RETRIKSI OBAT OBAT BPJS KRONIS

NO NAMA OBAT RETRIKSI

PER BULAN
1 ACARBOSE 100 MG 90TAB
2 ACARBOSE 50 MG 90 TAB
3 ACETYLSISTEIN 10CAP
4 ACTRAPID 3PEN
5 ADALAT OROS 20 MG 30TAB
6 ADALAT OROS 30 MG 30TAB
7 ALLOPURINOL 100 MG 30TAB
8 ALLOPURINOL 300 MG 30TAB
9 ALPENTIN 100 MG 60CAP
10 ALPRAZOLAM 0,25 30TAB
11 ALPRAZOLAM 0,5 30TAB
12 ALPRAZOLAM 1 MG 30TAB
13 AMINOPHYLIN 30TAB
14 AMITRIOTYLINE 60TAB
15 AMLODIPINE 10 MG 30TAB
16 AMLODIPINE 5 MG 30TAB
17 ARICEPT 10 MG 30TAB
18 ARTROVENT MDI 1TBG
19 ASAM FOLAT 1 MG
20 ASAM MEFENAMAT 500 30TAB
21 ATORVASTATIN 20 30TAB
22 BEROTEC MDI 1TBG
23 BETAHISTINE 20TAB
24 BINECAP 2500MG/HR,UTK 2MGG,TIAP 3 MGG
25 BISOPROLOL 5 MG 30TAB
26 BRICASMA TURBU 1TBG
27 CALAC
28 CANDESARTAN 16 MG 30TAB
29 CANDESARTAN 8 MG 30TAB
30 CAPTOPRIL 12,5 90TAB
31 CAPTOPRIL 25 MG 90TAB
32 CAPTOPRIL 50 MG 90TAB
33 CASODEX 50 MG 30TAB
34 CLOBAZAM 60TAB
35 CLONIDINE 90TAB
36 CLOPIDOGREL 75 30TAB
37 CLOZAPINE
38 CONCOR 2,5 30TAB
39 DEPAKOTE 250 90TAB
40 DIAMICRON 30TAB
41 DIGOXIN 30TAB
42 DILTIAZEM 90TAB
43 DOPAMET 250 90TAB
44 DORNER 90TAB
45 EUTHYROX 100 60TAB
46 FARNORMIN 30TAB
47 FENITOIN 90CAP
48 FUROSEMIDE 120TAB
49 GABAPENTIN 300 30CAP
50 GEMFIBROZIL 300 30CAP
51 GLIBENCLAMIDE 90TAB
52 GLIMEPIRIDE 3MG 60TAB
53 GLIMEPIRIDE 1 MG 60TAB
54 GLIMEPIRIDE 2 MG 60TAB
55 GLIMEPIRIDE 4 MG 30TAB
56 HALOPERIDOL 0,5 MG 90TAB
57 HALOPERIDOL 1,5 MG 90TAB
58 HALOPERIDOL 5 MG 90TAB
59 HARNAL 0,2 30TAB
60 HARNAL OCAS 30TAB
61 HERBESSER CD 100 30TAB
62 HERBESSER CD 200 30TAB
63 HYTROZ 1 MG 30TAB
64 HYTROZ 2 MG 30TAB
65 IBUPROFEN 400 30TAB
66 IRBESARTAN 150 30TAB
67 IRBESARTAN 300 30TAB
68 ISDN 90TAB
69 KSR 90TAB
70 LANSOPRAZOLE 30CAP
71 LANTUS 20IU/HR
72 LEVEMIR 20IU/HR
73 LEVOPAR 120TAB
74 LISINOPRIL 10 MG 30TAB
75 LISINOPRIL 5 MG 30TAB
76 MADOPAR 120TAB
77 METFORMIN 850 MG 60TAB
78 METHYLPREDNISOLONE 16 MG 30TAB
79 METHYLPREDNISOLONE 4 MG
80 MICARDIS 40 30TAB
81 MICARDIS 80 30TAB
82 MINIASPI 30TAB
83 NEO MERCAZOLE 180TAB
84 NITRAL 90TAB
85 NITROKAF RETARD 2,5 MG 90CAP
86 NITROKAF RETARD 5 MG 90CAP
87 OMEPRAZOLE 30CAP
88 ONBREZZ 150 30CAP
89 ONBREZZ 300 30CAP
90 PIOGLITAZONE 15 MG 30TAB
91 PIOGLITAZONE 30 MG 30TAB
92 PREDNISONE
93 PROBENID 30TAB
94 PROPRANOLOL 10 MG 90TAB
95 PROPRANOLOL 40 MG 30TAB
96 PULMICORT TURBU 1TBG
97 RAMIPRIL 10 MG 30TAB
98 RAMIPRIL 5 MG 30TAB
99 RETAPHYL
100 RISPERIDONE 30TAB
101 SALBUTAMOL 2 MG
102 SALBUTAMOL 4 MG 60TAB
103 SERETIDE DISKUS 100 1TBG
104 SERETIDE DISKUS 250 1TBG
105 SERETIDE INH 50 1TBG
106 SIFROL 0,375 30TAB
107 SIFROL 0,750 30TAB
108 SIMVASTATIN 10 MG 30TAB
109 SIMVASTATIN 20 MG 30TAB
110 SPIRIVA HANDIHALER (30'S) 1TBG/THN
111 SPIRIVA REFILL 30CAP
112 STALEVO 90TAB
113 SYMBICORT 60 160 1TBG
114 SYMBICORT 60 80 3TBG
115 TANAPRESS 10 MG 30TAB
116 TANAPRESS 5 MG 30TAB
117 THP 60TAB
118 THYROZOL 10 MG 90TAB
119 THYROZOL 5 MG 120TAB
120 TRIFLUOFERAZIN 5 MG 90TAB
121 URSODEOXYCHOLIC ACID 30CAP
122 VALPROAD ACID 5FLS
123 VALSARTAN 160 MG 30TAB
124 VALSARTAN 80 MG 30TAB
125 VERAPAMIL 90TAB
126 VIT B1 50 MG 30TAB
127 VITAMIN B COMP 30TAB
128 VITAMIN B12 30TAB
129 WARFARIN 1 MG 30TAB

BKT,01 DESEMBER 2018

REFI