/5 ml Vial
19 Fluorouracil 500 mg/10 Generik Fluorouracil 500 mg/10 ml Vial
ml
Curacil 500 mg/10 ml Kalbe Fluorouracil 500 mg/10 ml Vial
20 Fonkogem 200 mg Ferron Gemcitabine 200 mg Vial
Gemcikal 200 mg Kalbe Gemcitabine 200 mg Vial
21 Fonkogem 1000 mg Ferron Gemcitabine 1000 mg Vial
Gemcikal 1000 mg Kalbe Gemcitabine 1000 mg Vial
22 Fonkopac 30 mg Ferron Paclitaxel 30 mg Vial
23 Fonkopac 100 mg Ferron Paclitaxel 100 mg Vial
24 Halaven Eisai Eribulin Mesylate 0,44 mg/ml Vial
25 Methotrexate 2,5 mg Generik Methotrexate 2,5 mg Tablet
Rheutrex Kalbe Methotrexate 2,5 mg Tablet
26 Methotrexate 50 Generik Methotrexate 50 mg/5ml Vial
mg/5ml
Sanotrexat Sanbe Methotrexate 50 mg/5ml Vial
27 Tykerb Novartis Lapatinibe Detosylate 250 mg Tablet
28 Uromitexan 400 mg Transfarma Mesna 400 mg Ampul
29 Vincristine 1 mg Generik Vincristin 1 mg/ml Vial
30 Vincristine 2 mg Generik Vincristin 2mg/ml Vial
31 Vinorelbin Generik Vinorelbin 10 mg/ml Vial
32 Vinblastin Tempo Scan Pacifi Vinblastin 10 mg/10 ml Vial
33 Zoladex Astra Zeneca Goserelin Asetate 3,6 mg Syringe
34 Zolenic 4 mg Novell Zolendronic acid 4 mg/5 ml Vial
Zometa 4 mg Novartis Zolendronic acid 4 mg/5 ml Vial
18.4 TERAPI ANOREKSIA DAN KAKESIA PASIEN KANKER
1 Tracetat tab Fahrenheit Megestrol Acetate Tablet
2 Tracetat Syr Fahrenheit Megestrol Acetate 40 mg/ml Sirup
19 OBAT SALURAN CERNA
19.1 ANTASIDA DAN ULKUS
1 Antasida Doen Generik ALUMINIUM HIDROKSIDA 200 MG, Tablet
MAGNESIUM HIDROKSIDA 200 MG
2 Antasida Doen Syr Generik ALUMINIUM HIDROKSIDA 200 MG, Sirup
MAGNESIUM HIDROKSIDA 200 MG,
DIMETIL POLISILOKSAN 50 MG
TIAP 5 ML
23
TERAPI
3 Dexanta Dexa Aluminium Hidroksida 200 mg, Tablet

Magnesium Hidroksida 200 mg,
Simethicon 20 mg
4 Magalat Ferron MAGALDRAT 480 MG, SIMETIKON Tablet
20 MG
5 Magalat Syr Ferron MAGALDRAT 480 MG, SIMETIKON Sirup
20 MG/5 ML
6 Polysilane Pharos ALUMINIUM HIDROKSIDA 200 MG, Tablet
MAGNESIUM HIDROKSIDA 200 MG,
DIMETIL POLISILOKSAN 50 MG
7 Sanmag Sanbe MAGNESIUM TRISILIKAT 325 mg, Tablet

ALUMINIUM HIDROKSIDA
KOLOIDAL 325 MG, PAPAVERIN HCL
30 MG, KLORDIAZEPOKSID HCL 5
MG, VIT B1 2 MG, VIT B2 1 MG, VIT
B6 0,5 MG, VIT B12 1 MCG,
NIASIAMID 5 MG, CA-PANTOTENAT
1 MG
8 Sanmag Syr Sanbe MAGNESIUM TRISILIKAT 400 MG, Sirup
ALUMINIUM HIDROKSIDA 400 MG,
SIMETICONE 100 MG/ 5ML
9 Cimetidine Generik Cimetidin 200 mg Tablet
10 Ranitidin Tab Generik Ranitidin 150 mg Tablet
Acran Tab Sanbe Ranitidin 150 mg Tablet
Gastridin Tab Interbat Ranitidin 150 mg Tablet
11 Ranivel Syr Novell Ranitidin HCl 75 mg/5ml Sirup
12 Ranitidin Inj Generik Ranitidin 50 mg/2 ml Ampul
Acran Inj Sanbe Ranitidin 50 mg/2 ml Ampul
Gastridin Inj Interbat Ranitidin 50 mg/2 ml Ampul
13 S-Omevell 20 mg Novell Esomeprazole 20 mg Tablet
Nexium 20 mg Astra Zeneca Esomeprazole 20 mg Tablet
14 S-Omevell 40 mg Novell Esomeprazole 40 mg Tablet
Nexium 40 mg Astra Zeneca Esomeprazole 40 mg Tablet
15 Esoferr Inj Ferron Esomeprazole 40 mg/ml Vial
Nexium Inj Astra Zeneca Esomeprazole 40 mg/ml Vial
16 Lansoprazole kap Generik Lansoprazole 30 mg Kapsul
Lanvell Novell Lansoprazole 30 mg Kapsul
Laz Dexa Lansoprazole 30 mg Kapsul
17 Prosogan FD 15 mg Takeda Lansoprazole 15 mg Tablet
18 Prosogan FD 30 mg Takeda Lansoprazole 30 mg Tablet
19 Lansoprazole Inj Generik Lansoprazole 30 mg/ml Vial
Prosogan Inj Takeda Lansoprazole 30 mg/ml Vial
20 Omeprazole Generik Omeprazole 20 mg Kapsul
OMZ Ferron Omeprazole 20 mg Kapsul
Pumpitor Sanbe Omeprazole 20 mg Kapsul
21 Omeprazole Inj Generik Omeprazole 40 mg/ml Vial
OMZ Inj Ferron Omeprazole 40 mg/ml Vial
Pumpitor Inj Sanbe Omeprazole 40 mg/ml Vial
Ozid Inj Darya Varia Omeprazole 40 mg/ml Vial
Zolacap Inj Caprifarmindo Omeprazole 40 mg/ml Vial
24
TERAPI
22 Pantoprazole 20 mg Generik Pantoprazole 20 mg Tablet

Pantozol 20 mg Pharos Pantoprazole 20 mg Tablet
23 Pantoprazole 40 mg Generik Pantoprazole 40 mg Tablet
Pantozol 40 mg Pharos Pantoprazole 40 mg Tablet
Panvell Novell Pantoprazole 40 mg Tablet
Pantopump Interbat Pantoprazole 40 mg Kaplet
24 Pantoprazole Inj Generik Pantoprazole 40 mg/ml Vial
Pumpisel Inj Sanbe Pantoprazole 40 mg/ml Vial
Pantozol Inj Pharos Pantoprazole 40 mg/ml Vial
Pantopump Inj Interbat Pantoprazole 40 mg/ml Vial
25 Pariet 10 mg Eisai Rabeprazole Na 10 mg Tablet
26 Pariet 20 mg Eisai Rabeprazole Na 20 mg Tablet
27 Sucralfat Syr Generik Sucralfat 500 mg/5 ml Sirup
Molafate Syr Molex Ayus Sucralfat 500 mg/5 ml Sirup
Episan Syr Sanbe Sucralfat 500 mg/5 ml Sirup
28 Repimide tab Novell Rebamipide 100 mg Tablet
Mucosta tab Otsuka Rebamipide 100 mg Tablet
29 Disflatyl Pharos Dimethylpolysiloxane 40 mg Tablet
30 Clast tab Meiji Klebopride Maleat 0,5 mg Tablet
31 Sulfasalazine Generik Sulfasalazine 500 mg Tablet
Sulfitis Fahrenheit Sulfasalazine 500 mg Tablet
32 Salofalk 250 mg Darya Varia Mesalazine 250 mg Tablet
33 Salofalk 500 mg Darya Varia Mesalazine 500 mg Tablet
34 Salofalk Supp Darya Varia Mesalazine 500 mg Suppo
35 Natrium Bicarbonat Generik Natrium Bicarbonat Tablet
19.2 ANTI SPASMODIK
1 Braxidin Sanbe Chlordiazepoxide 5 mg, Clidinium Tablet
Bromida 2,5 mg
2 Gitas Plus Interbat Hyoscine-N-Buthyl Bromida 20 mg, Tablet
Paracetamol 500 mg
3 Gitas Inj Interbat Hyoscine-N- Butyl Bromida 20 Ampul
mg/ml
4 Sesden Tanabe Timepidium Bromida 30 mg Tablet
5 Spasmal tab Prafa Metampiron 500 mg, Ekstrak Tablet
Belladona 5 mg, Papaveri HCL 30
MG
19.3 ANTI DIARE
1 Loperamide tab Generik Loperamide 2 mg Tablet
Lodia Sanbe Loperamide 2 mg Tablet
2 New Diatab Darya Varia Attapulgite 600 mg Tablet
3 Diagit tab Interbat Attapulgite 600 mg, Pectin 50 mg Tablet
4 Atagip First Medipharma Attapulgite 600 mg, Pectin 50 mg Tablet
5 Molagit Molex Ayus Attapulgite 700 mg, Pectin 50 mg Tablet
6 Neo Kaolana Syr Sanbe Kaolin 700 mg, Pectin 66 mg/ 15 ml Sirup
7 Guanisterp Syr Itrasal Kaolin 986 mg, Pektin 40 mg Sirup

8 Smecta Combiphar Dioctahedral smectite Sachet
19.4 PREBIOTIK
1 Interlac tab Interbat Lactobacillus Reutri Protectis Tablet
25
TERAPI
2 Lacidofil Kap Dexa LACTOBACILLUS ACIDOPHILUS Kapsul

R0052 0,1X10^9 CFU,
LACTOBACILLUS RHAMNOSUS
R0011 1,9X10^9 CFU
3 Interlac Drop Interbat Lactobacillus Reutri Protectis Drop
4 Interlac Sachet Interbat Lactobacillus Reutri Protectis Sachet
5 Lacidofil Sachet Dexa LACTOBACILLUS ACIDOPHILUS Sachet
R0052 0,1X10^9 CFU,
LACTOBACILLUS RHAMNOSUS
R0011 1,9X10^9 CFU
6 Lacto B Sachet Novell Viable cell counts 1 x 10000000 Sachet
CFU/g (Lactobacillus acidophilus,
Bifidobacterium longun,
Streptococcus themophillus), Vit C
10 mg, Vit B1 0.5 mg, Vit B2 0.5
mg, Vit B6 0.5 mg, niacin 2 mg,
protein 0.02 g, fat 0.1 g. Energi :
3.4 kal.
7 Probiokid Sachet Sanbe LACTOBACILLUS HELVETICUS Sachet
R0052, BIFIDOBACTERIUM
INFANTIS R0033
8 Protexin Infant Sachet Combiphar LACTOBACILLUS CASEI, L. Sachet
RHAMNOSUS, STREPTOCOCCUS
THERMOPHILUS,
BIFIDOBACTERIUM BREVE, L.
ACIDOPHILUS, B. INFANTS, L.
BULGARICUS
19.5 LAKSATIF
1 Dulcolax tab Boehringer Bisacodyl 5 mg Tablet
Ingelheim
2 Lactulax 60 ml Syr Ikapharmindo LACTULOSE 3.335 G/5 ML Sirup
3 Laxadine 60 ml Syr Galenium PHENOLPHTHALEN 55 sirup
MG,PARAFFIN LIUID1200 MG,
GLYCERIN 378 MG/5 ML
4 Fleet Enema Combiphar Monobasic Na phosphate 19 g, Enema
dibasic Na phosphate 7 g
5 Fleet Phosposoda Combiphar Monobasic Na phosphate 2,4 g, Enema
dibasic Na phosphate 0,9 g
6 Microlax Enema Pharos NA LAURYL SULFOACETATE 45 MG, Enema
NA CITRATE 450 MG, SORBIC ACID
5 MG, SORBITOL 4,465 MG, PEG400
625 MG
7 Stolax Supp Sanbe Bisacodyl 10 mg Suppo
19.6 HAEMOROID
1 Ardium Prafa Ekstrak Citrus Sinensis Tablet
2 Borraginol N Oint Takeda LITHOSPERMI RADIX EXTR, Tube
BENZOCAINE, DIBUCAINE HCL,
DIPHENHYDRAMINE HCL,
CETRIMEDE
3 Borraginol S Oint Takeda LITHOSPERMI RADIX EXTR, Tube
CETRIMEDE, LIDOCAINE
26
TERAPI
4 Borraginol N Supp Takeda LITHOSPERMI RADIX EXTR, Suppo

CETRIMEDE
5 Borraginol S Supp Takeda LITHOSPERMI RADIX EXTR, Suppo
CETRIMEDE, LIDOCAINE
6 Faktu Oint Pharos POLYCRESULENE, CINCHOCAINE Tube
7 Faktu Supp Pharos POLYCRESULENE, CINCHOCAINE Suppo
8 Anti Hemorroid Supp Generik Bismuth Subgallate 150 mg, Suppo
Hexachlorophene 2,5 mg,
Lignocaine 10 mg, Zinc Oxide 120
mg
19.6 ANTIEMETIK
1 Domperidon tab Generik Domperidon 10 mg Tablet
Vometa FT Dexa Domperidon 10 mg Tablet
Vosedon Sanbe Domperidon 10 mg Tablet
2 Domperidon Syr Generik Domperidon 5 mg/5 ml Sirup
Vometa Syr Dexa Domperidon 5 mg/5 ml Sirup
Vosedon Syr Sanbe Domperidon 5 mg/5 ml Sirup
3 Vometa Drop Dexa Domperidon 5 mg/ml Drop
4 Granisetron Inj Generik Granisetron 1 mg/ml Ampul
Granon Inj Dexa Granisetron 1 mg/ml Ampul
5 Metoclopramide Generik Metoclopramide 10 mg Tablet
Damaben Sanbe Metoclopramide 10 mg Tablet
Tomit Interbat Metoclopramide 10 mg Tablet
6 Damaben Syr Sanbe Metoclopramide 5 mg/5 ml Sirup
Damaben Inj Sanbe Metoclopramide 5 mg/ml Ampul
Tomit Inj Interbat Metoclopramide 5 mg/ml Ampul
7 Ondansetron 4 mg tab Generik Ondansetron 4 mg Tablet
Trovensis 4 mg Sanbe Ondansetron 4 mg Tablet
8 Ondansetron 8 mg tab Generik Ondansetron 8 mg Tablet
9 Ondansetron 4 mg inj Generik Ondansetron 4 mg/2ml Ampul
Trovensis 4 mg Inj Sanbe Ondansetron 4 mg/2ml Ampul
Invomit 4 mg Inj Interbat Ondansetron 4 mg/2ml Ampul
10 Ondansetron 8 mg Inj Generik Ondansetron 8 mg/4ml Ampul
Trovensis 8 mg Inj Sanbe Ondansetron 8 mg/4ml Ampul
Invomit 8 mg Inj Sanbe Ondansetron 8 mg/4ml Ampul
11 Anvomer B6 tab Dexa Piratiasina 40 mg, B6 Tablet
12 Setrovel Inj Novell Tropisetron 1 mg/ml Ampul
19.7 HEPATOPROTEKTOR
1 AHFC Biolife Medilab EXTRA RADIX ASTRAGALUS Sachet
MEMBRANACEUS (HUANGQI),
EXTRA RADIX SALVIA
MILTHIORRIZA (DANSHEN), EXTRA
RADIX BUPLEURUM CHINENSE
(CHAIHU), EXTRA RADIX
SPATHOLOBUS SUBERECTUS
(JIXUETENG)
27
TERAPI
2 Curcuma Soho Curcuma 20 mg Tablet

3 Hepamerz Granul Combiphar L-ORNITHINE-L-ASPARTATE Sachet
3GR/SACHET
Ornispar Oral Novell L-ORNITHINE-L-ASPARTATE Sachet
3GR/SACHET
4 Hepamerz Inj Combiphar L-ORNITHINE-L-ASPARTATE 5 Ampul
MG/10 ML
5 HP PRO Biolife Medilab FRUCTUS SCHIZANDRAE 7,5 MG Kapsul
6 Lesichol 300 Landson PURE LECITHIN (PPC 95%) 175 MG Kapsul
(300 MG), VIT B1 6 MG, VIT B2 6
MG, VIT B6 6 MG, VIT B12 6 MCG,
VIT E 10 MG, NICOTINAMIDE 30
MG
7 Lesichol 600 Landson PURE LECITHIN (PPC 95%) 175 MG Kapsul
(600 MG), VIT B1 6 MG, VIT B2 6
MG, VIT B6 6 MG, VIT B12 6 MCG,
VIT E 10 MG, NICOTINAMIDE 30
MG
8 Lesichol Force Landson PHOSPHOLIPID 300 MG, SILYBIN Kapsul
PHOSPHOIPID 120 MG,
SCHISANDRA CHINENSIS FRUCTUS
EXTRACT, VITAMIN E ASETAT
9 Lesipar Lapi LECITHIN 300 MG, VIT B1 1,4 MG, Kapsul

VIT B2 1,6 MG, VIT B6 2 MG, VIT
B12 3 MCG, VIT E 10 MG,
NIKOTINAMIDE 18 MG
10 SNMC Inj Dexa MONO AMONIUM Ampul
GLYCYRRHIZINATE 4MG, AMINO
ACETIC ACID 40MG, L-CYSTEIN
HYDROCHLORIDE 2MG
11 Ursodeoxycholic Acid Generik Ursodeoxycholic Acid 250 mg Kapsul
Urdafalk Darya Varia Ursodeoxycholic Acid 250 mg Kapsul
19.8 GASTROPROTEKTOR
1 Redacid Dexa Cinnamomum Burmannii 250 mg Tablet
20 ANTI DOTES & ANTI DETOXIFYING AGENT
1 Renvela tab Sanofi Sevelamer carbonate Tablet
2 Resfar Inj Fahrenheit Acetylcysteine Ampul
21 VITAMIN & MINERAL
21.1 VITAMIN A, C, D & E
1 Vitamin C 25 mg Generik Vitamin C 25 mg Tablet
2 Vitamin C 100 mg Generik Vitamin C 100 mg Tablet
3 Vitamin C Inj Generik Vitamin C 100 mg Ampul
4 Santa E 100 mg Sanbe Vitamin E 100 mg Tablet
5 Santa E 400 mg Sanbe Vitamin E 400 mg Tablet
Lanturol 400 mg Landson Vitamin E 400 mg Tablet
21.2 VITAMIN K / PHYTOMENADION
1 Vitamin K Generik Vitamin K Tablet
2 Phytomenadion Inj Generik Vitamin K Ampul
3 Neo K Inj Combiphar Phytomenadion 10 mg/ml Ampul
4 Vitadion Kalbe Vitamin K 2 mg/ml Ampul
21.3 VITAMIN B KOMPLES / DENGAN VITAMIN C
28
TERAPI
1 Vitamin B6 tab Generik Vitamin B6 10 mg Tablet

2 Vitamin B Complex Generik vitamin B1, vitamin B2, vitamin B6, Tablet
calcium pethonate, nicotinamide
3 Alinamin F tab Takeda Vitamin B2 5 mg, Fursultiamine HCl Tablet
4 Alinamin F Inj Takeda Fursultiamine HCl 25 mg/10 ml Ampul

5 Furamin Inj Meprofarm Fursultiamine HCl 2,5 mg, dextrose Ampul
anhydrate 200 mg
6 Neurosanbe Sanbe B1 100 MG, B6 200 MG, B12 200 Tablet
MCG
Neurodex Dexa B1 100 MG, B6 200 MG, B12 250 Tablet
MCG
Neurobion Merck B1 100 MG, B6 200 MG, B12 200 Tablet
MCG
7 Neurosanbe 5000 Sanbe B1 100 MG, B6 100 MG, B12 5000 Tablet
MCG
Neurobion 5000 Merck B1 100 MG, B6 100 MG, B12 5000 Tablet
MCG
8 Neurosanbe 5000 Inj Sanbe B1 100 MG, B6 100 MG, B12 5000 Ampul
MCG
Neurobion 5000 Inj Merck B1 100 MG, B6 100 MG, B12 5000 Ampul
MCG
9 Cobazim 1mg Interbat Coenzym B12 1 mg Tablet
10 Cobazim 3mg Interbat Coenzym B12 3 mg Tablet
21.4 KALSIUM / DENGAN VITAMIN
1 Cavit D3 Tab Merck CA HYDROGEN PHOSPATE, Tablet
CHOLECALCIFEROL
2 Elkana tab Sanbe DIBASIC CA POSPHATE, CA Tablet
LAKTATE, B6, C, D3, CA LACTATE,
CA
3 Elkana Syr Sanbe DIBASIC CA POSPHATE, CA Sirup
LAKTATE, B6, C, D3, CA LACTATE,
CA
4 Elkana CL Syr Sanbe COD LIVER OIL, CURCUMA, Sirup
MULTIVITAMIN, MINERAL, LYSINE,
CHOLINE, AA-DHA-GOS
5 Kalquest Novell Calcium Polystyrene 5 g Sachet
6 Likokalk Berlico Ca Laktat Kapsul
7 Osteopor Combiphar Ca Phosphate Dibasic, Soy Tablet
Isoflavone, Vit D3, Mg Oxide, Zn
Sulphate 100 mg, Zn 5 mg, Br 1 mg
8 Ostogard Novell Genistein 15 mg, Ca carbonate Kaplet

1,000 mg, vit D3 400 IU, omega-3
50 mg
9 Calcifar IFARS Calcium Hydrogen Phospat Tablet
Dihydrate 500 mg
10 Calcium Carbonat Generik Calcium Carbonat Kapsul
21.5 VITAMIN HAMIL / MENYUSUI
29
TERAPI
1 Folamil Genio Dexa FOLIC ACID, B-KAROTEN, B1, B2, Kapsul

NICOTINAMIDE, B6, CA
PANTOTHENATE, CA CARBONATE,
B12, D3, K1, BIOTIN, COPPER
GLUCONATE, FE, DHA,
ARACHIDONIC ACID
2 Folamil Genio Gold Dexa Folic acid, Vitamin D3, Ca Kapsul
carbonate, DHA
3 Laktafit Dexa Placenta extr 15 mg, Vitamin B12 20 Tablet
mcg, Ca Phosphate dibasic 12 mg
4 Moloco Darya Varia B12 20 MCG, EKSTRAK PLACENTA Tablet

15 MG
5 Promavit Lapi Omega-3 fatty acid, DHA, EPA, Vit Tablet
A, D3, B12, B6, folic acid, Ca, Mg,
Fe
21.6 MULTIVITAMIN DAN MINERAL
1 Becom C Sanbe VIT. B1,B2,B6,B12, C, Nicotinamide, Kapsul
Panthotenic Acid
2 Becom Zet Sanbe Vit E, C, B1, B6, B12, folic acpant Tablet
acid, Zn, niacin
3 Biostrum Syr Lapi Colostrum bovine 250 mg, fructo- Sirup
oligosaccharide 1,5 g, Zn 3 mg
4 Caviplex tab Erela Vitamin A, vitamin D, Vitamin B1, Tablet
vitamin B2, vitamin B6, vitamin B12,
vitamin C, Nikotinamid, Ca pantotenat,
vitamin E, biotin, asam folat, Fe(II),
asam glutamat, Ca, Mg-karbonat, Zn,
Cu, Mn, Flourida, iodium
5 Caviplex Syr Erela Vitamin A, vitamin D, Vitamin B1, Sirup

vitamin B2, vitamin B6, vitamin B12,
vitamin C, Nikotinamid, Ca
pantotenat, Ca Laktat, Ca
Gliserofosfat, asam glutamat
6 Cernevit Inj Kalbe VIT. A, D3, E, C, B1, B2, B3, B5, B6, Ampul
B12, FOLIC ACID, BIOTIN,
NICOTINAMIDE, GLYCINE,
GLYCOCHOLIC ACID, SOYBEAN
LECITHIN, PANTOTHENIC ACID
7 Etacurvita Syr Errita Pharma EXTRAK CURCUMA XANTHORIZA, Sirup
VITAMIN B1, VITAMIN B2, VITAMIN
B6, VITAMIN B12, LYSINE HCL
8 Lycoxy Dexa Lutein, lycopene, vit E, C, Carotene, Kapsul

Se, Zn
9 San-B-Plex Sanbe Vit A, D, B1, B2, B6, C, Sirup
Nikotinamida, Dekspantenol
10 Seloxy AA Ferron Beta carotene 10.000 iu 250 mg, vit Kapsul
E 200 iu, Zn 20 mg, Se 30 mcg
30
TERAPI
11 Zamel Syr Novell Vit A 2,000 iu, thiamine 5 mg, Sirup

riboflavin 2 mg, pyridoxine 5 mg,
cyanocobalamin 2 mcg,
nicotinamide 10 mg, folic acid 15
mcg, choline 5 mg, inositol 12 mg,
biotin 100 mcg, vit E 5 iu, Fe 5 mg,
Zn 2.5 mg, Mg 35 mg, copper 300
mcg, selenium 20 mcg, chromium
15 mcg, lysine 100 mg, L-glutamine
50 mg cya
12 Zamel Drop Novell Zn 1.5 mg, vitamin A 2,000 IU, Drop
vitamin B1 0.5 mg, vitamin B2 0.6
mg, vitamin B12 2 mcg, vitamin C
30 mg, vitamin D3 400 IU, vitamin E
5 IU, pantothenic acid 5 mg,
nicotinamide 8 mg, biotin 5 mcg.
13 Zinc tab Generik Zn Sulfate 20 mg Tablet

14 Zinkid Syr Indofarma ZN SULFATE 10 MG/5ML Sirup
15 Zinc Sirup Generik ZN SULFATE 20 MG/5ML Sirup
Interzinc Syr Interbat ZN SULFATE 20 MG/5ML Sirup
Zincpro Syr Combiphar ZN SULFATE 20 MG/5ML Sirup
Orezinc Syr Novell ZN SULFATE 20 MG/5ML Sirup
16 Zincpro Drop Combiphar ZN SULFATE 10 mg Drop
17 Bio ATP Phapros ATP 20 mg, thiamine 100 mg, Tablet
pyridoxine 200 mg, cyanobalamin
200 mcg, vitamin e 30 mg
21.7 SUPLEMEN & TERAPI PENUNJANG
1 Asthin Force-6 Soho Natural Astaxanthin 6mg Kapsul
2 Astatin Novell Natural Astaxanthin 4 mg Kapsul
3 Asthin B-OND Soho Astaxanthin 4mg + extr. Melon 10 Kapsul
mg
4 Berry Vision Cap Sanbe Bilberry dry extr 80 mg Kapsul
5 Fitbon Soho Glucosamine, Mn Tablet
6 Flexor DS Dexa Glucosamine HCl 500 mg, Tablet
chondroitin sulfate 400 mg
7 Glucosamin HCl Generik Glucosamin 500 mg Tablet
8 Formuno Sanbe Ekstrak kering Echinacea purpurea 250 Kaplet
mg, Phyllanthus niruri 50 mg, ekstrak
Black elderberry 300 mg, Zn picolinate
10 mg, vitamin C 100 mg
9 Glauseta Sanbe Acetazolamide 250 mg Tablet
10 Imunos Syr Lapi Echinacea (EFLA 894) 500 mg, zinc Sirup
picolinate 5 mg, selenium 15 mcg
11 Imunos Plus Syr Lapi Echinacea purpurea extr 500 mg, β- Sirup
1,3/1,6 glucan 125 mg, Zn
picolinate 5 mg, selenium 15 mcg
12 Inlacin 50 mg Dexa Fraksi Bioaktif dari Lagerstroemia Kapsul

speciosa (Folium) & Cinnamomum
burmannii (Korteks)
31
TERAPI
13 Inlacin 100 mg Dexa Fraksi Bioaktif dari Lagerstroemia Kapsul

speciosa (Folium) & Cinnamomum
burmannii (Korteks)
14 Liproqy Sanbe Coenzyme Q10 60, 100 MG Kapsul

15 Mecola Lapi Serrapeptase, Thiamin Mononitrat, Tablet
Cyanocobalamin, Nicotinamid,
Tocopherol acetate, riboflavine,
Pyridoxine
16 Mecola Forte Lapi Serrapeptase, Thiamin Mononitrat, Tablet
Cyanocobalamin, Nicotinamid,
Tocopherol acetate, riboflavine,
Pyridoxine
17 OA Forte Interbat Glukosamin 500 mg, Kondroitin SO4 Tablet
400 mg, Vitamin C, Mangan,
Magnesium, selenium, Zinc
18 Optimax Ferron Lutein 3 mg, lycopene 2,vit E 25 Kapsul

mg, vit C 100 mg, Zn 100 mg, beta
karoten, 6000 iu, bilberry extr 80
mg
19 Psidii Kap Dexa Psidii Folium 500 mg Kapsul
20 Psidii Syr Dexa Psidii Folium 250 mg Sirup
21 Q ten 30 Novell Coenzyme Q10 30 mg Kapsul
Coten 30 Interbat Coenzyme Q10 30 mg Kapsul
Coten 100 Interbat Coenzyme Q10 100 mg Kapsul
24 Q ten Com Novell Coenzyme Q10 COM Kapsul
25 Retivit Sanbe Beta caroten 10.000 iu, vit C 500 Kapsul
mg, vit E 100 iu
26 Syncore Landson D-ribose, L-camitine fumarate, Sachet
Coenzym Q10, Mg Citrate
27 Tebokan Phapros Ginkgo biloba Tablet
28 Tebokan Spesial Phapros Ekstrak kering ginkgo-biloba 40 mg, Tablet
standardized at 9.6 mg
ginkgoflavone glycosides
29 Disolf Dexa Lumbricus rubellus extract 490 mg Tablet
22 DERMATOLOGI
22.1 ANTI INFEKSI
1 Afucid Ferron Fusidic Acid 2% Krim
Fucilex Molex Ayus Fusidic Acid 2% Krim
2 Burnazyn Darya Varia Silver Sulfadiazine Krim
3 Burnazyn Plus Cream Darya Varia Silver Sulfadiazine. Hyaluronic acid Krim
4 Clinium Interbat Clindamycin Phospate 1% Gel

5 Gentamicin Generik Gentamicin Sulfate 0,1% Krim
Sagestam Sanbe Gentamicin Sulfate 0,1% Krim
Gentalex Molex Ayus Gentamicin Sulfate 0,1% Krim
Genalten IFARS Gentamicin Sulfate 0,1% Krim
6 Pirotop 5 g SDM Lab Mupirocin 20 mg Krim
32
TERAPI
Bactoderm 5 g Ikapharmindo Mupirocin 20 mg Krim

7 Pirotop 10 g SDM Lab Mupirocin 20 mg Krim
Pibaksin 10 g Sanbe Mupirocin 2% Krim
22.2 ANTI FUNGI
1 Baby Dex-A Meiji DEXPANTHENOL, TOCOPHERYL Oint
ACETATE, HYDROGENATED
RETINOL
2 Ketoconazole Generik Ketoconazole 2% Krim
Formyco Sanbe Ketoconazole 2% Krim
3 Ketomed SDM Lab Ketoconazole 2% Botol
4 Loprox Sanofi Ciclopirox Botol
5 Miconazole Generik Miconazole 2% Krim
6 Myco-Z Taisho Nystatin 100.000 IU, ZnO 200 mg Oint
7 Termisil Ferron Terbinafine HCl 1% Krim
22.3 KORTIKOSTEROID
1 Betamethasone Generik Betamethasone 0,05% Krim
Benoson Bernofarm Betamethasone 0,05% Krim
2 Cinolon Sanbe Flucinolone Acetonide Krim
3 Desoximethasone Generik Desoximethasone 0,25% Krim
Dexigen IFARS Desoximethasone 0,25% Krim
Esperson Sanofi Desoximethasone 0,25% Krim
Inerson Interbat Desoximethasone 0,25% Oint
4 Dermovel Ferron Mometasone Furoate 0,1% Krim
5 Elocon Merck Mometasone Furoate 0,1% Krim
6 Elocon Lot Merck Mometasone Furoate 0,1% Botol
7 Forderm Ferron Clobetasole Propionate 0,05% Krim
Lotasbat Interbat Clobetasole Propionate 0,05% Krim
8 Hydrocortison Generik Hydrocortison 2,5% Krim
9 Desolex SDM Lab Desonide 0,05% Krim
22.4 KOMBINASI
1 Baycuten N Bayer CLOTRIMAZOLE 10 MG, Krim
DEXAMETHASONE 2 MG
2 Benoson G Bernofarm BETAMETHASONE VALERATE 0,1%, Krim
GENTAMYCIN SULFATE 0,1%
3 Benoson M Bernofarm BETAMETHASONE VALERATE 0,1%, Krim

MICONAZOLE NITRATE 2%
4 Benoson N Bernofarm BETAMETHASONE VALERATE 0,1%, Krim
NEOMYCIN SULFATE 0,5%
5 Cinogenta Ferron GENTAMICIN SULFATE 1,67 MG, Krim
FLUOCINOLONE ACETONIDE 0,25
MG
6 Cinolon N Sanbe FLUCINOLONE ACETONIDE 0,025%, Krim
NEOMYCIN SULFAT 0,5%
7 Daivobet Leo Pharma BETAMETHASONE DIPROPIONATE Krim

0,5 MG, CALCIPOTRIOL 50 MCG
8 Digenta Interbat Gentamycin Sulfate 0,1%, Krim
Betamethasone 0,05%
9 Nebacetin Powder Pharos NEOMYCINE SULFATE 5 MG, Powder
BACITRACIN 250 IU
33
TERAPI
10 Dermacoid Lot Combiphar Hydrocortisone 17 butyrate lot

11 Synalten Oint IFARS Fluocinolone acetomide, Gentamicin Salep
Sulfate
22.5 ANTI VIRUS
1 Acyclovir Generik Acyclovir 5% Krim
Acifar IFARS Acyclovir 5% Krim
Zoter Interbat Acyclovir 5% Krim
22.6 ANTI KELOID
1 Kelo-Cote Advanced Bio- Polysiloxane, silicon dioxide Gel
Technologies
2 Lanakeloid Landson Centella asiatica phytosome 1%, Krim
vitamin E 0,2%
3 Lanakeloid tab Landson Centella asiatica selected Tablet
triterpenes 17,5% (30 mg)
4 Mederma Combiphar ALLIUM CEPA EXTR 10%, Gel
ALLANTOIN 1 %, ALOE VERA
22.7 ANTI SKABIES
1 Salep 2-4 Afiat ASAM SALISILAT 2%, SULFUR 4% Oint
2 Scabimite Galenium Permetrin 5% Krim 10 g ;

Pharmasia 30 g
Medscab SDM LOT Permetrin 5% Krim 30 g
22.8 LAIN LAIN
1 Bionec Combiphar Asam Hyaluronat 0,2% Krim
2 Bioplacenton Kalbe Kalsium Alginat Gel
3 Carmed 10% SDM Lab Urea 10% Krim 40 g
4 Carmed 20% SDM Lab Urea 20% Krim 40 g
5 Centabio Sanbe Neomisin Sulfat 5 mg, Ekstrak Gel
Plasenta 100 mg
6 Daivonex Leo Pharma Calcipotriol Krim
7 Decubal Actavis Anhydrous Lanolin, isopropyl Krim
miristate, cethyl alkohol, sorbitan
monostearate, polysorbate,
dimeticon, sorbic acid, glycerol
8 Mebo Combiphar Radix Scutellarae 0.87 gram, Krim
Phellodendri cortex 0.87 gram,
Rhizoma coptidis 0.87 gram
9 Noroid Soho PSEUDOCERAMIDE, Krim
PHYTOSTEROLS, STEARIC ACID,
VEGETABLE OIL, SQUALANE,
DEFENSAMIDE
10 Sagalon SDM Lab DOXEPIN HCL 5% Krim
11 Thrombopop Nordmark Heparin Gel
12 Elidel Novartis Pimecrolimus 1% Krim
13 Mustela Barier Cream Interbat Shea butter, Zinc Oxide, Vitamin E Krim
14 Mustela Stelatopia Interbat Sunflower oil distillate, plum oil Oint
Emollient
15 Regrou Forte SDM Lab Minoxidil 5% Botol
16 Biocream Merck Ambifilik Hipoalergenik Krim
17 Sanoskin oxy gel Interbat O2 (Converted to ozone ), Olive oil Gel
18 Duoderm gel Convatec Natural Hydrocolloid Gel
34
TERAPI
19 Lactacyd FH Blue Sanofi lactocerum 0,93 g, Lactic acid 1 g Sol

23 TELINGA & MULUT / TENGGOROKAN
23.1 ANTI INFEKSI & ANTI SEPTIC TELINGA
1 Erlamycetin Erela Chlorampenicol 1% Drop 10 ml
2 Tarivid Kalbe Ofloxacin 3 mg/ml Drop 5 ml
23.2 ANTI SEPTIC TELINGA & KORTIKOSTEROID
1 Otilon Sanbe Polymyxin B sulfate 10.000 iu, Drop 8 ml
neomycin sulfate 5 mg,
fludrocortisone acetate 1 mg,
lidocaine HCl 40 mg
2 Otopain Interbat POLYMYXIN B SULFATE 50.000 IU, Drop 8 ml
NEOMYCIN SULFATE 25 MG,
FLUDROCORTISONE ACETATE 5
MG, LIDOCAINE HCL 200 MG
23.3 PREPARAT TELINGA GOLONGAN LAIN
1 Forumen Sanbe DOCUSATE NA 5 MG/ML Drop 10 ml
2 Glycerin Drop 10 ml
3 Vital Medikon TIMOL 10 mg, MENTOL 20 mg, Drop 10 ml
KAMFER 600 mg
23.4 PREPARAT MULUT / TENGGOROKAN
1 Aloclair plus Oral Rinse Kalbe Polyvinylpyrrolidone (PVP), Aloe Botol
Vera extr., Na Hyaluronate,
glycyrrhetic acid
2 Aloclair Plus Gel Kalbe Ekstrak lidah buaya, sodium Gel
hyaluronate, glycyrrhetic
acid, polyvinylpyrrolidone
3 Betadine Gargle Mahakam Beta povidon iodida 1% Gargle 100
Farma ML
4 Ketricin Oral Base Ferron Triamcinolone Acetonide 0,1% Oint 5 g
5 Minosep Gargle Minorock Clorhexidin 0,25 Gargle 150
ml
6 Sanorine (Hijau) Sanbe HYALURONIC ACID 0,1% Gargle 80 ml
7 Sanorine (Biru) Sanbe HYALURONIC ACID 0,025% Gargle 80 ml
8 Tantum Verde Soho Benzydamine Hcl 7,5mg, Gargle 60 ml

Aethanolum 10%
24 ANTISEPTIK DAN DESINFEKTAN
1 Povidone Iodine Generik Povidone Iodine 10% Sol
Betadine Mahakam Beta Povidone Iodine 10% Sol
Farma
Stardine Etercon Pharma Povidone Iodine 10% Sol
2 Kalium Permanganat Generik Kalium Permanganat 5 g Pot
3 Oxoferin Pharos Tetra Chlorodeca-oxygen Anion Sol
Complex
25 SISTEM IMUN
25.1 SERUM DAN IMUNOGLOBULIN
1 Anti Tetanus Serum Biofarma SERUM ANTI TETANUS 1500 IU Ampul
2 Biosave Biofarma SERUM ANTI BISA ULAR Vial
(Agkistrodon rhodostoma, Bungarus
Fasciatus. Naja sputatrix, Fenol)
35
TERAPI
3 Gammaraas Combiphar Plasma immune globulin intra vena Vial 2,5 g /

(human) 5% 50 ml
4 Hepatitis B Dexa IG HEPATITIS B Syringe
Immunoglobulin P
Behring
5 Hyperheb Dipa Pharmalab IG HEPATITIS B Syringe
6 PPD 2 UT Inj Biofarma Uji Tuberkulin Vial
7 Tetagam P Dexa HUMAN TETANUS IG Ampul
25.2 VAKSIN
Vaksin Hepatitis A
1 Avaxim 80 Sanofi Inactivated Hepatitis A 80 IU Syringe
2 Avaxim 160 Sanofi Inactivated Hepatitis A 160 IU Syringe
3 HAVRIX 720 JUNIOR Glaxo Smith Kline inactivated hepatitis A virus Syringe
Vaksin Hepatitis B
1 ENGERIX-B ADULT Glaxo Smith Kline Adsorbed Purified Recombinant Vial
Hepatitis B Surface Antigen 20 mcg
2 EUVAX-B ADULT SANOFI Antigen (Rekombinan) Hepatitis B Vial

20 mcg
3 ENGERIX-B PAED Glaxo Smith Kline Adsorbed Purified Recombinant Vial
Hepatitis B Surface Antigen 10 mcg
4 EUVAX-B PED SANOFI Antigen (Rekombinan) Hepatitis B Vial

10 mcg
Vaksin Influenza
1 Flubio Biofarma A/H1N1, 1/HN2, B15, Thimerosal Vial
2 VAXIGRIP INJ 0,5 ML SANOFI Inactivated influenza virus Syringe
3 Fluquadri 0,25 ml NH SANOFI inactivated influenza virus Syringe
4 Fluquadri 0,25 ml SH SANOFI inactivated influenza virus Syringe
Vaksin Rabies
1 VERORAB INJ SANOFI inactivated rabies vaccine Vial
Vaksin Varicella
1 VARILRIX INJ 0,5 ML Glaxo Smith Kline varicella zooster virus yang Vial
dilemahkan
2 VARIVAX 0,5 ML MSD varicella zooster virus yang Vial
dilemahkan
Vaksin DPT
1 BOOSTRIX 0,5 ML 1'S Glaxo Smith Kline Diphteria toxoid tidak < 2 IU, Syringe
tetanus toxoid tidak < 20 IU,
Bordetella pertusis antigen (pertusis
toxoid 8 mcg, filamentous
haemagglutinin 8 mcg, pertactin 2,5
mcg)
2 HEXAXIM INJ SANOFI Diphtheria Toxoid Protein, Hepatitis Syringe
B Surface Antigen and Oral
Poliovirus Vaccines
3 Infanrix Hexa Glaxo Smith Kline Diphtheria Toxoid Protein, Syringe
Filamentous Hemagglutinin,
Haemophilus influenzae B, Hepatitis
B Surface Antigen, Oral Poliovirus
Vaccines, Pertactin, Pertusis Toxoid
and tetanus toxoid
36
TERAPI
Vaksin Meningitis
1 Formening Mersifarma 50 μg Meningococcal Polysacharide Vial
Group A, 50 μg Meningococcal
Polysacharide Group C, 50 µg
Meningococcal Polysacharide Group
Y dan 50 µg Meningococcal
Polysacharide Group W135
2 MENIVAX BIOFARMA 50 μg Meningococcal Polysacharide Vial
Group A, 50 μg Meningococcal
Polysacharide Group C, 50 µg
Meningococcal Polysacharide Group
Y dan 50 µg Meningococcal
Polysacharide Group W
VAKSIN JEPANESE ENCEPHALITIS
1 Imojev 0,5 ml SANOFI Japanese Encephalitis Vaccine Vial
VAKSIN THYPOID
1 TYPHIM SANOFI Salmonella typhi 0,025 mg/0,5 ml Syringe
VAKSIN PNEUMONIA
1 Prevenar Pfizer Pneumococcal polysaccharide Syringe
conjugated vaccine (13-valent,
adsorbed)
2 Synflorix Glaxo Smith Kline Pneumococcal polysaccharide Syringe
(serotype 1,4,5,6B,7F,9V,14,18C,19F
dan 23F) dan nontypeable
Haemophilus influenzae protein D
konjugat vaksin
VAKSIN DENGUE
1 DENGVAXIA Sanofi virus dengue (Demam Berdarah) Syringe
serotipe 1,2,3 dan 4 yang
dilemahkan
VAKSIN HPV
1 Gardasil MSD quadrivalent human papillomavirus Syringe
(type 6,11,16,18) recombinant
vaccine
VAKSIN POLIO
1 VAKSIN POLIO BIVALE BIOFARMA Virus poliomyelitis yang dilemahkan Vial
VAKSIN BCG
1 VAKSIN BCG BIOFARMA Mycobacterium bovis yang telah Vial
dilemahkan
VAKSIN MMR
1 M-M-R II MSD measles, mumps, and rubella virus Vial
yang telah dilemahkan
2 MEASLES AND RUBELLA BIOFARMA measles and rubella virus yang Vial
VACCINE telah dilemahkan
VAKSIN ROTAVIRUS
1 Rotarix Glaxo Smith Kline Human Rotarius RIX4414 Strain Syringe
26 ANTIBIOTIKA
26.1 BETA LAKTAM (PENICILLIN)
1 Amoxicilin 250 mg Generik Amoxicilin 250 mg Kapsul
37
TERAPI
Amoxsan 250 mg Sanbe Amoxicilin 250 mg Kapsul

2 Amoxicilin 500 mg Generik Amoxicilin 500 mg Kapsul
Amoxsan 500 mg Sanbe Amoxicilin 500 mg Kapsul
Intermoxyl 500 mg Interbat Amoxicilin 500 mg Kapsul
3 Amoxicilin Dry Syr Generik Amoxicilin 125 mg/ 5 mL Sirup
Amoxsan Dry Syr Sanbe Amoxicilin 125 mg/ 5 mL Sirup
4 Amoxsan Forte Dry Syr Sanbe Amoxicilin 250 mg/ 5 mL Sirup
5 Amoxsan Drop Sanbe Amoxicilin 100 mg/mL Drop

6 Amoxsan Inj Sanbe Amoxicilin 1 Gram Vial
7 Co - amoxyclav Generik Amoxicillin 500 mg / Kapsul
Asam klavulanat 125 mg
Claneksi 500 mg Sanbe Amoxicillin 500 mg / Kapsul
8 Co - amoxyclav Generik Amoxicillin 125 mg / Sirup
Claneksi Dry Syr Sanbe Amoxicillin 125 mg / Sirup
Asam klavulanat 31,25 mg
Claneksi Forte Syr Sanbe Amoxicillin 250 mg / Sirup
Asam klavulanat dalam 62,5 mg
dalam 5 mL
9 Ampicillin Generik Ampicillin 1 Gram Vial
Sanpicillin Sanbe Ampicillin 1 Gram Vial
10 Vicillin SX Meiji Ampicillin 1 Gram / Sulbaktam 500 Vial
mg
Cinam Sanbe Ampicillin 1 Gram / Sulbaktam 500 Vial
mg
11 Meixam Meiji Cloxacillin 500 mg Kapsul
12 Meixam Meiji Cloxacillin 500 mg Vial
13 Meixam Meiji Cloxacillin 1 Gram Vial
14 Penicillin Procain Meiji Prokain Benzil Penicillin 3.000.000 Vial
IU/mL
15 Benzatin Benzil Penisilin Generik Benzatin Benzil Penisilin 1.200.000 Vial
Inj IU
26.2 BETA LAKTAM (CEPHALOSPORIN GENERASI PERTAMA)
1 Cefazolin Generik Cefazolin 1 Gram Vial
2 Cefat Sanbe Cefadroxil 250 mg Kapsul
3 Cefadroxil Generik Cefadroxil 500 mg Kapsul
Cefat Forte Sanbe Cefadroxil 500 mg Kapsul
Sedrofen Interbat Cefadroxil 500 mg Kapsul
4 Cefadroxil Generik Cefadroxil 125 mg/ 5 ml Sirup
Cefat Dry Syrup Sanbe Cefadroxil 125 mg/ 5 ml Sirup
5 Cefadroxil Forte Generik Cefadroxil 250 mg/ 5 ml Sirup
Cefat Forte Dry Syr Sanbe Cefadroxil 250 mg/ 5 ml Sirup
6 Cefabiotic 250 mg Bernofarm Cefalexin 250 mg Tablet
7 Cefabiotic 500 mg Bernofarm Cefalexin 500 mg Tablet
8 Cefabiotic syr 60 ml Bernofarm Cefalexin 125 mg/ 5 ml Sirup
26.3 BETA LAKTAM (CEPHALOSPORIN GENERASI KEDUA)
1 Anbacim 500 mg Sanbe Cefuroxime 500 mg Tablet
2 Anbacim inj Sanbe Cefuroxime 1 gr Vial
26.4 BETA LAKTAM (CEPHALOSPORIN GENERASI KETIGA)
38
TERAPI
1 Cefoperazon 1 gr Generik Cefoperazone 1 gr Vial

2 Cefoperazon sulbactam Generik Cefoperazone 500 mg/ sulbactam Vial
1 gr 500 mg
Cefobactam inj Sanbe Cefoperazone 500 mg/ sulbactam Vial
500 mg
Fopebac inj Novell Cefoperazone 500 mg/ sulbactam Vial
500 mg
Fosular inj Novell Cefoperazone 500 mg/ sulbactam Vial
500 mg
3 Cefixime 100 Cap Generik Cefixime 100 mg Kapsul
Sporetik 100 mg Sanbe Cefixime 100 mg Kapsul
Starcef 100 mg Dexa Cefixime 100 mg Kapsul
4 Cefixime 200 mg Generik Cefixime 200 mg Kapsul
Sporetik 200 mg Sanbe Cefixime 200 mg Kapsul
Cefacef 200 mg Caprifarmindo Cefixime 200 mg Kapsul
5 Cefixime Dry Syr Generik Cefixime 100 mg/ 5 ml Dry Syr
Sporetik Dry Syr Sanbe Cefixime 100 mg/ 5 ml Dry Syr
6 Cefotaxime Generik Cefotaxime 1 Gram Vial
Taxegram Sanbe Cefotaxime 1 Gram Vial
7 Taxegram Sanbe Cefotaxime 500 mg Vial
8 Ceftriaxone Generik Ceftriaxone 1 Gram Vial
Terfacef Sanbe Ceftriaxone 1 Gram Vial
Intricef Caprifarmindo Ceftriaxone 1 Gram Vial
Ecotrixon Bernofarm Ceftriaxone 1 Gram Vial
9 Ceftazidim Generik Ceftazidime 1 Gram Vial
Ceftum Ferron Ceftazidime 1 Gram Vial
10 Meiact Meiji Cefditoren Pivoxil 200 Mg Tablet
11 Meiact Granul 30 mg Meiji Cefditoren 30 mg Sachet
12 Meiact Granul 50 mg Meiji Cefditoren 50 mg Sachet
26.5 BETA LAKTAM (CEPHALOSPORIN GENERASI KEEMPAT)
1 Cefepime Generik Cefepime HCL 1 Gram Vial
Maxicef Pharos Cefepime HCL 1 Gram Vial
2 Cefrin Dexa Cefpirome 1 Gr Vial
Bactirom Sanbe Cefpirome 1 Gr Vial
26.6 BETA LAKTAM LAIN
1 Meropenem Generik Meropenem 500 mg Vial
2 Meropenem Generik Meropenem 1 Gram Vial
Meropex Bernofarm Meropenem 1 Gram Vial
3 Doripenem Generik Doripenem 500 mg Vial
26.7 CHLORAMPENICOL
1 Chloramphenicol Generik Chloramphenicol 250 mg Kapsul
Colsancetin Sanbe Chloramphenicol 250 mg Kapsul
2 Colsancetin Sanbe Chloramphenicol 125 mg/ 5 ml Sirup
3 Colsancetin Sanbe Chloramphenicol 1 Gram Vial
4 Thiampenicol Generik Thiamphenicol 500 mg Kapsul
Biothicol Sanbe Thiamphenicol 500 mg Kapsul
5 Biothicol Sanbe Thiamphenicol 250 mg Kapsul
6 Thiampenicol Generik Thiamphenicol 125 mg / 5 ml Sirup
Biothicol Syr Sanbe Thiamphenicol 125 mg / 5 ml Sirup
39
TERAPI
Thiamycin Syr Interbat Thiamphenicol 125 mg / 5 ml Sirup

Dionicol Syr IFARS Thiamphenicol 125 mg / 5 ml Sirup
7 Biothicol Forte Syr Sanbe Thiamphenicol 250 mg / 5 ml Sirup
Thiamycin Forte Syr Interbat Thiamphenicol 250 mg / 5 ml Sirup
26.8 AMINOGLIKOSIDE
1 Gentamycin Generik Gentamycin 80 mg/ 2 ml Vial
Sagestam Sanbe Gentamycin 80 mg/ 2 ml Vial
2 Amikasin Sulfat Generik Amikasin Sulfate 500 mg/ 2 ml Vial
Mikasin 500 mg Kalbe Amikasin Sulfate 500 mg/ 2 ml Vial
3 Amikasin Sulfate Generik Amikasin Sulfate 250 mg/ 2 ml Vial
Mikasin 250 mg Kalbe Amikasin Sulfate 250 mg/ 2 ml Vial
4 Hypobhac Inj 100 Mg Phapros Netilmicin Sulfate 100 Mg Vial
5 Hypobhac Inj 200 Mg Phapros Netilmicin Sulfate 200 Mg Vial
6 Streptomycine Inj 1gr Generik Streptomisin Sulfate 1 Gr Vial
7 Kanamycin Inj 1 Gr Meiji Kanamycin 1 Gr Vial
26.9 MICROLIDE
1 Erysanbe Sanbe Erythromycin 500 mg Tablet
2 Erysanbe Chewable Sanbe Erythromycin 200 mg Tablet
3 Erysanbe Dry Syr Sanbe Erythromycin 200 mg / 5 ml Sirup
4 Clarithromycin Generik Clarithromycin 500 mg Tablet
Bicrolid Sanbe Clarithromycin 500 mg Tablet
5 Mezatrin Sanbe Azithromycin 250 mg Kapsul
6 Azithromycin Generik Azithromycin 500 mg Tablet
Azomax Dexa Azithromycin 500 mg Tablet
7 Azithromycin Generik Azithromycin 500 mg/Vial Vial
Zistic Bernofarm Azithromycin 500 mg Vial
Zithromax Pfizer Azithromycin 500 mg Vial
8 Azithromycin Generik Azithromycin 200 mg/5 ml Sirup
Azomax Dexa Azithromycin 200 mg/5 ml Sirup
9 Spiramycin Generik Spiramycin 1,5 M IU Tablet
10 Spirasin 500 mg Sanbe Spiramycin 500 mg Tablet
11 Clindamycin Generik Clindamycin 150 mg Tablet
Anerocid Ferron Clindamycin 150 mg Tablet
Prolic Sanbe Clindamycin 150 mg Tablet
12 Clindamycin Generik Clindamycin 300 Mg Tablet
Anerocid Ferron Clindamycin 300 Mg Tablet
Prolic Sanbe Clindamycin 300 Mg Tablet
26.10 QUINOLON
1 Ciprofloxacin Generik Ciprofloxacin 250 mg Kapsul
2 Ciprofloxacin Generik Ciprofloxacin 500 mg Kapsul
Baquinor Sanbe Ciprofloxacin 500 mg Kapsul
3 Ciprofloxacin Generik Ciprofloxacin 200 mg/ml Infus
Baquinor Sanbe Ciprofloxacin 200 mg/ml Infus
4 Ofloxacin Generik Ofloxacin 200 mg Tablet
Akilen 200 mg Sanbe Ofloxacin 200 Mg Tablet
5 Ofloxacin Generik Ofloxacin 400 mg Tablet
Akilen 400 mg Sanbe Ofloxacin 400 mg Tablet
6 Moxifloxacin Generik Moxifloxacin HCL 400 mg Tablet
40
TERAPI
Avelox 400 mg Bayer Moxifloxacin HCL 400 mg Tablet

Respira 400 mg Novell Moxifloxacin HCL 400 mg Tablet
Molcin 400 mg Ferron Moxifloxacin HCL 400 mg Kaplet
7 Moxifloxacin Generik Moxifloxacin HCL 400 mg/ 250 ml Infus
Avelox IV Bayer Moxifloxacin HCL 400 mg/ 250 ml Infus
Molcin IV Ferron Moxifloxacin HCL 400 mg/ 250 ml Infus
8 Levofloxacin 500 mg Generik Levofloxacin 500 mg Tablet
Levocin Sanbe Levofloxacin 500 mg Tablet
9 Levofloxacin Infus Generik Levofloxacin 500 mg/ 100 ml Infus
Levocin Sanbe Levofloxacin 500 mg/ 100 ml Infus
10 Levofloxacin Generik Levofloxacin 750 mg/ 100 ml Botol
Levos Guardian Levofloxacin 750 mg/ 100 ml Botol
11 Metronidazole Generik Metronidazole 250 mg Tablet
12 Metronidazole Generik Metronidazole 500 mg Tablet
Trichodazol Sanbe Metronidazole 500 mg Tablet
Fladex Forte Dexa Metronidazole 500 mg Tablet
13 Metronidazole Infus Generik Metronidazole 500 mg/ml Infus
Trichodazol Infus Sanbe Metronidazole 500 mg/ml Infus
Fladex Dexa Metronidazole 500 mg/ml Infus
26.11 TETRACYCLIN
1 Tetracyclin Generik Tetracyclin 250 mg Tablet
2 Tetracyclin Generik Tetracyclin 500 mg Tablet
3 Interdoxin Interbat Doxyciclin 50 mg Tablet
4 Doxycycline Generik Doxyciclin 100 mg Tablet
Siclidon Sanbe Doxyciclin 100 mg Tablet
Interdoxin Interbat Doxyciclin 100 mg Tablet
5 Nolipo Sanbe Lincomycin 500 mg Tablet
26.12 ANTIBIOTIKA LAIN
1 Cotrimoxazol Sanbe Sulfametoxazole 400 mg/ Tablet
Trimetoprim 80 mg
Sanprima Tab Sanbe Sulfametoxazole 400 mg/ Tablet
Trimetoprim 80 mg
2 Cotrimoxazol Forte Sanbe Sulfametoxazole 800 mg/ Tablet
Trimetoprim 160 mg
Sanprima Forte Sanbe Sulfametoxazole 800 mg/ Tablet
Trimetoprim 160 mg
3 Cotrimoxazole Syrup Sanbe Sulfametoxazole 200 mg/ Sirup
Trimetoprim 40 mg dalam 5 mL
Sanprima Syr Sanbe Sulfametoxazole 200 mg/ Sirup
Trimetoprim 40 mg dalam 5 mL
4 Fosmicin Generik Fosfomycin 1 Gram Vial
5 Fosmicin Generik Fosfomycin 2 Gram Vial
6 Colistin Actavis Polimycyn E Sulfate 1.500.000 IU Tablet
7 Vancep Fahrenheit Vancomycin 0,5 g Vial
27 ANTI VIRUS
1 Acyclovir Generik Acyclovir 200 mg Tablet
Zoter Generik Acyclovir 200 mg Tablet
2 Acyclovir Generik Acyclovir 400 mg Tablet
Zoter Generik Acyclovir 400 mg Tablet
3 Zovirac Inj Glaxo Smith Kline Acyclovir 250 mg Vial
41
TERAPI
4 Herclov Tab Sanbe Valacyclovir 500 mg Tablet

5 Atevir 0,5 mg Dexa Entecavir 0,5 mg Tablet
6 Baraclude 1 mg BMS Entecavir 1 mg Tablet
7 Isoprinosin 500 Tab Darya Varia Methisoprinol 500 mg Tablet
8 Isoprinosin Syr Darya Varia Methisoprinol 250 mg/ 5 ml Sirup
Isprinol Syr Novell Methisoprinol 250 mg/ 5 ml Sirup
9 Tenofovir Generik Tenofovir Disoproxil Fumarate 300 Tablet
mg
Ricovir Tab Kimia Farma Tenofovir Tablet
10 My Hep 400 mg Kimia Farma Sofosbuvir 400 mg Tablet
11 My Dekla 30 mg Kimia Farma Daclatasfir Dihydrklorida 30 mg Tablet
12 My Dekla 60 mg Kimia Farma Daclatasfir Dihydrklorida 60 mg Tablet
13 Epclusa Soho Sofosbuvir 400 mg, Velpatasvir 100 Tablet
mg
28 ANTI RETROVIRAL
1 Lamivudine Generik Lamivudine 100 mg Tablet
Heplav Tab Kimia Farma Lamivudine 100 mg Tablet
29 ANTI FUNGI
1 Ketokonazol Generik Ketokonazole 200 mg Tablet
Formyco Tablet Sanbe Ketokonazole 200 mg Tablet
2 Itrakonazol Generik Itrakonazole 100 mg Tablet
Sporacid Capsul Ferron Itrakonazole 100 mg Kapsul
3 Griseofulvin Tab Generik Griseofulvin 125 mg Tablet
4 Griseofulvin Tab Generik Griseofulvin 500 mg Tablet
Grivin Forte Tab Phapros Griseofulvin 500 mg Tablet
5 Flukonazol Generik Fluconazole 50 mg Tablet
Zemyc 50 Mg Tab Pharos Fluconazole 50 mg Tablet
6 Flukonazol Generik Fluconazole 150 mg Tablet
Zemyc Pharos Fluconazole 150 mg Tablet
Diflucan Pfizer Fluconazole 150 mg Tablet
7 Flukonazole Infus Generik Fluconazole 200 mg/ml Infus
Diflucan Infus Pfizer Fluconazole 200 mg/ml Infus
8 Nymiko Susp Drop Sanbe Nystatin 100.000 UI/ ml Drop
Fungatin Drop Ferron Nystatin 100.000 Ui/ Ml Drop
9 Fladystin Ovula Dexa Metronidazol 500 mg, Nystatin 22,7 Ovula
mg
30 ANTI TUBERKULOSIS
1 Rifampicin Generik Rifampicin 450 mg Tablet
Rifamtibi Sanbe Rifampicin 450 mg Tablet
2 Rifampicin Generik Rifampicin 600 mg Tablet
Rifamtibi Sanbe Rifampicin 600 mg Tablet
3 Ethambutol Generik Ethambutol 500 mg Tablet
Santibi Sanbe Ethambutol 500 mg Tablet
4 Pirazinamid Generik Pyrazinamid 500 mg Tablet
Sanazet Tab Sanbe Pyrazinamid 500 mg Tablet
5 Isoniazid Generik Isoniazid 300 mg Tablet
6 Pehadoxin Forte Phapros Isoniazid 400 mg ; Vitamin B6 10 Tablet
mg
42
TERAPI
TB Vit 6 Meprofarm Isoniazid 400 mg, Vitamin B6 24 mg Tablet
7 Santibi Plus Tab Sanbe Ethambutol 250 mg; Isoniazid 100 Tablet
mg; Vitamin B6 6 mg
8 Rifastar 4 FDC Tab Indofarma Rifampicin 150 Mg ; Inh 75 Mg ; Tablet
Pyrazinamid 400 Mg ; Ethambutol
275 Mg
9 Pro Tb 2 Phapros Rifampicin 150 Mg ; Inh 150 Mg Tablet
10 Pro Tb 4 Phapros Rifampicin 150 Mg ; Inh 75 Mg ; Tablet
Pyrazinamid 400 Mg ; Ethambutol
275 Mg
11 Pro TB 2 KID Pharos Rifampicin 75 mg, Isoniazid 50 mg Tablet
12 Pro TB 3 KID Phapros Rifampicin 150 mg, isoniazid 75 mg, Tablet

Pirazinamid 150 mg
31 ANTI ELMINTIK
1 Pirantel Pamoat Tab Phapros Pirantel Pamoat 125 mg Tablet
Combantrin 125 Pfizer Pirantel Pamoat 125 mg Tablet
2 Combantrin 250 Pfizer Pirantel Pamoat 250 mg Tablet
3 Combantrin Syr Pfizer Pirantel Pamoat 100 mg/ 5 ml Sirup
4 Vermox 500 Mg Tab Jansen Mebendazole 500 mg Tablet
32 ANTI MALARIA
1 Chloroquin-Difosfat Generik Chloroquine 250 mg Tablet
2 Kina Tab Kimia Farma Kina Fosfat 200 mg Tablet
33 URINARY ANTISEPTIK
1 Urotractin Sanbe Pipedemic Acid 400 mg Tablet
Urinter Interbat Pipedemic Acid 400 mg Tablet
34 ANTI EPILEPSI
34.1 PHENYTOIN NA
1 Phenytoin Generik Phenytoin Sodium 100 mg Kapsul
Kutoin Mersi Phenytoin Sodium 100 mg Kapsul
Dilantin Pfizer Phenytoin Sodium 100 mg Kapsul
2 Natrium Phenytoin Generik Phenytoin Sodium 50 mg/ml Ampul
Kutoin Mersi Phenytoin Sodium 50 mg/ml Ampul
Dilantin Inj 1 ml Pfizer Phenytoin Sodium 50 mg/ml Ampul
34.2 GABA ANALOGS
1 Alpentin Actavis Gabapentin 100 mg Tablet
2 Gabapentin Generik Gabapentin 300 mg Kapsul
Neurontin Pfizer Gabapentin 300 mg Kapsul
Epiven Novell Gabapentin 300 mg Kapsul
34.3 CARBAMAZEPINE
1 Carbamazepine Generik Carbamazepine 200 mg Tablet
Bamgetol 200 mg Mersi Carbamazepine 200 mg Tablet
Tegretol 200 Mg Novartis Carbamazepine 200 mg Tablet
2 Tegretol Cr 200 Tab Novartis Carbamazepine 200 mg Tablet
34.4 DIVALPROEX NA
1 Depakote 250 Mg Tab Novartis Divalproex Na 250 mg Tablet
2 Depakote Er 250 Novartis Divalproex Na 250 mg Tablet
3 Depakote Er 500 Novartis Divalproex Na 500 mg Tablet
34.5 VALPROIC ACID
43
TERAPI
1 Asam Valproat Syr Generik Valproic Acid 250 mg/5 mL Sirup

Depakene Syr Abbot Valproic Acid 250 mg/5 mL Sirup
Vellepsy Novell Valproic Acid 250 mg/5 mL Sirup
34.6 DIAZEPAM
1 Diazepam Generik Diazepam 2 mg Tablet
Valisanbe Sanbe Diazepam 2 mg Tablet
2 Valisanbe Sanbe Diazepam 5 mg Tablet
3 Diazepam Generik Diazepam 10 mg/2 ml Ampul
Stesolid Actavis Diazepam 10 mg/2 ml Ampul
4 Stesolid Rectal 5 Mg Actavis Diazepam 5 mg/2,5 ml Rectal
5 Stesolid Rectal 10 Mg Actavis Diazepam 10 mg/2,5 ml Rectal
35 PREPARAT MATA
35.1 ANTI MIKROBA
CHLORAMPHENICOL
1 Colme Eye Drop Interbat Chloramphenicol Tetes mata
2 Fenicol 0,25% Cendo Chloramphenicol 0,25% Tetes mata
3 Fenicol Eye Oint Cendo Chloramphenicol 1% Salep mata
AMINOGLIKOSIDA
1 Gentamycin 0,3% Cendo Gentamicyn 0,3% Salep mata
Genoint Eye Oint Erela Gentamycin Sulfate Salep mata
2 Gentamicin 0,3% Cendo Gentamicyn 0,3% Tetes mata
Sagestam Eye Drop Sanbe Gentamycin Sulfate 3 mg Tetes mata
Genoint ED Erela Gentamicyn 0,3% Tetes mata
3 Gentamycin 1% Cendo Gentamycin 1% Tetes mata
4 Tobro 5 ml eye drop Cendo Tobramycin Tetes mata
5 Tobro Minidose Cendo Tobramycin Minidose
QUINOLON
1 Baquinor Sanbe Ciprofloxacin Tetes mata
2 Floxa 5 ml eye drop Cendo Ofloxacin Tetes mata
3 Floxa Minidose Cendo Ofloxacin Minidose
4 Tarivid Eye Drop Ferron Ofloxacin Drop
5 Cravit Eye Drop Ferron Levofloxacin Tetes mata
6 LFX Minidose Cendo Levofloxacin Minidose
TETRASIKLIN
1 Oxytetraciclin Generik Oxytetraciclin Ophth Soln
2 Terramycin Pfizer Oxytetraciclin Salep mata
ACYCLOVIR
1 Hervis Cendo Acyclovir Salep mata
35.2 ANTI FUNGI
1 Fukricin Eye Drop Sanbe Natamycin 5% Tetes mata
35.3 ANTI INFLAMASI
1 Xitrol Eye Drop Cendo Dexamethason 0,1%, Neomycin Sulf Tetes mata
3,5 Mg/Ml, Polymyxin B Sulf 6000
L/Ml
2 Xitrol Eye Oint Cendo Dexamethason 0,1%, Neomycin Sulf Salep mata
L/Ml
44
TERAPI
3 Xitrol Minidose Cendo Dexamethason 0,1%, Neomycin Sulf Minidose

L/Ml
4 Polidemisin Ed Sanbe Deksametason 1 Mg, Neomisin Tetes mata
Sulfat 3,5 Mg, Polimiksin B Sulfat
6000 Iu
Polydex 5 Cc Cendo Dexamethason 0,1%, Neomycin Sulf Tetes mata
3,5 Mg/Ml, Polymyxin Sulf 6000 L/Ml
5 Dexaton Eye Drop 5 Ml Cendo Dexamethason Na Phosphat, Salep mata

Neomycin Sulf
6 Polygran 5 Cc Cendo Neomicyn 2.5 Mg, Polymycin Sulf Tetes mata
10000 Iu, Gramicidin 0.025 Mg
7 Polygran Eye Oint 5 Gr Cendo Neomicyn 2.5 Mg, Polymycin Sulf Salep mata
10000 Iu, Gramicidin 0.025 Mg
8 Polynel Eye Drop Cendo Fluoromeholone 1mg, Neomycin Tetes mata
Sulfate Setara Dengan Neomyin
Base 3,5mg
9 Polynel Mds Cendo Fluoromeholone 1mg, Neomycin Minidose
Sulfate Setara Dengan Neomyin
Base 3,5mg
10 Flamar ED Sanbe Na Diklofenak 1 mg/ml Tetes mata
Noncort ED Cendo Na Diklofenak 1 mg/ml Tetes mata
11 Flumetholon ED Ferron Fluorometholone 0,1% Tetes mata
35.4 MIDRIATIK
1 Mydriatyl 1% ED Cendo Tropicamide 1% Tetes mata
2 Midriatyl 0.5% 5ml Cendo Tropicamide 0,5 % Tetes mata
3 Tropin 0,5% Eye Drop Cendo Atropine Sulfate 0,5% Tetes mata
4 Tropin 1% Eye Drop Cendo Atropine Sulfate 1% Tetes mata
5 Efrisel 10% 5 ml Cendo Phenylephrine Hcl 10% Tetes mata
35.5 MIOTIK
1 Betoptima Eye Drop Alcon Betaxolol Hcl 0,5% Tetes mata
2 Carpine 1% 5 ml Cendo Pilocarpine Hcl 1% Tetes mata
3 Carpine 2% 5 ml Cendo Pilocarpine Hcl 2% Tetes mata
4 Carpine 4% 5ml Cendo Pilocarpine Hcl 4% Tetes mata
35.6 GLAUCOMA
1 Azopt Eye Drop Alcon Brinzolamide Tetes mata
2 Timol 0,5% Eye Drop Cendo Timolol Maleate 0,5% Tetes mata
3 Timol 0,25% Eye Drop Cendo Timolol Maleate 0,25% Tetes mata
4 Glaopen Mds Cendo Latanoprost 0,05 Mg Minidose
5 Xalatan Eye Drop Pfizer Latanoprost 0,05 Mg Tetes mata
35.7 ANESTESI LOKAL MATA
1 Pantocain Eye Drop Cendo Tetracaine 0,5% 5 ml Tetes mata
0,5% 5 ml
2 Pantocain Eye Drop Cendo Tetracaine 0,5 % 15 ml Tetes mata
0,5% 15 ml
3 Pantocain Eye Drop 2% Cendo Tetracaine 2 % 5 ml Tetes mata
5 ml
4 Pantocain Eye Drop 2% Cendo Tetracaine 2 % 15 ml Tetes mata
15 ml
35.8 PREPARAT MATA LAIN
1 Lyteers 15 ml Cendo Natrium Dan Kalium Dengan Tetes mata
Benzalkonium Cl
45
TERAPI
2 Lyteers MDS Cendo Natrium Dan Kalium Dengan Minidose

Benzalkonium Cl
3 Tobroson 5 Eye Drop Cendo Tobramycin 3 mg, Dexamethasone Tetes mata
1 mg
Tobradex Alcon Tobramycin 0,3%, Dexamethasone Tetes mata
0,1%
Bralifex Plus ED Sanbe Tobramycin 3 mg, Dexamethasone Tetes mata
1 mg
4 Tobroson Eye Drop Md Cendo Tobramycin 3 mg, Dexamethasone Minidose
1 mg
5 Vitrolenta Eye Drop 5 Cendo Potassium Iodide 5 mg, Sodium Tetes mata
ml Iodide 10 mg
6 Vitrolenta ED MDS Cendo Potassium Iodide 5 Mg, Sodium Minidose
Iodide 10 Mg
7 Alegysal Eye Drop Ferron Pemirolast Kalium Tetes mata
8 Hialid Eye Drop Ferron Na Hyaluronate Tetes mata
Siloxan Eye Drop Cendo Na Hyaluronate Tetes mata
Hyaloph Eye Drop Sanbe Na Hyaluronate Tetes mata
9 Cenfresh Eye Drop Cendo Carboxymethylcellulose Sodium 5 Tetes mata
Mg
10 Cenfresh Minidose Cendo Carboxymethylcellulose Sodium 5 Minidose
0,6ml Mg
11 Sanbe Tears ED Sanbe Dextran 70 0.1%, Hypromellose Tetes mata
0.3%
12 Kary-Uni Eye Drop Ferron Pirenoxine Ophth Susp
13 Catarlent 15 Cc Cendo Cacl 0.075 Mg, Kalium Iodida 0.075 Tetes mata
Mg, Na Thiosulfate 0.0075 Mg,
Thimerosol 0.3 Mg
14 Catarlent Mds Cendo Cacl 0.075 Mg, Kalium Iodida 0.075 Minidose
Mg, Na Thiosulfate 0.0075 Mg,
Thimerosol 0.3 Mg
15 Vasacon Eye Drop Cendo Naphazoline Hcl Tetes mata
16 Vasacon A Eye Drop Cendo Naphazoline Hcl 0,05%, Antazoline Tetes mata
Phosp 0,5%
17 Dibekacin Eye Drop Meiji Dibekacin Sulfate Tetes mata
18 Vernacel Eye Drop Cendo Naphazoline Hydrochloride 0,25 Tetes mata
Mg, Pheniramine Maleate 3 Mg
19 Asthenof Eye Drop Cendo Vitamin A Palmitate 1000 Iu, Tetes mata
Oxymetazoline Hydrochloride 0,25
Mg, Hydroxypropyl Methylcellulose 5
Mg
20 Conver 15 ml Cendo Cromolyn Sodium 2 Mg Tetes mata
21 Conver MDS Cendo Cromolyn Sodium 2 Mg Minidose
22 Cetamid Eye Drop Cendo Natrium Sulfasetamida Tetes mata
23 Protagen-A Eye Cendo Polyvinylpyrolidone 20 Mg Tetes mata
24 Proyagen A MDS Cendo Polyvinylpyrolidone 20 Mg Minidose
25 Statrol 5 cc Eye Drop Cendo Neomicin Sulfate 3,5 Mg, Polimixin B Tetes mata
Sulfate 16250 U, Phenylephrine 0,12
%.
26 Statrol Eye Oint Cendo Neomisin Sulfat 3,5 Mg, Polimiksin B Salep mata
Sulfat 16250 U
27 Fluorescein Eye Drop Cendo Na Fluoroscein Tetes mata
28 Diquas Meiji Diquafosul sodium 3% Tetes mata
46
TERAPI
29 Eye Fresh Plus Minidose Cendo HPMC 5 mg, Dextran 70 1 mg, Minidose
Glycerin 2 mg
30 Eye Fresh Plus ED Cendo HPMC 5 mg, Dextran 70 1 mg, Tetes mata
Glycerin 2 mg
36 OKSITOSIK
36.1 UTEROTONIK
1 Metvell Novell Methyl ergometrin 2 mg Ampul
2 Metvell Novell Methyl ergometrin 125 mcg Tablet
Bledstop Sanbe Methyl ergometrin 125 mcg Tablet
36.2 SYNTETHIC OXYTOCIN
1 Pitogin Ethica Oksitosin 10 IU/ml Ampul
Oxyla Novell Oksitosin 10 IU/ml Ampul
2 Noprostol Novell Misoprostol 0,2 mg Tablet
36.3 RELAKSAN UTERUS
1 Hystolan Dexa Isoxsuprine hcl 20 mg Tablet
2 Duvadilan Inj Solvay Isoxsuprine Hcl 10 mg/2ml Ampul
Proterin Inj Novell Isoxsuprine Hcl 10 mg/2ml Ampul
37 OBAT UNTUK SALURAN NAPAS
37.1 ANTI INFLUENZA DAN NASAL
1 Alco Plus Dmp Interbat Pseudephedrin hcl 30 mg, Sirup
brompheniramine maleat 2 mg,
dextromethorphan hbr 10 mg
2 Rhinofed Dexa Pseudoephedrin 30 mg, terfenadine Tablet
40 mg
3 Rhinofed Dexa Pseudoephedrin 15 mg, terfenadine Sirup
20 mg
4 Aldisa SR Sanbe Pseudoephedrin hcl 120, loratadine Kapsul
5
Rhinos SR Dexa Pseudoephedrin hcl 120, loratadine Kapsul
5
5 Rhinos Junior Dexa Pseudoephedrin hcl 15 mg, Sirup
chorpenamine maleat 1 mg
6 Rhinos Neo Dexa Pseudoephedrin 7,5 mg/0.8 cc Drop
7 Tremenza Sanbe Tripolidine hcl 2,5 mg, Tablet
pseudoephedrin hcl 60 mg
8 Tremenza Sanbe Tripolidine hcl 1,25 mg, Sirup
9 Trifed Interbat Tripolidine hcl 1,25 mg, Tablet
10 Tuzalos Sanbe Parasetamol 500 mg, Tablet
dekstrometorfan hbr 10 mg,
fenilpropanolamin hcl 15 mg,
chlorfeniramin maleat 1 mg.
11 Anadex Interbat Parasetamol 500 mg, Tablet
dekstrometorfan hbr 15 mg,
fenilpropanolamin hcl 15 mg,
chlorfeniramin maleat 1 mg.
12 Anadex Syr Interbat Parasetamol 120 mg, Sirup
dextromethorphan HBr 3,5 mg,
Chlorpeniramine maleat 0,5 mg,
Phenylpropanolamine HCl 3,5 mg
47
TERAPI
13 Alpara Molex Ayus Paracetamol 500 mg, Tablet

Phenylpropanolamine HCl 12.5 mg,
Chlorpheniramine Maleate 2 mg,
Dextromethorphan HBr 15 mg
14 Pimtracol Syr PIM Paracetamol 125 mg, Guaifenesin Sirup

Pharmaceutical 50 mg, Ephedrine HCl 2 mg,
Chlorpheniramine
15 Demacolin Coronet Parasetamol, Pseudoephedrin HCl, Tablet
Chlorpeniramin Maleate
16 Etaflusin Syr Errita Parasetamol 100 mg Glisenl Sirup
Guaiakolat 20 mg CTM 1 mg Efedrin
HCl 3 mg Natrium sitrat 50 mg
Etanol 8,33 %
17 Comtusi Combiphar Oxomemazine 1,65 mg, guaifenesin Sirup
33,3 mg
18 Bns (Breathy Nasal Novell Nacl 0,9% Nasal Spray
Spray)
19 Breathy Tetes Hidung Novell NaCl 6,5 mg Nasal Drop
20 Ryvel Plus Novell Cetirizine 5mg, pseudoefedrine hcl Tablet
120 mg
21 Aqua Maris Soho Air laut isotonis Nasal Drop
22 Illiadin Nas Drop Ped Merck Oxymethazolin 0.025% Drop
23 Illiadin Nas Drop Adult Merck Oxymethazolin 0.05% Drop
24 Sterimar Hypens Sea water 31,82 ml, purified water Spray
qsp 100 ml
25 Respimer Decongestan Interbat Air laut isotonis Spray
Dewasa
26 Nasacort AQ Nasal Aventis Triamcinolone acetonide 55 mcg Nasal Spray
Spray
27 Nasonex Nasal Spray Schering Plough Mometasone Furoate 50 mcg Nasal Spray
28 Avamys Glaxo Smith Kline Fluticasone furoate 27,5 microgram Nasal Spray
29 Vaporin Novell Eucalyptus oil 44.315 mg, cajuput Kapsul

oil 23.125 mg, clove oil 0.125 mg,
juniper oil 3.375 mg, peppermint oil
44.315 mg
37.2 ANTI COUGH
MUKOLITIK
1 Ambroxol Generik Ambroxol 30 mg Tablet
Epexol Sanbe Ambroxol 30 mg Tablet
Interpec Interbat Ambroxol 30 mg Tablet
2 Ambroxol Generik Ambroxol 15 mg/5 ml Sirup
Epexol Sanbe Ambroxol 15 mg/5 ml Sirup
3 Ambroxol Generik Ambroxol 30 mg/5 ml Sirup
4 Acetylcysteine 200 mg Generik Acetylcysteine 200 mg Tablet
Fluimucyl Zambon Acetylcysteine 200 mg Kapsul
5 Fluimucyl Zambon Acetylcysteine 200 mg Sachet
6 Vostrin Novell Erdosteine 300 mg Kapsul
Vectrine Dexa Erdosteine 300 mg Kapsul
Edotin Ferron Erdosteine 300 mg Kapsul
Edotin Ferron Erdosteine 300 mg Sirup
48
TERAPI
7 Vectrine Dexa Erdosteine 175 mg/5ml Sirup

8 Mucohexin Sanbe Bromhexin 8 mg Tablet
9 Mucohexin Sanbe Bromhexin 4 mg/5 ml Sirup
10 Asvex Tanabe Tipepidine hibenzate 33,1 mg Tablet
11 OBH Molex Syr Molex Ayus Ammonium Chloride, Glycyrrhiza Sirup
Extract
12 OBH Syr Itrasal Itrasal Glycyrrhizae Succus 160 mg, Sirup
Chloretum Ammonicum 100 mg,
Solutio ammonia dan Sprituosa
anisata 100 mg
13 Bisolvon Solution Boehringer Bromhexin HCl 2 mg Sirup
Ingelheim
14 OBP Syr Itrasal Itrasal Ammonium Chlorida 150 mg, Sirup
Ammonia Liquida 0.0025 ml, Ol.
Menthae Piperithiae 0.005
ANTITUSIF
1 Codein Kimia Farma Codein 10 mg Tablet
Codikaf Kimia Farma Codein 10 mg Tablet
4 Codipront Kimia Farma Codein 30 mg, phenyltoloxamine 10 Kapsul
mg
5 Codipront Syrup Kimia Farma Codeine 11.11 mg, Sirup
phenyltoloxamine 3.67 mg
6 Codipront Cum Exp Kimia Farma Codeine 30 mg, phenyltoloxamine Kapsul
10 mg, guaifenesin 100 mg
7 Codipront Exp Syrup Kimia Farma Codeine 11.11 mg, Sirup

phenyltoloxamine 3.67 mg,
guaifenesin 55.55 mg, thyme liquid
extr 55.55 mg
8 Coditam Kimia Farma Codein 30 mg, parasetamol 500 mg Kapsul
9 Longatin Actavis Noscapine 25 mg Kapsul

10 Silex Syr Darya Varia Ekstrak Thymi Herba Siccum 41.67 Sirup
mg, Ekstrak Primulae Radix Siccum
10 mg, Ekstrak Althaea Folium
Siccum 58.33 mg, Ekstrak Droserae
Herba Siccum 25 mg, Ekstrak
Serphylli Herba Siccum 35 mg
EKSPECTORAN
1 Glyceril Guaiacolat Generik Glyceril guaiacolat 100 mg Tablet
2 Prome Interbat Promethazine hcl 5 mg, ekstrak Sirup
ipeka 0,1 ml, kalium sulfoguaiakolat
44 mg, natrium sitrat 197 mg,
mentol 1 mg.
3 Sanadryl Exp Sanbe Diphenhydramine hcl 12.5 Sirup
mg,ammonium cl 100 mg, k
guaiacolsulfonate 30 mg, na citrate
50 mg, menthol 1 mg
49
TERAPI
4 Sanadryl Dmp Sanbe Dextromethorphan hbr 10 Sirup

mg,diphenhydramine hcl 12.5 mg,
ammonium cl 100 mg, na citrate 50
mg, menthol 1 mg
5 Levopront Combiphar Levodropropizine 30 mg/5ml Sirup
ANTI ASMA
1 Aminophylin Generik Aminophylin 200 mg Tablet
2 Aminophylin Generik Aminophylin 24 mg/10 ml Ampul
3 Epinephrin Generik Epinephrin 1 mg/ml Ampul
4 Bricasma Astra Zeneca Terbutaline 5 mg/ml Ampul
5 Euphylin Retard Pharos Anhydrous theophyllin 250 mg Tablet
6 Euphylline Retard Mite Pharos Anhydrous theophyllin 125 mg Tablet
7 Theobron Interbat Theophyllin 130 mg Kapsul
8 Retaphyl Sr Kimia Farma Theophyllin 300 mg Kapsul
9 Teosal Dexa Salbutamol 1 mg, theophylin 150 Tablet
mg
10 Salbutamol Generik Salbutamol 2 mg Tablet
Ventolin Tablet Glaxo Smith Kline Salbutamol 2mg Tablet
11 Salbutamol Generik Salbutamol 4 mg Tablet

Salbuven Pharos Salbutamol 4 mg Tablet
12 Ventolin Syr 100 Ml Glaxo Smith Kline Salbutamol 2 mg/5 ml Sirup
13 Ventolin Exp Syr Glaxo Smith Kline Salbutamol 1mg, guiphenesin 50 Sirup
mg/5ml
14 Ventolin Spray Glaxo Smith Kline Salbutamol 100 mcg/puff Inhaler
Suprasma Dexa Salbutamol 100 mcg/puff Inhaler

15 Ventolin Nebul Glaxo Smith Kline Salbutamol 2,5 mg Nebul
Velutine Novell Salbutamol 2,5 mg Nebul

16 Berotec Boehringer Fenoterol hydrobromide 100 mcg Inhaler
Ingelheim
17 Intifen Interbat Ketotifen hyd fumarate Tablet
18 Nairet Otto Terbutalin sulfat 2.5 mg Tablet
19 Nairet Inj Otto Terbutalin sulfat 0,5mg/ml Ampul
20 Meptin Otsuka Procaterol hcl hemihydrate 0,05 mg Tablet
21 Meptin Mini Otsuka Procaterol hcl hemihydrate 0,025 Tablet

mg
22 Meptin Inhaler Otsuka Procaterol hcl 100 mch/0,3 ml Inhaler
23 Meptin nebulizer Otsuka Procaterol HCl 0,3 ml Nebulizer
24 Seretide 125 Glaxo Smith Kline Salmeterol 25 mcg, fluticasone Inhaler
propionate 125 mcg
25 Seretide Diskus 250 Mg Glaxo Smith Kline Salmeterol 50 mcg, fluticasone Inhaler
propionate 250 mcg
26 Simbicort Astra Zeneca Budesonid 80 mg, formoterol Inhaler
fumarat 4,5mcg
27 Onbrez Novartis Indacaterol 150 mcg Inhaler
28 Obbucort Swinghaler Otsuka Budesonide 200 μg Inhaler
29 Spiriva Respimat Boehringer Tiotropium Bromide Inhaler
Ingelheim
50
TERAPI
30 Pulmicort Respules Astra Zeneca Budesonide 0,5 mg/ml Nebulizer

38 PSIKOTROPIKA
38.1 ANTI DEPRESAN
SSRI (Selective Serotonin Reuptake Inhibitor )
1 Zac Ikapharmindo Fluoxetine hcl 10 mg Kapsul
2 Nopres Dexa Fluoxetine hcl 20 mg Kaplet
Elizac Mersi farma Fluoxetine hcl 20 mg Kapsul
3 Brintellix Pyridam Farma Vortioxetine 10 mg Tablet
TRISIKLIK
1 Amitriptyline Generik Amitriptyline 12,5 mg Tablet
TETRASIKLIK
2 Sandepril Mersi farma Maprotiline hydrochloride Tablet
LAIN-LAIN
1 Cipralex Landbeck Escitazolam 10 mg Kapsul
38.2 ANTI ANXIETAS
BENZODIAZEPINE
1 Alprazolam 0,5 Generik Alprazolam 0,5 mg Tablet
Xanax Pfizer Alprazolam 0,5 mg Tablet
Frixitas Novell Alprazolam 0,5 mg Tablet
2 Alprazolam 1 Generik Alprazolam 1 mg Tablet
Frixitas 1 Novell Alprazolam 1 mg Tablet
3 Clobazam Generik Clobazam 10 mg Tablet
Proclozam Mersi Clobazam 10 mg Tablet
4 Esilgan 1 Takeda Estazolam 1 mg Tablet
5 Esilgan 2 Takeda Estazolam 2 mg Tablet
6 Lorazepam Mersi farma Lorazepam 2 mg Tablet
Merlopam Mersi farma Lorazepam 2 mg Tablet
7 Riklona Mersifarma Clonazepam 2 mg Tablet
NON BENZODIAZEPIN
1 Dogmatil 50mg Soho Sulpirid 50 mg Tablet
2 Dogmatil forte Soho Sulpirid 200 mg Tablet
38.3 ANTI PSIKOTIK
BENSISOXAZOLE
1 Noprenia Novell Risperidone 1 mg Tablet
2 Risperidone Generik Risperidone 2 mg Tablet
Noprenia Novell Risperidone 2 mg Tablet
Persidal Mersi Risperidon 2 mg Tablet
PHENOTHIAZINE
1 Trifluoperazine 5 mg Generik Trifluoperazine 5 mg Tablet
Stelazine Pharos Trifluoperazine 5 mg Tablet
BUTYROPHENON
1 Haloperidol Indofarma Haloperidol 5 mg Tablet
Lodomer 5 tab Mersi farma Haloperidol 5 mg Tablet
2 Lodomer 2 tab Mersi farma Haloperidol 2 mg Tablet
3 Haloperidol Inj Generik Haloperidol 5 mg/1 ml Ampul
Lodomer inj. Mersi farma Haloperidol 5 mg/1 ml Ampul
BENZODIAZEPINE
1 Clozapin 25 mg Generik Clozapine 25 mg Tablet
51
TERAPI
Clorilex Mersi farma Clozapine 25 mg Tablet

2 Olanzapin 5 mg Generik Olanzapin 5 mg Tablet
Onzapin 5 mg Actavis Olanzapine 5 mg Tablet
Zyprexa 5 Elly lili Olanzapine 5 mg Tablet
Remital Pharos Olanzapin 5 mg Tablet
3 Olanzapin 10 mg Generik Olanzapin 10 mg Tablet
Zyprexa 10 Elly lili Olanzapine 10 mg Tablet
PSIKOSTIMULAN
1 Prohiper Mersi farma Methylphenidate hcl 10 mg Tablet
LAIN - LAIN
1 Abilify 5 Otsuka Aripiprazol 5 mg Tablet
2 Abilify 10 Otsuka Aripiprazol 10 mg Tablet
3 Chlorpromazine Generik Chlorpromazine 100 mg Tablet
Cepezet 100 mg Mersi farma Chlorpromazine 100 mg Tablet
Promactil tab 100 mg Combiphar Chlorpromazine 100 mg Tablet
4 Cpz 50 inj Mersi farma Chlorpromazine 50 mg/2 ml Ampul
5 Seroquel Astra zeneca Quetiapine 200 mg Tablet
38.4 HYPNOTIC &SEDATIVE
1 Midazolam H Combiphar Midazolam 5 mg/ml Ampul
2 Miloz Novell Midazolam 5 mg/5ml Ampul
Sedacum Dexa Midazolam 1 mg/ml Ampul
39 NOOTROPIC -NEUROTONIC
39.1 VASODILATOR
1 Citicholin tab Generik Citicholin 500 mg Tablet
Cholinaar Novell Citicholin 500 mg Kapsul
Brainolin 500 mg Dexa Citicholin 500 mg Tablet
2 Citicholin inj Generik Citicholin 250 mg/2 ml Ampul
Cholinaar 250 mg inj Novell Citicholin 250 mg/2 ml Ampul
Brainolin 250 mg inj Dexa Citicholin 250 mg/2 ml Ampul
3 Neulin PS Ferron Choline citrate, cytidine Tablet
monophospate, phosphatidyl serine
Neugain Novell Cholin Citrate, Phosphatidylserin , Tablet

Cytidine Monophosphate
39.2 LAIN-LAIN
1 Aricept Eisai Donepezil 5 mg Tablet
2 Aricept evess 10 mg Eisai Donepezil 10 mg Tablet
3 Encephabol Merck Pyritinol dihcl monohydrate 100 mg Tablet
4 Encephabol F Merck Pyritinol dihcl monohydrate 200 mg Tablet
5 Encephabol Merck Pyritinol dihcl monohydrate 100 mg Sirup
6 Mecobalamin Generik Mecobalamin 250 mg Kapsul

7 Mecobalamin Generik Mecobalamin 500 mg Kapsul
Megabal Sanbe Mecobalamin 500 mg Kapsul
Meconeuro Novel Mecobalamin 500 mg Tablet
8 Mecobalamin inj Generik Mecobalamin 500 ug Ampul
Meconeuro inj Novel Mecobalamin 500 ug Ampul
52
TERAPI
9 Mersitropril Mersifarma Mersitropril 500 mg/5ml Sirup

10 Neurochol Landson Polyunsaturated phospatidylcholine, Tablet
b1, b6, b12
11 Piracetam 400 mg Generik Piracetam 400 mg Tablet
Neurotam Dankos Piracetam 800 mg Tablet
Revolan Sanbe Piracetam 800 mg Tablet
14 Piracetam Generik Piracetam 3 gr Ampul
Revolan Sanbe Piracetam 3 gr Ampul
15 Pregabalin 75 mg Generik Pregabalin 75 mg Tablet
Leptica Dexa Pregabalin 75 mg Tablet
Lyrica Pfizer Pregabalin 75 mg Tablet
16 Lyrica 50 Pfizer Pregabalin 50 mg Tablet
PGB 50 mg Ferron Pregabalin 50 mg Tablet
17 Lyrica 150 Pfizer Pregabalin 150 mg Tablet
40 LAIN-LAIN
1 Sirplus Syr Meprofarm Gula alami, sirup rasa buah Sirup
2 Pronis Syr Mahakam Beta Gula alami, sirup rasa buah Sirup
Farma
53

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STANDAR PENGGUNAAN OBAT

STANDAR PENGGUNAAN OBAT (FORMULARIUM FARMASI)

DIREKSI PT PETRO GRAHA MEDIKA

Mengingat : 1. Undang-Undang RI No. 35 Tahun 2009 tentang Narkotika;

Mencabut : Surat Keputusan Direksi No. 09/03/TU.04.02/SK/PGM/2018 tanggal 5 Maret 2018

Menetapkan : KEPUTUSAN DIREKSI TENTANG STANDAR PENGGUNAAN OBAT

KESATU : Pemberlakuan Standar Penggunaan Obat (Formularium Farmasi) di Rumah Sakit

dr. Hery Sulistianto

KELAS NAMA OBAT PABRIKAN KOMPOSISI SEDIAAN

1. ANALGESIK, ANTIPIRETIK, ANTIINFLAMASI NON STEROID DAN ANTIPIRAI

Santagesik Inj Sanbe Metamizol Na 500 mg/ml Ampul

8 Dexketoprofen Inj Generik Dexketoprofen 25 mg/ml Ampul

Etorvel 90 mg Novell Etoricoxib 90 mg Tablet

KTM Guardian Ketamine HCl 100 mg/ml Vial

Iphadryl Bernofarm Diphenhydramine HCl 10 mg/ml Ampul

12 Loratadine Generik Loratadine HCl 10 mg Tablet

Ocuson Sanbe Betamethason 0,25 mg, Tablet

2 Colergis Syr Dexa Betamethason 0,25 mg, Sirup

3 Histapan Sanbe Mebhidroline Napadisylate 50 mg Tablet

2 Plasbumin 25% 100 ml Dipa Pharmalab Human Albumin 25% Infus

Albuminar 25% Ferron Human Albumin 25% Infus

3 Multigin Gel Infion Galactoarabinan Polyglucuronic Acid Gel

2 Prorenal Novell DL-3 metil-2 oxo valeric acid, 4- Tablet

3 Renalof Tobbest Busindo Agaropyron Repens Kapsul

10 Cedocard Inj Darya Varia Isosorbid Dinitrat 1 mg/ml Ampul

13 NTG Inj Ferron Nitroglycerin 10 mg Ampul

Norvask 5 mg Pfizer Amlodipin 5 mg Tablet

5 Exforge 10/160 Novartis Amlodipin 10 mg, Valsartan 160 mg Tablet

6 Irbesartan 150 mg Generik Irbesartan 150 mg Tablet

Fargoxin 0,25 mg Fahrenheit Digoxin 0,25 mg Tablet

14 Fenofibrate 300 mg Generik Fenofibrate 300 mg Kapsul

18 Vytorin 10/20 MSD Ezetimibe 10 mg, Simvastatin 20 mg Tablet

9 LARUTAN ELEKTROLIT DAN NUTRISI

6 Pharolit Sachet Novell NACL 3,5 G, NA CITRATE 2,5 G, KCL Sachet

5 Asering Otsuka CA++ 3 MEQ, K+ 4 MEQ, NA+ 130 Infus

8 Aminofluid 1000 ml Otsuka NATRIUM 35 MEQ, KALIUM 20 MEQ, Infus

9 Aminoleban Infus Otsuka L-TREONIN 4,5 G, L-SERIN 5,0 G, L- Infus

17 Dextrose 5% + NaCl Widatra GLUCOSE 5% + SODIUM CHLORIDE Infus

29 Infusan NS Sanbe NA+ 154 MEQ/L, CL- 154 MEQ/L Botol

32 Infusan R + D Sanbe NA+ 147 MEQ/L, CL- 156 MEQ/L, Botol

34 Infusan M20 Sanbe Manitol 200 g/L Botol

43 KA-EN 3A 500 ml Otsuka NA 60 MEQ, K 10 MEQ, CL 50 MEQ, Botol

45 KDN-2 WIDA Widatra KCL 3 G, NACL 4,5 G, DEXTROSE Botol

46 Kidmin Infus Otsuka L-LEUSIN 14,0 G, L-ISOLEUSIN 9,0 Botol

47 Livamin Sanbe AMINO ACID, SORBITOL, XYLITOL, Botol

67 Tridex 27 B Sanbe NA+ 50 MEQ/L, CL- 50 MEQ/L, K+ Botol

68 Triofusin 500 ml Kalbe FRUKTOSE 60 G, GLUKOSE 33 G, Botol

74 Widahes Widatra HYDROXYETHYL STARCH (HES Botol

2 Sifrol 0,125 mg Boehringer Pramipexole di HCl 0,125 mg Tablet

6 Maltofer tab Combiphar FE (III) 100 mg Tablet

8 Maltofer Syr Combiphar Fe (III) 50 mg/5 ml Sirup

Therodel Sanbe Clopidogrel 75 mg Tablet

Deculin 15 mg Dexa Pioglitazone 15 mg Tablet

2 Amaryl M2 Sanofi Glimepirid 2 mg, Metformin 500 mg Tablet

3 Galvusmet 500 mg Novartis Vidagliptin 50 mg, Metformin 500 Tablet

11 Xigduo XR 10/500 mg Astra Zeneca Dapagliflozin 10 mg, Metformin 500 Tablet

1 Cyclo progynova Bayer Estradiol valerat 2 mg, Norgestrel Tablet

Medixon 4 mg Ferron Methylprednisolon 4 mg Tablet

Medixon 8 mg Ferron Methylprednisolon 8 mg Tablet

1 Betahistin Mesylate 6 Generik Betahistin Mesylate 6 mg Tablet

7 Cyclophospamide Generik Cyclophospamide 200 mg Vial

Taceedo 80 mg Kimia Farma Docetaxel 80 mg Vial

15 Doxorubicin 50 mg/25 Generik Doxorubicin 50 mg/25 ml Vial