Formularium RSHK Waykanan New 2016 97-03

PER
KLAS TERAPI ZAT AKTIF KODE PRODUK SEDIAAN

BOX
1. GASTRO INTESTINAL TRACK
1a. Antacid, Antireflux ALUMINIUM HIDROXIDE + MAGNESIUM F 0 1 a g 0 1 1 1 B t ANTASIDA DOEN TABLET KUNYAH 100 TAB
Agents & Antiulcerants HIDROXIDE F 0 1 a g 0 1 1 1 B b ANTASIDA DOEN SUSP 60 ML 1 BTL
ALUMINIUM HIDROXSIDE + MAGNESIUM F 0 1 a n 0 2 1 1 B t ACITRAL TABLET KUNYAH 100 TAB

HIDROXIDE + SIMETICONE F 0 1 a n 0 2 1 1 B b ACITRAL SIRUP 120 ML BTL
1
BIOACTIVE FRACTION F 0 1 a n 0 3 1 1 B k REDACID 250 MG KAPSUL 30 KAPS

DLBS2411(CINNAMOMUM BURMANI)
ESOMEPRAZOLE F 0 1 a n 0 4 1 1 G k NEXIUM 20 MG KAPSUL 28 KAPS

F 0 1 a n 0 4 1 2 G k NEXIUM 40 MG KAPSUL 14 KAPS
F 0 1 a n 0 4 1 2 G v NEXIUM 40 MG / ML INJEKSI 1 VIAL
LANSOPRAZOLE F 0 1 a g 0 5 1 1 G k LANSOPRAZOLE 30 MG KAPSUL 30 KAPS

F 0 1 a n 0 5 2 1 G k PROSOGAN 30 MG KAPSUL 14 KAPS
F 0 1 a n 0 5 3 1 G k LAPRAZ 30 MG KAPSUL 20 KAPS
F 0 1 a n 0 5 4 1 G k LAZ 30 MG KAPSUL 20 KAPS
F 0 1 a n 0 5 2 1 G v PROSOGAN 30 MG INJEKSI 1 VIAL
OMEPRAZOLE F 0 1 a g 0 6 1 1 G k OMEPRAZOLE 20 MG KAPSUL 1 KAPS

F 0 1 a n 0 6 2 1 G k PUMPITOR 20 MG KAPSUL 20 KAPS
F 0 1 a n 0 6 3 1 G k PROTOP 20 MG KAPSUL 14 KAPS
F 0 1 a n 0 6 4 1 G v GASTROFER 40MG/10ML INJEKSI 1 VIAL
F 0 1 a n 0 6 2 1 G v PUMPITOR 40 MG/10 ML INJEKSI 1 VIAL
PANTOPRAZOLE F 0 1 a n 0 7 1 1 G k PANTOCER 40 MG KAPSUL 1 KAPS

F 0 1 a n 0 7 2 1 G v VOMIZOL MG/ ML 1 VIAL
F 0 1 a n 0 7 3 1 G v PANTOPUMP MG/ ML 1 VIAL
RANITIDIN F 0 1 a g 0 8 1 1 G t RANITIDIN 150 MG TABLET 100 TAB

F 0 1 a n 0 8 2 1 G t ACRAN 150 MG TABLET 30 TAB
F 0 1 a n 0 8 3 1 G t GASTRIDIN 150 MG TABLET 100 TAB
F 0 1 a n 0 8 4 1 G t RADIN 150 MG TABLET 30 TAB
RANITIDIN
PER
BOX
F 0 1 a g 0 8 1 1 G a RANITIDIN 25 MG/ML INJEKSI 2 ML 10 AMP
F 0 1 a n 0 8 2 1 G a ACRAN 25 MG/ML INJEKSI 2 ML 5 AMP
F 0 1 a n 0 8 3 1 G a GASTRIDIN 25 MG/ML INJEKSI 2 ML 5 AMP
F 0 1 a n 0 8 4 1 G a RADIN 25 MG/ML INJEKSI 2 ML 5 AMP
F 0 1 a n 0 8 5 1 G b RAVISEL SIRUP 1 BTL
REBAMIPID F 0 1 a n 0 9 1 1 G t MUCOSTA 100 MG TABLET 100 TAB
SULPIRIDE F 0 1 a n 0 10 1 1 G t DOGMATIL 50 MG TABLET 100 TAB
SUKRALFAT F 0 1 a n 0 11 1 1 G b INPEPSA SUSPENSI 100ML 1 BTL

F 0 1 a n 0 12 2 1 G b EPISAN SUSPENSI 1 BTL
1b. GIT Regulator, CISAPRIDE F 0 1 b n 0 1 1 1 G t ACPULSIF 5 MG TABLET 50 TAB

Antiflatulent & Anti-
Inflammatories
DOMPERIDON F 0 1 b n 0 2 1 1 G t VOMETA 10 MG TABLET 50 TAB
F 0 1 b n 0 2 1 1 G b VOMETA 1 MG/ML SUSPENSI 60 ML 1 BTL
F 0 1 b n 0 2 1 2 G b VOMETA 5 MG/ML DROPS 10 ML 1 BTL
L. ACIDOPHILUS ROSELL, L.RHAMNOSUS F 0 1 b n 0 3 1 1 B k LACIDOFIL KAPSUL 60 KAPS

ROSELL
LACTOBACILLUS REUTERI DSM F 0 1 b n 0 4 1 1 B b INTERLAC DROP 1 BTL
METOKLOPRAMID F 0 1 b n 0 5 1 1 G t DAMABEN 10 MG TABLET 100 TAB

F 0 1 b n 0 5 2 1 G t TOMIT 10 MG TABLET 50 TAB
F 0 1 b n 0 5 2 1 G a TOMIT 5 MG/ML INJEKSI 2ML 5 AMP
Mg TRISILIKAT, Al(OH)3 COLLOIDAL, F 0 1 b n 0 6 1 1 M t SANMAG TABLET TAB

PAPAVERINE HCl, CHLORDIAZEPOXIDE
100
HCl, VIT B1, VIT B2, VIT B6, VIT B12,
NIACINAMIDE, Ca PANTHOTENATE
Mg TRISILIKAT, Al(OH)3 COLLOIDAL, F 0 1 b n 0 7 1 1 B b SANMAG SUSPENSI 12OML 1 BTL

SIMETHICON
PER
BOX
OTILINIUM BR F 0 1 b n 0 8 1 1 G t SPASMOMEN 40 MG TABLET 30 TAB
1c. Antispasmodics ATROPIN SULFAT F 0 1 c g 0 1 1 1 G a ATROPIN 0,25 MG/ML INJEKSI 1 ML 100 AMP
CHLORDIAZEPOXIDE , CLINIDIUM F 0 1 c n 0 2 1 1 M t BRAXIDIN TABLET 100 TAB

BROMIDE
HOSIN - N BUTIL BROMIDE F 0 1 c n 0 3 1 1 G t BUSCOPAN 10 MG TABLET 100 TAB
HOSIN - N BUTIL BROMIDE, F 0 1 c n 0 4 1 1 G k GITAS PLUS KAPSUL 50 KAPS

PARACETAMOL
F 0 1 c n 0 4 1 1 G a GITAS 20 MG/ML INJEKSI 5 AMP
PAPAVERINE, METAMPIRON, EKSTRAK F 0 1 c n 0 5 1 1 G t SPASMINAL TABLET 100 TAB

BELADONA
PIPENZOLATE BR 4 MG, PHENOBARBITAL F 0 1 c n 0 6 1 1 G b PIPTAL PEDIATRIK 15 ML DROPS BTL

Na 6 MG, ETHANOL 0,2 ML 1
1d. Antidiarrheals NaCl, CaCl, TRINATRIUM SITRAT, F 0 1 d n 0 1 1 1 B b RENALYTE 1 BTL

GLUKOSA ANHIDRAT F 0 1 d n 0 1 2 1 B b PEDIALYTE 1 BTL
ATTAPULGITE F 0 1 d n 0 2 1 1 B t DIAGIT 100 TAB
KAOLIN PEKTIN F 0 1 d n 0 3 1 1 B b NEOKAOLANA SUSPENSI 120 ML 1 BTL
LOPERAMIDE F 0 1 d n 0 4 1 1 G t LODIA 2 MG TABLET 60 TAB
CARBO ACTIVUS F 0 1 d g 0 5 1 1 W t NORIT 125 MG TABLET 20 TAB
CHOLESTERAMINE F 0 1 d n 0 6 1 1 W p SEQUEST 400 MG SACHET 1 SACH
Zn SULFATE F 0 1 d n 0 7 1 1 W t ZINK 20 MG TABLET 100 TAB

F 0 1 d n 0 7 1 1 W b INTERZINC 20MG/5ML SIRUP 60 ML 10 TAB
PER
BOX
1e. Laxative, BISAKODIL F 0 1 e n 0 1 1 1 W t DULCOLAX 5 MG TABLET 80 TAB

Purgatives F 0 1 e n 0 1 1 2 W s DULCOLAX 10 MG SUPPOSITORIA FOR ADULT SUPP
5
F 0 1 e n 0 1 1 3 W s DULCOLAX 5 MG SUPPOSITORIA FOR CHILDREN 6 SUPP
LACTULOSE F 0 1 e n 0 2 1 1 W b PRALAX SUSPENSI 1 BTL
PARAFIN SUSPENSI F 0 1 e n 0 3 1 1 W b LAXADIN SUSPENSI 1 BTL
SODIUM BIPHOSPATE, DISODIUM F 0 1 e n 0 4 1 1 W b FLEET ENEMA 1 BTL

PHOSPATE F 0 1 e n 0 4 2 1 W b FLEET PHOSPO SODA 1 BTL
F 0 1 e n 0 5 1 1 W u MICROLAX REKTAL TUBE 5 ML 1 TUBE
Na PICOSULFATE F 0 1 e n 0 6 1 1 W b LAXOBERON 1 BTL
1f. Digestives L.ACIDOPHILUS, L.CASEI, L.SALIVARUS, F 0 1 f n 0 1 1 1 W p L-BIO SACH SACH

L.LACTIS, B.INFANTIS, B.LACTIS, 30
B.LONGUM
1g. Cholagogues, ASAM AMINO, ELECTROLYTE, SORBITOL F 0 1 g n 0 1 1 1 G f TUTOFUSIN OPS 500 ML INFUS 1 FLC
Chlolitholytics &
Hepatic Protectors
ASAM AMINO, L THREONINE, L SERINE, L F 0 1 g n 0 2 1 1 G b RENOSAN 50 ML INFUS BTL
PROLINE, L CYSTEINE HCl MONOHIDRAT,
GLYCINE, L ALANINE, L VALINE, L
METHIONIN, L ISOLEUCIN, L LEUCINE, L
PHENYLALANIN, L TRYPTOPHAN, L 1
HISTIDIN HSL MONOHIDRAT, LYSINE
HCl, L ARGININE, Na BISULPHATE, Na, Cl
L-ORNITHINE-L-ASPARTATE F 0 1 g n 0 3 1 1 G a HEPAMERZ 5GRAM/10 ML INJEKSI 5 AMP
URSODEOXYCHOLIC ACID F 0 1 g n 0 4 1 1 G k URSOLIC 250 MG KAPSUL 30 KAPS

PER
BOX
1h. Anorectal MICRONIZED FLAVONOID F 0 1 h n 0 1 1 1 W t ANADIUM 500 MG TABLET 30 TAB

Preparation
LITHOSPERMI RADIX F 0 1 h n 0 2 1 1 G s BORRAGINOL-N SUPPOSITORIA SUPP

EXTR,BENZOCAINE,DIBUCAINE 10
HCl,DIPHENHIDRAMINE HCl,CETRIMIDE
F 0 1 h n 0 2 1 2 G s BORRAGINOL-S 10 SUPP
1i. Antiemetics PIRATIAZIN TEOKLAT + VITAMIN B6 F 0 1 i n 0 1 1 1 G t ANVOMER B 6 TABLET 60 TAB
GRANISETRON F 0 1 i n 0 2 1 1 G a GRANON 1MG/ML INJEKSI 5 AMP

F 0 1 i n 0 2 1 2 G a GRANON 3MG/3ML INJEKSI 5 AMP
ONDANCETRON F 0 1 i g 0 3 1 1 G t ONDANCETRON 8 MG TABLET 12 TAB

F 0 1 i n 0 3 2 1 G t INVOMIT 4 MG FILM COATED TABLET 18 TAB
F 0 1 i n 0 3 2 2 G t INVOMIT 8 MG FILM COATED TABLET 18 TAB
F 0 1 i g 0 3 1 1 G a ONDANCETRON 2 MG/ML INJEKSI 2 ML 10 AMP
F 0 1 i n 0 3 2 1 G a INVOMIT 2 MG/ML INJEKSI 2 ML 5 AMP
F 0 1 i n 0 3 3 1 G a VOMETRAZ 2 MG/ML INJEKSI 2 ML 5 AMP
F 0 1 i n 0 3 2 2 G a INVOMIT 2 MG/ML INJEKSI 4 ML 5 AMP
F 0 1 i n 0 3 3 2 G a VOMETRAZ 2 MG/ML INJEKSI 4ML 5 AMP
F 0 1 i n 0 3 4 1 G b NARFOZ 4 MG/5 ML 60 ML SIRUP 1 BTL
DOMPERIDONE F 0 1 i n 0 4 1 1 G t VOMETA FT TABLET 50 TAB

F 0 1 i n 0 4 1 1 G b VOMETA 5 MG/ML DROPS 10 ML 1 BTL
F 0 1 i n 0 4 1 2 G b VOMETA 5 MG/5 ML SIRUP 60 ML 1 BTL
METOKLOPRAMID F 0 1 i n 0 5 1 1 G t DAMABEN 10 MG TABLET 100 TAB

F 0 1 i n 0 5 2 1 G a TOMIT 5MG/ML INJEKSI 2ML 5 AMP
METOKLOPRAMIDE, PANKREATIN F 0 1 i n 0 6 1 1 G t PRIMPERAN KOMPOSITUM TABLET 100 TAB
DIMENHYDRAMINE F 0 1 i n 0 7 1 1 G t DRAMAMIN 50 MG TABLET 100 TAB

PER
BOX
1j. Other OCTREOTID F 0 1 i n 0 8 1 1 G a SANDOSTATIN 0,1MG/ML INJEKSI 5 AMP
Gastrointestinal
2a. Cardiac Drugs AMIODARONE HCL F 0 2 a n 0 1 1 1 G t CORDARONE 200 MG 30 TAB

F 0 2 a n 0 1 2 1 G t TIARYT TAB 200 MG 30 TAB
F 0 2 a n 0 1 2 1 G a TIARYT 50 MG/ML INJEKSI 3 ML 5 AMP
DOBUTAMIN HCL F 0 2 a g 0 2 1 1 G a DOBUTAMIN GIULINI 250 MG/20 ML INJEKSI AMP

5
20 ML
F 0 2 a n 0 2 2 1 G a DOBUJECT 250 MG/5 ML INJEKSI 5 ML AMP
5
DOPAMIN HCL F 0 2 a n 0 3 1 1 G a DOPAMIN GIULINI 20 MG/ML INJEKSI 10 ML 5 AMP
DIGOXIN F 0 2 a g 0 4 1 1 G t DIGOXIN 0,25 MG TABLET 100 TAB

F 0 2 a n 0 4 2 1 G t FARGOXIN 0,25 MG TABLET 100 TAB
2b. Anti-Anginal GLYCERYL TRINITRAT F 0 2 b n 0 1 1 1 G t NITROCAF RETARD 2,5 MG TABLET 100 TAB
Drugs F 0 2 b g 0 2 2 1 G a GLYCERYL TRINITRAT 50 MG/10 ML INJEKSI 5 AMP
ISOSORBID DINITRAT F 0 2 b g 0 2 1 1 G t ISDN 5 MG TABLET 100 TAB

F 0 2 b n 0 2 2 1 G t FARSORBID SUBLINGUAL 5 MG TABLET 100 TAB
F 0 2 b n 0 2 1 2 G t FARSORBID 10 MG TABLET 100 TAB
F 0 2 b n 0 2 2 1 G a FARSORBID 10 MG/10 ML INJEKSI 2 AMP
ISOSORBID MONONITRAT F 0 2 b n 0 3 1 1 G t MONECTO 20 MG TABLET 30 TAB
TRIMETAZIDINE DI HCL F 0 2 b n 0 4 1 1 G t TRIZEDON MR 35 MG TABLET 60 TAB

F 0 2 b n 0 4 2 1 G t MIOZIDIN 5 MG TABLET 30 TAB
2c. ACE Inhibitors PERINDOPRIL ARGININE, F 0 2 c n 0 1 1 1 G t BIOPREXUM PLUS TABLET 20 TAB

INDAPAMIDE
CAPTOPRIL F 0 2 c g 0 2 1 1 G t CAPTOPRIL 12,5 MG TABLET 100 TAB

F 0 2 c n 0 2 2 1 G t TENSICAP 12,5 MG 50 TAB
CAPTOPRIL PER
BOX
F 0 2 c n 0 2 `3 1 G t DEXACAP 12,5 MG 60 TAB
F 0 2 c g 0 2 1 2 G t CAPTOPRIL 25 MG TABLET 100 TAB

F 0 2 c n 0 2 2 2 G t TENSICAP 25 MG TABLET 50 TAB
F 0 2 C n 0 2 3 1 G t DEXACAP 25 MG 60 TAB
LISINOPRIL F 0 2 c n 0 3 1 1 G t INTERPRIL 5 MG TABLET 30 TAB

F 0 2 c n 0 3 2 1 G t TENSINOP 5 MG TABLET 30 TAB
F 0 2 c n 0 3 3 1 G t NOPERTEN 5 MG TABLET 30 TAB
F 0 2 c n 0 3 1 2 G t INTERPRIL 10 MG TABLET 30 TAB
F 0 2 c n 0 3 2 2 G t TENSINOP 10 MG TABLET 30 TAB
F 0 2 c n 0 3 3 2 G t NOPERTEN 10 MG TABLET 30 TAB
RAMIPRIL F 0 2 c n 0 4 1 1 G t TRIATEC 2,5 MG TABLET 60 TAB

F 0 2 c n 0 4 1 2 G t TRIATEC 5 MG TABLET 60 TAB
F 0 2 c n 0 4 2 1 G t RAMIXAL 5 MG 50 TAB
F 0 2 c n 0 4 1 3 G t TRIATEC 10 MG TABLET 30 TAB
2d. Beta - Blockers BISOPROLOL F 0 2 d g 0 1 1 1 G t BISOPROLOL 2,5 MG TABLET 30 TAB
BISOPROLOL FUMARATE F 0 2 d n 0 2 1 1 G t BETA-ONE 2,5 MG TABLET 50 TAB

F 0 2 d n 0 2 1 2 G t BETA-ONE 5 MG TABLET 30 TAB
F 0 2 d n 0 2 2 1 G t BIPRO 5 MG TABLET 30 TAB
F 0 2 d n 0 2 3 1 G t BISCOR 5 MG TABLET 30 TAB
BISOPROLOL HEMIFUMARATE F 0 2 d n 0 3 1 1 G t CONCOR 2,5 MG TABLET 30 TAB

F 0 2 d n 0 3 2 1 G t MAINTATE 2,5 MG TABLET 30 TAB
F 0 2 d n 0 3 2 2 G t MAINTATE 5 MG TABLET 30 TAB
PROPANOLOL F 0 2 d g 0 4 1 1 G t PROPANOLOL 10 MG TABLET 100 TAB

F 0 2 d n 0 4 2 1 G t FARMADRAL 10 MG TABLET 100 TAB
ATENOLOL F 0 2 d n 0 5 1 1 G t INTERNOLOL 50 MG TABLET 30 TAB

PER
BOX
CARVEDILOL F 0 2 d n 0 6 1 1 G t V-BLOCK 6,25 MG TABLET 30 TAB
2e. Calcium AMLODIPIN F 0 2 e g 0 1 1 1 G t AMLODIPIN 5 MG TABLET 100 TAB

Antagonists F 0 2 e n 0 1 2 1 G t TENSIVASK 5 MG TABLET 50 TAB
F 0 2 e g 0 1 1 2 G t AMLODIPIN 10 MG TABLET 30 TAB
F 0 2 e n 0 1 2 2 G t TENSIVASK 10 MG TABLET 50 TAB
AMLODIPIN BESYLATE F 0 2 e n 0 2 1 1 G t INTERVASK 5 MG TABLET 30 TAB

F 0 2 e n 0 2 2 1 G t NORVASK 5 MG TABLET 30 TAB
F 0 2 e n 0 2 2 2 G t NORVASK 10 MG TABLET 30 TAB
NIFEDIPIN F 0 2 e n 0 3 1 1 G t ADALAT 5 MG TABLET 50 TAB

F 0 2 e g 0 3 2 1 G t NIFEDIPIN 1O MG TABLET 30 TAB
F 0 2 e n 0 3 2 2 G t ADALAT OROS 20 MG TABLET 30 TAB
AMLODIPIN MALEATE F 0 2 e n 0 4 1 1 G t AMDIXAL 5 MG TABLET 30 TAB
NICARDIPINE F 0 2 e n 0 5 1 1 G a PERDIPINE 10MG/10 ML INJEKSI 10 AMP
AMLODIPIN BESYLATE/VALSARTAN F 0 2 e n 0 6 1 1 G t EXFORGE 5 MG/80 MG TABLET 28 TAB

F 0 2 e n 0 6 1 2 G t EXFORGE 5 MG/160 MG TABLET 28 TAB
F 0 2 e n 0 6 1 3 G t EXFORGE 10 MG/160 MG TABLET 28 TAB
F 0 2 e n 0 6 2 1 G t TWINSTA 80 MG/10 MG TABLET 28 TAB
DILTIAZEM F 0 2 e n 0 7 1 1 G t HERBESER 100 MG TABLET 30 TAB

F 0 2 e n 0 7 2 1 G t CORDILA SR 180 MG TABLET 100 TAB
F 0 2 e n 0 7 1 2 G t HERBESER 200 MG TBALET 30 TAB
F 0 2 e n 0 7 3 1 G v FARMABES 5 MG/ML INJEKSI 5 ML 1 VIAL
F 0 2 e n 0 7 1 1 G v HERBESER 50 MG INJEKSI 10 VIAL
2f. Angiotensin II IRBESARTAN F 0 2 f n 0 1 1 1 G t APROVEL 150 MG TABLET 28 TAB

Antagonists F 0 2 f n 0 1 2 1 G t IRVASK 150 MG TABLET 30 TAB
F 0 2 f n 0 1 1 2 G t APROVEL 300 MG TABLET 28 TAB
F 0 2 f n 0 1 3 1 G t IRBEDOX 300 MG TABLET 30 TAB
2f. Angiotensin II
Antagonists
PER
BOX
CANDESARTAN CILEXETIL F 0 2 f n 0 2 1 1 G t BLOPRESS 8 MG TABLET 14 TAB

F 0 2 f n 0 2 2 1 G t CANDERIN 8 MG TBALET 30 TAB
F 0 2 f n 0 2 1 2 G t BLOPRESS 16 MG TABLET 14 TAB
F 0 2 f n 0 2 2 2 G t CANDERIN 16 MG TABLET 30 TAB
VALSARTAN F 0 2 f n 0 3 1 1 G t DIOVAN 40 MG TBALET 28 TAB

F 0 2 f n 0 3 1 2 G t DIOVAN 80 MG TABLET 28 TAB
F 0 2 f n 0 3 2 1 G t VALSARTAN NI 80 MG TABLET 28 TAB
F 0 2 f g 0 3 2 3 G t VALSARTAN 160 MG TABLET 30 TAB
F 0 2 f n 0 3 1 3 G t DIOVAN 160 MG TABLET 28 TAB
F 0 2 f n 0 3 2 2 G t VALSARTAN NI 160 MG TABLET 30 TAB
TELMISARTAN F 0 2 f n 0 4 1 1 G t MICARDIS 40 MG TABLET 20 TAB

F 0 2 f n 0 4 1 2 G t MICARDIS 80 MG TABLET 20 TAB
2g. Other CLONIDINE HCL F 0 2 g n 0 1 1 1 G a CATAPRES 0,15 MG/ML INJEKSI 1 ML 10 AMP

Antihypertensives
METHYLDOPA F 0 2 g n 0 2 1 1 G t DOPAMET 250 MG TABLET 100 TAB
TERAZOSIN HCL F 0 2 g n 0 3 1 1 G t HYTRIN I MG TABLET 140 TAB
2h. Diuretics SPIRONOLAKTON F 0 2 h g 0 1 1 1 G t SPIRONOLAKTON 25 MG TABLET 100 TAB

F 0 2 h n 0 1 2 1 G t CARPIATONE 25 MG TABLET 100 TAB
F 0 2 h n 0 1 3 1 G t SPIROLA 25 MG TABLET 50 TAB
F 0 2 h n 0 1 4 1 G t ALDACTONE 25 MG TBALET 100 TAB
F 0 2 h g 0 1 1 2 G t SPIRONOLAKTON 100 MG TABLET TAB
F 0 2 h n 0 1 2 2 G t CARPIATONE 100 MG TABLET 100 TAB
F 0 2 h n 0 1 3 2 G t SPIROLA 100 MG TABLET 50 TAB
F 0 2 h n 0 1 4 2 G t ALDACTONE 100 MG TBALET 100 TAB
FUROSEMID F 0 2 h g 0 2 1 1 G t FUROSEMID 40 MG TABLET 100 TAB

F 0 2 h n 0 2 2 1 G t LASIX 40 MG TABLET 100 TAB
FUROSEMID PER
BOX
F 0 2 h n 0 2 3 1 G t FARSIX 40 MG TABLET 100 TAB
F 0 2 h n 0 2 1 1 G a FUROSEMID 10 MG/ML INJEKSI 2 ML 25 AMP
F 0 2 h n 0 2 2 1 G a LASIX 10 MG/ML INJEKSI 2 ML 5 AMP
F 0 2 h n 0 2 3 1 G t FARSIX 10 MG/ML INJEKSI 2 ML 5 AMP
HYDROCHLORTIAZIDE F 0 2 h g 0 3 1 1 G t HCT (HYDROCHLORTIAZIDE) 25 MG TABLET 1000 TAB
MANNITOL F 0 2 h n 0 4 1 1 G f MANNITOL 20% 500 ML INFUS 1 FLC
2i. Antidiuretics
2j. Peripheral CINNARIZINE F 0 2 j n 0 1 1 1 G t STUGERON 25 MG TABLET 250 TAB

Vasodilators &
Cerebral Activators
CITICOLLINE F 0 2 j n 0 2 1 1 G t BRAINACT 500 MG TABLET 30 TAB
F 0 2 j n 0 2 2 1 G t INCELIN 500 MG TABLET 30 TAB
F 0 2 j n 0 2 1 2 G t BRAINACT 0-DIS(ORAL DIAPERSI) 30 TAB
F 0 2 j g 0 2 3 1 G a CITICOLINE 250 MG/2ML INJEKSI 10 AMP
F 0 2 j n 0 2 4 1 G a BECLOV 125 MG/ML INJEKSI 2 ML 5 AMP
F 0 2 j n 0 2 1 1 G a BRAINACT 125 MG/ML INJEKSI 2 ML 5 AMP
F 0 2 j n 0 2 2 1 G a INCELIN 125 MG/ML INJEKSI 2 ML 5 AMP
F 0 2 j n 0 2 2 2 G a INCELIN 125 MG/ML INJEKSI 4 ML 5 AMP
FLUNARIZINE F 0 2 j n 0 3 1 1 G t FREGO 5 MG TABLET 50 TAB

F 0 2 j n 0 3 2 1 G t GRATIZIN 5 MG TABLET 100 TAB
F 0 2 j n 0 3 1 1 G t FREGO 10 MG TABLET 50 TAB
F 0 2 j n 0 3 2 2 G t GRATIZIN 10 MG TABLET 100 TAB
ISOXSUPRINE HCL F 0 2 j n 0 4 1 1 G t DUVADILAN 20 MG TABLET 50 TAB

F 0 2 j n 0 4 1 1 G a DUVADILAN 10 MG/2 ML INJEKSI 2 ML 5 AMP
CHOLINE SITRAT,CYTIDINE F 0 2 j n 0 5 1 1 G k NEULIN PS KAPSUL KAP

MONOPHOSPATE,PHOSPATIDYL 30
SERINE
PER
BOX
GINKGO BILOBA F 0 2 j n 0 6 1 1 G t TEBOKAN 40 MG TABLET 100 TAB
F 0 2 j n 0 6 1 2 G t TEBOKAN SPESIAL 80 MG TABLET 30 TAB
F 0 2 j n 0 6 1 3 G t TEBOKAN FORTE 120 MGTABLET 30 TAB
2k. Vasoconstrictors NOREPINEPHRINE BITARTRATE F 0 2 k n 0 1 1 1 G a RAIVAS 1 MG/ML INJEKSI 4 ML 5 AMP

MONOHIDRAT
ADRENALIN F 0 2 k g 0 2 1 1 G a EPINEPHRINE 1 MG/ML INJEKSI 1 ML 100 AMP
2l. Dyslipidaemic ATOVARSTATIN CA F 0 2 l n 0 1 1 1 G t LIPITOR 10 MG TABLET 30 TAB

Agents F 0 2 l n 0 1 2 1 G t ATORSAN 10 MG TABLET 30 TAB
F 0 2 l n 0 1 3 1 G t STATOR 10 MG TABLET 30 TAB
F 0 2 l n 0 1 2 2 G t ATORSAN 20 MG TABLET 30 TAB
F 0 2 l n 0 1 1 2 G t LIPITOR 20 MG TABLET 30 TAB
F 0 2 l n 0 1 1 3 G t LIPITOR 40 MG TABLET 30 TAB
ROSUVASTATIN F 0 2 l n 0 2 1 1 G t CRESTOR 10 MG TABLET 28 TAB

F 0 2 l n 0 2 1 2 G t CRESTOR 20 MG TABLET 28 TAB
F 0 2 l n 0 2 1 3 G t CRESTOR 40 MG TABLET 28 TAB
GEMFIBROZIL F 0 2 l n 0 3 1 1 G t HYPOFIL 300 MG TABLET 100 TAB
FENOFIBRAT F 0 2 l n 0 4 1 1 G t TROLIP 100 MG TABLET 30 TAB

F 0 2 l n 0 4 2 1 G t ZUMAFIB MICRO 160 MG TABLET 30 TAB
F 0 2 l n 0 4 1 2 G t TROLIP 300 MG TABLET 30 TAB
LOVASTATIN F 0 2 l n 0 5 1 1 G t LOTYN 20 MG TABLET 30 TAB
SIMVASTATIN F 0 2 l n 0 6 1 1 G t VALEMIA 5 MG TABLET 30 TAB

F 0 2 l g 0 6 2 1 G t SIMVASTATIN 10 MG TABLET TAB
F 0 2 l n 0 6 1 2 G t VALEMIA 10 MG TABLET 30 TAB
F 0 2 l n 0 6 3 1 G t ESVAT 20 MG TABLET 30 TAB
PER
BOX
2m. Haemostatics CARBAZOCHROME Na SULFONATE F 0 2 m n 0 1 1 1 G t ADONA AC-17 10 MG TABLET 100 TAB

F 0 2 m n 0 1 1 1 G a ADONA AC-17 50MG /10 ML INJEKSI 10 ML 10 AMP
F 0 2 m n 0 1 2 1 G a CHROME 50 MG/10 ML INJEKSI 10 ML 10 AMP
ASAM TRANEKSAMAT F 0 2 m n 0 2 1 1 G t PLASMINEX 500 MG FILM COATED TABLET 100 TAB

F 0 2 m n 0 2 2 1 G t TRANEXID 500 MG TABLET 100 TAB
F 0 2 m n 0 2 1 1 G a PLASMINEX 100 MG/5 ML INJEKSI 5 ML 10 AMP
(10%)
F 0 2 m n 0 2 2 1 G a TRANEXID 100 MG/ ML INJEKSI 5 ML (10%) 10 AMP
F 0 2 m n 0 2 2 2 G a TRANEXID 50 MG/ML INJEKSI 5 ML (5%) 10 AMP

F 0 2 m n 0 2 3 1 G a INTERMIC 250 MG/5 ML INJEKSI 5 AMP
ETHAMSYLATE F 0 2 m n 0 3 1 1 G t DYCINONE 500 MG TABLET 20 TAB
PHYTOMENADIONE F 0 2 m n 0 4 1 1 G a NEO-K 2 MG/ML INJEKSI 5 AMP
MENADIONE F 0 2 m g 0 5 1 1 G t VITAMIN K 10 MG TABLET 500 TAB

F 0 2 m g 0 5 1 1 G a VITAMIN K3 10 MG/ML INJEKSI 1 ML 100 AMP
2n. Anticoagulant, FONDAPARINUX Na F 0 2 n n 0 1 1 1 G v ARIXTRA 2,5 MG/0,5 ML INJEKSI SYRINGE 2 VIAL
Antithrombotic &
Fibrinolytic
ACETYLSALICYLIC ACID F 0 2 n n 0 1 1 1 G t ASPILET 80 MG TABLET 100 TAB
(Thrombolytics)
F 0 2 n n 0 1 2 1 G t THROMBO ASPILET 80 MG TABLET 150 TAB
F 0 2 n n 0 1 3 1 G t FARMASAL 100 MG TABLET 100 TAB
F 0 2 n n 0 1 4 1 G t CARDIO ASPIRIN 100 MG TABLET 30 TAB
F 0 2 n n 0 1 5 1 G t ASCARDIA 160 MG TABLET 100 TAB
HEPARIN NA F 0 2 n n 0 2 1 1 G v INVICLOT 5.000 IU/ML INJEKSI 5 ML 1 VIAL
CILOSTAZOL F 0 2 n n 0 3 1 1 G t PLETAAL 50 MG TABLET 100 TAB

F 0 2 n n 0 3 1 2 G t PLETAAL 100 MG TABLET TAB
PER
BOX
CLOPIDOGREL F 0 2 n g 0 4 1 1 G t CLOPIDOGREL 75 MG TABLET 30 TAB
F 0 2 n n 0 4 2 1 G t CLOGIN 75 MG TABLET 28 TAB
F 0 2 n n 0 4 3 1 G t VACLO 75 MG TABLET 30 TAB
F 0 2 n n 0 4 4 1 G t PLAVIX 75 MG TABLET 28 TAB
F 0 2 n n 0 4 5 1 G t CPG 75 MG TABLET 30 TAB
DABIGATRAN ETEXILATE F 0 2 n n 0 5 1 1 G t PRADAXA 110 MG TABLET 30 TAB

F 0 2 n n 0 5 1 2 G t PRADAXA 150 MG TABLET 30 TAB
ACETYLSALICYLIC ACID,GLYCINE F 0 2 n n 0 6 1 1 G t PROXIME TABLET 30 TAB
WARFARIN Na F 0 2 n n 0 7 1 1 G t SIMARC-2MG TABLET 100 TAB
STREPTOKINASE F 0 2 n n 0 8 1 1 G v STREPTASE 1500 IU INJEKSI 1 VIAL
PARNAPARIN F 0 2 n n 0 9 1 1 G v FLUXUM 425O IU INJEKSI SYRINGE 0,4 ML 6 VIAL

F 0 2 n n 0 9 1 2 G v FLUXUM 6400IU INJEKSI SYRINGE 0,6 ML 6 VIAL
ENOXAPARIN Na F 0 2 n n 0 10 1 1 G v LOVENOX 6000 IU 60 MG/0,6 ML INJEKSI 2 VIAL

SYRINGE
BERAPROST Na F 0 2 n n 0 11 1 1 G t DORNER 20 MCG TABLET 30 TABLET
2p. Phlebitis & PER 100 G GEL HEPARIN 20.000 IU. F 0 2 p n 0 1 1 1 G u THROMBOPHOB GEL 20 GRAM TUBE
Varicose PER 100 G OINT HEPARIN 5000 IU,
1
Preparations NICOTINIC ACID BENZYL ESTER 250
MG
2q. PENTOIFYLLINE F 0 2 q n 0 1 1 1 G k REOTAL SR 400 MG KAPLET 30 KAPL

Haemorrheologicals
F 0 2 q n 0 1 1 2 G b REOTAL 300 MG/15 ML INFUSION 5 BTL
2r. Haemotopoietics EPOETIN £ F 0 2 r n 0 1 1 1 G v EPREX 2000 IU /0,5 ML INJEKSI SYRINGE VIAL

Agents 6
PER
BOX
F 0 2 r n 0 1 1 2 G v EPREX 4000 IU /0,4 ML INJEKSI SYRINGE 6 VIAL
2s. Other ADENOSINE TRIPHOSPHATE F 0 2 s n 0 1 1 1 G t ATP DANKOS 20 MG TABLET TAB

Cardiovascular 100
Drugs
3. RESPIRATORY SYSTEM
3.a Respiratory
Stimulants
3.b Antiasthmatic & AMYNOPHYLLIN F 0 3 b g 0 1 1 1 G a AMYNOPHYLLIN INJ 240 MG/10 ML 24 AMP
COPD Preparation
BUDESONIDE F 0 3 b n 0 2 1 1 G y PULMICORT NEBULIZER 1 MG/ 2ML 20 FLC

F 0 3 b n 0 2 1 1 G y PULMICORT NEBULIZER 0.5 MG/ 2 ML 20 FLC
BUDESONIDE + FORMOTEROL FUMARAT F 0 3 b n 0 3 1 1 G y SYMBICORT TURBUHALER 160/4,5 1 BOX

F 0 3 b n 0 3 1 2 G y SYMBICORT TURBUHALER 80/4,5 1 BOX
PSEUDOEFEDRIN HCl + TRIPRILOLIDIN F 0 3 b n 0 4 1 1 G t TRIFED TABLET 50 TAB

HCl F 0 3 b n 0 4 1 1 G b TRIFED SYR 60 ML 1 BTL
FONETEROL SULFAT F 0 3 b n 0 5 1 1 G y BEROTEC 100 MCG/SEMPROT 1 BOX
IPROTOPIUM BR + SALBUTAMOL SULFAT F 0 3 b n 0 6 1 1 G f COMBIVENT (UDV) 20 FLC
KETOTIFEN F 0 3 b n 0 7 1 1 G t INTIFEN TABLET 100 TAB
PROCATEROL HCl F 0 3 b n 0 7 1 1 G t MEPTIN MINI 0.025MG TABLET 100 TAB

F 0 3 b n 0 7 1 1 G b MEPTIN SYR 1 BTL
SALBUTAMOL F 0 3 b n 0 8 1 1 G t SALBUTAMOL 4MG TABLET 100 TAB

F 0 3 b n 0 8 1 2 G t SALBUTAMOL 2MG TABLET 100 TAB
F 0 3 b n 0 8 2 1 G t ASHTAROL 4 MG TABLET 100 TAB
F 0 3 b n 0 8 3 1 G y VENTOLIN NEBULIZER 20 FLC
PER
BOX
TEOPHYLIN F 0 3 b n 0 9 1 1 G k THEOBRON 130 MG CAPSUL 100 CAPS
F 0 3 b n 0 9 1 1 G k TEOSAL CAPSUL (+ SALBUTAMOL) 100 TAB
F 0 3 b n 0 9 2 1 G k RETAPHYL SR 300MG CAPSUL 100 TAB
F 0 3 b n 0 9 3 1 G b TEOSAL SYR 1 BTL
TERBUTALIN SULFAT F 0 3 b n 1 0 1 1 G t BRICASMA 2,5MG 100 TAB

F 0 3 b n 1 0 1 1 G a BRICASMA INJEKSI 0.5 MG/ML 5 AMP
ORCIPRENALINE SULFATE F 0 3 b n 1 1 1 1 G t ALUPENT 20 MG TABLET 100 TAB
3.c Cough & Cold AMBROXOL HCl F 0 3 c n 0 1 1 1 G t EPEXOL TABLET 100 TAB
Preparations F 0 3 c n 0 1 2 1 G t INTERPECT TABLET 100 TAB
F 0 3 c n 0 1 1 1 G b EPEXOL SYR 1 BTL
F 0 3 c n 0 1 2 1 G b INTERPECT SYR 1 BTL
F 0 3 c n 0 1 2 2 G b EPEXOL DROP 1 BTL
BROMHEXINE F 0 3 c n 0 2 1 1 G t MUCOHEXINE 8 MG TABLET 100 TAB

F 0 3 c n 0 2 1 1 G a MUCOHEXINE ELIXIR 4MG/5ML 1 BTL
F 0 3 c n 0 2 2 1 G b BISOLVON 2MG/ML SOLUTION 1 BTL
F 0 3 c n 0 2 2 1 F a BISOLVON 2MG/ML INJEKSI 10 AMP
CODEIN F 0 3 c n 0 3 1 1 O t CODEIN HCL 10 MG TABLET 250 TAB

F 0 3 c n 0 3 1 2 O t CODEIN HCL 15 MG TABLET 250 TAB
F 0 3 c n 0 3 1 3 O t CODEIN HCL 20 MG TABLET 250 TAB
CODEIN 30 MG, FENITOLOKSAMIN 10MG F 0 3 c n 0 4 1 1 O t CODIPRONT CAPSUL 10 KAPS
CODEIN, PARASETAMOL F 0 3 c n 0 5 1 1 O t CODITAM TABLET 100 TAB
CODEIN 30 MG, FENITOLOKSAMIN 10 F 0 3 c n 0 6 1 1 O t CODIPRONT CUM EXP TABLET 10 TAB

MG, GUAFENESIN 100MG
CODEIN, FENTOLOKSAMIN F 0 3 c n 0 7 1 1 O b CODIPRONT SYRUP 1 BTL

PER
BOX
CODEIN, FENITOLOKSAMIN, F 0 3 c n 0 8 1 1 O b CODIPRONT CUM EKSPEKTORANT SYR 1 BTL
GUAFENESIN, EKSTRAK TIMI
DEXTROMETORPHAN, CTM, PPA, F 0 3 c n 0 9 1 1 G t ANADEX CAPL 100 KAPL

PARACETAMOL F 0 3 c n 0 9 1 1 G b ANADEX SYR 60 ML 1 BTL
DEXTROMETHORPHAN HBR + F 0 3 c n 1 0 1 1 G b HALMEZINE SYR BTL

BROMHEXINE HCl + PROMETHAZINE + 1
AMONIUM Cl
DIPHENHIDRAMIN HCl, AMMONIUM Cl, F 0 3 c n 1 1 1 1 G b INADRYL SYR 1 BTL

MENTHOL
DIPHENHIDRAMIN HCl, AMMONIUM Cl, F 0 3 c n 1 1 2 1 G b SANADRYL EKSPECTORANT SYRUP BTL

1
MENTHOL, GG
DEXTROMETHORPAN, DIPHENHIDRAMIN F 0 3 c n 1 1 2 2 G b SANADRYL DMP SYRUP BTL

HCl, AMMONIUM Cl, MENTHOL 1
ERDOSTEINE F 0 3 c n 1 2 1 1 G k VECTRINE CAPSUL 20 KAPS

F 0 3 c n 1 2 1 1 G b VECTRINE SYR 1 BTL
FEXOFENADINE HCl, PSEUDOEFEDRINE F 0 3 c n 1 3 1 1 G k FEXOFED CAPSUL 30 KAPS
GLISERIL GUAIKOLAT F 0 3 c n 1 4 1 1 G t GLISERYL GUAIAKOLAT TABLET 1000 TAB
LEVODROPIZINE F 0 3 c n 1 5 1 1 G b LEVOPRONT SYR 1 BTL
MADU + EKSTRAK AKAR JAHE, MENTHOL, F 0 3 c n 1 6 1 1 B b OB HERBAL SYR 1 BTL

JERUK NIPIS
N-ASETIL SISTEIN F 0 3 c n 1 7 1 1 G k FLUIMUSIL CAPSUL 200 60 KAPS

F 0 3 c n 1 7 1 1 G p FLUIMUSIL SACHET 200 30 SACH
PARACETAMOL, NASCAPIN, GG, CTM, PPA F 0 3 c n 1 8 1 1 G t PARATUSIN TABLET 200 TAB

PER
BOX
PSEUDOEPHEDRIN, TERFENADIN F 0 3 c n 1 9 1 1 G t RHINOFED TABLET 50 TAB
PSEUDOEPHEDRIN, LORATADINE F 0 3 c n 2 0 1 1 G t RHINOS SR TABLET 50 TAB

F 0 3 c n 2 0 1 1 G k ALDISA SR CAPSUL 50 KAPS
PSEUDOEPHEDRIN HCl, TRIPROLIDINE F 0 3 c n 2 1 1 1 G t TREMENZA TABLET 100 TAB

F 0 3 c n 2 1 2 1 G t TRIFED TABLET 50 TAB
F 0 3 c n 2 1 3 1 G b TREMENZA SYRUP 1 BTL
F 0 3 c n 2 1 4 1 G b TRIFED SYRUP 1 BTL
3.d Nasal FLUTICASONE FUROATE F 0 3 d n 0 1 1 1 G y AVAMYS NASAL SPRAY 1 BOX

Decongestants &
Other Nasal
Preparations MOMENTASONE F 0 3 d n 0 2 1 1 G y NASONEX 60 DOSE, NASONEX 140 DOSE 1 BOX
NaCl F 0 3 d n 0 3 1 1 G y BREATHY NASAL DROP 6,5 MG/ML 1 BOX
OKSIMETAZOLAM F 0 3 d n 0 4 1 1 G y ILLIADIN NASAL SPRAY 0.05%, 1 BOX

F 0 3 d n 0 4 1 2 G y ILLDIADIN NASAL SPRAY 0.025% 1 BOX
TRIAMCINOLONE ACETONIDE F 0 3 d n 0 5 1 1 G y NASACORT AQ NASAL SPRAY 55MCG/ SPRAY 1 BOX
3.e Other Drugs Acting

on the Respiratory
System
4.CENTRAL NERVOUS SYSTEM

4a. CENTRAL DIAZEPAM F 0 4 a n 0 1 1 1 M t VALISANBE 2 MG TABLET 100 TAB
NERVOUS SYSTEM F 0 4 a n 0 1 1 2 M t VALISANBE 5 MG TABLET 100 TAB
F 0 4 a n 0 1 1 1 M a VALISANBE 10 MG/2 ML INJEKSI 2 ML 10 AMP
F 0 4 a n 0 1 2 1 M a STESOLID 10 MG/2.5 ML RECTAL TUBE 5 TUBE
F 0 4 a n 0 1 2 2 M a STESOLID 5 MG/2.5 ML RECTAL TUBE 5 TUBE
ALPRAZOLAM F 0 4 a n 0 2 1 1 M t XANAX 0.25 MG TABLET 100 TAB

PER
KLAS TERAPI ALPRAZOLAM ZAT AKTIF KODE PRODUK SEDIAAN
BOX
F 0 4 a n 0 2 1 2 M t XANAX 0.5 MG TABLET 100 TAB
F 0 4 a n 0 2 2 1 M t APAZOL O,5 MG TABLET 100 TAB
F 0 4 a n 0 2 2 2 M t APAZOL 1 MG TABLET 100 TAB
F 0 4 a n 0 2 3 1 M t ALGANAX 0,5 MG TABLET 40 TAB
4b. Hypnotics & MIDAZOLAM F 0 4 b n 0 1 1 1 M a SEDACUM 5 MG/ML INJEKSI 10 AMP

Sedatives F 0 4 b n 0 1 1 2 M a SEDACUM 15 MG/3 ML 5 AMP
ESTAZOLAM F 0 4 b n 0 2 1 1 M t ESILGAN 1 MG TABLET 100 TAB
ZOLPIDEM TATRATE F 0 4 b n 0 3 1 1 M t ZOLMIA 10 MG TABLET 30 TAB
4c. Antidepressants FLUOXETINE HCl F 0 4 c n 0 1 1 1 G k KALXETIN 10 MG KAPSUL 100 KAPS

F 0 4 c n 0 1 1 1 G t NOPRES 20 MG CAPLET 30 KAPL
MAPROTILINE HCl F 0 4 c n 0 2 1 1 G t LUDIOS 25 MG TABLET 50 TAB
SERTRALINE F 0 4 c n 0 3 1 1 G t ZERLIN 50 MG TABLET 30 TAB
4d. Antipsychotics ARIPIPRAZOLE F 0 4 d n 0 1 1 1 G t ABILIFY 5 MG TABET 10 TAB
CHLORPROMAZINE F 0 4 d n 0 2 1 1 G t CEPEZET 100 MG TABLET 250 TAB

F 0 4 d n 0 2 1 1 G a CEPEZET 50MG/2ML INJEKSI 10 AMP
HALOPERIDOL F 0 4 d n 0 3 1 1 G t LODOMER 2 MG TABLET 100 TAB

F 0 4 d n 0 3 1 2 G t LODOMER 5 MG TABLET 100 TAB
F 0 4 d n 0 3 1 2 G a LODOMER 5 MG/ML INJEKSI 12 AMP
QUETIAPINE FUMARATE F 0 4 d n 0 4 1 1 G t SEROQUEL 25 MG TABLET 60 TAB
SULPIRIDE F 0 4 d n 0 5 1 1 G t DOGMATIL 50 MG TABLET 100 TAB
AMITRIPTYLIM F 0 4 d g 0 6 1 1 G t AMITRIPTYLIN 25 MG TABLET 100 TAB

PER
BOX
4e. Anticonvulsants GABAPETIN F 0 4 e n 0 1 1 1 G t GABEXAL 100 MG TABLET 30 TAB
F 0 4 e n 0 1 1 2 G t GABEXAL 300 MG TABLET 100 TAB
F 0 4 e n 0 1 2 1 G t ALPENTIN 100 MG TABLET 50 TAB
F 0 4 e n 0 1 2 2 G t ALPENTIN 300 MG TABLET 50 TAB
PHENOBARBITAL Na F 0 4 e g 0 2 1 1 M t PHENOBARBITAL 30 MG TABLET 100 TAB

F 0 4 e g 0 2 1 1 M a PHENOBARBITAL 100MG/ML INJEKSI 30 AMP
PHENYTOIN Na F 0 4 e g 0 3 1 1 G a PHENYTOIN 50 MG/ML INJEKSI 2 ML 10 AMP

F 0 4 e n 0 3 2 1 G t DILANTIN 100 MG TABLET 100 TAB
F 0 4 e n 0 3 2 1 G a DILANTIN 250 MG/5ML INJEKSI 10 AMP
F 0 4 e n 0 3 3 1 G t KUTOIN 100 MG TABLET 100 TAB
F 0 4 e n 0 3 3 1 G a KUTOIN 100 MG/2ML INJEKSI 10 AMP
F 0 4 e n 0 3 4 1 G t MOVILEPS 50 MG TABLET 100 TAB
F 0 4 e n 0 3 4 2 G t MOVILEPS 100 MG TABLET 100 TAB
VALPROIC ACID F 0 4 e n 0 4 1 1 G b DEPAKENE 250 MG/5 ML SIRUP 1 BTL

F 0 4 e n 0 4 2 1 G t DEPAKOTE 250 MG TABLET 100 TAB
F 0 4 e n 0 4 3 1 G t DEPAKOTE ER 250 MG TABLET 100 TAB
F 0 4 e n 0 4 3 2 G t DEPAKOTE ER 500 MG TABLET 100 TAB
MgSO4 F 0 4 e n 0 5 1 1 G f MAGNESIUM SULFATE 20% INFUS 40 FLC

F 0 4 e n 0 5 1 2 G f MAGNESIUM SULFATE 40% INFUS 40 FLC
PREGABALIN F 0 4 e n 0 6 1 1 G k LYRICA 50 MG CAPSUL 14 KAPS

F 0 4 e n 0 6 1 2 G k LYRICA 75 MG CAPSUL 14 KAPS
F 0 4 e n 0 6 1 3 G k LYRICA 150 MG CAPSUL 14 KAPS
CLONAZEPAM F 0 4 e n 0 7 1 1 G t RIKLONA 2MG TABLET 100 TAB
CARBAMAZEPINE F 0 4 e n 0 8 1 1 G t TEGRETOL 200 MG TABLET 50 TAB

F 0 4 e n 0 8 2 1 G t TEGRETOL CR 200 MG TABLET 50 TAB
OXCARBAMAZEPINE F 0 4 e n 0 9 1 1 G t TRILEPTAL 300 MG TABLET 50 TAB

PER
BOX
4f. Other CNS Drugs &

Agents for ADHD
4g. Neurodegenerative DONEPEZIL HCl F 0 4 g n 0 1 1 1 G t ARICEPT 5 MG TABLET TAB

Disease Drugs 14
4h. Antiparkinsonian TRIHEXYPENIDYL HCl F 0 4 h n 0 1 1 1 G t HEXYMER 2 MG TABLET 250 TAB

Drugs
PRAMIPEXOLE DI HCl F 0 4 h n 0 2 1 1 G t SIFROL 0,125 MG TABLET 30 TAB

F 0 4 h n 0 2 1 2 G t SIFROL 0,25 MG TABLET 30 TAB
4i. Antivertigo Drugs DIMENHYDRINATE F 0 4 i n 0 1 1 1 G t DRAMAMINE 50 MG TABLET 100 TAB
BETAHISTINE MESYLATE F 0 4 i n 0 2 1 1 G t MERTIGO 6 MG TABLET 100 TAB

F 0 4 i n 0 2 2 1 G t MERTIGO SR TABLET TAB
BETAHISTIN DI HCL F 0 4 i n 0 3 1 1 G t BETASERC 8 MG TABLET 100 TAB

F 0 4 i n 0 3 2 1 G t BETASERC 24 MG TABLET 20 TAB
CINNARIZINE F 0 4 i n 0 4 1 1 G t STUGERON 25 MG TABLET 250 TAB
4j. Analgesics (Opioid) FENTANYL F 0 4 j n 0 1 1 1 M a FENTANYL 0.05 MG /ML INJEKSI 2 ML 5 AMP

F 0 4 j n 0 1 1 1 M a DUROGESIC PATCH 12,5Mcg 5 PCS
F 0 4 j n 0 1 1 2 M a DUROGESIC PATCH 25Mcg 5 PCS
F 0 4 j n 0 1 1 3 M a DUROGESIC PATCH 50Mcg 5 PCS
MORPHINE F 0 4 j n 0 2 1 1 M a MORPHIN 10 MG/ML INJEKSI 10 AMP

F 0 4 j n 0 2 2 1 M t MST CONTINUS 10 MG TABLET 60 TAB
TRAMADOL F 0 4 j g 0 3 1 1 G k TRAMADOL 50 MG KAPSUL 50 KAPS

F 0 4 j g 0 3 1 1 G a TRAMADOL 50 MG /ML INJEKSI 2 ML 10 AMP
F 0 4 j n 0 3 2 1 G s TRAMAL 100 MG SUPPOSITORIA 10 SUPP
TRAMADOL
PER
BOX
F 0 4 j n 0 3 2 1 G a TRAMAL 100 MG/2 ML INJEKSI 2 ML 5 AMP
F 0 4 j n 0 3 2 2 G k TRAMAL 50 MG KAPSUL 50 KAPS
F 0 4 j n 0 3 2 2 G a TRAMAL 50 MG/ML INJEKSI 1 ML 5 AMP
F 0 4 j n 0 3 3 1 G t TRADYL 50 MG TABLET 50 TAB
F 0 4 j n 0 3 3 2 G a TRADYL 100 MG /2 ML INJEKSI 5 AMP
TRAMADOL 37.5MG+PARASETAMOL F 0 4 j n 0 4 1 1 G t ULTRACET TABLET 30 TAB

325MG F 0 4 j n 0 4 2 1 G t ZALDIAR TABLET 10 TAB
PETHIDIN F 0 4 j n 0 5 1 1 M a PETHIDINE 50 MG/ML INJEKSI 2 ML 5 AMP

F 0 4 j n 0 5 2 1 M a CLOPEDIN 50 MG/ML INJEKSI 2 ML 10 AMP
4k. Analgesics (Non- PARACETAMOL F 0 4 k g 0 1 1 1 B t PARACETAMOL 500 MG TABLET 100 TAB

Opioid) & Antipiretics F 0 4 k g 0 1 1 1 B b PARACETAMOL 120MG/5ML SIRUP 60 ML 1 BTL
F 0 4 k n 0 1 2 1 B b SANMOL 120 MG/5 ML SIRUP 60 ML 1 BTL
F 0 4 k n 0 1 2 1 B t SANMOL 500 MG TABLET 100 TAB
F 0 4 k n 0 1 2 2 B b SANMOL 60 MG/0.6 ML DROP 15 ML 1 FLS
F 0 4 k n 0 1 3 1 B t PAMOL 500 MG TABLET 100 TAB
F 0 4 k n 0 1 3 1 B b PAMOL 120 MG/5 ML SYRUP 60 ML 1 BTL
F 0 4 k n 0 1 3 1 B s PAMOL 125 MG SUPPOSITORIA 12 SUPP
F 0 4 k n 0 1 3 2 B s PAMOL 250 MG SUPPOSITORIA 12 SUPP
F 0 4 k n 0 1 4 1 G f FARMADOL 10 MG/ML INFUS 100 ML 1 BTL
F 0 4 k n 0 1 3 1 G f SANMOL 10 MG/ML INFUS 100 ML 1 BTL
F 0 4 k n 0 1 5 1 B t SUMAGESIC 600 MG TABLET 100 TAB
PARACETAMOL 500MG,N ASETIL SISTEIN F 0 4 k n 0 2 1 1 G t SISTENOL CAPLET 60 KAPL

200 MG
ASAM MEFENAMAT F 0 4 k n 0 3 1 1 G t MEFINTER 250 MG TABLET 100 TAB

F 0 4 k n 0 3 1 2 G t MEFINTER 500 MG TABLET 100 TAB
F 0 4 k n 0 3 2 1 G t MEFINAL 250 MG TABLET 100 TAB
F 0 4 k n 0 3 2 2 G t MEFINAL 500 MG TABLET 100 TAB
TRAMADOL , ACETAMINOPHEN F 0 4 k n 0 4 1 1 G t ULTRACET TABLET 30 TAB

PER
KLAS TERAPI ZAT AKTIF
TRAMADOL , ACETAMINOPHEN KODE PRODUK SEDIAAN
BOX
F 0 4 k n 0 4 2 1 G t ZALDIAR TABLET 10 TAB
4l. Non steroidal Anti - METAMIZOLE NA F 0 4 l n 0 1 1 1 G a NOVALGIN 500 MG/ML INJEKSI 2 ML 1 FLS
Inflammatory Drugs F 0 4 l n 0 1 1 1 G b NOVALGIN 250 MG/5 ML SIRUP 60 ML 5 AMP
(NSAIDs)
F 0 4 l n 0 1 2 1 G b ANTRAIN 500 MG TABLET 100 TAB
F 0 4 l n 0 1 2 1 G a ANTRAIN 1GR/2ML INJEKSI 5 AMP
METHAMPIRON,DIAZEPAM F 0 4 l n 0 2 1 1 M t ANALSIK TABLET 100 TAB
CELECOXIB F 0 4 l n 0 3 1 1 G k CELEBREX 100 MG KAPSUL 30 KAPS

F 0 4 l n 0 3 1 2 G k CELEBREX 200 MG KAPSUL 30 KAPS
ETORICOXIB F 0 4 l n 0 4 1 1 G t ARCOXIA 60 MG TABLET 30 TAB
F 0 4 l n 0 4 1 2 G t ARCOXIA 120 MG TABLET 30 TAB
IBUPROFEN F 0 4 l n 0 5 1 1 G t IBUPROFEN 40 MG TABLET 100 TAB

F 0 4 l n 0 5 2 1 G b BUFECT 100 MG/5 ML SUSPENSI 60 ML 1 BTL
F 0 4 l n 0 5 2 2 G b BUFECT FORTE 200 MG/ 5ML SUSPENSI 50 ML 1 BTL
KALIUM DIKLOFENAK 50 MG TABLET F 0 4 l n 0 6 1 1 G t CATAFLAM 25 MG TABLET 50 TAB

F 0 4 l n 0 6 1 2 G t CATAFLAM 50 MG TABLET 50 TAB
F 0 4 l g 0 6 2 1 G t KALIUM DIKLOFENAK 50MG TABLET 50 TAB
F 0 4 l n 0 6 3 1 G t DIFLAM 25 MG TABLET 50 TAB
INDOMETACIN F 0 4 l n 0 7 1 1 G t DIALON 100 MG TABLET 100 TAB
PARACOXIB NA F 0 4 l n 0 8 1 1 G v DYNASTAT 40 MG INJEKSI 1 VIAL
METAMIZOLE NA + B1 + B6 + B12 F 0 4 l n 0 9 1 1 G t NEUROSANBE PLUS 500MG 100 TAB

F 0 4 l n 0 9 2 1 G t NEUROBAT A DAGREE TABLET 100 TAB
PER
BOX
PIROXICAM F 0 4 l g 1 0 1 1 G t PIROXICAM 10 MG TABLET 10 MG 100 TAB
F 0 4 l n 1 0 2 1 G t INFELD 20 MG TABLET 50 TAB
ASAM MEFENAMAT F 0 4 l g 1 1 1 1 G t ASAM MEFENAMAT 500 MG TABLET 100 TAB

F 0 4 l n 1 1 2 1 G t MEFINAL 250 MG TABLET 100 TAB
F 0 4 l n 1 1 2 2 G t MEFINAL 500 MG TABLET 100 TAB
F 0 4 l n 1 1 3 1 G t MEFINTER 250 MG TABLET 100 TAB
F 0 4 l n 1 1 3 2 G t MEFINTER 500 MG TABLET 100 TAB
KETOPROFEN F 0 4 l n 1 2 1 1 G s PROFENID 100 MG SUPPOSITORIA 10 SUPP

F 0 4 l n 1 2 2 1 G a PRONALGES 100 MG/2 ML INJEKSI 2 ML 10 AMP
F 0 4 l n 1 2 2 1 G t PRONALGES 50 MG TABLET 50 KAPS
F 0 4 l n 1 2 2 1 G s PRONALGES 100 MG SUPPOSITORIA 20 SUPP
F 0 4 l n 1 2 2 2 G t PRONALGES 100 MG TABLET 50 TAB
KETOROLAC TROMETHAMINE F 0 4 l g 1 3 1 1 G a KETOROLAC 30 MG/ML INJEKSI 6 AMP

F 0 4 l n 1 3 2 1 G a REMOPAIN 10 MG/ML INJEKSI 1 ML 5 AMP
F 0 4 l n 1 3 2 2 G a REMOPAIN 30 MG/ML INJEKSI 1 ML 5 AMP
F 0 4 l n 1 3 3 1 G a KETROBAT 10 MG/ML INJEKSI 1 ML 5 AMP
F 0 4 l n 1 3 3 2 G a KETROBAT 30 MG/ML INJEKSI 1 ML 5 AMP
DEXKETOPROFEN TROMETAMOL F 0 4 l n 1 4 1 1 G t KETESSE 25 MG TABLET 50 TAB

F 0 4 l n 1 4 1 1 G a KETESSE 50 MG/2 ML INJEKSI 5 AMP
F 0 4 l n 1 4 2 1 G a KEREN 50 MG/2 ML INJEKSI 5 AMP
CA PHENYLBUTAZONE 200 F 0 4 l n 1 5 1 1 G t NEW SKELAN TABLET 100 TAB

MG,CARISOPRODOL 125 MG
TINORIDINE HCL F 0 4 l n 1 6 1 1 G k NONFLAMIN 50 MG KAPSUL 60 KAPS
MELOXICAM F 0 4 l n 1 7 1 1 G t OSTELOX 7,5 MG TABLET 20 TAB

F 0 4 l n 1 7 1 2 G t OSTELOX 15 MG TABLET 20 TAB
F 0 4 l n 1 7 2 1 G t MELOXIN 7,5 MG TABLET 50 TAB
F 0 4 l n 1 7 2 2 G t MELOXIN 15 MG TABLET 50 TAB
PER
BOX
NATRIUM DIKLOFENAC F 0 4 l n 1 8 1 1 G u VOLTAREN GEL 10 GR 50 TUBE

F 0 4 l n 1 8 1 2 G u VOLTAREN GEL 20 GR 50 TUBE
F 0 4 l n 1 8 1 1 G t VOLTAREN 25 MG TABLET 1 TAB
F 0 4 l n 1 8 1 2 G t VOLTAREN 50 MG TABLET 1 TAB
F 0 4 l n 1 8 2 1 G t VOLTADEX 25 MG TABLET 50 TAB
F 0 4 l n 1 8 2 2 G t VOLTADEX 50 MG TABLET 50 TAB
4m. Drugs For

Neuropathic Pain
4n. Antimigraine ERGOTAMIN 1MG,CAFFEINE 100MG F 0 4 n n 0 1 1 1 G t ERICAF TABLET 30 TAB

Preparations
FLUNARIZIN F 0 4 n n 0 2 1 1 G t FREGO 5 MG TABLET 50 TAB

F 0 4 n n 0 2 1 2 G t FREGO 10 MG TABLET 50 TAB
SUMATRIPTAN SUCCINATE F 0 4 n n 0 3 1 1 g t TRIPTAGIC 100 MG TABLET 2 TAB
4p.Nootropics & MECOBALAMIN F 0 4 p n 0 1 1 1 G a INTERCO 500 Mcg/ML INJEKSI 5 AMP

Neurotonics F 0 4 p n 0 1 2 1 G t MEGABAL 500 MG TABLET 100 TAB
PIRACETAM F 0 4 p n 0 2 1 1 G t REVOLAN 400 MG TABLET 100 TAB

F 0 4 p n 0 2 2 1 G t PIRABRAIN 400 MG TABLET 60 TAB
F 0 4 p n 0 2 1 2 G t REVOLAN 800 MG TABLET 50 TAB
F 0 4 p n 0 2 2 2 G t PIRABRAIN 1200 MG TABLET 60 TAB
F 0 4 p n 0 2 1 3 G t REVOLAN 1200 TABLET 50 TAB
F 0 4 p n 0 2 2 1 G b PIRABRAIN SYRUP 1 BTL
F 0 4 p n 0 2 1 1 G a REVOLAN 1 GR INJEKSI 10 AMP
F 0 4 p g 0 2 3 1 G a PIRACETAM 1 GR/5ML INJEKSI 10 AMP
F 0 4 p n 0 2 2 1 G a PIRABRAIN 3GR INJEKSI 4 AMP
F 0 4 p n 0 2 1 2 G a REVOLAN 3 GR INJEKSI 5 AMP
F 0 4 p g 0 2 3 2 G a PIRACETAM 3 GR INJEKSI 10 AMP
PER
BOX
F 0 4 p n 0 2 4 1 G v NEUROPTAM INFUS 12GR 1 VIAL
5. MUSCULO-SKELETAL SYSTEM
5a.Disease-Modifying
Anti-Rheumatic
Drug(DMARDs)
5b.Hyperuricemia & ALLOPURINOL F 0 5 b n 0 1 1 1 G t ZYLORIC 100 MG TABLET 60 TAB

Gout Preparation
F 0 5 b g 0 1 2 1 G t ALLOPURINOL 100 MG TABLET 100 TAB
F 0 5 b n 0 1 3 1 G t ISORIC 100 MG TABLET 100 TAB
F 0 5 b n 0 1 1 2 G t ZYLORIC 300 MG TABLET 30 TAB
F 0 5 b n 0 1 3 2 G t ISORIC 300 MG TABLET 50 TAB
5c. Muscle Relaxants EPERISON F 0 5 c n 0 1 1 1 G t EPRINOC 50 MG TABLET 100 TAB

F 0 5 c n 0 1 2 1 G t MYOBAT 50 MG TABLET 50 TAB
ATRACURIUM BESYLATE F 0 5 c n 0 2 2 1 G a TRAMUS 10 MG/ML INJEKSI 2,5ML 5 AMP

F 0 5 c n 0 2 2 2 G a TRAMUS 10 MG/ML INJEKSI 5ML 5 AMP
5d. Anti-Inflamatory
Enzymes
5e. Neuromuscular NEOSTIGMINE METHYLSULFATE F 0 5 e n 0 1 1 1 G a NEOSTIGMIN HAMELN 0,5MG/ML INJEKSI 5 AMP

Disorder Dugs
5f. Other Drugs Acting DIACEREIN F 0 5 f n 0 1 1 1 G t ARTRODAR 50 MG TABLET 50 TAB

on Musculo-Skeletal
System
N ACETYL GLUCOSAMINE 1MG, MINT F 0 5 f n 0 2 1 1 G u FITAJOIN ROLLER GEL BOX
CONC 332MG, ALOE VERA 30MG, VIT E 1
1MG, LAVENDER OIL 22MG
GLUCOSAMIN, CHONDROITIN SULFATE F 0 5 f n 0 3 1 1 G t FLEXOR DS CAPLET 60 KAPL

F 0 5 f n 0 3 2 1 G t OA FORTE CAPL 50 KAPL
F 0 5 f n 0 3 3 1 G u MEDIFLEX CREAM 1 TUBE
PER
BOX
NA HYALURONAT F 0 5 f n 0 4 2 1 G a HYALGAN 10 MG/ML INJEKSI 2ML 1 BOX
F 0 5 f n 0 4 2 1 G a LYDIUM 25 MG/2,5 ML INJEKSI 1 BOX
6. HORMONES
6a. Androgens & F 0 6 a n 0 1 1 1 G a SUSTANON 250MG/ML INJEKSI AMP
Related Synthetic 1
Drugs
6b. Estrogens & 11 TAB EACH CONTAINING ESTRADIOL F 0 6 b n 0 1 1 1 G t CYCLO - PROGYNOVA TAB
Progesterones & VALERATE 2 MG, 10 TAB EACH
21
Related Synthetic CONTAINING ESTRADIOL VALERATE 2
Drugs MG NORGESTREL 0.5 MG
PROGESTERON F 0 6 b n 0 2 1 1 G s CYGEST 200 MG OVULA 15 SUPP

F 0 6 b n 0 2 1 2 G s CYGEST 400 MG OVULA 15 SUPP
F 0 6 b n 0 2 2 1 G t UTEROGESTAN 200MG TABLET 30 TAB
DYDROGESTERONE F 0 6 b n 0 3 1 1 G t DUPHASTON TABLET 20 TAB
ALLYLESTRENOL F 0 6 b n 0 4 1 1 G t PREGNOLIN 5 MG TABLET 50 TAB

F 0 6 b n 0 4 2 1 G t PRESTRENOL 5 MG TABLET 50 TAB
F 0 6 b n 0 4 3 1 G t PREABOR 30 TAB
NORETHISTERONE F 0 6 b n 0 5 1 1 G t REGUMEN 5 MG TABLET 30 TAB

F 0 6 b n 0 5 2 1 G t PRIMOLUT N 5 MG TABLET 30 TAB
6c. Combined Sex

Hormones
6d. Corticosteroid TRIAMCINOLONE ACETONIDE F 0 6 d n 0 1 1 1 G v FLAMICORT IA/ID 10MG/ML INJEKSI 5ML 1 VIAL
Hormones F 0 6 d n 0 1 1 1 G v FLAMICORT IM 40MG/ML INJEKSI 1ML 1 VIAL
F 0 6 d n 0 1 1 1 G t KENACORT 4 MG TABLET 100 TAB
DEXAMETHASONE F 0 6 d g 0 2 1 1 G t DEXAMETHASONE 0.5 MG 100 TAB

F 0 6 d g 0 2 1 1 G a DEXAMETHASONE INJEKSI 100 AMP
F 0 6 d n 0 2 2 1 G t INDEXON 0,5 MG TABLET 100 TAB
DEXAMETHASONE
PER
BOX
F 0 6 d n 0 2 2 1 G a INDEXON 0,5 MG/ML INJEKSI 5 AMP
F 0 6 d n 0 2 3 1 G t CORTIDEX 0,5 MG TABLET 100 TAB
F 0 6 d n 0 2 3 1 G a CORTIDEX 0,5MG/ML INJEKSI 10 AMP
F 0 6 d n 0 2 4 1 G t DEXA M 0,75 MG TABLET 150 TAB
METHYL PREDNISOLONE F 0 6 d g 0 3 1 1 G t METHYL PREDNISOLONE 4MG 100 TAB

F 0 6 d n 0 3 2 1 G t INTIDROL 4 MG TABLET 50 TAB
F 0 6 d n 0 3 3 1 G t SANEXON 4 MG TABLET 100 TAB
F 0 6 d n 0 3 2 2 G t INTIDROL 16 MG TABLET 20 TAB
F 0 6 d n 0 3 4 1 G t LAMESON 16 MG TABLET 100 TAB
F 0 6 d n 0 3 1 1 G v METHYLPREDNISOLON 125 INJEKSI 1 VIAL
F 0 6 d n 0 3 3 1 G v SANEXON 125 MG INJEKSI 1 VIAL
F 0 6 d n 0 3 4 1 G v LAMESON 125 MG INJEKSI 1 VIAL
METHYLPREDNISOLON ACETAT F 0 6 d n 0 4 1 1 G v DEPO MEDROL 40MG/ML INJEKSI 1 VIAL
PREDNISON 5 MG TABLET F 0 6 d n 0 5 1 1 G t PREDNISON 5 MG TABLET 1000 TAB
6e. Trophic Hormones CLOMIFENE CITRATE F 0 6 e n 0 1 1 1 G t PROFERTIL 50 MG TABLET 10 TAB

& Related Synthetic F 0 6 e n 0 2 1 1 G t PROVULA 50 MG TABLET 30 TAB
Drugs
F 0 6 e n 0 3 1 1 G t FERTIN 50 MG TABLET 10 TAB
6f. Anabolic Agents
6g. Other Drugs

Affecting Hormonal
Regulation
7. CONTRACEPTIVE AGENTS
7a. Oral ETHINYL ESTRADIOL + CYPROTERONE F 0 7 a n 0 1 1 1 G t DIANE 35 ISI 21 TABLET 21 TAB
Contraceptives ACETATE
7a. Oral
Contraceptives PER
BOX
ETHINYLESTRADIOL + F 0 7 a n 0 2 1 1 G t MICROGYNON LIMAS ISI 28 TABLET 28 TAB
LEVONORGESTREL
DROSPIRENONE + ETHINYLESTRADIOL F 0 7 a n 0 3 1 1 G t YASMIN ISI 21TABLET 21 TAB
LEVONORGESTREL 0.003 F 0 7 a n 0 4 1 1 G t MICROLUT TABLET 35 TAB
7b. Depot MEDROXYPROGESTERON ACETATE F 0 7 b n 0 1 1 1 G v DEPO PROGESTIN 150MG/ML INJEKSI 1 ML 20 VIAL

Contraceptives
MEDROXYPROGESTERON ACETATE + F 0 7 b n 0 2 1 1 G v CYCLOFEM 50 MG/5 ML INJEKSI 1 ML 20 VIAL

ESTRADIOL CYPIONATE
7c. Other COPPER IUD F 0 7 c n 0 1 1 1 G a COPPER T LIBI 1 PCS

Contraceptives F 0 7 c n 0 1 2 1 G a COPPER T LIMAS 1 PCS
F 0 7 c n 0 1 3 1 G a NOVA T CU 200 AG 1 PCS
F 0 7 c n 0 1 4 1 G a KONDOM SUTRA 12'S 12 PCS
8. ANTI-INFECTIVES (SYSTEMIC)
8a. Aminoglycosides GENTAMICIN SULFATE F 0 8 a g 0 1 1 1 G a GENTAMICIN INJEKSI 5 AMP
F 0 8 a n 0 1 2 1 G a SALTICIN 80 MG/2 ML INJEKSI 2 ML 5 AMP
F 0 8 a n 0 1 3 1 G a SAGESTAM 40 MG/ML INJEKSI 2 ML 5 AMP
8b. Cephalosporins Generasi 1

CEFADROXIL F 0 8 b g 0 1 1 1 G t CEFADROXIL 500 MG TABLET 100 TAB
F 0 8 b n 0 1 2 1 G k CEFAT 250 MG KAPSUL 100 KAPS
F 0 8 b n 0 1 2 2 G k CEFAT 500 MG KAPSUL 100 KAPS
F 0 8 b n 0 1 3 1 G k SEDROFEN 500 MG KAPSUL 30 KAPS
F 0 8 b n 0 1 2 1 G b CEFAT 125 MG/5 ML SYRUP 60ML 1 BTL
F 0 8 b n 0 1 3 1 G b SEDROFEN 125 MG/5 ML SYRUP 60 ML 1 BTL
F 0 8 b n 0 1 2 2 G b CEFAT 250 MG/5 ML SYRUP 60ML 1 BTL
F 0 8 b n 0 1 3 2 G b SEDROFEN 250 MG/5 ML SYRUP 60 ML 1 BTL
Generasi 2
PER
BOX
CEFUROXIME F 0 8 b n 0 2 1 1 G t ANBACIM 500 MG TABLET 20 TAB
F 0 8 b n 0 2 2 1 G t SITUROXIME 500 MG TABLET 30 TAB
Generasi 3
CEFEPIME F 0 8 b n 0 3 1 1 G v INTERPIME 1 GR INJEKSI 1 VIAL
F 0 8 b g 0 3 2 1 G v CEFEPIME 1 GR INJEKSI 2 VIAL
CEFPIROME SULFATE F 0 8 b n 0 4 1 1 G v BACTIROM 1 GR INJEKSI 1 VIAL

F 0 8 b n 0 4 2 1 G v INTEROME 1 GR INJEKSI 1 VIAL
CEFPODOXIME PROXETIL F 0 8 b n 0 5 1 1 G t BANADOZ 100 MG TABLET 30 TAB

F 0 8 b n 0 5 1 2 G t BANADOZ 200 MG TABLET 30 TAB
CEFIXIME F 0 8 b n 0 6 1 1 G k SPORETIK 50 MG KAPSUL 30 KAPS

F 0 8 b n 0 6 1 2 G k SPORETIK 100 MG KAPSUL 30 KAPS
F 0 8 b g 0 6 2 1 G k CEFIXIME 100 M KAPSUL 30 KAPS
F 0 8 b n 0 6 3 1 G k CEPTIK 100 MG KAPSUL 100 KAPS
F 0 8 b n 0 6 3 2 G k CEPTIK 200 MG KAPSUL 10 KAPS
F 0 8 b n 0 6 3 1 G b CEPTIK 100MG/5ML SYRUP 30ML 1 BTL
F 0 8 b n 0 6 4 1 G k STARCEF 50 MG KAPSUL 30 KAPS
F 0 8 b n 0 6 4 2 G b STARCEF 100MG/5ML SYRUP 30ML 1 BTL
CEFTRIAXONE F 0 8 b g 0 7 1 1 G v CEFTRIAXONE 1 GR INJEKSI 10 VIAL

F 0 8 b n 0 7 2 1 G v STARXON 1 GR INJEKSI 1 VIAL
F 0 8 b n 0 7 3 1 G v TERFACEF 1 GR INJEKSI 1 VIAL
F 0 8 b n 0 7 4 1 G v TRICEFIN 1 GR INJEKSI 1 VIAL
CEFTAZIDIME PENTAHYDRAT F 0 8 b n 0 8 1 1 G v ZIDIFEC I GR INJEKSI 1 VIAL

F 0 8 b n 0 8 2 1 G v EXTIMON 1 GR INJEKSI 1 VIAL
CEFOTAXIME F 0 8 b g 0 9 1 1 G v CEFOTAXIME 1 GR INJEKSI 1 VIAL

F 0 8 b n 0 9 2 1 G v TAXEGRAM 1 GR INJEKSI 1 VIAL
CEFOTAXIME
PER
BOX
F 0 8 b n 0 9 2 2 G v TAXEGRAM 0,5 GR INJEKSI 1 VIAL
F 0 8 b n 0 9 3 1 G v RYCEF 1 GR INJEKSI 1 VIAL
CEFOPERAZONE F 0 8 b n 1 0 1 1 G v FERZOBAT 1 GRAM INJEKSI 1 VIAL
CEFOPERAZONE 500 MG,SULBACTAM 500 F 0 8 b n 1 1 1 1 G v CEFOBACTAM 1 GRAM INJEKSI 1 VIAL

MG
CEFTIZOXIME F 0 8 b n 1 2 1 1 G v EZOX 1 GRAM INJEKSI 1 VIAL
8c. Penicillins AMPICILLIN F 0 8 c n 0 1 1 1 G k SANPICILLIN 250 MG KAPSUL 100 KAPS

F 0 8 c n 0 1 1 2 G k SANPICILLIN 500 MG KAPSUL 100 KAPS
F 0 8 c n 0 1 1 1 G b SANPICILLIN 125MG/5ML SYRUP 1 BTL
F 0 8 c n 0 1 1 1 G v SANPICILLIN INJEKSI 1 VIAL
AMOXYCILLIN F 0 8 c g 0 2 1 1 G t AMOXICILLIN 500 MG TABLET 100 TAB

F 0 8 c g 0 2 1 1 G b AMOXICILLIN 125 MG/5 ML DRY SIRUP 60 ML 1 BTL
F 0 8 c n 0 2 2 1 G k AMOXSAN 250 MG KAPSUL 100 KAPS
F 0 8 c n 0 2 2 2 G k AMOXSAN 500 MG KAPSUL 100 KAPS
F 0 8 c n 0 2 2 1 G v AMOXSAN 1 GRAM INJEKSI 1 VIAL
F 0 8 c n 0 2 2 1 G b AMOXSAN 100 MG/ML DROPS (DRY SIRUP) 15 ML 1 BTL
F 0 8 c n 0 2 2 2 G b AMOXSAN 125 MG/5 ML DRY SIRUP 60 ML 1 BTL

F 0 8 c n 0 2 2 3 G b AMOXSAN FORTE 250 MG/5ML DRY SIRUP 60 ML 1 BTL
F 0 8 c n 0 2 3 1 G k INTERMOXIL 500 MG KAPSUL 100 KAPS

F 0 8 c n 0 2 3 2 G v INTERMOXIL 1 GRAM INJEKSI 1 VIAL
F 0 8 c n 0 2 3 1 G b INTERMOXIL 125 MG/5 ML DRY SIRUP 60 ML 1 BTL
F 0 8 c n 0 2 3 2 G b INTERMOXIL FORTE 250 MG/5ML DRY SIRUP 60 1 BTL
ML
AMOXYCILLIN + CLAVULANIC ACID F 0 8 c n 0 3 1 1 G k CLANEKSI KAPSUL 30 KAPS

F 0 8 c n 0 3 1 1 G b CLANEKSI 125 MG/5 ML SIRUP 60 ML 1 BTL
F 0 8 c n 0 3 1 2 G b CLANEKSI FORTE 250 MG/5 ML SIRUP 60 ML 1 BTL
F 0 8 c n 0 3 2 1 G t CLABAT 250 MG KAPLET 15 KAPL
F 0 8 c n 0 3 2 2 G t CLABAT 500 MG KAPLET 20 KAPL
PER
BOX
F 0 8 c n 0 3 2 1 G b CLABAT 125 MG/5 ML SYRUP 60ML 1 BTL
F 0 8 c n 0 3 2 2 G b CLABAT FORTE 250 MG/5ML SYRUP 60 ML 1 BTL
8d. Other Beta- MEROPENEM F 0 8 d n 0 1 1 1 G v MEROPENEM 0,5 GR INJEKSI 1 VIAL

Lactams F 0 8 d n 0 1 1 2 G v MEROPENEM 1 GR INJEKSI 1 VIAL
F 0 8 d n 0 1 2 1 G v MEROSAN 0.5 GR INJEKSI 1 VIAL
F 0 8 d n 0 1 2 2 G v MEROSAN 1 GR INJEKSI 1 VIAL
F 0 8 d n 0 1 3 1 G v TRIPENEM I GR INJEKSI 1 VIAL
F 0 8 d n 0 1 4 1 G v MEROBAT 1 GR INJEKSI 1 VIAL
8e. Chloramphenicols CHLORAMPHENICOL F 0 8 e n 0 1 1 1 G k COLME 250 MG KAPSUL 100 KAPS

F 0 8 e n 0 1 1 1 G b COLME 125 MG/5 ML SIRUP 60 ML 1 BTL
THIAMPHENICOL F 0 8 e n 0 2 1 1 G t DEXYCOL 500 MG KAPLET 100 KAPL

F 0 8 e n 0 2 2 1 G b BIOTHICOL FORTE 250 MG/5 ML SYRUP 1 BTL
8f. Macrolides AZITHROMYCIN DIHYDRATE F 0 8 f n 0 1 1 1 G k ZYCIN 250 MG KAPSUL 8 KAPS

F 0 8 f n 0 1 1 2 G k ZYCIN 500 MG KAPSUL 3 KAPS
F 0 8 f n 0 1 2 1 G b AZOMAX 200 MG/5 ML SYRUP 15 ML 1 BTL
F 0 8 f n 0 1 3 1 G b ZITHROMAX 200 MG/5 ML SYRUP 15 ML 1 BTL
F 0 8 f n 0 1 4 1 G k MEZATRIN 250 MG KAPSUL 30 KAPS
ERYTROMYCIN F 0 8 f n 0 2 1 1 G k ERYTHRIN 250 MG KAPSUL 100 KAPS

F 0 8 f n 0 2 1 2 G k ERYTHRIN 500 MG KAPSUL 50 KAPS
F 0 8 f n 0 2 1 1 G b ERYTHRIN 200 MG/5 ML SYRUP 1 BTL
F 0 8 f n 0 2 2 1 G k ERYSANBE 500 MG KAPSUL 100 BTL
F 0 8 f n 0 2 2 1 G b ERYSANBE 200 MG/5 ML SYRUP 1 BTL
8g. Quinolones CIPROFLOXACIN F 0 8 g g 0 1 1 1 G t CIPROFLOXACIN 500 MG TABLET 100 TAB

F 0 8 g n 0 1 2 1 G t BAQUINOR FORTE 500 MG TABLET 20 TAB
F 0 8 g n 0 1 3 1 G t INTERFLOXACIN 500 MG TABLET 12 TAB
F 0 8 g n 0 1 3 2 G t INTERFLOXACIN 250 MG TABLET 30 TAB
F 0 8 g n 0 1 2 1 G y BAQUINOR 200MG/100ML INFUS 1 INF
F 0 8 g n 0 1 4 1 G y RENATOR 200MG/200 ML INFUS 1 INF
PER
BOX
LEVOFLOXACIN F 0 8 g n 0 2 1 1 G t VOLEQUIN 500 MG TABLET 30 TAB

F 0 8 g n 0 2 2 1 G t CRAVOX 500 MG TABLET 10 TAB
F 0 8 g n 0 2 3 1 G t LEVOCIN 500 MG TABLET 18 TAB
F 0 8 g n 0 2 4 1 G t VOLOX 500 MG TABLET 10 TAB
F 0 8 g n 0 2 5 1 G t LEVOCIN 500 MG/100 ML INFUS 1 INF
F 0 8 g n 0 2 1 1 G y VOLEQUIN 500 MG/100 ML INFUS 1 INF
F 0 8 g n 0 2 6 1 G y CRAVIT 750 MG/150 ML INFUS 1 INF
F 0 8 g n 0 2 7 1 G y CRAVOX 750 MG/150 ML INFUS 1 INF
OFLOXACIN F 0 8 g n 0 3 1 1 G t AKILEN 200 MG TABLET 30 TAB

F 0 8 g n 0 3 1 2 G t AKILEN 400 MG TABLET 30 TAB
MOXIFLOXACIN F 0 8 g n 0 4 1 1 G k ZYGAT 400 MG KAPSUL 10 KAPS
8h. Tetracyclines DOXYCYCLINE F 0 8 h n 0 1 1 1 G k INTERDOXIN 50 MG KAPSUL 20 KAPS

F 0 8 h n 0 1 1 2 G k INTERDOXIN 100 MG KAPSUL 20 KAPS
TETRACYCLINE F 0 8 h n 0 2 1 1 G k TETRIN 25O MG KAPSUL 100 KAPS

F 0 8 h n 0 2 1 2 G k TETRIN 500 MG KAPSUL 100 KAPS
8i.Sulphonamide
8j. Antibacterial SULFAMETHOXAZOLE + TRIMETHOPRIM F 0 8 j n 0 1 1 1 G t PRIMADEX TABLET 100 TAB

Combinations F 0 8 j n 0 1 1 2 G t PRIMADEX FORTE TABLET 100 TAB
F 0 8 j n 0 1 1 1 G b PRIMADEX SYRUP 60 ML 1 BTL
F 0 8 j n 0 1 2 1 G t TRIMOXSUL TABLET 100 TAB
F 0 8 j n 0 1 2 2 G t TRIMOXSUL FORTE TABLET 100 TAB
F 0 8 j n 0 1 3 1 G t SANPRIMA 400/80 MG ADULT TABLET 100 TAB
F 0 8 j n 0 1 3 1 G b SANPRIMA 200;40 MG/5 ML SIRUP 60 ML 1 BTL
8k. Other Antibiotics CLINDAMYCIN F 0 8 k g 0 1 1 1 G k CLINDAMYCIN 150 MG KAPSUL 100 KAPS

F 0 8 k g 0 1 1 2 G k CLINDAMYCIN 300 MG KAPSUL 30 KAPS
F 0 8 k n 0 1 2 1 G k CLINIUM 300 MG KAPSUL 100 KAPS
8k. Other Antibiotics CLINDAMYCIN
PER
BOX
F 0 8 k n 0 1 2 2 G k CLINIUM 150 MG KAPSUL 100 KAPS
F 0 8 k n 0 1 3 1 G k PROLIC 300 MG KAPSUL 100 KAPS
LINCOMYCIN F 0 8 k n 0 2 1 1 G k NOLIP0 500 MG KAPSUL 100 KAPS
8l. Anti-TB Agents RIFAMPICIN + ISONIAZID F 0 8 l n 0 1 1 1 G t RIMSTAR 4-FDC TABLET 30 TAB

F 0 8 l n 0 1 2 1 G t RIMACTAZID 450/300 MG TABLET 30 TAB
8m.Antileprotic
8n. Antifungals NYSTATIN F 0 8 n n 0 1 1 1 G b MYCOSTATIN 100.000 IU/ML ORAL DROPS 12 ML 1 BTL
F 0 8 n n 0 1 2 1 G b NYMIKO 100,000 IU/ML 0RAL DROPS 12 ML 1 BTL
FLUCONAZOLE F 0 8 n n 0 2 1 1 G k DIFLUCAN 50 MG KAPSUL 10 KAPS

F 0 8 n n 0 2 1 2 G k DIFLUCAN 150 MG KAPSUL 5 KAPS
F 0 8 n n 0 2 1 1 G y DIFLUCAN 2 MG/ML INFUSAN 100 ML 1 BTL
F 0 8 n n 0 2 2 1 G t GOVAZOL 150 MG KAPSUL 3 KAPS
KETOCONAZOL F 0 8 n n 0 3 1 1 G t DEXAZOL 200 MG TAB 50 TAB

F 0 8 n n 0 3 2 1 G t INTERZOL 200 MG TABLET 50 TAB
TERBINAFINE F 0 8 n n 0 4 1 1 G t INTERBI 250 MG TABLET 12 TAB
ITRACONAZOL F 0 8 n n 0 5 1 1 G k SPORACID 100 MG KAPSUL 10 KAPS

F 0 8 n n 0 5 2 1 G k SPORAX 100 MG KAPSUL 30 KAPS
F 0 8 n n 0 5 3 1 G k SPYROCON 100 MG KAPSUL 12 KAPS
8p. Antivirals ACYCLOVIR F 0 8 p g 0 1 1 1 G t ACYCLOVIR 400 MG TABLET 100 TAB

F 0 8 p g 0 1 1 2 G t ACYCLOVIR 200 MG TABLET 30 TAB
F 0 8 p n 0 1 2 1 G t ZOTER 200 MG TABLET 25 TAB
F 0 8 p n 0 1 2 2 G t ZOTER 400 MG TABLET 12 TAB
PER
BOX
VALACYCLOVIR F 0 8 p n 0 2 1 1 G t INCLOVIR 500 MG KAPLET 42 KAPL
METHISOPRINOL F 0 8 p n 0 3 1 1 G t ISOPRINOSIN 500 MG TABLET 8 TAB

F 0 8 p n 0 3 1 1 G b ISOPRINOSINE 250 MG/5 ML SIRUP 60 ML 1 BTL
8q. Anthelmintics PYRANTEL PAMOATE F 0 8 q n 0 1 1 1 G t COMBANTRIN 250 MG TABLET 25 TAB

F 0 8 q n 0 1 1 1 G b COMBANTRIN ORANGE 125 MG/5 ML SIRUP 10 ML 1 BTL
F 0 8 q n 0 1 2 1 G t VERMOX 500 MG TABLET 24 TAB
8r. Antimalarials KLOROKUIN PHOSFAT F 0 8 r n 0 1 1 1 G t RESOCHIN 250 MG TABLET 200 TAB

F 0 8 r n 0 1 2 1 G t RIBOQUIN 250 MG TABLET 200 TAB
QUININ HCL F 0 8 r n 0 2 1 1 G a QUININ HCL INJEKSI 100 AMP
PYRHIMETHAMINE,SULFODAXINE F 0 8 r n 0 3 1 1 G t SULDOX TABLET 60 TAB
PRIMAKUIN F 0 8 r n 0 4 1 1 G t PRIMAKUN TABLET 50 TAB
8s. Antiamoebics METRONIDAZOLE F 0 8 s g 0 1 1 1 G t METRONIDZOL 500 MG TABLET 100 TAB

F 0 8 s g 0 1 1 1 G y METRONIDAZOL 5MG/ML INFUS 100 ML 1 INF
F 0 8 s n 0 1 2 1 G t TRICHODAZOL 500 MG TABET 100 TAB
F 0 8 s n 0 1 2 1 G y TRICHODAZOL 500 MG/100 ML INFUS 100 ML 1 INF
F 0 8 s n 0 1 2 1 G s TRICHODAZOLE SUPP 5 SUPP

F 0 8 s n 0 1 3 1 G t FLADEX 500 MG TABLET 100 TAB
F 0 8 s n 0 1 3 1 G y FLADEX 500 MG/100 ML INFUS 1 INF
F 0 8 s n 0 1 3 1 G s FLADEX SUPP 0,5 GR 10 SUPP
9. ONCOLOGY
9a. Cytotoxic
Chemotherapy
9b. Hormonal LEUPROLIDE ACETATE F 0 9 b n 0 1 1 1 G v ENDROLIN 3.75 MG INJEKSI 1 ML 1 VIAL

Chemotherapy F 0 9 b n 0 1 2 1 G v TAPROS 3,75 MG INJEKSI 2ML 1 VIAL
9b. Hormonal
PER
Chemotherapy
BOX
MEDROXYPROGESTERONE ACETATE F 0 9 b n 0 2 1 1 G v DEPO PROGESTIN 150 MG/ML INJEKSI 1 ML 20 VIAL
MEDROXYPROGESTERONE ACETATE + F 0 9 b n 0 3 1 1 G v CYCLOFEM 50 MG/5 ML INJEKSI 1 ML 20 VIAL

ESTRADIOL CYPIONATE
MEDROXYPROGESTERONE ACETATE F 0 9 b n 0 4 1 1 G t PROVERA 10 MG TABLET 100 TAB
9c.Immunological
Chemoterapy
9d.Targeted Cancer
Therapy
9e. Supportive Care ONDANSETRON F 0 9 e n 0 1 1 1 G t ONDANCETRON 8 MG TABLET TAB

Therapy F 0 9 e n 0 1 2 1 G t INVOMIT 4 MG FILM COATED TABLET 18 TAB
F 0 9 e n 0 1 2 2 G t INVOMIT 8 MG FILM COATED TABLET 18 TAB
F 0 9 e n 0 1 2 2 G a ONDANCETRON 2 MG/ML INJEKSI 2 ML AMP
F 0 9 e n 0 1 2 2 G a INVOMIT 2 MG/ML INJEKSI 2 ML 5 AMP
F 0 9 e n 0 1 3 1 G a VOMETRAZ 2 MG/ML INJEKSI 2 ML 5 AMP
F 0 9 e n 0 1 2 2 G a INVOMIT 2 MG/ML INJEKSI 4 ML 5 AMP
F 0 9 e n 0 1 3 2 G a VOMETRAZ 2 MG/ML INJEKSI 4ML 5 AMP
TRAMADOL F 0 9 e g 0 2 1 1 G k TRAMADOL 50 MG KAPSUL 50 KAPS

F 0 9 e g 0 2 1 1 G a TRAMADOL 50 MG /ML INJEKSI 2 ML 10 AMP
F 0 9 e n 0 2 2 1 G s TRAMAL 100 MG SUPPOSITORIA 10 SUPP
F 0 9 e n 0 2 2 1 G a TRAMAL 100 MG/2 ML INJEKSI 2 ML 5 AMP
F 0 9 e n 0 2 2 2 G k TRAMAL 50 MG KAPSUL 50 KAP
F 0 9 e n 0 2 2 2 G a TRAMAL 50 MG/ML INJEKSI 1 ML 5 AMP
F 0 9 e n 0 2 3 1 G t TRADYL 50 MG TABLET 50 TAB
F 0 9 e n 0 2 3 1 G a TRADYL 100 MG /2 ML INJEKSI 5 AMP
10. GENITO-URINARY SYSTEM

10a. Preparations for CLOTRIMAZOLE F 1 0 a n 0 1 1 1 G s CANESTEN 100 MG VAGINAL TABLET 6 VAG.TAB
Vaginal Conditions
10a. Preparations PER
KLAS TERAPI for CLOTRIMAZOLEZAT AKTIF KODE PRODUK SEDIAAN
Vaginal Conditions BOX
F 1 0 a n 0 1 1 2 G s CANESTEN SD 500 MG VAGINAL TABLET 1 VAG.TAB
METRONIDAZOLE, NYSTATIN F 1 0 a n 0 2 1 1 G s FLADYSTIN OVULA 10 OVULA

F 1 0 a n 0 2 2 1 G s TRICHODAZOLE OVULA 5 OVULA
10b. Urinary PIPEMIDIC ACID TRIHYDRATE F 1 0 b n 0 1 1 1 G t URINTER 400 MG KAPLET 100 KAPL
Antiseptics
ASAM URSEDEOXYCHOLIC 250 MG F 1 0 b n 0 2 1 1 G t URSOLIC 250 MG KAPLET 30 KAPL
10c. Drugs Acting on ISOXSUPRINE HCL F 1 0 c n 0 1 1 1 G a DUVADILAN 10 MG/2 ML INJEKSI 2 ML 5 AMP

the Uterus F 1 0 c n 0 1 1 1 G t DUVADILAN 20 MG TABLET 50 TAB
F 1 0 c n 0 1 2 1 G t HYSTOLAN 20 MG TABLET 50 TAB
METHYLERGOMETRINE HYDROGEN F 1 0 c n 0 2 1 1 G t METHERGIN 0.125 MG TABLET 100 TAB

MALEATE
F 1 0 c n 0 2 1 1 G a METHERGIN 0.2 MG/ML INJEKSI 1 ML 10 AMP
METHYLERGOMETRINE MALEATE F 1 0 c n 0 3 1 1 G a POSPARGIN 0.2 MG/ML INJEKSI 1 ML 10 AMP
OXYTOCIN F 1 0 c n 0 4 1 1 G a OXYTOCIN 10 IU/ML INJEKSI 1 ML 100 AMP
10d. Drugs for Erectile SILDENAFIL CITRATE F 1 0 d n 0 1 1 1 G t VIAGRA 100 MG TABLET 4 TAB
Dysfunction
10e. Drugs for Bladder DUTASTERIDE F 1 0 e n 0 1 1 1 G k AVODART 0,5 MG KAPSUL 30 KAP

& Prostate Disorders
TAMSULOSIN HCL F 1 0 e n 0 2 1 1 G t HARNAL D 0,2 MG TABLET 28 TAB

F 1 0 e n 0 2 1 2 G t HARNAL D 0CAS 0,4 MG TABLET 30 TAB
DISTIGMIN BROMIED F 1 0 e n 0 3 1 1 G t UBRETID 5 MG TABLET 30 TAB
FINASTERIDE F 1 0 e n 0 4 1 1 G t PROSTACOM TABLET 30 TAB

F 1 0 e n 0 4 2 1 G t FINPRO 5 MG TABLET 30 TAB
PER
BOX
SOLIFENACINE SUCCINATE F 1 0 e n 0 5 1 1 G t VESICARE 10 MG TABLET 30 TAB
10f. Other Drugs KETO ISOLEUCINE CA SALT,KETO F 1 0 f n 0 1 1 1 G t AMINORAL KAPLET KAPL

Acting on the Genito- LEUCIN,KETO PHENYLALANIN,KETO 100
Urinary System VALLINE
11. ENDOCRINE & METABOLIC SYSTEM

11a. Insulin INSULIN F 1 1 a n 0 1 1 1 G a HUMULIN R 100 IU / ML INJEKSI 3 ML 5 AMP
Preparations
INSULIN GLUISINE F 1 1 a n 0 2 1 1 G a APIDRA 100 IU / ML 5 AMP
INSULIN ASPART F 1 1 a n 0 3 1 1 G a NOVORAPID FLEXPEN 5 AMP
INSULIN GLARGINE F 1 1 a n 0 4 1 1 G a LANTUS SOLOSTAR 100 IU / ML 5 AMP
INSULIN ASPART 30%, PROTAMINED F 1 1 a n 0 5 1 1 G a NOVOMIX FLEXPEN 100 IU / ML AMP

5
INSULIN ASPART 70%
INSULINE GLARGINE, ZINC CHLORIDE, M- F 1 1 a n 0 6 1 1 G a LANTUS SOLOSTAR FLEXPEN AMP

CRESOL 5
11b. Antidiabetic SULFONIL UREA

Agents ACARBOSE F 1 1 b n 0 1 1 1 G t GLUCOBAY 50 MG TABLET 50 TAB
F 1 1 b n 0 1 1 2 G t GLUCOBAY 100 MG TABLET 50 TAB
GLIMEPIRIDE F 1 1 b n 0 2 1 1 G t ANPIRIDE 1 MG TABLET 50 TAB

F 1 1 b n 0 2 1 2 G t ANPIRIDE 2 MG TABLET 50 TAB
F 1 1 b n 0 2 2 1 G t AMARYL 1 MG TABLET 50 TAB
F 1 1 b n 0 2 3 1 G t FRILADAR 1 MG TABLET 50 TAB
PER
BOX
GLICLAZIDE F 1 1 b n 0 3 1 1 G t GLUKOLOS 80 MG TABLET 100 TAB
GLIBENCLAMIDE F 1 1 b g 0 4 1 1 G t GLIBENCLAMIDE 5 MG TABLET 100 TAB

F 1 1 b n 0 4 2 1 G t DAONIL 5 MG TABLET 100 TAB
METFORMIN F 1 1 b g 0 5 1 1 G t METFORMIN 500 MG TABLET 100 TAB

F 1 1 b n 0 5 2 1 G t FORBETES 500 MG TABLET 100 TAB
F 1 1 b n 0 5 2 2 G t FORBETES 850 MG TABLET 100 TAB
F 1 1 b n 0 5 3 1 G t GLUDEPATIC 500 MG TABLET 100 TAB
METFORMIN, VIDAGLIPTIN F 1 1 b n 0 6 1 1 G t GALVUSMET 50 / 500 MG TABLET 30 TAB

F 1 1 b n 0 6 1 2 G t GALVUSMET 50 / 850 MG TABLET 30 TAB
THIAZOLINDINDIONE
PIOGLITAZONE (+METFORMIN) F 1 1 b n 0 7 1 1 G t ACTOS 15 MG TABLET 14 TAB
11c. Thyroid L-THYROXINE NA F 1 1 c n 0 1 1 1 G t THYRAX 100 MCG TABLET 100 TAB

Hormones
11d. Antithyroid THIAMAZOLE F 1 1 d n 0 1 1 1 G t THYROZOL 5 MG TABLET 100 TAB

Agents
11e. Anti-Obesity
Agents
11f. Agents Affecting RISEDRONATE NA F 1 1 f n 0 1 1 1 G t ACTONEL 35 MG TABLET 4 TAB

Bone Metabolism
IBANDROID ACID F 1 1 f n 0 2 1 1 G a BONVIVA 3 MG / 3 ML SYRINGE 1 SYRINGE

F 1 1 f n 0 2 1 1 G t BONVIVA TABLET 1 TAB
CALCITRIOL F 1 1 f n 0 3 1 1 G k KOLKATRIOL 0,25 MCG CAPSUL 30 KAPS

PER
KLAS TERAPI CALCITRIOL ZAT AKTIF KODE PRODUK SEDIAAN
BOX
F 1 1 f n 0 4 2 1 G k OSCAL 0,25 MCG CAPSUL 30 KAPS
F 1 1 f n 0 4 2 2 G k OSCAL 0,5 MCG CAPSUL 30 KAPS
11g. Other Agents

Affecting Metabolism
12. VITAMINS & MINERALS

12a. Vitamin A, D & E VITAMIN A, D, E & K
VITAMIN D F 1 2 a n 0 1 1 1 G k DALFAROL 200 IU SOFT KAPLET 100 KAPL
F 1 2 a n 0 1 1 2 G k DALFAROL 400 IU SOFT KAPLET 100 KAPL
VITAMIN E F 1 2 a n 0 2 1 1 G t SANTA E 200 MG TABLET 100 TAB
VITAMIN K F 1 2 a n 0 3 1 1 G t VITAMIN K TABLET 500 TAB

F 1 2 a n 0 3 1 1 G a 100 AMP
12b. Vitamin B- VITAMIN B COMPLEX F 1 2 b n 0 1 1 1 G t VIT B COMPLEX TABLET 50 TAB

Complex / with C
VITAMIN B1 100 MG, B6 200 MG, B12 200 F 1 2 b n 0 2 1 1 G t NEUROBION KAPLET 50 KAPL
MCG F 1 2 b n 0 2 2 1 G t NEUROSANBE TABLET 100 TAB
F 1 2 b n 0 2 3 1 G t NEUROBAT TABLET 100 TAB
VITAMIN B1 100 MG, B6 200 MG, B12 F 1 2 b n 0 3 1 2 G t NEUROBION 5000 TABLET 100 TAB
5000 MCG F 1 2 b n 0 3 1 1 G a NEUROBION INJEKSI 1 AMP
F 1 2 b n 0 3 2 2 G t NEUROSANBE 5000 TABLET 100 TAB
F 1 2 b n 0 3 3 2 G a NEUROBAT FORTE INJEKSI 3 ML 20 AMP
VIT B COMPLEX ,VIT C, NICOTINAMID,CA F 1 2 b n 0 4 1 1 G t PERVITA TABLET 100 TAB

PANTOTENAT,THIAMINI F 1 2 b n 0 4 2 1 G t ALINAMIN TABLET 100 TAB
TETRAHYDROFURFURYL DISULFIDI
THIAMINE TETRAHYDROFURFURYL, F 1 2 b n 0 5 1 1 G t ALINAMIN F 50 MG TABLET 100 TAB

DISULFIDI HYDROCHLORIDUM F 1 2 b n 0 5 1 1 G a ALINAMIN F 25 MG / 10 ML INJEKSI 10 AMP
PER
BOX
METAMPIRON, VIT B1, VIT B6, VIT B12 F 1 2 b n 0 6 1 1 G t NEUROSANBE PLUS TABLET 100 TAB
F 1 2 b n 0 6 2 1 G t NEUROBAT A DEGREE TABLET 100 TAB
MECOBAL,THYAMIN,PYRIDOXIN F 1 2 b n 0 7 1 1 G k REBAL PLUS KAPSUL 100 KAPS
12c. Vitamin C VITACIMIN F 1 2 c n 0 1 1 1 G t PROVE C TABLET 30 TAB

F 1 2 c n 0 1 2 1 B t VITACIMIN TABLET 20 TAB
VIT C, BETA CAROTEN, VIT E, ZN, F 1 2 c n 0 2 1 1 G t BEVIZIL TABLET 100 TAB

SELENIUM F 1 2 c n 0 2 2 1 B t REDOXON EFF 1 TUBE
F 1 2 c n 0 2 3 1 G a EXTRACE 100 MG / ML INJEKSI 2ML 5 AMP
F 1 2 c n 0 2 3 2 G a EXRTACE 100 MG / ML INJEKSI 5 ML 5 AMP
F 1 2 c n 0 2 3 3 G a EXTRACE 200 MG / ML INJEKSI 5 ML 5 AMP
12d. Calcium/ with CALCIUM GLUCONAT F 1 2 d n 0 1 1 1 G t CAL-95 TABLET 30 TAB

Vitamins F 1 2 d n 0 1 2 1 B t CALCIUM SANDOZ FORTE EFFERVESCENT TAB
10
EFFERV
CA CARBONATE F 1 2 d n 0 2 1 1 G t CALOS KAPLET 60 KAPL
CALCIUM CARBONAT + VIT B6 + VIT C + F 1 2 d n 0 3 1 1 G t CALCIUM D REDOXON (CDR) EFF 10 TAB

VIT D EFFERV
CA CARBONAT + VIT D + MG + BORON F 1 2 d n 0 4 1 1 G t OSFIT DHA TABLET TAB

CITRATE + ZN SULPHATE + CUPRIC
SULPHATE + CHROMIUM PIKOLINAT + 60
FOLIC ACID + VIT B6 + VIT B12 +
SILICA
CA CITRATE 500,VIT D3 200 IU,VIT K1 20 F 1 2 d n 0 5 1 1 G t OSSOVIT KAPLET 60 KAPL

MCG,MG 100 MG,ZN 5 MG
12e. Vitamins & / or VIT B1 + VIT B2 + VIT B6 + VIT B12 + F 1 2 e n 0 1 1 1 G t BECOM-C KAPLET KAPL
Minerals VIT C + NICOTINAMIDE + CA 100
PANTOTHENATE
12e. Vitamins & / or
Minerals
PER
BOX
VIT E,VIT C,VIT B1,VIT B2,VIT B6,VIT F 1 2 e n 0 2 1 1 G t BECOM ZET KAPL
B12,FOLIC ACID,PANTHOTENAT 100
ACID,ZN,NIACIN
CA PHOSPHATE + CA LACTATE + VIT B6 F 1 2 e n 0 3 1 1 B t ELKANA TABLET 100 TAB

+ VIT C + VIT D3 F 1 2 e n 0 3 1 1 B b ELKANA SIRUP 60 ML 1 BTL
F 1 2 e n 0 3 1 2 B b ELKANA CL EMULSION SYRUP 1 BTL
β-CAROTEN + VIT C + VIT E ZN F 1 2 e n 0 4 1 1 G t SELOXY TABLET 30 TAB

SULPHATE + SELENIUM
B CAROTENE,VIT C,VIT E,ZN,SELENIUM F 1 2 e n 0 5 1 1 G t BEVIZIL KAPLET 100 KAPL
ECHINACEA,ZINC F 1 2 e n 0 6 1 1 G t IMUNOS KAPLET 20 KAPL

PICOLINATE,SELENIUM,VIT C F 1 2 e n 0 6 2 1 G t IMMUCEA KAPLET 30 KAPL
F 1 2 e n 0 6 2 1 G b IMMUCEA SYRUP 1 BTL
12f. Vitamins &

Minerals (Geriatric)
12g. Vitamins & VIT A,VIT D,VIT B1,VIT B2,VIT B6,ASAM F 1 2 g n 0 1 1 1 B b SAN B PLEX DROP 15 ML 1 BTL
Minerals (Paediatric) PANTHOTENAT
12h. Vitamins & FE GLUCONATE + MANGANESE F 1 2 h n 0 1 1 1 G k BIOSANBE KAPSUL KAPS

Minerals (Pre & Post SULPHATE + COPPER SULPHATE + VIT C 100
Natal) / Antianemics + FOLIC ACID
FOLIC ACID F 1 2 h n 0 2 1 1 G t ANEMOLAT TABLET 100 TAB
FE GLUCONATE,MANGANESE F 1 2 h n 0 3 1 1 G t INBION KAPLET KAPL

SULFATE,COPER SULFAT,VIT C,ACID 100
FOLIC,VIT B12
FE ELEMENTAL F 1 2 h n 0 4 1 1 G t MALTOFER 100 MG TABLET 30 TAB CHEW

F 1 2 h n 0 4 2 1 G b SANGOBION BABY DROP 1 BTL
F 1 2 h n 0 4 2 2 G b SANGOBION KID SYRUP 1 BTL
F 1 2 h n 0 4 3 1 G a NEFROFER 20 MG / ML INJEKSI 5 ML 5 AMP
PER
BOX
BETA CAROTEN,CA LACTATE,CA F 1 2 h n 0 5 1 1 G t FOLAMIL KAPLET KAPL

PANTHOTENATE,COER SULPHATE,FOLIC
ACID,FE FUMARATE,NICOTINAMIDE,K 100
IODIDE,NA FLUORIDE,VIT B1,VIT
B12,VIT B2,VIT B6,VIT D,VIT C
FOLIC ACID + β-CAROTEN + VIT B1 + F 1 2 h n 0 6 1 1 G k FOLAMIL GENIO SOFT KAPSUL KAPS

VIT B2 + VIT B6 + VIT B12 + VIT D +
VIT K1 + BIOTIN + NICOTINAMIDE + CA 30
PANTOTHENATE + COPPER GLUCONATE
+ DHA + ARA
FE SULPHATE HEPTAHYDRATE F 1 2 h n 0 7 1 1 G t SULFAS FERROSUS 200 MG TABLET 1000 TAB
VIT A + VIT B1 + VIT B6 + VIT B12 + F 1 2 b n 0 8 1 1 G t PRENATIN-DF KAPLET KAPL

VIT C + VIT D3 + VIT E +
NICOTINAMIDE + CA LACTATE + CA 60
PANTOTHENATE + FE FUMARATE + K
IODIDE + COPPER + MANGANESE + ZN
+ DHA + FOLIC ACID
13. NUTRITION
13a. Infant Nutritional FAT, DHA, EPA, LINOLENIC ACID, F 1 3 a n 0 1 1 1 B x BMT PLATINUM TIN
Products PHOSPOLIPID, CARBOHYDRATE, 1
LACTOSE
FAT, LINOLEIC ACID, LINOLENIC ACID, F 1 3 a n 0 2 1 1 B x NESTLE NAN HA TIN

HYDROLIZED, CARBOHIDRATE
(LACTOSE&MALTODEXTRIN)DHA, 1
ARACHIDONATE ACID, PROTEIN,
TAURINE
13b. Enteral / CARBOHYDRATE, DIETARY,PROTEIN, F 1 3 b n 0 1 1 1 B x HEPATOSOL BOX

Nutritional Products LEUCINE, ISOLEUCINE, VALINE, 1
FAT,MCT, VIT, MINERAL
ASAM AMINO, CARBOHYDRATE, FAT, VIT F 1 3 b n 0 2 1 1 B x NEPHRISOL 1 BOX

F 1 3 b n 0 2 2 1 B x NUTRILON 1 BOX
PER
BOX
CARBOHYDRATE FAT, VIT, MINERAL F 1 3 b n 0 3 1 1 B x PEPTISOL 1 BOX
13c. Parenteral AMINO ACID + VIT + ELECTROLYTES F 1 3 c n 0 1 1 1 G y AMINOFLUID INFUS 500 ML 1 INF
Nutritional Products F 1 3 c n 0 1 2 1 G y BENUTRION VE 1 INF
REFINED OLIVE OIL, REFINED SOYA F 1 3 c n 0 2 1 1 G y CLINOLEIC INFUS 250 ML 1 INF

BEAN OIL, ENERGI F 1 3 c n 0 2 1 2 G y CLINOLEIC INFUS 500 ML 1 INF
AMINO ACIDS F 1 3 c n 0 3 1 1 G y KALBAMIN 10% INFUS 500 ML 1 INF

F 1 3 c n 0 3 2 1 G y KIDMIN INFUSION 200 ML 1 INF
AMINO ACIDS + ESSENTIAL AMINO F 1 3 c n 0 4 1 1 G y PAN AMIN G 500 ML INFUS INF

ACIDS + NON-ESSENTIAL AMINO ACIDS 1
+ SORBITOL
FRUCTOSA, GLUCOSE, XYLITOL F 1 3 c n 0 5 1 1 G y TRIOFUSIN INFUS 500 ML 1 INF
13d. Electrolytes K L-ASPARTATE F 1 3 d n 0 1 1 1 G t ASPAR-K 300 MG TABLET 100 TAB
Na + Cl + GLUCOSE F 1 3 d n 0 2 1 1 G y KA-EN 1B 500 ML INFUS 1 INF
Na 60 MEQ + K 10 MEQ + CI 50 MEQ + F 1 3 d n 0 3 1 1 G y KA-EN 3A 500 ML INFUS INF

LACTATE 20 MEQ + GLUCOSE 27 G 1
Na 50 MEQ + K 20 MEQ + CI 50 MEQ + F 1 3 d n 0 4 1 1 G y KA-EN 3B 500 ML INFUS INF

Na 50 MEQ + K 20 MEQ + CI 50 MEQ + F 1 3 d n 0 5 1 1 G y KA-EN MG3 500 ML INFUS INF

LACTATE 20 MEQ +GLUCOSE 100 G 1
POTASSIUM CHLORIDE F 1 3 d n 0 6 1 1 G y KCl 25 ML INJEKI 120 AMP

PER
BOX
GLUCOSE ANHYDROUS + NaCl + Na. F 1 3 d n 0 7 1 1 G p ORALIT SACHET 100 SACH
BICARBONATE + CaCl2
Na + K + CI + CITRATE + DEXTROSE F 1 3 d n 0 8 1 1 B b PEDIALYTE 500 ML 1 BTL

F 1 3 d n 0 8 1 2 B b PEDIALYTE BUBBLE GUM 500 ML 1 BTL
Na + K + CI + CITRATE F 1 3 d n 0 9 1 1 B b RENALYTE 200 ML 1 BTL
Na.LACTATE + NaCl + KCl + CaCl2 F 1 3 d n 1 0 1 1 G y WIDA RL 500 ML INFUS 1 INF

INF
NaCl 0.9 % F 1 3 d n 1 1 1 1 G y WIDA NS 0,9% 500 ML INFUS 1 INF
F 1 3 d n 1 1 2 2 G y NaCl 0.9% 100 ML INFUS 1 INF
F 1 3 d n 1 1 2 3 G y NaCl 0.9% 25 ML INFUS 1 INF
F 1 3 d n 1 1 1 2 G y WIDA NS 0.9% 1000 ML INFUS UNICAP 1 INF
F 1 3 d n 1 1 1 3 G y WIDA NS 0.9% 1000 ML INFUS TWIST OF 1 INF
GLUCOSE, NaCl F 1 3 d n 1 2 1 1 G y WIDA D5-1/4 NS 500 ML INFUS 1 INF

F 1 3 d n 1 2 1 2 G y WIDA D5-1/2 NS 500 ML INFUS 1 INF
F 1 3 d n 1 2 1 3 G y WIDA D5-NS 500 ML INFUS 1 INF
GLUCOSE, NaCl, KCl, CaCl2 F 1 3 d n 1 3 1 1 G y WIDA RD 500 ML INFUS 1 INF
SODIUM BICARBONATE F 1 3 d n 1 4 1 1 G a MEYLON 25 ML INFUS 1 AMP
13e. Appetite VIT B1,VIT B2,VIT B6,VIT B12,BETA F 1 3 e n 0 1 1 1 B t CURVIT CAPLET KAPL
Enhancers CAROTENE,CA PANTHOTENATE,CA 50
GLUCONATE,CURCUMINOID
13f. Supplements & NATURAL ASTAXANTHIN F 1 3 f n 0 1 1 1 G k ASTHIN FORCE 4 MG KAPSUL 18 KAPS

Adjuvant Therapy F 1 3 f n 0 1 1 2 G k ASTHIN FORCE 6 MG KAPSUL 18 KAPS
F 1 3 f n 0 1 2 1 G k INTERXANTHIN KAPSUL KAPS
F 1 3 f n 0 1 3 1 G k AXTAN KAPSUL 30 KAPS
PER
BOX
KETOISOLEUCINE,KETOLEUCINE,KETOPH F 1 3 f n 0 2 1 1 G t AMINEFRON KAPLET KAPL
ENYLALANINE,HYDROXI
METHIONIN,KETOVALINE,L 100
TRYPTOPHAN,L THREONINE,L
HISTIDINE,L TYROSINE,L LYSINE
ACETATE,CA
BILLBERY,RETINOL,VIT E,BETA F 1 3 f n 0 3 1 1 G t BERRY VISION TABLET 100 TAB

CAROTENE,
ARABYNOXYLAN DERIVATIVES F 1 3 f n 0 4 1 1 G t BIOBRAN 250 MG TABLET 30 TAB
CURCUMA LONGA RHIZOMA F 1 3 f n 0 5 1 1 G t BIOCURKEM CAPLET 30 KAPL
CURCUMA LONGA RHIZOMA,FISH OIL F 1 3 f n 0 6 1 1 G t BIOCURLAM CAPLET 20 KAPL

POWD
CURCUMA LONGA RHIZOMA,SILYMARIN F 1 3 f n 0 7 1 1 G t BIOCURLIV CAPLET KAPL

PHYTOSOME,SCHIZANDRAE
FRUCTUS,LIQUIRITAE RADIX,CHOLINE 30
BITARTRATE,VIT B6
COENZYME Q10,L CARNITINE,VIT E,SOYA F 1 3 f n 0 8 1 1 G k BIOQUINONE SOFT CAPSUL 50 SOFT KAPS

BEAN OIL
UBIDECARENONE F 1 3 f n 0 9 1 1 G t COTEN CAPLET 30 KAPL
CURCUMA F 1 3 f n 1 0 1 1 G t CURCUMA TABLET 100 TAB
VIT B1,VIT B2,VIT B6,VIT B12,BETA F 1 3 f n 1 1 1 1 G b CURCUMA PLUS SYRUP BTL

CAROTENE,DEXPANTHENOL,CURCUMINO 1
ID
PSIDIUM GUAJAVA,PHYLANTUS F 1 3 f n 1 2 1 1 G p DEHAF SACHET SACH

URINARIA,CARICA PAPAYA,CURCUMA 6
AEROGINOSA,CURCUMA DOMESTHICA
RHIZOM
LUMBROKINASE F 1 3 f n 1 3 1 1 G t DISOLF TABLET 30 TAB

PER
BOX
GANODERMA LUCIDUM POWD,HERICIUM F 1 3 f n 1 4 1 1 G k GLUCAN 5 EX SOFT KAPSUL KAPS

ERINACEUM POWD,GRIFOLA
FRONDOSA,PHELINNUS 60
LINTEUS,AGARICUS BLAZEI
RED CLOVER EXTR F 1 3 f n 1 5 1 1 G t ROMENO TABLET 30 TAB
PSIDII FOLIUM EXTR F 1 3 f n 1 6 1 1 G k PSIDII KAPSUL 50 KAPS

F 1 3 f n 1 6 1 1 G b PSIDII SYRUP 60 ML 1 BTL
SERICOCALYX FOLIUM, ORTHOSIPHONIS F 1 3 f n 1 7 1 1 G k RENAX KAPSUL KAPS

HERBA,SONCHUS ARVENSIS 50
FOLIUM,PLANTAGO MAJOR FOLIUM
BETA KAROTEN 5 MG,BILLBERY EXTR F 1 3 f n 1 8 1 1 G t MATOVIT TABLET 30 TAB

80,RETINOL 1600IU,VIT E 40 MG F 1 3 f n 1 8 1 1 G b MATOVIT SYRUP 1 BTL
BETA KAROTEN 0,6,VIT C 100,VIT E F 1 3 f n 1 9 1 1 G t RETIVIT PLUS TABLET TAB

60MG,ZN 10 MG,COPPER 1,5
MG,SELENIUM 55 MG,LUTEIN 30 100
MG,LIKOPEN 2 MG,ZEAXANTHIN 2 MG,
ZEAXANTHIN 0,67
F 1 3 f n 1 9 2 1 G t VITANORM TABLET 100 TAB
BETA KAROTEN 2,5 MG,BILLBERY EXT 40 F 1 3 f n 2 0 1 1 G t NORMAVIT TABLET TAB

MG,RETINOL 800 IU,VIT E 20 MG 100
MONOAMMONIUM GLYCYRRHIZINATE F 1 3 f n 2 1 1 1 G a STRONGER NEO-MINOPHAGEN C INJEKSI 20 ML AMP

(AS GLYCYRRHIZIN) 40 MG, AMINO
ACETIC ACID (JP) 400 MG, L - CYSTEINE 1
HCL 20 MG
PLACENTA EXTR + VIT B12 F 1 3 f n 2 2 1 1 G t LAKTAFIT TABLET 60 TAB

+CA.PHOSPHATE
PER
BOX
PLACENTA EXTR + VIT B12 F 1 3 f n 2 3 1 1 G t MOLOCO B12 TABLET 60 TAB
14. EYE
14a. Eye Anti- GENTAMICIN SULFATE F 1 4 a n 0 1 1 1 G b CENDO GENTA ED 1 BTL
Infectives & F 1 4 a n 0 1 2 1 G u CENDO GENTAMYCIN 0.3 % (3 MG/G) EYE OINT TUBE
Antiseptics 1
3.5 GR
POLYMYXIN B SULFONATE,N/EOMYCIN F 1 4 a n 0 2 1 1 G u POLYGRAN STRIP

SULFONATE,/GRAMICIDIN 1
LEVOFLOXACIN F 1 4 a n 0 3 1 1 G u CENDO LFX MD 1 STRIP
CHLORAMPHENICOL F 1 4 a n 0 4 1 1 G u CENDO FENIOL ED MD 1 STRIP
POLYMYXIN B SULFONATE, NEOMYCIN F 1 4 a n 0 5 1 1 G u POLYGRAN 1 STRIP

SULFATE, GAMICIDIN
OFLOXACIN F 1 4 a n 0 6 1 1 G b CENDO FLOXA 1 STRIP
CHLORAMFENIOL BASE 2,5 F 1 4 a n 0 7 1 1 G u CENDO FENICOL 0.25% ED MD 1 STRIP

MG F 1 4 a n 0 7 2 1 G u CENDO FENICOL 1% (10 MG/G) EYE OINTMENT TUBE
1
3.5 GR
POLYMIXIN B SULFATE, NEOMYCIN F 1 4 a n 0 8 1 1 G b CENDO STATROL ED 1 BTL

SULFATE
14b. Eye Antiseptics NEOMYCIN + POLYMYXIN B SULFATE + F 1 4 b n 0 1 1 1 G u CENDO XITROL EYE OINTMENT 3.5 GR 1 STRIP
with Corticosteroids DEXAMETHASONE F 1 4 b n 0 1 2 1 G u CENDO XITROL MD 1 BTL
TOBRAMYCIN, DEXAMETHASON F 1 4 b n 0 2 1 1 G u TOBROSON MD ED 1 STRIP
14c. Eye BETHAMETASONE NA FOSFAT F 1 4 c n 0 1 1 1 G u VOSAMA STERIL ED MD 1 STRIP

Corticosteroids
14d. Mydriatic Drugs TROPICAMIDE F 1 4 d n 0 1 1 1 G b CENDO MYDRIATIL 0,5% 1 BTL

PER
14d. KLAS TERAPI
Mydriatic Drugs TROPICAMIDE ZAT AKTIF KODE PRODUK
BOX
SEDIAAN
F 1 4 d n 0 1 2 1 G b CENDO MYDRIATIL 1% 1 BTL
14e. Miotic Drugs PILOCARPINE F 1 4 e n 0 1 1 1 G b CENDO CARPINE 1% 5 ML ED 1 BTL
14f. Antiglaucoma TIMOLOL F 1 4 f n 0 1 1 1 G u CENDO TIMOL 0,25% ED MD 1 STRIP

Preparations
ACETAZOLAMIDE F 1 4 f n 0 2 1 1 G t CENDO GLAUCON 250 MG TABLET TAB
14g. Ophthalmic ASAM HYALURONAT F 1 4 g n 0 1 1 1 G u CENDO HYALUB ED MD 1 STRIP

Decongestants,
Anesthetics, Anti-
Inflammatories NAFAZOLINE HCL F 1 4 g n 0 1 2 1 G u CENDO VASACON ED MD 1 STRIP
14h. Ophthalmic SODIUM IODIDA,POTASIUM IODIDA F 1 4 h n 0 1 1 1 G u CENDO VITROLENTA ED MD 1 STRIP

Lubricants
VITAMIN A,A NEURIN HCL,CA F 1 4 h n 0 2 1 1 G u CENDO REPITHEL ED MD 1 STRIP

PANTOTENAT
VITAMIN A, NATRIUM HYALURONAT, F 1 4 h n 0 3 1 1 G u CENDO PROTAGENT-A ED MD 1 STRIP

POLIVINILYROLIDON
VITAMINA, OXYMETAZOLINE HCl F 1 4 h n 0 4 1 1 G u CENDO ASTHENOF ED MD 1 STRIP
VITAMIN A, ZINC SULFAT, FENILEFRIN F 1 4 h n 0 5 1 1 G u CENDO AUGENTONIC ED MD 1 STRIP
CARBOXYMETHYL CELLULOSE SODIUM F 1 4 h n 0 6 1 1 G u CENDO CENFRESH ED MD 5 VIAL
1
14i. Other Eye CROMOLYN SODIUM F 1 4 i n 0 1 1 1 G u CENDO CONVER 2% ED MD 1 STRIP
Preparations
15. EAR & MOUTH/THROAT

15a. Ear Anti- GENTAMICIN SULFATE F 1 5 a n 0 1 1 1 G b GARAMYCIN 0,3% (3 MG/ML) EYE/EAR DROPS 5 1 BTL
Infectives & ML
Antiseptics F 1 5 a n 0 1 2 1 G b SAGESTAM (3 MG/ML) EYE/EAR DROPS 5 ML 1 BTL
OFLOXACIN F 1 5 a n 0 2 1 1 G b TARIVID OTIC EAR DROP 5 ML 1 BTL

PER
BOX
15b. Ear Antiseptics POLYMYXIN B SULFATE + NEOMYCIN F 1 5 b n 0 1 1 1 G b OTOPAIN EAR DROPS 8 ML BTL
with Corticosteroids SULFATE + FLUDROCORTISONE ACETATE 1
+ LIDOCAINE
15c. Ear
Corticosteroids
15d. Other Ear DOCUSATE NA F 1 5 d n 0 1 1 1 G b FORUMEN 5MG/ 1O ML EAR DROPS 1 BTL

Preparations
15e. Mouth/Throat AQUA + MALTODEXTRIN + PVP + ALOE F 1 5 e n 0 1 1 1 G b ALOCLAIR 60 ML BTL

Preparations VERA EXTR + K SORBATE + Na.
BENZOATE + HMC + PEG + HCO +
DISODIUM EDETATE + BENZALKONIUM 1
CL + SACCHARIN Na + Na
HYALURONATE + GLYCYRRHETIC ACID
FARDIOMYCIN SULFATE + GRAMICIDIN-S F 1 5 e n 0 2 1 1 G t FG TROCHES TABLET HISAP 120 TAB

HCl
TRIAMCINOLONE ACETONIDE F 1 5 e n 0 3 1 1 G u KENALOG 1 MG/G IN ORABASE 5 GR 1 TUBE
HYALURONIC ACID F 1 5 e n 0 4 1 1 G b SANORINE HIJAU GARGLE 200 ML 1 BTL
POVIDONE-IODINE F 1 5 e n 0 5 1 1 W b BETADINE 1% GARGLE 190 ML 1 BTL
F 1 5 e n 0 5 2 1 G b BETADINE FEMINIME 1 BTL
CHLORHEXIDINE GLUCONATE F 1 5 e n 0 6 1 1 G b MINOSEP GARGLE 150 ML 1 BTL
16. DERMATOLOGICALS
16a. Topical NEOMYCIN SULFATE 0,5%, PLACENTA F 1 6 a n 0 1 1 1 G u BIOPLACENTON 15 GR JELLY 1 TUBE
Antibiotics 10%
SILVER SULFADIAZINE F 1 6 a n 0 2 1 1 G u BURNAZIN 1 % 5 GR CREAM 1 TUBE

Antibiotics
PER
BOX
FUSIDIC ACID, Na FUSIDATE F 1 6 a n 0 3 1 1 G u FUTADERM 10 GR CREAM 1 TUBE
GENTAMICIN SULFATE F 1 6 a n 0 4 1 1 G u SALTICIN 5 GR CREAM 1 TUBE

F 1 6 a n 0 4 2 1 G u SAGESTAM CREAM 0,1 % 10 GR CREAM 1 TUBE
MUPIROCIN 2% F 1 6 a n 0 5 1 1 G u PIBAKSIN 10 GR CREAM 1 TUBE
NEOMYCINSULFATE 5MG, BACITRACIN F 1 6 a n 0 6 1 1 G u NEBACETIN 5 GR OINTMENT 1 TUBE

250IU
16b. Topical MICONAZOLE NITRATE F 1 6 b n 0 1 1 1 G u DAKTARIN 2% CREAM 5 GR 1 TUBE

Antifungal &
Antiparasites
KETOCONAZOLE F 1 6 b n 0 2 1 1 G u FORMYCO 2% 10 GR CREAM 1 TUBE
F 1 6 b n 0 2 2 1 G u INTERZOL 2% 5 GR CREAM 1 TUBE
PERMETHRIN F 1 6 b n 0 3 1 1 G u SCABIMITE 30 GR CREAM 1 TUBE
TERBINEFIN HCL F 1 6 b n 0 4 1 1 G u INTERBI 1% 5 GR CREAM 1 TUBE
16c. Topical Antivirals ACYCLOVIR F 1 6 c g 0 1 1 1 G u ACYCLOVIR 5 % 5 GR CREAM 1 TUBE

F 1 6 c n 0 1 2 1 G u ZOTER 5% CREAM 1 TUBE
16d. Topical Anti- DESONIDE + NEOMYCIN SULFATE F 1 6 d n 0 1 1 1 G u APOLAR N 10 GR CREAM 1 TUBE

Infectives with
Corticosteroids
BETAMETHASON + NEOMYCIN SULFATE F 1 6 d n 0 2 1 1 G u BENOSON N 15 GR CREAM 1 TUBE
FLUCINOLONE ACETONIDE 0,025% F 1 6 d n 0 3 1 1 G u CINOLON CREAM 1 TUBE
FLUCINOLONE ACETONIDE+ NEOMYCIN F 1 6 d n 0 4 1 1 G u CINOLON 10 GR CREAM 1 TUBE

SULFATE
HYDROQUINONE 40MG, TRETINOIN F 1 6 d n 0 5 1 1 G u REFAQUIN 15 GR CREAM TUBE

0,5MG, FLUCINOLONE ACETONIDE 0,1MG 1
PER
BOX
16e. Topical DESONIDE F 1 6 e n 0 1 1 1 G u APOLAR 10 GR CREAM 1 TUBE
Corticosteroids F 1 6 e n 0 1 2 1 G u DERMANIDE 0,05% 10 GR CREAM 1 TUBE
FLUOCINOLONE ACETONIDE F 1 6 e n 0 2 1 1 G u CINOLON 10 GR CREAM 1 TUBE
HYDROCORTISONE F 1 6 e n 0 3 1 1 G u HYDROCORTISONE 5% CREAM 1 TUBE
DESOXIMMETHASONE F 1 6 e n 0 4 1 1 G u INERSON 0,25% 15 GR OINTMENT 1 TUBE
MOMETASONE FUROATE F 1 6 e n 0 5 1 1 G u INTERCON 10 GR CREAM 1 TUBE
TRIAMCINOLONE ACETONIDE F 1 6 e n 0 6 1 1 G u KENACORT A 0,1% 10 GR CREAM 1 TUBE
CLOBETASOL PROPIONATE F 1 6 e n 0 7 1 1 G u KLODERMA 0,05% 5 GR CREAM 1 TUBE

F 1 6 e n 0 7 2 1 G u LOTASBAT 0,05% 10 GR CREAM 1 TUBE
MOMETASONE FUROATE F 1 6 e n 0 8 1 1 G u MOFACORT 1% 5 GR CREAM 1 TUBE
DIFLUCORTOLONE VALERATE F 1 6 e n 0 9 1 1 G u NERION 0,1% 10 GR CREAM 1 TUBE
16f. Acne Treatment BENZOIL PEROXIDE F 1 6 f n 0 1 1 1 G u BENZOLAC 2,5% 5 GR CREAM 1 TUBE

Preparations
BENZOIL PEROXIDE 5%, CLINDAMYCIN F 1 6 f n 0 2 1 1 G u BENZOLAC CL 10 GR GEL 1 TUBE

PHOSPATE 1,2%
CLINDAMYCIN PHOSPHATE F 1 6 f n 0 3 1 1 G u CLINIUM 1% 15 GR GEL 1 TUBE
TRETINOIN F 1 6 f n 0 4 1 1 G u TRACNE 0,05% 20 GR CREAM 1 TUBE
16g. Topical KALAMIN, ZNO, CAMPHORA, MENTHOL F 1 6 g n 0 1 1 1 G b CALADINE LOTION 60 ML 1 BTL

Antihistamines/antipr
uritics F 1 6 g n 0 1 2 1 G b CALADINE POWDER BTL
1
SALICYL TALK F 1 6 g n 0 2 1 1 G u SALICYL TALK 2% 60 GR 1 PCS

uritics
PER
BOX
KETOCONAZOLE F 1 6 g n 0 3 1 1 G b INTERZOL 1% 100 ML 1 TUBE
UREA F 1 6 g n 0 4 1 1 G u CARMED 10% 40 GR CREAM 1 TUBE

F 1 6 g n 0 4 2 1 G u MOISDERM 10% 20 GR CREAM 1 TUBE
16j. Emollients & Skin VIT E, ALOE VERA, F 1 6 g j 0 1 1 1 G u INTERSUN SPF 35 20 GR CREAM 1 TUBE
Protectives ETHYLHEXYLMETHOXYNNAMATE, F 1 6 g j 0 1 2 1 F b INTERSUN SPF 30 100 ML 1 BTL
BENZOPHENONE-3
BTL
PSEUDO - DERMAL LIPIDS F 1 6 g j 0 2 1 1 G b NOROID LOTION 200 ML 1 BTL
Zn OXIDE, PSEUDO-DERMAL LIPIDS F 1 6 g j 0 3 1 1 G b NOROID DERMA RASH 60 ML 1 BTL
ETHYLHEXYL - METHOXYCINNAMATE, F 1 6 g j 0 4 1 1 G u PARASOL 20 GR CREAM TUBE

TITANIUM DIOXIDE, OXYBENZONE 1
16k. Skin Antiseptics &

Disinfectans
17. ANAESTHETIC
17. Anaesthetics - SEVOFLURANE F 1 7 a n 0 1 1 1 G b SEVOFLURANE 1 BTL
local & General
ISOFLURANE F 1 7 a n 0 2 1 1 G b ISOFLURANE INHALATION 250 ML 1 BTL
PROPOFOL F 1 7 a n 0 3 1 1 G a RECOFOL INJEKSI 5 AMP

F 1 7 a n 0 3 2 1 G a PROANES 10 MG/20 ML INJEKSI 5 AMP
KETAMINE HCl F 1 7 a n 0 4 1 1 G a KETALAR 100 MG/ML INJEKSI 10 ML 1 VIAL
LIDOCAINE HCl F 1 7 a g 0 5 1 1 G a LIDOCAIN 2% (20 MG/ ML) INJEKSI 2 ML 10 AMP

F 1 7 a n 0 5 2 1 G y XYLOCAIN 10 MG/DOSE PUMP SPRAY 1 SPRAY
F 1 7 a n 0 5 2 2 G a XYLOCAIN 2 % (400MG/20ML) INJEKSI 20 ML 5 AMP
LIDOCAINE HCl
PER
BOX
F 1 7 a n 0 5 2 3 G a XYLOCAIN JELLY 2 % (2 MG/G) SYRINGE 10 GR 1 SYRINGE
F 1 7 a n 0 5 3 1 G a CATHEJEL 5 PCS
BUPIVACAINE F 1 7 a n 0 6 1 1 G v BUVANEST 100 MG/20 ML INJEKSI 5 VIAL

F 1 7 a n 0 6 1 2 G a BUVANEST SPINAL 0,5% HEAVY 20 MG/4 ML 5 AMP
INJEKSI
F 1 7 a n 0 6 2 1 G a MARCAIN SPINAL 0,5%HEAVY 4 ML 5 AMP
F 1 7 a n 0 6 2 2 G a MARCAIN 0.5 % (5 MG/ ML) INJEKSI 4 ML 5 AMP
F 1 7 a n 0 6 3 1 G a DECAIN SPINAL 0,5% HEAVY 5 MG/ML INJEKSI 4 5 AMP
ML
MIDAZOLAM F 1 7 a n 0 7 1 1 M a SEDACUM 0,5% INJEKSI 5 AMP

F 1 7 a n 0 7 1 2 M a SEDACUM 0,1% INJEKSI 5 AMP
CHLOR ETIL F 1 7 a n 0 8 1 1 G y CHLOR ETIL SPRAY 100 ML 1 BTL
FENTANYL F 1 7 a n 0 9 1 1 O a FENTANYL 50 MCG/ML INJEKSI 5 AMP
LIDOCAINE HCL+ADRENALINE F 1 7 a n 1 0 1 1 G a PEHACAIN 20/0.0125 MG INJEKSI 2 ML 20 AMP
LIDOCAIN HCL,PRILOKAINE F 1 7 a n 1 1 1 1 G u ESTESIA CREAM 1 TUBE
18. ALLERGY & IMMUNE SYSTEM

18a. Antihistamines & DESLORATADINE F 1 8 a n 0 1 1 1 G t AERIUS 5 MG TABLET 30 TAB
Antiallergics
LORATADINE F 1 8 a g 0 2 1 1 G t LORATADINE 10 MG TABLET 50 TAB

F 1 8 a n 0 2 2 1 G t ALLORIS 10 MG TABLET 100 TAB
F 1 8 a n 0 2 3 1 G t INCLARIN 10 MG TABLET 50 TAB
F 1 8 a n 0 2 4 1 G b ALLORIS 5 MG / 5 ML SYRUP 60 ML 1 BTL
F 1 8 a n 0 2 5 1 G b INCLARIN 5 MG / 5 ML SYRUP 60 ML 1 BTL
LORATADINE 5 MG, PSEUDOEPHEDRIN F 1 8 a n 0 3 1 1 G k RHINOS SR CAPSUL 50 KAPS

60 MG
BETAMETHASON + F 1 8 a n 0 4 1 1 G k CELESTAMIN TABLET 30 TAB

DEXCHLORPHENIRAMINE MALEAT
PER
KLAS TERAPI ZAT
BETAMETHASON + AKTIF KODE PRODUK SEDIAAN
BOX
DEXCHLORPHENIRAMINE MALEAT F 1 8 a n 0 4 2 1 G b CORTAMINE SYRUP 60 ML 1 BTL
F 1 8 a n 0 4 3 1 G b CELESTAMINE SYRUP 60 ML 1 BTL
CETIRIZINE HCl F 1 8 a g 0 5 1 1 G t CETIRIZINE 10 MG TABLET 30 TAB

F 1 8 a n 0 5 2 1 G t CERINI 10 MG TABLET 20 TAB
F 1 8 a n 0 5 3 1 G b INTRIZIN DROPS 15 ML 1 BTL
F 1 8 a n 0 5 3 1 G t INTRIZIN 10 MG TABLET 30 TAB
F 1 8 a n 0 5 3 2 G b INTRIZIN 5 MG / 5 ML SYRUP 60 ML 1 BTL
F 1 8 a n 0 5 4 1 G b RITEZ 5 MG / 5 ML SYRUP 1 BTL
F 1 8 a n 0 5 4 1 G t RITEZ 10 MG TABLET 20 TAB
MEBHYDROLIN NAPADISYLATE F 1 8 a n 0 6 1 1 G t INTERHISTIN 50 MG TABLET 100 TAB
CHLORFENIRAMIN MALEATE F 1 8 a g 0 7 1 1 G t CHLORFENIRAMIN MALEATE 4 MG TABLET 1000 TAB
DEXAMETHASON,DEKSCHLORPENIRAMIN F 1 8 a n 0 8 1 1 G t DEXTAMIN TABLET 300 TAB

MALEATE F 1 8 a n 0 8 1 1 G b DEXTAMIN SYRUP 60 ML 1 BTL
DIPHENHYDRAMINE F 1 8 a n 0 9 1 1 G a DIPHENHYDRAMINE 10 MG / ML INJEKSI 1 ML 1 AMP

F 1 8 a n 0 9 2 1 G a DURADRYL INJEKSI 1 VIAL
TRIPROLIDINE HCl 2,5M, F 1 8 a n 1 0 1 1 G t TRIFED TABLET 30 TAB

PSEUDOEPHEDRIN HCl 60 MG F 1 8 a n 1 0 2 1 G t TRIFED SYRUP 60 ML 1 BTL
FEXOFENADINE HCl F 1 8 a n 1 1 1 1 G k FEXOFED CAPSUL 30 KAPS

60MG,PSEUDOEPHEDRIN 120 MG
TRIPROLIDINE HCl 2,5 MG, F 1 8 a n 1 2 1 1 G k TRIFED TABLET 50 TAB

PSEUDOEPHEDRIN HCL 30 MG F 1 8 a n 1 2 1 1 G b TRIFED SYRUP 60 ML 1 BTL
LEVOCETIRIZINE F 1 8 a n 1 3 1 1 G t XYZAL TABLET 50 TAB
18b. Vaccines, H.INFLUENZAE TYPE B POLYSACCHARIDE F 1 8 b n 0 1 1 1 G v VAKSIN ACT HIB 0.5 ML VIAL
Antisera & CONJUGATED TO TETANUS PROTEIN 1
Immunologicals
18b. Vaccines,
Antisera & TERAPI PER
KLAS ZAT AKTIF KODE PRODUK SEDIAAN
Immunologicals BOX
INACTIVATED HEPATITIS A VIRUS F 1 8 b n 0 2 1 1 G v AVAXIM 80 / 160 PEDIATRIC 1 SYRINGE
HEPATITIS B F 1 8 b n 0 3 1 1 G v VAKSIN HEPATITIS B BIOFARMA ( ANAK ) 0.5 ML 1 VIAL
F 1 8 b n 0 3 2 1 G v VAKSIN ENGERIX B 20 MCG / ML ( DEWASA) 1 ML 1 VIAL
F 1 8 b n 0 3 2 2 G v VAKSIN ENGERIX B 10 MCG / 0,5 ML (JUNIOR) 1 VIAL
F 1 8 b n 0 3 3 1 G v VAKSIN EUVAX B 20 MCG / ML (DEWASA) 1 VIAL

F 1 8 b n 0 3 3 2 G v VAKSIN EUVAX B 10 MCG / 0,5 ML (ANAK) 1 VIAL
PLASMA IMMUNE GLOBULIN IV (HUMAN) F 1 8 b n 0 4 1 1 G v GAMAMARAAS 2,5 G / 50 ML 1 VIAL

5%
HUMAN IMMUNOGLOBULIN 6% F 1 8 b n 0 5 1 1 G v INTRAGAM P INFUS 1 VIAL
HUMAN PAPILOMAVIRUS (TYPE F 1 8 b n 0 6 1 1 G v VAKSIN GARDASIL 0,5 ML 1 VIAL

6,11,16,18)
HEPATITIS A F 1 8 b n 0 7 1 1 G v VAKSIN HAVRIX 720 JUNIOR 0.5 ML 1 VIAL
HEPATITIS B IMUNE GLOBULIN F 1 8 b n 0 8 1 1 G v VAKSIN HYPERHEB-B S/D 0.5 ML 1 VIAL
VAKSIN POLIO F 1 8 b n 0 9 1 1 G v VAKSIN POLIO 1 ML 10 DOSES 10 VIAL
VAKSIN DPT(DIPHTERIA TOXOID) ≥30 F 1 8 b n 1 0 1 1 G v VAKSIN DTP (BIOFARMA) 5 ML 10 DOSES 10 VIAL

IU F 1 8 b n 1 0 2 1 G v VAKSIN INFANRIX PFS 0.5 ML VIAL
1
VAKSIN DPT + HIB F 1 8 b n 1 1 1 1 G v VAKSIN INFANRIX HIB 0.5 ML 1 VIAL
VAKSIN DPT, HBV, IPV, HIB F 1 8 b n 1 2 1 1 G v VAKSIN INFANRIX HEXA 1 VIAL

PER
BOX
VAKSIN MEASLES, MUMPS & RUBELLA F 1 8 b n 1 3 1 1 G v VAKSIN TRIMOVAX 0.5 ML 1 VIAL
VAKSIN DPT + HIB + POLIO F 1 8 b n 1 4 1 1 G v VAKSIN PEDIACEL 0.5 ML INJEKSI 1 VIAL
VAKSIN IPD (PNEUMOCOCCAL 7-VALENT) F 1 8 b n 1 5 1 1 G v VAKSIN PREVENAR 0.5 ML 1 VIAL

F 1 8 b n 1 5 2 1 G v VAKSIN SYNFLORIX 1 VIAL
VAKSIN TETANUS F 1 8 b n 1 6 1 1 G v VAKSIN TETANUS TOXOID 5 ML 10 DOSES 1 VIAL

F 1 8 b n 1 6 2 1 G v VAKSIN TETAGAM 250 IU / ML INJEKSI 1 ML 1 VIAL
VAKSIN HUMAN ROTAVIRUS F 1 8 b n 1 7 1 1 G v VAKSIN ROTARIX FOR ORAL 1 VIAL
VAKSIN SALMONELA TYPHI F 1 8 b n 1 8 1 1 G v VAKSIN TYPHIM VI 0.025 MG / ML 1 VIAL
VAKSIN RABIES F 1 8 b n 1 9 1 1 G v VAKSIN VERORAB 0,5 ML 1 VIAL
VAKSIN VARICELLA F 1 8 b n 2 0 1 1 G v VAKSIN OKAVAX 0.5 ML 1 VIAL
VAKSIN INFLUENZA F 1 8 b n 2 1 1 1 G v VAKSIN VAXIGRIP ANAK 0.25 ML 1 VIAL

F 1 8 b n 2 1 1 2 G v VAKSIN VAXIGRIP DEWASA 0.5 ML 1 VIAL
VAKSIN BCG F 1 8 b n 2 3 1 1 G v VAKSIN BCG 1 ML 10 DOSES 10 VIAL
VAKSIN CAMPAK F 1 8 b n 2 4 1 1 G v VAKSIN CAMPAK 5 ML 10 DOSES 10 VIAL
18c.Immunosuppressa
nts
19.ANTIDOTES
19. Antidotes, N-ACETYLCYSTEINE F 1 9 a n 0 1 1 1 G v HIDONAC 200 MG/ML INJEKSI 25 ML 1 VIAL
Detoxifyingng Agents
& Drugs Used in
Substance NALOXONE HCl F 1 9 a n 0 2 1 1 G a NOKOBA 0.4 MG/ML INJEKSI 2 ML 1 AMP
Dependence
19. Antidotes,
Detoxifyingng Agents
& Drugs Used in PER
Substance BOX
Dependence
CALCII GLUCONAS F 1 9 a n 0 3 1 1 G a CALCII GLUCONAS 100 MG/ML INJEKSI 10 ML 100 AMP
20.INTRAVENOUS
20. Intravenous & Na + K4 + CI + Ca + ACETATE F 2 0 a n 0 1 1 1 G f ASERING 500 ML INFUS 1 INF
Other Sterile Solutions
GLUCOSE F 2 0 a n 0 2 1 1 G f WIDA D 5% 500 ML INFUS 20 INF

F 2 0 a n 0 2 1 2 G f WIDA D 10% 500 ML INFUS 20 INF
F 2 0 a n 0 2 2 1 G v D 40% INJEKSI 25 ML 1 VIAL
NaCl 0.9 % F 2 0 a n 0 3 1 1 G f NaCl 0.9% 500 ML INFUS 1 INF

F 2 0 a n 0 3 1 2 G f NaCl 0.9% 100 ML INFUS 1 INF
F 2 0 a n 0 3 1 3 G f NaCl 0.9% 25 ML INFUS 1 INF
F 2 0 a n 0 3 2 1 G f WIDA NSI 0.9% 1000 ML INFUS 1 INF
HYDROXYETHYL STARCH ( HES) + NaCl F 2 0 a n 0 4 1 1 G f WIDAHES 500 ML INFUS 1 INF
POLYGELINE F 2 0 a n 0 5 1 1 G f HAEMACEL 500 ML INFUS 1 BAG
WATER FOR INJECTION F 2 0 a n 0 6 1 1 G a OTSU WFI INJEKSI 25 ML 120 AMP
HUMAN ALBUMIN F 2 0 a n 0 7 1 1 G f ALBAPURE 20% 50 ML INFUS 1 BTL

F 2 0 a n 0 7 2 1 G f HUMAN ALBUMIN 20% 100 ML INFUS 1 BTL
F 2 0 a n 0 7 3 1 G f ALBUMINAR 25% 100 ML INFUS 1 BTL
NaCl, KCl, CaCl, Na ACETAT F 2 0 a n 0 8 1 1 G f FUTROLIT 500 ML INFUS 1 BAG

F 2 0 a n 0 8 2 1 G f TUTOPUSIN OPS 500 ML INFUS 1 BAG
PRINCIPLE
GENERIK
GENERIK
INTERBAT
INTERBAT
DEXA MEDICA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
GENERIK
TAKEDA
SANBE FARMA
DEXA MEDICA
TAKEDA
GENERIK
SANBE FARMA
INTERBAT
DEXA MEDICA
SANBE FARMA
SANDOZ
DEXA MEDICA
INTERBAT
GENERIK
SANBE FARMA
INTERBAT
DEXA MEDICA
PRINCIPLE
GENERIK
SANBE FARMA
INTERBAT
DEXA MEDICA
NOVELL
OTSUKA
SOHO
FAHRENHEIT
SANBE FARMA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
INTERBAT
SANBE FARMA
INTERBAT
INTERBAT
SANBE FARMA
SANBE FARMA
PRINCIPLE
DEXA MEDICA
GENERIK
SANBE FARMA
BOEHRINGER
INTERBAT
INTERBAT
HEXPHARM
NICHOLAS
FAHRENHEIT
ABBOT
INTERBAT
SANBE FARMA
SANBE FARMA
EAGLE INDO PHARMA
NOVELL
PHARMACON
INTERBAT
PRINCIPLE
BOEHRINGER
BOEHRINGER
BOEHRINGER
FAHRENHEIT
GELENIUM
COMBIPHAR
COMBIPHAR
PHAROS
BOEHRINGER
LAPI
KALBE FARMA
SANBE FARMA
COMBIPHAR
GUARDIAN
PRINCIPLE
GUARDIAN
TAKEDA
TAKEDA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
GENERIK
INTERBAT
INTERBAT
GENERIK
INTERBAT
DEXA MEDICA
INTERBAT
DEXA MEDICA
PHAROS
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
SANBE FARMA
INTERBAT
SOHO
SOHO
PRINCIPLE
NOVARTIS
SANOFI AVENTIS
FAHRENHEIT
FAHRENHEIT
KIMIA FARMA
DEXA MEDICA
KIMIA FARMA
GEN
FAHRENHEIT
KIMIA FARMA
TEMPO
GEN
FAHRENHEIT
FAHRENHEIT
FAHRENHEIT
FAHRENHEIT
SERVIER
FAHRENHEIT
SERVIER
GEN
SANBE FARMA
PRINCIPLE
DEXA MEDICA
GEN
SANBE FARMA
DEXA MEDICA
INTERBAT
SANBE FARMA
DEXA MEDICA
INTERBAT
SANBE FARMA
DEXA MEDICA
SANOVI AVENTIS
SANOVI AVENTIS
SANDOZ
SANOVI AVENTIS
GEN
HEXPHARM JAYA
HEXPHARM JAYA
FAHRENHEIT
DEXA MEDICA
MERCK
TANABE
TANABE
GEN
FAHRENHEIT
INTERBAT
PRINCIPLE
KALBE FARMA
GEN
DEXA MEDICA
GEN
DEXA MEDICA
INTERBAT
PFIZER
PFIZER
BAYER
GEN
BAYER
SANDOZ
ASTELLAS
NOVARTIS
NOVARTIS
NOVARTIS
BOEHRINGER
TANABE
DEXA MEDICA
TANABE
FAHRENHEIT
TANABE
SANOVI AVENTIS
KALBE FARMA
SANOVI AVENTIS
SANDOZ
PRINCIPLE
TAKEDA
DEXA MEDICA
TAKEDA
DEXA MEDICA
NOVARTIS
NOVARTIS
NOVARTIS
GEN
NOVARTIS
NOVARTIS
BOEHRINGER
BOEHRINGER
BOEHRINGER
ACTAVIS
ABBOT
GEN
FAHRENHEIT
KALBE FARMA
SOHO
GEN
FAHRENHEIT
KALBE FARMA
SOHO
GEN
SANOVI AVENTIS
PRINCIPLE
FAHRENHEIT
GENERIK
SANOVI AVENTIS
FAHRENHEIT
KIMIA FARMA
OTSUKA
JANSEN CILLAG
KALBE FARMA
INTERBAT
INTERBAT
GEN
SANBE FARMA
KALBE FARMA
INTERBAT
INTERBAT
KALBE FARMA
SANBE FARMA
KALBE FARMA
SANBE FARMA
KIMIA FARMA
KIMIA FARMA
FERRON
PRINCIPLE
PHAPROS
PHAPROS
PHAPROS
DEXA MEDICA
GENERIK
PFIZER
SANDOZ
DEXA MEDICA
SANDOZ
PFIZER
DEXA MEDICA
DEXA MEDICA
PFIZER
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
SANBE FARMA
DEXA MEDICA
SANDOZ
DEXA MEDICA
INTERBAT
SANBE FARMA
GEN
SANBE FARMA
DEXA MEDICA
PRINCIPLE
TANABE
TANABE
FERRON
SANBE FARMA
DEXA MEDICA
SANBE FARMA
DEXA MEDICA
DEXA MEDICA
INTERBAT
CORSA
COMBIPHAR
GEN
GEN
GSK
MEDIFARMA
MEDIFARMA
FAHRENHEIT
BAYER
PHAROS
FAHRENHEIT
OTSUKA
OTSUKA
PRINCIPLE
GEN
INTERBAT
DEXA MEDICA
SANOFI AVENTIS
KALBE FARMA
BOEHRINGER
BOEHRINGER
SANBE FARMA
FAHRENHEIT
DEXA MEDICA
FAHRENHEIT
FAHRENHEIT
SANOFI AVENTIS
ASTELLAS
TUNGGAL
KALBE FARMA
KALBE FARMA
JANSSEN CILAG
PRINCIPLE
JANSSEN CILAG
KALBE FARMA
INDOFARMA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
ASTRA ZENECA
INTERBAT
INTERBAT
BOEHRINGER
BOEHRINGER
INTERBAT
OTSUKA
OTSUKA
INDOFARMA
INDOFARMA
SANBE FARMA
GLAXO WELLCOME
PRINCIPLE
INTERBAT
DEXA MEDICA
KIMIA FARMA
DEXA MEDICA
ASTRA ZANECA
ASTRA ZANECA
BOEHRINGER
SANBE FARMA
INTERBAT
SANBE FARMA
INTERBAT
SANBE FARMA
SANBE FARMA
SANBE FARMA
BOEHRINGER
BOEHRINGER
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
KIMIA FARMA
PRINCIPLE
KIMIA FARMA
INTERBAT
INTERBAT
CORONET
INTERBAT
SANBE FARMA
SANBE FARMA
DEXA MEDICA
DEXA MEDICA
KALBE
KIMIA FARMA
COMBIPHAR
DELTOMED
ZAMBON
ZAMBON
PRAFA
PRINCIPLE
DEXA MEDICA
DEXA MEDICA
SANBE FARMA
SANBE FARMA
INTERBAT
SANBE FARMA
INTERBAT
GLAXO SMITH KLINE
MSD
NOVELL
MERCK
MERCK
SANOFI AVENTIS
SANBE FARMA
SANBE FARMA
SANBE FARMA
ACTAVIS
ACTAVIS
PFIZER
PRINCIPLE
PFIZER
DEXA MEDICA
DEXA MEDICA
GUARDIAN
DEXA MEDICA
DEXA MEDICA
TAKEDA
FAHRENHEIT
KALBE FARMA
DEXA MEDICA
SOHO
PHAROS
OTSUKA
MERSIFARMA
MERSIFARMA
MERSIFARMA
MERSIFARMA
MERSIFARMA
ASTRA ZENECA
SOHO/ DELAGRANCE
GENERIK
PRINCIPLE
SANDOZ
SANDOZ
ACTAVIS
ACTAVIS
GENERIK
GENERIK
IKA PHARMINDO
PFIZER
PFIZER
MERSIFARMA
MERSIFARMA
DEXA MEDICA
DEXA MEDICA
ABBOT
ABBOT
ABBOT
ABBOT
OTSUKA
OTSUKA
PFIZER
PFIZER
PFIZER
MERSIFARMA
NOVARTIS
NOVARTIS
NOVARTIS
PRINCIPLE
EISAI
MERSIFARMA
BOEHRINGER
BOEHRINGER
SOHO
DEXA MEDICA
DEXA MEDICA
ABBOT
ABBOT
JANSSEN-CILAG
JANSSEN - CILAG
JANSSEN - CILAG
JANSSEN - CILAG
JANSSEN - CILAG
KIMIA FARMA
MAHAKAM BETA FARMA
GENERIK
GENERIK
PHAROS
PRINCIPLE
PHAROS
PHAROS
PHAROS
INTERBAT
INTERBAT
JANSSEN - CILAG
PHAROS
KIMIA FARMA
KIMIA FARMA
GENERIK
GENERIK
SANBE FARMA
SANBE FARMA
SANBE FARMA
INTERBAT
INTERBAT
INTERBAT
INTERBAT
FAHRENHEIT
SANBE FARMA
UAP
DEXA MEDICA
INTERBAT
INTERBAT
SANBE FARMA
SANBE FARMA
JANSSEN - CILAG
PRINCIPLE
PHAROS
SANOFI AVENTIS
SANOFI AVENTIS
INTERBAT
INTERBAT
SANBE FARMA
PFIZER
PFIZER
MERCKSHARP & DOHME
MERCKSHARP & DOHME
GENERIK
SANBE FARMA
SANBE FARMA
NOVARTIS
NOVARTIS
GENERIK
INTERBAT
INTERBAT
EISAI
PFIZER
SANBE FARMA
SANBE FARMA
PRINCIPLE
GENERIK
INTERBAT
GENERIK
SANBE FARMA
SANBE FARMA
INTERBAT
INTERBAT
SANOFI AVENTIS
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
GENERIK
DEXA MEDICA
DEXA MEDICA
INTERBAT
INTERBAT
FERRON
FERRON
NULAB
UAP
TAKEDA
SANBE FARMA
SANBE FARMA
INTERBAT
INTERBAT
PRINCIPLE
NOVARTIS
NOVARTIS
NOVARTIS
NOVARTIS
DEXA MEDICA
DEXA MEDICA
INTERBAT
INTERBAT
TEMPO
KALBE FARMA
KALBE FARMA
TEMPO
INTERBAT
SANBE FARMA
SANBE FARMA
INTERBAT
SANBE FARMA
INTERBAT
SANBE FARMA
INTERBAT
SANBE FARMA
GENERIK
INTERBAT
SANBE FARMA
GENERIK
PRINCIPLE
DANKOS
GLAXOSMITHKLINE
INDONESIA
GENERIK
INTERBAT
GLAXOSMITHKLINE
INDONESIA
INTERBAT
SANBE FARMA
INTERBAT
DEXA MEDICA
DEXA MEDICA
COMBIPHAR
COMBIPHAR
COMBIPHAR
DEXA MEDICA
DEXA MEDICA
KALBE FARMA
PRINCIPLE
COMBIPHAR
PHAROS
SCHERING PLOUGH
BAYER SCHERING
PHARMA
ACTAVIS
ACTAVIS
LAPI
SOLVAY PHARMA
DEXA MEDICA
INTERBAT
CAPRIFARMINDO
CAPRIFARMINDO
BAYER
DEXA MEDICA
DEXA MEDICA
TAISHO
GENERIK
GENERIK
INTERBAT
PRINCIPLE
INTERBAT
SANBE FARMA
SANBE FARMA
DEXA MEDICA
GENERIK
INTERBAT
SANBE FARMA
SANBE FARMA
INTERBAT
SANBE FARMA
LAPI
GENERIK
SANBE FARMA
LAPI
PFIZER
GENERIK
KALBE FARMA
DEXA MEDICA
INTERBAT
BAYER SCHERING
PHARMA
PRINCIPLE
BAYER SCHERING
PHARMA
BAYER SCHERING
PHARMA
BAYER SCHERING
PHARMA
HARSEN
TUNGGAL IDAMAN ABDI
KIMIA FARMA
KIMIA FARMA
BAYER SCHERING
PHARMA
DOSNI ROHA
GENERIK
INTERBAT
SANBE FARMA
GENERIK
SANBE FARMA
SANBE FARMA
INTERBAT
SANBE FARMA
INTERBAT
SANBE FARMA
INTERBAT
PRINCIPLE
SANBE FARMA
PUSPA PHARMA
INTERBAT
OGB DEXA
SANBE FARMA
INTERBAT
SANDOZ
SANDOZ
SANBE FARMA
SANBE FARMA
GENERIK
INTERBAT
INTERBAT
INTERBAT
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
GENERIK
INTERBAT
SANBE FARMA
DEXA MEDICA
SANBE FARMA
INTERBAT
GENERIK
SANBE FARMA
PRINCIPLE
SANBE FARMA
INTERBAT
INTERBAT
SANBE FARMA
NULAB
SANBE FARMA
SANBE FARMA
SANBE FARMA
SANBE FARMA
GENERIK
GENERIK
SANBE
SANBE
SANBE
SANBE
SANBE
SANBE
INTERBAT
INTERBAT
INTERBAT
INTERBAT
SANBE FARMA
SANBE FARMA
SANBE FARMA
INTERBAT
INTERBAT
PRINCIPLE
INTERBAT
INTERBAT
GENERIK
GENERIK
SANBE FARMA
SANBE FARMA
DEXA MEDICA
INTERBAT
INTERBAT
INTERBAT
DEXA MEDICA
SANBE FARMA
INTERBAT
INTERBAT
DEXA MEDICA
PFIZER
SANBE FARMA
INTERBAT
INTERBAT
INTERBAT
SANBE FARMA
SANBE FARMA
GENERIK
SANBE FARMA
INTERBAT
INTERBAT
SANBE FARMA
FAHRENHEIT
PRINCIPLE
DEXA MEDICA
LAPI
SANBE FARMA
INTERBAT
SANBE FARMA
DEXA MEDICA
KABE FARMA
LAPI
SANBE FARMA
SANBE FARMA
PHAROS
INTERBAT
INTERBAT
INTERBAT
INTERBAT
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
INTERBAT
INTERBAT
SANBE FARMA
SANBE FARMA
GENERIK
GENERIK
INTERBAT
PRINCIPLE
INTERBAT
SANBE FARMA
SANBE FARMA
SANDOZ
SANDOZ
TAISHO
SANBE FARMA
PFIZER
PFIZER
PFIZER
GUARDIAN
DEXA MEDICA
INTERBAT
INTERBAT
FERRON
DEXA MEDICA
INTERBAT
GENERIK
GENERIK
INTERBAT
INTERBAT
PRINCIPLE
INTERBAT
MEDIFARMA
MEDIFARMA
PFIZER
PFIZER
JANSSEN CILAG
BAYER
DEXA MEDICA
KIMIA FARMA
ACTAVIS
PHAPROS
GENERIK
DEXA MEDICA
SANBE FARMA
SANBE FARMA
SANBE FARMA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
KALBE FARMA
TAKEDA
PRINCIPLE
HARSEN
TUNGGAL IDAMAN ABDI
PFIZER
GENERIK
INTERBAT
INTERBAT
GENERIK
INTERBAT
DEXA MEDICA
INTERBAT
DEXA MEDICA
GENERIK
GENERIK
PHAROS
PHAROS
PHAROS
PHAROS
INTERBAT
INTERBAT
BAYER CONSUMER
CARE
PRINCIPLE
BAYER CONSUMER
CARE
DEXA MEDICA
SANBE FARMA
INTERBAT
GUARDIAN
KIMIA FARMA
KIMIA FARMA
DEXA MEDICA
NOVARTIS INDONESIA
NOVARTIS INDONESIA
KALBE FARMA
ETHICA
PFIZER
GLAXO SMITH KLINE
ASTELLAS
ASTELLAS
NYCOMED
COMBIPHAR
COMBIHAR
PRINCIPLE
ASTELLAS
SOHO
ELI LILY
SANOFI AVENTIS
NOVO NORDISK
SANOFI AVENTIS
NOVO NORDISK
SANOFI AVENTIS
BAYER
BAYER
SANBE FARMA
SANBE FARMA
SANBE FARMA
SANBE FARMA
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
SANOFI AVENTIS
INTERBAT
PRINCIPLE
INTERBAT
INTERBAT
INTERBAT
SANBE FRAMA
GENERIK
SANOFI AVENTIS
GENERIK
SANBE FARMA
SANBE FARMA
FAHRENHEIT
NOVARTIS
NOVARTIS
TAKEDA
SCHERING PLOUGH
MERCK
SANOFI AVENTIS
ROCHE
ROCHE
PHAPROS
PRINCIPLE
KALBE FARMA
KALBE FARMA
DARYA VARIA
DARYA VARIA
SANBE FARMA
KIMIA FARMA
KIMIA FARMA
GLOBAL MULTI
PHARMALAB
MERCK
SANBE FARMA
INTERBAT
MERCK
MERCK
SANBE FARMA
INTERBAT
SANBE FARMA
TAKEDA
TAKEDA
TAKEDA
PRINCIPLE
SANBE FARMA
INTERBAT
FAHRENHEIT
KALBE FARMA
TAKEDA
SANBE FARMA
BAYER
ETHICA
ETHICA
ETHICA
LAPI
NOVARTIS INDONESIA
FAHRENHEIT
BAYER CONSUMER
CARE
KALBE FARMA
INTERBAT
SANBE FARMA
PRINCIPLE
SANBE FARMA
SANBE FARMA
SANBE FARMA
SANBE FARMA
FERRON
SANBE FARMA
LAPI
INTERBAT
INTERBAT
SANBE FARMA
SANBE
PHAPROS
INTERBAT
COMBIPHAR
MERCK
MERCK
KALBE FARMA
PRINCIPLE
DEXA MEDICA
DEXA MEDICA
GENERIK
SOHO
SANGHIANG
NESTLE
SANGHIANG
SANGHIANG
NUTRICIA
PRINCIPLE
SANGHIANG
OTSUKA
SANBE FARMA
KALBE FARMA
KALBE FARMA
KALBE FARMA
OTSUKA
OTSUKA
KALBE FARMA
TANABE INDONESIA
OTSUKA
OTSUKA
OTSUKA
OTSUKA
OTSUKA
PRINCIPLE
KIMIA FARMA
ABBOTT
ABBOTT
FAHRENHEIT
WIDATRA BHAKTI
WIDATRA BHAKTI
OTSUKA
OTSUKA
WIDATRA BHAKTI
WIDATRA BHAKTI
WIDATRA BHAKTI
WIDATRA BHAKTI
WIDATRA BHAKTI
WIDATRA BHAKTI
OTSUKA
SOHO
SOHO
SOHO
INTERBAT
SOLAS
PRINCIPLE
DEXA MEDICA
SANBE VISION
FERRON
SOHO
SOHO
SOHO
PUSPA PHARMA
INTERBAT
SOHO
SOHO
SOHO
DEXA MEDICA
PRINCIPLE
SOHO
INTERBAT
DEXA MEDICA
DEXA MEDICA
INTERBAT
SOHO
SOHO
SANBE VISION
CENDO
CENDO
DEXA MEDICA
DEXA MEDICA
PRINCIPLE
DARYA-VARIA
CENDO
CENDO
CENDO
CENDO
CENDO
CNDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
PRINCIPLE
CENDO
CENDO
CENDO
Cendo
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
CENDO
SCHERING-PLOUGH
SANBE VISION
KALBE
PRINCIPLE
INTERBAT
SANBE VISION
KALBE FARMA
MEIJI
TAISHO
PHARMACEUTICAL
CAPRIFARMINDO
MAHAKAM BETA FARMA
MINOROCK
KALBE FARMA
DARYA VARIA
PRINCIPLE
INTERBAT
INTEBAT
SANBE FARMA
SANBE FARMA
PHAROS
JANSSEN-CILAG
SANBE FARMA
INTERBAT
GALENIUM
INTERBAT
GENERIK
INTERBAT
ACTAVIS
BERNOFARM
SANBE FARMA
SANBE FARMA
SDM LAB
PRINCIPLE
ACTAVIS
INTERBAT
SANBE FARMA
GENERIK
INTERBAT
INTERBAT
TAISHO
PHARMACEUTICAL
SDM LAB
INTERBAT
SDM LAB
INTERBAT
SDM LAB
SDM LAB
INTERBAT
INTERBAT
GALENIUM PHARMASIA
GALENIUM PHARMASIA
GENERIK
PRINCIPLE
INTERBAT
SDM LAB
INTERBAT
INTERBAT
INTERBAT
SOHO
SOHO
SDM LAB
ABBOTT
DEXA MEDICA
DEXA MEDICA
SANBE FARMA
PFIZER
GENERIK
ASTRAZENECA
ASTRAZENECA
PRINCIPLE
ASTRAZENECA
MONTAVIT
KALBE FARMA
KALBE FARMA
ASTRAZENECA
ASTRAZENECA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
GENERIK
JANSSEN-CILAG
PHAPROS
PHARMACORE
SCHERING-PLOUGH
GENERIK
SANBE FARMA
INTERBAT
SANBE FARMA
INTERBAT
DEXA MEDICA
SCHERING-PLOUGH
PRINCIPLE
INTERBAT
SCHERING-PLOUGH
GENERIK
SANBE FARMA
INTERBAT
INTERBAT
INTERBAT
DEXA MEDICA
DEXA MEDICA
INTERBAT
GLOBAL
PHAPROS
PHAPROS
GENERIK
DURA FARMA JAYA
INTERBAT
INTERBAT
KALBE FARMA
INTERBAT
INTERBAT
SANOVI AVENTIS
SANOFI PASTEUR
PRINCIPLE
SANOFI PASTEUR
GEN
GLAXO SMITHKLINE
INDONESIA
GLAXO SMITHKLINE
INDONESIA
SANOFI PASTEUR
SANOFI PASTEUR
COMBIPHAR
DEXA MEDICA
MERCK SHARP &

DOHME
GLAXO SMITHKLINE
INDONESIA
DIPA PHARMALAB
INTERSAINS
GEN
GEN
GLAXO SMITHKLINE
INDONESIA
GLAXO SMITHKLINE
INDONESIA
GLAXO SMITHKLINE
INDONESIA
PRINCIPLE
SANOFI PASTEUR
SANOFI PASTEUR
WYETH
GLAXO SMITHKLINE
INDONESIA
GEN
DEXA MEDICA
GLAXO SMITHKLINE
INDONESIA
SANOFI PASTEUR
SANOFI PASTEUR
GLAXO SMITHKLINE
INDONESIA
SANOFI PASTEUR
SANOFI PASTEUR
BIOFARMA
BIOFARMA
ZAMBON
FAHRENHEIT
PRINCIPLE
ETHICA
OTSUKA
WIDATRA BHAKTI
WIDATRA BHAKTI
OTSUKA
WIDATRA BHAKTI
OTSUKA
OTSUKA
WIDATRA BHAKTI
WIDATRA BHAKTI
DEXA MEDICA
OTSUKA
DEXA MEDICA
DEXA MEDICA
DEXA MEDICA
SANBE FARMA
KALBE FARMA
FORMULARIUM RUMAH SAKIT HARAPAN KELUARGA TAHUN 2015
PER
KLAS TERAPI ZAT AKTIF PRODUK SEDIAAN PRINCIPLE
BOX
1a. Antacid, Antireflux ALUMINIUM HIDROXIDE + MAGNESIUM ANTASIDA DOEN TABLET KUNYAH 100 TAB GENERIK
Agents & Antiulcerants HIDROXIDE ANTASIDA DOEN SUSP 60 ML 1 BTL GENERIK
ALUMINIUM HIDROXSIDE + MAGNESIUM DEXANTA TABLET 100 TAB DEXA MEDIKA

HIDROXIDE + SIMETICONE DEXANTA SYRUP 100 ML 1 BTL DEXA MEDIKA
LAGESIL TABLET 100 TAB LAPI
LAGESIL SUSP 170 ML 1 BTL LAPI
BIOACTIVE FRACTION REDACID 250 MG KAPSUL 30 KAPS DEXA MEDICA

DLBS2411(CINNAMOMUM BURMANI)
ESOMEPRAZOLE NEXIUM 20 MG KAPSUL 28 KAPS ASTRA ZENECA

NEXIUM 40 MG KAPSUL 14 KAPS ASTRA ZENECA
NEXIUM 40 MG / ML INJEKSI 1 VIAL ASTRA ZENECA
LANSOPRAZOLE LANSOPRAZOLE 30 MG KAPSUL 30 KAPS GENERIK

LAPRAZ 30 MG KAPSUL 20 KAPS SANBE FARMA
LASGAN 30 MG KAPSUL 20 KAPS LAPI
LAZ 30 MG KAPSUL 20 KAPS DEXA MEDICA
PROSOGAN 30 MG KAPSUL 14 KAPS TAKEDA
PROSOGAN 30 MG INJEKSI 1 VIAL TAKEDA
OMEPRAZOLE OMEPRAZOLE 20 MG KAPSUL 1 KAPS GENERIK

PUMPITOR 20 MG KAPSUL 20 KAPS SANBE FARMA
GASTROFER 40MG/10ML INJEKSI 1 VIAL DEXA MEDICA
PUMPITOR 40 MG/10 ML INJEKSI 1 VIAL SANBE FARMA
PANTOPRAZOLE PANTOPRAZOL 20 MG 10 TAB GENERIK

PANTOPRAZOL 40 MG 10 TAB GENERIK
PANTOPRAZOL 40 MG INJEKSI 1 VIAL GENERIK
PANTOCER 40 MG KAPSUL 1 VIAL DEXA MEDICA
VOMIZOL MG/ ML 7 TAB DEXA MEDICA
PANTOZOL 20 MG TABLET 7 TAB PHAROS
PANTOZOL 40 MG TABLET 1 VIAL PHAROS
TOPAZOL 40 MG/ ML INJEKSI 1 VIAL LAPI
PUMPISEL 40 MG/ INJEKSI 1 VIAL SANBE FARMA
RANITIDIN RANITIDIN 25 MG/ML INJEKSI 2 ML 5 AMP GENERIK

ACRAN 150 MG TABLET 30 TAB SANBE FARMA
RADIN 150 MG TABLET 30 TAB DEXA MEDICA
RANITIDIN 150 MG TABLET 100 TAB GENERIK
ACRAN 25 MG/ML INJEKSI 2 ML 10 AMP GENERIK
RADIN 25 MG/ML INJEKSI 2 ML 5 AMP DEXA MEDICA
REBAMIPID REBAMID 100 TAB LAPI

MUCOSTA 100 MG TABLET 100 TAB OTSUKA
SULPIRIDE DOGMATIL 50 MG TABLET 100 TAB SOHO
1b. GIT Regulator, SUKRALFAT INPEPSA SUSPENSI 100ML 1 BTL FAHRENHEIT

Antiflatulent & Anti- EPISAN SUSPENSI 100 ML 1 BTL SANBE FARMA
Inflammatories
EPISAN SUSPENSI 200 ML 1 BTL SANBE FARMA
CISAPRIDE ACPULSIF 5 MG TABLET 50 TAB DEXA MEDICA
DOMPERIDON DOM 10 MG TABLET 30 TAB LAPI

DOM SYRUP 60 ML 1 BTL LAPI
VOSEDON 10 MG TABLET 100 TAB SANBE FARMA
1
VOSEDON10SYRUP
VOMETA 60 ML
MG TABLET 50 BTL
TAB SANBEMEDICA
DEXA FARMA
VOMETA 1 MG/ML SUSPENSI 60 ML 1 BTL DEXA MEDICA
VOMETA 5 MG/ML DROPS 10 ML 1 BTL DEXA MEDICA
L. ACIDOPHILUS ROSELL, L.RHAMNOSUS LACIDOFIL KAPSUL 60 KAPS DEXA MEDICA

ROSELL
PER
BOX
LACTOBACILLUS RAMNOSUS,
FLORAGYN KAPSUL 30 KAPS LAPI
LACTOBACILLUS REUTERI DSM
L. ACIDOPHILUS, L. CASEI, L.
SALIVARIUS, L. LACTIS, L.
L- BIO 1 GRAM 30 SACHET LAPI
BIFIDOBACTERIUM INFANTIS, B. LACTIS,
B. LONGUM
METOKLOPRAMID DAMABEN 10 MG TABLET 100 TAB SANBE FARMA

PRIMPERAN 10 MG TABLET 100 TAB SOHO
PRIMPERAN 5 MG/ ML INJEKSI 2 ML 6 AMP SOHO
Mg TRISILIKAT, Al(OH)3 COLLOIDAL,

PAPAVERINE HCl, CHLORDIAZEPOXIDE
SANMAG TABLET 100 TAB SANBE FARMA
HCl, VIT B1, VIT B2, VIT B6, VIT B12,
NIACINAMIDE, Ca PANTHOTENATE
Mg TRISILIKAT, Al(OH)3 COLLOIDAL,

SANMAG SUSPENSI 12OML 1 BTL SANBE FARMA
SIMETHICON
1c. Antispasmodics
OTILINIUM BR SPASMOMEN 40 MG TABLET 30 TAB DEXA MEDICA
ATROPIN SULFAT ATROPIN 0,25 MG/ML INJEKSI 1 ML 100 AMP GENERIK
CHLORDIAZEPOXIDE , CLINIDIUM
BRAXIDIN TABLET 100 TAB SANBE FARMA
BROMIDE
HYOSIN - N BUTIL BROMIDE BUSCOPAN 10 MG TABLET 100 TAB BOEHRINGER
HOSIN - N BUTIL BROMIDE,

BUSCOPAN PLUS TABLET 100 TAB BOEHRINGER
PARACETAMOL
PAPAVERINE, METAMPIRON, EKSTRAK

1d. Antidiarrheals SPASMINAL TABLET 100 TAB HEXPHARM
BELADONA
PIPENZOLATE BR 4 MG, PHENOBARBITAL

PIPTAL PEDIATRIK 15 ML DROPS 1 BTL NICHOLAS
Na 6 MG, ETHANOL 0,2 ML
NaCl, CaCl, TRINATRIUM SITRAT, PEDIALYTE 1 BTL ABBOT

GLUKOSA ANHIDRAT
ATTAPULGITE NEW DIATAB 100 TAB MEDIFARMA
KAOLIN PEKTIN NEOKAOLANA SUSPENSI 120 ML 1 BTL SANBE FARMA
LOPERAMIDE LODIA 2 MG TABLET 60 TAB SANBE FARMA

DIADIUM 100 TAB LAPI
CARBO ACTIVUS NORIT 125 MG TABLET 20 TAB EAGLE INDO PHARMA
CHOLESTERAMINE SEQUEST 400 MG SACHET 1 SACH NOVELL
ZINC SULPHATE MONOHYDRATE ZINK 20 MG TABLET 100 TAB PHARMACON

L-ZINC SYRUP 1 BTL LAPI
1e. Laxative, Purgatives BISAKODIL DULCOLAX 5 MG TABLET 80 TAB BOEHRINGER
DULCOLAX 10 MG SUPPOSITORIA FOR ADULT 5 SUPP BOEHRINGER
DULCOLAX 5 MG SUPPOSITORIA FOR CHILDREN 6 SUPP BOEHRINGER
STOLAX 10 MG 6 SUPP SANBE FARMA
LACTULOSE PRALAX SUSPENSI 1 BTL FAHRENHEIT
PARAFIN SUSPENSI LAXADIN SUSPENSI 1 BTL GELENIUM
SODIUM BIPHOSPATE, DISODIUM FLEET ENEMA 1 BTL COMBIPHAR

PHOSPATE
PER
BOX
FLEET PHOSPO SODA 1 BTL COMBIPHAR
NA LAURYL SULFAT, NA CITRATE, MICROLAX RECTAL TUBE 5 ML 1 TUBE PHAROS
SORBIC ACID, PEG 4000, SORBITOL
1f. Digestives Na PICOSULFATE LAXOBERON 1 BTL BOEHRINGER
1g. Cholagogues, L.ACIDOPHILUS, L.CASEI, L.SALIVARUS, L-BIO SACH 30 SACH LAPI

Chlolitholytics & L.LACTIS, B.INFANTIS, B.LACTIS,
Hepatic Protectors B.LONGUM
ASAM AMINO, ELECTROLYTE, SORBITOL TUTOFUSIN OPS 500 ML INFUS 1 FLC KALBE FARMA
ASAM AMINO, L THREONINE, L SERINE, L RENOSAN 50 ML INFUS BTL SANBE FARMA

PROLINE, L CYSTEINE HCl MONOHIDRAT,
GLYCINE, L ALANINE, L VALINE, L
METHIONIN, L ISOLEUCIN, L LEUCINE, L
PHENYLALANIN, L TRYPTOPHAN, L 1
HISTIDIN HSL MONOHIDRAT, LYSINE
HCl, L ARGININE, Na BISULPHATE, Na, Cl
L-ORNITHINE-L-ASPARTATE HEPAMERZ 5GRAM/10 ML INJEKSI 5 AMP COMBIPHAR
1h. Anorectal URSODEOXYCHOLIC ACID URSOLIC 250 MG KAPSUL 30 KAPS GUARDIAN

Preparation
DIOSMIN, HESPERIDIN ANADIUM 500 MG TABLET 30 TAB GUARDIAN

CIFLON TABLET 30 TAB LAPI
LITHOSPERMI RADIX BORRAGINOL-N SUPPOSITORIA SUPP TAKEDA

EXTR,BENZOCAINE,DIBUCAINE 10
HCl,DIPHENHIDRAMINE HCl,CETRIMIDE
BORRAGINOL-S 10 SUPP TAKEDA
1i. Antiemetik PIRATIAZIN TEOKLAT + VITAMIN B6 ANVOMER B 6 TABLET 60 TAB DEXA MEDICA
GRANISETRON GRANON 1MG/ML INJEKSI 5 AMP DEXA MEDICA

GRANON 3MG/3ML INJEKSI 5 AMP DEXA MEDICA
GRAMET 1 MG/ML INJEKSI 5 AMP PHAROS
GRAMET 3 MG/ ML INJEKSI 5 AMP PHAROS
ONDANCETRON ONDANCETRON 8 MG TABLET 12 TAB GENERIK

ONDANCENTRON 8 MG/ 4 ML INJEKSI 5 AMP GENERIK
ONDANCETRON 2 MG/ML INJEKSI 5 AMP GENERIK
VOMETRAZ 2 MG/ML INJEKSI 2 ML 5 AMP DEXA MEDICA
VOMETRAZ 2 MG/ML INJEKSI 4ML 5 AMP DEXA MEDICA
NARFOZ 4 MG/5 ML 60 ML SIRUP 1 BTL PHAROS
NARFOZ 4 MG/ 5 ML 30 ML SIRUP 1 BTL PHAROS
ODR 2 MG / ML INJEKSI 5 AMP LAPI
ODR 8 MG / 4 ML INJEKSI 5 AMP LAPI
TROVENSIS 8 MG TABLET 10 TAB SANBE FARMA
TROVENSIS 8 MG / 4 ML TABLET 5 AMP SANBE FARMA
TROVENSIS 4 MG/ 2 ML INJEKSI 5 AMP SANBE FARMA
DOMPERIDONE DOM 10 MG TABLET 30 TAB LAPI

DOM SYRUP 60 ML 1 BTL LAPI
VOSEDON 10 MG TABLET 100 TAB SANBE FARMA
VOMETA FT TABLET 50 TAB DEXA MEDICA
VOMETA 5 MG/ML DROPS 10 ML 1 BTL DEXA MEDICA
VOMETA 5 MG/5 ML SIRUP 60 ML 1 BTL DEXA MEDICA
METOKLOPRAMID DAMABEN 10 MG TABLET 100 TAB SANBE FARMA

PRIMPERAN 10 MG TABLET 100 TAB SOHO
PRIMPERAN 5 MG/ ML INJEKSI 2 ML 6 AMP SOHO
METOKLOPRAMIDE, PANKREATIN PRIMPERAN KOMPOSITUM TABLET 100 TAB SOHO

PER
BOX
RAMOSENTRON HCL NASEA 0.1 MG TABLET 10 TAB ASTELAS
1j. Other DIMENHYDRAMINE DRAMAMIN 50 MG TABLET 100 TAB SOHO

Gastrointestinal
2. CARDIOVASCULAR & HEMATOPOIETIC SYSTEM

2a. Cardiac Drugs OCTREOTID SANDOSTATIN 0,1MG/ML INJEKSI 5 AMP NOVARTIS
AMIODARONE HCL CORDARONE 200 MG 30 TAB SANOFI AVENTIS

TIARYT TAB 200 MG 30 TAB FAHRENHEIT
TIARYT 50 MG/ML INJEKSI 3 ML 5 AMP FAHRENHEIT
DOBUTAMIN HCL DOBUTAMIN GIULINI 250 MG/20 ML INJEKSI 20 5 AMP KIMIA FARMA
ML
DOBUJECT 250 MG/5 ML INJEKSI 5 ML 5 AMP DEXA MEDICA
DOPAMIN HCL DOPAMIN GIULINI 20 MG/ML INJEKSI 10 ML 5 AMP KIMIA FARMA
2b. Anti-Anginal DIGOXIN DIGOXIN 0,25 MG TABLET 100 TAB GENERIK

Drugs FARGOXIN 0,25 MG TABLET 100 TAB FAHRENHEIT
GLYCERYL TRINITRAT NITROCAF RETARD 2,5 MG TABLET 100 TAB KIMIA FARMA
GLYCERYL TRINITRAT 50 MG/10 ML INJEKSI 5 AMP TEMPO
ISOSORBID DINITRAT ISDN 5 MG TABLET 100 TAB GENERIK

FARSORBID SUBLINGUAL 5 MG TABLET 100 TAB FAHRENHEIT
FARSORBID 10 MG TABLET 100 TAB FAHRENHEIT
FARSORBID 10 MG/10 ML INJEKSI 2 AMP FAHRENHEIT
ISOSORBID MONONITRAT MONECTO 20 MG TABLET 30 TAB FAHRENHEIT
2c. ACE Inhibitors TRIMETAZIDINE DI HCL TRIZEDON MR 35 MG TABLET 60 TAB SERVIER

MIOZIDIN 5 MG TABLET 30 TAB FAHRENHEIT
PERINDOPRIL ARGININE, INDAPAMIDE BIOPREXUM PLUS TABLET 20 TAB SERVIER
CAPTOPRIL CAPTOPRIL 12,5 MG TABLET 100 TAB GENERIK

TENSICAP 12,5 MG 50 TAB SANBE FARMA
DEXACAP 12,5 MG 60 TAB DEXA MEDICA
CAPTOPRIL 25 MG TABLET 100 TAB GENERIK

TENSICAP 25 MG TABLET 50 TAB SANBE FARMA
DEXACAP 25 MG 60 TAB DEXA MEDICA
LISINOPRIL TENSINOP 5 MG TABLET 30 TAB SANBE FARMA

NOPERTEN 5 MG TABLET 30 TAB DEXA MEDICA
TENSINOP 10 MG TABLET 30 TAB SANBE FARMA
NOPERTEN 10 MG TABLET 30 TAB DEXA MEDICA
RAMIPRIL TRIATEC 2,5 MG TABLET 60 TAB SANOVI AVENTIS

TRIATEC 5 MG TABLET 60 TAB SANOVI AVENTIS
RAMIXAL 5 MG 50 TAB SANDOZ
TRIATEC 10 MG TABLET 30 TAB SANOVI AVENTIS
2d. Beta - Blockers BISOPROLOL BISOPROLOL 2,5 MG TABLET 30 TAB GENERIK
BISOPROLOL FUMARATE BETA-ONE 2,5 MG TABLET 50 TAB HEXPHARM JAYA

BETA-ONE 5 MG TABLET 30 TAB HEXPHARM JAYA
BIPRO 5 MG TABLET 30 TAB FAHRENHEIT
BISCOR 5 MG TABLET 30 TAB DEXA MEDICA
BISOPROLOL HEMIFUMARATE CONCOR 2,5 MG TABLET 30 TAB MERCK

PER
KLAS TERAPI ZAT AKTIF
BISOPROLOL HEMIFUMARATE PRODUK SEDIAAN PRINCIPLE
BOX
MAINTATE 2,5 MG TABLET 30 TAB TANABE
MAINTATE 5 MG TABLET 30 TAB TANABE
PROPANOLOL PROPANOLOL 10 MG TABLET 100 TAB GENERIK

FARMADRAL 10 MG TABLET 100 TAB FAHRENHEIT
CARVEDILOL V-BLOCK 6,25 MG TABLET 30 TAB KALBE FARMA
2e. Calcium Antagonists AMLODIPIN AMLODIPIN 5 MG TABLET 100 TAB GENERIK
TENSIVASK 5 MG TABLET 50 TAB DEXA MEDICA

AMLODIPIN 10 MG TABLET 30 TAB GENERIK
TENSIVASK 10 MG TABLET 50 TAB DEXA MEDICA
AMLODIPIN BESYLATE AB VASK 5 MG TABLET 30 TAB LAPI

AB VASK 10 MG TABLET 30 TAB LAPI
NORVASK 5 MG TABLET 30 TAB PFIZER
NORVASK 10 MG TABLET 30 TAB PFIZER
NIFEDIPIN ADALAT 5 MG TABLET 50 TAB BAYER

NIFEDIPIN 1O MG TABLET 30 TAB GENERIK
ADALAT OROS 20 MG TABLET 30 TAB BAYER
AMLODIPIN MALEATE AMDIXAL 5 MG TABLET 30 TAB SANDOZ
NICARDIPINE PERDIPINE 10MG/10 ML INJEKSI 10 AMP ASTELLAS

BLISTRA 10MG/10 ML 10 AMP PHAROS
AMLODIPIN BESYLATE/VALSARTAN EXFORGE 5 MG/80 MG TABLET 28 TAB NOVARTIS

EXFORGE 5 MG/160 MG TABLET 28 TAB NOVARTIS
EXFORGE 10 MG/160 MG TABLET 28 TAB NOVARTIS
TWINSTA 80 MG/10 MG TABLET 28 TAB BOEHRINGER
DILTIAZEM HERBESER 100 MG TABLET 30 TAB TANABE

CORDILA SR 180 MG TABLET 100 TAB DEXA MEDICA
HERBESER 200 MG TBALET 30 TAB TANABE
FARMABES 5 MG/ML INJEKSI 5 ML 1 VIAL FAHRENHEIT
HERBESER 50 MG INJEKSI 10 VIAL TANABE
2f. Angiotensin II IRBESARTAN APROVEL 150 MG TABLET 28 TAB SANOVI AVENTIS

Antagonists
IRVASK 150 MG TABLET 30 TAB KALBE FARMA
APROVEL 300 MG TABLET 28 TAB SANOVI AVENTIS
IRBEDOX 300 MG TABLET 30 TAB SANDOZ
CANDESARTAN CILEXETIL BLOPRESS 8 MG TABLET 14 TAB TAKEDA

CANDERIN 8 MG TBALET 30 TAB DEXA MEDICA
BLOPRESS 16 MG TABLET 14 TAB TAKEDA
CANDERIN 16 MG TABLET 30 TAB DEXA MEDICA
VALSARTAN DIOVAN 40 MG TBALET 28 TAB NOVARTIS

DIOVAN 80 MG TABLET 28 TAB NOVARTIS
VALSARTAN NI 80 MG TABLET 28 TAB NOVARTIS
VALSARTAN 160 MG TABLET 30 TAB GENERIK
DIOVAN 160 MG TABLET 28 TAB NOVARTIS
VALSARTAN NI 160 MG TABLET 30 TAB NOVARTIS
TELMISARTAN MICARDIS 40 MG TABLET 20 TAB BOEHRINGER

MICARDIS 80 MG TABLET 20 TAB BOEHRINGER
2g. Other CLONIDINE HCL CATAPRES 0,15 MG/ML INJEKSI 1 ML 10 AMP BOEHRINGER
Antihypertensives
METHYLDOPA DOPAMET 250 MG TABLET 100 TAB ACTAVIS

PER
BOX
TERAZOSIN HCL HYTRIN I MG TABLET 140 TAB ABBOT
2h. Diuretics SPIRONOLAKTON SPIRONOLAKTON 25 MG TABLET 100 TAB GENERIK

CARPIATONE 25 MG TABLET 100 TAB FAHRENHEIT
SPIROLA 25 MG TABLET 50 TAB KALBE FARMA
ALDACTONE 25 MG TBALET 100 TAB SOHO
SPIRONOLAKTON 100 MG TABLET TAB GEN
CARPIATONE 100 MG TABLET 100 TAB FAHRENHEIT
SPIROLA 100 MG TABLET 50 TAB KALBE FARMA
ALDACTONE 100 MG TBALET 100 TAB SOHO
FUROSEMID FUROSEMID 40 MG TABLET 100 TAB GENERIK

LASIX 40 MG TABLET 100 TAB SANOVI AVENTIS
FARSIX 40 MG TABLET 100 TAB FAHRENHEIT
FUROSEMID 10 MG/ML INJEKSI 2 ML 25 AMP GENERIK
LASIX 10 MG/ML INJEKSI 2 ML 5 AMP SANOVI AVENTIS
FARSIX 10 MG/ML INJEKSI 2 ML 5 AMP FAHRENHEIT
URESIX 40 MG TABLET 100 TAB CAPRIFARMINDO
HYDROCHLORTIAZIDE HCT (HYDROCHLORTIAZIDE) 25 MG TABLET 1000 TAB KIMIA FARMA
MANNITOL MANNITOL 20% 500 ML INFUS 1 FLC OTSUKA
2i. Antidiuretics
2j. Peripheral CINNARIZINE STUGERON 25 MG TABLET 250 TAB JANSEN CILLAG

Vasodilators &
Cerebral Activators
CITICOLLINE BRAINACT 500 MG TABLET 30 TAB KALBE FARMA

NEUCITI 500 MG TABLET 30 TAB LAPI
CITICOLINE 250 MG/2ML INJEKSI 10 AMP GENERIK
BECLOV 125 MG/ML INJEKSI 2 ML 5 AMP SANBE FARMA
BRAINACT 125 MG/ML INJEKSI 2 ML 5 AMP KALBE FARMA
NEUCITI 250 MG /ML INJEKSI 2 ML 5 AMP LAPI
NEUCITI 500 MG/ML INJEKSI 4 ML 5 AMP LAPI
FLUNARIZINE FREGO 5 MG TABLET 50 TAB KALBE FARMA

GRATIZIN 5 MG TABLET 100 TAB SANBE FARMA
FREGO 10 MG TABLET 50 TAB KALBE FARMA
GRATIZIN 10 MG TABLET 100 TAB SANBE FARMA
ISOXSUPRINE HCL DUVADILAN 20 MG TABLET 50 TAB KIMIA FARMA

DUVADILAN 10 MG/2 ML INJEKSI 2 ML 5 AMP KIMIA FARMA
CHOLINE SITRAT,CYTIDINE NEULIN PS KAPSUL KAP FERRON

MONOPHOSPATE,PHOSPATIDYL SERINE 30
GINKGO BILOBA TEBOKAN 40 MG TABLET 100 TAB PHAPROS

TEBOKAN SPESIAL 80 MG TABLET 30 TAB PHAPROS
TEBOKAN FORTE 120 MGTABLET 30 TAB PHAPROS
2k.Vasoconstrictors NOREPINEPHRINE BITARTRATE RAIVAS 1 MG/ML INJEKSI 4 ML

5
AMP DEXA MEDICA
MONOHIDRAT
ADRENALIN EPINEPHRINE 1 MG/ML INJEKSI 1 ML 100 AMP GENERIK
2l. Dyslipidaemic ATOVARSTATIN CA LIPITOR 10 MG TABLET

30
TAB PFIZER
Agents
ATORSAN 10 MG TABLET 30 TAB SANDOZ
STATOR 10 MG TABLET 30 TAB DEXA MEDICA
ATORSAN 20 MG TABLET 30 TAB SANDOZ
LIPITOR 20 MG TABLET 30 TAB PFIZER
ATOVARSTATIN CA

PER
BOX
LIPITOR 40 MG TABLET 30 TAB PFIZER
ROSUVASTATIN CRESTOR 10 MG TABLET 28 TAB ASTRA ZENECA

CRESTOR 20 MG TABLET 28 TAB ASTRA ZENECA
CRESTOR 40 MG TABLET 28 TAB ASTRA ZENECA
GEMFIBROZIL HYPOFIL 300 MG TABLET 100 TAB SANBE FARMA

LAPIBROZ 600 MG KAPLET 30 KAPL LAPI
FENOFIBRAT TROLIP 100 MG TABLET 30 TAB DEXA MEDICA

ZUMAFIB MICRO 160 MG TABLET 30 TAB SANDOZ
TROLIP 300 MG TABLET 30 TAB DEXA MEDICA
SIMVASTATIN VALEMIA 5 MG TABLET 30 TAB SANBE FARMA

SIMVASTATIN 10 MG TABLET TAB GENERIK
VALEMIA 10 MG TABLET 30 TAB SANBE FARMA
ESVAT 20 MG TABLET 30 TAB DEXA MEDICA
2m. Haemostatics CARBAZOCHROME Na SULFONATE ADONA AC-17 10 MG TABLET 100 TAB TANABE
ADONA AC-17 50MG /10 ML INJEKSI 10 ML 10 AMP TANABE
CHROME 50 MG/10 ML INJEKSI 10 ML 10 AMP FERRON
ASAM TRANEKSAMAT PLASMINEX 500 MG FILM COATED TABLET 100 TAB SANBE FARMA
TRANEXID 500 MG TABLET 100 TAB DEXA MEDICA
PLASMINEX 100 MG/5 ML INJEKSI 5 ML (10%) 10 AMP SANBE FARMA
TRANEXID 100 MG/ ML INJEKSI 5 ML (10%) 10 AMP DEXA MEDICA

TRANEXID 50 MG/ML INJEKSI 5 ML (5%) 10 AMP DEXA MEDICA
ETHAMSYLATE DYCINONE 500 MG TABLET 20 TAB CORSA
PHYTOMENADIONE NEO-K 2 MG/ML INJEKSI 5 AMP COMBIPHAR
MENADIONE VITAMIN K 10 MG TABLET 500 TAB GENERIK

VITAMIN K3 10 MG/ML INJEKSI 1 ML 100 AMP GENERIK
2n. Anticoagulant, FONDAPARINUX Na ARIXTRA 2,5 MG/0,5 ML INJEKSI SYRINGE VIAL GSK
Antithrombotic & 2
Fibrinolytic
(Thrombolytics)
ACETYLSALICYLIC ACID ASPILET 80 MG TABLET 100 TAB MEDIFARMA

THROMBO ASPILET 80 MG TABLET 150 TAB MEDIFARMA
FARMASAL 100 MG TABLET 100 TAB FAHRENHEIT
CARDIO ASPIRIN 100 MG TABLET 30 TAB BAYER
ASCARDIA 160 MG TABLET 100 TAB PHAROS
HEPARIN NA INVICLOT 5.000 IU/ML INJEKSI 5 ML 1 VIAL FAHRENHEIT
CILOSTAZOL PLETAAL 50 MG TABLET 100 TAB OTSUKA

PLETAAL 100 MG TABLET 30 TAB OTSUKA
CLOPIDOGREL CLOPIDOGREL 75 MG TABLET 30 TAB GENERIK

PIDOVIX 30 TAB LAPI
VACLO 75 MG TABLET 30 TAB DEXA MEDICA
PLAVIX 75 MG TABLET 28 TAB SANOFI AVENTIS
CPG 75 MG TABLET 30 TAB KALBE FARMA
DABIGATRAN ETEXILATE PRADAXA 110 MG TABLET 30 TAB BOEHRINGER

PRADAXA 150 MG TABLET 30 TAB BOEHRINGER
ACETYLSALICYLIC ACID,GLYCINE PROXIME TABLET 30 TAB SANBE FARMA

PER
BOX
WARFARIN Na SIMARC-2MG TABLET 100 TAB FAHRENHEIT
STREPTOKINASE STREPTASE 1500 IU INJEKSI 1 VIAL DEXA MEDICA
PARNAPARIN FLUXUM 425O IU INJEKSI SYRINGE 0,4 ML 6 VIAL FAHRENHEIT

FLUXUM 6400IU INJEKSI SYRINGE 0,6 ML 6 VIAL FAHRENHEIT
ENOXAPARIN Na LOVENOX 6000 IU 60 MG/0,6 ML INJEKSI SYRINGE 2 VIAL SANOFI AVENTIS
BERAPROST Na DORNER 20 MCG TABLET 30 TABLET ASTELLAS
2p. Phlebitis & PER 100 G GEL HEPARIN 20.000 IU. PER THROMBOPHOB GEL 20 GRAM TUBE TUNGGAL
Varicose 100 G OINT HEPARIN 5000 IU, 1
Preparations NICOTINIC ACID BENZYL ESTER 250 MG
2q.Haemorrheologica PENTOIFYLLINE REOTAL SR 400 MG KAPLET

30
KAPL KALBE FARMA
ls
REOTAL 300 MG/15 ML INFUSION 5 BTL KALBE FARMA
2r.Haemotopoietics EPOETIN £ EPREX 2000 IU /0,5 ML INJEKSI SYRINGE 6 VIAL JANSSEN CILAG
Agents EPREX 4000 IU /0,4 ML INJEKSI SYRINGE 6 VIAL JANSSEN CILAG
HEMAPO 3000 IU/ 1 ML INJEKSI SYRINGE 1 VIAL KALBE
2s. Other ADENOSINE TRIPHOSPHATE ATP DANKOS 20 MG TABLET 100 TAB KALBE FARMA
Cardiovascular Drugs
NATTOKINASE NSK II 100 MG, COENZYM NATTO-10 KAPLET 30 KAPL LAPI

Q10 30 MG
3.a Respiratory
Stimulants
3.b Antiasthmatic & AMYNOPHYLLIN AMYNOPHYLLIN INJ 240 MG/10 ML 24 AMP INDOFARMA
COPD Preparation
BUDESONIDE PULMICORT NEBULIZER 1 MG/ 2ML 20 FLC ASTRA ZENECA

PULMICORT NEBULIZER 0.5 MG/ 2 ML 20 FLC ASTRA ZENECA
BUDESONIDE + FORMOTEROL FUMARAT SYMBICORT TURBUHALER 160/4,5 1 BOX ASTRA ZENECA

SYMBICORT TURBUHALER 80/4,5 1 BOX ASTRA ZENECA
TREMENZA TABLET
PSEUDOEFEDRIN HCl + TRIPRILOLIDIN 100 TAB SANBE FARMA

HCl TREMENZA SYRUP 60 ML 1 BTL SANBE FARMA
LAPIFED TABLET 100 TAB LAPI
LAPIFED SYRUP 60 ML 1 BTL LAPI
PSEUDOEFEDRIN HCL + TRIPRILOLIDIN LAPIFED DM SIRUP 60 ML 1 BTL LAPI

HCl + DMP
PSEUDOEFEDRIN HCL + TRIPRILOLIDIN LAPIFED EXP SIRUP 60 ML 1 BTL LAPI

HCl + GG
FONETEROL SULFAT BEROTEC 100 MCG/SEMPROT 1 BOX BOEHRINGER
IPROTOPIUM BR + SALBUTAMOL SULFAT COMBIVENT (UDV) 20 FLC BOEHRINGER
PROCATEROL HCl MEPTIN MINI 0.025MG TABLET 100 TAB OTSUKA

MEPTIN SYR 1 BTL OTSUKA
SALBUTAMOL SALBUTAMOL 4MG TABLET 100 TAB INDOFARMA

SALBUTAMOL 2MG TABLET 100 TAB INDOFARMA
ASHTAROL 4 MG TABLET 100 TAB SANBE FARMA
LASAL 2 MG KAPSUL 100 KAPS LAPI
SALBUTAMOL
PER
BOX
LASAL 4 MG KAPSUL 100 KAPS LAPI
LASAL SYRUP 100 ML 1 BTL LAPI
VENTOLIN NEBULIZER 20 FLC GLAXO WELLCOME
SALBUTAMOL + GLISERIL GUAIKOLAT LASAL EXP SIRUP 100 ML 1 BTL LAPI
THEOPHYLIN TEOSAL CAPSUL (+ SALBUTAMOL) 100 TAB DEXA MEDICA

RETAPHYL SR 300MG CAPSUL 100 TAB KIMIA FARMA
TEOSAL SYR 1 BTL DEXA MEDICA
TERBUTALIN SULFAT BRICASMA 2,5MG 100 TAB ASTRA ZANECA

BRICASMA INJEKSI 0.5 MG/ML 5 AMP ASTRA ZANECA
ORCIPRENALINE SULFATE ALUPENT 20 MG TABLET 100 TAB BOEHRINGER
3.c Cough & Cold AMBROXOL HCl EPEXOL TABLET 100 TAB SANBE FARMA
Preparations
LAPIMUC 100 TAB LAPI
EPEXOL SYR 1 BTL SANBE FARMA
EPEXOL DROP 1 BTL SANBE FARMA
BROMHEXINE MUCOHEXINE 8 MG TABLET 100 TAB SANBE FARMA

MUCOHEXINE ELIXIR 4MG/5ML 1 BTL SANBE FARMA
BISOLVON 2MG/ML SOLUTION 1 BTL BOEHRINGER
BISOLVON 2MG/ML INJEKSI 10 AMP BOEHRINGER
CODEIN CODEIN HCL 10 MG TABLET 250 TAB KIMIA FARMA

CODEIN HCL 15 MG TABLET 250 TAB KIMIA FARMA
CODEIN HCL 20 MG TABLET 250 TAB KIMIA FARMA
CODEIN 30 MG, FENITOLOKSAMIN 10MG CODIPRONT CAPSUL 10 KAPS KIMIA FARMA
CODEIN, PARASETAMOL CODITAM TABLET 100 TAB KIMIA FARMA
CODEIN 30 MG, FENITOLOKSAMIN 10 CODIPRONT CUM EXP TABLET 10 TAB KIMIA FARMA
MG, GUAFENESIN 100MG
CODEIN, FENTOLOKSAMIN CODIPRONT SYRUP 1 BTL KIMIA FARMA
CODEIN, FENITOLOKSAMIN, CODIPRONT CUM EKSPEKTORANT SYR 1 BTL KIMIA FARMA

GUAFENESIN, EKSTRAK TIMI
DEXTROMETORPHAN, CTM, FPA, LACOLDIN TABLET 100 TAB LAPI

PARACETAMOL LACOLDIN SIRUP 60 ML 1 BTL LAPI
DEXTROMETHORPHAN HBR + HALMEZINE SYR BTL CORONET

BROMHEXINE HCl + PROMETHAZINE + 1
AMONIUM Cl
DIPHENHIDRAMIN LAPISIV TABLET 100 TAB LAPI

HCl,DEXTROMETHORPAN, GG
DIPHENHIDRAMIN HCl, AMMONIUM Cl, SANADRYL EKSPECTORANT SYRUP 1 BTL SANBE FARMA
MENTHOL, GG
DEXTROMETHORPAN, DIPHENHIDRAMIN SANADRYL DMP SYRUP BTL SANBE FARMA

HCl, AMMONIUM Cl, MENTHOL 1
DIFENHIDRAMIN, FPA, DMP, AMONIUM LAPISIV SIRUP 100 ML BTL LAPI

KLORIDA, GG, NATRIUM SITRAT, 1
MENTOL
ERDOSTEINE VECTRINE CAPSUL 20 CAPS DEXA MEDICA

VECTRINE SYR 1 BTL DEXA MEDICA
LACTRIN 300 MG CAPSUL 20 CAPS LAPI
FEXOFENADINE HCl, PSEUDOEFEDRINE FEXOFED CAPSUL 30 CAPS KALBE

PER
BOX
GLISERIL GUAIKOLAT GLISERYL GUAIAKOLAT TABLET 1000 TAB KIMIA FARMA
LEVODROPIZINE LEVOPRONT SYR 1 BTL COMBIPHAR
MADU + EKSTRAK AKAR JAHE, MENTHOL, OB HERBAL SYR 1 BTL DELTOMED

JERUK NIPIS
N-ASETIL SISTEIN FLUIMUSIL CAPSUL 200 60 KAPS ZAMBON

FLUIMUSIL SACHET 200 30 SACH ZAMBON
FLUIMUCIL INJEKSI 5 VIAL ZAMBON
PARACETAMOL, NASCAPIN, GG, CTM, PPA PARATUSIN TABLET 200 TAB PRAFA
PSEUDOEPHEDRIN, TERFENADIN RHINOFED TABLET 50 TAB DEXA MEDICA
PSEUDOEPHEDRIN, LORATADINE RHINOS SR TABLET 50 TAB DEXA MEDICA

ALDISA SR CAPSUL 50 KAPS SANBE FARMA
PSEUDOEPHEDRIN HCl, TRIPROLIDINE TREMENZA TABLET 100 TAB SANBE FARMA

LAPIFED TABLET 100 TAB LAPI
TREMENZA SYRUP 1 BTL SANBE FARMA
LAPIFED SYRUP 60 ML 1 BTL LAPI
PSEUDOEFEDRIN, TRIPROLIDINE HCl, LAPIFED-DM SYRUP 100 ML 1 BTL LAPI
DEXTROMETORPHAN
PSEUDOEFEDRIN, TRIPROLIDINE HCl, LAPIFED-EXP SYRUP 60 ML 1 BTL LAPI
GLISERIL GUAIKOLAT
3.d Nasal FLUTICASONE FUROATE AVAMYS NASAL SPRAY 1 BOX GLAXO SMITH KLINE
Decongestants & Other
Nasal Preparations
MOMENTASONE NASONEX 60 DOSE, NASONEX 140 DOSE 1 BOX MSD
NaCl BREATHY NASAL DROP 6,5 MG/ML 1 BOX NOVELL
OKSIMETAZOLAM ILLIADIN NASAL SPRAY 0.05%, 1 BOX MERCK

ILLDIADIN NASAL SPRAY 0.025% 1 BOX MERCK
TRIAMCINOLONE ACETONIDE NASACORT AQ NASAL SPRAY 55MCG/ SPRAY 1 BOX SANOFI AVENTIS
3.e Other Drugs Acting

on the Respiratory
System

4.a CENTRAL DIAZEPAM VALISANBE 2 MG TABLET 100 TAB SANBE FARMA
VALISANBE 5 MG TABLET 100 TAB SANBE FARMA
VALISANBE 10 MG/2 ML INJEKSI 2 ML 10 AMP SANBE FARMA
STESOLID 10 MG/2.5 ML RECTAL TUBE 5 TUBE ACTAVIS
STESOLID 5 MG/2.5 ML RECTAL TUBE 5 TUBE ACTAVIS
ALPRAZOLAM ALPRAZOLAM 0,5 MG 100 TAB GENERIK

ALPRAZOLAM 1 MG 100 TAB GENERIK
XANAX 0.25 MG TABLET 100 TAB PFIZER
XANAX 0.5 MG TABLET 100 TAB PFIZER
APAZOL O,5 MG TABLET 100 TAB DEXA MEDICA
APAZOL 1 MG TABLET 100 TAB DEXA MEDICA
ALGANAX 0,25 MG 40 TAB GUARDIAN
ALGANAX 0,5 MG TABLET 40 TAB GUARDIAN
ALGANAX 1 MG TABLET 40 TAB GUARDIAN
4b. Hypnotics & MIDAZOLAM SEDACUM 5 MG/ML INJEKSI 10 AMP DEXA MEDICA
Sedatives SEDACUM 15 MG/3 ML 5 AMP DEXA MEDICA
HIPNOZ 15 INJEKSI 5 AMP PHAROS
ESTAZOLAM ESILGAN 1 MG TABLET 100 TAB TAKEDA

4b. Hypnotics &
Sedatives

PER
BOX
ZOLPIDEM TATRATE ZOLMIA 10 MG TABLET 30 TAB FAHRENHEIT
4c. Antidepressants FLUOXETINE HCl KALXETIN 10 MG KAPSUL 100 KAPS KALBE FARMA
NOPRES 20 MG CAPLET 30 KAPL DEXA MEDICA
MAPROTILINE HCl LUDIOS 25 MG TABLET 50 TAB SOHO
SERTRALINE ZERLIN 50 MG TABLET 30 TAB PHAROS
4d. Antipsychotics ARIPIPRAZOLE ABILIFY 5 MG TABET 10 TAB OTSUKA
CHLORPROMAZINE CEPEZET 100 MG TABLET 250 TAB MERSIFARMA

CEPEZET 50MG/2ML INJEKSI 10 AMP MERSIFARMA
HALOPERIDOL LODOMER 2 MG TABLET 100 TAB MERSIFARMA

LODOMER 5 MG TABLET 100 TAB MERSIFARMA
LODOMER 5 MG/ML INJEKSI 12 AMP MERSIFARMA
QUETIAPINE FUMARATE SEROQUEL 25 MG TABLET 60 TAB ASTRA ZENECA
SULPIRIDE DOGMATIL 50 MG TABLET 100 TAB SOHO/ DELAGRANCE
AMITRIPTYLIM AMITRIPTYLIN 25 MG TABLET 100 TAB GENERIK
4e. Anticonvulsants GABAPETIN GABEXAL 100 MG TABLET 30 TAB SANDOZ

GABEXAL 300 MG TABLET 100 TAB SANDOZ
ALPENTIN 100 MG TABLET 50 TAB ACTAVIS
ALPENTIN 300 MG TABLET 50 TAB ACTAVIS
TINEURON CAPSUL 30 CAPS LAPI
PHENOBARBITAL Na PHENOBARBITAL 30 MG TABLET 100 TAB GENERIK

PHENOBARBITAL 100MG/ML INJEKSI 30 AMP GENERIK
PHENYTOIN Na PHENYTOIN 50 MG/ML INJEKSI 2 ML 10 AMP IKA PHARMINDO

DILANTIN 100 MG TABLET 100 TAB PFIZER
DILANTIN 250 MG/5ML INJEKSI 10 AMP PFIZER
KUTOIN 100 MG TABLET 100 TAB MERSIFARMA
KUTOIN 100 MG/2ML INJEKSI 10 AMP MERSIFARMA
MOVILEPS 50 MG TABLET 100 TAB DEXA MEDICA
MOVILEPS 100 MG TABLET 100 TAB DEXA MEDICA
VALPROIC ACID DEPAKENE 250 MG/5 ML SIRUP 1 BTL ABBOT

DEPAKOTE 250 MG TABLET 100 TAB ABBOT
DEPAKOTE ER 250 MG TABLET 100 TAB ABBOT
DEPAKOTE ER 500 MG TABLET 100 TAB ABBOT
VERONIL SYRUP 250MG/ 5 ML 1 BTL PHAROS
MgSO4 MAGNESIUM SULFATE 20% INFUS 40 FLC OTSUKA

MAGNESIUM SULFATE 40% INFUS 40 FLC OTSUKA
PREGABALIN LYRICA 50 MG CAPSUL 14 KAPS PFIZER

LYRICA 75 MG CAPSUL 14 KAPS PFIZER
LYRICA 150 MG CAPSUL 14 KAPS PFIZER
CLONAZEPAM RIKLONA 2MG TABLET 100 TAB MERSIFARMA
CARBAMAZEPINE TEGRETOL 200 MG TABLET 50 TAB NOVARTIS

TEGRETOL CR 200 MG TABLET 50 TAB NOVARTIS
OXCARBAMAZEPINE TRILEPTAL 300 MG TABLET 50 TAB NOVARTIS
4f. Other CNS Drugs &

Agents for ADHD
PER
BOX
4g. Neurodegenerative DONEPEZIL HCl ARICEPT 5 MG TABLET TAB EISAI
Disease Drugs 14
4h. Antiparkinsonian TRIHEXYPENIDYL HCl HEXYMER 2 MG TABLET 250 TAB MERSIFARMA

Drugs
PRAMIPEXOLE DI HCl SIFROL 0,125 MG TABLET 30 TAB BOEHRINGER

SIFROL 0,25 MG TABLET 30 TAB BOEHRINGER
4i. Antivertigo Drugs DIMENHYDRINATE DRAMAMINE 50 MG TABLET 100 TAB SOHO
BETAHISTINE MESYLATE MERTIGO 6 MG TABLET 100 TAB DEXA MEDICA

MERTIGO SR TABLET TAB DEXA MEDICA
BETAHISTIN DI HCL BETASERC 8 MG TABLET 100 TAB ABBOT

BETASERC 24 MG TABLET 20 TAB ABBOT
CINNARIZINE STUGERON 25 MG TABLET 250 TAB JANSSEN-CILAG
4j. Analgesics (Opioid) FENTANYL FENTANYL 0.05 MG /ML INJEKSI 2 ML 5 AMP JANSSEN - CILAG
DUROGESIC PATCH 12,5Mcg 5 PCS JANSSEN - CILAG
DUROGESIC PATCH 25Mcg 5 PCS JANSSEN - CILAG
DUROGESIC PATCH 50Mcg 5 PCS JANSSEN - CILAG
MORPHINE MORPHIN 10 MG/ML INJEKSI 10 AMP KIMIA FARMA

MST CONTINUS 10 MG TABLET 60 TAB MAHAKAM BETA FARMA
TRAMADOL TRAMADOL 50 MG KAPSUL 50 KAPS GENERIK

TRAMADOL 50 MG /ML INJEKSI 2 ML 10 AMP GENERIK
TRAMAL 100 MG SUPPOSITORIA 10 SUPP PHAROS
TRAMAL 100 MG/2 ML INJEKSI 2 ML 5 AMP PHAROS
TRAMAL 50 MG KAPSUL 50 KAPS PHAROS
TRAMAL 50 MG/ML INJEKSI 1 ML 5 AMP PHAROS
TRAMADOL, PARASETAMOL ULTRACET TABLET 30 TAB JANSSEN - CILAG

ZALDIAR TABLET 10 TAB PHAROS
ANALTRAM TABLET 30 TAB LAPI
PETHIDIN PETHIDINE 50 MG/ML INJEKSI 2 ML 5 AMP KIMIA FARMA

CLOPEDIN 50 MG/ML INJEKSI 2 ML 10 AMP KIMIA FARMA
4k. Analgesics (Non- PARACETAMOL PARACETAMOL 500 MG TABLET 100 TAB GENERIK
Opioid) & Antipiretics PARACETAMOL 120MG/5ML SIRUP 60 ML 1 BTL GENERIK
PARASETAMOL INFUS 1 GR/100ML 1 BTL GENERIK
SANMOL 120 MG/5 ML SIRUP 60 ML 1 BTL SANBE FARMA
SANMOL 500 MG TABLET 100 TAB SANBE FARMA
SANMOL 60 MG/0.6 ML DROP 15 ML 1 FLS SANBE FARMA
SANMOL INFUS 1 GR/100ML 1 BTL SANBE FARMA
FARMADOL 10 MG/ML INFUS 100 ML 1 BTL FAHRENHEIT
SANMOL 10 MG/ML INFUS 100 ML 1 BTL SANBE FARMA
SUMAGESIC 600 MG TABLET 100 TAB UAP
PARACETAMOL 500MG,N ASETIL SISTEIN SISTENOL CAPLET 60 KAPL DEXA MEDICA

200 MG
ASAM MEFENAMAT MEFINTER 250 MG TABLET 100 TAB INTERBAT

MEFINTER 500 MG TABLET 100 TAB INTERBAT
MEFINAL 250 MG TABLET 100 TAB SANBE FARMA
LAPISTAN TABLET 100 TAB LAPI
TRAMADOL , ACETAMINOPHEN ULTRACET TABLET 30 TAB JANSSEN - CILAG

ZALDIAR TABLET 10 TAB PHAROS
ANALTRAM TABLET 30 TAB LAPI
PER
BOX
4l. Non steroidal Anti - METAMIZOLE NA NOVALGIN 500 MG/ML INJEKSI 2 ML FLS SANOFI AVENTIS
Inflammatory Drugs 1
(NSAIDs)
NOVALGIN 250 MG/5 ML SIRUP 60 ML 5 AMP SANOFI AVENTIS
METHAMPIRON,DIAZEPAM ANALSIK TABLET 100 TAB SANBE FARMA
CELECOXIB CELEBREX 100 MG KAPSUL 30 KAPS PFIZER

CELEBREX 200 MG KAPSUL 30 KAPS PFIZER
ETORICOXIB ARCOXIA 60 MG TABLET 30 TAB MERCKSHARP & DOHME
ARCOXIA 90 MG TABLET 30 TAB MERCKSHARP & DOHME
ARCOXIA 120 MG TABLET 30 TAB MERCKSHARP & DOHME
IBUPROFEN IBUPROFEN 200 MG TABLET 100 TAB GENERIK

IBUPROFEN 400 MG TABLET 100 TAB GENERIK
BUFECT 100 MG/5 ML SUSPENSI 60 ML 1 BTL SANBE FARMA
BUFECT FORTE 200 MG/ 5ML SUSPENSI 50 ML 1 BTL SANBE FARMA
BUFECT 200 MG TABLET 100 TAB SANBE FARMA
RHELAFEN SUSPENSI 100 MG 1 BTL LAPI
RHELAFEN FORTESUSPENSI 200 MG 1 BTL LAPI
KALIUM DIKLOFENAK 50 MG TABLET CATAFLAM 25 MG TABLET 50 TAB NOVARTIS

CATAFLAM 50 MG TABLET 50 TAB NOVARTIS
KALIUM DIKLOFENAK 50MG TABLET 50 TAB GENERIK
LAFLANAC 25 MG TABLET 100 TAB LAPI
INDOMETACIN DIALON 100 MG TABLET 100 TAB EISAI
PARACOXIB NA DYNASTAT 40 MG INJEKSI 1 VIAL PFIZER
METAMIZOLE NA + B1 + B6 + B12 NEUROSANBE PLUS 500MG 100 TAB SANBE FARMA

NEUROBAT A DAGREE TABLET 100 TAB SANBE FARMA
PIROXICAM PIROXICAM 10 MG TABLET 10 MG 100 TAB GENERIK
ASAM MEFENAMAT ASAM MEFENAMAT 500 MG TABLET 100 TAB GENERIK

LAPISTAN 500 MG 100 TAB LAPI
KETOPROFEN PROFENID 100 MG SUPPOSITORIA 10 SUPP SANOFI AVENTIS

PRONALGES 100 MG/2 ML INJEKSI 2 ML 10 AMP DEXA MEDICA
PRONALGES 50 MG TABLET 50 KAPS DEXA MEDICA
PRONALGES 100 MG SUPPOSITORIA 20 SUPP DEXA MEDICA
PRONALGES 100 MG TABLET 50 TAB DEXA MEDICA
KETOROLAC TROMETHAMINE KETOROLAC 30 MG/ML INJEKSI 6 AMP GENERIK

REMOPAIN 10 MG/ML INJEKSI 1 ML 5 AMP DEXA MEDICA
REMOPAIN 30 MG/ML INJEKSI 1 ML 5 AMP DEXA MEDICA
LACTOPAIN 30 MG/ ML INJEKSI 5 AMP LAPI
DEXKETOPROFEN TROMETAMOL KETESSE 25 MG TABLET 50 TAB FERRON

KETESSE 50 MG/2 ML INJEKSI 5 AMP FERRON
KEREN 50 MG/2 ML INJEKSI 5 AMP NULAB
TOFEDEX 25 MG TABLET 30 TAB LAPI
TOFEDEX 50MG/2ML 5 AMP LAPI
CA PHENYLBUTAZONE 200 NEW SKELAN TABLET 100 TAB UAP

MG,CARISOPRODOL 125 MG
TINORIDINE HCL NONFLAMIN 50 MG KAPSUL 60 KAPS TAKEDA
MELOXICAM OSTELOX 7,5 MG TABLET 20 TAB SANBE FARMA

PER
KLAS TERAPI MELOXICAM ZAT AKTIF PRODUK SEDIAAN PRINCIPLE
BOX
OSTELOX 15 MG TABLET 20 TAB SANBE FARMA
MOVIX 7,5 MG TABLET 20 TAB LAPI
MOVIX 15 MG TABLET 20 TAB LAPI
NATRIUM DIKLOFENAC VOLTAREN GEL 10 GR 50 TUBE NOVARTIS

VOLTAREN GEL 20 GR 50 TUBE NOVARTIS
VOLTAREN 25 MG TABLET 1 TAB NOVARTIS
VOLTAREN 50 MG TABLET 1 TAB NOVARTIS
VOLTADEX 25 MG TABLET 50 TAB DEXA MEDICA
VOLTADEX 50 MG TABLET 50 TAB DEXA MEDICA
ZEGREN 50 MG TABLET 100 TAB LAPI
4m. Drugs For PREGABALIN APRION 75 MG KAPSUL 10 KAPS PHAROS

Neuropathic Pain
4n. Antimigraine ERGOTAMIN 1MG,CAFFEINE 100MG ERICAF TABLET 30 TAB TEMPO

Preparations
FLUNARIZIN FREGO 5 MG TABLET 50 TAB KALBE FARMA

FREGO 10 MG TABLET 50 TAB KALBE FARMA
SUMATRIPTAN SUCCINATE TRIPTAGIC 100 MG TABLET 2 TAB TEMPO
4p.Nootropics & MECOBALAMIN LAPIBAL 250 KAPSUL 100 KAPS LAPI

Neurotonics
LAPIBAL 500 KAPSUL 100 KAPS LAPI
LAPIBAL INJEKSI 5 VIAL LAPI
MEGABAL 500 MG TABLET 100 TAB SANBE FARMA
PIRACETAM REVOLAN 400 MG TABLET 100 TAB SANBE FARMA

LATROPIL 400 MG KAPSUL 100 KAPS LAPI
REVOLAN 800 MG TABLET 50 TAB SANBE FARMA
LATROPIL 800 MG TABLET 60 TAB LAPI
REVOLAN 1200 TABLET 50 TAB SANBE FARMA
LATROPIL 1200 MG TABLET 50 TAB LAPI
REVOLAN 1 GR INJEKSI 10 AMP SANBE FARMA
PIRACETAM 1 GR/5ML INJEKSI 10 AMP GENERIK
REVOLAN 3 GR INJEKSI 5 AMP SANBE FARMA
PIRACETAM 3 GR INJEKSI 10 AMP GENERIK
NEUROPTAM INFUS 12GR 1 VIAL DANKOS
LATROPIL SYRUP 500 MG/ 5 ML 100 ML 1 BTL LAPI
5a.Disease-Modifying
Anti-Rheumatic
Drug(DMARDs)
5b.Hyperuricemia & ALLOPURINOL ZYLORIC 100 MG TABLET 60 TAB GLAXOSMITHKLINE

Gout Preparation INDONESIA
ALLOPURINOL 100 MG TABLET 100 TAB GENERIK
ZYLORIC 300 MG TABLET 30 TAB GLAXOSMITHKLINE
INDONESIA
5c. Muscle Relaxants EPERISON EPRINOC 50 MG TABLET 100 TAB SANBE FARMA
MYONEP 50 MG TABLET 100 TAB LAPI
ATRACURIUM BESYLATE TRAMUS 10 MG/ML INJEKSI 2,5ML 5 AMP DEXA MEDICA

TRAMUS 10 MG/ML INJEKSI 5ML 5 AMP DEXA MEDICA
5d. Anti-Inflamatory
Enzymes
5e. Neuromuscular NEOSTIGMINE METHYLSULFATE NEOSTIGMIN HAMELN 0,5MG/ML INJEKSI 5 AMP COMBIPHAR
Disorder Dugs
5f. Other Drugs Acting DIACEREIN ARTRODAR 50 MG TABLET TAB COMBIPHAR

on Musculo-Skeletal 50
System
PER
BOX
N ACETYL GLUCOSAMINE 1MG, MINT FITAJOIN ROLLER GEL BOX COMBIPHAR
CONC 332MG, ALOE VERA 30MG, VIT E 1
1MG, LAVENDER OIL 22MG
GLUCOSAMIN, CHONDROITIN SULFATE FLEXOR DS CAPLET 60 KAPL DEXA MEDICA

OA FORTE CAPL 50 KAPL DEXA MEDICA
MEDIFLEX CREAM 1 TUBE KALBE FARMA
OSTEOCOM CREAM 1 TUBE LAPI
GLUCOSAMIN, CHONDROITIN SULFATE, OSTEOCOM KAPLET 30 TAB LAPI

METHYL SULFONIL METON,SELENIUM,
ZINK, MANGAN, MAGNESIUM
OSTEOCOM FORTE TABLET 10 TAB LAPI
NA HYALURONAT HYALGAN 10 MG/ML INJEKSI 2ML 1 BOX COMBIPHAR

LYDIUM 25 MG/2,5 ML INJEKSI 1 BOX PHAROS
6. HORMONES
6a. Androgens & TESTOSTERONE SUSTANON 250MG/ML INJEKSI 1 AMP SCHERING PLOUGH
Related Synthetic Drugs
6b. Estrogens & 11 TAB EACH CONTAINING ESTRADIOL CYCLO - PROGYNOVA TAB BAYER SCHERING
Progesterones & VALERATE 2 MG, 10 TAB EACH PHARMA
Related Synthetic Drugs CONTAINING ESTRADIOL VALERATE 2 21
MG NORGESTREL 0.5 MG
PROGESTERON CYGEST 200 MG OVULA 15 SUPP ACTAVIS

CYGEST 400 MG OVULA 15 SUPP ACTAVIS
UTROGESTAN 100MG TABLET 30 TAB LAPI
UTROGESTAN 200MG TABLET 15 TAB LAPI
DYDROGESTERONE DUPHASTON TABLET 20 TAB SOLVAY PHARMA
ALLYLESTRENOL PREGNOLIN 5 MG TABLET 50 TAB DEXA MEDICA

50 TAB
PREABOR 30 TAB CAPRIFARMINDO
NORETHISTERONE REGUMEN 5 MG TABLET 30 TAB CAPRIFARMINDO

PRIMOLUT N 5 MG TABLET 30 TAB BAYER
6c. Combined Sex

Hormones
6d. Corticosteroid
Hormones TRIAMCINOLONE ACETONIDE FLAMICORT IA/ID 10MG/ML INJEKSI 5ML 1 VIAL DEXA MEDICA
FLAMICORT IM 40MG/ML INJEKSI 1ML 1 VIAL DEXA MEDICA
KENACORT 4 MG TABLET 100 TAB TAISHO
DEXAMETHASONE DEXAMETHASONE 0.5 MG 100 TAB GENERIK

DEXAMETHASONE INJEKSI 100 AMP GENERIK
CORTIDEX 0,5 MG TABLET 100 TAB SANBE FARMA
CORTIDEX 0,5MG/ML INJEKSI 10 AMP SANBE FARMA
DEXA M 0,75 MG TABLET 150 TAB DEXA MEDICA
METHYL PREDNISOLONE METHYL PREDNISOLONE 4MG 100 TAB GENERIK

LAMESON 4 MG TABLET 100 TAB LAPI
SANEXON 4 MG TABLET 100 TAB SANBE FARMA
METHYLPREDNISOLON 125 INJEKSI 1 VIAL GENERIK
SANEXON 125 MG INJEKSI 1 VIAL SANBE FARMA
LAMESON 125 MG INJEKSI 1 VIAL LAPI
METHYLPREDNISOLON ACETAT DEPO MEDROL 40MG/ML INJEKSI 1 VIAL PFIZER

PER
BOX
PREDNISON 5 MG TABLET PREDNISON 5 MG TABLET 1000 TAB GENERIK
6e. Trophic Hormones &

Related Synthetic Drugs CLOMIFENE CITRATE PROFERTIL 50 MG TABLET 10 TAB KALBE FARMA
PROVULA 50 MG TABLET 30 TAB DEXA MEDICA
BLESIFEN 50 MG TABLET 20 TAB CAPRIFARMINDO
CLOVERTIL 50 MG TABLET 50 TAB MEPROFARMA
6f. Anabolic Agents
6g. Other Drugs

Affecting Hormonal
Regulation
7a. Oral Contraceptives
ETHINYL ESTRADIOL + CYPROTERONE DIANE 35 ISI 21 TABLET 21 TAB BAYER SCHERING
ACETATE PHARMA
ETHINYLESTRADIOL + MICROGYNON LIMAS ISI 28 TABLET 28 TAB BAYER SCHERING

LEVONORGESTREL PHARMA
DROSPIRENONE + ETHINYLESTRADIOL YASMIN ISI 21TABLET 21 TAB BAYER SCHERING

PHARMA
LEVONORGESTREL 0.003 MICROLUT TABLET 35 TAB BAYER SCHERING

PHARMA
7b. Depot
Contraceptives MEDROXYPROGESTERON ACETATE DEPO PROGESTIN 150MG/ML INJEKSI 1 ML 20 VIAL HARSEN
MEDROXYPROGESTERON ACETATE + CYCLOFEM 50 MG/5 ML INJEKSI 1 ML 20 VIAL TUNGGAL IDAMAN ABDI

ESTRADIOL CYPIONATE
7c. Other
Contraceptives COPPER IUD COPPER T LIBI 1 PCS KIMIA FARMA
COPPER T LIMAS 1 PCS KIMIA FARMA
NOVA T CU 200 AG 1 PCS BAYER SCHERING
PHARMA
KONDOM SUTRA 12'S 12 PCS DOSNI ROHA
8a. Aminoglycosides GENTAMICIN SULFATE GENTAMICIN INJEKSI 5 AMP GENERIK
SALTICIN 80 MG/2 ML INJEKSI 2 ML 5 AMP INTERBAT
SAGESTAM 40 MG/ML INJEKSI 2 ML 5 AMP SANBE FARMA
AMIKASIN SULPHATE ALLOSTIL INJEKSI 1 VIAL PHAROS
Generasi 1
8b. Cephalosporins CEFADROXIL CEFADROXILE 500 MG KAPSUL 100 KAPS GENERIK
CEFADROXILE DS 125 MG/ ML 1 BTL GENERIK
CEFAT 250 MG KAPSUL 100 KAPS SANBE FARMA
CEFAT 500 MG KAPSUL 100 KAPS SANBE FARMA
CEFAT 125 MG/5 ML SYRUP 60ML 1 BTL SANBE FARMA
CEFAT 250 MG/5 ML SYRUP 60ML 1 BTL SANBE FARMA
VOCEFA 30 KAPS GRACIA FARMINDO
LAPICEF 500 MG KAPSUL 100 KAPS LAPI
LAPICEF 125 MG/ 5 ML SYRUP 60 ML 1 BTL LAPI
LAPICEF 250 MG/ 5 ML SYRUP 60 ML 1 BTL LAPI
ANCEFA 500 MG TABLET 30 TAB MEPROFARMA
Generasi 2
CEFUROXIME ANBACIM 500 MG TABLET 20 TAB SANBE FARMA
SITUROXIME 500 MG TABLET 30 TAB PUSPA PHARMA
Generasi 3
CEFEPIME FOURCEF INJEKSI 1 VIAL LAPI
CEFEPIME 1 GR INJEKSI 2 VIAL OGB DEXA
PER
BOX
CEFPIROME SULFATE BACTIROM 1 GR INJEKSI 1 VIAL SANBE FARMA
CEFPODOXIME PROXETIL BANADOZ 100 MG TABLET 30 TAB SANDOZ

BANADOZ 200 MG TABLET 30 TAB SANDOZ
CEFIXIME SPORETIK 50 MG KAPSUL 30 KAPS SANBE FARMA

SPORETIK 100 MG KAPSUL 30 KAPS SANBE FARMA
CEFIXIME 100 M KAPSUL 30 KAPS GENERIK
CEFILA 50 MG KAPSUL 30 KAPS LAPI
CEFILA 100 MG/ 5 ML DRY SYRUP 30 ML 1 BTL LAPI
STARCEF 50 MG KAPSUL 30 KAPS DEXA MEDICA
STARCEF 100MG/5ML SYRUP 30ML 1 BTL DEXA MEDICA
CEFTRIAXONE CEFTRIAXONE 1 GR INJEKSI 10 VIAL GENERIK

CEFXON 1 GR INJEKSI 1 VIAL LAPI
TERFACEF 1 GR INJEKSI 1 VIAL SANBE FARMA
TRICEFIN 1 GR INJEKSI 1 VIAL DEXA MEDICA
CEFTAZIDIME PENTAHYDRAT ZIDIFEC I GR INJEKSI 1 VIAL SANBE FARMA
CEFOTAXIME CEFOTAXIME 1 GR INJEKSI 1 VIAL GENERIK

TAXEGRAM 1 GR INJEKSI 1 VIAL SANBE FARMA
TAXEGRAM 0,5 GR INJEKSI 1 VIAL SANBE FARMA
LAPIXIME I GR INJEKSI 1 VIAL LAPI
CEFOPERAZONE CEPRAZ 1 GR INJEKSI 1 VIAL LAPI
CEFOPERAZONE 500 MG,SULBACTAM 500 CEFOBACTAM 1 GRAM INJEKSI 1 VIAL SANBE FARMA
MG
CEFTIZOXIME EZOX 1 GRAM INJEKSI 1 VIAL NULAB
CEFPROZIL LIZOR 500 MG TABLET 20 TAB PHAROS

LIZOR DS 125 MG/ 5 ML SYRUP 60 ML 1 BTL PHAROS
8c. Penicillins AMPICILLIN AMPICILLIN 500 MG TABLET 100 TAB GENERIK

SANPICILLIN 250 MG KAPSUL 100 KAPS SANBE FARMA
SANPICILLIN 500 MG KAPSUL 100 KAPS SANBE FARMA
SANPICILLIN 125MG/5ML SYRUP 1 BTL SANBE FARMA
SANPICILLIN INJEKSI 1 VIAL SANBE FARMA
AMOXYCILLIN AMOXICILLIN 500 MG TABLET 100 TAB GENERIK

AMOXICILLIN 125 MG/5 ML DRY SIRUP 60 ML 1 BTL GENERIK
AMOXSAN 250 MG KAPSUL 100 KAPS SANBE
AMOXSAN 500 MG KAPSUL 100 KAPS SANBE
AMOXSAN 1 GRAM INJEKSI 1 VIAL SANBE
AMOXSAN 100 MG/ML DROPS (DRY SIRUP) 15 ML 1 BTL SANBE
AMOXSAN 125 MG/5 ML DRY SIRUP 60 ML 1 BTL SANBE

AMOXSAN FORTE 250 MG/5ML DRY SIRUP 60 ML 1 BTL SANBE
LAPIMOX 500 MG KAPLET 100 TAB LAPI

LAPIMOX 125 MG/ ML DRY SYRUP 60 ML 1 BTL LAPI
LAPIMOX 250 MG/ 5 ML DRY SYRUP 60 ML 1 BTL LAPI
AMOXYCILLIN + CLAVULANIC ACID CO-AMOXICLAV TABLET 100 TAB GENERIK

CLANEKSI KAPSUL 30 KAPS SANBE FARMA
CLANEKSI 125 MG/5 ML SIRUP 60 ML 1 BTL SANBE FARMA
PER
BOX
CLANEKSI FORTE 250 MG/5 ML SIRUP 60 ML 1 BTL SANBE FARMA
ACLAM KAPLET 15 KAPL LAPI
ACLAM DRY SYRUP 1 BTL LAPI
ACLAM FORTE DRY SYRUP 1 BTL LAPI
8d. Other Beta-Lactams MEROPENEM MEROPENEM 0,5 GR INJEKSI 1 VIAL GENERIK

MEROPENEM 1 GR INJEKSI 1 VIAL GENERIK
MEROSAN 0.5 GR INJEKSI 1 VIAL SANBE FARMA
MEROSAN 1 GR INJEKSI 1 VIAL SANBE FARMA
TRIPENEM I GR INJEKSI 1 VIAL DEXA MEDICA
GRANEM 1 GR INJEKSI 1 VIAL GRACIA PHARMINDO
MEROTIK 1 GR INJEKSI 1 VIAL LAPI
8e. Chloramphenicols CHLORAMPHENICOL CHLORAMFENICOL 100 KAPS GENERIK
THIAMPHENICOL DEXYCOL 500 MG KAPLET 100 KAPL DEXA MEDICA

BIOTHICOL FORTE 250 MG/5 ML SYRUP 1 BTL SANBE FARMA
8f. Macrolides AZITHROMYCIN DIHYDRATE AZITHROMYCIN 500 MG TABLET 20 TAB GENERIK

AZOMAX 500 MG KAPSUL 10 KAPS DEXA MEDICA
AZOMAX 200 MG/5 ML SYRUP 15 ML 1 BTL DEXA MEDICA
ZITHROMAX 200 MG/5 ML SYRUP 15 ML 1 BTL PFIZER
MEZATRIN 250 MG KAPSUL 30 KAPS SANBE FARMA
ERYTHROMYCIN ERYSANBE 500 MG KAPSUL 100 BTL SANBE FARMA

ERYSANBE 200 MG/5 ML SYRUP 1 BTL SANBE FARMA
8g. Quinolones CIPROFLOXACIN CIPROFLOXACIN 500 MG TABLET 100 TAB GENERIK

BAQUINOR FORTE 500 MG TABLET 20 TAB SANBE FARMA
BAQUINOR 200MG/100ML INFUS 1 INF SANBE FARMA
RENATOR 200MG/200 ML INFUS 1 INF FAHRENHEIT
LAPIFLOX 500 MG TABLET 30 TAB LAPI
CIPROFLOXACIN 200 MG/100 ML INFUS 1 INF GENERIK
LEVOFLOXACIN VOLEQUIN 500 MG TABLET 30 TAB DEXA MEDICA

CRAVOX 500 MG TABLET 10 TAB LAPI
LEVOCIN 500 MG TABLET 18 TAB SANBE FARMA
LEVOFLOXACIN 500 MG/ TABLET 20 TAB GENERIK
LEVOFLOXACIN 500 MG/ 100 ML INFUS 1 INF GENERIK
LEVOCIN 500 MG/100 ML INFUS 1 INF SANBE FARMA
VOLEQUIN 500 MG/100 ML INFUS 1 INF DEXA MEDICA
CRAVIT 750 MG/150 ML INFUS 1 INF FERRON
CRAVOX 750 MG/150 ML INFUS 1 INF LAPI
CRAVOX IV INJEKSI 1 INF LAPI
OFLOXACIN AKILEN 200 MG TABLET 30 TAB SANBE FARMA

AKILEN 400 MG TABLET 30 TAB SANBE FARMA
OFLOXACIN 200 MG TABLET 30 TAB GENERIK
OFLOXACIN 400 MG TABLET 30 TAB GENERIK
TARIFLOX 400 MG TABLET 30 TAB LAPI
MOXIFLOXACIN ZYGAT 400 MG KAPSUL 10 KAPS PHAROS
8h. Tetracyclines DOXYCYCLINE SICLIDON 20 KAPS SANBE FARMA

DOXYCYCLINE 20 KAPS GENERIK
TETRACYCLINE TETRACYCLINE KAPSUL 100 KAPS GENERIK
8i.Sulphonamide
8j. Antibacterial SULFAMETHOXAZOLE + TRIMETHOPRIM COTRIMOXAZOL 400/80 MG TABLET 100 TAB GENERIK
Combinations COTRIMOXAZOL 800/160 MG TABLET 100 TAB GENERIK
8j. Antibacterial SULFAMETHOXAZOLE + TRIMETHOPRIM
PER
Combinations
BOX
COTRIMOXAZOL SYRUP 60 ML 1 BTL GENERIK
PRIMADEX TABLET 100 TAB DEXA MEDICA
PRIMADEX FORTE TABLET 100 TAB DEXA MEDICA
PRIMADEX SYRUP 60 ML 1 BTL DEXA MEDICA
SANPRIMA 400/80 MG ADULT TABLET 100 TAB SANBE FARMA
SANPRIMA 200;40 MG/5 ML SIRUP 60 ML 1 BTL SANBE FARMA
8k. Other Antibiotics CLINDAMYCIN CLINDAMYCIN 150 MG KAPSUL 100 KAPS GENERIK
CLINDAMYCIN 300 MG KAPSUL 30 KAPS GENERIK
PROLIC 300 MG KAPSUL 100 KAPS SANBE FARMA
PROLIC 150 MG KAPSUL 100 KAPS SANBE FARMA
LINCOMYCIN NOLIP0 500 MG KAPSUL 100 KAPS SANBE FARMA
VANCOMYCIN PANTOZOL 500 MG INJEKSI 2 VIAL PHAROS
8l. Anti-TB Agents RIFAMPICIN + ISONIAZID RIMSTAR 4-FDC TABLET 30 TAB SANDOZ
RIMACTAZID 450/300 MG TABLET 30 TAB SANDOZ
8m.Antileprotic
8n. Antifungals NYSTATIN MYCOSTATIN 100.000 IU/ML ORAL DROPS 12 ML 1 BTL TAISHO
NYMIKO 100,000 IU/ML 0RAL DROPS 12 ML 1 BTL SANBE FARMA

NYSTIN DROPS 1 BTL LAPI
FLUCONAZOLE DIFLUCAN 50 MG KAPSUL 10 KAPS PFIZER

DIFLUCAN 150 MG KAPSUL 5 KAPS PFIZER
DIFLUCAN 2 MG/ML INFUSAN 100 ML 1 BTL PFIZER
GOVAZOL 150 MG KAPSUL 3 KAPS GUARDIAN
ZEMYC IV 2 MG/ML INFUS 1 BTL PHAROS
KETOCONAZOL DEXAZOL 200 MG TAB 50 TAB DEXA MEDICA
ITRACONAZOL SPORACID 100 MG KAPSUL 10 KAPS FERRON

SPORAX 100 MG KAPSUL 30 KAPS DEXA MEDICA
MICAFUNGIN MYCAMINE 50 MG 1 VIAL ASTELLAS
8p. Antivirals ACYCLOVIR ACYCLOVIR 400 MG TABLET 100 TAB GENERIK

ACYCLOVIR 200 MG TABLET 30 TAB GENERIK
METHISOPRINOL ISOPRINOSIN 500 MG TABLET 8 TAB MEDIFARMA

ISOPRINOSINE 250 MG/5 ML SIRUP 60 ML 1 BTL MEDIFARMA
8q. Anthelmintics PYRANTEL PAMOATE COMBANTRIN 250 MG TABLET 25 TAB PFIZER

COMBANTRIN ORANGE 125 MG/5 ML SIRUP 10 ML 1 BTL PFIZER
VERMOX 500 MG TABLET 24 TAB JANSSEN CILAG
8r. Antimalarials KLOROKUIN PHOSFAT RESOCHIN 250 MG TABLET 200 TAB BAYER
RIBOQUIN 250 MG TABLET 200 TAB DEXA MEDICA
QUININ HCL QUININ HCL INJEKSI 100 AMP KIMIA FARMA
PYRHIMETHAMINE,SULFODAXINE SULDOX TABLET 60 TAB ACTAVIS
PRIMAKUIN PRIMAKUN TABLET 50 TAB PHAPROS
8s. Antiamoebics METRONIDAZOLE METRONIDZOL 500 MG TABLET 100 TAB GENERIK

METRONIDAZOL 5MG/ML INFUS 100 ML 1 INF DEXA MEDICA
TRICHODAZOL 500 MG TABET 100 TAB SANBE FARMA
TRICHODAZOL 500 MG/100 ML INFUS 100 ML 1 INF SANBE FARMA
METRONIDAZOLE
PER
BOX
TRICHODAZOLE SUPP 5 SUPP SANBE FARMA
FLADEX 500 MG TABLET 100 TAB DEXA MEDICA
FLADEX 500 MG/100 ML INFUS 1 INF DEXA MEDICA
FLADEX SUPP 0,5 GR 10 SUPP DEXA MEDICA
9. ONCOLOGY
9a. Cytotoxic
Chemotherapy
LEUPROLIDE ACETATE ENDROLIN 3.75 MG INJEKSI 1 ML 1 VIAL KALBE FARMA
9b. Hormonal TAPROS 3,75 MG INJEKSI 2ML 1 VIAL TAKEDA
Chemotherapy
MEDROXYPROGESTERONE ACETATE DEPO PROGESTIN 150 MG/ML INJEKSI 1 ML 20 VIAL HARSEN
MEDROXYPROGESTERONE ACETATE + CYCLOFEM 50 MG/5 ML INJEKSI 1 ML 20 VIAL TUNGGAL IDAMAN ABDI

ESTRADIOL CYPIONATE
MEDROXYPROGESTERONE ACETATE PROVERA 10 MG TABLET 100 TAB PFIZER
9c.Immunological
Chemoterapy
9d.Targeted Cancer
Therapy
9e. Supportive Care ONDANSETRON ONDANCETRON 8 MG TABLET TAB GENERIK

Therapy INVOMIT 4 MG FILM COATED TABLET 18 TAB INTERBAT
INVOMIT 8 MG FILM COATED TABLET 18 TAB INTERBAT
ONDANCETRON 2 MG/ML INJEKSI 2 ML AMP GENERIK
INVOMIT 2 MG/ML INJEKSI 2 ML 5 AMP INTERBAT
VOMETRAZ 2 MG/ML INJEKSI 2 ML 5 AMP DEXA MEDICA
INVOMIT 2 MG/ML INJEKSI 4 ML 5 AMP INTERBAT
VOMETRAZ 2 MG/ML INJEKSI 4ML 5 AMP DEXA MEDICA
TRAMADOL TRAMADOL 50 MG KAPSUL 50 KAPS GENERIK

TRAMADOL 50 MG /ML INJEKSI 2 ML 10 AMP GENERIK
TRAMAL 100 MG SUPPOSITORIA 10 SUPP PHAROS
TRAMAL 100 MG/2 ML INJEKSI 2 ML 5 AMP PHAROS
TRAMAL 50 MG KAPSUL 50 KAP PHAROS
TRAMAL 50 MG/ML INJEKSI 1 ML 5 AMP PHAROS
TRADYL 50 MG TABLET 50 TAB INTERBAT
TRADYL 100 MG /2 ML INJEKSI 5 AMP INTERBAT

10a. Preparations for CLOTRIMAZOLE CANESTEN 100 MG VAGINAL TABLET 6 VAG.TAB BAYER CONSUMER
Vaginal Conditions CARE
CANESTEN SD 500 MG VAGINAL TABLET 1 VAG.TAB BAYER CONSUMER
CARE
METRONIDAZOLE, NYSTATIN FLADYSTIN OVULA 10 OVULA DEXA MEDICA

TRICHODAZOLE PLUS OVULA 5 OVULA SANBE FARMA
10b. Urinary Antiseptics ASAM URSEDEOXYCHOLIC 250 MG URSOLIC 250 MG KAPLET 30 KAPL GUARDIAN
ISOXSUPRINE HCL DUVADILAN 10 MG/2 ML INJEKSI 2 ML 5 AMP KIMIA FARMA

10c. Drugs Acting on DUVADILAN 20 MG TABLET 50 TAB KIMIA FARMA
the Uterus HYSTOLAN 20 MG TABLET 50 TAB DEXA MEDICA
METHYLERGOMETRINE HYDROGEN METHERGIN 0.125 MG TABLET 100 TAB NOVARTIS INDONESIA

MALEATE
METHERGIN 0.2 MG/ML INJEKSI 1 ML 10 AMP NOVARTIS INDONESIA
METHYLERGOMETRINE MALEATE POSPARGIN 0.2 MG/ML INJEKSI 1 ML 10 AMP KALBE FARMA
OXYTOCIN OXYTOCIN 10 IU/ML INJEKSI 1 ML 100 AMP ETHICA
10d. Drugs for Erectile SILDENAFIL CITRATE VIAGRA 100 MG TABLET 4 TAB PFIZER
Dysfunction
PER
BOX
10e. Drugs for Bladder DUTASTERIDE AVODART 0,5 MG KAPSUL 30 KAP GLAXO SMITH KLINE
& Prostate Disorders
TAMSULOSIN HCL HARNAL D 0,2 MG TABLET 28 TAB ASTELLAS

HARNAL D 0CAS 0,4 MG TABLET 30 TAB ASTELLAS
DISTIGMIN BROMIED UBRETID 5 MG TABLET 30 TAB NYCOMED
FINASTERIDE PROSTACOM TABLET 30 TAB COMBIPHAR

FINPRO 5 MG TABLET 30 TAB COMBIHAR
SOLIFENACINE SUCCINATE VESICARE 10 MG TABLET 30 TAB ASTELLAS
KETO ISOLEUCINE CA SALT,KETO AMINORAL KAPLET 100 KAPL SOHO

LEUCIN,KETO PHENYLALANIN,KETO
VALLINE
10f. Other Drugs Acting D-L-ALFA-KETOISOLEUCINE CALCIUM, NOCID 100 KAPL KALBE
on the Genito-Urinary ALFA -KETOLEUCINE CALCIUM, ALFA
System -KETOPHENYLALANINE CALCIUM, ALFA
-KETOVALINE CALCIUM, D-L-ALFA-
HYDROXYMETHIONINE CALCIUM, L-
LYSINE ACETATE, L-TRYPTOPHAN, L-
THREONINE, L-HISTIDINE, L-
TYROSINE,NITROGEN,
CALCIUM

11a. Insulin INSULIN HUMULIN R 100 IU / ML INJEKSI 3 ML 5 AMP ELI LILY
Preparations
INSULIN GLUISINE APIDRA 100 IU / ML 5 AMP SANOFI AVENTIS
INSULIN ASPART NOVORAPID FLEXPEN 5 AMP NOVO NORDISK
INSULIN GLARGINE LANTUS SOLOSTAR 100 IU / ML 5 AMP SANOFI AVENTIS
INSULIN ASPART 30%, PROTAMINED NOVOMIX FLEXPEN 100 IU / ML 5 AMP NOVO NORDISK
INSULIN ASPART 70%
INSULINE GLARGINE, ZINC CHLORIDE, LANTUS SOLOSTAR FLEXPEN 5 AMP SANOFI AVENTIS
M-CRESOL
11b. Antidiabetic SULFONIL UREA

Agents ACARBOSE GLUCOBAY 50 MG TABLET 50 TAB BAYER
GLUCOBAY 100 MG TABLET 50 TAB BAYER
GLIMEPIRIDE ANPIRIDE 1 MG TABLET 50 TAB SANBE FARMA

ANPIRIDE 2 MG TABLET 50 TAB SANBE FARMA
GLIMEPIRIDE 1 MG TABLET 50 TAB GENERIK
AMARYL 1 MG TABLET 50 TAB SANOFI AVENTIS
AMADIAB 1 MG TABLET 50 TAB LAPI
GLICLAZIDE GLUKOLOS 80 MG TABLET 100 TAB SANBE FRAMA
GLIBENCLAMIDE GLIBENCLAMIDE 5 MG TABLET 100 TAB GENERIK

DAONIL 5 MG TABLET 100 TAB SANOFI AVENTIS
PER
BOX
METFORMIN METFORMIN 500 MG TABLET 100 TAB GENERIK
FORBETES 500 MG TABLET 100 TAB SANBE FARMA
FORBETES 850 MG TABLET 100 TAB SANBE FARMA
GLUDEPATIC 500 MG TABLET 100 TAB FAHRENHEIT
METFORMIN, VIDAGLIPTIN GALVUSMET 50 / 500 MG TABLET 30 TAB NOVARTIS

GALVUSMET 50 / 850 MG TABLET 30 TAB NOVARTIS
THIAZOLINDINDIONE
PIOGLITAZONE (+METFORMIN) ACTOS 15 MG TABLET 14 TAB TAKEDA
11c. Thyroid Hormones L-THYROXINE NA THYRAX 100 MCG TABLET 100 TAB SCHERING PLOUGH
THIAMAZOLE THYROZOL 5 MG TABLET 100 TAB MERCK
11d. Antithyroid Agents
11e. Anti-Obesity
Agents
11f. Agents Affecting RISEDRONATE NA ACTONEL 35 MG TABLET 4 TAB SANOFI AVENTIS

Bone Metabolism
IBANDROID ACID BONVIVA 3 MG / 3 ML SYRINGE 1 SYRINGE ROCHE

BONVIVA TABLET 1 TAB ROCHE
CALCITRIOL KOLKATRIOL 0,25 MCG CAPSUL 30 KAPS PHAPROS

OSCAL 0,25 MCG CAPSUL 30 KAPS KALBE FARMA
OSCAL 0,5 MCG CAPSUL 30 KAPS KALBE FARMA
11g. Other Agents

Affecting Metabolism
12. VITAMINS & MINERAVITAMIN A, D, E & K

12a. Vitamin A, D & E VITAMIN D DALFAROL 200 IU SOFT KAPLET 100 KAPL DARYA VARIA
DALFAROL 400 IU SOFT KAPLET 100 KAPL DARYA VARIA
VITAMIN E SANTA E 200 MG TABLET 100 TAB SANBE FARMA
VITAMIN K VITAMIN K TABLET 100 TAB KIMIA FARMA

NEO-K 2MG/ML INJEKSI 5 AMP COMBIPHAR
12b. Vitamin B- VITAMIN B COMPLEX VIT B COMPLEX TABLET 50 TAB GLOBAL MULTI
Complex / with C PHARMALAB
VITAMIN B1 100 MG, B6 200 MG, B12 200 NEUROBION KAPLET 50 KAPL MERCK
MCG NEUROSANBE TABLET 100 TAB SANBE FARMA
VITAMIN B1 100 MG, B6 200 MG, B12 NEUROBION 5000 TABLET 100 TAB MERCK
5000 MCG NEUROBION INJEKSI 1 AMP MERCK
NEUROSANBE 5000 TABLET 100 TAB SANBE FARMA
VIT B COMPLEX ,VIT C, NICOTINAMID,CA PERVITA TABLET 100 TAB SANBE FARMA
PANTOTENAT,THIAMINI ALINAMIN TABLET 100 TAB TAKEDA
TETRAHYDROFURFURYL DISULFIDI
THIAMINE TETRAHYDROFURFURYL, ALINAMIN F 50 MG TABLET TAB TAKEDA

DISULFIDI HYDROCHLORIDUM
100
ALINAMIN F 25 MG / 10 ML INJEKSI 10 AMP TAKEDA
METAMPIRON, VIT B1, VIT B6, VIT B12 NEUROSANBE PLUS TABLET 100 TAB SANBE FARMA
MECOBAL,THYAMIN,PYRIDOXIN REBAL PLUS KAPSUL 100 KAPS FAHRENHEIT

PER
BOX
12c. Vitamin C VITACIMIN PROVE C TABLET 30 TAB KALBE FARMA
VITACIMIN TABLET 20 TAB TAKEDA
VIT C, BETA CAROTEN, VIT E, ZN, BEVIZIL TABLET 100 TAB SANBE FARMA
SELENIUM REDOXON EFF 1 TUBE BAYER
EXTRACE 100 MG / ML INJEKSI 2ML 5 AMP ETHICA
EXRTACE 100 MG / ML INJEKSI 5 ML 5 AMP ETHICA
EXTRACE 200 MG / ML INJEKSI 5 ML 5 AMP ETHICA
12d. Calcium/ with CALCIUM GLUCONAT CAL-95 TABLET 30 TAB LAPI

Vitamins CALCIUM SANDOZ FORTE EFFERVESCENT TAB EFFERV NOVARTIS INDONESIA
10
CA CARBONATE CALOS KAPLET 60 KAPL FAHRENHEIT
CALCIUM CARBONAT + VIT B6 + VIT C + CALCIUM D REDOXON (CDR) EFF 10 TAB EFFERV BAYER CONSUMER
VIT D CARE
CA CARBONAT + VIT D + MG + BORON OSFIT DHA TABLET TAB KALBE FARMA

CITRATE + ZN SULPHATE + CUPRIC
SULPHATE + CHROMIUM PIKOLINAT + 60
FOLIC ACID + VIT B6 + VIT B12 +
SILICA
CA CITRATE 500,VIT D3 200 IU,VIT K1 20 OSSOVIT KAPLET 60 KAPL INTERBAT

MCG,MG 100 MG,ZN 5 MG
12e. Vitamins & / or VIT B1 + VIT B2 + VIT B6 + VIT B12 + BECOM-C KAPLET KAPL SANBE FARMA
Minerals VIT C + NICOTINAMIDE + CA 100
PANTOTHENATE
VIT E,VIT C,VIT B1,VIT B2,VIT B6,VIT BECOM ZET KAPL SANBE FARMA
B12,FOLIC ACID,PANTHOTENAT 100
ACID,ZN,NIACIN
CA PHOSPHATE + CA LACTATE + VIT B6 ELKANA TABLET 100 TAB SANBE FARMA

+ VIT C + VIT D3 ELKANA SIRUP 60 ML 1 BTL SANBE FARMA
ELKANA CL EMULSION SYRUP 1 BTL SANBE FARMA
β-CAROTEN + VIT C + VIT E ZN SELOXY TABLET 30 TAB FERRON

SULPHATE + SELENIUM
B CAROTENE,VIT C,VIT E,ZN,SELENIUM BEVIZIL KAPLET 100 KAPL SANBE FARMA
ECHINACEA,ZINC PICOLINATE,SELENIUM IMUNOS KAPLET 20 KAPL LAPI

IMUNOS SYRUP 1 BTL LAPI
ECHINACEA,ZINC IMUNOS PLUS KAPLET 20 KAPL LAPI

PICOLINATE,SELENIUM, VIT C IMUNOS PLUS SYR 1 BTL LAPI
CORAL CALCIUM, NATURAL SOY

ISOFLAVON, VIT D3, VIT K1, CAL-95 30 KAPL LAPI
MAGNESIUM, ZINC, BORON
12f. Vitamins & VIT A,VIT D,VIT B1,VIT B2,VIT B6,ASAM SAN B PLEX DROP 15 ML 1 BTL SANBE FARMA
Minerals (Geriatric) PANTHOTENAT
12g. Vitamins & VIT A, VIT B, VIT B1, VIT B2, VIT B6, VIT APIALYS SYRUP 100 ML 1 BTL LAPI
Minerals (Paediatric) B12, NIKOTINAMIDE, VIT C, ALPA
PANTOTENOL, GLYSIN HCL, L- AS. APIALYS DROP 10 ML 1 BTL LAPI
GLUTAMAT
FE GLUCONATE + MANGANESE BIOSANBE KAPSUL KAPS SANBE
SULPHATE + COPPER SULPHATE + VIT C 100
+ FOLIC ACID
12h. Vitamins & FOLIC ACID ANEMOLAT TABLET TAB PHAPROS

Minerals (Pre & Post 100
Natal) / Antianemics
OMEGA 3, DHA EPA, VIT BA, VIT D3, B12, PROMAVIT KAPSUL 60 KAPS LAPI
ASAM FOLAT, VIT B6, CALCIUM,
MAGNESIUM, FE
12h. Vitamins &
Minerals (Pre & Post
Natal) / Antianemics

PER
BOX
FE ELEMENTAL MALTOFER 100 MG TABLET 30 TAB CHEW COMBIPHAR
SANGOBION BABY DROP 1 BTL MERCK
SANGOBION KID SYRUP 1 BTL MERCK
NEFROFER 20 MG / ML INJEKSI 5 ML 5 AMP KALBE FARMA
BETA CAROTEN,CA LACTATE,CA FOLAMIL KAPLET KAPL DEXA MEDICA

PANTHOTENATE,COER SULPHATE,FOLIC
ACID,FE FUMARATE,NICOTINAMIDE,K
IODIDE,NA FLUORIDE,VIT B1,VIT 100
FOLIC ACID + β-CAROTEN + VIT B1 + FOLAMIL GENIO SOFT KAPSUL 30 KAPS DEXA MEDICA
VIT K1 + BIOTIN + NICOTINAMIDE + CA
PANTOTHENATE + COPPER GLUCONATE
+ DHA + ARA
FE SULPHATE HEPTAHYDRATE SULFAS FERROSUS 200 MG TABLET 1000 TAB GENERIK
VIT A + VIT B1 + VIT B6 + VIT B12 + PRENATIN-DF KAPLET 60 KAPL SOHO

VIT C + VIT D3 + VIT E +
NICOTINAMIDE + CA LACTATE + CA
PANTOTHENATE + FE FUMARATE + K
IODIDE + COPPER + MANGANESE + ZN
+ DHA + FOLIC ACID
NONEMI TABLET 100 TAB LAPI

FE FUMARATE 90 MG, COPPER SULFATE
0.3 MG, COBALT SULFATE 0.5 MG,
MANGANESE SULFATE 0.15 MG, VIT B6
10 MG, VIT B12 10 MCG, VIT C 100 MG,
FOLIC ACID 1 MG, CA PHOSPHATE
DIBASIC 60 MG
13. NUTRITION
13a. Infant Nutritional FAT, DHA, EPA, LINOLENIC ACID, BMT PLATINUM TIN SANGHIANG
Products PHOSPOLIPID, CARBOHYDRATE, 1
LACTOSE
FAT, LINOLEIC ACID, LINOLENIC ACID, NESTLE NAN HA TIN NESTLE

HYDROLIZED, CARBOHIDRATE
(LACTOSE&MALTODEXTRIN)DHA, 1
ARACHIDONATE ACID, PROTEIN,
TAURINE
13b. Enteral / CARBOHYDRATE, DIETARY,PROTEIN, HEPATOSOL BOX SANGHIANG

Nutritional Products LEUCINE, ISOLEUCINE, VALINE, 1
FAT,MCT, VIT, MINERAL
ASAM AMINO, CARBOHYDRATE, FAT, VIT NEPHRISOL 1 BOX SANGHIANG

NUTRILON 1 BOX NUTRICIA
CARBOHYDRATE FAT, VIT, MINERAL PEPTISOL 1 BOX SANGHIANG
13c. Parenteral AMINO ACID + VIT + ELECTROLYTES AMINOFLUID INFUS 500 ML 1 INF OTSUKA
Nutritional Products BENUTRION VE 1 INF SANBE FARMA
REFINED OLIVE OIL, REFINED SOYA CLINOLEIC INFUS 250 ML 1 INF KALBE FARMA
BEAN OIL, ENERGI CLINOLEIC INFUS 500 ML 1 INF KALBE FARMA
AMINO ACIDS KALBAMIN 10% INFUS 500 ML 1 INF KALBE FARMA

KIDMIN INFUSION 200 ML 1 INF OTSUKA
AMINO ACIDS + ESSENTIAL AMINO PAN AMIN G 500 ML INFUS INF OTSUKA
ACIDS + NON-ESSENTIAL AMINO ACIDS 1
+ SORBITOL
FRUCTOSA, GLUCOSE, XYLITOL TRIOFUSIN INFUS 500 ML 1 INF KALBE FARMA
13d. Electrolytes K L-ASPARTATE ASPAR-K 300 MG TABLET 100 TAB TANABE INDONESIA
13d. Electrolytes
PER
BOX
Na + Cl + GLUCOSE KA-EN 1B 500 ML INFUS 1 INF OTSUKA
Na 60 MEQ + K 10 MEQ + CI 50 MEQ + KA-EN 3A 500 ML INFUS INF OTSUKA

Na 50 MEQ + K 20 MEQ + CI 50 MEQ + KA-EN 3B 500 ML INFUS INF OTSUKA

Na 50 MEQ + K 20 MEQ + CI 50 MEQ + KA-EN MG3 500 ML INFUS INF OTSUKA

LACTATE 20 MEQ +GLUCOSE 100 G 1
POTASSIUM CHLORIDE KCl 25 ML INJEKI 120 AMP OTSUKA
GLUCOSE ANHYDROUS + NaCl + Na. ORALIT SACHET 100 SACH KIMIA FARMA
BICARBONATE + CaCl2
Na + K + CI + CITRATE + DEXTROSE PEDIALYTE 500 ML 1 BTL ABBOTT

PEDIALYTE BUBBLE GUM 500 ML 1 BTL ABBOTT
Na + K + CI + CITRATE RENALYTE 200 ML 1 BTL FAHRENHEIT
Na.LACTATE + NaCl + KCl + CaCl2 WIDA RL 500 ML INFUS 1 INF WIDATRA BHAKTI
INF
NaCl 0.9 % WIDA NS 0.9% 500 ML INFUS 1 INF WIDATRA BHAKTI
NaCl 0.9% 100 ML INFUS 1 INF OTSUKA
WIDA NS 0.9% 1000 ML INFUS UNICAP 1 INF WIDATRA BHAKTI
WIDA NS 0.9% 1000 ML INFUS TWIST OF 1 INF WIDATRA BHAKTI
GLUCOSE, NaCl WIDA D5-1/4 NS 500 ML INFUS 1 INF WIDATRA BHAKTI

WIDA D5-1/2 NS 500 ML INFUS 1 INF WIDATRA BHAKTI
WIDA D5-NS 500 ML INFUS 1 INF WIDATRA BHAKTI
GLUCOSE, NaCl, KCl, CaCl2 WIDA RD 500 ML INFUS 1 INF WIDATRA BHAKTI
SODIUM BICARBONATE MEYLON 25 ML INFUS 1 AMP OTSUKA
13e. Appetite VIT B1,VIT B2,VIT B6,VIT B12,BETA CURVIT CAPLET KAPL SOHO
Enhancers CAROTENE,CA PANTHOTENATE,CA 50
GLUCONATE,CURCUMINOID
13f. Supplements & NATURAL ASTAXANTHIN ASTHIN FORCE 4 MG KAPSUL 18 KAPS SOHO
Adjuvant Therapy ASTHIN FORCE 6 MG KAPSUL 18 KAPS SOHO
XANTIA 30 KAPS MEPROFARMA
AXTAN KAPSUL 30 KAPS SOLAS
KETOISOLEUCINE,KETOLEUCINE,KETOPH AMINEFRON KAPLET 100 KAPL DEXA MEDICA

ENYLALANINE,HYDROXI
METHIONIN,KETOVALINE,L
TRYPTOPHAN,L THREONINE,L
HISTIDINE,L TYROSINE,L LYSINE
ACETATE,CA
BILLBERY,RETINOL,VIT E,BETA BERRY VISION TABLET 100 TAB SANBE VISION

CAROTENE,
BILLBERY,RETINOL,VIT E,BETA EYEVIT TABLET 30 TAB LAPI

CAROTENE, GLUTEIN, ZEAXANTHIN, EYEVIT SYRUP 60 ML BTL LAPI
SELENIUM, ZINC 1
ARABYNOXYLAN DERIVATIVES BIOBRAN 250 MG TABLET 30 TAB FERRON
CURCUMA LONGA RHIZOMA BIOCURKEM CAPLET 30 KAPL SOHO
CURCUMA LONGA RHIZOMA,FISH OIL BIOCURLAM CAPLET 20 KAPL SOHO

POWD
PER
BOX
CURCUMA LONGA RHIZOMA,SILYMARIN BIOCURLIV CAPLET KAPL SOHO
PHYTOSOME,SCHIZANDRAE
FRUCTUS,LIQUIRITAE RADIX,CHOLINE 30
BITARTRATE,VIT B6
COENZYME Q10,L CARNITINE,VIT E,SOYA BIOQUINONE SOFT CAPSUL 50 SOFT KAPS PUSPA PHARMA
BEAN OIL
UBIDECARENONE COTEN CAPLET 30 KAPL INTERBAT
CURCUMA CURCUMA TABLET 100 TAB SOHO
VIT B1,VIT B2,VIT B6,VIT B12,BETA CURCUMA PLUS SYRUP 1 BTL SOHO
CAROTENE,DEXPANTHENOL,CURCUMINO
ID
PSIDIUM GUAJAVA,PHYLANTUS DEHAF SACHET SACH SOHO
URINARIA,CARICA PAPAYA,CURCUMA 6
AEROGINOSA,CURCUMA DOMESTHICA
RHIZOM
LUMBROKINASE DISOLF TABLET 30 TAB DEXA MEDICA
GANODERMA LUCIDUM POWD,HERICIUM GLUCAN 5 EX SOFT KAPSUL 60 KAPS SOHO

ERINACEUM POWD,GRIFOLA
FRONDOSA,PHELINNUS
LINTEUS,AGARICUS BLAZEI
RED CLOVER EXTR ROMENO TABLET 30 TAB INTERBAT
PSIDII FOLIUM EXTR PSIDII KAPSUL 50 KAPS DEXA MEDICA

PSIDII SYRUP 60 ML 1 BTL DEXA MEDICA
SERICOCALYX FOLIUM, ORTHOSIPHONIS RENAX KAPSUL KAPS INTERBAT

HERBA,SONCHUS ARVENSIS 50
FOLIUM,PLANTAGO MAJOR FOLIUM
BETA KAROTEN 5 MG,BILLBERY EXTR MATOVIT TABLET 30 TAB SOHO

80,RETINOL 1600IU,VIT E 40 MG MATOVIT SYRUP BTL SOHO
1
BETA KAROTEN 10000 IU ,VIT C 250 COXAVIT KAPLET 30 KAPL NULAB

MG,VIT E 50 MG,ZN 20 MG,SELENIUM 30
MCG,LUTEIN 3 MG
BETA KAROTEN 0,6,VIT C 100,VIT E RETIVIT PLUS TABLET TAB SANBE VISION
60MG,ZN 10 MG,COPPER 1,5
MG,SELENIUM 55 MG,LUTEIN 30 100
MG,LIKOPEN 2 MG,ZEAXANTHIN 2 MG,
ZEAXANTHIN 0,67
VITANORM TABLET TAB CENDO
100
BETA KAROTEN 2,5 MG,BILLBERY EXT 40 NORMAVIT TABLET TAB CENDO

MG,RETINOL 800 IU,VIT E 20 MG 100
MONOAMMONIUM GLYCYRRHIZINATE STRONGER NEO-MINOPHAGEN C INJEKSI 20 ML AMP DEXA MEDICA

(AS GLYCYRRHIZIN) 40 MG, AMINO
ACETIC ACID (JP) 400 MG, L - CYSTEINE 1
HCL 20 MG
PLACENTA EXTR + VIT B12 LAKTAFIT TABLET 60 TAB DEXA MEDICA

+CA.PHOSPHATE
PLACENTA EXTR + VIT B12 MOLOCO B12 TABLET 60 TAB DARYA-VARIA
OPHIOCEPALUS STRIATUS EXTRACT VIP ALBUMIN SACHET 3 SACH ROYAL MEDICA

VIP ALBUMIN KAPSUL 30 KAPS ROYAL MEDICA
PER
BOX
VIT B1, VIT B2, VIT B6, VIT B12, VIT C, VIRINON KAPLET 100 KAPL KALBE
NIACINAMIDE, PANTOTHENIC ACID,
FOLIC ACID, BIOTIN, ZINC,
SELENIUM
RETINOL, COLECALCIFEROL, CERNEVIT INJEKSI 10 VIAL KALBE

TOKOFEROL, ASCORBIC ACID,
NICOTINAMIDE, PANTOTENIC ACID,
PYRIDOXIN, RIBOFLAVIN, THIAMIN,
ASAM FOLAT, D-BIOTIN, GLISIN, ASAM
GLIKOKOLAT, SOYBEAN LECITHIN,
SODIUM
OMEGA 3 ACID ETHYL ESTHERS, EPA, CORMEGA KAPSUL 30 KAPS LANDSON

DHA
D-RIBOSE, L-CARNITINE FUMARAT, L-CORE 8 GR SACHET 5 SACH LAPI

COENZYM Q10, MAGNESIUM
14. Eye
14a. Eye Anti-Infectives GENTAMICIN SULFATE CENDO GENTA ED 1 BTL CENDO
& Antiseptics CENDO GENTAMYCIN 0.3 % (3 MG/G) EYE OINT TUBE CENDO
1
3.5 GR
POLYMYXIN B SULFONATE,N/EOMYCIN POLYGRAN STRIP CENDO

SULFONATE,/GRAMICIDIN 1
LEVOFLOXACIN CENDO LFX MD 1 STRIP CENDO
CHLORAMPHENICOL CENDO FENIOL ED MD 1 STRIP CENDO
POLYMYXIN B SULFONATE, NEOMYCIN POLYGRAN 1 STRIP CNDO

SULFATE, GAMICIDIN
OFLOXACIN CENDO FLOXA 1 STRIP CENDO
CHLORAMFENIOL BASE 2,5 CENDO FENICOL 0.25% ED MD 1 STRIP CENDO

MG CENDO FENICOL 1% (10 MG/G) EYE OINTMENT TUBE CENDO
1
3.5 GR
POLYMIXIN B SULFATE, NEOMYCIN CENDO STATROL ED 1 BTL CENDO

SULFATE
14b. Eye Antiseptics NEOMYCIN + POLYMYXIN B SULFATE + CENDO XITROL EYE OINTMENT 3.5 GR 1 STRIP CENDO
with Corticosteroids DEXAMETHASONE CENDO XITROL MD BTL CENDO
1
TOBRAMYCIN, DEXAMETHASON TOBROSON MD ED 1 STRIP CENDO
14c. Eye Corticosteroids BETHAMETASONE NA FOSFAT VOSAMA STERIL ED MD STRIP CENDO

1
14d. Mydriatic Drugs TROPICAMIDE CENDO MYDRIATIL 0,5% 1 BTL CENDO

CENDO MYDRIATIL 1% 1 BTL CENDO
14e. Miotic Drugs PILOCARPINE CENDO CARPINE 1% 5 ML ED 1 BTL CENDO
14f. Antiglaucoma TIMOLOL CENDO TIMOL 0,25% ED MD 1 STRIP CENDO

Preparations
ACETAZOLAMIDE CENDO GLAUCON 250 MG TABLET TAB Cendo
14g. Ophthalmic SODIUM HYALURONAT CENDO HYALUB ED MD 1 STRIP CENDO

Decongestants, HIALID 1 BTL FERRON
Anesthetics, Anti-
Inflammatories
NAFAZOLINE HCL CENDO VASACON ED MD 1 STRIP CENDO
14h. Ophthalmic SODIUM IODIDA,POTASIUM IODIDA CENDO VITROLENTA ED MD 1 STRIP CENDO

Lubricants
VITAMIN A,A NEURIN HCL,CA CENDO REPITHEL ED MD 1 STRIP CENDO

PANTOTENAT
14h. Ophthalmic FORMULARIUM RUMAH SAKIT HARAPAN KELUARGA TAHUN 2015
Lubricants
PER
BOX
VITAMIN A, NATRIUM HYALURONAT, CENDO PROTAGENT-A ED MD 1 STRIP CENDO

POLIVINILYROLIDON
VITAMINA, OXYMETAZOLINE HCl CENDO ASTHENOF ED MD 1 STRIP CENDO
VITAMIN A, ZINC SULFAT, FENILEFRIN CENDO AUGENTONIC ED MD 1 STRIP CENDO
14i. Other Eye CARBOXYMETHYL CELLULOSE SODIUM CENDO CENFRESH ED MD 5 VIAL CENDO
Preparations
CROMOLYN SODIUM CENDO CONVER 2% ED MD 1 STRIP CENDO
FLUOROMETHOLONE EYE DROP FLUMETHOLON 1 BTL FERRON
LUTEIN, LYCOPENE, ZEAXANTHIN, VIT E, OPTIMAX PLUS SYRUP 100 ML BTL FERRON
VIT C, Zn , β-CAROTENE, BILLBERRY DRY 1
BEXTRACT.

15a. Ear Anti-Infectives GENTAMICIN SULFATE GARAMYCIN 0,3% (3 MG/ML) EYE/EAR DROPS 5 1 BTL SCHERING-PLOUGH
& Antiseptics ML
SAGESTAM (3 MG/ML) EYE/EAR DROPS 5 ML 1 BTL SANBE VISION
OFLOXACIN TARIVID OTIC EAR DROP 5 ML 1 BTL KALBE
BENZOCAIN, CHLORAMPHENICOL, OTOLIN EAR DROP5 ML 1 BTL KALBE

HIDROKSI BENZOATE, POLYMYXIN B
15b. Ear Antiseptics POLYMYXIN B SULFATE + NEOMYCIN OTILON EAR DROP 1 BTL SANBE VISION
with Corticosteroids SULFATE,FLUROCORTISON ASETAT,
ASETAT, LIDOCAIN
15c. Ear Corticosteroids
15d. Other Ear DOCUSATE NA FORUMEN 5MG/ 1O ML EAR DROPS BTL SANBE VISION
Preparations 1
15e. Mouth/Throat AQUA + MALTODEXTRIN + PVP + ALOE ALOCLAIR 60 ML BTL KALBE FARMA
Preparations VERA EXTR + K SORBATE + Na.
BENZOATE + HMC + PEG + HCO +
DISODIUM EDETATE + BENZALKONIUM 1
CL + SACCHARIN Na + Na
HYALURONATE + GLYCYRRHETIC ACID
FARDIOMYCIN SULFATE + GRAMICIDIN-S FG TROCHES TABLET HISAP 120 TAB MEIJI

HCl
TRIAMCINOLONE ACETONIDE KENALOG 1 MG/G IN ORABASE 5 GR 1 TUBE TAISHO

PHARMACEUTICAL
HYALURONIC ACID SANORINE HIJAU GARGLE 200 ML 1 BTL CAPRIFARMINDO
POVIDONE-IODINE BETADINE 1% GARGLE 190 ML 1 BTL MAHAKAM BETA FARMA
BETADINE FEMINIME 1 BTL
CHLORHEXIDINE GLUCONATE MINOSEP GARGLE 150 ML 1 BTL MINOROCK
16. DERMATOLOGICALS
16a. Topical Antibiotics NEOMYCIN SULFATE 0,5%, PLACENTA BIOPLACENTON 15 GR JELLY 1 TUBE KALBE FARMA
10%
SILVER SULFADIAZINE BURNAZIN 1 % 5 GR CREAM 1 TUBE DARYA VARIA

16a. Topical Antibiotics

PER
BOX
GENTAMICIN SULFATE GENTAMYCIN SULFATE CREAM 1 TUBE GENERIK
SAGESTAM CREAM 0,1 % 10 GR CREAM 1 TUBE SANBE FARMA
MUPIROCIN 2% PIBAKSIN 10 GR CREAM 1 TUBE SANBE FARMA
NEOMYCINSULFATE 5MG, BACITRACIN NEBACETIN 5 GR OINTMENT 1 TUBE PHAROS

250IU
16b. Topical Antifungal MICONAZOLE NITRATE DAKTARIN 2% CREAM 5 GR 1 TUBE JANSSEN-CILAG

& Antiparasites
KETOCONAZOLE FORMYCO 2% 10 GR CREAM 1 TUBE SANBE FARMA
PERMETHRIN SCABIMITE 30 GR CREAM 1 TUBE GALENIUM
TERBINAFINE HCL TERMISIL CREAM 1 TUBE FERRON
16c. Topical Antivirals ACYCLOVIR ACYCLOVIR 5 % 5 GR CREAM 1 TUBE GENERIK
16d. Topical Anti- DESONIDE + NEOMYCIN SULFATE APOLAR N 10 GR CREAM 1 TUBE ACTAVIS
Infectives with
Corticosteroids
BETAMETHASON + NEOMYCIN SULFATE BENOSON N 15 GR CREAM 1 TUBE BERNOFARM
FLUCINOLONE ACETONIDE 0,025% CINOLON CREAM 1 TUBE SANBE FARMA
FLUCINOLONE ACETONIDE+ NEOMYCIN CINOLON-N 10 GR CREAM 1 TUBE SANBE FARMA

SULFATE
HYDROQUINONE 40MG, TRETINOIN REFAQUIN 15 GR CREAM TUBE SDM LAB

0,5MG, FLUCINOLONE ACETONIDE 0,1MG 1
16e. Topical DESONIDE APOLAR 10 GR CREAM 1 TUBE ACTAVIS

Corticosteroids
FLUOCINOLONE ACETONIDE CINOLON 10 GR CREAM 1 TUBE SANBE FARMA
HYDROCORTISONE HYDROCORTISONE 5% CREAM 1 TUBE GENERIK
DESOXIMMETHASONE TOPCORT CREAM 1 TUBE SANBE FARMA
MOMETASONE FUROATE MEFUROSAN CREAM 1 TUBE SANBE FARMA
TRIAMCINOLONE ACETONIDE KENACORT A 0,1% 10 GR CREAM 1 TUBE TAISHO

PHARMACEUTICAL
CLOBETASOL PROPIONATE KLODERMA 0,05% 5 GR CREAM 1 TUBE SDM LAB
MOMETASONE FUROATE MOFACORT 1% 5 GR CREAM 1 TUBE SDM LAB
16f. Acne Treatment BENZOIL PEROXIDE BENZOLAC 2,5% 5 GR CREAM 1 TUBE SDM LAB
Preparations
BENZOIL PEROXIDE 5%, CLINDAMYCIN BENZOLAC CL 10 GR GEL 1 TUBE SDM LAB

PHOSPATE 1,2%
16g. Topical KALAMIN, ZNO, CAMPHORA, MENTHOL CALADINE LOTION 60 ML 1 BTL GALENIUM PHARMASIA
Antihistamines/antipru
ritics CALADINE POWDER 1 BTL GALENIUM PHARMASIA
SALICYL TALK SALICYL TALK 2% 60 GR 1 PCS GENERIK
KETOCONAZOLE FORMYCO 2% 10 GR CREAM 1 TUBE SANBE FARMA
UREA CARMED 10% 40 GR CREAM 1 TUBE SDM LAB
16j. Emollients & Skin PSEUDO - DERMAL LIPIDS NOROID LOTION 200 ML 1 BTL SOHO
Protectives
Zn OXIDE, PSEUDO-DERMAL LIPIDS NOROID DERMA RASH 60 ML 1 BTL SOHO

16j. Emollients & Skin
Protectives
PER
BOX
ETHYLHEXYL - METHOXYCINNAMATE, PARASOL 20 GR CREAM TUBE SDM LAB

TITANIUM DIOXIDE, OXYBENZONE 1
16k. Skin Antiseptics &

Disinfectans
16l. Other skin RADIX SCUTELLARIAE, PHELODENDRI

preparations MEBO 20 GR OINTMENT 1 TUBE COMBIPHAR
CORTEX, RHIZOMA COPTIDIS
PURIFIED WATER, PEG-4, ALLIUM CEPA

MEDERMA 20 GR OINTMENT 1 TUBE COMBIPHAR
EXTRACT, XANTHAN GUM, ALLANTOIN
CENTELLA ASIATICA, VIT E LANAKELOID-E 10 GR CREAM 1 TUBE LANDSON
17. ANAESTHETIC
17. Anaesthetics - local
& General SEVOFLURANE SEVOFLURANE 1 BTL ABBOTT
ISOFLURANE ISOFLURANE INHALATION 250 ML 1 BTL DEXA MEDICA
PROPOFOL RECOFOL INJEKSI 5 AMP DEXA MEDICA

PROANES 10 MG/20 ML INJEKSI 5 AMP SANBE FARMA
TRIVAM 10 MG/ML INJEKSI 5 AMP PHAROS
KETAMINE HCl KETALAR 100 MG/ML INJEKSI 10 ML 1 VIAL PFIZER
LIDOCAINE HCl LIDOCAIN 2% (20 MG/ ML) INJEKSI 2 ML 10 AMP GENERIK

XYLOCAIN 10 MG/DOSE PUMP SPRAY 1 SPRAY ASTRAZENECA
XYLOCAIN 2 % (400MG/20ML) INJEKSI 20 ML 5 AMP ASTRAZENECA
XYLOCAIN JELLY 2 % (2 MG/G) SYRINGE 10 GR 1 SYRINGE ASTRAZENECA
CATHEJEL 5 PCS MONTAVIT
BUPIVACAINE BUVANEST 100 MG/20 ML INJEKSI 5 VIAL KALBE FARMA

BUVANEST SPINAL 0,5% HEAVY 20 MG/4 ML 5 AMP KALBE FARMA
INJEKSI
MARCAIN SPINAL 0,5%HEAVY 4 ML 5 AMP ASTRAZENECA
MARCAIN 0.5 % (5 MG/ ML) INJEKSI 4 ML 5 AMP ASTRAZENECA
DECAIN SPINAL 0,5% HEAVY 5 MG/ML INJEKSI 4 5 AMP DEXA MEDICA
ML
BUPIVACAINE, DEKSTROSE INDEVUS INJEKSI 5 AMP PHAROS

MONOHIDRAT
MIDAZOLAM SEDACUM 0,5% INJEKSI 5 AMP DEXA MEDICA

SEDACUM 0,1% INJEKSI 5 AMP DEXA MEDICA
CHLOR ETIL CHLOR ETIL SPRAY 100 ML 1 BTL GENERIK
FENTANYL FENTANYL 50 MCG/ML INJEKSI 5 AMP JANSSEN-CILAG

DUROGESIC 12 MCG/HOUR 5 PATCH JANSSEN-CILAG
LIDOCAINE HCL+ADRENALINE PEHACAIN 20/0.0125 MG INJEKSI 2 ML 20 AMP PHAPROS
LIDOCAIN HCL,PRILOKAINE ESTESIA CREAM 1 TUBE PHARMACORE
17. Adjuvant VECURONIUM BROMIDE ECRON 4 MG INJEKSI 10 VIAL PHAROS

anaesthetics
ECRON 10 MG INJEKSI 1 VIAL PHAROS

PER
BOX
18a. Antihistamines & DESLORATADINE AERIUS 5 MG TABLET 30 TAB SCHERING-PLOUGH
Antiallergics
LORATADINE LORATADINE 10 MG TABLET 50 TAB GENERIK

ALLORIS 10 MG TABLET 100 TAB SANBE FARMA
ALLORIS 5 MG / 5 ML SYRUP 60 ML 1 BTL SANBE FARMA
CLARIHIS 10 MG TABLET 30 TAB LAPI
LORATADINE 5 MG, PSEUDOEPHEDRIN RHINOS SR CAPSUL 50 KAPS DEXA MEDICA

60 MG
BETAMETHASON + CELESTAMIN TABLET 30 TAB SCHERING-PLOUGH

DEXCHLORPHENIRAMINE MALEAT CELESTAMINE SYRUP 60 ML 1 BTL SCHERING-PLOUGH
CETIRIZINE HCl CETIRIZINE 10 MG TABLET 30 TAB GENERIK

CERINI 10 MG TABLET 20 TAB SANBE FARMA
TIRIZ 10 MG TABLET 30 TAB LAPI
TIRIZ ORAL DROP 20 ML 1 BTL LAPI
RITEZ 5 MG / 5 ML SYRUP 1 BTL DEXA MEDICA
RITEZ 10 MG TABLET 20 TAB DEXA MEDICA
CHLORFENIRAMIN MALEATE CHLORFENIRAMIN MALEATE 4 MG TABLET 1000 TAB GLOBAL
DEXAMETHASON,DEKSCHLORPENIRAMIN DEXTAMIN TABLET 300 TAB PHAPROS

MALEATE DEXTAMIN SYRUP 60 ML 1 BTL PHAPROS
DIPHENHYDRAMINE DIPHENHYDRAMINE 10 MG / ML INJEKSI 1 ML 1 AMP GENERIK

DURADRYL INJEKSI 1 VIAL DURA FARMA JAYA
TRIPROLIDINE HCl, PSEUDOEPHEDRIN LAPIFED TABLET 60 TAB LAPI

HCl LAPIFED SYRUP 60 ML 1 BTL LAPI
FEXOFENADINE HCl FEXOFED CAPSUL 30 KAPS KALBE FARMA

60MG,PSEUDOEPHEDRIN 120 MG
LEVOCETIRIZINE XYZAL TABLET 50 TAB SANOVI AVENTIS
18b. Vaccines, Antisera H.INFLUENZAE TYPE B POLYSACCHARIDE VAKSIN ACT HIB 0.5 ML VIAL SANOFI PASTEUR
& Immunologicals CONJUGATED TO TETANUS PROTEIN 1
INACTIVATED HEPATITIS A VIRUS AVAXIM 80 / 160 PEDIATRIC 1 SYRINGE SANOFI PASTEUR
HEPATITIS B VAKSIN HEPATITIS B BIOFARMA ( ANAK ) 0.5 ML 1 VIAL GENERIK
VAKSIN ENGERIX B 20 MCG / ML ( DEWASA) 1 ML 1 VIAL GLAXO SMITHKLINE

INDONESIA
VAKSIN ENGERIX B 10 MCG / 0,5 ML (JUNIOR) 1 VIAL GLAXO SMITHKLINE
INDONESIA
VAKSIN EUVAX B 20 MCG / ML (DEWASA) 1 VIAL SANOFI PASTEUR
VAKSIN EUVAX B 10 MCG / 0,5 ML (ANAK) 1 VIAL SANOFI PASTEUR
PLASMA IMMUNE GLOBULIN IV (HUMAN) GAMAMARAAS 2,5 G / 50 ML 1 VIAL COMBIPHAR

5%
HUMAN IMMUNOGLOBULIN 6% INTRAGAM P INFUS 1 VIAL DEXA MEDICA
HUMAN PAPILOMAVIRUS (TYPE VAKSIN GARDASIL 0,5 ML 1 VIAL MERCK SHARP &
6,11,16,18) DOHME
HEPATITIS A VAKSIN HAVRIX 720 JUNIOR 0.5 ML 1 VIAL GLAXO SMITHKLINE

INDONESIA
HEPATITIS B IMUNE GLOBULIN VAKSIN HYPERHEB-B S/D 0.5 ML 1 VIAL DIPA PHARMALAB
INTERSAINS
VAKSIN POLIO VAKSIN POLIO 1 ML 10 DOSES 10 VIAL GENERIK
VAKSIN DPT(DIPHTERIA TOXOID) ≥30 VAKSIN DTP (BIOFARMA) 5 ML 10 DOSES 10 VIAL GENERIK
IU VAKSIN INFANRIX PFS 0.5 ML VIAL GLAXO SMITHKLINE
1
INDONESIA
PER
BOX
VAKSIN DPT + HIB VAKSIN INFANRIX HIB 0.5 ML 1 VIAL GLAXO SMITHKLINE
INDONESIA
VAKSIN DPT, HBV, IPV, HIB VAKSIN INFANRIX HEXA 1 VIAL GLAXO SMITHKLINE
INDONESIA
VAKSIN MEASLES, MUMPS & RUBELLA VAKSIN TRIMOVAX 0.5 ML 1 VIAL SANOFI PASTEUR
VAKSIN DPT + HIB + POLIO VAKSIN PEDIACEL 0.5 ML INJEKSI 1 VIAL SANOFI PASTEUR
VAKSIN IPD (PNEUMOCOCCAL 7-VALENT) VAKSIN PREVENAR 0.5 ML 1 VIAL WYETH

VAKSIN SYNFLORIX 1 VIAL GLAXO SMITHKLINE
INDONESIA
VAKSIN TETANUS VAKSIN TETANUS TOXOID 5 ML 10 DOSES 1 VIAL GENERIK

VAKSIN TETAGAM 250 IU / ML INJEKSI 1 ML 1 VIAL DEXA MEDICA
VAKSIN HUMAN ROTAVIRUS VAKSIN ROTARIX FOR ORAL 1 VIAL GLAXO SMITHKLINE
INDONESIA
VAKSIN SALMONELA TYPHI VAKSIN TYPHIM VI 0.025 MG / ML 1 VIAL SANOFI PASTEUR
VAKSIN RABIES VAKSIN VERORAB 0,5 ML 1 VIAL SANOFI PASTEUR
VAKSIN VARICELLA VAKSIN OKAVAX 0.5 ML 1 VIAL GLAXO SMITHKLINE

INDONESIA
VAKSIN INFLUENZA VAKSIN VAXIGRIP ANAK 0.25 ML 1 VIAL SANOFI PASTEUR

VAKSIN VAXIGRIP DEWASA 0.5 ML 1 VIAL SANOFI PASTEUR
VAKSIN BCG VAKSIN BCG 1 ML 10 DOSES 10 VIAL BIOFARMA
VAKSIN CAMPAK VAKSIN CAMPAK 5 ML 10 DOSES 10 VIAL BIOFARMA
18c.Immunosuppressan
ts
19.ANTIDOTES
19. Antidotes, N-ACETYLCYSTEINE HIDONAC 200 MG/ML INJEKSI 25 ML 1 VIAL ZAMBON
Detoxifyingng Agents &
Drugs Used in
Substance Dependence NALOXONE HCl NOKOBA 0.4 MG/ML INJEKSI 2 ML 1 AMP FAHRENHEIT
CALCII GLUCONAS CALCII GLUCONAS 100 MG/ML INJEKSI 10 ML 100 AMP ETHICA
20.INTRAVENOUS
20. Intravenous & Na + K4 + CI + Ca + ACETATE ASERING 500 ML INFUS 1 INF OTSUKA
Other Sterile Solutions
GLUCOSE WIDA D 5% 500 ML INFUS 20 INF WIDATRA BHAKTI

WIDA D 10% 500 ML INFUS 20 INF WIDATRA BHAKTI
D 40% INJEKSI 25 ML 1 VIAL OTSUKA
NaCl 0.9 % WIDA NS 0.9% 500 ML INFUS 1 INF WIDATRA BHAKTI

NaCL 0.9% 1000 ML INFUS 1 INF WIDATRA BHAKTI
WIDA NSI 0.9% 1000 ML INFUS 1 INF WIDATRA BHAKTI
HYDROXYETHYL STARCH ( HES) + NaCl WIDAHES 500 ML INFUS 1 INF WIDATRA BHAKTI
POLYGELINE HAEMACEL 500 ML INFUS 1 BAG DEXA MEDICA
WATER FOR INJECTION OTSU WFI INJEKSI 25 ML 120 AMP OTSUKA

WFI UNICAP 1000 ML 1 INF WIDATRA BHAKTI
WATER FOR INJECTION
PER
BOX
WFI TWIST OFF 1000 ML 1 INF WIDATRA BHAKTI
HUMAN ALBUMIN ALBAPURE 20% 50 ML INFUS 1 BTL DEXA MEDICA

HUMAN ALBUMIN 20% 100 ML INFUS 1 BTL DEXA MEDICA
ALBUMINAR 25% 100 ML INFUS 1 BTL DEXA MEDICA
PLASBUMIN 25% 100 ML INFUS 1 BTL DIPA
PLASMANATE5% 250 ML INFUS 1 BTL DIPA
GRIFOLS 20% 100 ML 1 BTL PHAROS
GRIFOLS 20% 50 ML 1 BTL PHAROS
NaCl, KCl, CaCl, Na ACETAT FUTROLIT 500 ML INFUS 1 BAG SANBE FARMA
TUTOPUSIN OPS 500 ML INFUS 1 BAG KALBE FARMA
KLAS TERAPI ZAT AKTIF PRODUK

1a. Antacid, Antireflux Agents & ALUMINIUM HIDROXIDE + ANTASIDA DOEN TABLET KUNYAH
Antiulcerants MAGNESIUM HIDROXIDE ANTASIDA DOEN SUSP 60 ML
ALUMINIUM HIDROXSIDE + TRIANTA TABLET

MAGNESIUM HIDROXIDE + BUFANTACYD SYRUP 100 ML
SIMETICONE
MAGTRAL SYRUP
LANSOPRAZOLE LANSOPRAZOLE 30 MG KAPSUL

GASTROLAN 30 MG KAPSUL
OMEPRAZOLE OMEPRAZOLE 20 MG KAPSUL

NORSEC 20 MG CAPS
OMZ 40 MG/ 10 ML INJEKSI
PANTOPRAZOL 40 MG INJEKSI
RANITIDIN RANITIDIN 25 MG/ML INJEKSI 2 ML
FORDIN 150 MG TABLET
FORDIN 50 MG/2 ML INJEKSI
REBAMIPID REBAMIPID
1b. GIT Regulator, Antiflatulent & SUKRALFAT NUCRAL SUSPENSI 100ML

Anti-Inflammatories PROFATE SUSPENSI 100 ML
MOLAFATE SUSPENSI 100 ML
DOMPERIDON DOME 10 MG TABLET

DOME SYRUP 60 ML
VOMETA FT 10 MG TABLET
VOMETA 5 MG/ML DROPS 10 ML
L. ACIDOPHILUS, L. CASEI, L.
SALIVARIUS, L. LACTIS, L.
L- BIO 1 GRAM
BIFIDOBACTERIUM INFANTIS, B.
LACTIS, B. LONGUM
METOCLOPRAMIDE PIRALEN 10 MG TABLET

PIRALEN 5 MG/ ML INJEKSI 2 ML
1c. Antispasmodics ATROPIN SULFAT ATROPIN 0,25 MG/ML INJEKSI 1 ML
CHLORDIAZEPOXIDE , CLINIDIUM
BRAXIDIN TABLET
BROMIDE
03+000Formularium Rumah Sakit Haji Kamino01+000 .

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HYOSIN - N BUTIL BROMIDE SCOPAMIN 10 MG TABLET
HYOSIN - N BUTIL BROMIDE SCOPAMIN INJ
PAPAVERINE, METAMPIRON, EKSTRAK

SPASMINAL TABLET
BELADONA
1d. Antidiarrheals NaCl, CaCl, TRINATRIUM SITRAT,

RENALYTE
GLUKOSA ANHIDRAT
ATTAPULGITE NEW DIATAB
KAOLIN PEKTIN NEOKAOLANA SUSPENSI 120 ML
LOPERAMIDE OPOX 2 MG TABLET

LOPERAMIDE
ZINC SULPHATE MONOHYDRATE ZINK 20 MG TABLET

OREZYNC
BISAKODIL DULCOLAX 5 MG TABLET

DULCOLAX 10 MG SUPPOSITORIA FOR
ADULT
DULCOLAX 5 MG SUPPOSITORIA FOR
CHILDREN
1e. Laxative, Purgatives PARAFIN SUSPENSI LAXADIN SUSPENSI
NA LAURYL SULFAT, NA CITRATE, MICROLAX RECTAL TUBE 5 ML

SORBIC ACID, PEG 4000, SORBITOL
L.ACIDOPHILUS, L.CASEI, L.SALIVARUS, L-BIO SACH

L.LACTIS, B.INFANTIS, B.LACTIS,
B.LONGUM
L.ACIDOPHILUS, L.CASEI, L.SALIVARUS, LACTOBI SACH

L.LACTIS, B.INFANTIS, B.LACTIS,
B.LONGUM
1f. Cholagogues, Chlolitholytics L-ORNITHINE-L-ASPARTATE HEPAMERZ 5GRAM/10 ML INJEKSI

& Hepatic Protectors
URSODEOXYCHOLIC ACID URSOLIC 250 MG KAPSUL
DIOSMIN, HESPERIDIN ANADIUM 500 MG TABLET

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DIOSMIN, HESPERIDIN
RHODIUM
1g. Anorectal Preparation LITHOSPERMI RADIX BORRAGINOL-N SUPPOSITORIA

EXTR,BENZOCAINE,DIBUCAINE BORRAGINOL-S
HCl,DIPHENHIDRAMINE
HCl,CETRIMIDE
1h. Antiemetik PIRATIAZIN TEOKLAT + VITAMIN B6 ANVOMER B 6 TABLET
GRANISETRON GRANISETRON 1MG/ML INJEKSI
ONDANCETRON ONDANCETRON 8 MG TABLET

ONDANCENTRON 8 MG/ 4 ML INJEKSI
DOMPERIDONE DOME 10 MG TABLET

DOME SYRUP 60 ML
VOMETA FT TABLET
VOMETA 5 MG/ML DROPS 10 ML
VOMETA 5 MG/5 ML SIRUP 60 ML
METOKLOPRAMID PIRALEN 10 MG TABLET

PIRALEN 5 MG/ ML INJEKSI 2 ML
2. CARDIOVASCULAR & HEMATOPOIETIC SYSTEM

2a. Cardiac Drugs AMIODARONE HCL TIARYT TAB 200 MG
TIARYT 50 MG/ML INJEKSI 3 ML
DOBUTAMIN HCL DOBUTAMINE 250 MG/5 ML INJEKSI 5 ML
DOPAMIN HCL INOTROP INJEKSI
DIGOXIN DIGOXIN 0,25 MG TABLET
2b. Anti-Anginal Drugs ISOSORBID DINITRAT ISDN 5 MG TABLET

FARSORBID SUBLINGUAL 5 MG TABLET
FARSORBID 10 MG TABLET
FARSORBID 10 MG/10 ML INJEKSI
2c. ACE Inhibitors CAPTOPRIL CAPTOPRIL 12,5 MG TABLET

CAPTOPRIL 25 MG TABLET
CAPTOPRIL 50 MG TABLET
2d. Beta - Blockers BISOPROLOL BISOPROLOL 2,5 MG TABLET
PROPANOLOL PROPANOLOL 10 MG TABLET

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2e. Calcium Antagonists AMLODIPIN AMLODIPIN 5 MG TABLET
TENSIVASK 5 MG TABLET
AMLODIPIN 10 MG TABLET
NIFEDIPIN NIFEDIPIN 1O MG TABLET

NICARDIPINE NICARDIPIN 10 MG/10 ML INJEKSI
2f. Angiotensin II Antagonists IRBESARTAN IRBESARTAN 150 MG TABLET
IRBESARTAN 300 MG TABLET
CANDESARTAN CILEXETIL CANDESARTAN OGB 16 MG

CANDESARTAN OGB 8 MG
CANDERIN 8 MG TBALET
CANDERIN 16 MG TABLET
2g. Other Antihypertensives CLONIDINE HCL CLONIDINE HCL
METHYLDOPA DOPAMET 250 MG TABLET
2h. Diuretics SPIRONOLAKTON SPIRONOLAKTON 25 MG TABLET

SPIRONOLAKTON 100 MG TABLET
FUROSEMID FUROSEMID 40 MG TABLET

FUROSEMID 10 MG/ML INJEKSI 2 ML
2i. Peripheral Vasodilators & CITICOLLINE
CITICOLLINE 500 MG TABLET
Cerebral Activators
CITICOLINE 250 MG/2ML INJEKSI
BRAINOLIN 500 MG KAPLET
BRAINOLIN 125/ML INJEKSI
FLUNARIZINE FLUNARIZINE 5 MG TABLET
GRATIGO 5 MG
MERTIGO 5 MG TABLET
ISOXSUPRINE HCL HYSTOLAN 20 MG TABLET
2j.Vasoconstrictors ADRENALIN EPINEPHRINE 1 MG/ML INJEKSI 1 ML
2k. Dyslipidaemic Agents GEMFIBROZIL GEMFIBROZIL 300 MG TABLET

FENOFIBRAT TROLIP 100 MG TABLET
TROLIP 300 MG TABLET

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SIMVASTATIN SIMVASTATIN 10 MG TABLET
2l. Haemostatics CARBAZOCHROME Na SULFONATE ADONA AC-17 50MG /10 ML INJEKSI 10

ML
ASAM TRANEKSAMAT ASAM TRANEKSAMAT 500 MG FILM
COATED TABLET
ASAM TRANEKSAMAT 500 MG/ 5 ML
INJEKSI
PHYTOMENADIONE NEO-K 2 MG/ML INJEKSI
MENADIONE VITAMIN K 10 MG TABLET

VITAMIN K3 10 MG/ML INJEKSI 1 ML
2m. Anticoagulant, FONDAPARINUX Na ARIXTRA 2,5 MG/0,5 ML INJEKSI SYRINGE

Antithrombotic & Fibrinolytic
(Thrombolytics)
ACETYLSALICYLIC ACID ASPILET 80 MG TABLET

THROMBO ASPILET 80 MG TABLET
CLOPIDOGREL CLOPIDOGREL 75 MG TABLET
PARNAPARIN FLUXUM 425O IU INJEKSI SYRINGE 0,4 ML
FLUXUM 6400IU INJEKSI SYRINGE 0,6 ML
2n. Phlebitis & Varicose PER 100 G GEL HEPARIN 20.000 IU. PER THROMBOPHOB GEL 20 GRAM
Preparations 100 G OINT HEPARIN 5000 IU,
NICOTINIC ACID BENZYL ESTER 250 MG
3.a Antiasthmatic & COPD AMYNOPHYLLIN AMYNOPHYLLIN INJ 240 MG/10 ML
Preparation
BUDESONIDE PULMICORT NEBULIZER 1 MG/ 2ML

PULMICORT NEBULIZER 0.5 MG/ 2 ML
PSEUDOEFEDRIN HCl + TRIPRILOLIDIN TREMENZA TABLET

HCl TREMENZA SYRUP 60 ML
IPROTOPIUM BR + SALBUTAMOL COMBIVENT (UDV)

SULFAT
SALBUTAMOL SALBUTAMOL 4MG TABLET
SALBUTAMOL 2MG TABLET

VENTOLIN NEBULIZER
SUPRASMA MDI SPRAY

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SALBUTAMOL + GLISERIL GUAIKOLAT FARTOLIN EXP SIRUP 100 ML
THEOPHYLIN TEOSAL CAPSUL (+ SALBUTAMOL)
TERBUTALIN SULFAT FORASMA 2,5MG

3b. Cough & Cold Preparations AMBROXOL HCl EXTROPECT TABLET
AMBROXOL HCL
EXTROPECT SYR
BROMHEXINE BROMHEXINE TABLET

CODEIN CODEIN HCL 10 MG TABLET
GLISERIL GUAIKOLAT GLISERYL GUAIAKOLAT TABLET
N-ASETIL SISTEIN N-ASETIL SISTEIN CAPSUL 200

PARACETAMOL, NASCAPIN, GG, CTM, INTUNAL F TABLET
PPA
PSEUDOEPHEDRIN, TERFENADIN RHINOFED TABLET

RHINOFED SYR 60 ML
PSEUDOEPHEDRIN, LORATADINE RHINOS SR TABLET

RHINOS NEO DROP
RHINOS JUNIOR SYR
ALDISA SR CAPSUL
PSEUDOEPHEDRIN HCl, TRIPROLIDINE TREMENZA TABLET

TREMENZA SYRUP
3.c Nasal Decongestants & Other FLUTICASONE FUROATE AVAMYS NASAL SPRAY
Nasal Preparations
NaCl BREATHY NASAL DROP 6,5 MG/ML
TRIAMCINOLONE ACETONIDE NASACORT AQ NASAL SPRAY 55MCG/

SPRAY

4.a CENTRAL DIAZEPAM VALISANBE 2 MG TABLET
VALISANBE 10 MG/2 ML INJEKSI 2 ML
STESOLID 10 MG/2.5 ML RECTAL TUBE
STESOLID 5 MG/2.5 ML RECTAL TUBE
DIAZEPAM 2 MG TABLET
ALPRAZOLAM ALPRAZOLAM 0,5 MG

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ALPRAZOLAM 1 MG
ALGANAX 0,25 MG
ALGANAX 0,5 MG TABLET
ALGANAX 1 MG TABLET
4b. Hypnotics & Sedatives MIDAZOLAM SEDACUM 5 MG/ML INJEKSI

SEDACUM 15 MG/3 ML
4c. Antidepressants FLUOXETINE HCl FORANSI 20 MG CAPLET
4d. Antipsychotics CHLORPROMAZINE CEPEZET 100 MG TABLET

CEPEZET 50MG/2ML INJEKSI
HALOPERIDOL LODOMER 2 MG TABLET

LODOMER 5 MG TABLET
AMITRIPTYLIM AMITRIPTYLIN 25 MG TABLET
4e. Anticonvulsants GABAPETIN GABAPETIN 100 MG TABLET

PHENOBARBITAL Na PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL 100MG/ML INJEKSI
PHENITOIN PHENYTOIN 50 MG/ML INJEKSI 2 ML

KUTOIN 100 MG TABLET
KUTOIN 100 MG/2ML INJEKSI
VALPROIC ACID VALPROIC ACID SYRUP 250MG/ 5 ML

LEPSIO 250 MG/ 5 ML SYRUP
MgSO4 MAGNESIUM SULFATE 20% INFUS

MAGNESIUM SULFATE 40% INFUS
PREGABALIN LEPTICA 75 MG CAPSUL

LEPTICA 150 MG CAPSUL
CARBAMAZEPINE CARBAMAZEPINE 200 MG TABLET
4f. Antiparkinsonian Drugs TRIHEXYPENIDYL HCl HEXYMER 2 MG TABLET
4g. Antivertigo Drugs DIMENHYDRINATE ANTIMO 50 MG TABLET
BETAHISTINE MESYLATE MERTIGO 6 MG TABLET

MERTIGO SR 12 MG TABLET
4h. Analgesics (Opioid) FENTANYL FENTANYL 0.05 MG /ML INJEKSI 2 ML

MORPHINE MST CONTINUS 10 MG TABLET

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TRAMADOL TRAMADOL 50 MG KAPSUL
TRAMADOL 50 MG /ML INJEKSI 2 ML
PETHIDIN PETHIDINE 50 MG/ML INJEKSI 2 ML
4i. Analgesics (Non-Opioid) & PARACETAMOL PARACETAMOL 500 MG TABLET

Antipiretics PARACETAMOL 120MG/5ML SIRUP 60 ML
PARASETAMOL INFUS 1 GR/100ML

CUPANOL 120 MG/5 ML SIRUP 60 ML
MAGANOL 500 MG TABLET

SANMOL 60 MG/0.6 ML DROP 15 ML
DUMIN RECTAL TUBE
PARACETAMOL 500MG,N ASETIL

SISTENOL CAPLET
SISTEIN 200 MG
ASAM MEFENAMAT PONSAMIC 500 MG TABLET

ARGESID 500 MG TABLET
ASAM MEFENAMAT 500 MG TABLET
4j. Non steroidal Anti - METAMIZOLE NA NOVALGIN 500 MG/ML INJEKSI 2 ML

Inflammatory Drugs (NSAIDs)
METHAMPIRON,DIAZEPAM ANALSIK TABLET
IBUPROFEN IBUPROFEN 200 MG TABLET

IBUPROFEN 400 MG TABLET
FENATIC 100 MG/5 ML SUSPENSI 60 ML
FENATIC 200 MG TABLET
KALIUM DIKLOFENAK 50 MG TABLET EXAFLAM 25 MG TABLET

EXAFLAM 50 MG TABLET
KALIUM DIKLOFENAK 50MG TABLET
KADITIC 25 MG TABLET
KETOPROFEN PRONALGES E 50 MG TABLET

PRONALGES E 100 MG TABLET
KETOPROFEN 50 MG
PRONALGES 100 MG SUPPOSITORIA
KETOROLAC TROMETHAMINE KETOROLAC 30 MG/ML INJEKSI

TERANOL 30 MG/ ML INJEKSI 1 ML
RATIVOL 30 MG/ ML INJEKSI

FF0000Edisi I 201701+000 155
MELOXICAM MELOXICAM 7,5 MG TABLET
NATRIUM DIKLOFENAC VOLTAREN GEL 10 GR

4k.Nootropics & Neurotonics MECOBALAMIN MECOBALAMIN INJEKSI
MECOBALAMIN TABLET 500 MG TABLET
PIRACETAM PIRACETAM 1 GR/5ML INJEKSI

PIRACETAM 3 GR INJEKSI
DEXPIRA 800 MG TAB
DEXPIRA 1200 MG TAB
DEXPIRA 3 GR INJEKSI
5a.Hyperuricemia & Gout ALLOPURINOL ALLOPURINOL 300 MG TABLET
Preparation ALLOPURINOL 100 MG TABLET
TYLONIC 100 MG TABLET
TYLONIC 300 MG TABLET
ATRACURIUM BESYLATE TRAMUS 25 MG/2.5 ML INJEKSI
5b. Other Drugs Acting on GLUCOSAMIN, CHONDROITIN SULFATE GLUCOSAMIN, CHONDROITIN SULFATE
Musculo-Skeletal System
GLUCOSAMIN, CHONDROITIN
VIOSTIN DS
SULFATE, METHYL SULFONIL
6. HORMONES METON,SELENIUM, ZINK, MANGAN,
MAGNESIUM
6a. Estrogens & Progesterones & PROGESTERON CYGEST 200 MG OVULA
Related Synthetic Drugs
ALLYLESTRENOL PREGNOLIN 5 MG TABLET

NOBOR
NORETHISTERONE NORELUT 5 MG TABLET

6b. Corticosteroid Hormones
TRIAMCINOLONE ACETONIDE TRIAMCINOLONE TABLET
FLAMICORT IM 40MG/ML INJEKSI 1ML
FLAMICORT4 MG TABLET
DEXAMETHASONE DEXAMETHASONE 0.5 MG

DEXAMETHASONE INJEKSI
METHYL PREDNISOLONE METHYL PREDNISOLONE 4MG
METHYLPREDNISOLON 125 INJEKSI
METRISON 4 MG TABLET
METRISON 8 MG TABLET
PREDNISON 5 MG TABLET PREDNISON 5 MG TABLET

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6c. Trophic Hormones & Related
Synthetic Drugs CLOMIFENE CITRATE PROVULA 50 MG TABLET
7a. Oral Contraceptives ETHINYLESTRADIOL + BKKBN ISI 28 TABLET
LEVONORGESTREL
7b. Depot Contraceptives

MEDROXYPROGESTERON ACETATE DEPO PROGESTIN 150MG/ML INJEKSI 1 ML
7c. Other Contraceptives

COPPER IUD COPPER T
KONDOM SUTRA 12'S
8a. Aminoglycosides GENTAMICIN SULFATE GENTAMICIN INJEKSI
Generasi 1
8b. Cephalosporins CEFADROXIL CEFADROXILE 500 MG KAPSUL
CEFADROXILE DS 125 MG/ ML
QCEF 250 MG/ 5 ML SYRUP 60 ML
QCEF 500 MG TABLET
Generasi 2
CEFIXIME CEFIXIME 100 M KAPSUL
CEFIXIME 200 M KAPSUL
NUCEF 100 MG KAPSUL
NUCEF 100 MG/ 5 ML SYR
CEFTRIAXONE CEFTRIAXONE 1 GR INJEKSI
CEPHAFLOX 1 GR INJEKSI
BIOXON 1 GR INJEKSI
TERFACEF 1 GR INJEKSI
CEFTAZIDIME PENTAHYDRAT CEFTAZIDIME PENTAHYDRAT

CEFOTAXIME CEFOTAXIME 1 GR INJEKSI
BIOCEF 1 GR INJEKSI
GOFORAN 1 GR INJEKSI
CEFOPERAZONE 500 MG,SULBACTAM CEFOBACTAM 1 GRAM INJEKSI
500 MG
8c. Penicillins AMPICILLIN AMPICILLIN 500 MG TABLET
AMOXYCILLIN AMOXICILLIN 500 MG TABLET

AMOXICILLIN 125 MG/5 ML DRY SIRUP 60
ML
AMOXSAN 100 MG/ML DROPS (DRY
SIRUP) 15 ML

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AMOXYCILLIN
LEOMOXYL 500 MG KAPLET

LEOMOXYL 125 MG/ ML DRY SYRUP 60 ML
AMOXYCILLIN + CLAVULANIC ACID CLANEKSI KAPSUL

CLANEKSI 125 MG/5 ML SIRUP 60 ML
8d. Other Beta-Lactams MEROPENEM MEROPENEM 1 GR INJEKSI
8e. Chloramphenicols CHLORAMPHENICOL CHLORAMFENICOL
THIAMPHENICOL GENICOL 500 MG KAPLET
8f. Macrolides AZITHROMYCIN DIHYDRATE AZITHROMYCIN 500 MG TABLET

AZITHROMYCIN DS 200 MG/5 ML SYRUP
15 ML
FOSFOMICIN FOSMICIN INJEKSI 1 GR

FOSMICIN INJEKSI 2 GR
ERYTHROMYCIN ERYTHROMYCIN 500 MG KAPSUL

ERYTHROMYCIN 200 MG/5 ML SYRUP
8g. Quinolones CIPROFLOXACIN CIPROFLOXACIN 500 MG TABLET

BAQUINOR FORTE 500 MG TABLET
CIFLOS 500 MG TABLET
CIPROFLOXACIN 200 MG/100 ML INFUS
LEVOFLOXACIN LEVOFLOXACIN 500 MG TABLET

LEFOS 500 MG TABLET
OFLOXACIN AKILEN 200 MG TETES MATA

OFLOXACIN 200 MG TETES MATA
8h. Tetracyclines DOXYCYCLINE DOXYCYCLINE
TETRACYCLINE TETRACYCLINE KAPSUL
8j. Antibacterial Combinations SULFAMETHOXAZOLE + COTRIMOXAZOL 400/80 MG TABLET

TRIMETHOPRIM COTRIMOXAZOL 800/160 MG TABLET
COTRIMOXAZOL SYRUP 60 ML
8k. Other Antibiotics CLINDAMYCIN CLINDAMYCIN 150 MG KAPSUL

CLINDAMYCIN 300 MG KAPSUL
INDANOX 300 MG KAPSUL
INDANOX 150 MG KAPSUL

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8n. Antifungals NYSTATIN NYSTATIN 100.000 IU/ML ORAL DROPS
12 ML
KETOCONAZOL FUNGASOL 200 MG TAB
8p. Antivirals ACYCLOVIR ACYCLOVIR 400 MG TABLET

ACYCLOVIR 200 MG TABLET
METHISOPRINOL ISOPRINOL 250 MG/5 ML SIRUP 60 ML
8q. Anthelmintics PYRANTEL PAMOATE COMBANTRIN 250 MG TABLET

COMBANTRIN ORANGE 125 MG/5 ML
SIRUP 10 ML
8r. Antimalarials KLOROKUIN PHOSFAT KLOROKUIN
QUININ HCL QUININ HCL INJEKSI

PRIMAKUIN PRIMAKUN TABLET
8s. Antiamoebics METRONIDAZOLE METRONIDZOL 500 MG TABLET

METRONIDAZOL 5MG/ML INFUS 100 ML
TRICHODAZOL 500 MG TABET

DIAZOLEL 500 MG/100 ML INFUS 100 ML
METRONIDAZOLE + NYSTATIN FLADYSTIN OVULE
9a. Preparations for Vaginal METRONIDAZOLE, NYSTATIN FLADYSTIN OVULA
Conditions
9b. Urinary Antiseptics ASAM URSEDEOXYCHOLIC 250 MG URSOLIC 250 MG KAPLET
9c. Drugs Acting on the Uterus ISOXUPRINE HCL HYSTOLAN 20 MG TABLET
METHYLERGOMETRINE HYDROGEN METVELL 0.125 MG TABLET

MALEATE METHERGIN 0.2 MG/ML INJEKSI 1 ML
OXYTOCIN OXYTOCIN 10 IU/ML INJEKSI 1 ML
9d. Drugs for Bladder & Prostate TAMSULOSIN HCL HARNAL D 0,2 MG TABLET
Disorders
HARNAL D 0CAS 0,4 MG TABLET

10a. Insulin Preparations INSULIN ASPART NOVORAPID FLEXPEN

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INSULIN GLARGINE LANTUS SOLOSTAR 100 IU / ML
INSULIN ASPART 30%, PROTAMINED NOVOMIX FLEXPEN 100 IU / ML

INSULIN ASPART 70%
10b. Antidiabetic Agents SULFONIL UREA

GLIMEPIRIDE GLIMEPIRIDE 1 MG TABLET
GLIMEPIRIDE 2 MG TABLET
GLIBENCLAMIDE GLIBENCLAMIDE 5 MG TABLET
METFORMIN METFORMIN 500 MG TABLET

ERAPHAGE 500 MG TABLET
10c. Agents Affecting Bone CALCITRIOL KOLKATRIOL 0,25 MCG CAPSUL

Metabolism
OSCAL 0,25 MCG CAPSUL
OSCAL 0,5 MCG CAPSUL
10d. Other Agents Affecting

Metabolism
11. VITAMINS & MINERALS

11a. Vitamin A, D & E VITAMIN D CALVITD 200 IU SOFT KAPLET
VITAMIN E BIO E 200 MG TABLET
VITAMIN K VITAMIN K TABLET

NEO-K 2MG/ML INJEKSI
11b. Vitamin B-Complex / with C VITAMIN B COMPLEX VIT B COMPLEX TABLET
VITAMIN B1 100 MG, B6 200 MG, B12 NEURODEX KAPLET

200 MCG
NEURHAX KAPLET
VITAMIN B1 100 MG, B6 200 MG, B12 NEUROSANBE 5000 INJEKSI
5000 MCG
METAMPIRON, VIT B1, VIT B6, VIT B12 NEUROSANBE PLUS TABLET
11c. Vitamin C VITACIMIN VITACIMIN TABLET

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11d. Calcium/ with Vitamins CA CARBONATE LICOCALK
11e. Vitamins & / or Minerals VIT B1 + VIT B2 + VIT B6 + VIT B12 + BECOM-C KAPLET
VIT C + NICOTINAMIDE + CA
PANTOTHENATE
ECHINACEA IMBOOST TABLET

IMBOOST SYRUP
VIT A,VIT D,VIT B1,VIT B2,VIT B6,ASAM SAN B PLEX DROP 15 ML

PANTHOTENAT
11f. Vitamins & Minerals (Pre & FOLIC ACID FOLAVIT
Post Natal) / Antianemics
FE ELEMENTAL MALTOFER 100 MG TABLET

BETA CAROTEN,CA LACTATE,CA FOLAMIL KAPLET
PANTHOTENATE,COER
SULPHATE,FOLIC ACID,FE
FUMARATE,NICOTINAMIDE,K
IODIDE,NA FLUORIDE,VIT B1,VIT
FOLIC ACID + β-CAROTEN + VIT B1 + FOLAMIL GENIO SOFT KAPSUL

VIT K1 + BIOTIN + NICOTINAMIDE +
CA PANTOTHENATE + COPPER
GLUCONATE + DHA + ARA
NULACTA PLUS
PROHELIC
FE SULPHATE HEPTAHYDRATE SULFAS FERROSUS 200 MG TABLET
12. NUTRITION
12a. Parenteral Nutritional AMINO ACID + VIT + ELECTROLYTES AMINOFLUID INFUS 500 ML
Products
12b. Electrolytes K L-ASPARTATE ASPAR-K 300 MG TABLET
Na 60 MEQ + K 10 MEQ + CI 50 MEQ + KA-EN 3A 500 ML INFUS

LACTATE 20 MEQ + GLUCOSE 27 G
Na 50 MEQ + K 20 MEQ + CI 50 MEQ + KA-EN 3B 500 ML INFUS

LACTATE 20 MEQ + GLUCOSE 27 G
POTASSIUM CHLORIDE KCl 25 ML INJEKI
GLUCOSE ANHYDROUS + NaCl + Na. ORALIT SACHET

BICARBONATE + CaCl2

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Na + K + CI + CITRATE RENALYTE 200 ML
Na.LACTATE + NaCl + KCl + CaCl2 WIDA RL 500 ML INFUS
NaCl 0.9 % WIDA NS 0.9% 500 ML INFUS

NaCl 0.9% 100 ML INFUS
GLUCOSE, NaCl WIDA D5-1/4 NS 500 ML INFUS

WIDA D5-1/2 NS 500 ML INFUS
WIDA D5-NS 500 ML INFUS
SODIUM BICARBONATE MEYLON 25 ML INFUS
12c. Supplements & Adjuvant NATURAL ASTAXANTHIN ASTHIN FORCE 4 MG KAPSUL

Therapy
XIDANE 4 MG TABLET
BILLBERY,RETINOL,VIT E,BETA BERRY VISION TABLET

CAROTENE,
CURCUMA LONGA RHIZOMA CURCUMA FT
VIT B1,VIT B2,VIT B6,VIT B12,BETA CURCUMA PLUS SYRUP

CAROTENE,DEXPANTHENOL,CURCUMI
NOID
PSIDII FOLIUM EXTR PSIDII KAPSUL

PSIDII SYRUP 60 ML
13. Eye
13a. Eye Anti-Infectives & GENTAMICIN SULFATE CENDO GENTA ED
Antiseptics CENDO GENTAMYCIN 0.3 % (3 MG/G) EYE
OINT 3.5 GR
LEVOFLOXACIN CENDO LFX MD
CHLORAMPHENICOL ERLAMYCETIN
OFLOXACIN CENDO FLOXA
13b. Eye Antiseptics with NEOMYCIN + POLYMYXIN B SULFATE + CENDO XITROL EYE OINTMENT 3.5 GR
Corticosteroids DEXAMETHASONE CENDO XITROL MD
TOBRAMYCIN, DEXAMETHASON TOBROSON MD ED

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13c. Mydriatic Drugs TROPICAMIDE CENDO MYDRIATIL 0,5%
CENDO MYDRIATIL 1%
13d. Miotic Drugs PILOCARPINE CENDO CARPINE 1% 5 ML ED
13e. Antiglaucoma Preparations TIMOLOL CENDO TIMOL 0,25% ED MD
ACETAZOLAMIDE CENDO GLAUCON 250 MG TABLET
13f. Thyrodol SODIUM IODIDA,POTASIUM IODIDA CENDO VITROLENTA ED MD
VITAMIN A,A NEURIN HCL,CA CENDO REPITHEL ED MD

PANTOTENAT
VITAMIN A, NATRIUM HYALURONAT, CENDO PROTAGENT-A ED MD

POLIVINILYROLIDON
VITAMINA, OXYMETAZOLINE HCl CENDO ASTHENOF ED MD

14a. Ear Antiseptics with POLYMYXIN B SULFATE + NEOMYCIN OTILON EAR DROP
Corticosteroids SULFATE,FLUROCORTISON ASETAT,
ASETAT, LIDOCAIN
14b. Other Ear Preparations DOCUSATE NA FORUMEN 5MG/ 1O ML EAR DROPS

14c. Mouth/Throat Preparations FARDIOMYCIN SULFATE + FG TROCHES TABLET HISAP
GRAMICIDIN-S HCl
TRIAMCINOLONE ACETONIDE KENALOG 1 MG/G IN ORABASE 5 GR
POVIDONE-IODINE BETADINE 1% GARGLE 190 ML
15. DERMATOLOGICALS
15a. Topical Antibiotics NEOMYCIN SULFATE 0,5%, PLACENTA BIOPLACENTON 15 GR JELLY
10%
SILVER SULFADIAZINE BURNAZIN 1 % 5 GR CREAM
GENTAMICIN SULFATE GENTAMYCIN SULFATE CREAM
NEOMYCINSULFATE 5MG, BACITRACIN NEBACETIN 5 GR OINTMENT

250IU

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15b. Topical Antifungal & ASAM FUSIDAT FULADIC 2% 5 GR CREAM
Antiparasites
KETOCONAZOLE FUNGASOL 2% 10 GR CREAM
PERMETHRIN SCABIMITE 30 GR CREAM
15c. Topical Antivirals ACYCLOVIR ACYCLOVIR 5 % 5 GR CREAM
BETAMETHASON + NEOMYCIN BENOSON N 15 GR CREAM

SULFATE
15e. Topical Corticosteroids HYDROCORTISONE HYDROCORTISONE 5% CREAM
15f. Other skin preparations

RADIX SCUTELLARIAE, PHELODENDRI
MEBO 20 GR OINTMENT
CORTEX, RHIZOMA COPTIDIS
16. ANAESTHETIC
16. Anaesthetics - local & General ISOFLURANE ISOFLURANE INHALATION 250 ML
PROPOFOL RECOFOL N INJEKSI 1% (IV BOLUS) 10 ML
KETAMINE HCl KTM 100 MG/ML INJEKSI 10 ML
LIDOCAINE HCl LIDOCAIN 2% (20 MG/ ML) INJEKSI 2 ML
XYLOCAIN 10 MG/DOSE PUMP SPRAY
BUPIVACAINE DECAIN SPINAL 0,5% HEAVY 5 MG/ML

INJEKSI 4 ML
MIDAZOLAM SEDACUM 0,5% INJEKSI

CHLOR ETIL CHLOR ETIL SPRAY 100 ML
FENTANYL FENTANYL 50 MCG/ML INJEKSI

LIDOCAINE HCL+ADRENALINE PEHACAIN 20/0.0125 MG INJEKSI 2 ML

LORATADINE LORATADINE 10 MG TABLET
LORATADINE 5 MG, PSEUDOEPHEDRIN RHINOS SR CAPSUL
60 MG
BETAMETHASON + DEXTEEM
DEXCHLORPHENIRAMINE MALEAT
CETIRIZINE HCl CETIRIZINE 10 MG TABLET
RITEZ FT 10 MG TABLET

FF0000Edisi I 201701+000 164
CETIRIZINE HCl
RITEZ ORAL DROP
CHLORFENIRAMIN MALEATE CHLORFENIRAMIN MALEATE 4 MG TABLET
HEPATITIS B VAKSIN HEPATITIS B BIOFARMA ( ANAK )

0.5 ML
VAKSIN TETANUS VAKSIN TETANUS TOXOID 5 ML 10 DOSES
VAKSIN TETAGAM 250 IU / ML INJEKSI 1

ML
VAKSIN RABIES VAKSIN VERORAB 0,5 ML
18.ANTIDOTES
NALOXONE HCl NOKOBA 0.4 MG/ML INJEKSI 2 ML
CALCII GLUCONAS CALCII GLUCONAS 100 MG/ML INJEKSI 10

ML
19.INTRAVENOUS
19a. Intravenous & Other Sterile Na + K4 + CI + Ca + ACETATE ASERING 500 ML INFUS
Solutions
GLUCOSE WIDA D 5% 500 ML INFUS

WIDA D 10% 500 ML INFUS
D 40% INJEKSI 25 ML
WATER FOR INJECTION OTSU WFI INJEKSI 25 ML
GELANTINE PLLYSUCCINATE GELAFUSAL

FF0000Edisi I 201701+000 165
SEDIAAN PRINCIPLE
TAB GENERIK
BTL GENERIK
TAB IFARS
BTL BUFA
BTL OTTO
KAPS GENERIK
KAPS GRACIA
KAPS GENERIK
KAPS GUARDIAN
VIAL GENERIK
VIAL GENERIK
AMP GENERIK
TAB PROMED
AMP PROMED
TAB GENERIK
BTL GUARDIAN
BTL PROMED
BTL MOLEX
TAB PROMED
BTL PROMED
TAB DEXA MEDICA
BTL DEXA MEDICA
SACHET LAPI
TAB OTTO
AMP OTTO
AMP GENERIK
TAB SANBE FARMA

FF0000Edisi I 201701+000 166
TAB OTTO
AMP OTTO
TAB HEXPHARM
BTL NOVELL
TAB MEDIFARMA
BTL SANBE FARMA
TAB GUARDIAN
TAB GENERIK
TAB GENERIK
BTL NOVELL
TAB BOEHRINGER
SUPP BOEHRINGER
SUPP BOEHRINGER
BTL GELENIUM
TUBE PHAROS
SACH LAPI
SACH NOVELL
AMP COMBIPHAR
KAPS GUARDIAN
TAB GUARDIAN

FF0000Edisi I 201701+000 167
TAB FAHRENHEIT
SUPP TAKEDA
SUPP TAKEDA
TAB DEXA MEDICA
AMP GENERIK
TAB GENERIK
AMP GENERIK
TAB PROMED
BTL PROMED
TAB DEXA MEDICA
BTL DEXA MEDICA
BTL DEXA MEDICA
TAB OTTO
AMP OTTO
TAB FAHRENHEIT
AMP FAHRENHEIT
AMP DEXA MEDICA
AMP FAHRENHEIT
TAB GENERIK
TAB GENERIK
TAB FAHRENHEIT
TAB FAHRENHEIT
AMP FAHRENHEIT
TAB GENERIK
TAB GENERIK
TAB GENERIK
on
TAB GENERIK
TAB GENERIK

FF0000Edisi I 201701+000 168
TAB GENERIK
TAB DEXA MEDICA
TAB GENERIK
TAB GENERIK
AMP GENERIK
TAB GENERIK
TAB GENERIK
TAB GENERIK
TAB GENERIK
TAB DEXA MEDICA
TAB DEXA MEDICA
TAB GENERIK
TAB ACTAVIS
TAB GENERIK
TAB GENERIK
TAB GENERIK
AMP GENERIK
TAB GENERIK
AMP GENERIK
KAPL DEXA MEDICA
AMP DEXA MEDICA
TAB GENERIK
TAB DEXA MEDICA

TAB GUARDIAN
TAB DEXA MEDICA
AMP GENERIK
TAB GENERIK
TAB DEXA MEDICA
TAB DEXA MEDICA

FF0000Edisi I 201701+000 169
TAB GENERIK
AMP TANABE
TAB GENERIK
AMP GENERIK
AMP COMBIPHAR
TAB GENERIK
AMP GENERIK
VIAL GSK
TAB MEDIFARMA
TAB MEDIFARMA
TAB GENERIK
VIAL FAHRENHEIT
VIAL FAHRENHEIT
TUBE NORDMARK
AMP GENERIK
FLC ASTRA ZENECA

FLC ASTRA ZENECA
TAB SANBE FARMA

BTL SANBE FARMA
FLC BOEHRINGER
TAB INDOFARMA
TAB INDOFARMA
FLC GLAXO WELLCOME
BTL DEXA MEDICA

FF0000Edisi I 201701+000 170
BTL FAHRENHEIT
TAB DEXA MEDICA
TAB GUARDIAN
TAB GUARDIAN
TAB GENERIK
BTL GUARDIAN
TAB GENERIK
TAB KIMIA FARMA
TAB KIMIA FARMA
KAPS GENERIK
TAB PRAFA
TAB DEXA MEDICA

BTL DEXA MEDICA
TAB DEXA MEDICA

BTL DEXA MEDICA
BTL DEXA MEDEICA
KAPS SANBE FARMA
TAB SANBE FARMA

BTL SANBE FARMA
BOX GLAXO SMITH

KLINE
BOX NOVELL
BOX SANOFI AVENTIS
TAB SANBE FARMA

AMP SANBE FARMA
TUBE ACTAVIS
TUBE ACTAVIS
TAB GENERIK
TAB GENERIK

FF0000Edisi I 201701+000 171
TAB GENERIK
TAB GUARDIAN
TAB GUARDIAN
TAB GUARDIAN
AMP DEXA MEDICA

AMP DEXA MEDICA
KAPL GRACIA
TAB MERSIFARMA
AMP MERSIFARMA
TAB MERSIFARMA
TAB MERSIFARMA
TAB GENERIK
TAB GENERIK
TAB GENERIK
AMP GENERIK
AMP IKA PHARMINDO

TAB MERSIFARMA
AMP MERSIFARMA
BTL GENERIK
BTL DEXA MEDICA
FLC OTSUKA
FLC OTSUKA
KAPS DEXA MEDICA

KAPS DEXA MEDICA
TAB GENERIK
TAB MERSIFARMA
TAB SOHO
TAB DEXA MEDICA

TAB DEXA MEDICA
AMP JANSSEN - CILAG

TAB MAHAKAM BETA
FARMA

FF0000Edisi I 201701+000 172
KAPS GENERIK
AMP GENERIK
AMP KIMIA FARMA
TAB GENERIK
BTL GENERIK
BTL GENERIK
BTL GUARDIAN
TAB GUARDIAN
FLS SANBE FARMA
SUP ACTAVIS
KAPL DEXA MEDICA
TAB GUARDIAN
TAB PROMED
TAB GENERIK
FLS SANOFI AVENTIS
TAB SANBE FARMA
TAB GENERIK
TAB GENERIK
BTL PROMED
TAB SANBE FARMA
TAB GUARDIAN
TAB GUARDIAN
TAB GENERIK
TAB IFARS
KAPS DEXA MEDICA

TAB DEXA MEDICA
TAB GENERIK
SUPP DEXA MEDICA
AMP GENERIK
AMP DEXA MEDICA
AMP SANBE FARMA

FF0000Edisi I 201701+000 173
TAB GENERIK
TUBE NOVARTIS
VIAL GENERIK
TAB GENERIK
AMP GENERIK
AMP GENERIK
TAB DEXA MEDICA
TAB DEXA MEDICA
VIAL DEXA MEDICA
TAB GENERIK
TAB GENERIK
TAB GUARDIAN
TAB GUARDIAN
AMP DEXA MEDICA
KAPL DEXA MEDICA
TAB PHAROS
SUPP ACTAVIS
TAB DEXA MEDICA

TAB GUARDIAN
TAB DEXA MEDICA
TAB GENERIK
VIAL DEXA MEDICA
TAB DEXA MEDICA
TAB GENERIK
AMP GENERIK
TAB GENERIK
VIAL GENERIK
TAB DEXA MEDICA
TAB DEXA MEDICA
TAB GENERIK

FF0000Edisi I 201701+000 174
TAB DEXA MEDICA
TAB GENERIK
VIAL HARSEN
PCS BKKBN
PCS DOSNI ROHA
AMP GENERIK
KAPS GENERIK
BTL GENERIK
BTL GUARDIAN
TAB GUARDIAN
KAPS GENERIK
KAPS GENERIK
KAPS GUARDIAN
BTL GUARDIAN
VIAL GENERIK
VIAL GUARDIAN
VIAL OTTO
VIAL SANBE FARMA
VIAL GENERIK
VIAL GENERIK
VIAL OTTO
VIAL GUARDIAN
VIAL SANBE FARMA
TAB GENERIK
TAB GENERIK
BTL GENERIK
BTL SANBE

FF0000Edisi I 201701+000 175
TAB GUARDIAN
BTL GUARDIAN
KAPS SANBE FARMA

BTL SANBE FARMA
VIAL GENERIK
KAPS GENERIK
KAPL METISKA
TAB GENERIK
BTL GENERIK
AMP MEIJI
AMP MEIJI
BTL GENERIK
BTL GENERIK
TAB GENERIK
TAB SANBE FARMA
TAB GUARDIAN
INF GENERIK
TAB GENERIK
TAB PROMED
BH SANBE FARMA
BH SANBE FARMA
KAPS GENERIK
KAPS GENERIK
TAB GENERIK
TAB GENERIK
BTL GENERIK
KAPS GENERIK
KAPS GENERIK
KAPS GUARDIAN
KAPS GUARDIAN

FF0000Edisi I 201701+000 176
BTL TAISHO
TAB GUARDIAN
TAB GENERIK
TAB GENERIK
BTL LAPI
TAB PFIZER
BTL PFIZER
TAB KIMIA FARMA
AMP KIMIA FARMA

TAB PHAPROS
TAB GENERIK
INF DEXA MEDICA
TAB SANBE FARMA

INF BRAUN
OVULE DEXA MEDICA
OVULA DEXA MEDICA
KAPL GUARDIAN
TAB DEXA MEDICA
TAB NOVELL
AMP GENERIK
AMP GENERIK
TAB ASTELLAS
TAB ASTELLAS
AMP NOVO NORDISK

FF0000Edisi I 201701+000 177
AMP NOVO NORDISK
AMP NOVO NORDISK
TAB GENERIK
TAB GENERIK
TAB GENERIK
TAB GENERIK
TAB GENERIK
TAB GENERIK
TAB GUARDIAN
KAPS PHAPROS
KAPS KALBE FARMA

KAPS KALBE FARMA
KAPL PROMED
TAB METISKA FARMA
TAB KIMIA FARMA

AMP COMBIPHAR
TAB GENERIK
KAPL DEXA MEDICA
KAPL GUARDIAN
TAB SANBE FARMA
TAB SANBE FARMA
TAB TAKEDA

FF0000Edisi I 201701+000 178
KAPL GENERIK
KAPL SANBE FARMA
KAPL SOHO
BTL SOHO
BTL SANBE FARMA
TAB SANBE
TAB CHEW COMBIPHAR

KAPL DEXA MEDICA
KAPS DEXA MEDICA
KAPS GUARDIAN
KAPS PROMED
TAB GENERIK
INF OTSUKA
TAB TANABE
INDONESIA
INF OTSUKA
INF OTSUKA
AMP OTSUKA
SACH KIMIA FARMA

FF0000Edisi I 201701+000 179
BTL FAHRENHEIT
INF WIDATRA BHAKTI
INF WIDATRA BHAKTI

INF OTSUKA
INF WIDATRA BHAKTI

INF WIDATRA BHAKTI
INF WIDATRA BHAKTI
AMP OTSUKA
KAPS SOHO
TAB DEXA MEDICA
TAB SANBE VISION
KAPL SOHO
BTL SOHO
KAPS DEXA MEDICA

BTL DEXA MEDICA
BTL CENDO
TUBE CENDO
STRIP CENDO
BTL ERELA
STRIP CENDO
STRIP CENDO
BTL CENDO
STRIP CENDO

FF0000Edisi I 201701+000 180
BTL CENDO
BTL CENDO
BTL CENDO
STRIP CENDO
TAB Cendo
STRIP CENDO
STRIP CENDO
STRIP CENDO
STRIP CENDO
BTL SANBE VISION
BTL SANBE VISION

TAB MEIJI
TUBE TAISHO
PHARMACEUTICAL
BTL MAHAKAM BETA

FARMA
TUBE KALBE FARMA
TUBE DARYA VARIA
TUBE GENERIK
TUBE PHAROS

FF0000Edisi I 201701+000 181
TUBE GUARDIAN
TUBE GUARDIAN
TUBE GALENIUM
TUBE GENERIK
TUBE BERNOFARM
TUBE GENERIK
TUBE COMBIPHAR
BTL DEXA MEDICA
AMP DEXA MEDICA
VIAL GUARDIAN
AMP GENERIK
SPRAY ASTRAZENECA
AMP DEXA MEDICA
AMP DEXA MEDICA

BTL GENERIK
AMP JANSSEN-CILAG
AMP PHAPROS
TAB GENERIK
KAPS DEXA MEDICA
TAB SCHERING-
PLOUGH
TAB GENERIK
TAB DEXA MEDICA

FF0000Edisi I 201701+000 182
BTL DEXA MEDICA
TAB GENERIK
VIAL GENERIK
VIAL GENERIK
VIAL DEXA MEDICA
VIAL SANOFI PASTEUR
AMP FAHRENHEIT
AMP ETHICA
INF OTSUKA
INF WIDATRA BHAKTI

INF WIDATRA BHAKTI
VIAL OTSUKA
AMP OTSUKA
PCS DEXA MEDICA

FF0000Edisi I 201701+000 183
INDEKS KELAS TERAPI
NO
KELAS KELAS TERAPI HAL
TERAPI
1. GASTRO INTESTINAL TRACK 1
1a. Antacid, Antireflux Agents & Antiulcerants 1
1b. GIT Regulator, Antiflatulent & Anti-Inflammatories 1
1c. Antispasmodics 1
1d. Antidiarrheals 2
1e. Laxative, Purgatives 2
1f. Cholagogues, Chlolitholytics & Hepatic Protectors 2
1g. Anorectal Preparation 3
1h. Antiemetik 3
2. CARDIOVASCULAR & HEMATOPOIETIC SYSTEM 3
2a. Cardiac Drugs 3
2b. Anti-Anginal Drugs 3
2c. ACE Inhibitors 3
2d. Beta - Blockers 3
2e. Calcium Antagonists 3
2f. Angiotensin II Antagonists 4
2g. Other Antihypertensives 4
2h. Diuretics 4
2i. Peripheral Vasodilators & Cerebral Activators 4
2j.Vasoconstrictors 4
2k. Dyslipidaemic Agents 4
2l. Haemostatics 4
2m. Anticoagulant, Antithrombotic & Fibrinolytic 5
2n. Phlebitis & Varicose Preparations 5
3. RESPIRATORY SYSTEM 5
3.a Antiasthmatic & COPD Preparation 5
3b. Cough & Cold Preparations 6
3.c Nasal Decongestants & Other Nasal Preparations 6
4.CENTRAL NERVOUS SYSTEM 6
4.a CENTRAL 6
4b. Hypnotics & Sedatives 6
4c. Antidepressants 7
4d. Antipsychotics 7
4e. Anticonvulsants 7
4f. Antiparkinsonian Drugs 7
4g. Antivertigo Drugs 7
4h. Analgesics (Opioid) 7
4i. Analgesics (Non-Opioid) & Antipiretics 8
4j. Non steroidal Anti - Inflammatory Drugs (NSAIDs) 8
4k.Nootropics & Neurotonics 8
5. MUSCULO-SKELETAL SYSTEM 9
5a.Hyperuricemia & Gout Preparation 9
5b. Other Drugs Acting on Musculo-Skeletal System 9
6. HORMONES 9
6a. Estrogens & Progesterones & Related Synthetic Drugs 9
6b. Corticosteroid Hormones 9
6c. Trophic Hormones & Related Synthetic Drugs 9
7. CONTRACEPTIVE AGENTS 9
7a. Oral Contraceptives 9
7b. Depot Contraceptives 9
7c. Other Contraceptives 9
8. ANTI-INFECTIVES (SYSTEMIC) 10
8a. Aminoglycosides 10
8b. Cephalosporins 10
8c. Penicillins 10
8d. Other Beta-Lactams 10
8e. Chloramphenicols 10
8f. Macrolides 11
8g. Quinolones 11
8h. Tetracyclines 11
8j. Antibacterial Combinations 11
8k. Other Antibiotics 11
8n. Antifungals 11
8p. Antivirals 11
8q. Anthelmintics 11
8r. Antimalarials 11
8s. Antiamoebics 12
9. GENITO-URINARY SYSTEM 12
9a. Preparations for Vaginal Conditions 12
9b. Urinary Antiseptics 12
9c. Drugs Acting on the Uterus 12
9d. Drugs for Bladder & Prostate Disorders 12
10. ENDOCRINE & METABOLIC SYSTEM 12
10a. Insulin Preparations 12
10b. Antidiabetic Agents 12
10c. Agents Affecting Bone Metabolism 13
10d. Other Agents Affecting Metabolism 13
11. VITAMINS & MINERALS 13
11a. Vitamin A, D & E 13
11b. Vitamin B-Complex / with C 13
11c. Vitamin C 13
11d. Calcium/ with Vitamins 13
11e. Vitamins & / or Minerals 13
11f. Vitamins & Minerals (Pre & Post Natal) / Antianemics 13
11f. Vitamins & Minerals (Pre & Post Natal) / Antianemics 13
12. NUTRITION 14
12a. Parenteral Nutritional Products 14
12b. Electrolytes 14
12c. Supplements & Adjuvant Therapy 14
13. Eye 15
13a. Eye Anti-Infectives & Antiseptics 15
13b. Eye Antiseptics with Corticosteroids 15
13c. Mydriatic Drugs 15
13d. Miotic Drugs 15
13e. Antiglaucoma Preparations 15
13f. Thyrodol 15
14. EAR & MOUTH/THROAT 16
14a. Ear Antiseptics with Corticosteroids 16
14b. Other Ear Preparations 16
14c. Mouth/Throat Preparations 16
15. DERMATOLOGICALS 16
15a. Topical Antibiotics 16
15b. Topical Antifungal & Antiparasites 16
15c. Topical Antivirals 16
15d. Topical Anti-Infectives with Corticosteroids 16
15e. Topical Corticosteroids 16
15f. Other skin preparations 16
16. ANAESTHETIC 16
16. Anaesthetics - local & General 16
17. ALLERGY & IMMUNE SYSTEM 17
17a. Antihistamines & Antiallergics 17
17b. Vaccines, Antisera & Immunologicals 17
18.ANTIDOTES 17
18a. Antidotes, Detoxifyingng Agents 18
19.INTRAVENOUS 18
19a. Intravenous & Other Sterile Solutions 18
Formularium Rumah Sakit
Haji Kamino 2017
Edisi I Periode Januari - Desember 2017

Formularium RSHK Waykanan New 2016 97-03

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PER

KLAS TERAPI ZAT AKTIF KODE PRODUK SEDIAAN

ALUMINIUM HIDROXSIDE + MAGNESIUM F 0 1 a n 0 2 1 1 B t ACITRAL TABLET KUNYAH 100 TAB

BIOACTIVE FRACTION F 0 1 a n 0 3 1 1 B k REDACID 250 MG KAPSUL 30 KAPS

ESOMEPRAZOLE F 0 1 a n 0 4 1 1 G k NEXIUM 20 MG KAPSUL 28 KAPS

LANSOPRAZOLE F 0 1 a g 0 5 1 1 G k LANSOPRAZOLE 30 MG KAPSUL 30 KAPS

OMEPRAZOLE F 0 1 a g 0 6 1 1 G k OMEPRAZOLE 20 MG KAPSUL 1 KAPS

PANTOPRAZOLE F 0 1 a n 0 7 1 1 G k PANTOCER 40 MG KAPSUL 1 KAPS

RANITIDIN F 0 1 a g 0 8 1 1 G t RANITIDIN 150 MG TABLET 100 TAB

REBAMIPID F 0 1 a n 0 9 1 1 G t MUCOSTA 100 MG TABLET 100 TAB

SULPIRIDE F 0 1 a n 0 10 1 1 G t DOGMATIL 50 MG TABLET 100 TAB

SUKRALFAT F 0 1 a n 0 11 1 1 G b INPEPSA SUSPENSI 100ML 1 BTL

1b. GIT Regulator, CISAPRIDE F 0 1 b n 0 1 1 1 G t ACPULSIF 5 MG TABLET 50 TAB

L. ACIDOPHILUS ROSELL, L.RHAMNOSUS F 0 1 b n 0 3 1 1 B k LACIDOFIL KAPSUL 60 KAPS

LACTOBACILLUS REUTERI DSM F 0 1 b n 0 4 1 1 B b INTERLAC DROP 1 BTL

METOKLOPRAMID F 0 1 b n 0 5 1 1 G t DAMABEN 10 MG TABLET 100 TAB

Mg TRISILIKAT, Al(OH)3 COLLOIDAL, F 0 1 b n 0 6 1 1 M t SANMAG TABLET TAB

Mg TRISILIKAT, Al(OH)3 COLLOIDAL, F 0 1 b n 0 7 1 1 B b SANMAG SUSPENSI 12OML 1 BTL

OTILINIUM BR F 0 1 b n 0 8 1 1 G t SPASMOMEN 40 MG TABLET 30 TAB

CHLORDIAZEPOXIDE , CLINIDIUM F 0 1 c n 0 2 1 1 M t BRAXIDIN TABLET 100 TAB

HOSIN - N BUTIL BROMIDE F 0 1 c n 0 3 1 1 G t BUSCOPAN 10 MG TABLET 100 TAB

HOSIN - N BUTIL BROMIDE, F 0 1 c n 0 4 1 1 G k GITAS PLUS KAPSUL 50 KAPS

PAPAVERINE, METAMPIRON, EKSTRAK F 0 1 c n 0 5 1 1 G t SPASMINAL TABLET 100 TAB

PIPENZOLATE BR 4 MG, PHENOBARBITAL F 0 1 c n 0 6 1 1 G b PIPTAL PEDIATRIK 15 ML DROPS BTL

1d. Antidiarrheals NaCl, CaCl, TRINATRIUM SITRAT, F 0 1 d n 0 1 1 1 B b RENALYTE 1 BTL

ATTAPULGITE F 0 1 d n 0 2 1 1 B t DIAGIT 100 TAB

KAOLIN PEKTIN F 0 1 d n 0 3 1 1 B b NEOKAOLANA SUSPENSI 120 ML 1 BTL

LOPERAMIDE F 0 1 d n 0 4 1 1 G t LODIA 2 MG TABLET 60 TAB

CARBO ACTIVUS F 0 1 d g 0 5 1 1 W t NORIT 125 MG TABLET 20 TAB

CHOLESTERAMINE F 0 1 d n 0 6 1 1 W p SEQUEST 400 MG SACHET 1 SACH

Zn SULFATE F 0 1 d n 0 7 1 1 W t ZINK 20 MG TABLET 100 TAB

1e. Laxative, BISAKODIL F 0 1 e n 0 1 1 1 W t DULCOLAX 5 MG TABLET 80 TAB

F 0 1 e n 0 1 1 3 W s DULCOLAX 5 MG SUPPOSITORIA FOR CHILDREN 6 SUPP

LACTULOSE F 0 1 e n 0 2 1 1 W b PRALAX SUSPENSI 1 BTL

PARAFIN SUSPENSI F 0 1 e n 0 3 1 1 W b LAXADIN SUSPENSI 1 BTL

SODIUM BIPHOSPATE, DISODIUM F 0 1 e n 0 4 1 1 W b FLEET ENEMA 1 BTL

F 0 1 e n 0 5 1 1 W u MICROLAX REKTAL TUBE 5 ML 1 TUBE

Na PICOSULFATE F 0 1 e n 0 6 1 1 W b LAXOBERON 1 BTL

1f. Digestives L.ACIDOPHILUS, L.CASEI, L.SALIVARUS, F 0 1 f n 0 1 1 1 W p L-BIO SACH SACH

L-ORNITHINE-L-ASPARTATE F 0 1 g n 0 3 1 1 G a HEPAMERZ 5GRAM/10 ML INJEKSI 5 AMP

URSODEOXYCHOLIC ACID F 0 1 g n 0 4 1 1 G k URSOLIC 250 MG KAPSUL 30 KAPS

1h. Anorectal MICRONIZED FLAVONOID F 0 1 h n 0 1 1 1 W t ANADIUM 500 MG TABLET 30 TAB

LITHOSPERMI RADIX F 0 1 h n 0 2 1 1 G s BORRAGINOL-N SUPPOSITORIA SUPP

1i. Antiemetics PIRATIAZIN TEOKLAT + VITAMIN B6 F 0 1 i n 0 1 1 1 G t ANVOMER B 6 TABLET 60 TAB

GRANISETRON F 0 1 i n 0 2 1 1 G a GRANON 1MG/ML INJEKSI 5 AMP

ONDANCETRON F 0 1 i g 0 3 1 1 G t ONDANCETRON 8 MG TABLET 12 TAB

DOMPERIDONE F 0 1 i n 0 4 1 1 G t VOMETA FT TABLET 50 TAB

METOKLOPRAMID F 0 1 i n 0 5 1 1 G t DAMABEN 10 MG TABLET 100 TAB

METOKLOPRAMIDE, PANKREATIN F 0 1 i n 0 6 1 1 G t PRIMPERAN KOMPOSITUM TABLET 100 TAB

DIMENHYDRAMINE F 0 1 i n 0 7 1 1 G t DRAMAMIN 50 MG TABLET 100 TAB

2a. Cardiac Drugs AMIODARONE HCL F 0 2 a n 0 1 1 1 G t CORDARONE 200 MG 30 TAB

DOBUTAMIN HCL F 0 2 a g 0 2 1 1 G a DOBUTAMIN GIULINI 250 MG/20 ML INJEKSI AMP

DOPAMIN HCL F 0 2 a n 0 3 1 1 G a DOPAMIN GIULINI 20 MG/ML INJEKSI 10 ML 5 AMP

DIGOXIN F 0 2 a g 0 4 1 1 G t DIGOXIN 0,25 MG TABLET 100 TAB

ISOSORBID DINITRAT F 0 2 b g 0 2 1 1 G t ISDN 5 MG TABLET 100 TAB

ISOSORBID MONONITRAT F 0 2 b n 0 3 1 1 G t MONECTO 20 MG TABLET 30 TAB

TRIMETAZIDINE DI HCL F 0 2 b n 0 4 1 1 G t TRIZEDON MR 35 MG TABLET 60 TAB

2c. ACE Inhibitors PERINDOPRIL ARGININE, F 0 2 c n 0 1 1 1 G t BIOPREXUM PLUS TABLET 20 TAB

CAPTOPRIL F 0 2 c g 0 2 1 1 G t CAPTOPRIL 12,5 MG TABLET 100 TAB

F 0 2 c g 0 2 1 2 G t CAPTOPRIL 25 MG TABLET 100 TAB

LISINOPRIL F 0 2 c n 0 3 1 1 G t INTERPRIL 5 MG TABLET 30 TAB

RAMIPRIL F 0 2 c n 0 4 1 1 G t TRIATEC 2,5 MG TABLET 60 TAB

2d. Beta - Blockers BISOPROLOL F 0 2 d g 0 1 1 1 G t BISOPROLOL 2,5 MG TABLET 30 TAB