KATA PENGANTAR

Puji syukur kehadirat Tuhan yang Maha Esa, atas berkah dan rahmat Nya, sehingga
tersusunlah Buku Formularium Rumah Sakit Ibu dan Anak Pasutri. Saat ini kebutuhan akan
standar obat-obatan merupakan suatu hal yang sangat penting, khususnya di instalasi
farmasi. Buku ini akan menjadi acuan bagi dokter untuk meresepkan obat dan acuan bagi
Instalasi Farmasi dalam hal penyedia obat. Di samping itu, dalam rangka meningkatkan mutu
Rumah Sakit dan melaksakan visi dan misinya, diperlukan buku Formularium Rumah Sakit
agar senantiasa dapat menjaga mutu pelayanan khususnya dalam hal penyediaan obat-
obatan yang diberikan kepada pasien. Kepada tim penyusun, dan semua pihak yang telah
memberikan kontribusin disampaikan penghargaan dan terimakasih yang sebesar besarnya.
Buku ini masih jauh dari sempurna, oleh karena itu masukan dan saran dari berbagai pihak
sangat kami harapkan untuk revisi dikemudian hari.

Bogor, 2 Oktober 2020

Direktur RSIA Pasutri Bogor

dr. Dhima Paramitha Oktacynara

NARKOTIK
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Codein Codein Tablet 10 mg PT. Kimia Farma

ANALGETIK
NARKOTIK
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
fentanyl Injeksi 0,0785 mg/ ml
fentanyl DUROGESIC 25 µg PT. Janssen
patch patch 4,2 mg
Pethidin HCl petidine Injeksi 50 mg/ml PT. Kimia Farma
ANESTETIK
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Bupivacain HCl, Injeksi bupivacain HCl 5 mg,
Regivel
Dextrosa monohidrate Dextrosa monohidrate 80 mg PT. Novell
Propofol Nupovel Injeksi propofol 10 mg/ ml
Injeksi ketamin HCl 100 mg /
Ketamin HCl Ketamin ml PT. Guardian
Midazolam HCl Miloz injeksi Midazolam HCl 5 mg PT. Novell
ANTIBIOTI
K
 KOMPOSISI NAMA DAGANG BENTUK SEDIAAN & DOSIS PRINCIPAL
Amoxicillin Lapimox Kaplet 500 Mg PT. Lapi
Drops 100 Mg /Ml
Supramox PT. Mepro
Dry Syrup125 Mg / 5 Ml
Mikasin 250 Mg/2 Ml Injeksi
Amikacin Sulfate
Ampul 1 X 10's
Mikasin
Mikasin 500 Mg/2 Ml Injeksi
Ampul 1 X 10's
Sultamicillin / PT. Kalbe
Sulbactam - Bactesyn 0.75 G Vial/1
Ampicillin Bactesyn
Bactesyn 1,5 G Vial/1
Bactesyn 375 Mg Kaplet / 3x10
Ampicillin Sanpicillin Injeksi 1 Gr PT. Sanbe
Ampicillin, Injeksi Ampicillin 1 G,
Sulbactam Bactesin Sulbactam 500 Mg PT. Kalbe
Asam Fusidat Futaderm Cream Asam Fusidat 20 Mg PT. Interbat
Azithromycin Azithromycin Kaplet 500 Mg PT. Kimia Farma
Cefixime Kapsul 100 Mg
Cefila PT. Lapi
Dry Syr 100 Mg / 5 Ml
Dry Syrup 100 Mg / 5 Ml
Ceptik PT. Interbat
Kapsul 100 Mg
Cefspan 100 Mg Kapsul 3 X
10's
Cefspan Cefspan 100 Mg/5 Ml Dry PT.Kalbe
Syrup 30 Ml X 1's
Cefspan 200 Mg Tablet 1 X 10's
Dry Syr 100 Mg / 5 Ml
Maxpro PT. Mepro
Tablet 100 Mg
Nixaven Dry Syrup 100mg/5ml PT. Novell
Cefadroxil Cefadroxil Tablet 500 Mg PT. Hexparm
Tablet 500 Mg
Ancefa Dry Syrup 125 Mg/5 Ml PT. Mepro
Dry Syrup 250 Mg/5 Ml
Dry Syr 125 Mg/ 5 Ml
Lapicef PT. Lapi
Kapsul 500 Mg
Ciprofloxacin Ciprofloxacin Kaplet 500 Mg PT. Hexparm
 Lapiflox Kaplet 500 Mg
PT. Lapi
Cefotaxime Lapixim Injeksi 1 Gr
Rycef Injeksi 1 Gr PT. Interbat
Ceftriaxone Criax Injeksi 1 Gr PT. Mepro
Cefxon Injeksi 1 Gr PT. Lapi
Starxon Injeksi 1 Gr PT. Interbat
Clindamycin Clindamycin Kapsul 300 Mg PT. Novell
Clinmas Kapsul 300 Mg PT. Lapi
Gentamicin Cendo Genta Tetes Mata 3 Mg PT. Cendo
Salticin Injeksi 40 Mg PT. Interbat
Levofloxacin Levofloxacin Tablet 500 Mg PT. Novell
Cravox Kaplet 500 Mg PT. Lapi
Meropenem Meropenem Injeksi 500 Mg
PT. Mahakam
Injeksi 1000 Mg
Mupirocin Mupirocin Salep 2 %
PT. Etercon
Bactoderm 10gr Salep 2 %
Neomycin Sulphate Powder Neomycin 5 Mg,
& Bacitracin Nebacetin Bacitracin250 Iu Pt. Pharos
Salep Neomycin 5 Mg,
 Bacitracin250 Iu
Neomycin & Eks. Gel Neomycin 0,5 Mg, Eks.
Placenta Bioplacenton Placenta 10 Mg Pt. Kalbe

ANTIFUNG
I
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Fluconazole Flucoral Kapsul 150 mg PT. Kalbe
Fluconazole Kaplet 150 mg PT. Kimia Farma
Fluxar Kapsul 150 mg PT. Novell
Ketoconazole Ketoconazole Cream 2 % PT. Novell
Lusanoc Cream 2 % PT. Mepro
Salep Nystatin 100.000 IU,
Nystatin Myco-Z Zinc Oxide 200 mg PT. Taisho
Nystin Drops 100.000 IU PT. Lapi
Metronidazole Metronidazole Tablet 500 mg PT. Kimia Farma
 Metronidazole Infus 0.5 % PT. Finusol Prima
Grafazole Kaplet 500 mg PT. Graha Farma
Promuba Syrup 125 mg PT. Mepro

ANTIVIRUS
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Acyclovir Tablet 400 mg
Acyclovir PT. Novell
Tablet 400 mg
Zooter Tablet 400 mg PT. Interbat
Valacyclovir Inclovir Tablet 500 mg PT. Interbat
Methisopronil Pronovir Sirup 250 mg/5 ml PT. Mepro
ANTIVERTIGO
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Betahistin Mesyalate Betahistin Tablet 6 mg PT. Novell
Rotaver Tablet 6 mg

ANALGESIK
NON
NARKOTIK
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Asam mefenamat Lapistan Tablet 500 mg PT. Lapi
Mefix Tablet 500 mg PT. Mepro
Antalgin Infalgin Tablet 500 mg PT. Graha F
Paracetamol Tablet 500 mg
Pyrexin
Suppossitoria 80 mg PT. Mepro
Pyrex Infusion Infus 10 mg/ml
Drops 60 mg/0,6 ml
Pamol PT. Interbat
Syrup 120 mg/5 ml
PT. Darya-
Paracetamol Infus Infus 10 mg/ ml Varia
Tempra Drops 80 mg/0,8 ml PT. Taisho
Ibuprofen Iprox Syrup 100 mg/5 ml PT. Novell
Fenris Syrup 100 mg/5 ml PT. Interbat
Proris Suppositoria 125 mg PT. Pharos
Lidocain HCl Lignovell Injeksi 2o mg/ml PT. Novell
Natrium diklofenak Natrium diklofenak Tablet 50 mg PT. Novell
Zegren Tablet 50 mg PT. Lapi
Ketorolac Ketorolac Injeksi 30 mg/ml PT. Novell
Lactopain Injeksi 30 mg/ml PT. Lapi
Xefolac Injeksi 30 mg/ml PT. Novell

Tramadol Tramadol injeksi Injeksi 50 mg/ml PT. Novell

 Tugesal tab Tablet 50 mg PT. Mepro
PT.Novell
Triamcinolone Trilac Tab Tablet 4mcg/Tab Pharm

ANTI
INFLAMASI
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Tablet 7.5mg
Meloxicam X-Cam PT. Mepro
Tablet 15mg
Ketoprofen Suprafenid Suppository 100mg PT. Mepro
Nazovel Supp Suppositoria 100 Mg PT. Novell
Dexketoprofen Tofedex Tablet 25 Mg
PT. Lapi
Injeksi 50 Mg/2 Ml
KORTIKOSTEROID
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Dexamethasone Sodium Indexon Injeksi 5 mg PT. Interbat
Prodexon Kaplet 0,5 mg PT. Mepro
Hydrocortisone Hydrocortison Cream 2,5% 5 g PT. Kalbe
Methylprednisolon Tablet 8 mg PT. Novell
Tablet 4 mg
Methylprednisolon
Lameson Tablet 8 mg PT. Lapi
Injeksi 125 mg
Mometason Furoate Intercon Cream 1% 10 g PT. Interbat

ANTIHISTAMIN
 KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Cetirizine Hydrochloride Tablet 10 mg PT. Novell
Cetirizine
Syrup 10 mg/ml PT. Indofarma
Tiriz drops Drops 10 mg/ ml PT. Lapi
Betamethasone & dex-CTM Proceles Tablet PT. Mepro
Kaplet 4 mg
Betamethasone 0,25 mg &
Chlorpheniramine Maleat Orphen dex-CTM 2 mg PT. Solas
Dexamethasone & dex- Tablet dexamethasone 0,5
CTM Alegi mg & dex-CTM 2 mg PT. Lapi
Loratadine Loratadin Tablet 10 mg PT. Novell

ANTI
KOAGOLASI
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Asam Asetilsalisilat Aspilet Tablet 80 mg PT. Medifarma L

HAEMOSTATIC
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Vit K1 Vitadion Injeksi
Tranexamic Acid Kalnex Kapsul 250 mg
Injeksi 250 mg/5 ml PT. Kalbe
Tablet 500 mg
Injeksi 500 mg/5 ml

PRODUK DARAH
(PENGGANTI PLASMA)
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Plasbumin Albumin Cairan Plasbumin 20% PT. Grifols
Gelatin 20 g, NaCL 3.505 g,
NaOH 0.68 g , Water For Gelofusin Infusan PT.Pharos
Injection ad 500 ml

ANTISEPTIK
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Chlor (IV) Oxide Oxigen Hydrate
Oxoferin Larutan 30 ml PT. Pharos
4:1, Glicerine 2 %, Aquadest 98%

ANTIHIPERTENSI
 KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Amlodipine AB-vask 10 mg Tablet 10 mg PT. Lapi
Amlodipin 5 mg Tablet 5 mg PT. Indofarma
Amlodipin 10 mg Tablet 10 mg PT. Hexpharm
Captopril Captopril 12,5 mg Tablet 12,5 mg PT. Indofarma
Captopril 25 mg Tablet 25 mg PT. Indofarma
Irbesartan Irbesartan 150 mg Tablet 150 mg PT. Etercon
Methyldopa Dopamet Tablet 250 mg PT. Actavis
Nifedipine Nifedipin 10 mg Tablet 10 mg PT. OGB Dexa

DIURETIK
 KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Furosemide Furosemide tab Tablet 40 mg PT. Kimia Farma
Lasix inj Injeksi 10 mg/ml PT. Sydna Farma

ANTIDIABETI
K
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Metformin HCl Tudiab 500 mg Tablet 500 mg PT. Mepro

ANTI
KOLESTROL
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Tablet 10mg
Atorvastatin Fastor PT. Lapi
Tablet 20mg

GASTROINTESTINAL
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Attapulgite 600 mg & Pectin 50
mg Arcapec Tablet PT. Mepro
Lactobacillus Reuteri P Drops 5 ml
Interlac PT. Interbat
Serbuk 1 g
L-bio sachet Serbuk 1 g PT. Lapi

Phenolphtalein 55 mg, Paraffin Laxadin Sirup 30 ml PT. Galenium

1200 mg & Glycein 378 mg Pharmasia
 Sirup 60 ml
Na lauril sulfoasetat 0,045 g, Na
sitrat 0,450 g, Sorbitol 4,465 g & Microlac Rectal Rectal PT. Pharos
PEG 400 0,625 mg
Omeprazole Omeprazole Capsul 20 mg PT. Novell
Injeksi 40 mg/10 PT. Darya-
ml Varia
Hydrotalcite 200 mg, Mg (OH)
150 mg & Simetichone 50 mg Tablet PT. Mepro
Gastrinal
Al (OH) 250 mg, Mg (OH) 250 mg
& Simetichone 50 mg Sirup 120 ml PT. Mepro
Ranitidine Ranitidine Tab Tablet 150 mg PT. Novell
Ranivel Syr Syrup 75 mg/ 5 ml PT. Novell
Tricker Inj Injeksi 25 mg/2 ml PT. Mepro

ANTIEMESIS
 KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Metoclopramide HCl Gavistal Injeksi 5 mg/ml PT. Mepro
Primperan Injeksi 5 mg/ml PT. Ethica
Ondansetrone Tablet 8 mg PT. Mahakam
Ondansetrone Injeksi 4 mg/2 ml
Injeksi 8 mg/ 4 ml
Tablet 4 mg PT. Novell
Ondavell Tablet 8 mg
Injeksi 8 mg/ 4 ml
Syrup 4 mg/ 5 ml
ODR PT. Lapi
Injeksi 8 mg/ 4 ml

HORMON
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Clomiphene Citrate Clovertile Tab Tablet 50 mg PT. Mepro
Genoclom Tab Tablet 50 mg PT. Lapi
Levonorgestrel & Pil Levonorgestrel 0,15
Ethinylestradiol Microgynon mg & PT. Bayer
Ethinylestradiol 0,03 mg
Leuprolide Acetate,
Leuprorelin FE 83mg,
Ascorbic Acid 150mg, Folic
Endrolin Injeksi 3.75 Mg PT Kalbe
Acid 1mg, Vit B1 3mg, Vit
B6 5mg, Vit B12 10mg,
Niacinamide 30mg

medroxyprogesterone Depo Progestine

acetat inj injeksi 150 mg/3 ml PT. Harsen
Provera Tab Tablet 10 mg PT. Pfizer
Cyclofem inj injeksi PT. Tunggal
 medeoxyprogesteron Idaman
e acetat Abadi
25 mg & estradiol
Cypionate 5 mg
Micronized Progesterone Utrogestan Pil PT. Lapi
Norethisterone Primolut N Tablet 5 mg PT. Bayer

INDUKTOR
OVULASI
NAMA PRINCIP
KOMPOSISI DAGANG BENTUK SEDIAAN AL
PT.
Clomiphene Citrate Clovertille Tablet 50 mg Mepro

COUGH
 KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Lapimuc Tablet 30mg PT. Lapi
Ambroxol tablet 30mg
Mucos syrup 15mg / Per 5ml PT. Mepro
Drop 15mg /Per 1ml

RHINITIS AND
COUGH
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Triprolodine, Lapifed
Sirup 1.25mg, 15mg,
Pseudoephedrine, Expectorant PT. Lapi
100mg/5ml
Glyceril Guaiacolate

ANTI ASTHMA
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Salbutamol, Glyceril
Lasal Expectorant Sirup 2mg, 75mg/5ml PT. Lapi
Guaiacolate
Lasal Kapsul 4mg PT. Lapi
Salbutamol
Velutine 2,5mg/4ml/vial PT.Novell
Terbutaline Lasmalin Tablet 2.5mg PT. Lapi
Tablet Isoniazid 400mg,
Vit B6 24mg
Syrup 120: Isoniazid 100
Isoniazid TB VIT 6 mg, Vit B6 10mg / Per 5ml PT. Mepro
syrup 225: isoniazid
100mg, Vit B6 10mg / Per
5ml
Procaterol Ataroc Tab 25mcg/Tab PT.Novell
Ataroc Syrup 25mcg/5ml PT.Novell

ANTI DIARE
KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Loperamid Diadium Tablet 2mg PT. Lapi
Zinc Elemental L-Zinc Sirup 10mg/5ml PT. Lapi
Tablet Attapulgite 600mg, Pectin
50mg
Attapulgite, Pectin Arcapec
Syrup Attapulgite 600mg, Pectin
PT. Mepro
50mg / Per 5ml
Nifudiar
Nifuroxazide Syrup 250mg /Per 5ml
Suspensi
Cholesteramine Sequest 4gram/sachet PT.Novell Pharm
Cro Dehidralyte 200ml/botol PT.Novell Pharm

KONTRAKSI
 KOMPOSISI NAMA DAGANG BENTUK SEDIAAN PRINCIPAL
Tablet 0.125mg
Methylergometrine Myotonic PT. Mepro
Injeksi 0.2mg / Per 1ml

VITAMIN
Komposisi Nama Dagang Bentuk Sediaan Principal
Glisodin 250 Iu
Sod dan Ekstract Melon Glisodin
Kapsul 3 X 10's
Kalsium 200mg+ Vit. D3 100SI+ Tuna
Osfit DHA Kapsul
Fish Oil 200mg, DHA 54mg, EPA Osfit Dha
3 X 10's PT. Kalbe
14mg
Fe Carbonyl 84,7mg, Asam Folat
1mg, Lysin HCL 50mg, Ca Pantotenat Ferofort Fc Kaplet
Ferofort
15mg, Asam Askorbat 150mg, 10 X 10's
Vit.B12, B1, B2, B6(Pyridoksin 5mg)
Vitamin A 5000 IU, Vitamin D 400 IU,
Vitamin B1 3mg. Vitamin B2 2mg,
Vitamin B6 6mg, Vitamin B12 5mcg, Sirup / 5ml
Apialys PT. Lapi
Nicotinamide 20mg, Vitamin C 50mg,
Pantothenol 5mg, Lysine Hcl 250mg, Drops / 0.6 Ml
Glutamic Acid 25mg
Vitamin C 750mg, Vitamin B1 15mg,
Vitamin B2 15mg, Vitamin B6 25mg,
Nicotinamide 100mg, Vitamin B12,
Megazing Kaplet PT. Lapi
12mcg, Folic Acid 0.4mg, Calcium
20mg, Pantothenic A Cid 20mg, Zinc
20mg, Vitamin E 30 IU.
Vitamin A 5.000IU, Vit.D3 400IU,
Vit.E 20mg, Vit.B1 2mg, Vit.B2 2mg,
Vit.B6 2mg, Vit.B12 3mcg,
Maltiron Plus Tablet PT. Mepro
Fe.Fumarate 90mg, Folic Acid 1mg,
Na.Fluoride 3mg, K Iodide 0.175mg,
Zn.Sulfate 15mg, Sorbitol 25mg
KAPLET Folic Acid 400mcg, Vit B6.
Folaplus Tablet PT. Mepro
6mg, Vit.B12 25mg
 Vit.B1 1.5mg, Vit.B2 2mg, Vit.B6
1mg, Vit.B12 5mg, Nicotinamide
20mg, D-Panthenol 3mg, Vit.A 5000 Supralysin Drop PT. Mepro
IU, Vit.D 400 IU, Vit.C 25mg, Lysine
HCL 50mg / Per 1ml
Ca 500mg, VIT D3 200 IU, Mg 150mg,
Hical Tablet PT. Mepro
ZINC 15mg FLOURIDE 1mg
LICAPS Fish Oil18/12: EPA/DHA
400mg, Vit.E 4mg, Folic Acid Procalma Kapsul PT. Mepro
400mcg, Vit.B6 6mg, Vit.B12 25mg
Prolacta For Baby Soft Capsul PT.Novell
Nutrisi (DHA+ARA+EFA)
Prolacta For Mother Soft Capsul PT.Novell
PRE & POST NATAL
VITAMIN
NAMA BENTUK
KOMPOSISI DAGANG SEDIAAN PRINCIPAL
FE FUMARATE 90mg, Copper Sulfate 0.3mg,
Manganese Sulfate, 0.15 mg, Vitamin B6
10mg, Vitamin B12 10mcg, Vitamin C 100mg, Nonemi Tablet PT. Lapi
Folic acid 1mg, Cobalt sulfate 0.5mg, Calcium
Phosphate dibasic 60mg
Vitamin A 345 IU, Vitamin D3 34.5 IU,
Vitamin B12 0.5mcg, Asam, Folat 400mcg,
Vitamin B6 150mcg, Calsium Carbonas
Promavit Kapsul PT. Lapi
100mg, Magnesium oxide 62.5mg, Ferro
Fumaras 23.55mgTUNA OIL 179mg(Omega 3
64.5 mg, DHA 48.5 mg, EPA 12.5mg),

NATURAL PRODUCT
 NAMA BENTUK
KOMPOSISI DAGANG SEDIAAN PRINCIPAL
Coral Calsium 500mg, Natural Soy Isofalvone
20mg, Vit D3 200 IU, Vitamin K1 25mcg, Cal-95 Kaplet
Magnesium 100mg, Zinc 5MG, boron 1mg.
Micronised Purified Flavonoid Fraction 500mg,
Ciflon Kaplet
(Diosmin 450mg, & Hesperidin 50mg)
Echinachea (EFLA 894) 500mg, Zn Picolinate 5mg,
Imunos Sirup / 5ml
Selenium 15mcg)
Echinachea (EFLA 894) 500mg, Zn Picolinate PT. Lapi
10mg, Selenium 15mcg, Na, ascorbic = Ascorbic Imunos Kaplet
acid 50mg
Echinachea purpurea extract (Fresh Pressed Juice
500mg, ß 1.3/1.6, Glucan (setara dengan 93.75
Imunos
mg Wellmune WGP) 175mg, Zn Picolinate 10mg, Kaplet
Plus
Selenium 15mcg, Na. askobat = Asam askobat
50mg.

Rice Starch, Maltodextrin, 7 Strains Bacteri L-Bio Sachet PT. Lapi

(Lactobacillus Acidophilus, Lactobacillus Casei,
Lactobacillus Salivarius, Lactococcus
Lactis,Bifidobacterium Infantis, Bifidobacterium
Lactis, Bifidobacterium Longum)
Curcuminoid 2mg, ß - Carotene 10% 4mg, Vitamin
B1 3mg, Vitamin B2 2mg, Vitamin B6 5mg,
Vitamin B12 5mcg, Vitamin D 100 IU, Vitacur Sirup / 5 ml
Dexpanthenol 3mg, Calcium Pidolate 300mg,
Fructooligosaccharide 300mg.
isoflavone 50mg, ViT C 100mg, Natural Vit E
10mg, Vit D 400 IU, Calcium (as.citrate 200mg), Isofem Tablet
zinc 15mg
PT. Mepro
echinacea extract 170mg, Reishi Mushroom
Proimbus Tablet
extract 150mg, Calcium Pantothenate 15mg

SUPPLEMET &
ADJUVANT THERAPY
NAMA BENTUK
KOMPOSISI DAGANG SEDIAAN PRINCIPAL
D-Ribose 5.000 mg, l-Carnitine Fumarate
500 mg, Coenzym Q10 50mg, L-Core Sachet PT. Lapi
Magnesium 200mg