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1a -- Antisida, Antiulserasi

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1 ANTASID DOEN 400 mg TAB KF Mg(oh)2 mg
Al (OH)3 200 Mg
2 ANTASID DOEN SYRUP 60 ML mg(oh)2
Al (OH)3 200 Mg
3 MYLANTA TAB Al (OH)3 200 Mg
mg(oh)2
Simethicone 20 Mg
4 POLYCROL F SIR TAB Al (OH)3 200 Mg
mg(oh)2
Simethicone 20 Mg
5 POLYCROL GEL SIR TAB Al (OH)3 200 Mg
mg(oh)2
Simethicone 20 Mg
6 POLYCROL F TAB Al (OH)3 200 Mg
mg(oh)2
Simethicone 20 Mg
7 POLYCROL GEL TAB Al (OH)3 200 Mg
mg(oh)2
Simethicone 20 Mg
8 ACRAN INJ Ranitidine Hcl
9 RANITIDIN 150 MG TAB KF Ranitidine Hcl
10 RANITIDIN 150 MG inj Ranitidine Hcl
11 ACRAN TAB Ranitidine Hcl
12 ACRAN INJ Ranitidine Hcl
13 Gastridin inj Ranitidine Hcl
14 Gastridin 150 tab Ranitidine Hcl
15 RANTIN 150 TAB Ranitidine Hcl
16 ULSIKUR INJ Cimetidine
17 CIMETIDINE 200 MG Cimetidine
18 OMEPRAZOL 20 MG Omeprazole
19 OMZ inj Omeprazole
20 LANSOPRAZOLE CAP Lansoprazole
21 COMPRAZ 30 MG Lansoprazole
22 LAPRAZ CAP Lansoprazole
23 PROSOGAN FD Lansoprazole
24 CAPROL INJ Pantoprazole
25 PANTOZOL 40 MG TAB Pantoprazole
26 PANTOZOL INJ Pantoprazole
27 PANTOZOL 20 MG TAB Pantoprazole
28 FAMOTIDIN 40 CAP Famotidine
29 FAMOTIDIN 20 CAP Famotidine
30 STROCAIN P TAB Polymigel
Oxethazine
31 CYTOTEC Misoprostol
32 CYTOSOL TAB Misoprostol
33 MUCOSTA TAB 100MG Rebamipide
34 ULSICRAL TAB Sukraflat
35 INPEPSA SYR Sukraflat
36 ULSAFATE SYR Sukraflat

1b -- Regulator GIT, Antiflatulen & Anti-inflamasi

Formularium 2010 hal 1


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1 DOMPERIDON TAB Domperidone
2 DOM TAB Domperidone
3 DISFLATHYL TAB Dymethylpolysiloxan
4 VOSEDON SUSP Domperidone
5 VOMETA TAB Domperidone
6 VOMETA DROPS 5 MG / 10 ML Domperidone
7 VOMETA 1 MG SYRUP 60 ML Domperidone
8 DAMABEN TAB 100`S Metoclorpramide
9 METOCLOPRAMIDE 10 MG Metoclorpramide
10 PRIMPERAN 10 MG TAB Metoclorpramide
11 PRIMPERAN SYRUP 50 ML Metoclorpramide
12 SOTATIC INJ 2 ML Metoclorpramide
13 BUDENOFALK Budesonide
14 SALOFALK CAP Mesazaline
15 SULCOLON TAB Sulfasalazine

1c -- Antipasmodik

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1 PAPAVERIN 40 MG TAB INF Papaverin
2 BRAXIDIN Clordiazepoxide,
Clidinium Bromide
3 BUSCOPAN TAB Hyoscine Butylbromide
4 BUSCOPAN PLUS TAB Paracetamol
Hyoscine Butylbromide
5 BUSCOPAN INJ 20 MGAMP 10`S Hyoscine-N-Butylbromide
6 ATROPINE INJ 0,25 MG/ ML Atropine Sulfat E.D
7 DUSPATALIN TAB Mebeverina HCL
PIPTAL PEDIATRIC DROP Pipenzolate Br,phenobarbital
8

1d -- Antidiare

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1 DIALAC probiotik bakteri
2 DIAKUR Attapulgite
Psidii Folium
Curcuma Domestica
3 FITODIAR Attapulgite
Psidii Folium
Curcuma Domestica
4 FLEET ENEMA sodium diphospat
5 LACTO-B probiotik bakteri
6 L-BIO probiotik bakteri
7 LODIA Loperamide HCL
8 NEW DIATABS TAB Attapulgite
9 NEO KAOLANA SYR 120 ML Pectin 50 MG
Kaolin
10 PROTEXIN INFANT probiotik bakteri
11 SMECTA Dioctahedral Smectite

1e -- Laksatif, Pencahar

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Formularium 2010 hal 2


1 DULCOLAX TAB Bisacodyl
2 DULCOLAX SUPPO INFANS Bisacodyl
3 DULCOLAX SUPPO DWS Bisacodyl
4 LAXOBERON 5 MG / 10 ML DROP Picosulfate Na
5 MICROLAX ENEMA 5 ML Lactulose
6 LACTULAX SYR 60 ML Lactulose
7 LAXADIN SYR Phenolpalein

1f -- Digestan

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1 TRIPANZYM Pancreatin
Pancretin
Dimetil Polisiloksan
2 COBAZIM 3000 CAPS 100`S Coenzyme B 12
3 COBAZIM 1000 CAPS 100`S Coenzyme B 12
4 PANKREOFLAT CAP Pankreoflat lipase
Pankreatic amylase
Pancreatic protease
Dimethilpolisiloksan

1g--Hepatoprotector-anticholesterol-cholagogues

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1 LESICHOL 300 Lechitin Murni
Multivitamin
2 CHENOFALK Chenodexycholic Acid
3 URDAFALK Ursodeoxycholic Acid
Silimarin
Xantrorizae
4 NUTRIFLAM Serratiopeptidase
Pankreatin
Lechitin Murni
5 BIOCURLIV extr curcuma xantoriza
radix liq
scindata fructus
6 HEPATIN Silybum marianum extr
extr curcuma xantoriza
echinacea
7 HEPA-MERZ TAB l-ornitin-l-aspartate
8 HEPA-MERZ INJ l-ornitin-l-aspartate
9 METHICOL TAB multivitamin
10 CURSIL 70 extrac curcuma
silimarin
11 RENOSAN INF 500 ml asam amino

Klas farmakoterapi : 1h -- Haemorrhoidal

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Formularium 2010 hal 3


1 CIFLON TAB Citrus bioflavonoid
2 ULTRAPROCT SUPP Fluocortolone Pivalate
Fluocortolone caproate
Clomizale Undecylatde
3 ULTRAPROCT CREAM Fluocortolone Pivalate
Fluocortolone caproate
Clomizale Undecylatde
4 HEMOROGARD Graptophylium pictum 30%
5 HAEMOCAIN OINT 15 G lidocaine
alsubacetate
hidrocortosino
6 LESIFIT Lecithin
Nichotinamide
7 Ardium Diosmin
Hesperidin
8 Venosmil tab Hidrosmil
9 BORRAGINOL-S SUPP Lithispermi Radix
benzocaine
10 BORRAGINOL-N SUPP Lithispermi Radix
benzocaine

Klas farmakoterapi : 2a -- Obat Jantung

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1 DIGOXIN TAB 0.25 MG Digoxin
2 PROPANOLOL 10 MG Propanolol
3 CORDARONE TAB 30`S Amiodarone
4 DOPAMIN INJ Dopamine Hcl
5 INDOP INJ Dopamine Hcl
6 INOTROP INJ Dobutamine Hcl

Klas farmakoterapi : 2b -- Obat Anti-Angina

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1 ISOSORBID DINITRAT 5 MG 100`S Isosorbide Dinitrate
2 CEDOCARD 5 MG TAB Isosorbide Dinitrate
3 PERSANTIN 25 MG Dipyridamole
4 BISOPROLOL 5 MG Bisolprolol Fumarate

Klas farmakoterapi : 2c -- ACE Inhibitor

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1 TENSICAP 25 MG Captopril
2 TENSICAP12.5 MG Captopril
3 CAPTOPRIL 12,5 MG Captopril
4 CAPTOPRIL 25 MG Captopril
5 CLONIDINE 0,15 MG Clonidine HCL

Klas farmakoterapi : 2d -- Beta Bloker

Nama Barang Nama Generik


1 BISOPROLOL FUMARATE 5 MG Bisoprolol Fumarate
2 PROPANOLOL 40 MG Propranolol

Formularium 2010 hal 4


Klas farmakoterapi : 2e -- Antogonis Kalsium

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1 NIFEDIPIN 10 MG TAB KF Nifedipine
2 ADALAT OROS 30 MG Nifedipine
3 ADALAT OROS 20 MG Nifedipine
4 Norvask 5 MG TAB Amlodipine
5 Norvask 10 MG TAB Amlodipine
6 NORMOTEN 5 MG TAB Amlodipine
7 AB VASK 5 MG Amlodipine
8 AB VASK 10 MG Amlodipine
9 CARDISAN 5 MG Amlodipine
10 CARDISAN 10 MG Amlodipine
11 DILTIAZEM 30 MG 100`S Dilthiazem HCL

Klas farmakoterapi : 2f -- Angiotensin II Antagonis

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1 BLOPRESS TAB 8 MG Candesartan Cilexetil
2 BLOPRES 16 MG Candesartan Cilexetil
3 CO-DIOVAN 80 MG Valsartan
Hydrochlorothiazide
4 APROVEL 150 MG Irbesartan
5 CO-APROVEL 150 MG Irbesartan
Hydrochlorothiazide
6 CLONIDINE 0.15 MG Clonidine HCL
7 CATAPRES inj Clonidine HCL
8 CATAPRES 150 MCG TAB 100`S Clonidine HCL

Klas farmakoterapi : 2g -- Other Antihypertensives

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1 CLONIDINE HCL Clonidine Hcl
2 CATAPRES AMP Clonidine Hcl
3 DOPAMET methyldopa

Klas farmakoterapi : 2h Deuretik

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1 FUROSEMIDE 40 MG TAB KF Furosemide
2 URESIX 40 MG TAB Furosemide
3 LASIX INJ Furosemide
4 LASIX TAB Furosemide
5 NATRILIX SR TAB Indapamide
6 LETONAL 25 TAB Spironolactine
7 LETONAL 100 TAB Spironolactine
8 HYDROCHLOROTIAZIDE (HCT)25 Hydrochlorothiazide

Klas farmakoterapi : 2j-- Vasodilator Perifer & Aktivator Serebral

Formularium 2010 hal 5


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1 STUGERON TAB 25 MG Cinnarizine
2 UNALIUM TAB Flunarizine
3 CITICHOLINE INJ GEN Citicholine Na
4 LANCOLIN INJ 250 MG/ML Citicholine Na
5 LANCOLIN INJ 500 MG/ML Citicholine Na
6 BRALIN 250 MGINJ Citicholine Na
7 FONTULA F TAB 4 MG co-digergin
8 TANAKAN extrc ginko biloba

Klas farmakoterapi : 2l-- Obat Migrain

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1 BELLAPHEEN TAB Phenobarbital
Ergotamine Caffein
2 CAFERGOT TAB Ergotamine Tantrat
Caffeine

Klas farmakoterapi : 2m -- Hemostatik

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1 ADONA AC 17 TABLET Cerbazocrome NA Sulfonate
2 KALNEX 250 MG TAB Tranexamic Acid
3 KALNEX 500 MG CPLT 100`S Tranexamic Acid
4 PLASMINEX 250 MG AMPL Tranexamic Acid
5 VIT K 10 MG Vitamin K
6 VIT K INJ Vitamin K
7 DICYNONE 500MG 20`S Ethamsylate
8 DICYNONE AMPUL 250MG/2ML Ethamsylate

Klas farmakoterapi : 2n -- Antikoagulan, Antitrombotik & Fibrinolitik

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1 FARMASAL 100 MG Acetylsalicylic Acid
2 ASCARDIA 80 MG Acetylsalicylic Acid
3 ASCARDIA 160 MG Acetylsalicylic Acid
4 THROMBO ASPILET TAB Acetylsalicylic Acid
5 PLAVIX TABLET Clopidogrel
6 PLETAAL TAB 50 MG 100`S Cilostrazol
7 INVICLOT INJ Heparin Na

Klas farmakoterapi : 2p- Phlebitis Preparation

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1 ARDIUM Diosmin
Hesperidin
2 LANAVEN TAB extr soya bean
hipocastini extr
3 MADECASSOL TAB Centella Asiatica
4 MADECASSOL cream Centella Asiatica
5 VENARON CAPS 100`S O-(Hydroxyethyl)-Rutoside
Butcer Broom

Formularium 2010 hal 6


6 VENOSMIL Hidrosmin
7 THROMBOPHOP GEL Nicotinic Acid Benzyl Ester
Heparin
8 THROMBOPHOP OINT Nicotinic Acid Benzyl Ester
Heparin

Klas farmakoterapi : 2q-- Haemorrheological

no Nama Barang Nama Generik


1 ARDIUM Flavoniodic Fraction

Klas farmakoterapi : 2r -- Preparat Haemotopoietic

No Nama Barang Nama Generik


1 HEMAPO 5000 IU PFS/0.3 ML Epoetin

Klas farmakoterapi : 2s -- Obat Kardiovaskuler Gol Lain

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1 HEPTAMYL 150 MG Heptamyl HCL
2 ATP KYOWA Adenosine Triphosphate
3 BIO ATP ATP 20 MG
Vit B1
Vit B6
Vit B12
4 ALERTEN 25 Coenzyme Q10
5 ALERTEN 50 Coenzyme Q10
6 CO-EN Q10 CPS 60`S Coenzyme Q10

Klas farmakoterapi : 3b -- Preparat Antiasma

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1 SALBUTAMOL 2 MG TAB KF Salbutamol
2 SALBUTAMOL 4 MG Salbutamol
3 LASAL SYRUP 100 ML Salbutamol
4 LASAL EXPECT SYR 100 ML Salbutamol
Guaiphenesin
5 LASAL TAB Salbutamol
6 FARTOLIN EXPECT 100 ML SYRUP Salbutamol
Guaiphenesin
7 VENTOLIN INH CFC FREE/CAN Salbutamol
8 VENTOLIN NEBULES 2.5 MG/AMP Salbutamol
9 VENTOLIN SYR Salbutamol
10 VENTOLIN EKSPEC SYR Salbutamol
11 PROFILAS Ketotifen
12 PROFILAS SYRUP 60 ML Ketotifen
13 ZADITEN SYR 60 ML Ketotifen
14 BRONSOLVAN SYRUP Theophyllin
15 BRONSOLVAN TAB 150 MG Theophyllin
16 COMBIVENT MDI 10 ML Iratropium Bromide
17 COMBIVENT NEBULIZER Iratropium Bromide
18 AMINOPHYLLINUM inj Aminophillin

Formularium 2010 hal 7


19 EPHEDRINE HCL 25 MG TAB KF Ephedrine HCL
20 EPHEDRINE HCL 50 MG/ML INJ/100 AMP Ephedrine HCL
21 FLIXOTIDE NEB Fluticasone Drop
Fluticason Propinat
22 SERETIDE INH 50 CANISTER Salmeterol
Fluticasone Propinat
23 BRICASMA TAB 2.5 MG 100`S Terbutaline Sulfate
24 ATAROC 25 MG Procaterol
25 ATAROC 50 MG Procaterol
26 ATAROC SYR 60 ML Procaterol
27 MEPTIN 0.05 MG TAB Procaterol
28 MEPTIN SYR 60 ML Procaterol
29 SPIROPENT TAB Clenbuterol Hcl
30 ETAPHYLLINE TAB 250MG Acefylline Piperazine

Klas farmakoterapi : 3c -- Obat Batuk & Pilek

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1 TREMENZA TAB Pseudoephedrine HCL
Tripolidina Hcl
2 TREMENZA SYR 60 ML Pseudoephedrine HCL
Tripolidina Hcl
3 TRIAMINIC BATUK 60 ML Pseudoephedrine HCL
Dextrometropan
4 TRIAMINIC PILEK 60 ML Pseudoephedrine HCL
Guafenesin
5 TRANSPULMIN SYR 60 ML Pipazetate
Guafenesin
6 LAPIFED DM SYR 100 ML Tripolidina Hcl
Pseudoephedrine HCL
7 LAPIFED EXP SYR 60 ML Tripolidina Hcl
Pseudoephedrine HCL
8 LAPIFED SYR 60 ML Tripolidina Hcl
Pseudoephedrine HCL
9 RHINOS SR Loratadine
Pseudoephedrine HCL
10 RHINOS DROP Loratadine
Pseudoephedrine HCL
11 RHINOS JUNIOR SYR Loratadine
Pseudoephedrine HCL
12 TRIAMINIC EXP 60 ML Pseudoephedrine HCL
Guafenesin
13 ALDIZA SR Loratadine
Pseudoephedrine Sulfat
14 ALCO DROPS ORAL 15 ML Pseudoephedrine HCL
15 ALCO PLUS DMP SYR 100 ML Pseudoephedrine HCL
16 ALCO DROP Pseudoephedrine HCL
17 AMBROXOL SYR 60 ML Ambroxol HCL
18 AMBROXOL TAB 30 MG Ambroxol HCL
19 EPEXOL SYRUP 120 ML Ambroxol HCL
20 EPEXOL TAB Ambroxol HCL
21 MUCOPECT 30 MG/5 ML ELIXIR Ambroxol HCL
22 MUCOPECT DROPS Ambroxol HCL
23 MUCOHEXIN 8 MG TAB Bromhexine HCL 10 Mg
24 MUCOHEXIN ELIXIR SYR Bromhexine HCL 10 Mg

Formularium 2010 hal 8


25 COMTUSI SYR Oksomemazine
Glyseril G
26 DEXTROMETHORPHANE 15 MG Dextromethorphan
27 DEXTROMETHORPHANE SIR Dextromethorphan
28 FLUIMUCIL SYR Acetyl Cytein
29 FLUIMUCIL TAB Acetyl Cytein
30 TUZALOS CAPL 15 MG Paracetamol
Dextrometropan
31 GLYCERIL GUAICOLAS 100 MG Acetyl Cytein
Glyseril G
Glyseril G
32 LACOLDIN SYR 60 Paracetamol
Phenylpropanolamine
33 NIPE DROP 15 ML Isothipendyl
Phenyleprin
34 NIPE SYR 100 ML Isothipendyl
Phenyleprin
35 SANADRYL SYR 120 ML Amonium Klorida
Dipenhydramin
36 VECTRINE DRY SYR Erdosteine
37 VECTRINE TAB 300 MG 20`S Erdosteine
Brompheniraminem Maleate
38 LEVOPRONT SYR Lepodroprovisine
39 CODEIN 20 MG TAB Codein
40 CODIPRONT syr Codipront
41 CODIPRONT TAB Codipront

Klas farmakoterapi : 3d -- Dekongestan & Preparat Nasal Lain

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1 OTRIVIN NASAL DROPS 0,1% 10 ML Xylometazoline
2 NASACORT AQ NASAL SPRAY Triamsinolone acetonide
3 NASONEX NASAL SPRAY 60 ML mometasone
4 FLIXONASE NASAL SPRAY Fluticasone Propionate
5 OBICORT INHALER

Klas farmakoterapi : 4a -- Anti Inflammatory Enzymes

No Nama Barang Nama Generik


1 NUTRIFLAM Serratiopeptidase
Vit B1
Vit B6
Vit B12
Nicotinamide

Klas farmakoterapi : 4b -- Analgesik & Antipiretik

No Nama Barang Nama Generik


1 CAPZACIN CR 15 GR Capsaicin
2 TORADOL TAB Ketorolac
3 TORADOL INJ Ketorolac Tromethamine
4 TROLAC INJ Ketorolac

Formularium 2010 hal 9


5 XEVOLAC 10 TAB Ketorolac
6 XEVOLAC 30 MG INJ Ketorolac
7 PRONEURON Metamizole Na
Diazepam
8 DUROGESIC Fentanyl
9 ANTALGIN 500 MG TAB KF Methampyrone
10 NOVALGIN INJ Methampyrone
11 NOVALGIN SYR 60 ML Metamizole Na
12 NOVALGIN TAB Metamizole Na
13 ASAM MEFENAMAT 500 mg KAPL KF Asam Mefenamat
14 MEFINAL 500 MG TAB 100`S Asam Mefenamat
15 SUMAGESIC TAB Paracetamol
16 SANMOL TAB Paracetamol
17 SANMOL SYRUP 60 ML Paracetamol
18 SANMOL DROP 30 ML Paracetamol
19 PARACETAMOL SYR 60 ML Paracetamol
20 PARACETAMOL 500 MG BOX TAB KF Paracetamol
21 PRAXION DROP Paracetamol
22 PRAXION SIR Paracetamol
23 TEMPRA SYRUP 60 ML Paracetamol
24 SOMADRIL COMP Paracetamol
Caffeine
25 SISTENOL TAB 60`S Paracetamol
N-Acetylcysteine
26 PRORIS FORTE SYR 60 ML Ibuprofen
27 PRORIS SYR 60 ML Ibuprofen
28 BUFFECT F SYR Ibuprofen
29 BUFFECT SYR FORTE Ibuprofen
30 IBUPROFEN 400 MG TAB Ibuprofen
31 IBUPROFEN 200 MG TAB Ibuprofen
32 TRAMADOL 50 MG KAPS Tramadol HCL
33 TRAMAL TABLET Tramadol HCL
34 DOLO NEUROBION TAB Antalgin
Vit B1
Vit B6
Vit B12
35 NEUROSANBE PLUS CAPL Methampyrone
Vit B1
Vit B6
36 ANALSIK Chlordiazepoxide
VIT B1
Vit B6
Vit B12
Methampyronee
37 FENTANYL INJ 2 ML 5`S Fentanyl

Klas farmakoterapi : 4c -- Antireumatik, Analgesik Anti-inflamasi

No Nama Barang Nama Generik


1 ARAVA 20 MG TAB Leflunomide
2 PIROKSIKAM 10 MG TAB KF Piroxicam
3 KALIUM DIKLOFENAK 25 MG Diklofenac K
4 KALIUM DIKLOFENAK 50 MG Diklofenac K
5 CATAFLAM 25 Diklofenac K
6 CATAFLAM 50 Diklofenac K

Formularium 2010 hal 10


7 CAPZACIN 15 G capsicin
8 EFLAGEN TAB 50 MG Diklofenac K
9 FLAMAR 50 MG TAB Natrium Diklofenak
10 FLAMAR TAB 25 MG 100`S Natrium Diklofenak
11 JOINTFIT ROLLER glucosamine,aloe vera, vit e
12 VOLTAREN INJ Natrium Diklofenak
13 VOLTADEX TAB 50 Natrium Diklofenak
14 PRONALGES E-50 TAB Ketoprofen
15 PRONALGES SUPPO Ketoprofen
16 OSTE OD Glucosamine Hcl
Chondroitin Sulfate
17 OSTE F Glucosamine Hcl
Chondroitin Sulfate
Vitamin C,Mn, Zn
18 OSTE Glucosamine Hcl
Chondroitin Sulfate
Vitamin C,Mn, Zn
19 VOSTEM F Glucosamine Hcl
Chondroitin Sulfate
Vitamin C,Mineral
20 JOINFIT CR Glucosamine Hcl
21 CELEBREX 200 MG Celecobix
22 HYALGAN Na. Hyaluronate
23 LYDIUM INJ Na. Hyaluronate
24 SUPLASIN INJ Na. Hyaluronate
25 NONFLAMIN Tinoridine
26 SULCOLON Sulfalazine

Klas farmakoterapi : 4d -- Preparat Gout

No Nama Barang Nama Generik


1 ALLUPURINOL 100 MG TAB KF Allupurinol
2 ZYLORIC 100 MG TAB Allupurinol
3 ZYLORIC 300 MG TAB Allupurinol
4 RECOLFAR Colchicin

Klas farmakoterapi : 4e -- Transkuiliser Minor

No Nama Barang Nama Generik


1 DIAZEPAM 2 MG Diazepam
2 DIAZEPAM 5 MG Diazepam
3 DIAZEPAM INJ 10 MG/2ML Diazepam
4 VALISANBE 2 Diazepam
5 VALISANBE 5 Diazepam
6 STESOLID RECTAL TUBE 10 MG Diazepam
7 STESOLID RECTAL TUBE 5 MG Diazepam
8 ALGANAX TAB I MG 40`S Alprazolam
9 ALGANAX TAB 0.25 MG 40`S Alprazolam
10 ALGANAX TAB 0.5MG 40`S Alprazolam
11 FRISIUM TAB 10 MG Clobazam
12 CLOBAZAM 10 Clobazam

Formularium 2010 hal 11


Klas farmakoterapi : 4f -- Transkuiliser Mayor

No Nama Barang Nama Generik


1 CHLORPROMAZINE 100 MG Chlopromazine
2 CHLORPROMAZINE 25 MG Chlopromazine
3 HALOPERIDOL 1,5 MG INF Haloperidol
4 STELAZINE 5 MG Trifluoperazine Hcl

Klas farmakoterapi : 4g -- Hipnotika & Sedativa

No Nama Barang Nama Generik


1 ESILGAN TAB 100`S 2 MG Estazolam

Klas farmakoterapi : 4h -- Antikonvulsan

No Nama Barang Nama Generik


1 PHENOBARBITAL 30 MG Phenobarbital
2 PHENOBARBITAL 50 MG Phenobarbital
3 PHENYTOIN CAP Phenitoin NA
4 CARBAMAZEPIN 200 MG TAB Carbamazepine
5 NEURONTIN 300 CAPS Gabepantin

Klas farmakoterapi : 4i -- Antidepresan

No Nama Barang Nama Generik


1 AMITRIPTILIN 25 MG tab Amitriptilin
Amitriptilin
2 STILNOX zolpidem tartra
3 PRECEDEX INJ 2 ML dexmedetomonidine
4 PROZAC Fluoxetine

Klas farmakoterapi : 4k -- Nootropik & Neurotonik

No Nama Barang Nama Generik


1 NEUROSANBE TAB Vit B1
Vit B6
Vit B12
2 NEUROBION 5000 TAB Vit B1
Vit B6
Vit B12
3 NEUROBION TAB Vit B1
Vit B6
Vit B12
4 NEUROSANBE INJ Vit B1
Vit B6
Vit B12
5 MECOLA Mecobalamin
6 MECOLA F Mecobalamin
alfa lipoic acid
7 LAPIBAL 500 MG Mecobalamin
8 LAPIBAL 250 MCG Mecobalamin
9 LAPIBAL INJ 500MCG Mecobalamin
10 ARCALION DRAG`200MG 60`S Sulbutiamine

Formularium 2010 hal 12


11 PIRACETAM 400 MG Piracetam
12 PIRACETAM 800 MG Piracetam
13 PIRACETAM 1200 MG Piracetam
14 GOOTROPIL 3 G/ 15 ML INJ Piracetam
15 GOOTROPIL 1200 TAB ML INJ Piracetam
16 NERVA PLUS VIT B1
Vit B6
Vit B12
Asam Folat
17 CERETON Ginkgo biloba extr 60mg

Klas farmakoterapi : 4l -- antivertigo dan antiemetik

No Nama Barang Nama Generik


1 DIMENHIDRINAT TAB 50 MG Dimenhidrinat
2 MEDIAMER B6 Phyratiazine
Vit B6
3 ANVOMER B6 Phyratiazine
Vit B6
4 PREGVOMIT Phyratiazine
Vit B6
5 MERISLON Betahistine Mesylate
6 ONDANSETRON INJ 4 MG ondansetron
7 ONDANSETRON INJ 8 MG ondansetron
8 NARFOS 4 MG TAB ondansetron
9 TROVENSIS 8 MG TAB ondansetron
10 INVOMIT 4 MG TAB ondansetron
11 INVOMIT 8 MG TAB ondansetron
12 INVOMIT 4 MG INJ ondansetron
13 INVOMIT 8 MG INJ ondansetron
14 KYTRIL INJ Graniseton
15 NASEA INJ Ramosetron
16 NEXIUM TAB osomeprazole
17 NEXIUM INJ osomeprazole

Klas farmakoterapi : 4n -- Anti Parkinsonian Drug

No Nama Barang Nama Generik


1 TRIHEXYPHENIDIL Trihexyphenidil
2 PARLODEL Bromocriptine Mesilate

Klas farmakoterapi : 4q -- Relaksan Otot

No Nama Barang Nama Generik


1 EPRINOC TAB Eperisone Hcl
2 MYONAL Eperisone Hcl
3 MYONEP TAB Eperisone Hcl
4 SIRDALUD Tizandine Hcl
5 TIZACOM TAB Tizandine Hcl
6 TRACRIUM Atracurium Besylate

Klas farmakoterapi : 4p -- Neuromuscular Disorder Drug

No Nama Barang Nama Generik

Formularium 2010 hal 13


1 PROSTIGMINT INJ Pyridostigmine Br

Klas farmakoterapi : 5a -- Androgen & Preparat Sintetiknya

No Nama Barang Nama Generik


1 ANDRIOL TAB Testoteron Undekuonat
2 DANOCRINE 200 MG KAP Danazol

Klas farmakoterapi : 5b -- Estrogen & Progesteron & Preparat Sintetikny

No Nama Barang Nama Generik


1 ENDOMETRIL Lynestrenol
2 GYNAECOSID TAB 20`S Methyloestrenol 5 Mg
3 LIVIAL 2.5 MG X 1 X 28 Tibolon
4 LYNORAL Ethinyloestradiol
5 PREABOR TAB Allylestrenol
6 PREMASTON 5 MG TAB 30`S Allylestrenol
7 REGUMEN 5 MG Norethisterone
8 PRIMOLUT N 5 MG Norethisterone
9 PROTHYRA TAB Medroxyprogrest .AC
10 PROVERA 10 MG Medroxyprogrest .AC
11 DUPHASTON TAB Dydrogesterone
12 PREMARIN 0.625 MG Natural Conjugated Oestrogens
13 CYCLO-PROGYNOVA Norgestrel
Estradriol Valerate

Klas farmakoterapi : 5d -- Hormon Kortikosteroid

No Nama Barang Nama Generik


1 BUDENOFALK CAP Budesonide
2 CORTIDEX TAB Dexamethasone
3 CORTIDEX INJ Dexamethasone
4 DEXAMETHASONE 0.5 MG TAB KF Dexamethasone
5 METHYLPREDNISOLONE 4 MG Methyilprednisolon
6 METHYLPREDNISOLONE 16 MG Methyilprednisolon
7 METHYLPREDNISOLONE 8 MG Methyilprednisolon
8 LAMESON 4 MG Methyilprednisolon
9 LAMESON 8 MG Methyilprednisolon
10 LAMESON 16 MG Methyilprednisolon
11 SANEXON 4 MG Methyilprednisolon
12 THYMELON 125 MG INJ Methyilprednisolon
13 THYMELON 500 MG INJ Methyilprednisolon
14 KENACORT TAB 4 MG Triamcinolone Asetonide
15 KENACORT AID INJ 5 ML Triamcinolone Asetonide
16 FLAMICORT 40 MG INJ Triamcinolone Asetonide
17 TRILAC TAB Triamcinolone Asetonide
18 TRILAC INJ Triamcinolone Asetonide

Klas farmakoterapi : 5e -- Hormon-hormon Tropik & Preparat Sintetiknya

No Nama Barang Nama Generik


1 BLESIFEN TAB 50 MG Clomiphene citrate
2 PROFERTIL TAB 10`S X Clomiphene citrate

Formularium 2010 hal 14


3 GONAL 75 IU INJ Recombinant follicle
Stimulating hormone
4 PREGNYL 5000 UI INJ HCG
5 PARLODEL Bromcriptin Mesilate

Klas farmakoterapi : 5g -- Preparat Hormon Lain

No Nama Barang Nama Generik


AGNUCASTON Exct Of The Fruit Chaste Tree
1
2 MOLOCO + B 12 Placenta Extr
Vit B12
LACTAMAM daun katuk,extr biji fenugreek
3
vit b12,calcium phospate

Klas farmakoterapi : 6a -- Kontrasepsi Suntik

No Nama Barang Nama Generik


1 DEPO PROVERA Medroxyprogrest .AC
2 CYCLOFEM INJ 0,5 ML Medroxyprogrest .AC

Klas farmakoterapi : 6b -- Kontrasepsi Oral

No Nama Barang Nama Generik


1 MICROGYNON Levonorgestrel
Ethynilestradiol
2 CERAZETTE TABLET Desogestrel
3 DIANE 35 Cyproterone asetat

Klas farmakoterapi : 6c -- Kontrasepsi Lain

No Nama Barang Nama Generik


1 NOVA T T shaped IUD
2 COPPER T T shaped IUD
3 MIRENA T shaped IUD

Klas farmakoterapi : 7a --Aminoglycosides

No Nama Barang Nama Generik


1 GLYBOTIC INJ 250 MG Amikacin Sulfate
2 SAGESTAM INJ Gentamycin Sulfate

Klas farmakoterapi : 7b -- Sefalosforin

No Nama Barang Nama Generik


1 CEFAT 500 Cefadroxil Monohydrate
2 CEFAT DRY SYR Cefadroxil Monohydrate
3 CEFAT FORTE D.SYR Cefadroxil Monohydrate
4 CEFADROXIL 500 MG Cefadroxil Monohydrate

Formularium 2010 hal 15


5 CEFADROXIL 250 MG Cefadroxil Monohydrate
6 CEFILA DROP
7 RENASISTIN OD DROP Cefadroxil Monohydrate
8 CEFORIM INJ Cefepim HCL Monohidrat
9 COMSPORIN CAPS 100 MG 30`S Cefixime
10 SPORETIK D.SYR 100 MG/60 ML Cefixime
11 SPORETIK 100 MG CAP 30`S Cefixime
12 BACTIROM INJ Cefpirome
12 SOPIROM INJ Cefpirome
14 BIFOTIK 1 G INJ Cefoperazone Na
15 CEFIZOK 1 G INJ Ceftizoxime Na
16 CEFTIZ 1 G INJ Ceftizoxime Na
17 LIZOR 500 MG Cefprozil
18 OMNICEF 100 MG Cefdinir
19 CEPHALEXIN 500 MG INF Cefaleksin
20 VELOSEF TAB 250 MG Cephradine
21 CEFTRIAXONE INJ Ceftriaxone
22 TERFACEF VIAL 1 GR Ceftriaxone
23 LAPIXIME INJ Cefotaxime Na
24 TAXEGRAM INJ 1 G Cefotaxime Na
25 TAXEGRAM INJ 0,5 G Cefotaxime Na

Klas farmakoterapi : 7c -- Kloramfenikol

No Nama Barang Nama Generik


1 CHLORAMFENICOL CAP 250 MG Chloramphenicol
2 COLSANCETINE 250 MG Chloramphenicol
3 COLCASENTINE INJ Chloramphenicol
4 COLSANCETINE SYR Chloramphenicol
5 CHLORAMPHENICOL 60 ML SYR Chloramphenicol
6 THIAMPHENICOL 250 MG Thiamphenicol
7 THIAMFENICOL 500 MG Thiamphenicol
8 BIOTHICOL 500 CAP Thiamphenicol
9 BIOTHICOL DRY SYR 60 ML Thiamphenicol

Klas farmakoterapi : 7d -- Makrolid

No Nama Barang Nama Generik


1 ERYTHROMYCIN 250 MG CAPS KF Erythromycin
2 ERYTHROMYCIN 500MG CAPS INF Erythromycin
3 ERYTHROMYCIN DRY SYRUP Erythromycin
4 ERYSANBE CWBL 200 MG 100`S Erythromycin
5 ERYSANBE DRY SYR 60 ML Erythromycin
6 ERYSANBE 500 MG CAPL Erythromycin
7 MEZATRIN 250 MG Azithromycin
8 ZISTIC 500 Azithromycin
9 ZITHROMAX 250 mg tab Azithromycin
10 ZITHROMAX SYR Azithromycin
11 SPIRAMYCIN Spiramycin
12 SPIRASIN TAB 500MG 100`S Spiramycin
13 ABBOTIC DRY SYR Clarithromysin

Klas farmakoterapi : 7e -- Penisilin

Formularium 2010 hal 16


No Nama Barang Nama Generik
1 AMOXICILLIN 500 MG TAB KF Amoxycillin Trihydrate
2 AMOXICILIN 125 MG DRY SYR Amoxycillin Trihydrate
3 AMOXILIN KLAVULANAT Amoxycillin Trihydrate
4 CO-AMOXICLAV Amoxycillin Trihydrate
5 AMOXSAN DRY SYRUP Amoxycillin Trihydrate
6 AMOXSAN 250 MG Amoxycillin Trihydrate
7 AMOXSAN 500 MG Amoxycillin Trihydrate
8 AMOXSAN PAED DROPS Amoxycillin Trihydrate
9 AMOXSAN DRY SYRUP FORTE Amoxycillin Trihydrate
10 CLANEKSI TAB Amoxycillin
Asam Clavulanat
11 CLANEKSI DRY SIR Amoxycillin
Asam Clavulanat
12 SANPICILIN INJ Ampicillin ( Inj : Na )
13 AMPICILLIN 500 MG TAB KF Ampicillin
14 AMPICILIN DRY SYR Ampicillin

Klas farmakoterapi : 7f -- Other Beta Lactams

No Nama Barang Nama Generik


1 PELASTIN IV Imipenem
Cilastatin
2 MEROSAN 0,5 G Meropenem
3 MEROSAN 1 G Meropenem

Klas farmakoterapi : 7g -- Kuinolon

No Nama Barang Nama Generik


1 BAQUINOR 500 MG Ciprofloxacin
2 CIPROFLOXACIN 500 MG Ciprofloxacin
3 NOFLEXIN Pefloxacin
4 OFLOXACIN 200 MG TAB Ofloxacin
5 OFLOXACIN 400 MG Ofloxacin
6 TARIFLOX 400 TAB Ofloxacin
7 CRAVOX 500 MG Levofloxacin
8 CRAVOX INFUS Levofloxacin
9 LEVOCIN SANBE Levofloxacin

Klas farmakoterapi : 7h -- Tetrasiklin

No Nama Barang Nama Generik


1 DOXYCYCLINE CAP KF Doxycycline
2 SICLIDON 100 MG CAPS Doxycycline
3 TETRA SANBE 500 MG CAPS Tetracycline
4 TETRACYCLIN 500 MG Tetracycline

Klas farmakoterapi : 7i -- Antifungal

No Nama Barang Nama Generik


1 KETOKONAZOLE 200 MG TAB Ketokonazole
2 FORMYCO CREAM Ketokonazole
3 KETOKONAZOL CREAM 2 % Ketokonazole
4 DIFLUCAN 150 MG TAB Fluconazole

Formularium 2010 hal 17


5 FUNZELA 150 MG TAB Fluconazole
6 GOVAZOL 150 MG TAB Fluconazole
7 GRISEOFULVIN 125 MG TAB KF Griseofulvin
8 NYMIKO DROP Nystatin
9 MYCOSTATIN Nystatin
10 TRACHON CAP itraconazole

Klas farmakoterapi : 7j -- Anti Bacterial Combinationl

No Nama Barang Nama Generik


1 COTRIMOXAZOL TAB 480 Co-trimoxazole & trimethoprim
2 COTRIMOXAZOL SYR Co-trimoxazole & trimethoprim
3 SANPRIMA F TAB Co-trimoxazole & trimethoprim
4 SANPRIMA SYR Co-trimoxazole & trimethoprim

klas farmakoterapi: 7k--Antibiotik lain

No Nama Barang Nama Generik


1 CLINDAMISIN 150 MG 100`S Clindamycin
2 PROLIC 150 CAPSUL Clindamycin
3 PROLIC 300 CAPSUL Clindamycin
4 MONURIL 1 G Fosfomycin trometerol
5 METRONIDAZOLE TAB metronidazole
6 METRONIDAZOLE INFUS metronidazole
7 FLAGYL SUP 1 G metronidazole
8 FLAGYL SUP 0,5 G metronidazole

Klas farmakoterapi : 8a -- Obat Anti Tuberkolosa

No Nama Barang Nama Generik


1 ETHAMBUTOL 500 MG TAB KF Ethambutol
2 ETHAMBUTOL 250 MG Ethambutol
4 ISONIAZIDE (INH)100 MG TAB KF Isoniazid
5 ISONIAZIDE (INH)300 MG TAB KF Isoniazid
6 TB VIT 6 SYR 225 ML INH
Vit B6
7 TB VIT 6 SYR 110 ML INH
Vit B6
8 SANAZET 500 MG Pyrazinamide
8 PYRAZINAMIDE 500 TAB KF Pyrazinamide
9 RIFAMPICIN 450 MG KAP KF Rifamficin
10 RIFAMPICIN 300 MG Rifamficin
11 RIFAMTIBI 600 Rifamficin
12 RIFAMPICIN 600 MG Rifamficin
13 RIMACTAZID PAED 75/50 Rifamficin
14 RIMCURE PAED Rifamficin
15 RIMSTAR 4-FDC Rifamficin

Klas farmakoterapi : 8c -- Antiamuba

No Nama Barang Nama Generik


1 METRONIDAZOLE 250 MG TAB KF Metronidazole

Formularium 2010 hal 18


2 METRONIDAZOLE 500 MG TAB KF Metronidazole
3 FAGISTIN OVULE Metronidazole
4 FLAGYL SUSP Metronidazole
5 FLAGYL FORTE 500 MG Metronidazole

Klas farmakoterapi : 8d -- Antelmintik

No Nama Barang Nama Generik


1 PYRANTEL 125 MG TAB Pyrantel
2 COMBANTRIN SUSP CARAMEL Pyrantel
3 COMBANTRIN SUSP ORANGE Pyrantel
4 COMBANTRIN 250 MG Pyrantel
5 HELBEN SYR albendazole
6 VERMOX TAB 500 MG 24`S Mebendazole

Klas farmakoterapi : 8f -- Antivirus

No Nama Barang Nama Generik


1 ACYCLOVIR 200 MG Acyclovir
2 ACYCLOVIR 400 MG KF Acyclovir
3 ACYCLOVIR CREAM 5% Acyclovir
4 HERCLOV TAB 500 Valanciclovir Hcl
5 ISOPRINOL TAB Methisoprinol
6 ISOPRINOL SYR Methisoprinol

Klas farmakoterapi : 8g -- Antineoplastik

No Nama Barang Nama Generik


1 CARBOPLATIN EBEWE Carboplatin
2 CISPLATIN EBEWE cisplatin
3 DOXORUBIN INJ EBEWE doxorubin
4 ENDROLIN INJ lexprolite acetate
5 METHOTREXATE LEDERLE 2.5 MG Metrotrexate
6 TAPROS INJ Leuprorelin
7 5-FLUROROURASIL 250 INJ fluorouracil
8 5-FLUROROURASIL 500 INJ fluorouracil

Klas farmakoterapi : 9a -- Preparat Vaginal

No Nama Barang Nama Generik


1 VAGISTIN OVULE Metronidazole
Nystatin
2 FLAGYSTATIN OVULE Metronidazole
Nystatin
3 NAXOGEN COMPLEK TAB 30`S Nimorazole
Chloramphenicol
4 NAXOGIN TAB 250 MG 60`S Nimorazole
5 BETADIN VAGINAL ALAT 100 ML Povidone Iodine
5 LACTACYD VAG +ALAT Lactic Acid
Lactoserum
6 LACTACYD FEMINIME HYGIENE Lactoserum
Lactid Acid
7 LACTACYD GEL Lactoserum

Formularium 2010 hal 19


Lactid Acid
8 CANESTEN SD Clotrimazole

Klas farmakoterapi : 9b -- Antiseptik Saluran Kemih

No Nama Barang Nama Generik


1 UROTRACTIN CAPS 60`S Pipemidic Acid
2 URINEG Nalidic acid

Klas farmakoterapi : 9c -- Obat yang bekerja pada uterus

No Nama Barang Nama Generik


1 METHYLERGOMETRINE TAB Methylergometrine
2 METHERGIN TABLET Methylergometrine
3 METHERGIN INJ 1 ML Methylergometrine
4 MYOMERGIN INJ 1 ML Methylergometrine
5 PYTOGEN INJ Synthetic oxytocin
6 SYNTOCINON AMP1 MLA-10UI Synthetic oxytocin
7 DUVADILAN Isoxsuprine
8 HYSTOLAN Isoxsuprine

Klas farmakoterapi : 9d -- Obat Saluran Kemih Kelamin Gol Lain

No Nama Barang Nama Generik


1 CALCUSOL CAP Sonchi Folium
2 NEPHROLIT KAP Hexamine
Salicylate NA
3 ENATIN Ol Juniperi
Ol Therebintenae
4 PROSTACOM Finasteride
5 BATUGIN ELIXIR 300 ML Ekstr Daun Kejibeling
Ekstr Daun Tempuyung
6 KALKURENAL Ekstr berberidis
Ekstr Rubiae Dest
7 KETOSTERIL Essential Ketoacids
8 URISPAS 200 MG Flavoxate

Klas farmakoterapi : 10a -- Insulin

No Nama Barang Nama Generik


1 LANTUS CARTRIDGE 100 IU Insilin
2 ACTRAPID HM 100 IU/ML X 10 Insilin

Klas farmakoterapi : 10b -- Obat Antidiabetik Oral

No Nama Barang Nama Generik


1 GLIBENCLAMID 5 MG TAB Gibenclamide
2 AMADIAB 1 Glimepiride
3 AMADIAB 2 Glimepiride
4 ANPIRIDE 1 MG Glimepiride
5 ANPIRIDE 2 MG Glimepiride

Formularium 2010 hal 20


6 AMARYL M 1/250 Glimepiride
Metformin
7 AMARYL M 1/500 Glimepiride
Metformin
8 METFORMIN 500MG Metformin
9 DIABEX Metformin
10 DIABEX F Metformin
11 GALVUS TAB Vidagliptin
12 GLUCOPHAGE 500 MG Metformin
13 GLUCOPHAGE 850 MG Metformin
14 GLUCOPHAGE XR Metformin HCL
15 GLUCOBAY 50 MG TAB Acarbose
16 GLUCOBAY 100 MG Acarbose

Klas farmakoterapi : 10c -- Preparat Tiroid

No Nama Barang Nama Generik


1 THYRAX DUOTAB 100 MCG 100`S L-thyroxine Na

Klas farmakoterapi : 10d Antithyroids -- Preparat Tiroid

No Nama Barang Nama Generik


1 NEO MERCAZOLE TAB Carbimazole

Klas farmakoterapi : 10e -- Obat Antihiperlipidemik

No Nama Barang Nama Generik


1 GEMFIBROZIL 300 MG Gemfibrozil
2 LIPITOR 20 MG Atorvastatin Ca
3 LIPITOR TAB 10 MG 30`S Atorvastatin Ca
4 LIPITOR 40 MG 30`S Atorvastatin Ca
5 MODALIM TAB 100 MG 28`S Ciprofibrate
6 SIMVASTATIN TAB 10 MG Simvastatin
7 SIMVASTATIN TAB 5 MG Simvastatin
8 LIPANTHYL SUPRA 160MG Fenofibrate
9 CRESTOR 10 MG Rosuvastatin Ca

Klas farmakoterapi : 10f -- Obat Antiosteoporosis

No Nama Barang Nama Generik


1 BONE-ONE 0.25 Alfacalcidol
2 BONE-ONE 0.5 Alfacalcidol
3 CALCIT Calcitriol
4 ACTONEL 35MG Risedronate Na
5 MIACALCIC 50 MG INJ Syntetic Salmon Calcitonin

Klas farmakoterapi : 11a -- Vitamin A, D, E

No Nama Barang Nama Generik

Formularium 2010 hal 21


1 SANTA E100 Vit E
2 SANTA E 200 Vit E
3 SANTA E 400 Vit E
4 DALFAROL 200 UI Vit E
5 LANTUROL 200 Vit E

Klas farmakoterapi : 11b -- Vitamin B/dengan Vitamin C

No Nama Barang Nama Generik


1 NEUROBION INJ Vit B1 100mg
2 NEUROSANBE TAB VIT B1
Vit B6
3 NEUROSANBE 5000 INJ Vit B1
Vit B6
4 PYRIDOXINE (VIT. B6) 10 mg Vit B6
5 VIT B12 50 MCG Vitamin B12 Tab
6 VIT B1 25 MG VIT B1
7 VIT B1 100 MG SOHO VIT B1
VIT B1
Vitamin B Complex
8 ALINAMIN F TAB Alinamin Fursoltiamine
9 ALINAMIN F INJ 25 MG/10 ML 5`S Alinamin Fursoltiamine

Klas farmakoterapi : 11c -- Vitamin C

No Nama Barang Nama Generik


1 VIT C 100 MG Ascorbic Acid
2 EXTRACE INJ(VIT C INJ) 500 MG Ascorbic Acid
3 EXTRACE INJ(VIT C INJ) 200 MG Ascorbic Acid
4 BIFERCE Ascorbic Acid
5 CEELIN SYR 120 Ascorbic Acid
6 PROBIO C SERUM Ascorbic Acid

Klas farmakoterapi : 11d -- Kalsium/dengan Vitamin

No Nama Barang Nama Generik


1 OSSORAL 200 Ossein Hydroxyapatite
2 CALCIDIN Calcium Hidrogenfosfat
Kalsium Glukonat
3 ELKANA SYR Vit A
Vit D
4 ELKANA tab Vit A
Vit D
Vit D
5 OSTEOCARE SYR 100 ML Ca
Mg
6 OSTEOCARE tab Ca
Mg
7 OSFIT KAPL multivitamin,mineral
8 OSFIT DHA KAPL multivitamin,mineral
DHA
9 OBICAL multivitamin,mineral
10 CAVIT D3 Calcium Hidrogenfosfat

Formularium 2010 hal 22


Kolekalsiferol
11 CALCII GLUCONAS 10 ML INJ Ca Gluconate
12 CAL-95 TAB multivitamin,ca

Klas farmakoterapi : 11e -- Multivitamin dengan Mineral

No Nama Barang Nama Generik


1 CURCUMA PLUS DHA+PREBIOTIK Vit B1
Vitamin B2
2 CURVIT SYRUP 60 ML Kurkumoid
Vit B1
3 BIOSTRUM SYR Colostrum bovine
Vit A
4 BEVIZIL KAPLET ß-Carotine
Vit C
5 SELOXY Betakaroten
VIT C
Selenium
Zinc
Vit E
Vit C
6 MEGAZING TAB Vit E
Vit C
7 CALOMA DHA Cod liver oil
Vit A
Vit B6
8 COLASKIN CAPS Marine Protein extr
Collagen
9 DIABETONE TAB Chromium
Mg
10 FEROGLOBIN SYRUP Ca gylcerophosphate
Copper
Vit B1
11 FEROGLOBIN TAB Ca gylcerophosphate
Copper
Vit B1
12 BECOM C Vit B1 50mg
13 BECOM ZET Vit E 30 iu
14 CAL-95 Vit E 30 iu
15 GERIAVITA Betakaroten
Vit E
Folid Acid
16 ELKANA TAB Calcium Hidrogenfosfat
Calcium Lactate
Multivitamin
17 Theragran M Multivitamin
Ca. Panthothenate
Klas farmakoterapi : 11g -- Vitamin Pediatrik & Mineral

NO Nama Barang Nama Generik


1 APIALYS SYR 100 ML Vit A
Vit D
2 BIOSTRUM SYR Colostrum bovine
DHA
Niacinamida
3 FERLIN DROP Fe

Formularium 2010 hal 23


Vit B1. B6,
Folid Acid

Klas farmakoterapi : 11h -- Elektrolit & Mineral

NO Nama Barang Nama Generik


1 ASPAR - K K-l Aspartat
2 PHAROLIT Na Citrate
Glucose
3 KSR TAB 100`S Kcl
WIDA NS 500 INF NaCl
WIDA RL 500 ML Na Lactate
NaCl
PEDIALYTE SYR (AROMA PERMEN KARENa
K

Klas farmakoterapi : 11i -- Antianemia/Vitamin Masa Hamil & Nifas

NO Nama Barang Nama Generik


1 BIOSANBE multivitamin, mineral
2 ELEVIT multivitamin, mineral
3 IBERET multivitamin, Fe
4 FEROFORT multivitamin, mineral
5 FOLAVIT Folic Acid
6 FOLAMIL Vit B1,mineral
Vitamin B2
7 FOLAMIL GENIO Vit B1,mineral
Vitamin B2
8 HEMOBION TAB multivitamin, mineral
9 IBERET multivitamin, Fe
10 OBIMIN AF multivitamin, mineral
11 OBIPLUZ CAPS multivitamin, mineral
12 SULFAS FERROSUS Ferrous Sulfate
13 EMINETON Fe Fumarate
Cupric Sulfate
14 PREGNACARE TAB ß-Carotene
Vit D
15 VENOFER 100 MG INJ 5 ML Fe ( OH )3 Sucrose Complex
16 PROLACTA WITH DHA MOTHER Natural Fish Oil
DHA
17 PROMAVIT DHA Natural Fish Oil
DHA
18 SANGOBION CAP multivitamin, mineral
19 TIVILAC TAB Vit B12, B1, mineral
20 VENOFER 100 MG INJ 5 ML FE(OH)3 sucrose comp
21 VICA NATAL multivitamin, mineral
22 VITAMAM 1 CAP multivitamin, mineral
23 VITAMAM 2 CAP multivitamin, mineral
24 VITAMAM 3 CAP multivitamin, mineral

Klas farmakoterapi :12a Nutrisi anak-anak

Formularium 2010 hal 24


NO Nama Barang Nama Generik
1 NUTRILON LOW LACTOSE Protein
Karbohidrat
Vitamin
2 NUTRILON ROYAL 1 400GR Protein
Karbohidrat
Vitamin
3 NENATAL 400 GR Protein
Arachidonic acids
4 NUTRILON HYPO - ALLERGENIC Protein
Karbohidrat
Vitamin
5 NUTRILON ANTI REGURGITASI Protein
Karbohidrat
Vitamin
6 NUTRILON PREMATURE Protein
Karbohidrat
Vitamin
7 CERNEVIT VIAL Multivitamin
Folic Acid
8 N MAM INFANCARE Protein
Karbohidrat
Vitamin
9 S 26 Protein
Karbohidrat
Vitamin

Klas farmakoterapi : 12b--nutrisi parenteral /produk nutrisi

NO Nama Barang Nama Generik


1 AN MUM LACTA Protein
Karbohidrat
Vitamin
2 PEPTISOL Protein
Karbohidrat
3 NUTREN FIBRE 400 G
4 NUTREN OPTIMUM 400 G
5 NUTREN DIABET 400 G
6 KALBAMIN INFUS Asam Amino
7 HEPAMERZ INFUS L ornitin L Asaparta

Klas farmakoterapi : 12c--parenteral Nutrition

NO Nama Barang Nama Generik


1 AMINOFLUID INF Amino Acids
Nitrogen

Klas Farmakoterapi :12D Supplement & Terapi Penunjang

NO Nama Barang Nama Generik


1 ASTHIN FORCE KAPS natural asthaxantin
2 BIOSTRUM SYR Colostrum bovine

Formularium 2010 hal 25


Cod Liver Oil
3 BIOCURLAM TAB Curcuma longa Rhizo
omega 3
4 BIOCURLIV Ekstrak Curcuma Longa
Silymarin Phytosome
Schizandrae Fructus
Liquiritae Radix
Choline Bitartrate
Vitamin B6 2 mg.
5 CARNON TAB l-carnitine
6 CHOLESCHOR CAPS Monascus Purpureus
7 COMBES TAB chitosan,garcinia camb,l-carniti
8 chromium pic,co-enzime q
9 CURCUMA Curcuminod
10 EZYGARD TAB Echinacea extr
Zinc picolinate
11 FOLIC ACID folic acid
12 LYCOQ CAP Lycopene
Coenzyme Q10
13 HYRIC eugene polinthae fol
physiais anguanta herb
sonchus arfensis fol
plantago major fol
14 IMUNOS CPLT 20`S Echinacea
Zinc picolinate
15 IM BOOST TAB Echinacea
16 IM BOOST SYR Echinacea
17 IM BOOST FORCE TAB Echinacea
blackberry extrc
18 IM BOOST FORCE SYR TAB Echinacea
blackberry extrc
19 LEGRESKIN TAB extr marine,collagen,vit e
lycopene,leucoselect
20 MATOFLAM KAPL astaxantin,lutei, selenium
21 MATOVIT AX KAPL astaxantin,billberry,selenium
22 OPTIMAX TAB lutein,lycopene,bilbery extr
vit e,vit c,Zn
23 PROCARDIO Crataegi fructus extr 150mg
24 PROSPAN SYR extrc fol ivy kering
25 PROVIGOR Cistanchis herba extr 180mg
26 PROZA SYR Echinacea extr
Zinc picolinate

Klas farmakoterapi : 12E--perangsang nafsu makan

Nama Barang Nama Generik


echinacea,
1 CURMUNOS SYR curcumin,colustrum
lysin,DHA,multivitamin
2 CURVIT SYRUP 60 ML Kurkumoid
Vit B1
Lysin
3 CURVIT CL SYR Kurkumoid
Vit B1
Lysin,dha

Formularium 2010 hal 26


Klas farmakoterapi : 12f -- Obat Antiobesitas

NO Nama Barang Nama Generik


1 DECASLIM 15 MG Sibutramine

Klas farmakoterapi : 13a -- Anti-infeksi & Antiseptik Mata

NO Nama Barang Nama Generik


1 BAQUINOR 0,3% EYE DROP Ciprofloxacin
2 CHLORAMFENICOL ZALP MATA 1% Chloramphenicol
3 CENDO FENICOL 0.5% EYE DROPS Chloramphenicol
4 CENDO FENICOL 0.25% TM Chloramphenicol
5 CENDO FENICOL 1.0% TM Chloramphenicol
6 CENDO FENICOL CR 3.5 G TUBE 1% Chloramphenicol
7 CENDO XITROL TTS MATA 5 ML Dexamethasone
Neomycin Sulfate
8 TARIVID OTIC 5 ML TT X Ofloxacin
9 TERRAMYCIN 1%SM 3.5 G Oxytetracycline

klas farmakoterapi :13 E Eye Antiseptic With Corticosteroid

NO Nama Barang Nama Generik


1 CENDO MYCOS EYE OINT Hidrocortisone acetate 0,5%
2 POLIDEMISIN EYE DROP Dexamethasone
3 TERRA CORTRIL 5 GR Dexamethasone
Neomycin Sulfate

klas farmakoterapi :13 D Mydriatic


Drugs

NO Nama Barang Nama Generik


1 CENDO MYDRIATYL Tropicamide
2 CENDO TROPINE Atropine Sulfate

klas farmakoterapi :13 E Miotic Drugs

NO Nama Barang Nama Generik


1 CENDO CARPINE Pilocarpine HCL

klas farmakoterapi : 13f Glaucoma Preparation


NO Nama Barang Nama Generik
1 CARPINE 1% Pilocarpine

Formularium 2010 hal 27


Klas farmakoterapi : 13g -- Preparat Mata Lain

NO Nama Barang Nama Generik


CENDO PANTOCAIN 0.5% EYE DROPS Tetracaine
1 5 ML
2 CENDO VISION 15ML Tetrahydrazoline Hcl
3 FLAMAR EYE DROP Diclofenac Na
4 RETIFIT KAPLET 100`S ß-Carotine
Vit C
5 CENDO CATARLENT 15 ML CACL2 Anhydrous
K. Lodiate

Klas farmakoterapi : 13h -- Anti-infeksi & Antiseptik Telinga

NO Nama Barang Nama Generik


1 COLME EAR DROPS 8 ML Chloramphenicol
2 ERLAMICETIN TT Chloramphenicol
3 OTOLIN DROP TT 10 ML X Chloramphenicol
4 SAGESTAM E.DROP Gentamycin Sulfate
5 TARIVID OTIC Ofloxacin

Klas farmakoterapi : 13j -- Antiseptik Telinga dengan Kortokosteroid

NO Nama Barang Nama Generik


1 OTOPAIN X Polymyxin B Sulfate
Fludrocortisone Asetate

Klas farmakoterapi : 13K Other Ear Preparation

NO Nama Barang Nama Generik


1 FORUMEN TT Docusate Na

Klas farmakoterapi : 13l -- Preparat Mulut/Tenggorokan

NO Nama Barang Nama Generik


1 FG TROCHES TAB 100`S Gramicidin 0.05 Mg
2 CALDISO TAB troxerutin,sophora japonica
zinc
3 DAKTARIN ORAL GEL Miconazole
4 LEMOCIN TAB tyrothricin,cetrimonium br
lidocain
5 KENALOG IN ORABASE Triamcinolone Asetonide
6 TANTUM VERDE Benzydamine HCl

Klas farmakoterapi : 14a -- Anti-infeksi Topikal

NO Nama Barang Nama Generik


1 CENTABIO Neomycin Sulfate
Ekstr Plasenta
2 BIOPLACENTON JELLY X Ekstr Plasenta
Neomycin Sulfate
3 SAGESTAM CREAM Gentamycin Sulfate
4 BACTODERM 10 GR SK Mupirocin

Formularium 2010 hal 28


5 BACTODERM 5 GR Mupirocin
6 BURNAZIN CREAM Perak Sulfadiazin
7 FUSYCOM 5 GR NA- Fusidat
8 KEMICETIN OINT SK Chloramphenicol
9 OXYTETRACYCLIN ZALP KULIT 3 % Oxytetracycline
10 TERRAMYCIN POLY S.K Oxytetracycline
Polymyxin B Sulfate
11 PK KRISTAL Kalii Permanganat
12 FULADIC CR Fusidic Acid
13 FULADIC OINT Na. Fusidate
14 NEBACETIN POWDER Neomycin Sulfate
Bacitracin

Klas farmakoterapi : 14b -- Anti-infeksi dengan Kortikosteroid Topikal

NO Nama Barang Nama Generik


1 CHLORAMPHECORT 10 GR Chloramphenicol
Hydrocortisone
2 CHLORAMPHECORT H 10 GR Chloramphenicol
Prednisolon
3 BENOSON Betametason
Neomycin Sulfate
4 BETASON N Betametason
Neomycin Sulfate
5 LOTRIDERM CR 5G Clotrimazole
Betametason
6 DIPROSALIC OINT 5 GR Bethamethasone dipropionate
Salicylic acids
7 GENTASOLON Fluosinolon Asetonida
8 THECORT CR Niconazole Nitrate
Hydrocortisone

Klas farmakoterapi : 14c -- Kortikosteroid Topikal

NO Nama Barang Nama Generik


1 APOLAR 0.5 MGCREAM 10 G Desonide
2 BETASON CR 5 GR Betametason Valerat
3 BETASON N CR 5 GR Betametason Valerat
Neomycin Sulfate
4 ELOCON LOTION 10 ML Mometasone furoate
5 ELOX CREAM 5 G Mometasone furoate
6 MOFACORT CREAM Mometasone furoate
7 ELOX CREAM 10 G Mometasone
8 INERSON CREAM 15 GR Desoxymenthasone
9 TOPCORT 10 G CREAM Desoxymenthasone
10 HIDROCORTISON 1% KLB X Hydrocortisone
11 HIDROCORTISON 2,5% INF Hydrocortisone
12 HIDROCORTISON 2,5% KLB X Hydrocortisone
13 KENACORT A CREAM 10 GR Triamcinolone Asetonide
14 IKADERM OINT 10GR Clobetasol propionat
15 IKADERM CREAM 10 G Clobetasol propionat
DESOLEX CREAM 10 GR Desonide
16 KLODERMA CR 5 GR Clobetasol propionat

Formularium 2010 hal 29


Klas farmakoterapi : 14d -- Preparat Akne

NO Nama Barang Nama Generik


1 ZELIRIS CREAM 10 G Azelaic Acid
2 VITACID CREAM 0.05% 20 GR Retinoic Acid
3 VITACID CREAM 0.025% Retinoic Acid
4 VITACID CREAM 0.1% 20GR Retinoic Acid
5 VITACID GEL 0.025% 20GR Retinoic Acid
6 BENZOLAC 2.5% 5 GR Benzoylperoxide
7 BENZOLAC 5 % 5 GR Benzoylperoxide
8 BENZOLAC CL 10GR Benzoylperoxide
9 DIANE 35 Ethinyloestradiol
10 NIACEF CR TUBE Nicotinamide
11 MEDI-KLIN GEL 15 GR Clindamycin phosphate

Klas farmakoterapi : 14e -- Antiseptik & Desinfektan

NO Nama Barang Nama Generik


1 ALBOTHYL CONCENTRATE Policresulen
2 PERHIDROL H2O2
3 POVIDON IODINE Povidon Iodine
4 CIDEZYME ENZYME
5 CHLORHEX Chlorhexidine
Povidon Iodine

Klas farmakoterapi : 14f -- Kasa Steril Mengandung Obat

NO Nama Barang Nama Generik


1 DARYANT TULLE STERILE GZ Framycetin Sulfate
2 LOMATULL Framycetin Sulfate

Klas farmakoterapi : 14g -- Fungisida & Antiparasit Topikal

NO Nama Barang Nama Generik


1 MICONAZOLE Miconazole
2 DAKTARIN DIAPER CR 10G Miconazole nitrate
Zn oxide
3 KETOKONAZOLE CR Ketokonazole
4 FUNGASOL SS 1 % Ketokonazole
5 FORMYCO CR Ketokonazole
6 FUNGASOL CREAM 10 GR Ketokonazole
7 LOTREMIN SOL 10ML Clotrimazole
8 LOTREMIN CR 5 GR Clotrimazole
9 TROSYD 1 % CREAM 10 GR Tioconazole
10 TROSYD 1% POWDER 30 GR Tioconazole
11 MYCOSPOR CREAM 5 GR Bifonazole
12 EXODERIL CR 5 G TUBE Naftifine Hcl

Formularium 2010 hal 30


13 MYCO-Z OINT Nystatin

Klas farmakoterapi : 14h -- Psoriaris, Seboroik & Iktiosis & Dandruff

NO Nama Barang Nama Generik


1 NIZORAL SS 1% Ketokonazole
2 NIZORAL SS 2% Ketokonazole

Klas farmakoterapi : 14k -- Pelindung Kulit

NO Nama Barang Nama Generik


1 BIOMOIST AHA
Vit E
Squalan
2 LACTACYD LIQ BIRU 60 ML Lactic Acid
Lactoserum
3 PABANOX CREAM 20 GR Pdimate
Oxybenzone
Titanium Dioxyde
4 PARASOL CREAM 20 GR Titanium Dioxyde
Oxybenzone
Paba
Lanolin
5 PARASOL 30 LOT Ethylhexyl-methoxycinnamate
6 PARASOL CREAM SPF 33 Ethyhexyl-methoxycinname
Oxybenzone
7 SOFT U DERM FORTE CR 10% Carbamide

Klas farmakoterapi : 14m -- Analgesik & Anti-inflamasi Topikal

NO Nama Barang Nama Generik


1 FELDEN GEL 0.5% Piroxicam
2 VOLTAREN EMULGEL1%20G TUBE Diclofenac NA
3 LAFALOS CREAM Menthol
Eugenol

Klas farmakoterapi : 14n -- Preparat Dermatologikal Lain

NO Nama Barang Nama Generik


1 DECUBAL CREAM Lanolin Anhidrat
Isopropil Myristat
2 MADECASSOL CREAM Ekstrak Centella Asiatica
3 DELSORALEN CAIR 10 ML Methoxsalen
4 REGROU SOLUTION 30 ML Minodixil
5 MEDERMA DOUBLE ACT Copalin extr
Allantion
6 MADECASSOL POWD Asiatic acid
Madecassic acid
7 BEPANTEN Panthenol

Formularium 2010 hal 31


8 MUSTELA Copalin extr
9 NOVELAS LOT EDTA, vit e, allantoin,carbopol
Allantion, ol olivarum

Klas farmakoterapi : 14o-- Pelindung & Perawatan Kulit

NO Nama Barang Nama Generik


PHA FACIAL CLS NEOSTRATA Polihidroxy Acid
PHA RENEWAL CREAM NEOSTRATA Polihidroxy Acid
PHA LIP CONDITIONER NEOSTRATA Polihidroxy Acid
PHA EYE CREAM NEOSTRATA Polihidroxy Acid
AHA SMOOTHING CREAM NEOSTRATA Alfahidroxy Acid
AHA SMOOTHING LOTION NEOSTRATA Alfahidroxy Acid
AHA DAY TIME SMOOTHING CREAM NE Alfahidroxy Acid
AHA SKIN LIGHTENING GEL Alfahidroxy Acid
BIONIC FACE CREAM NEOSTRATA Lactobionic Acid

Klas farmakoterapi : 15a -- Anestesi Lokal & Umum

NO Nama Barang Nama Generik


1 LIDOKAIN INJ 2% Lidocaine
2 PEHACAINE INJ Lidocaine
3 ISOFLURANE Isoflurane
4 FORANE INH 250 ML Isoflurane
5 KETALAR 100MG INJ Ketamine Hcl
6 MARCAIN 0.5% HVY 4 ML 5`S Bupivacaine Hcl
7 MARCAIN 0.5% PDF 20 ML 5`S Bupivacaine Hcl
8 MILOSZ INJ Midazolam
9 DORMICUM INJ Midazolam
10 HALOTHANE Halothane
11 TRACHIUM INJ Atracurium
12 ETHYL CHLORIDE Ethylchloride
13 EMLA CR 5 GR Lidocaine
Prilocaine
14 FRESOFOL INJ Propofol
15 SEVOFLURANE INJ sevoflurane

Klas farmakoterapi : 17a -- Antihistiman & Antialergi

NO Nama Barang Nama Generik


1 RYZEN TAB Cetirizine HCL
2 OZEN DROPS 12 ML Cetirizine Hcl
3 CERINI KAPLET 20`S Cetirizine HCL
4 TIRIZ DROP Cetirizine HCL
5 TIRIZ TAB Cetirizine HCL
6 TIRIZ SYR Cetirizine HCL
7 DEXTROMETHORPAN TAB KLNG 1000`SDextromethorpan
8 DEXTAMINE TAB Dexamethasone
Dexchlorpheniramine maleate
Dexchlorpheniramine

Formularium 2010 hal 32


9 CELESTAMIN SYR 30 ML Betametason
Dexchlorpheniramine
10 OCUSON TAB Betametason
Dexchlorpheniramine
11 NILACELIN SYRUP Betametason
12 HEPTASAN 4 MG Siproheptadine HCL
13 TELFAS O.D 120 MG TAB Fexofenadine HCL
14 AERIUS SYR Desloratadine
15 AERIUS TAB Desloratadine
CHLORPHENIRAMINE 4 MG TAB KF Chlorpheniramine Maleate 2.5
16 M
17 AVIL INJ Pheniramine hydrogen maleate
18 AVIL TAB Pheniramine hydrogen maleate
19 HISTAPAN 50 MG TAB Mebhydrolin Napadisylate

Klas farmakoterapi : 17b. Vaksin, Antisera, Immunologis

NO Nama Barang Nama Generik


1 VAKSIN HAVRIX Vaksin Hepatitis A
2 VAKSIN BCG Vaksin BCG
3 VAKSIN CAMPAK Vaksin Campak
4 VAKSIN CERVARIX
5 VAKSIN DPT Vaksin Campak
6 VAKSIN ENGERIK ADULT Vaksin Hepatitis B
7 VAKSIN ENGERIK PAED Vaksin Hepatitis B
8 VAKSIN TWINRIX Vaksin Hepatitis A+B
9 VAKSIN INFANRIX (DPT ASELULER) Vaksin DPT Aseluler
10 VAKSIN INFANRIK HIB Vaksin DPT Aseluler
11 VAKSIN TETRAC HIB Vaksin Tetanus
12 VAKSIN VARILRIX Vaksin Varicella
13 VAKSIN PEDIACEL
14 VAKSIN POLIO Vaksin Polio
15 VAKSIN TRIMOVAX ( MMR II ) Vaksin rubella
Measles
16 VAKSIN TT Vaksin TT
17 VAKSIN TYPERIX Vaksin thypoid
18 VAKSIN HIBERIK Vaksin influenza
19 VAKSIN FLUARIX Vaksin influenza
20 VAKSIN PREVENAR PFS 0,5 ML Vaksin Complete

Klas Farmakoterapi 17C Immunosuppressants

NO Nama Barang Nama Generik


MYFORTIC TAB Ciclosporin

KLAS Farmakoterapi --19 Intravenous & Other Sterile Solution

NO Nama Barang Nama Generik


OTSU D5 1/4 NS 500 ML dextrose
Dextrose 5% dextrose Monohydrate
OTSU NS 500 CC/PLSTK NaCl
OTSUTRAN 40 Dextran
NaCl

Formularium 2010 hal 33


Wida NS Nacl
Wida RL NaCl
Wida D5 NaCl
Glucose
Asering Na
Acetate
Ca
HAES STERIL Hydroxyethyl starch
Voluven 6% Hydroxyethyl starch
Martos 10 Injection Maltose

Formularium 2010 hal 34


Klas farmakoterapi : 20 --Albumin

NO Nama Barang Nama Generik


Cealb Albumin

Formularium 2010 hal 35


Nama Pabrik
Kimia Farma

Kimia Farma

Parke davis

Nicholas

Nicholas

Nicholas

Nicholas

Sanbe farma
Kimia Farma
Kimia Farma
Sanbe farma
Sanbe farma
Interbat
Interbat s
Kalbe farma
Kalbe farma s
Kimia Farma
Kimia Farma
Dexa Medika s
Kimia Farma
Combiphar pharmaceutical
Sanbe farma s
Takeda s
Ethica
Pharos Indonesia
Pharos Indonesia
Pharos Indonesia
Indo farma PT
Indo farma PT
Eisai Indonesia PT

Pfizer / pharmacia
Combiphar pharmaceutical s
Otsuka
Ikapharmindo
Fahrenheit
Combiphar pharmaceutical

Formularium 2010 hal 36


Nama Pabrik
Indo farma PT
Lapi
pharos
Sanbe farma
Dexa Medica
Dexa Medica
Dexa Medica
Sanbe/A Menarini s
Dexa Medica
Soho industri Farmasi
Soho industri Farmasi
Fahrenheit
Darya varia
Darya varia
Bernofarm

Nama Pabrik
Kimia Farma
Sanbe farma

Boehringer ingelheim PT
Boehringer ingelheim PT

Boehringer Ingelheim
Ethica
Kimia Farma s
Nicholas s

Nama Pabrik
Dankos
Phytichemindo Reksa s

Kimia Farma

Combiphar pharmaceutical
Novell
Lapi
Sanbe farma
Medifarma lab
Sanbe farma

Combiphar pharmaceutical
Afifarma

Nama Pabrik

Formularium 2010 hal 37


Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
Pharos Indonesia
Ikapharmindo
Galenium

Nama Pabrik
Sanbe farma

Interbat
Interbat
Solvay Pharmaceutical s

Nama Pabrik
Landson

Darya varia
Darya varia

Tropica

Soho s

Lapi s

Combiphar pharmaceutical
Combiphar pharmaceutical
OTTO
Transfarama s

Sanbe s

Nama Pabrik

Formularium 2010 hal 38


Lapi
Scheering AG

Scheering AG

Medikon
galenium

Prima Hexal s

Servier

Kalbe Farma
Takeda

Takeda

Nama Pabrik
Indofarma PT
Dexa Medica
Sanofi PT s
Kimia Farma
Fahrenheit
Fahrenheit

Nama Pabrik
Indofarma PT
Darya varia s
Boehringer ingelheim PT s
Kimia Farma

Nama Pabrik
Sanbe farma s
Sanbe farma s
Indofarma PT
Abbott PT
Kimia Farma

Nama Pabrik
Kimia Farma
Kimia Farma

Formularium 2010 hal 39


Nama Pabrik
Kimia Farma
Bayer Farma Indonesia
Bayer Farma Indonesia
Pfizer
Pfizer
Soho
Lapi
Lapi
Sanbe s
Sanbe s
Indofarma PT

Nama Pabrik
Takeda Indonesia s
Takeda Indonesia s
Novartis

Sanofi-Synthelabo
Sanofi-Synthelabo

Kimia Farma
Boehringer ingelheim PT
Boehringer ingelheim PT s

Nama Pabrik
Indofarma PT
Boehringer Ingelheim
Actavis

Nama Pabrik
Kimia Farma
Sanbe farma
aventis
Hoechst marion roussel
Servier s
Otto
Otto
Kimia Farma

erebral

Formularium 2010 hal 40


Nama Pabrik
Janssen-Cilag s
Guardian Pharmatama
Kimia Farma
Landson
Landson
Bernofarm
Bernofarm
Beafour ipsen

Nama Pabrik
Soho industri Farmasi

Novartis

Nama Pabrik
Tanabe Abadi s
Kalbe Farma
Kalbe Farma
Sanbe
Kimia Farma
Kimia Farma
Corsa / Om Pharma s
Corsa / Om Pharma s

Fibrinolitik

Nama Pabrik
Fahrenheit
Pharos Indonesia
Pharos Indonesia
Uap
Sanofi-Synthelabo
Otsuka s
Fahrenheit

Nama Pabrik
Servier

Landson

Corsa
Corsa
Teguhsindo Lestaritama PT s

Formularium 2010 hal 41


Kalbe farma
Tunggal Idaman Abadi

Tunggal Idaman Abadi

Nama Pabrik
Servier

Nama Pabrik
Roche s

Nama Pabrik
Corsa
Dankos Laboratories PT
Phapros

Mega Life
Mega Life
Corsa

Nama Pabrik
Kimia Farma
Kimia Farma
Lapi
Lapi

Lapi
Fahrenheit

Glaxo Wellcome Indonesia


Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia
Dankos Laboratories PT
Dankos Laboratories PT
Glaxo Wellcome Indonesia
Kalbe farma
Kalbe farma
Boehringer ingelheim PT
Boehringer ingelheim PT
Ethica

Formularium 2010 hal 42


Kimia Farma
Ethica
Glaxo Wellcome Indonesia

Glaxo Wellcome Indonesia

Astra Zeneca
Novell
Novell
Novell
Otsuka
Otsuka
Boehringer ingelheim PT
Corsa / Sanofi-synthelabo

Nama Pabrik
Sanbe farma

Sanbe farma

Novartis PT

Novartis PT

Astra Zeneca

Lapi

Lapi

Lapi

Dexa Medica

Dexa Medica

Dexa Medica

Novartis

Sanbe farma s

Interbat
Interbat
Interbat
Kimia Farma
Kimia Farma
Sanbe farma
Sanbe farma
Boehringer ingelheim PT
Boehringer ingelheim PT
Sanbe farma
Sanbe farma

Formularium 2010 hal 43


Combiphar pharmaceutical

Kimia Farma
Kimia Farma
Pharos Indonesia
Pharos Indonesia
Sanbe farma

Kimia Farma

Lapi

Asta Medica

Asta Medica

Sanbe farma

Dexa Medica
Dexa Medica

Combiphar pharmaceutical
Kimia Farma
Kimia Farma
Kimia Farma

Nama Pabrik
Novartis PT
Aventis Pharma
sceering
GlaxcSmithKline

Nama Pabrik
Tropica

Nama Pabrik
Combiphar Pharmaceutical
Roche
Roche
Bernofarm

Formularium 2010 hal 44


Novell
Novell
Meprofarm

Janssen-Cilag
Kimia Farma
Aventis
Aventis Pharma
Aventis Pharma
Kimia Farma
Sanbe farma
United American
Sanbe farma
Sanbe farma
Sanbe farma
Phapros
Kimia Farma
Pharos Indonesia
Pharos Indonesia
Bristol Myer-Squibb
Alpharma PT

Dexa Medica

Pharos Indonesia
Pharos Indonesia
Sanbe farma
Sanbe farma
Indofarma PT
Indofarma PT
Kimia Farma
Pharos Indonesia / Grunenthal
Merck Indonesia

Sanbe farma

Sanbe farma

Janssen-Cilag

Nama Pabrik
Aventis Pharma
Indo farma
Dexa Medica
Dexa Medica
Novartis PT
Novartis PT

Formularium 2010 hal 45


Combiphar pharmaceutical
Sanbe farma
Sanbe farma
Sanbe farma
Combiphar pharmaceutical
Novartis PT
Dexa Medica
Dexa Medica
Dexa Medica
Meprofarm
Glukosamin HCl 500 mg, Kondroitin Sulfat 40
Soho

Soho

Kalbe farma
Pfizer
Combiphar pharmaceutical
Pharos
Dipa Pharmalab
Takeda
Bernofam

Nama Pabrik
Indofarma PT
Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia
Fahrenheit

Nama Pabrik
Kimia Farma
Kimia Farma
Indofarma PT
Sanbe farma
Sanbe farma
Dumex Alpharma Indonesia
Dumex Alpharma Indonesia
Guardian Pharmatama
Guardian Pharmatama
Guardian Pharmatama
Hoechst marion roussel
Kimia Farma

Formularium 2010 hal 46


Nama Pabrik
Kimia Farma
Kimia Farma
Indofarma PT
Pharos Indonesia / Glaxo Smith Kline

Nama Pabrik
Takeda Indonesia

Nama Pabrik
Soho industri Farmasi
Soho industri Farmasi
Ikapharmindo Putramas
Indofarma PT
Pfizer Inonesia, Tbk

Nama Pabrik
Indofarma PT

Sanofi Aventis
Transfarma
Ely Lilly

Nama Pabrik
Sanbe farma

Merck Indonesia

Merck Indonesia

Lapi
Lapi

Lapi
Lapi
Eisai Indonesia PT
Servier

Formularium 2010 hal 47


Dexa Medica
Dexa Medica
Dexa Medica
Guardian pharmatama
Guardian pharmatama
Pharmacia

Meprofarm

Nama Pabrik
Kimia Farma
Darya varia

Dexa Medica

Fahrenheit

Eisai Indonesia PT
Indofarma
Indofarma
Pharos
Sanbe
Interbat
Interbat
Interbat
Interbat
Roche
Schering
Zambon
Zambon

Nama Pabrik
Indofarma PT
Novartis

Nama Pabrik
Sanbe farma
Eisai Indonesia PT
Lapi
Novartis PT
Combiphar pharmaceutical
Glaxo Smith Kline

Nama Pabrik

Formularium 2010 hal 48


Valeant/Combiphar

Nama Pabrik
Organon Indonesia
Sanofi-Synthelabo

arat Sintetikny

Nama Pabrik
Organon Indonesia
Phapros
Organon Indonesia
Organon Indonesia
Sanbe farma
Kalbe farma
Sanbe farma
Organon Indonesia
Sunthi sepuri
Pfizer Inonesia, Tbk
Solvay Pharmaceuticals
Sunthi sepuri / Wyeth-Ayerst

Schering AG

Nama Pabrik
Darya varia
Sanbe farma
Sanbe farma
Kimia Farma
Dexa Medica
Dexa Medica
Dexa Medica
Lapi
Lapi
Lapi
Sanbe farma
Ethica
Ethica
Bristol Myer-Squibb
Bristol Myer-Squibb
Dexa Medica
Novell
Novell

arat Sintetiknya

Nama Pabrik
Sanbe farma
Kalbe farma

Formularium 2010 hal 49


Dipa Pharmalab Intersains

Organon
Novartis

Nama Pabrik

Darya varia
Darya-Varia /Bionorico

Nama Pabrik
Upjohn Ind PT
Tunggal Idaman Abadi

Nama Pabrik
Scering AG

Organon
Scering AG

Nama Pabrik
Scering AG
Kimia Farma
Kalbe farma

Nama Pabrik
Sanbe farma
Sanbe farma

Nama Pabrik
Sanbe farma
Sanbe farma
Sanbe farma
Kimia Farma

Formularium 2010 hal 50


Kimia Farma
Lapi
Fahrenheit
Sanbe farma
Combiphar pharmaceutical
Sanbe farma
Sanbe farma
Sanbe farma
Soho
Sanbe farma
Kalbe Farma
Novell
Pharos
Astellas
Indofarma PT
Bristol-Myers Squibb
Dexa Medica
Sanbe farma
Lapi
Sanbe farma
Sanbe farma

Nama Pabrik
Sanbe farma
Sanbe farma
Sanbe farma D
Sanbe farma
Kimia Farma
Kimia Farma
Kimia Farma
Sanbe farma
Sanbe farma

Nama Pabrik
Kimia Farma
Indofarma PT
Indofarma PT
Sanbe farma
Sanbe farma
Sanbe farma
Sanbe farma
Bernofarm
Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Indofarma PT
Sanbe farma
Abboth

Formularium 2010 hal 51


Nama Pabrik
Kimia Farma
Kimia Farma
Indofarma PT
Indofarma PT
Sanbe farma
Sanbe farma
Sanbe farma
Sanbe farma
Sanbe farma
Sanbe farma

Sanbe farma

Sanbe farma
Kimia Farma
Kimia Farma

Nama Pabrik
Sanbe Farma

Sanbe Farma
Sanbe Farma

Nama Pabrik
Sanbe farma
Indofarma PT
Novell
Indofarma PT
Dexa Medica
Lapi
Lapi
Lapi
Sanbe farma

Nama Pabrik
Kimia Farma
Sanbe farma
Sanbe farma
Kimia Farma

Nama Pabrik
Indofarma PT
Sanbe farma
Dexa Medica
Pfizer

Formularium 2010 hal 52


Darya Varia
Guardian
Kimia Farma
Sanbe farma
Bristol-Myers Squibb
Bernofarm

Nama Pabrik
Indo Farma
Indo Farma
Sanbe farma
Sanbe farma

Nama Pabrik
Dexa medica
Sanbe farma
Sanbe farma
Zambon
Indo Farma
Indo Farma
Sanofi aventis
Sanofi aventis

Nama Pabrik
Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma
Meprofarm

Meprofarm

Sanbe farma
Kimia Farma
Kimia Farma
Kimia Farma
Sanbe farma
Indo Farma
Sandoz
Sandoz
Sandoz

Nama Pabrik
Kimia Farma

Formularium 2010 hal 53


Kimia Farma
Combiphar Pharmaceutical
Aventis Pharma
Aventis Pharma

Nama Pabrik
Kimia Farma
Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Jansseen PT

Nama Pabrik
Indofarma PT
Hexpharm
Indofarma PT
Glaxo Wellcome Indonesia
Novell
Novell

Nama Pabrik
Ferron
Ferron
Ferron
Kalbe Farma
Lederle
Takeda
Ferron
Ferron

Nama Pabrik
Combiphar Pharmaceutical

Aventis

Kalbe farma

Kalbe farma
Mahakam Beta Farma
Sanofi-Synthelabo

Sanofi-Synthelabo

Sanofi-Synthelabo

Formularium 2010 hal 54


Bayern

Nama Pabrik
Sanbe farma
Kalbe farma

Nama Pabrik
Kimia Farma
Novartis PT
Novartis PT
Ethica
Ethica
Novartis
Solvay Pharmaceuticals
Dexa Medica

ol Lain

Nama Pabrik
Abbott PT
Bintang Toedjoe

Novell

Combiphar Pharmaceutical
Kimia Farma

Darya Varia

Ikhapharmindo
Indofarma PT

Nama Pabrik
Aventis Pharma
Novo Nordisk

Nama Pabrik
Indofarma PT
lapi
lapi
Sanbe Farma
Sanbe Farma

Formularium 2010 hal 55


Sanofi

Sanofi

Dexa Medica
Combiphar Pharmaceutical
Combiphar Pharmaceutical
Novartis
Merck Indonesia
Merck Indonesia
Merck Indonesia
Bayer Farma Indonesia
Bayer

Nama Pabrik
Abbott PT

Nama Pabrik
Nicholas

Nama Pabrik
Indofarma PT
Warner Lambert Ind PT
Pfizer Inonesia, Tbk
Pfizer
Fahrenheit
Dexa Medica
Dexa Medica
Fournier
Astra Zeneca

Nama Pabrik
Dipa Pharmalab Intersains
Dipa Pharmalab Intersains
Phapros
Aventis Pharma
Novartis

Nama Pabrik

Formularium 2010 hal 56


Sanbe farma
Sanbe farma
Sanbe farma
Darya varia
Landson

Nama Pabrik
Merck
Sanbe farma

Sanbe farma

Kimia Farma
Kimia Farma
Kimia Farma
Soho industri Farmasi
Soho industri Farmasi

Takeda Indonesia
Takeda Indonesia

Nama Pabrik
Soho industri Farmasi
Ethica
Ethica
Sanbe Farma
Medifarma
Ikapharmindo

Nama Pabrik
Dexa medica
Landson

Sanbe farma

Sanbe farma

Vitabiotics

Vitabiotics

Kalbe Farma
Kalbe Farma

Darya Varia
Merck Indonesia

Formularium 2010 hal 57


Ethica
Lapi

Nama Pabrik
Soho industri Farmasi

Soho industri Farmasi

Lapi

Sanbe farma

Dexa Medica

Lapi

Novell Pharma

Ethica

Vitabiotics

Vitabiotics

Vitabiotics

Sanbe Farma
Sanbe Farma
Lapi
Phapros

Sanbe farma

Bristol Myers Squibb

Nama Pabrik
Lapi

Lapi

Pediatrica

Formularium 2010 hal 58


Nama Pabrik
Tanabe Abadi
Pharos Indonesia

Merck Indonesia
Widatra Bhakti
Widatra Bhakti

Abbott

l & Nifas

Nama Pabrik
Sanbe farma
Roche
Abbot
Kalbe farma
Sanbe farma
Dexa Medica

Dexa Medica

Merck Indonesia
Abbot
Medifarma lab
Darya Varia
Kimia Farma
Dankos

Vitabiotics

Vifor
Novell

Lapi

Nicholas
Combiphar parmaceutical
Armoxindo Farma
Novell
Novell
Novell

Formularium 2010 hal 59


Nama Pabrik
Nutricia

Nutricia

Abbott

Nutricia

Nutricia

Nutricia

Kalbe farma

Fontera

Wyeth

si

Nama Pabrik
Fontera

Kalbe farma

Nestle
Nestle
Nestle
Kalbe farma
Combiphar Pharmaceutical

Nama Pabrik
Otsuka

Nama Pabrik
Soho
Lapi

Formularium 2010 hal 60


Soho

Soho

Ethica
Meprofarm

Soho
Promed

kimia farma
Meprofarm

Interbat

Lapi

Soho
Soho
Soho

Soho

Soho
Soho
Ferron

Meprofarm
Transfarama Medica
Meprofarm
Landson

Nama Pabrik
Pratapa Nirmala

Soho industri Farmasi

Soho industri Farmasi

Formularium 2010 hal 61


Nama Pabrik
Harsen

Nama Pabrik
Sanbe farma
Kimia Farma
Cendo
Cendo
Cendo
Cendo
Cendo

Kalbe farma
Pfizer

Nama Pabrik
Cendo
Sanbe farma
Sanbe farma

Nama Pabrik
Cendo
Cendo

Nama Pabrik
Cendo

Nama Pabrik
Cendo

Formularium 2010 hal 62


Nama Pabrik

Cendo
Cendo
Sanbe farma
Sanbe farma

Cendo

ga

Nama Pabrik
Interbat PT
Erela
Interbat PT
Sanbe farma
Kalbe Farma

okosteroid

Nama Pabrik
Abbott PT

Nama Pabrik
Sanbe Farma

Nama Pabrik
Meiji Indonesia
Soho

Jansseen PT
Novartis

Bristol-Myers Squibb
Soho

Nama Pabrik
Sanbe farma

Kalbe farma

Sanbe farma
Ikapharmindo

Formularium 2010 hal 63


Ikapharmindo
Darya varia
Combipar Pharmateucical
Carlo Erba
Indofarma PT
Pfizer Inonesia, Tbk

Nellco Indonesia
Guardian Pharmatama
Guardian Pharmatama
Pharos

roid Topikal

Nama Pabrik
Kimia Farma

Kimia Farma

Bernofarm

Bernofarm

Abbott PT

Schering-Plough

Ikapharmindo
Guardian Pharmatama

Nama Pabrik
Dumex Alpharma Indonesia
Kimia Farma
Kimia Farma

schering Plough Indonesia


Guardian Pharmatama
SDM Lab
guardian pharmatama
Interbat PT
Sanbe farma
Kalbe farma
Indofarma PT
Kalbe farma
Bristol-Myers Squibb
Ikapharmindo
Ikapharmindo Putramas
SDM Lab
SDM Lab

Formularium 2010 hal 64


Nama Pabrik
Sanbe farma
Surya Dermato Medica Lab
Surya Dermato Medica Lab
SDM lab
SDM lab
Surya Dermato Medica Lab
Surya Dermato Medica Lab
SDM lab
Schering
SDM lab
SDM lab

Nama Pabrik
Pharos Indonesia
Brataco Chemika
Brataco Chemika
Johnson
peter

Nama Pabrik
Darya varia
Pharos Indonesia

al

Nama Pabrik
Kimia Farma
Jansseen PT

Dexa medica
Guardian Pharmatama
Sanbe farma
Guardian Pharmatama
schering Plough Indonesia
schering Plough Indonesia
Pfizer Inonesia, Tbk
Pfizer
Bayer Farma Indonesia
Sandoz

Formularium 2010 hal 65


Bristol-Myers Squibb

& Dandruff

Nama Pabrik
Jansseen PT
Jansseen PT

Nama Pabrik
Ikapharmindo Putramas

Sanofi-Synthelabo

Surya Dermato Medica Lab

Surya Dermato Medica Lab

SDM Lab
SDM Lab

Yupharin

pikal

Nama Pabrik
Pfizer Inonesia, Tbk
Novartis PT
Sanbe farma

Nama Pabrik
Nellco Indonesia

Corsa
Darya varia
Surya Dermato Medica Lab
Combiphar/ Merz

Corsa

Roche

Formularium 2010 hal 66


Combiphar
Solas

Nama Pabrik
Neostrata
Neostrata
Neostrata
Neostrata
Neostrata
Neostrata
Neostrata
Neostrata
Neostrata

Nama Pabrik
Indofarma PT
Phapros
Dexa Medica
Abbott
Pfizer
Astra Zeneca
Astra Zeneca
Novell Pharma
Roche Indonesia PT
Asta Medica
Combipar Pharmateucical
Kimia Farma
Astra Zeneca

Ikapharmindo
Abbott

Nama Pabrik
Kenrose Indonesia
Pharos Indonesia / Solco
Sanbe farma
Lapi
Lapi
Lapi
Phapros
Phapros

Formularium 2010 hal 67


schering Plough Indonesia

Sanbe farma

Nicholas
Sanbe farma
Hoechst marion roussel
Schering-Plough
Schering-Plough
Kimia Farma

Aventis Pharma
ogen maleate
Sanbe farma

Nama Pabrik
GlaxoSmithKline
Biofarma
Biofarma
GlaxoSmithKline
Biofarma
GlaxoSmithKline
GlaxoSmithKline
GlaxoSmithKline
Aventis pasteur

Aventis pasteur

Biofarma
Aventis pasteur
GlaxoSmithKline
Biofarma
GlaxoSmithKline
GlaxoSmithKline
GlaxoSmithKline
Sanofi Pasteur

Nama Pabrik
Novartis

Nama Pabrik
Otsuka
Euro-Med
Otsuka
Otsuka

Formularium 2010 hal 68


Widatra Bhakti
Widatra Bhakti
Widatra Bhakti

Otsuka

B Braun
Fresenius Kabi
Otsuka

Formularium 2010 hal 69


Nama Pabrik
Meiji

Formularium 2010 hal 70


mg, Kondroitin Sulfat 400 mg, 50 mg, Magnesium 10 mg, Seng 5 mg, Mangan 0,5 mg.

Formularium 2010 hal 71


1a -- Antisida, Antiulserasi

NO Nama Barang Nama Generik Nama Pabrik


ANTASID DOEN 400 mg TAB KF Mg(oh)2 mg Kimia Farma
Al (OH)3 200 Mg
ANTASID DOEN SYRUP 60 ML mg(oh)2 Kimia Farma
Al (OH)3 200 Mg
MYLANTA TAB Al (OH)3 200 Mg Parke davis
mg(oh)2
Simethicone 20 Mg
POLYCROL F SIR TAB Al (OH)3 200 Mg Nicholas
Simethicone 20 Mg
ACRAN INJ Ranitidine Hcl Sanbe farma
RANITIDIN 150 MG TAB KF Ranitidine Hcl Kimia Farma
ACRAN TAB Ranitidine Hcl Sanbe farma
ZANTAC INJ Ranitidine Hcl GLAXO WELLCOME INDONESIA
ULSIKUR INJ Cimetidine Kalbe farma
CIMETIDINE 200 MG Cimetidine Kimia Farma
OMEPRAZOL 20 MG Omeprazole Kimia Farma
COMPRAZ 30 MG Lansoprazole Combiphar pharmaceutical
PANTOZOL 40 MG TAB Pantoprazole Pharos Indonesia
PANTOZOL INJ Pantoprazole Pharos Indonesia
PANTOZOL 20 MG TAB Pantoprazole Pharos Indonesia
FAMOTIDIN Famotidine Indo farma PT
STROCAIN P TAB Polymigel Eisai Indonesia PT
Oxethazine
CYTOTEC Misoprostol Pfizer / pharmacia
MUCOSTA TAB 100MG Rebamipide Otsuka
ULSAFATE SYR Sukraflat Combiphar pharmaceutical

1b -- Regulator GIT, Antiflatulen & Anti-inflamasi

Nama Barang Nama Generik Nama Pabrik


VOSEDON SUSP Domperidone Sanbe farma
VOMETA TAB Domperidone Dexa Medica
VOMETA DROPS 5 MG / 10 ML Domperidone Dexa Medica
VOMETA 1 MG SYRUP 60 ML Domperidone Dexa Medica
DAMABEN TAB 100`S Metoclorpramide Sanbe/A Menarini
METOCLOPRAMIDE 10 MG Metoclorpramide Dexa Medica
SOTATIC INJ 2 ML Metoclorpramide Fahrenheit
BUDENOFALK Budesonide Darya varia
TOMIT INJ Metoclorpramide Interbat

1c -- Antipasmodik

NO Nama Barang Nama Generik Nama Pabrik


PAPAVERIN 40 MG TAB INF Papaverin Kimia Farma
BRAXIDIN Clordiazepoxide, Sanbe farma
Clidinium Bromide
BUSCOPAN TAB Hyoscine Butylbromide Boehringer ingelheim PT
BUSCOPAN PLUS TAB Paracetamol Boehringer ingelheim PT
Hyoscine Butylbromide
BUSCOPAN INJ 20 MGAMP 10`S Hyoscine-N-Butylbromide Boehringer Ingelheim
ATROPINE INJ 0,25 MG/ ML Atropine Sulfat E.D Ethica
DUSPATALIN TAB Mebeverina HCL Kimia Farma
PIPTAL PEDIATRIC DROP Pipenzolate Br Nicholas

1d -- Antidiare

NO Nama Barang Nama Generik Nama Pabrik


NEW DIATABS TAB Attapulgite Medifarma lab
LODIA Loperamide HCL Sanbe farma
IMODIUM Loperamide HCL Janssen
NEO KAOLANA SYR 120 ML Pectin 50 MG Sanbe farma
Kaolin
SMECTA Dioctahedral Smectite Afifarma
DIAKUR Attapulgite Phytichemindo Reksa
Psidii Folium
Curcuma Domestica
FITODIAR Attapulgite Kimia Farma
Psidii Folium

Formularium 2006 hal 72


Curcuma Domestica

1e -- Laksatif, Pencahar

NO Nama Barang Nama Generik Nama Pabrik


DULCOLAX TAB Bisacodyl Boehringer ingelheim PT
DULCOLAX SUPPO INFANS Bisacodyl Boehringer ingelheim PT
DULCOLAX SUPPO DWS Bisacodyl Boehringer ingelheim PT
LAXOBERON 5 MG / 10 ML DROP Picosulfate Na Boehringer ingelheim PT
MICROLAX ENEMA 5 ML Lactulose Pharos Indonesia
LACTULAX SYR 60 ML Lactulose Ikapharmindo
LAXAL TAB Senna Folium Phytichemindo Reksa
Aloe Vera Folium

1f -- Digestan

NO Nama Barang Nama Generik Nama Pabrik


TRIPANZYM Pancreatin Sanbe farma
Pancretin
Dimetil Polisiloksan
COBAZIM 3000 CAPS 100`S Coenzyme B 12 Interbat
COBAZIM 1000 CAPS 100`S Coenzyme B 12 Interbat
PANKREOFLAT CAP Pankreoflat lipase Solvay Pharmaceutical
Pankreatic amylase
Pancreatic protease
Dimethilpolisiloksan

1g--Hepatoprotector-anticholesterol-cholagogues

No Nama Barang Nama Generik Nama Pabrik


LESICHOL 300 Lechitin Murni Landson
Multivitamin
CHENOFALK Chenodexycholic Acid Darya varia
URDAFALK Ursodeoxycholic Acid Darya varia
Silimarin
Xantrorizae
NUTRIFLAM Serratiopeptidase Tropica
Pankreatin
Lechitin Murni
HEPATIN Silybum marianum dried extr Phapros

Klas farmakoterapi : 1h -- Haemorrhoidal

No Nama Barang Nama Generik Nama Pabrik


AETHOXYSKLEROL 3 % 2 ML Polidocanol 0.2 G Phapros
Boric Acid
ULTRAPROCT SUPP Fluocortolone Pivalate Scheering AG
Fluocortolone caproate
Clomizale Undecylatde
ULTRAPROCT CREAM Fluocortolone Pivalate Scheering AG
Fluocortolone caproate
Clomizale Undecylatde
HEMOROGARD Graptophylium pictum 30% Medikon
ARDIUM Diosmin Servier
Hesperidin

Formularium 2006 hal 73


Klas farmakoterapi : 2a -- Cardiag Drugs

No Nama Barang Nama Generik Nama Pabrik


DIGOXIN TAB 0.25 MG Digoxin Indofarma PT
PROPANOLOL 10 MG Propanolol Dexa Medica
CORDARONE TAB 30`S Amiodarone Sanofi PT
DOPAMIN INJ Dopamine Hcl Kimia Farma
INDOP INJ Dopamine Hcl Fahrenheit
INOTROP INJ Dobutamine Hcl Fahrenheit

Klas farmakoterapi : 2b -- Anti Anginal Drugs

No Nama Barang Nama Generik Nama Pabrik


ISOSORBID DINITRAT 5 MG 100`S Isosorbide Dinitrate Indofarma PT
CEDOCARD 5 MG TAB Isosorbide Dinitrate Darya varia
PERSANTIN 25 MG Dipyridamole Boehringer ingelheim PT
CONCOR 5 MG TAB Bisolprolol Fumarate Abbott PT
Norvask 5 MG TAB Amlodipine Pfizer
Norvask 10 MG TAB Amlodipine Pfizer

Klas farmakoterapi : 2c -- ACE Inhibitor

No Nama Barang Nama Generik Nama Pabrik


TENSICAP 25 MG Captopril Sanbe farma
TENSICAP12.5 MG Captopril Sanbe farma
CAPTOPRIL 12,5 MG Captopril Indofarma PT
CAPTOPRIL 25 MG Captopril Abbott PT
CAPOTEN 12,5 MG TAB Captopril Bristol-Myers Squibb
CAPOTEN 25 MG TAB Captopril Bristol-Myers Squibb
TRIATEC 10 MG Ramipril Hoechst marion roussel
TRIATEC 5 MG CAPS Ramipril Hoechst marion roussel
CLONIDINE 0,15 MG Clonidine HCL Kimia Farma

Klas farmakoterapi : 2d -- Beta Blockers

Nama Barang Nama Generik Nama Pabrik


BISOPROLOL FUMARATE 5 MG Bisoprolol Fumarate Kimia Farma
CONCOR 5 MG TAB Bisoprolol Fumarate Merck Indonesia
DILBLOC 6.25 MG Carvedilol Roche
PROPANOLOL 40 MG Propranolol Kimia Farma

Klas farmakoterapi : 2e -- Calcium Antogonis

No Nama Barang Nama Generik Nama Pabrik

Formularium 2006 hal 74


NIFEDIPIN 10 MG TAB KF Nifedipine Kimia Farma
ADALAT 5 Nifedipine Bayer Farma Indonesia
ADALAT 10 Nifedipine Bayer Farma Indonesia
ADALAT OROS 30 MG Nifedipine Bayer Farma Indonesia
NORVASK 5 MG Amlodipine besylate Pfizer Inonesia, Tbk
NORVASK 10 MG Amlodipine besylate Pfizer Inonesia, Tbk
HERBESSER 30 MG TAB Dilthiazem HCL Tanabe Abadi
DILTIAZEM 30 MG 100`S Dilthiazem HCL Indofarma PT
HERBESSER 60 MG TAB Dilthiazem HCL Tanabe Abadi
HERBESSER CD 100 TAB Dilthiazem HCL Tanabe Abadi

Klas farmakoterapi : 2f -- Angiotensin II Antagonis

No Nama Barang Nama Generik Nama Pabrik


BLOPRESS TAB 8 MG Candesartan Cilexetil Takeda Indonesia
BLOPRES 16 MG Candesartan Cilexetil Takeda Indonesia
APROVEL 150 MG Irbesartan Sanofi-Synthelabo
CO-APROVEL 150 MG Irbesartan Sanofi-Synthelabo
Hydrochlorothiazide
CLONIDINE 0.15 MG Clonidine HCL Kimia Farma
CATAPRES inj Clonidine HCL Boehringer ingelheim PT
CATAPRES 150 MCG TAB 100`S Clonidine HCL Boehringer ingelheim PT

Klas farmakoterapi : 2g -- Other Antihypertensives

No Nama Barang Nama Generik Nama Pabrik


177 CLONIDINE HCL Clonidine Hcl Indofarma PT
178 CATAPRES AMP Clonidine Hcl Boehringer Ingelheim
179 TENSIGARD CAPS Apii Herba Pharos Indonesia
Orthosiphon Folium

Klas farmakoterapi : 2h Deuretics

No Nama Barang Nama Generik Nama Pabrik


FUROSEMIDE 40 MG TAB KF Furosemide Kimia Farma
URESIX 40 MG TAB Furosemide Sanbe farma
LASIX INJ Furosemide aventis
LASIX TAB Furosemide Hoechst marion roussel
NATRILIX SR TAB Indapamide Servier
LETONAL 25 TAB Spironolactine Otto
LETONAL 100 TAB Spironolactine Otto
TORAL TAB 5 MG 30`S Torasemide Kalbe farma
HYDROCHLOROTIAZIDE (HCT)25 MG TAB KF Hydrochlorothiazide Kimia Farma
TENSIGARD Apii herba extr 92mg Phapros

Klas farmakoterapi : 2j-- Peripheral Vasodilator & Cerebral Activators

No Nama Barang Nama Generik Nama Pabrik


STUGERON TAB 25 MG Cinnarizine Janssen-Cilag
UNALIUM TAB Flunarizine Guardian Pharmatama

Klas farmakoterapi : 2l-- Migraine Drugs

No Nama Barang Nama Generik Nama Pabrik


BELLAPHEEN TAB Phenobarbital Soho industri Farmasi
Ergotamine Caffein
CAFERGOT TAB Ergotamine Tantrat Novartis
Caffeine

Klas farmakoterapi : 2m -- Haemostatics

No Nama Barang Nama Generik Nama Pabrik

Formularium 2006 hal 75


ADONA AC 17 TABLET Cerbazocrome NA Sulfonate Tanabe Abadi
ADONA FORTE Cerbazocrome NA Sulfonate Tanabe Abadi
CLONEX 250 MG TAB Tranexamic Acid Corsa
CLONEX 500 MG CPLT 100`S Tranexamic Acid Corsa
CLONEX 250 MG AMPL 10`S Tranexamic Acid Corsa
VIT K 10 MG Vitamin K Kimia Farma
VIT K INJ Vitamin K Kimia Farma
DICYNONE 500MG 20`S Ethamsylate Corsa / Om Pharma
DICYNONE AMPUL 250MG/2ML Ethamsylate Corsa / Om Pharma

Klas farmakoterapi : 2n -- Anticoagulants, Antithrombotics & Fibrinolytics

No Nama Barang Nama Generik Nama Pabrik


FARMASAL 100 MG Acetylsalicylic Acid Fahrenheit
ASCARDIA 80 MG Acetylsalicylic Acid Pharos Indonesia
ASCARDIA 160 MG Acetylsalicylic Acid Pharos Indonesia
THROMBO ASPILET TAB Acetylsalicylic Acid Uap
PLAVIX TABLET Clopidogrel Sanofi-Synthelabo
PLETAAL TAB 50 MG 100`S Cilostrazol Otsuka
TICURING TAB Ticlopidine HCL Lapi

Klas farmakoterapi : 2p-Phlebitis & Varicose Preparations

No Nama Barang Nama Generik Nama Pabrik


AETHOXYSKLEROL INJ Polidocanol Kreussler
ARDIUM Diosmin Servier
Hesperidin
MADECASSOL TAB Centella Asiatica Corsa
VENOS Centella Asiatica
Butcher Broom Soho
VENARON CAPS 100`S O-(Hydroxyethyl)-Rutoside Teguhsindo Lestaritama PT
Butcer Broom
THROMBOPHOP GEL Nicotinic Acid Benzyl Ester Tunggal Idaman Abadi
Heparin

Klas farmakoterapi : 2q-- Haemorrheological

No Nama Barang Nama Generik Nama Pabrik


TRENTAL 400 MG TAB Pentoxifylline Aventis
PRAXILENE 200MG TAB 100`S Naftidrofuril Merck Indonesia
ARDIUM Flavoniodic Fraction Servier
HEPAGARD Curcuma Rhizoma Phapros

Klas farmakoterapi : 2r -- Haemorrheological Agents

No Nama Barang Nama Generik Nama Pabrik


RECORMON 5000 IU PFS/0.3 ML Epoetin Roche

Klas farmakoterapi : 2s -- Other Cardiovascular Drugs

No Nama Barang Nama Generik Nama Pabrik


HEPTAMYL 150 MG Heptamyl HCL Corsa
ATP KYOWA Adenosine Triphosphate Dankos Laboratories PT
BIO ATP ATP 20 MG Phapros
Vit B1
Vit B6
Vit B12
MYOVITON TAB ATP 20 MG Pharos Indonesia
Vit B1
Vit B6
Vit B12
CO-EN Q10 CPS 60`S Coenzyme Q10 Corsa

Formularium 2006 hal 76


Klas farmakoterapi : 3b --Antiasthmatic COPD Preparation

No Nama Barang Nama Generik Nama Pabrik


SALBUTAMOL 2 MG TAB KF Salbutamol Kimia Farma
SALBUTAMOL 4 MG Salbutamol Kimia Farma
LASAL SYRUP 100 ML Salbutamol Lapi

Formularium 2006 hal 77


LASAL EXPECT SYR 100 ML Salbutamol Lapi
Guaiphenesin
LASAL TAB Salbutamol Lapi
FARTOLIN EXPECT 100 ML SYRUP Salbutamol Fahrenheit
Guaiphenesin
VENTOLIN INH CFC FREE/CAN Salbutamol Glaxo Wellcome Indonesia
VENTOLIN NEBULES 2.5 MG/AMP Salbutamol Glaxo Wellcome Indonesia
VENTOLIN SYR Salbutamol Glaxo Wellcome Indonesia
VENTOLIN EKSPEC SYR Salbutamol Glaxo Wellcome Indonesia
PROFILAS Ketotifen Dankos Laboratories PT
PROFILAS SYRUP 60 ML Ketotifen Dankos Laboratories PT
BRONSOLVAN SYRUP Theophyllin Kalbe farma
BRONSOLVAN TAB 150 MG Theophyllin Kalbe farma
THEOBRON KAPSUL Theophyllin Interbat
COMBIVENT MDI 10 ML Iratropium Bromide Boehringer ingelheim PT
COMBIVENT NEBULIZER Iratropium Bromide Boehringer ingelheim PT
AMINOPHYLLINUM 2,4% 24 AMP/10 CC Aminophillin Ethica
EPHEDRINE HCL 25 MG TAB KF Ephedrine HCL Kimia Farma
EPHEDRINE HCL 50 MG/ML INJ/100 AMPUL Ephedrine HCL Ethica
FLIXOTIDE NEB Fluticasone Drop Glaxo Wellcome Indonesia
Fluticason Propinat
SERETIDE INH 50 CANISTER Salmeterol Glaxo Wellcome Indonesia
Fluticasone Propinat
BRICASMA TAB 2.5 MG 100`S Terbutaline Sulfate Astra Zeneca
MEPTIN 0.05 MG TAB Procaterol Otsuka
MEPTIN SYR 60 ML Procaterol Otsuka
SPIROPENT TAB Clenbuterol Hcl Boehringer ingelheim PT
ETAPHYLLINE TAB 250MG Acefylline Piperazine Corsa / Sanofi-synthelabo
CARIAMYL TAB Heptaminol acefyllinate Corsa

Klas farmakoterapi : 3c -- Cough & Cold Remedies

No Nama Barang Nama Generik Nama Pabrik


TREMENZA TAB Pseudoephedrine HCL Sanbe farma
Tripolidina Hcl
TREMENZA SYR 60 ML Pseudoephedrine HCL Sanbe farma
Tripolidina Hcl
TRIAMINIC BATUK 60 ML Pseudoephedrine HCL Novartis PT
Dextrometropan
TRIAMINIC PILEK 60 ML Pseudoephedrine HCL Novartis PT
Guafenesin
TRANSPULMIN SYR 60 ML Pipazetate Astra Zeneca
Guafenesin
LAPIFED DM SYR 100 ML Tripolidina Hcl Lapi
Pseudoephedrine HCL
LAPIFED EXP SYR 60 ML Tripolidina Hcl Lapi
Pseudoephedrine HCL
LAPIFED SYR 60 ML Tripolidina Hcl Lapi
Pseudoephedrine HCL
RHINOS SR Loratadine Dexa Medica
Pseudoephedrine HCL
TRIAMINIC EXP 60 ML Pseudoephedrine HCL Novartis
Guafenesin
ALDIZA SR Loratadine Sanbe farma
Pseudoephedrine Sulfat
ALCO DROPS ORAL 15 ML Pseudoephedrine HCL Interbat
ALCO PLUS DMP SYR 100 ML Pseudoephedrine HCL Interbat
ALCO DROP Pseudoephedrine HCL Interbat
AMBROXOL SYR 60 ML Ambroxol HCL Kimia Farma
AMBROXOL TAB 30 MG Ambroxol HCL Kimia Farma
EPEXOL SYRUP 120 ML Ambroxol HCL Sanbe farma
EPEXOL TAB Ambroxol HCL Sanbe farma
EPEXOL 30 MG TAB Ambroxol HCL Sanbe farma
MUCOPECT 15 MG/5 ML SYRUP Ambroxol HCL Boehringer ingelheim PT
MUCOPECT 30 MG/5 ML ELIXIR Ambroxol HCL Boehringer ingelheim PT
MUCOPECT DROPS Ambroxol HCL Boehringer ingelheim PT
MUCOPECT TAB 30 MG Ambroxol HCL Boehringer ingelheim PT
MUCOPECT RETARD 75 MG TAB Ambroxol HCL Boehringer ingelheim PT
MUCOHEXIN 8 MG TAB Bromhexine HCL 10 Mg Sanbe farma
MUCOHEXIN ELIXIR SYR Bromhexine HCL 10 Mg Sanbe farma
BISOLVON TAB Bromhexine HCL 10 Mg Boehringer ingelheim PT
COMTUSI SYR Oksomemazine Combiphar pharmaceutical
Glyseril G

Formularium 2006 hal 78


DEXTROMETHORPHANE 15 MG BOX TAB KF Dextromethorphan Kimia Farma
DEXTROMETHORPHANE SIR Dextromethorphan Kimia Farma
FLUIMUCIL SYR Acetyl Cytein Pharos Indonesia
FLUIMUCIL TAB Acetyl Cytein Pharos Indonesia
TUZALOS CAPL 15 MG Paracetamol Sanbe farma
Dextrometropan
GLYCERIL GUAICOLAS 100 MG TAB KF Acetyl Cytein Kimia Farma
Glyseril G
Glyseril G
LACOLDIN SYR 60 Paracetamol Lapi
Phenylpropanolamine
LONGATIN 25 MG Noscapine Dumex Alpharma Indonesia
NIPE DROP 15 ML Isothipendyl Asta Medica
Phenyleprin
NIPE SYR 100 ML Isothipendyl Asta Medica
Phenyleprin
SANADRYL SYR 120 ML Amonium Klorida Sanbe farma
Dipenhydramin
SILOMAT COMPOSITUM SYR 60 ML Clobutinol HCL Boehringer ingelheim PT
Orciprenalin
SILOMAT COMPOSITUM SYR 125 ML Clobutinol HCL Boehringer ingelheim PT
Orciprenalin
VECTRINE DRY SYR Erdosteine Dexa Medica
VECTRINE TAB 300 MG 20`S Erdosteine Dexa Medica
Brompheniraminem Maleate
LEVOPRONT Lepodroprovisine Combiphar pharmaceutical
CODIPRONT Codipront Kimia Farma

Klas farmakoterapi : 3d --Decongestans & Other Nasal Preparation

No Nama Barang Nama Generik Nama Pabrik


OTRIVIN NASAL DROPS 0,1% 10 ML Xylometazoline Novartis PT
NASACORT AQ NASAL SPRAY Triamsinolone acetonide Aventis Pharma
FLIXONASE NASAL SPRAY Fluticasone Propionate GlaxcSmithKline

Formularium 2006 hal 79


Klas farmakoterapi : 4a -- Anti Inflammatory Enzymes

No Nama Barang Nama Generik Nama Pabrik


NUTRIFLAM Serratiopeptidase Tropica
Vit B1
Vit B6
Vit B12
Nicotinamide

Klas farmakoterapi : 4b -- Analgesics & Antipyretics

No Nama Barang Nama Generik Nama Pabrik


SCELTO 30 MG INJ KETOROLAC PHAROS INDONESIA
TORADOL TAB Ketorolac Tromethamine Roche
TORADOL INJ Ketorolac Tromethamine Roche
PRONEURON Metamizole Na Meprofarm
Diazepam
DUROGESIC Fentanyl Janssen-Cilag
ANTALGIN 500 MG TAB KF Methampyrone Kimia Farma
NOVALGIN INJ Methampyrone Aventis
NOVALGIN SYR 60 ML Metamizole Na Aventis Pharma
NOVALGIN TAB Metamizole Na Aventis Pharma
ASAM MEFENAMAT 500 mg KAPL KF Asam Mefenamat Kimia Farma
MEFINAL 500 MG TAB 100`S Asam Mefenamat Sanbe farma
PONSTAN 500 MG Asam Mefenamat Parke davis
PONSTAN SUSP 60 ML Asam Mefenamat Parke davis
SUMAGESIC TAB Paracetamol United American
PROPYRETIC SUPP Paracetamol Combiphar Pharmaceutical
SANMOL TAB Paracetamol Sanbe farma
SANMOL SYRUP 60 ML Paracetamol Sanbe farma
SANMOL DROP 30 ML Paracetamol Sanbe farma
PARACETAMOL SYR 60 ML Paracetamol Phapros
PARACETAMOL 500 MG BOX TAB KF Paracetamol Kimia Farma
TEMPRA SYRUP 60 ML Paracetamol Bristol Myer-Squibb
SOMADRIL COMP Paracetamol Alpharma PT
Caffeine
SISTENOL TAB 60`S Paracetamol Dexa Medica
N-Acetylcysteine
PRORIS FORTE SYR 60 ML Ibuprofen Pharos Indonesia
PRORIS SYR 60 ML Ibuprofen Pharos Indonesia
PRORIS CAPLET 50`S 200 MG Ibuprofen Pharos Indonesia
BUFFECT F SYR Ibuprofen Sanbe farma
BUFFECT SYR FORTE Ibuprofen Sanbe farma
IBUPROFEN 400 MG TAB Ibuprofen Indofarma PT
IBUPROFEN 200 MG TAB Ibuprofen Indofarma PT
TRAMADOL 50 MG KAPS Tramadol HCL Kimia Farma
TRAMAL INJ Tramadol HCL Pharos Indonesia
TRAMAL RETARD TABLET Tramadol HCL Pharos Indonesia / Grunenthal
TRAMAL TABLET Tramadol HCL Pharos Indonesia / Grunenthal
KAMADOL INJ Tramadol HCL Kimia Farma
DOLO NEUROBION TAB Antalgin Merck Indonesia

Formularium 2006 hal 80


Vit B1
Vit B6
Vit B12
NEUROSANBE PLUS CAPL Methampyrone Sanbe farma
Vit B1
Vit B6
ANALSIK Chlordiazepoxide Sanbe farma
VIT B1
Vit B6
Vit B12
Methampyronee
FENTANYL INJ 2 ML 5`S Fentanyl Janssen-Cilag
SYNFLEX 550 MG Naproxen Na Darya-Varia Syntex
SYNFLEX 275 MG Naproxen Na Darya-Varia Syntex

Klas farmakoterapi : 4c -- Antireumatic, Analgesic Anti-Inflammatory

No Nama Barang Nama Generik Nama Pabrik


ARAVA 20 MG TAB Leflunomide Aventis Pharma
FELDENE CAP 10 MG Piroxicam Pfizer Inonesia, Tbk
PIROKSIKAM 10 MG TAB KF Piroxicam Indo farma
PIROKSIKAM 20 MG TAB KF Piroxicam Indo farma
KALIUM DIKLOFENAK 25 MG Diklofenac K Dexa Medica
KALIUM DIKLOFENAK 50 MG Diklofenac K Dexa Medica
CATAFLAM 25 Diklofenac K Novartis PT
CATAFLAM 50 Diklofenac K Novartis PT
FLAMAR 50 MG TAB Natrium Diklofenak Sanbe farma
FLAMAR TAB 25 MG 100`S Natrium Diklofenak Sanbe farma
VOLTAREN INJ Natrium Diklofenak Novartis PT
PROFENID SUPP Ketoprofen Rhone Poulenc Rorer
PRONALGES E-50 TAB Ketoprofen Dexa Medica
PRONALGES SUPPO Ketoprofen Dexa Medica
PRONALGES INJ 50 MG 10`S Ketoprofen Dexa Medica
AULIN 100 Nimesulide Helsinn Birex Pharma
NICOX Nimesulide Novell
Glucosamine Hcl
VOSTEON Glucosamine Hcl Meprofarm
Chondroitin Sulfate
TRIOSTEE KAP Glucosamine Hcl Tropica Mas Pharma
Chondroitin Sulfate
OSTEOPOR ChondroitinSulfate Pharos Indonesia
Glucosamine Hcl
OSTEOFLAM Glucosamine Hcl 250mg Soho
CELEBREX 200 MG Celecobix Pfizer
LONENE 200 MG CPS 60`S Etodolac Sunthi sepuri
LONENE 300 CAP Etodolac Sunthi sepuri
CALTRON Calcium Pyridam Farma
KETESSE Dexketoprofen trometamol Ferron
HYALGAN Na. Hyaluronate Combiphar pharmaceutical
OSFLEX Na. Hyaluronate Novell
NONFLAMIN Tinoridine Takeda
SULCOLON Sulfalazine Bernofam
OSMETIN Condroitin Novell
Glucosamine Hcl

Klas farmakoterapi : 4d -- Gout Preparations

No Nama Barang Nama Generik Nama Pabrik


ALLUPURINOL 100 MG TAB KF Allupurinol Indofarma PT
ZYLORIC 100 MG TAB Allupurinol Glaxo Wellcome Indonesia
ZYLORIC 300 MG TAB Allupurinol Glaxo Wellcome Indonesia
RECOLFAR Colchicin Fahrenheit

Klas farmakoterapi : 4e -- Minor Tranquilisers

No Nama Barang Nama Generik Nama Pabrik


DIAZEPAM 2 MG Diazepam Kimia Farma
DIAZEPAM 5 MG Diazepam Kimia Farma
DIAZEPAM INJ 10 MG/2ML Diazepam Indofarma PT
VALISANBE 2 Diazepam Sanbe farma
VALISANBE 5 Diazepam Sanbe farma

Formularium 2006 hal 81


STESOLID RECTAL TUBE 10 MG Diazepam Dumex Alpharma Indonesia
STESOLID RECTAL TUBE 5 MG Diazepam Dumex Alpharma Indonesia
XANAX 0.5 MG TAB Alprazolam Upjohn Ind PT
XANAX 0.25MG Alprazolam Pfizer / Pharmacia
XANAX 1 MG TAB Alprazolam Upjohn Ind PT
ALGANAX TAB I MG 40`S Alprazolam Guardian Pharmatama
ALGANAX TAB 0.25 MG 40`S Alprazolam Guardian Pharmatama
ALGANAX TAB 0.5MG 40`S Alprazolam Guardian Pharmatama
ATIVAN TAB 1.0 MG/ CE5.00 Lorazepam Sunthi sepuri
ATIVAN TAB 2 MG Lorazepam Sunthi sepuri
RENAQUIL 1 MG Lorazepam Fahrenheit
FRISIUM TAB 10 MG Clobazam Hoechst marion roussel
CLOBAZAM 10 Clobazam Kimia Farma
XIETY TAB 10 MG 100`S Buspirone Hcl Lapi

Klas farmakoterapi : 4f -- Major Tranquilisers

No Nama Barang Nama Generik Nama Pabrik


CHLORPROMAZINE 100 MG Chlopromazine Kimia Farma
CHLORPROMAZINE 25 MG Chlopromazine Kimia Farma
HALOPERIDOL 1,5 MG INF Haloperidol Indofarma PT
SERENACE 0.5 MG TAB 100`S Haloperidol Soho industri Farmasi
HALDOL 2 MG Haloperidol Janssen-Cilag
CLOZARIL 25 MG Clozipine Novartis
STELAZINE 5 MG Trifluoperazine Hcl Pharos Indonesia / Glaxo Smith Kline

Klas farmakoterapi : 4g --Hypnotics & Sedatives

No Nama Barang Nama Generik Nama Pabrik


ESILGAN TAB 100`S 2 MG Estazolam Takeda Indonesia

Klas farmakoterapi : 4h -- Antikonvulsan

No Nama Barang Nama Generik Nama Pabrik


PHENOBARBITAL 30 MG Phenobarbital Soho industri Farmasi
PHENOBARBITAL 50 MG Phenobarbital Soho industri Farmasi
PHENYTOIN CAP Phenitoin NA Ikapharmindo Putramas
CARBAMAZEPIN 200 MG TAB Carbamazepine Indofarma PT
TEGRETOL 200 MG TAB Carbamazepine Novartis PT
NEURONTIN 300 CAPS Gabepantin Pfizer Inonesia, Tbk
TRILEPTAL FCT 300 MG Oxcarbazepine Novartis

Klas farmakoterapi : 4i -- Antidepresan

No Nama Barang Nama Generik Nama Pabrik


AMITRIPTILIN 25 MG tab Amitriptilin Indofarma PT
Amitriptilin
LUDIOMIL 10 MG TAB Maprotiline HCL Novartis PT
LUDIOMIL 25 MG TAB Maprotiline HCL Novartis PT
PROZAC Fluoxetine Ely Lilly

Klas farmakoterapi : 4k -- Nootropics & Neurotonics

No Nama Barang Nama Generik Nama Pabrik


NEUROSANBE TAB Vit B1 Sanbe farma
Vit B6
Vit B12
NEUROBION 5000 TAB Vit B1 Merck Indonesia
Vit B6
Vit B12
NEUROBION TAB Vit B1 Merck Indonesia
Vit B6
Vit B12
NEUROSANBE INJ Vit B1
Vit B6

Formularium 2006 hal 82


Vit B12
NEVRAMIN Vit B1 Takeda Indonesia
Vit B6
Fursultiamine
MECOLA Mecobalamin Lapi
LAPIBAL 500 MG Mecobalamin Lapi
LAPIBAL 250 MCG Mecobalamin Lapi
METHYCOBAL 250 Mecobalamin Eisai Indonesia PT
METHYCOBAL 500 Mecobalamin Eisai Indonesia PT
METHYCOBAL INJ 500MCG Mecobalamin Eisai Indonesia PT
ARCALION DRAG`200MG 60`S Sulbutiamine Servier
PIRACETAM INJ 3 GR Piracetam INDOFARMA PT
NEUROTAM INJ 3 GR 4`S Piracetam KALBE FARMA
PIRACETAM 400 MG Piracetam Dexa Medica
PIRACETAM 800 MG Piracetam Dexa Medica
PIRACETAM 1200 MG Piracetam Dexa Medica
NOOTROPHIL 400 MG TAB Piracetam Darya varia
NOOTROPIL 800 MG Piracetam UCB Pharma
INEURON INJ Piracetam Indo farma
INEURON 1200 Piracetam Indo farma
NERVITON E VIT B1 Combiphar Pharmaceutical
Vit B6
Vit B12
VIT E
NERVA PLUS VIT B1 Pharmacia
Vit B6
Vit B12
Asam Folat
NIMOTOP TAB Nimodipine Abbott PT
CERETON Ginkgo biloba extr 60mg Meprofarm

Klas farmakoterapi : 4l -- Antiemetic & Antivertigo Drugs

No Nama Barang Nama Generik Nama Pabrik


DIMENHIDRINAT TAB 50 MG Dimenhidrinat Kimia Farma
MEDIAMER B6 Phyratiazine Darya varia
Vit B6
ANVOMER B6 Phyratiazine Dexa Medica
Vit B6
MERISLON Betahistine Mesylate Eisai Indonesia PT
BETASERC Betahistine Mesylate Solvay Pharmaceutical
NARFOZ INJ Ondansetron Hcl Pharos Indonesia
NARFOZ TAB Ondansetron Hcl Pharos Indonesia
CEDANTRON 10`S TAB Ondansetron Hcl Soho
ONDAVELL 4 MG INJ 5`S Ondansetron Novell Pharma
DOGMATIL 50 MG KAPSUL Sulpiride Soho / Delagrange
NOPRENIA Risperidone Novell Pharma

Klas farmakoterapi : 4n -- Anti Parkinsonian Drug

No Nama Barang Nama Generik Nama Pabrik


TRIHEXYPHENIDIL Trihexyphenidil Indofarma PT
PARLODEL Bromocriptine Mesilate Novartis

Klas farmakoterapi : 4q -- Muscle Relaxants

No Nama Barang Nama Generik Nama Pabrik


EPRINOC TAB Eperisone Hcl Sanbe farma
MYONAL Eperisone Hcl Eisai Indonesia PT
MYONEP TAB Eperisone Hcl Lapi
SIRDALUD Tizandine Hcl Novartis PT
TRACRIUM Atracurium Besylate Glaxo Smith Kline

Formularium 2006 hal 83


Klas farmakoterapi : 4p -- Neuromuscular Disorder Drug

No Nama Barang Nama Generik Nama Pabrik


PROSTIGMINT INJ Pyridostigmine Br Valeant/Combiphar

Formularium 2006 hal 84


Klas farmakoterapi : 5a -- Androgen & Related Synthetic Drugs

No Nama Barang Nama Generik Nama Pabrik


ANDRIOL TAB Testoteron Undekuonat Organon Indonesia
DANOCRINE 200 MG KAP Danazol Sanofi-Synthelabo

Klas farmakoterapi : 5b -- Oestrogens & Progesterones & Related Synthetic Drugs

No Nama Barang Nama Generik Nama Pabrik


ENDOMETRIL Lynestrenol Organon Indonesia
GYNAECOSID TAB 20`S Methyloestrenol 5 Mg Phapros
LIVIAL 2.5 MG X 1 X 28 Tibolon Organon Indonesia
LYNORAL Ethinyloestradiol Organon Indonesia
PREABOR TAB Allylestrenol Sanbe farma
PREMASTON 5 MG TAB 30`S Allylestrenol Kalbe farma
REGUMEN 5 MG Norethisterone Sanbe farma
PRIMOLUT N 5 MG Norethisterone Organon Indonesia
PROTHYRA TAB Medroxyprogrest .AC Sunthi sepuri
PROVERA 10 MG Medroxyprogrest .AC Pfizer Inonesia, Tbk
DUPHASTON TAB Dydrogesterone Solvay Pharmaceuticals
ESTREVA GEL Estradiol Hemihydrate Merck Indonesia
PREMARIN 0.625 MG Natural Conjugated Oestrogens Sunthi sepuri / Wyeth-Ayerst
CYCLO-PROGYNOVA Norgestrel
Estradriol Valerate Schering AG

Klas farmakoterapi : 5d --Corticosteroid Hormones

No Nama Barang Nama Generik Nama Pabrik


BUDENOFALK CAP Budesonide Darya varia
CORTIDEX TAB Dexamethasone Sanbe farma
CORTIDEX INJ Dexamethasone Sanbe farma
DEXAMETHASONE 0.5 MG TAB KF Dexamethasone Kimia Farma
METHYLPREDNISOLONE 4 MG Methyilprednisolon Dexa Medica
METHYLPREDNISOLONE 16 MG Methyilprednisolon Dexa Medica
METHYLPREDNISOLONE 8 MG Methyilprednisolon Dexa Medica
DEPO MEDROL INJ Methyilprednisolon Pfizer Inonesia, Tbk
LAMESON 4 MG Methyilprednisolon Lapi
LAMESON 8 MG Methyilprednisolon Lapi
LAMESON 16 MG Methyilprednisolon Lapi
THYMELON 125 MG INJ Methyilprednisolon Ethica
THYMELON 500 MG INJ Methyilprednisolon Ethica
PHADILON 500 MG INJ Methyilprednisolon Phapros
KENACORT TAB 4 MG Triamcinolone Asetonide Bristol Myer-Squibb
KENACORT AID INJ 5 ML Triamcinolone Asetonide Bristol Myer-Squibb
KENACORT A IM Triamcinolone Asetonide Bristol Myer-Squibb
TRILAC INJ Triamcinolone Asetonide Novell

Klas farmakoterapi : 5e -- Trophic Hormones & Related Synthetic Drugs

No Nama Barang Nama Generik Nama Pabrik


BLESIFEN TAB 50 MG Clomiphene citrate Sanbe farma
PROFERTIL TAB 10`S X Clomiphene citrate Kalbe farma
GONAL 75 IU INJ Recombinant follicle Dipa Pharmalab Intersains
Stimulating hormone
PREGNYL 5000 UI INJ HCG Organon
PARLODEL Bromcriptin Mesilate Novartis

Klas farmakoterapi : 5g --Other Hormone Related Drugs

No Nama Barang Nama Generik Nama Pabrik


AGNUCASTON Exct Of The Fruit Chaste Tree Darya varia
MOLOCO + B 12 Placenta Extr Darya-Varia /Bionorico
Vit B12

Formularium 2006 hal 85


Klas farmakoterapi : 6a --Depot Contraceptives

No Nama Barang Nama Generik Nama Pabrik


DEPO PROVERA Medroxyprogrest .AC Upjohn Ind PT
CYCLOFEM INJ 0,5 ML Medroxyprogrest .AC Tunggal Idaman Abadi

Klas farmakoterapi : 6b --Oral Contraceptives

No Nama Barang Nama Generik Nama Pabrik


MICROGYNON Levonorgestrel Scering AG
Ethynilestradiol
POSTINOR 2 Levonorgestrel Tunggal Idaman Abadi
CERAZETTE TABLET Desogestrel Organon
DIANE 35 Cyproterone asetat Scering AG

Klas farmakoterapi : 6c -- Other Contraceptives

No Nama Barang Nama Generik Nama Pabrik


NOVA T T shaped IUD Scering AG
COPPER T T shaped IUD Kimia Farma
FLEXI T T shaped IUD Kalbe farma

Formularium 2006 hal 86


Klas farmakoterapi : 7a --Aminoglycosides

No Nama Barang Nama Generik Nama Pabrik


MIKASIN INJ 250 MG Amikacin Sulfate Dankos
SAGESTAM INJ Gentamycin Sulfate Sanbe farma

Klas farmakoterapi : 7b -- Cephalosporins

No Nama Barang Nama Generik Nama Pabrik


CEFAT 500 Cefadroxil Monohydrate Sanbe farma
CEFAT DRY SYR Cefadroxil Monohydrate Sanbe farma
CEFAT FORTE D.SYR Cefadroxil Monohydrate Sanbe farma
CEFADROXIL 500 MG Cefadroxil Monohydrate Kimia Farma
CEFADROXIL 250 MG Cefadroxil Monohydrate Kimia Farma
COMSPORIN CAPS 100 MG 30`S Cefixime Combiphar pharmaceutical
COMSPORIN D.S 30 ML/BTL Cefixime Combiphar pharmaceutical
SPORETIK D.SYR 100 MG/60 ML Cefixime Sanbe farma
SPORETIK 100 MG CAP 30`S Cefixime Sanbe farma
CEPHALEXIN 500 MG INF Cefaleksin Indofarma PT
CERADOLAN 200 MG TAB Cefotiam Takeda
VELOSEF TAB 250 MG Cephradine Bristol-Myers Squibb
VELOSEF TAB 500 MG Cephradine Bristol-Myers Squibb
VELOSEF INJ 1000 MG Cephradine Bristol-Myers Squibb
CEFTRIAXONE INJ Ceftriaxone Dexa Medica
TERFACEF VIAL 1 GR Ceftriaxone Sanbe farma
Cilastatin
LACEDIM INJ Ceftazidime pentahydrate Lapi
CEFOTAXIME INJ Cefotaxime INDOFARMA PT
LAPIXIME INJ Cefotaxime Na Lapi
TAXEGRAM INJ Cefotaxime Na Sanbe farma
COMBICEF Cefotaxime Na Combiphar pharmaceutical

Klas farmakoterapi : 7c -- Chloramphenicols

No Nama Barang Nama Generik Nama Pabrik


CHLORAMFENICOL CAP 250 MG Chloramphenicol Sanbe farma
COLSANCETINE 250 MG Chloramphenicol Sanbe farma
COLCASENTINE INJ Chloramphenicol Sanbe farma
Inj : Na succinate
COLSANCETINE SYR Chloramphenicol Sanbe farma

Formularium 2006 hal 87


Syr : Palmitate
CHLORAMPHENICOL 60 ML SYR Chloramphenicol Kimia Farma
THIAMPHENICOL 250 MG Thiamphenicol Kimia Farma
THIAMFENICOL 500 MG Thiamphenicol Kimia Farma
BIOTHICOL 500 CAP Thiamphenicol Sanbe farma
BIOTHICOL DRY SYR 60 ML Thiamphenicol Sanbe farma

Klas farmakoterapi : 7d --Macrolides

No Nama Barang Nama Generik Nama Pabrik


ERYTHROMYCIN 250 MG CAPS KF Erythromycin Kimia Farma
ERYTHROMYCIN 500MG CAPS INF Erythromycin Indofarma PT
ERYTHROMYCIN DRY SYRUP Erythromycin Indofarma PT
ERYSANBE CWBL 200 MG 100`S Erythromycin Sanbe farma
ERYSANBE DRY SYR 60 ML Erythromycin Sanbe farma
ERYSANBE 500 MG CAPL Erythromycin Sanbe farma
MEZATRIN 250 MG Azithromycin Sanbe farma
ZITHROMAX 250 mg tab Azithromycin Pfizer Inonesia, Tbk
ZITHROMAX SYR Azithromycin Pfizer Inonesia, Tbk
SPIRAMYCIN Spiramycin Indofarma PT
ROVAMYCINE SYRUP Spiramycin Aventis Pharma
ROVAMYCINE 500 TAB Spiramycin Aventis Pharma
SPIRASIN TAB 500MG 100`S Spiramycin Sanbe farma
ABBOTIC DRY SYR Clarithromysin Abboth

Klas farmakoterapi : 7e -- Penicillins

No Nama Barang Nama Generik Nama Pabrik


AMOXICILLIN 500 MG TAB KF Amoxycillin Trihydrate Kimia Farma
AMOXICILIN 125 MG DRY SYR Amoxycillin Trihydrate Kimia Farma
AMOXILIN KLAVULANAT Amoxycillin Trihydrate Indofarma PT
CO-AMOXICLAV Amoxycillin Trihydrate Indofarma PT
ROBAMOX DRY SIR Amoxycillin Trihydrate Combiphar pharmaceutical
ROBAMOX D.S Amoxycillin Trihydrate Combiphar Pharmaceutical
ROBAMOX D.S FORTE 60 ML Amoxycillin Trihydrate Combiphar Pharmaceutical
ROBAMOX 500 MG Amoxycillin Trihydrate Combiphar Pharmaceutical
AMOXSAN DRY SYRUP Amoxycillin Trihydrate Sanbe farma
AMOXSAN 250 MG Amoxycillin Trihydrate Sanbe farma
AMOXSAN 500 MG Amoxycillin Trihydrate Sanbe farma
AMOXSAN PAED DROPS Amoxycillin Trihydrate Sanbe farma
AMOXSAN DRY SYRUP FORTE Amoxycillin Trihydrate Sanbe farma
COMSIKLA Amoxycillin Combiphar pharmaceutical
Asam Clavulanat
COMSIKLA DRY SIR Amoxycillin Combiphar pharmaceutical
Asam Clavulanat
CLANEKSI TAB Amoxycillin Sanbe farma
Asam Clavulanat
CLANEKSI DRY SIR Amoxycillin Sanbe farma
Asam Clavulanat
SANPICILIN INJ Ampicillin ( Inj : Na ) Sanbe farma
AMPICILLIN 500 MG TAB KF Ampicillin Kimia Farma
AMPICILIN DRY SYR Ampicillin Kimia Farma
VICCILLIN 1 G INJ Ampicillin MEIJI INDONESIA
OSPEN 625MG TAB Phenoxymethylpenicillin Sandoz
AUGMENTIN 500 MG Amoxycillin 500 MG Glaxo Smith Kline
Glavulanis Acid

Klas farmakoterapi : 7f -- Other Beta Lactams

No Nama Barang Nama Generik Nama Pabrik


PELASKIN IV Imipenem Sanbe Farma
Cilastatin

Klas farmakoterapi : 7g --Quinolones

No Nama Barang Nama Generik Nama Pabrik


PROXITOR 500 MG CAP Ciprofloxacin Combiphar pharmaceutical
BAQUINOR 500 MG Ciprofloxacin Sanbe farma
CIPROFLOXACIN 500 MG Ciprofloxacin Indofarma PT
PEFLACINE TAB Pefloxacin Aventis

Formularium 2006 hal 88


OFLOXACIN 200 MG TAB Ofloxacin Indofarma PT
OFLOXACIN 400 MG Ofloxacin Dexa Medica
TARIVID 400 MG TAB 30`S X Ofloxacin Kalbe farma
TARIFLOX 400 TAB Ofloxacin Lapi
LEVOCIN SANBE Levofloxacin Sanbe farma
RESKUIN I.V Levofloxacin Dankos

Klas farmakoterapi : 7h -- Tetracyclines

No Nama Barang Nama Generik Nama Pabrik


DOXYCYCLINE CAP KF Doxycycline Kimia Farma
SICLIDON 100 MG CAPS Doxycycline Sanbe farma
TETRA SANBE 500 MG CAPS Tetracycline Sanbe farma
TETRACYCLIN 500 MG Tetracycline Kimia Farma

Klas farmakoterapi : 7i -- Antifungals

No Nama Barang Nama Generik Nama Pabrik


KETOKONAZOLE 200 MG TAB Ketokonazole Indofarma PT
MYCORAL TAB 200 MG 50`S Ketokonazole Kalbe farma
Ketokonazole Sanbe farma
FORMYCO CREAM Ketokonazole Sanbe farma
KETOKONAZOL CREAM 2 % Ketokonazole Dexa Medica
DIFLUCAN 150 MG TAB Fluconazole Pfizer
GRISEOFULVIN 125 MG TAB KF Griseofulvin Kimia Farma
GRIVIN FORTE TAB Griseofulvin Phapros
NYMIKO DROP Nystatin Sanbe farma
MYCOSTATIN Nystatin Bristol-Myers Squibb

Klas farmakoterapi : 7j -- Anti Bacterial Combinations

No Nama Barang Nama Generik Nama Pabrik


COTRIMOXAZOL TAB 480 Co-trimoxazole & trimethoprim Indo Farma
COTRIMOXAZOL SYR Co-trimoxazole & trimethoprim Indo Farma
SANPRIMA F TAB Co-trimoxazole & trimethoprim Sanbe farma
SANPRIMA SYR Co-trimoxazole & trimethoprim Sanbe farma
BACTRIM SYR 200/40 MG 50ML Co-trimoxazole & trimethoprim Roche
BACTRIM FORTE TAB Co-trimoxazole & trimethoprim Roche

klas farmakoterapi: 7k--Other Antibiotics

No Nama Barang Nama Generik Nama Pabrik


CLINDAMISIN 150 MG 100`S Clindamycin Dexa medica
PROLIC 150 CAPSUL Clindamycin Sanbe farma
PROLIC 300 CAPSUL Clindamycin Sanbe farma
NILADACIN 300 Clindamycin Nicholas
LINCOMYCIN 500 MG lyncomycin medikon

Klas farmakoterapi : 8a -- Antituberculous Agents

No Nama Barang Nama Generik Nama Pabrik


ETHAMBUTOL 500 MG TAB KF Ethambutol Kimia Farma
ETHAMBUTOL 250 MG Ethambutol Kimia Farma
SANTIBI PLUS TAB Ethambutol Sanbe farma
ISONIAZIDE (INH)100 MG TAB KF Isoniazid Kimia Farma
ISONIAZIDE (INH)300 MG TAB KF Isoniazid Kimia Farma
TB VIT 6 SYR 225 ML INH Meprofarm
Vit B6
TB VIT 6 SYR 110 ML INH Meprofarm
Vit B6
SANAZET 500 MG Pyrazinamide Sanbe farma
PYRAZINAMIDE 500 TAB KF Pyrazinamide Kimia Farma

Formularium 2006 hal 89


RIFAMPICIN 450 MG KAP KF Rifamficin Kimia Farma
RIFAMPICIN 300 MG Rifamficin Kimia Farma
RIFAMTIBI 600 Rifamficin Sanbe farma
RIFAMPICIN 600 MG Rifamficin Indo Farma
RIMACTANE SYR 100ML Rifamficin Sandoz
RIMACTAZID PAED 75/50 Rifamficin Sandoz
RIMCURE PAED Rifamficin Sandoz
RIMSTAR 4-FDC Rifamficin Sandoz
HELBEN SYR Albendazole Mecosin

Klas farmakoterapi : 8c -- Antiamuba

No Nama Barang Nama Generik Nama Pabrik


METRONIDAZOLE 250 MG TAB KF Metronidazole Kimia Farma
METRONIDAZOLE 500 MG TAB KF Metronidazole Kimia Farma
FAGISTIN OVULE Metronidazole Combiphar Pharmaceutical
FLAGYL SUSP Metronidazole Aventis Pharma
FLAGYL FORTE 500 MG Metronidazole Aventis Pharma
METRONIDAZOL INF Metronidazole Fimedco

Klas farmakoterapi : 8d -- Antelmintics

No Nama Barang Nama Generik Nama Pabrik


PYRANTEL 125 MG TAB Pyrantel Kimia Farma
COMBANTRIN SUSP CARAMEL Pyrantel Pfizer Inonesia, Tbk
COMBANTRIN SUSP ORANGE Pyrantel Pfizer Inonesia, Tbk
COMBANTRIN 250 MG Pyrantel Pfizer Inonesia, Tbk
VERMOX TAB 500 MG 24`S Mebendazole Jansseen PT

Klas farmakoterapi : 8f -- Antivirus

No Nama Barang Nama Generik Nama Pabrik


ACYCLOVIR 200 MG Acyclovir Indofarma PT
ACYCLOVIR 400 MG KF Acyclovir Hexpharm
ACYCLOVIR CREAM 5% Acyclovir Indofarma PT
VALTREX 500 Valanciclovir Hcl Glaxo Wellcome Indonesia
ISOPRINOSIN Methisoprinol Darya varia

Klas farmakoterapi : 8g -- Antineoplastics

No Nama Barang Nama Generik Nama Pabrik


METHOTREXATE LEDERLE 2.5 MG Metrotrexate Lederle
TAPROS INJ Leuprorelin Takeda

Formularium 2006 hal 90


Klas farmakoterapi : 9a -- Preparation for Vaginal Conditions

No Nama Barang Nama Generik Nama Pabrik


VAGISTIN OVULE Metronidazole Combiphar Pharmaceutical
Nystatin
FLAGYSTATIN OVULE Metronidazole Aventis
Nystatin
NAXOGEN COMPLEK TAB 30`S Nimorazole Kalbe farma
Chloramphenicol
NAXOGIN TAB 250 MG 60`S Nimorazole Kalbe farma
BETADIN VAGINAL PAKAI ALAT 100 ML Povidone Iodine Mahakam Beta Farma
OVESTIN CREAM Estriol Organon Indonesia
LACTACYD VAG +ALAT Lactic Acid Sanofi-Synthelabo
Lactoserum
LACTACYD FEMINIME HYGIENE Lactoserum Sanofi-Synthelabo
Lactid Acid
CANESTEN SD Clotrimazole Bayern

Klas farmakoterapi : 9b --Urinary Antiseptics

No Nama Barang Nama Generik Nama Pabrik


UROTRACTIN CAPS 60`S Pipemidic Acid Sanbe farma
PYRIDIUM Phenazopiridine Pfizer Inonesia, Tbk
GINOXA Nimorazole Kalbe farma

Klas farmakoterapi : 9c -- Druga Acting on Uterus

No Nama Barang Nama Generik Nama Pabrik


METHYLERGOMETRINE 0.125 MG TAB KF Methylergometrine Kimia Farma
METHERGIN TABLET Methylergometrine Novartis PT
METHERGIN INJ 1 ML Methylergometrine Novartis PT
SYNTOCINON AMP1 MLA-10UI Synthetic oxytocin Novartis
DUVADILAN Isoxsuprine Solvay Pharmaceuticals
HYSTOLAN Isoxsuprine Dexa Medica

Klas farmakoterapi : 9d -- Drugs For Erectile Dysfunction

No Nama Barang Nama Generik Nama Pabrik


CALCUSOL CAP Sonchi Folium Abbott PT
NEPHROLIT KAP Hexamine Bintang Toedjoe
Salicylate NA
ENATIN Ol Juniperi Novell
Ol Therebintenae

Klas farmakoterapi : 9e--Other Drugs Acting in Genito- Urinary System

No Nama Barang Nama Generik Nama Pabrik


DETRUSITOL 2 MG TAB Tolterodine I-Tartrate Pfizer/ Pharmacia
PROSTACOM Finasteride Combiphar Pharmaceutical
BATUGIN ELIXIR 300 ML Ekstr Daun Kejibeling Kimia Farma
Ekstr Daun Tempuyung
KALKURENAL Ekstr berberidis Darya Varia
Ekstr Rubiae Dest
KETOSTERIL Essential Ketoacids Ikhapharmindo
URISPAS 200 MG Flavoxate Indofarma PT

Formularium 2006 hal 91


Klas farmakoterapi : 10a -- Insulins

No Nama Barang Nama Generik Nama Pabrik


ACTRAPID 40 IU Insilin Novo Nordisk
MONOTARD HM 40 UI/VIAL Insilin Novo Nordisk
LANTUS CARTRIDGE 100 IU Insilin Aventis Pharma
ACTRAPID HM 100 IU/ML X 10 Insilin Novo Nordisk

Klas farmakoterapi : 10b --Oral Antidiabetic Agents

No Nama Barang Nama Generik Nama Pabrik


ACTOS TAB 15 MG 14`S Pioglitazone Takeda Indonesia
ACTOS TAB 30 MG Pioglitazone Takeda Indonesia
GLIBENCLAMID 5 MG TAB Gibenclamide Indofarma PT
DAONIL TAB Glibenclamide Hoechst marion roussel
AMADIAB 1 Glimepiride lapi
AMADIAB 2 Glimepiride lapi
AMADIAB 3 Glimepiride lapi
AMADIAB 4 Glimepiride lapi
METFORMIN 500MG Metformin Dexa Medica
DIABEX Metformin Combiphar Pharmaceutical
DIABEX F Metformin Combiphar Pharmaceutical
GLUCOPHAGE 500 MG Metformin Merck Indonesia
GLUCOPHAGE 850 MG Metformin Merck Indonesia
GLUCOPHAGE XR Metformin HCL Merck Indonesia
GLUCOVANCE 2.5MG Glibenclamide Merck Indonesia
Metformin
DIAMICRON TAB Gliclazide Darya varia
GLUCOBAY 50 MG TAB Acarbose Bayer Farma Indonesia
GLUCOBAY 100 MG Acarbose Bayer

Klas farmakoterapi : 10c -- Thyroid Preparation

No Nama Barang Nama Generik Nama Pabrik


THYRAX DUOTAB 100 MCG 100`S L-thyroxine Na Abbott PT

Klas farmakoterapi : 10d Antithyroids

No Nama Barang Nama Generik Nama Pabrik


NEO MERCAZOLE TAB Carbimazole Nicholas

Klas farmakoterapi : 10e -- Antihyperlipiademic Agents

No Nama Barang Nama Generik Nama Pabrik


GEMFIBROZIL 300 MG Gemfibrozil Indofarma PT
LIPITROP Gemfibrozil Tropica
LIPITOR 20 MG Atorvastatin Ca Warner Lambert Ind PT
LIPITOR TAB 10 MG 30`S Atorvastatin Ca Pfizer Inonesia, Tbk
MODALIM TAB 100 MG 28`S Ciprofibrate Fahrenheit
SIMVASTATIN TAB 10 MG Simvastatin Dexa Medica
SIMVASTATIN TAB 5 MG Simvastatin Dexa Medica
LIPANTHYL 200M/30`S Fenofibrate Fournier
LIPANTHYL SUPRA 160MG Fenofibrate Fournier
CRESTOR 10 MG Rosuvastatin Ca Astra Zeneca
LIPITOR 40 MG 30`S Atorvastatin Ca Pfizer
LIPITOR 10 MG Atorvastatin Ca Pfizer

Formularium 2006 hal 92


Klas farmakoterapi : 10f -- Agents Affecting Bone Metabolism

No Nama Barang Nama Generik Nama Pabrik


ONE ALPHA 0.25MG CAPSUL Alfacalcidol Darya-varia
BONE-ONE 0.25 Alfacalcidol Dipa Pharmalab Intersains
BONE-ONE 0.5 Alfacalcidol Dipa Pharmalab Intersains
KOLKATRIOL Calcitriol Phapros
ACTONEL 35MG Risedronate Na Aventis Pharma
NICHOSPHORE TAB Aledronate Nicholas
MIACALCIC 50 MG INJ Syntetic Salmon Calcitonin Novartis

Klas farmakoterapi : 11a -- Vitamin A, D, E

No Nama Barang Nama Generik Nama Pabrik


SANTA E100 Vit E Sanbe farma
SANTA E 200 Vit E Sanbe farma
SANTA E 400 Vit E Sanbe farma

Klas farmakoterapi : 11b -- Vitamin B With Vitamin C

No Nama Barang Nama Generik Nama Pabrik


NEUROBION INJ Vit B1 100mg Merck
NEUROSANBE TAB VIT B1 Sanbe farma
Vit B6
NEUROSANBE 5000 INJ Vit B1 Sanbe farma
Vit B6
PYRIDOXINE (VIT. B6) 10 mg Vit B6 Kimia Farma
VIT B12 50 MCG Vitamin B12 Tab Kimia Farma
VIT B1 25 MG VIT B1 Kimia Farma
VIT B1 100 MG SOHO VIT B1 Soho industri Farmasi
VIT B1 Soho industri Farmasi
Vitamin B Complex
ALINAMIN F TAB Alinamin Fursoltiamine Takeda Indonesia
ALINAMIN F INJ 25 MG/10 ML 5`S Alinamin Fursoltiamine Takeda Indonesia

Klas farmakoterapi : 11c -- Vitamin C

No Nama Barang Nama Generik Nama Pabrik


VIT C 100 MG Ascorbic Acid Soho industri Farmasi
EXTRACE INJ(VIT C INJ) 100 MG Ascorbic Acid Ethica
Calcium
BIFERCE vit C Sanbe Farma

Klas farmakoterapi : 11d -- Calsium With Vitamins

No Nama Barang Nama Generik Nama Pabrik


DUMOCALCIN PEPP TAB Calcium Hidrogenfosfat Dumex Alpharma Indonesia
OSSOPAN 800 Calcium Darya varia
Fosfor
OSSORAL 200 Ossein Hydroxyapatite Dexa medica
CALCIDIN Calcium Hidrogenfosfat Landson
Kalsium Glukonat
ELKANA SYR Vit A Sanbe farma
Vit D

Formularium 2006 hal 93


OSTEOCARE TAB 30`S Calcium Vitabiotics
Vit D
OSTEOCARE SYR 100 ML Ca Vitabiotics
Mg
GERIATRIE TAB Multivitamin Biovit
CAVIT D3 Calcium Hidrogenfosfat Merck Indonesia
Kolekalsiferol
CALCII GLUCONAS 10 ML INJ Ca Gluconate Ethica
DUMOCALCIN COKLT TAB Ca Hidrogen phosphate Alpharma
ISOFEM TAB Isoflavone Meprofarm
Vit C

Klas farmakoterapi : 11e -- Multivitamin With Mineral

No Nama Barang Nama Generik Nama Pabrik


CURCUMA PLUS DHA+PREBIOTIK Vit B1 Soho industri Farmasi
Vitamin B2
CURVIT SYRUP 60 ML Kurkumoid Soho industri Farmasi
Vit B1
GLOSTRUM SYR 60 ML Colostrum bovine Combiphar pharmaceutical
Vit A
BEVIZIL KAPLET ß-Carotine Sanbe farma
Vit C
SELOXY Betakaroten Dexa Medica
VIT C
Selenium
Zinc
Vit E
Vit C
MEGAZING TAB Vit E Lapi
Vit C
CALOMA DHA Cod liver oil Novell Pharma
Vit A
Vit B6
COLASKIN CAPS Marine Protein extr Ethica
Collagen
DIABETONE TAB Chromium Vitabiotics
Mg
FEROGLOBIN SYRUP Ca gylcerophosphate Vitabiotics
Copper
Vit B1
BECOM C Vit B1 50mg Sanbe Farma
BECOM ZET Vit E 30 iu Sanbe Farma
CAL-95 Vit E 30 iu Lapi
GERIAVITA Betakaroten Phapros
Vit E
Folid Acid
ELKANA TAB Calcium Hidrogenfosfat Sanbe farma
Calcium Lactate
Multivitamin
Theragran M Multivitamin Bristol Myers Squibb
Ca. Panthothenate

Klas farmakoterapi : 11g -- Pediatric Vitamins & Minerals

NO Nama Barang Nama Generik Nama Pabrik


APIALYS SYR 100 ML Vit A Lapi
Vit D
SAN B PLEX DROP Vit B Complex Sanbe
BIOSTRUM SYR Colostrum bovine Lapi
DHA
Niacinamida
FERLIN DROP Fe Pediatrica
Vit B1. B6,
Folid Acid

Klas farmakoterapi : 11h -- Elektrolytes & Minerals

NO Nama Barang Nama Generik Nama Pabrik


ASPAR - K K-l Aspartat Tanabe Abadi
K-l Aspartat

Formularium 2006 hal 94


K-l Aspartat
PHAROLIT Na Citrate Pharos Indonesia
Glucose
KSR TAB 100`S Kcl Merck Indonesia
K
WIDA NS 500 INF NaCl Widatra Bhakti
WIDA RL 500 ML Na Lactate Widatra Bhakti
NaCl
PEDIALYTE SYR (AROMA PERMEN KARET) Na Abbott
K

Klas farmakoterapi : 11i -- Antianemia/Pre Post Natal vitamins

NO Nama Barang Nama Generik Nama Pabrik


CALMIN AF TAB Vit C Combiphar Pharmaceutical
Vit D
BIOSANBE Folic Acid Sanbe farma
Vit C
FEROFORT VIT C Kalbe farma
Vit B1
FOLAVIT Folic Acid Sanbe farma
HEMOBION Ferro Fumarate Merck Indonesia
Folic Acid
Folic Acid
PRENATIN DF Ferro Fumarate Soho
FOLAPLUS Folic Acid Meprofarm
Vit B6
FOLAMIL Vit B1 Dexa Medica
Vitamin B2
OBIMIN AF Vitamin B12 Tab Medifarma lab
Vit B1
GRAVIMIN Ascorbic Acid
Calcium Lactate
SULFAS FERROSUS Ferrous Sulfate Kimia Farma
EMINETON Fe Fumarate Dankos
Cupric Sulfate
PREGNACARE TAB ß-Carotene Vitabiotics
Vit D
VENOFER 100 MG INJ 5 ML Fe ( OH )3 Sucrose Complex Vifor
ELEVIT Vit A4 Roche
FOLACOM Folic acid Sanbe Farma
PROLACTA WITH DHA MOTHER Natural Fish Oil Novell
DHA
VICA NATAL Niacinamide Armoxindo Farma
Ca Carbonat
Vitamin A, B, C, D
BION 3 Lactobacillus Acidophillus Merck Indonesia
Bifidobacterium Bifidium
Vitamin A, B, C, D

Klas farmakoterapi :12a Infant Nutrition

NO Nama Barang Nama Generik Nama Pabrik


NUTRILON LOW LACTOSE Protein Nutricia
Karbohidrat
Vitamin
NUTRILON ROYAL 1 400GR Protein Nutricia
Karbohidrat
Vitamin
NENATAL 400 GR Protein Abbott
Arachidonic acids
NUTRILON HYPO - ALLERGENIC Protein Nutricia
Karbohidrat
Vitamin
NUTRILON ANTI REGURGITASI Protein Nutricia
Karbohidrat
Vitamin
NUTRILON PREMATURE Protein Nutricia

Formularium 2006 hal 95


Karbohidrat
Vitamin
CERNEVIT VIAL Multivitamin Kalbe farma
Folic Acid

Klas farmakoterapi : 12b--Enteral Nutrition

NO Nama Barang Nama Generik Nama Pabrik


PEPTISOL Protein Kalbe farma
Karbohidrat
RENXAMIN INFUS Asam Amino Kalbe farma
KALBAMIN INFUS Asam Amino Kalbe farma
HEPAMERZ INFUS L ornitin L Asaparta Combiphar Pharmaceutical

Klas farmakoterapi : 12c--Parenteral Nutrition

NO Nama Barang Nama Generik Nama Pabrik


PANAMIN G Amino Acids Otsuka
Sorbitol
AMIPAREN Amino Acids Otsuka
Nitrogen

Klas Farmakoterapi :12D Supplement & Adjuvant therapy

NO Nama Barang Nama Generik Nama Pabrik


VISTRUM SYR ML 100 Colostrum bovine Pharos Indonesia
Fructo-oligosaccharide
BIOSTRUM SYR Colostrum bovine Lapi
Cod Liver Oil
SLIPY KAPLET 60`S Valerian Soho
Lemon balm
LYCOQ CAP Lycopene Meprofarm
Coenzyme Q10
IMULAN KAPSUL Phyllanthus niruri extr Soho
Curcuma domestica rhizome extr
IMUNOS CPLT 20`S Echinacea Lapi
Zinc picolinate
PROTEXIN KAPS Echinacea Landson
PROIMBUS Echinacea Meprofarm
Reishi mushrom
MENOSE Black cohosh extr 20mg Dankos
PROCARDIO Crataegi fructus extr 150mg Meprofarm
HP PRO 90`S Fructus Schizandrae BIO- LIFE MEDILAB
PROVIGOR Cistanchis herba extr 180mg Meprofarm
PROZA SYR Echinacea extr Landson
Zinc picolinate
PROZA TAB Echinacea extr Landson
Zinc picolinate
MENOXA Cimicifuga Racemoga Soho
Vit D3
LEGRES Leucoselect Phytosome Soho
Lycopene

Klas farmakoterapi : 12E--Apetite Stimulans

NO Nama Barang Nama Generik Nama Pabrik


CURCUMA PLUS SYR Vitamin B2 Soho industri Farmasi
Vit B6
CURVIT SYRUP 60 ML Kurkumoid Soho industri Farmasi
Vit B1
Lysin

Klas farmakoterapi : 12f -- Anti Obesity Agent

NO Nama Barang Nama Generik Nama Pabrik


DECASLIM 10 MG Sibutramine Harsen

Formularium 2006 hal 96


DECASLIM 15 MG Sibutramine Harsen
XENICAL Orlistat Roche Indonesia PT
VITASLIM CPLT 60`S Vit C Soho industri Farmasi
Extr garcinia cambodia
APISATE TAB Diethylpropion Hcl Sunthi sepuri
Vit B1

Formularium 2006 hal 97


Klas farmakoterapi : 13a -- Eye Anti-Infectives & Antiseptics

NO Nama Barang Nama Generik Nama Pabrik


BAQUINOR 0,3% EYE DROP Ciprofloxacin Sanbe farma
CHLORAMFENICOL ZALP MATA 1% Chloramphenicol Kimia Farma
CENDO FENICOL 0.5% EYE DROPS 5 ML Chloramphenicol Cendo
CENDO FENICOL 0.25% TM Chloramphenicol Cendo
CENDO FENICOL 1.0% TM Chloramphenicol Cendo
CENDO FENICOL CR 3.5 G TUBE 1% Chloramphenicol Cendo
CENDO XITROL TTS MATA 5 ML Dexamethasone Cendo
Neomycin Sulfate
TARIVID OTIC 5 ML TT X Ofloxacin Kalbe farma
TERRAMYCIN 1%SM 3.5 G Oxytetracycline Pfizer

klas farmakoterapi :13 C Eye Antiseptic With Corticosteroid

NO Nama Barang Nama Generik Nama Pabrik


CENDO MYCOS EYE OINT Hidrocortisone acetate 0,5% Cendo
POLIDEMISIN EYE DROP Dexamethasone Sanbe farma
TERRA CORTRIL 5 GR Dexamethasone Sanbe farma
Neomycin Sulfate

klas farmakoterapi :13 D Mydriatic Drugs

NO Nama Barang Nama Generik Nama Pabrik


CENDO MYDRIATYL Tropicamide Cendo
CENDO TROPINE Atropine Sulfate Cendo

klas farmakoterapi :13 E Miotic Drugs

NO Nama Barang Nama Generik Nama Pabrik


CENDO CARPINE Pilocarpine HCL Cendo

klas farmakoterapi : 13f Galucoma Preparation

NO Nama Barang Nama Generik Nama Pabrik


CARPINE 1% Pilocarpine Cendo

Klas farmakoterapi : 13g -- Other Eye Preparation

NO Nama Barang Nama Generik Nama Pabrik


CENDO PANTOCAIN 0.5% EYE DROPS 5 ML Tetracaine Cendo
CENDO VISION 15ML Tetrahydrazoline Hcl Cendo
FLAMAR EYE DROP Diclofenac Na Sanbe farma
RETIFIT KAPLET 100`S ß-Carotine Sanbe farma
Vit C
CENDO CATARLENT 15 ML CACL2 Anhydrous Cendo
K. Lodiate

Klas farmakoterapi : 13h --Ear Anti-Infectives & Antiseptics

NO Nama Barang Nama Generik Nama Pabrik


COLME EAR DROPS 8 ML Chloramphenicol Interbat PT
ERLAMICETIN TT Chloramphenicol Erela
OTOLIN DROP TT 10 ML X Chloramphenicol Interbat PT
SAGESTAM E.DROP Gentamycin Sulfate Sanbe farma
TARIVID OTIC Ofloxacin Kalbe Farma

Formularium 2006 hal 98


Klas farmakoterapi : 13j -- -Ear Antiseptics With Corticosteroid

NO Nama Barang Nama Generik Nama Pabrik


OTOPAIN X Polymyxin B Sulfate Abbott PT
Fludrocortisone Asetate

Klas farmakoterapi : 13K Other Ear Preparation

NO Nama Barang Nama Generik Nama Pabrik


WAXSOL Docusate Na Alpharma

Klas farmakoterapi : 13l -- Mouth/ Throat Preparation

NO Nama Barang Nama Generik Nama Pabrik


FG TROCHES TAB 100`S Gramicidin 0.05 Mg Meiji Indonesia
DAKTARIN ORAL GEL Miconazole Jansseen PT
KENALOG IN ORABASE Triamcinolone Asetonide Bristol-Myers Squibb
BACTIDOL Hexetidine Pfizer
SALCOSERYL PASTA Polidocanol Pharos
Protein
Free Haemodialysate
TANTUM LOZENGES Benzydamine HCl Soho
TANTUM VERDE Benzydamine HCl Soho
Klas farmakoterapi : 14a -- Topical Anti-Infectives

NO Nama Barang Nama Generik Nama Pabrik


CENTABIO Neomycin Sulfate Sanbe farma
Ekstr Plasenta
BIOPLACENTON JELLY X Ekstr Plasenta Kalbe farma
Neomycin Sulfate
TROFODERMIN CREAM Neomycin Sulfate Kalbe farma
DERMATOP CREAM 5 GR Prednicarbate Hoechst marion roussel
Neomycin Sulfate
SAGESTAM CREAM Gentamycin Sulfate Sanbe farma
GARAMYCIN OINT 5 GRAM/TUBE Gentamycin Sulfate schering Plough Indonesia
BACTODERM 10 GR SK Mupirocin Ikapharmindo
BACTODERM 5 GR Mupirocin Ikapharmindo
BURNAZIN CREAM Perak Sulfadiazin Darya varia
FUSYCOM 5 GR NA- Fusidat Combipar Pharmateucical
KEMICETIN OINT SK Chloramphenicol Carlo Erba
OXYTETRACYCLIN ZALP KULIT 3 % Oxytetracycline Indofarma PT
TERRAMYCIN POLY S.K Oxytetracycline Pfizer Inonesia, Tbk
Polymyxin B Sulfate
PK KRISTAL Kalii Permanganat Nellco Indonesia
FUTADERM CREAM Fusidic Acid Interbat PT
FUTADERM OINT Fusidic Acid Interbat PT
FULADIC CR Fusidic Acid Guardian Pharmatama
FULADIC OINT Na. Fusidate Guardian Pharmatama
NEBACETIN POWDER Neomycin Sulfate Pharos
Bacitracin

Klas farmakoterapi : 14b -- Topical Anti-Infectives With Corticosteroid

NO Nama Barang Nama Generik Nama Pabrik


CHLORAMPHECORT 10 GR Chloramphenicol Kimia Farma
Hydrocortisone
CHLORAMPHECORT H 10 GR Chloramphenicol Kimia Farma
Prednisolon
FLUOCORT N CR 5 G Neomycin Sulfate Phapros
Fluosinolon Asetonida
KALCINOL N CR 5G X Neomycin Sulfate Kalbe farma
Fluosinolon Asetonida
BENOSON Betametason Bernofarm
Neomycin Sulfate
BETASON N Betametason Bernofarm
Neomycin Sulfate
LOTRIDERM CR 5G Clotrimazole Abbott PT
Betametason
DIPROSALIC OINT 5 GR Bethamethasone dipropionate Schering-Plough
Salicylic acids
DIGENTA Gentamycyne Interbat
GENTASOLON Fluosinolon Asetonida Ikapharmindo

Formularium 2006 hal 99


THECORT CR Niconazole Nitrate Guardian Pharmatama
Hydrocortisone

Klas farmakoterapi : 14c -- Topical Corticosteroids

NO Nama Barang Nama Generik Nama Pabrik


APOLAR 0.5 MGCREAM 10 G Desonide Dumex Alpharma Indonesia
BETASON CR 5 GR Betametason Valerat Kimia Farma
BETASON N CR 5 GR Betametason Valerat Kimia Farma
Neomycin Sulfate
ELOCON LOTION 10 ML Mometasone furoate schering Plough Indonesia
ELOX CREAM 5 G Mometasone furoate Guardian Pharmatama
MOFACORT CREAM Mometasone furoate SDM Lab
ELOX CREAM 10 G Mometasone guardian pharmatama
INERSON CREAM 15 GR Desoxymenthasone Interbat PT
TOPCORT 10 G CREAM Desoxymenthasone Sanbe farma
HIDROCORTISON 1% KLB X Hydrocortisone Kalbe farma
HIDROCORTISON 2,5% INF Hydrocortisone Indofarma PT
HIDROCORTISON 2,5% KLB X Hydrocortisone Kalbe farma
KENACORT A CREAM 10 GR Triamcinolone Asetonide Bristol-Myers Squibb
IKADERM OINT 10GR Clobetasol propionat Ikapharmindo
IKADERM CREAM 10 G Clobetasol propionat Ikapharmindo Putramas
DESOLEX CREAM 10 GR Desonide SDM Lab
KLODERMA CR 5 GR Clobetasol propionat SDM Lab

Klas farmakoterapi : 14d --Acne Preparation

NO Nama Barang Nama Generik Nama Pabrik


ZELIRIS CREAM 10 G Azelaic Acid Sanbe farma
VITACID CREAM 0.05% 20 GR Retinoic Acid Surya Dermato Medica Lab
VITACID CREAM 0.025% Retinoic Acid Surya Dermato Medica Lab
VITACID CREAM 0.1% 20GR Retinoic Acid SDM lab
VITACID GEL 0.025% 20GR Retinoic Acid SDM lab
BENZOLAC 2.5% 5 GR Benzoylperoxide Surya Dermato Medica Lab
BENZOLAC 5 % 5 GR Benzoylperoxide Surya Dermato Medica Lab
BENZOLAC CL 10GR Benzoylperoxide SDM lab
ERYMED SOLUTION 30 ML Erythromycin Surya Dermato Medica Lab
ERYMED SOLUTION CR Erythromycin Surya Dermato Medica Lab
DIANE 35 Ethinyloestradiol Schering
NIACEF CR TUBE Nicotinamide SDM lab
MEDI-KLIN GEL 15 GR Clindamycin phosphate SDM lab
MEDIKLIN Clindamycin phosphate SDM lab
COMDASIN SOL Clindamycin phosphate Combiphar pharmaceutical
OXOFERIN SOL Tetra Chlorodeca Pharos

Klas farmakoterapi : 14e -- Antiseptics

NO Nama Barang Nama Generik Nama Pabrik


ALBOTHYL CONCENTRATE Policresulen Pharos Indonesia
PERHIDROL H2O2 Brataco Chemika
POVIDON IODINE Povidon Iodine Brataco Chemika
AVAGARD RAPID MULTI ENZYM ENZYME 3M
AVAGARD ANTISEPTIC HANDSRUB Chlorhexidine 3M
Povidon Iodine

Klas farmakoterapi : 14f -- Medicated Surgical Dressings

NO Nama Barang Nama Generik Nama Pabrik


DARYANT TULLE STERILE GZ Framycetin Sulfate Darya varia
LOMATULL Framycetin Sulfate Pharos Indonesia
SUFRATULL Framycetin Sulfate Darya varia

Klas farmakoterapi : 14g -- Topical Fungicides

NO Nama Barang Nama Generik Nama Pabrik


MICONAZOLE Miconazole Kimia Farma
DAKTARIN DIAPER CR 10G Miconazole nitrate Jansseen PT
Zn oxide
KETOKONAZOLE CR Ketokonazole Dexa medica

Formularium 2006 hal 100


FUNGASOL SS 1 % Ketokonazole Guardian Pharmatama
MYCORAL CREAM 5 GR Ketokonazole Kalbe farma
FORMYCO CR Ketokonazole Sanbe farma
FUNGASOL CREAM 10 GR Ketokonazole Guardian Pharmatama
LOTREMIN SOL 10ML Clotrimazole schering Plough Indonesia
LOTREMIN CR 5 GR Clotrimazole schering Plough Indonesia
TROSYD 1 % CREAM 10 GR Tioconazole Pfizer Inonesia, Tbk
TROSYD 1% POWDER 30 GR Tioconazole Pfizer
MYCOSPOR CREAM 5 GR Bifonazole Bayer Farma Indonesia
EXODERIL CR 5 G TUBE Naftifine Hcl Sandoz
MYCO-Z OINT Nystatin Bristol-Myers Squibb

Klas farmakoterapi : 14h -- Psoriaris, Seborrhea & Ichtyosis Preparation

NO Nama Barang Nama Generik Nama Pabrik


NIZORAL SS 1% Ketokonazole Jansseen PT
NIZORAL SS 2% Ketokonazole Jansseen PT
SELSUN BLUE Urea Roi Surya Prima

Klas farmakoterapi : 14k -- Skin Protectives

NO Nama Barang Nama Generik Nama Pabrik


BIOMOIST AHA Ikapharmindo Putramas
Vit E
Squalan
LACTACYD LIQ BIRU 60 ML Lactic Acid Sanofi-Synthelabo
Lactoserum
PABANOX CREAM 20 GR Pdimate Surya Dermato Medica Lab
Oxybenzone
Titanium Dioxyde
PARASOL CREAM 20 GR Titanium Dioxyde Surya Dermato Medica Lab
Oxybenzone
Paba
Lanolin
PARASOL 30 LOT Ethylhexyl-methoxycinnamate SDM Lab
PARASOL CREAM SPF 33 Ethyhexyl-methoxycinname SDM Lab
Oxybenzone
SOFT U DERM FORTE CR 10% Carbamide Yupharin

Klas farmakoterapi : 14m -- Topical Analgesic & Anti Inflamatories

NO Nama Barang Nama Generik Nama Pabrik


FELDEN GEL 0.5% Piroxicam Pfizer Inonesia, Tbk
VOLTAREN EMULGEL1%20G TUBE Diclofenac NA Novartis PT
LAFALOS CREAM Menthol Sanbe farma
Eugenol

Klas farmakoterapi : 14n -- Other Dermatological

NO Nama Barang Nama Generik Nama Pabrik


DECUBAL CREAM Lanolin Anhidrat Nellco Indonesia
Isopropil Myristat
MADECASSOL CREAM Ekstrak Centella Asiatica Corsa
DELSORALEN CAIR 10 ML Methoxsalen Darya varia
REGROU SOLUTION 30 ML Minodixil Surya Dermato Medica Lab
MEDERMA TOPICAL TUBE 20 G Copalin extr Combiphar/ Merz
Allantion
MADECASSOL POWD Asiatic acid Corsa
Madecassic acid
BEPANTEN Panthenol Roche
MUSTELA Copalin extr Combiphar
BIOCREAM Hypoallergenic Cream Base Merck
VITAQUIN CR 15 GR Hydroquinone SDM Lab

Klas farmakoterapi : 14o--Skin Care & Protectives

NO Nama Barang Nama Generik Nama Pabrik


PHA FACIAL CLS NEOSTRATA Polihidroxy Acid Neostrata

Formularium 2006 hal 101


PHA RENEWAL CREAM NEOSTRATA Polihidroxy Acid Neostrata
PHA LIP CONDITIONER NEOSTRATA Polihidroxy Acid Neostrata
PHA EYE CREAM NEOSTRATA Polihidroxy Acid Neostrata
AHA SMOOTHING CREAM NEOSTRATA Alfahidroxy Acid Neostrata
AHA SMOOTHING LOTION NEOSTRATA Alfahidroxy Acid Neostrata
AHA DAY TIME SMOOTHING CREAM NEOSTRATA Alfahidroxy Acid Neostrata
AHA SKIN LIGHTENING GEL Alfahidroxy Acid Neostrata
BIONIC FACE CREAM NEOSTRATA Lactobionic Acid Neostrata

Klas farmakoterapi : 15a -- Anaesthetics Local & General

NO Nama Barang Nama Generik Nama Pabrik


LIDOKAIN INJ 2% Lidocaine Indofarma PT
PEHACAINE INJ Lidocaine Phapros
LIDODEX 5% INJ Lidocaine Asta Medica
XYLOCAINE 10% SPRAY 50 ML Lidocaine Phapros
ISOFLURANE Isoflurane Dexa Medica

Formularium 2006 hal 102


FORANE INH 250 ML Isoflurane Abbott
KETALAR 100MG INJ Ketamine Hcl Pfizer
MARCAIN 0.5% HVY 4 ML 5`S Bupivacaine Hcl Astra Zeneca
MARCAIN 0.5% PDF 20 ML 5`S Bupivacaine Hcl Astra Zeneca
MIDAZOLAM HAMMELN INJ Midazolam Combipar Pharmateucical
DORMICUM INJ Midazolam Roche Indonesia PT
HALOTHANE Halothane Asta Medica
ATRACHURIUM HAMELN Atracurium Combipar Pharmateucical
ETHYL CHLORIDE Ethylchloride Kimia Farma
EMLA CR 5 GR Lidocaine Astra Zeneca
Prilocaine
FRESOFOL INJ Propofol Ikapharmindo
MILOZ INJ Midazolam Novell Pharma
BUCAIN SPINAL BUPIVACAINE BERNOFARM PT

Formularium 2006 hal 103


Klas farmakoterapi : 17a -- Antihistamines & Antiallergics

NO Nama Barang Nama Generik Nama Pabrik


RYZEN TAB Cetirizine HCL Kenrose Indonesia
OZEN SIR Cetirizine HCL Pharos Indonesia
OZEN DROPS 12 ML Cetirizine Hcl Pharos Indonesia / Solco
CERINI KAPLET 20`S Cetirizine HCL Sanbe farma
TIRIZ DROP Cetirizine HCL Lapi
TIRIZ TAB Cetirizine HCL Lapi
TIRIZ SYR Cetirizine HCL Lapi
DEXTROMETHORPAN TAB KLNG 1000`S Dextromethorpan Phapros
DEXTAMINE TAB Dexamethasone Phapros
Dexchlorpheniramine maleate
Dexchlorpheniramine
CELESTAMIN SYR 30 ML Betametason schering Plough Indonesia
Dexchlorpheniramine
OCUSON TAB Betametason Sanbe farma
Dexchlorpheniramine
NILACELIN SYRUP Betametason Nicholas
HEPTASAN 4 MG Siproheptadine HCL Sanbe farma
TELFAS O.D 120 MG TAB Fexofenadine HCL Hoechst marion roussel
ALLORIS TAB Loratadine Sanbe farma
AERIUS SYR Desloratadine Schering-Plough
AERIUS TAB Desloratadine Schering-Plough
CHLORPHENIRAMINE 4 MG TAB KF Chlorpheniramine Maleate 2.5 M Kimia Farma
AVIL INJ Pheniramine hydrogen maleate Aventis Pharma
HISTAPAN 50 MG TAB Mebhydrolin Napadisylate Sanbe farma

Klas farmakoterapi : 17b. Vaccines, Antisera & Immunologicals

NO Nama Barang Nama Generik Nama Pabrik


VAKSIN HAVRIX Vaksin Hepatitis A GlaxoSmithKline
VAKSIN BCG Vaksin BCG Biofarma
VAKSIN CAMPAK Vaksin Campak Biofarma
VAKSIN DPT Vaksin Campak Biofarma
VAKSIN ENGERIK ADULT Vaksin Hepatitis B GlaxoSmithKline
VAKSIN ENGERIK PAED Vaksin Hepatitis B GlaxoSmithKline
VAKSIN TWINRIX Vaksin Hepatitis A+B GlaxoSmithKline
VAKSIN INFANRIX (DPT ASELULER) Vaksin DPT Aseluler Aventis pasteur
VAKSIN INFANRIK HIB Vaksin DPT Aseluler
VAKSIN TETRAC HIB Vaksin Tetanus Aventis pasteur
VAKSIN VARILRIX Vaksin Varicella
VAKSIN POLIO Vaksin Polio Biofarma
VAKSIN TRIMOVAX ( MMR II ) Vaksin rubella Aventis pasteur
Measles GlaxoSmithKline
VAKSIN TT Vaksin TT Biofarma
VAKSIN TYPERIX Vaksin thypoid GlaxoSmithKline
VAKSIN HIBERIK Vaksin influenza GlaxoSmithKline
VAKSIN FLUARIX Vaksin influenza GlaxoSmithKline
VAKSIN PREFENAR PFS 0,5 ML Vaksin Complete Sanofi Pasteur

Klas Farmakoterapi 17C Immunosuppressants

NO Nama Barang Nama Generik Nama Pabrik


SANDIMMUN NEORAL 25 MG KAPSUL Ciclosporin Novartis

Formularium 2006 hal 104


KLAS Farmakoterapi --19 Intravenous & Other Sterile Solution

NO Nama Barang Nama Generik Nama Pabrik


OTSU D5 1/4 NS 500 ML dextrose Otsuka
Dextrose 5% dextrose Monohydrate Euro-Med
OTSU NS 500 CC/PLSTK NaCl Otsuka
OTSUTRAN 40 Dextran Otsuka
NaCl
Wida NS Nacl Widatra Bhakti
Wida RL NaCl Widatra Bhakti
Wida D5 NaCl Widatra Bhakti
Glucose
Asering Na Otsuka
Acetate
Ca
HAES STERIL Hydroxyethyl starch Fresenius Kabi
Voluven 6% Hydroxyethyl starch Fresenius Kabi
HEMOMES INF Hydroxyethyl starch B Braun
Martos 10 Injection Maltose Otsuka

Formularium 2006 hal 105


Klas farmakoterapi : 20 --Miscellaneous

NO Nama Barang Nama Generik Nama Pabrik


KALBAMIN INF AMINO ACIDS KALBE FARMA
VINAFLOUR TAB FLUCLOXACILLIN NICOLAS LABORATORIES

Formularium 2006 hal 106


75%
t1
r1
l2
b 1.5

Formularium 2006 hal 107


D

Formularium 2006 hal 108


Formularium 2006 hal 109
1. GASTROINTESTINAL & HEPATOBILIARY SYSTEM

1a -- Antisida, Antiulserasi

NO Nama Barang Nama Generik Nama Pabrik


1 ANTASIDA DOEN 400 mg TAB KF Mg(oh)2 mg Kimia Farma
Al (OH)3 200 Mg
2 ANTASIDA DOEN SYRUP 60 ML mg(oh)2 Kimia Farma
Al (OH)3 200 Mg
3 MYLANTA TAB Al (OH)3 200 Mg Parke davis
mg(oh)2
Simethicone 20 Mg
4 POLYCROL F SIR TAB Al (OH)3 200 Mg Nicholas
Simethicone 20 Mg
5 ACRAN INJ Ranitidine Hcl Sanbe farma
6 TRICKER INJ Ranitidine Hcl Meprofarm
7 RANITIDIN 150 MG TAB KF Ranitidine Hcl Kimia Farma
8 ZANTAC INJ Ranitidine Hcl Glaxo Wellcome Laboratories
9 CIMETIDINE 200 MG Cimetidine Kimia Farma
10 OMEPRAZOLE 20 MG Omeprazole Kimia Farma
11 COMPRAZ 30 MG Lansoprazole Combiphar pharmaceutical
12 PANTOZOL 40 MG TAB Pantoprazole Pharos Indonesia
13 PANTOZOL INJ Pantoprazole Pharos Indonesia
14 PANTOZOL 20 MG TAB Pantoprazole Pharos Indonesia
15 FAMOTIDIN TAB 20 Famotidine Indo farma PT
16 FAMOTIDIN TAB 40 Famotidine Indo farma PT
17 FAMOCIDE 40 Famotidine Sanbe farma
18 FAMOCIDE 20 Famotidine Sanbe farma
19 STROCAIN P TAB Polymigel Eisai Indonesia PT
Oxethazine
20 CYTOTEC Misoprostol Pfizer / pharmacia
21 MUCOSTA TAB 100MG Rebamipide Otsuka
22 ULSAFATE SYR Sukraflat Combiphar pharmaceutical

1b -- Regulator GIT, Antiflatulen & Anti-inflamasi

NO Nama Barang Nama Generik Nama Pabrik


23 VOSEDON SUSP Domperidone Sanbe farma
24 VOMETA TAB Domperidone Dexa Medica
25 VOMETA DROPS 5 MG / 10 ML Domperidone Dexa Medica
26 VOMETA 1 MG SYRUP 60 ML Domperidone Dexa Medica
27 DAMABEN TAB 100`S Metoclorpramide Sanbe/A Menarini
28 METOCLOPRAMIDE 10 MG Metoclorpramide Dexa Medica
29 BUDENOFALK Budesonide Darya varia
30 ZELMAC Tegasord Novartis

1c -- Antipasmodik

NO Nama Barang Nama Generik Nama Pabrik


31 PAPAVERIN 40 MG TAB INF Papaverin Kimia Farma
32 BRAXIDIN Clordiazepoxide, Sanbe farma
Clidinium Bromide
33 BUSCOPAN TAB Hyoscine Butylbromide Boehringer ingelheim PT
34 BUSCOPAN PLUS TAB Paracetamol Boehringer ingelheim PT
Hyoscine Butylbromide
35 BUSCOPAN INJ 20 MGAMP 10`S Hyoscine-N-Butylbromide Boehringer Ingelheim
36 ATROPINE INJ 0,25 MG/ ML Atropine Sulfat E.D Ethica
37 DUSPATALIN TAB Mebeverina HCL Kimia Farma
38 PIPTAL PEDIATRIC DROP Pipenzolate Br Nicholas

1d -- Antidiare

NO Nama Barang Nama Generik Nama Pabrik


39 NEW DIATABS TAB Attapulgite Medifarma lab
40 LODIA Loperamide HCL Sanbe farma
41 IMODIUM Loperamide HCL Janssen
42 NEO KAOLANA SYR 120 ML Pectin 50 MG Sanbe farma
Kaolin
43 SMECTA Dioctahedral Smectite Afifarma
44 DIAKUR Attapulgite Phytichemindo Reksa
Psidii Folium
Curcuma Domestica

1e -- Laksatif, Pencahar

NO Nama Barang Nama Generik Nama Pabrik


45 DULCOLAX TAB Bisacodyl Boehringer ingelheim PT
46 DULCOLAX SUPPO INFANS Bisacodyl Boehringer ingelheim PT
47 DULCOLAX SUPPO DWS Bisacodyl Boehringer ingelheim PT
48 LAXOBERON 5 MG / 10 ML DROP Picosulfate Na Boehringer ingelheim PT
49 MICROLAX ENEMA 5 ML Lactulose Pharos Indonesia
50 LACTULAX SYR 60 ML Lactulose Ikapharmindo
51 LAXAL TAB Senna Folium Phytichemindo Reksa
Aloe Vera Folium

1f -- Digestan

NO Nama Barang Nama Generik Nama Pabrik


52 TRIPANZYM Pancreatin Sanbe farma
Pancretin
Dimetil Polisiloksan
53 COBAZIM 1000 CAPS 100`S Coenzyme B 12 Interbat
54 PANKREOFLAT CAP Pankreoflat lipase Solvay Pharmaceutical
Pankreatic amylase
Pancreatic protease
Dimethilpolisiloksan

1g--Hepatoprotector-anticholesterol-cholagogues

No Nama Barang Nama Generik Nama Pabrik


55 LESICHOL 300 Lechitin Murni Landson
Multivitamin
56 CHENOFALK Chenodexycholic Acid Darya varia
57 URDAFALK Ursodeoxycholic Acid Darya varia
Silimarin
Xantrorizae
Pankreatin
Lechitin Murni

Klas farmakoterapi : 1h -- Haemorrhoidal

No Nama Barang Nama Generik Nama Pabrik


58 AETHOXYSKLEROL 3 % 2 ML Polidocanol 0.2 G Phapros
Boric Acid
59 ULTRAPROCT SUPP Fluocortolone Pivalate Scheering AG
Fluocortolone caproate
Clomizale Undecylatde
60 ULTRAPROCT CREAM Fluocortolone Pivalate Scheering AG
Fluocortolone caproate
Clomizale Undecylatde
61 ARDIUM Diosmin Servier
Hesperidin
2. CARDIOVASCULAR & HEMATOPOIETIC SYSTEM

Klas farmakoterapi : 2a -- Cardiag Drugs

No Nama Barang Nama Generik Nama Pabrik


62 DIGOXIN TAB 0.25 MG Digoxin Indofarma PT
63 PROPANOLOL 10 MG Propanolol Dexa Medica
64 CORDARONE TAB 30`S Amiodarone Sanofi PT
65 DOPAMIN INJ Dopamine Hcl Kimia Farma
66 INDOP INJ Dopamine Hcl Fahrenheit
67 INOTROP INJ Dobutamine Hcl Fahrenheit

Klas farmakoterapi : 2b -- Anti Anginal Drugs

No Nama Barang Nama Generik Nama Pabrik


68 ISOSORBID DINITRAT 5 MG 100`S Isosorbide Dinitrate Indofarma
69 CEDOCARD 5 MG TAB Isosorbide Dinitrate Darya varia
70 CONCOR 5 MG TAB Bisolprolol Fumarate Abbott
71 NORVASK 5 MG TAB Amlodipine Pfizer
72 NORVASK10 MG TAB Amlodipine Pfizer
73 AMDIXAL 5 MG TAB Amlodipine Sandoz
74 AMDIXAL 10 MG TAB Amlodipine Sandoz

Klas farmakoterapi : 2c -- ACE Inhibitor

No Nama Barang Nama Generik Nama Pabrik


75 CAPTOPRIL 12,5 MG Captopril Indofarma PT
76 CAPTOPRIL 25 MG Captopril Abbott PT
77 TENSICAP TAB 25 MG Captopril Sanbe Farma
78 TENSICAP TAB 12,5 MG Captopril Sanbe Farma
79 CAPOTEN 12,5 MG TAB Captopril Bristol-Myers Squibb
80 CAPOTEN 25 MG TAB Captopril Bristol-Myers Squibb
81 RAMIPRIL OGB DEXA 2.5 Ramipril Dexa Medica
82 RAMIPRIL OGB DEXA 5 Ramipril Dexa Medica
83 CLONIDINE 0,15 MG Clonidine HCL Kimia Farma
84 URIVASC 7,5 MG TAB Maxipril Pharos
85 URIVASC 15 MG TAB Maxipril Pharos

Klas farmakoterapi : 2d -- Beta Blockers


Nama Barang Nama Generik Nama Pabrik
86 BISOPROLOL FUMARATE 5 MG Bisoprolol Fumarate Kimia Farma
87 PROPANOLOL 40 MG Propranolol Kimia Farma

Klas farmakoterapi : 2e -- Calcium Antogonis

No Nama Barang Nama Generik Nama Pabrik


88 NIFEDIPIN 10 MG TAB KF Nifedipine Kimia Farma
89 ADALAT OROS 30 MG Nifedipine Bayer Farma Indonesia
90 NORVASK 5 MG Amlodipine besylate Pfizer Inonesia, Tbk
91 NORVASK 10 MG Amlodipine besylate Pfizer Inonesia, Tbk
92 AMDIXAL 5 Amlodipine Maleate Sandoz
93 AMDIXAL 10 Amlodipine Maleate Sandoz
94 DILTIAZEM 30 MG 100`S Dilthiazem HCL Indofarma PT

Klas farmakoterapi : 2f -- Angiotensin II Antagonis

No Nama Barang Nama Generik Nama Pabrik


95 APROVEL 150 MG Irbesartan Sanofi-Synthelabo
96 CO-APROVEL 150 MG Irbesartan Sanofi-Synthelabo
Hydrochlorothiazide
97 BLOPRESS TAB 8 MG Candesartan Cilexetil Takeda Indonesia
98 CLONIDINE 0.15 MG Clonidine HCL Kimia Farma
99 CATAPRES INJ Clonidine HCL Boehringer ingelheim PT
100 CATAPRES 150 MCG TAB 100`S Clonidine HCL Boehringer ingelheim PT

Klas farmakoterapi : 2g -- Other Antihypertensives

No Nama Barang Nama Generik Nama Pabrik


101 CLONIDINE HCL Clonidine Hcl Indofarma PT
102 CATAPRES AMP Clonidine Hcl Boehringer Ingelheim

Klas farmakoterapi : 2h Diuretics

No Nama Barang Nama Generik Nama Pabrik


103 FUROSEMIDE 40 MG TAB KF Furosemide Kimia Farma
104 URESIX 40 MG TAB Furosemide Sanbe farma
105 LASIX INJ Furosemide aventis
106 LASIX TAB Furosemide Hoechst marion roussel
107 NATRILIX SR TAB Indapamide Servier
108 LETONAL 25 TAB Spironolactine Otto
109 LETONAL 100 TAB Spironolactine Otto
110 HYDROCHLOROTIAZIDE (HCT)25 MG TAB KF Hydrochlorothiazide Kimia Farma

Klas farmakoterapi : 2j-- Peripheral Vasodilator & Cerebral Activators

No Nama Barang Nama Generik Nama Pabrik


111 NICHOLIN INJ 250 Citicoline Takeda
112 LANCHOLIN INJ Citicoline Landson
113 NEUCITI TAB 500 MG Citicoline Lapi
114 HYDERGIN INJ 1ML Co-Dergocrine Mesylate Novartis PT

Klas farmakoterapi : 2l-- Migraine Drugs

No Nama Barang Nama Generik Nama Pabrik


115 BELLAPHEEN TAB Phenobarbital Soho industri Farmasi
Ergotamine Caffein
116 CAFERGOT TAB Ergotamine Tantrat Novartis
Caffeine
Klas farmakoterapi : 2m -- Haemostatics

No Nama Barang Nama Generik Nama Pabrik


117 ADONA AC 17 TABLET Cerbazocrome NA Sulfonate Tanabe Abadi
118 ADONA FORTE Cerbazocrome NA Sulfonate Tanabe Abadi
119 CLONEX 250 MG TAB Tranexamic Acid Corsa
120 CLONEX 250 MG AMPL 10`S Tranexamic Acid Corsa
121 PLASMINEX INJ Tranexamic Acid Sanbe Farma
122 PLASMINEX TAB 500 Tranexamic Acid Sanbe Farma
123 VIT K 10 MG Vitamin K Kimia Farma
124 VIT K INJ Vitamin K Kimia Farma
125 NEO K PHYTONADIONE Phytonadione Combiphar
126 DICYNONE 500MG 20`S Ethamsylate Corsa / Om Pharma
127 DICYNONE AMPUL 250MG/2ML Ethamsylate Corsa / Om Pharma

Klas farmakoterapi : 2n -- Anticoagulants, Antithrombotics & Fibrinolytics

No Nama Barang Nama Generik Nama Pabrik


128 ASCARDIA 80 MG Acetylsalicylic Acid Pharos Indonesia
129 ASCARDIA 160 MG Acetylsalicylic Acid Pharos Indonesia
130 THROMBO ASPILET TAB Acetylsalicylic Acid Uap
131 CARDIO ASPIRIN Acetylsalicylic Acid Bayer
132 PLAVIX TABLET Clopidogrel Sanofi-Synthelabo
133 PLETAAL TAB 50 MG 100`S Cilostrazol Otsuka
134 TICURING TAB Ticlopidine HCL Lapi

Klas farmakoterapi : 2p-Phlebitis & Varicose Preparations

No Nama Barang Nama Generik Nama Pabrik


135 ARDIUM Diosmin Servier
Hesperidin
136 MADECASSOL TAB Centella Asiatica Corsa
Butcher Broom Soho
137 VENARON CAPS 100`S O-(Hydroxyethyl)-Rutoside Teguhsindo Lestaritama PT
Butcer Broom
138 THROMBOPHOP GEL Nicotinic Acid Benzyl Ester Tunggal Idaman Abadi
Heparin
139 CIFLON TAB Citrus Bioflavonoid Lapi

Klas farmakoterapi : 2q-- Haemorrheological

No Nama Barang Nama Generik Nama Pabrik


140 ARDIUM Flavoniodic Fraction Servier

Klas farmakoterapi : 2r -- Haemorrheological Agents

No Nama Barang Nama Generik Nama Pabrik


141 RECORMON 5000 IU PFS/0.3 ML Epoetin Roche
Klas farmakoterapi : 2s -- Other Cardiovascular Drugs

No Nama Barang Nama Generik Nama Pabrik


142 HEPTAMYL 150 MG Heptamyl HCL Corsa
143 BIO ATP ATP 20 MG Phapros
Vit B1
Vit B6
Vit B12
144 MYOVITON TAB ATP 20 MG Pharos Indonesia
Vit B1
Vit B6
Vit B12
3. RESPIRATORY SYSTEM

Klas farmakoterapi : 3b --Antiasthmatic COPD Preparation


No Nama Barang Nama Generik Nama Pabrik
145 SALBUTAMOL 2 MG TAB KF Salbutamol Kimia Farma
146 SALBUTAMOL 4 MG Salbutamol Kimia Farma
147 LASAL SYRUP 100 ML Salbutamol Lapi
148 LASAL EXPECT SYR 100 ML Salbutamol Lapi
Guaiphenesin
149 LASAL TAB 2 MG Salbutamol Lapi
150 FARTOLIN EXPECT 100 ML SYRUP Salbutamol Fahrenheit
Guaiphenesin
151 VENTOLIN INH CFC FREE/CAN Salbutamol Glaxo Wellcome Indonesia
152 VENTOLIN NEBULES 2.5 MG/AMP Salbutamol Glaxo Wellcome Indonesia
153 PROFILAS Ketotifen Dankos Laboratories PT
154 PROFILAS SYRUP 60 ML Ketotifen Dankos Laboratories PT
155 BRONSOLVAN SYRUP Theophyllin Kalbe farma
156 THEOBRON KAPSUL Theophyllin Interbat
157 COMBIVENT MDI 10 ML Iratropium Bromide Boehringer ingelheim PT
158 COMBIVENT NEBULIZER Iratropium Bromide Boehringer ingelheim PT
159 AMINOPHYLLINUM 2,4% 24 AMP/10 CC Aminophillin Ethica
160 EPHEDRINE HCL 25 MG TAB KF Ephedrine HCL Kimia Farma
161 EPHEDRINE HCL 50 MG/ML INJ/100 AMPUL Ephedrine HCL Ethica
162 FLIXOTIDE NEB Fluticasone Drop Glaxo Wellcome Indonesia
Fluticason Propinat
163 BRICASMA TAB 2.5 MG 100`S Terbutaline Sulfate Astra Zeneca
164 MEPTIN 0.05 MG TAB Procaterol Otsuka
165 MEPTIN SYR 60 ML Procaterol Otsuka
166 MEPTIN MINI TAB 0,025 MG Procaterol Otsuka
167 ETAPHYLLINE TAB 250MG Acefylline Piperazine Corsa / Sanofi-synthelabo

Klas farmakoterapi : 3c -- Cough & Cold Remedies

No Nama Barang Nama Generik Nama Pabrik


168 TREMENZA TAB Pseudoephedrine HCL Sanbe farma
Tripolidina Hcl
169 TREMENZA SYR 60 ML Pseudoephedrine HCL Sanbe farma
Tripolidina Hcl
170 TRIAMINIC BATUK 60 ML Pseudoephedrine HCL Novartis PT
Dextrometropan
171 TRIAMINIC PILEK 60 ML Pseudoephedrine HCL Novartis PT
Guafenesin
172 TRANSPULMIN SYR 60 ML Pipazetate Astra Zeneca
Guafenesin
173 LAPIFED DM SYR 100 ML Tripolidina Hcl Lapi
Pseudoephedrine HCL
174 LAPIFED EXP SYR 60 ML Tripolidina Hcl Lapi
Pseudoephedrine HCL
175 LAPIFED SYR 60 ML Tripolidina Hcl Lapi
Pseudoephedrine HCL
176 LAPIFED TAB Tripolidina Hcl Lapi
Pseudoephedrine HCL
177 TRIAMINIC EXP 60 ML Pseudoephedrine HCL Novartis
Guafenesin
178 ALDIZA SR TAB Loratadine Sanbe farma
Pseudoephedrine Sulfat
179 ALCO DROPS ORAL 15 ML Pseudoephedrine HCL Interbat
180 ALCO PLUS DMP SYR 100 ML Pseudoephedrine HCL Interbat
181 ALCO DROP Pseudoephedrine HCL Interbat
182 AMBROXOL SYR 60 ML Ambroxol HCL Kimia Farma
183 AMBROXOL TAB 30 MG Ambroxol HCL Kimia Farma
184 EPEXOL SYRUP 120 ML Ambroxol HCL Sanbe farma
185 EPEXOL 30 MG TAB Ambroxol HCL Sanbe farma
186 MUCOPECT 15 MG/5 ML SYRUP Ambroxol HCL Boehringer ingelheim PT
187 MUCOPECT 30 MG/5 ML ELIXIR Ambroxol HCL Boehringer ingelheim PT
188 MUCOPECT DROPS Ambroxol HCL Boehringer ingelheim PT
189 MUCOPECT TAB 30 MG Ambroxol HCL Boehringer ingelheim PT
190 MUCOHEXIN 8 MG TAB Bromhexine HCL 10 Mg Sanbe farma
191 MUCOHEXIN ELIXIR SYR Bromhexine HCL 10 Mg Sanbe farma
192 BISOLVON TAB Bromhexine HCL 10 Mg Boehringer ingelheim PT
193 COMTUSI SYR Oksomemazine Combiphar pharmaceutical
Glyseril G
194 DEXTROMETHORPHANE 15 MG BOX TAB KF Dextromethorphan Kimia Farma
195 DEXTROMETHORPHANE SIR Dextromethorphan Kimia Farma
196 FLUIMUCIL SYR Acetyl Cytein Pharos Indonesia
197 FLUIMUCIL TAB Acetyl Cytein Pharos Indonesia
198 GLYCERIL GUAICOLAS 100 MG TAB KF Acetyl Cytein Kimia Farma
Glyseril G
Glyseril G
199 LACOLDIN SYR 60 Paracetamol Lapi
Phenylpropanolamine
200 NIPE DROP 15 ML Isothipendyl Asta Medica
Phenyleprin
201 NIPE SYR 100 ML Isothipendyl Asta Medica
Phenyleprin
202 SANADRYL SYR 120 ML Amonium Klorida Sanbe farma
Dipenhydramin
203 SILOMAT COMPOSITUM SYR 60 ML Clobutinol HCL Boehringer ingelheim PT
Orciprenalin
204 SILOMAT COMPOSITUM SYR 125 ML Clobutinol HCL Boehringer ingelheim PT
Orciprenalin
205 VECTRINE DRY SYR Erdosteine Dexa Medica
206 VECTRINE TAB 300 MG 20`S Erdosteine Dexa Medica
207 LEVOPRONT SYR Lepodroprovisine Combiphar pharmaceutical
208 CODIPRONT CAPSUL Codipront Kimia Farma
209 PROSPAN SYR Ivy Ekstr Transfarma

Klas farmakoterapi : 3d --Decongestans & Other Nasal Preparation

No Nama Barang Nama Generik Nama Pabrik


210 OTRIVIN NASAL DROPS 0,1% 10 ML Xylometazoline Novartis PT
211 NASACORT AQ NASAL SPRAY Triamsinolone acetonide Aventis Pharma
4. NEURO - MUSCULAR SYSTEM

Klas farmakoterapi : 4b -- Analgesics & Antipyretics

No Nama Barang Nama Generik Nama Pabrik


212 TORADOL TAB Ketorolac Tromethamine Roche
213 TORADOL INJ Ketorolac Tromethamine Roche
214 PRONEURON Metamizole Na Meprofarm
Diazepam
215 TROLAC INJ Ketorolac Bernofarm
216 ANTALGIN 500 MG TAB KF Methampyrone Kimia Farma
217 NOVALGIN INJ Methampyrone Aventis
218 NOVALGIN SYR 60 ML Metamizole Na Aventis Pharma
219 ASAM MEFENAMAT 500 mg Asam Mefenamat Kimia Farma
220 MEFINAL 500 MG TAB 100`S Asam Mefenamat Sanbe farma
221 SUMAGESIC TAB Paracetamol United American
222 PETHIDIN HCL INJ Petidin HCL Kimia Farma
223 SANMOL TAB Paracetamol Sanbe farma
224 SANMOL SYRUP 60 ML Paracetamol Sanbe farma
225 SANMOL DROP 30 ML Paracetamol Sanbe farma
226 PARACETAMOL SYR 60 ML Paracetamol Phapros
227 PARACETAMOL 500 MG BOX TAB KF Paracetamol Kimia Farma
228 TEMPRA SYRUP 60 ML Paracetamol Bristol Myer-Squibb
229 SOMADRIL COMP Paracetamol Alpharma PT
Caffeine
230 SISTENOL TAB 60`S Paracetamol Dexa Medica
N-Acetylcysteine
231 PRORIS FORTE SYR 60 ML Ibuprofen Pharos Indonesia
232 PRORIS SYR 60 ML Ibuprofen Pharos Indonesia
233 BUFFECT F SYR Ibuprofen Sanbe farma
234 BUFFECT SYR FORTE Ibuprofen Sanbe farma
235 IBUPROFEN 400 MG TAB Ibuprofen Indofarma PT
236 IBUPROFEN 200 MG TAB Ibuprofen Indofarma PT
237 TRAMADOL 50 MG KAPS Tramadol HCL Kimia Farma
238 TRAMAL RETARD TABLET Tramadol HCL Pharos Indonesia / Grunenthal
239 TRAMAL TABLET Tramadol HCL Pharos Indonesia / Grunenthal
240 MORPHIN INJ 10 MG Morfin HCl Kimia Farma
241 DOLO NEUROBION TAB Antalgin Merck Indonesia
Vit B1
Vit B6
Vit B12
242 NEUROSANBE PLUS CAPL Methampyrone Sanbe farma
Vit B1
Vit B6
243 ANALSIK Chlordiazepoxide Sanbe farma
VIT B1
Vit B6
Vit B12
Methampyronee
244 FENTANYL INJ 2 ML 5`S Fentanyl Janssen-Cilag

Klas farmakoterapi : 4c -- Antireumatic, Analgesic Anti-Inflammatory

No Nama Barang Nama Generik Nama Pabrik


245 ARAVA 10 MG TAB Leflunomide Aventis Pharma
246 PIROKSIKAM 10 MG TAB KF Piroxicam Indo farma
247 PIROKSIKAM 20 MG TAB KF Piroxicam Indo farma
248 KALIUM DIKLOFENAK 25 MG Diklofenac K Dexa Medica
249 KALIUM DIKLOFENAK 50 MG Diklofenac K Dexa Medica
250 CATAFLAM 25 Diklofenac K Novartis PT
251 CATAFLAM 50 Diklofenac K Novartis PT
252 NATRIUM DIKLOFENAK 25 Natrium Diklofenak Dexa Medica
253 NATRIUM DIKLOFENAK 50 Natrium Diklofenak Dexa Medica
254 FLAMAR 50 MG TAB Natrium Diklofenak Sanbe farma
255 FLAMAR TAB 25 MG 100`S Natrium Diklofenak Sanbe farma
256 PRONALGES E-50 TAB Ketoprofen Dexa Medica
257 PRONALGES SUPPO Ketoprofen Dexa Medica
258 PRONALGES INJ 50 MG 10`S Ketoprofen Dexa Medica
259 AULIN 100 Nimesulide Helsinn Birex Pharma
260 NICOX Nimesulide Novell
261 CELEBREX 200 MG Celecobix Pfizer
262 LONENE 200 MG CPS 60`S Etodolac Sunthi sepuri
263 LONENE 300 CAP Etodolac Sunthi sepuri
264 CALTRON Calcium Pyridam Farma
265 HYALGAN Na. Hyaluronate Combiphar pharmaceutical
266 OSFLEX Na. Hyaluronate Novell
267 DUROLANE Na. Hyaluronate Kalbe Farma
268 NONFLAMIN Tinoridine Takeda
269 SULCOLON Sulfalazine Bernofam
270 DYNASTAT Parecoxib Pfizer
271 PREXIGE 400 Lumiracoxib Novartis PT
Klas farmakoterapi : 4d -- Gout Preparations

No Nama Barang Nama Generik Nama Pabrik


272 ALLUPURINOL 100 MG TAB KF Allupurinol Indofarma PT
273 ZYLORIC 100 MG TAB Allupurinol Glaxo Wellcome Indonesia
274 ZYLORIC 300 MG TAB Allupurinol Glaxo Wellcome Indonesia
275 PURECEMIA Allupurinol Sanbe Farma
276 RECOLFAR Colchicin Fahrenheit

Klas farmakoterapi : 4e -- Minor Tranquilisers

No Nama Barang Nama Generik Nama Pabrik


277 DIAZEPAM 2 MG Diazepam Kimia Farma
278 DIAZEPAM 5 MG Diazepam Kimia Farma
279 DIAZEPAM INJ 10 MG/2ML Diazepam Indofarma PT
280 VALISANBE 2 Diazepam Sanbe farma
281 VALISANBE 5 Diazepam Sanbe farma
282 STESOLID RECTAL TUBE 10 MG Diazepam Dumex Alpharma Indonesia
283 STESOLID RECTAL TUBE 5 MG Diazepam Dumex Alpharma Indonesia
284 XANAX 0.5 MG TAB Alprazolam Upjohn Ind PT
285 ATIVAN TAB 1.0 MG/ CE5.00 Lorazepam Sunthi sepuri
286 ATIVAN TAB 2 MG Lorazepam Sunthi sepuri
287 FRISIUM TAB 10 MG Clobazam Hoechst marion roussel
288 CLOBAZAM 10 Clobazam Kimia Farma

Klas farmakoterapi : 4f -- Major Tranquilisers

No Nama Barang Nama Generik Nama Pabrik


289 CHLORPROMAZINE 100 MG Chlopromazine Kimia Farma
290 CHLORPROMAZINE 25 MG Chlopromazine Kimia Farma
291 HALOPERIDOL 1,5 MG INF Haloperidol Indofarma PT

Klas farmakoterapi : 4g --Hypnotics & Sedatives


No Nama Barang Nama Generik Nama Pabrik
292 ESILGAN TAB 100`S 2 MG Estazolam Takeda Indonesia

Klas farmakoterapi : 4h -- Antikonvulsan

No Nama Barang Nama Generik Nama Pabrik


293 PHENOBARBITAL 30 MG Phenobarbital Soho industri Farmasi
294 PHENOBARBITAL 50 MG Phenobarbital Soho industri Farmasi
295 PHENYTOIN CAP Phenitoin NA Ikapharmindo Putramas
296 CARBAMAZEPIN 200 MG TAB Carbamazepine Indofarma PT
297 NEURONTIN 300 CAPS Gabepantin Pfizer Inonesia, Tbk
298 TRILEPTAL FCT 300 MG Oxcarbazepine Novartis

Klas farmakoterapi : 4i -- Antidepresan

No Nama Barang Nama Generik Nama Pabrik


299 AMITRIPTILIN 25 MG tab Amitriptilin Indofarma PT
Amitriptilin
300 PROZAC Fluoxetine Ely Lilly

Klas farmakoterapi : 4k -- Nootropics & Neurotonics

No Nama Barang Nama Generik Nama Pabrik


301 NEUROSANBE TAB Vit B1 Sanbe farma
Vit B6
Vit B12
302 NEUROBION 5000 TAB Vit B1 Merck Indonesia
Vit B6
Vit B12
303 NEUROBION TAB Vit B1 Merck Indonesia
Vit B6
Vit B12
304 NEUROSANBE INJ Vit B1
Vit B6
Vit B12
305 MECOLA Mecobalamin Lapi
306 LAPIBAL 500 MG Mecobalamin Lapi
307 LAPIBAL 250 MCG Mecobalamin Lapi
308 LAPIBAL INJ Mecobalamin Lapi
309 ARCALION DRAG`200MG 60`S Sulbutiamine Servier
310 PIRACETAM INJ 3 GR Piracetam Indo farma PT
311 NEUROTAM INJ 3 GR 4`S Piracetam Kalbe farma
312 PIRACETAM 400 MG Piracetam Dexa Medica
313 PIRACETAM 800 MG Piracetam Dexa Medica
314 PIRACETAM 1200 MG Piracetam Dexa Medica
315 LATROPIL 400 TAB Piracetam Lapi
316 LATROPIL 800 TAB Piracetam Lapi
317 LATROPIL 1200 TAB Piracetam Lapi
318 NERVITON E VIT B1 Combiphar Pharmaceutical
Vit B6
Vit B12
VIT E
319 NERVA PLUS VIT B1 Pharmacia
Vit B6
Vit B12
Asam Folat
320 NIMOTOP TAB Nimodipine Abbott PT

Klas farmakoterapi : 4l -- Antiemetic & Antivertigo Drugs

No Nama Barang Nama Generik Nama Pabrik


321 DIMENHIDRINAT TAB 50 MG Dimenhidrinat Kimia Farma
322 MEDIAMER B6 Phyratiazine Darya varia
Vit B6
323 ANVOMER B6 Phyratiazine Dexa Medica
Vit B6
324 MERISLON Betahistine Mesylate Eisai Indonesia PT
325 BETASERC Betahistine Mesylate Solvay Pharmaceutical
326 CEDANTRON 10`S TAB Ondansetron Hcl Soho
327 ONDAVELL 4 MG INJ 5`S Ondansetron Novell Pharma
328 DOGMATIL 50 MG KAPSUL Sulpiride Soho / Delagrange

Klas farmakoterapi : 4n -- Anti Parkinsonian Drug

No Nama Barang Nama Generik Nama Pabrik


329 TRIHEXYPHENIDIL Trihexyphenidil Indofarma PT
330 PARLODEL Bromocriptine Mesilate Novartis

Klas farmakoterapi : 4q -- Muscle Relaxants

No Nama Barang Nama Generik Nama Pabrik


331 MYONAL Eperisone Hcl Eisai Indonesia PT
332 MYONEP TAB Eperisone Hcl Lapi
333 SIRDALUD Tizandine Hcl Novartis PT
334 TRACRIUM Atracurium Besylate Glaxo Smith Kline

Klas farmakoterapi : 4p -- Neuromuscular Disorder Drug

No Nama Barang Nama Generik Nama Pabrik


335 PROSTIGMIN INJ Pyridostigmine Br Valeant/Combiphar

5. HORMONES

Klas farmakoterapi : 5a -- Androgen & Related Synthetic Drugs

No Nama Barang Nama Generik Nama Pabrik


336 ANDRIOL TAB Testoteron Undekuonat Organon Indonesia
337 DANOCRINE 200 MG KAP Danazol Sanofi-Synthelabo
Klas farmakoterapi : 5b -- Oestrogens & Progesterones & Related Synthetic Drugs

No Nama Barang Nama Generik Nama Pabrik


338 ENDOMETRIL Lynestrenol Organon Indonesia
339 GYNAECOSID TAB 20`S Methyloestrenol 5 Mg Phapros
340 LIVIAL 2.5 MG X 1 X 28 Tibolon Organon Indonesia
341 LYNORAL Ethinyloestradiol Organon Indonesia
342 PREABOR TAB Allylestrenol Sanbe farma
343 PREMASTON 5 MG TAB 30`S Allylestrenol Kalbe farma
344 REGUMEN 5 MG Norethisterone Sanbe farma
345 PRIMOLUT N 5 MG Norethisterone Organon Indonesia
346 PROTHYRA TAB Medroxyprogrest .AC Sunthi sepuri
347 PROVERA 10 MG Medroxyprogrest .AC Pfizer Inonesia, Tbk
348 DUPHASTON TAB Dydrogesterone Solvay Pharmaceuticals
349 ESTHERO 0,625 Natural Conjugated Oestrogens Sunthi sepuri / Wyeth-Ayerst
350 CYCLO-PROGYNOVA Norgestrel
Estradriol Valerate Schering AG
351 CYGEST SUPPO Progesterone Alpharma
352 YASMIN Drospirenone Schering AG
Ethinyloestradiol

Klas farmakoterapi : 5d --Corticosteroid Hormones

No Nama Barang Nama Generik Nama Pabrik


353 BUDENOFALK CAP Budesonide Darya varia
354 CORTIDEX TAB Dexamethasone Sanbe farma
355 CORTIDEX INJ Dexamethasone Sanbe farma
356 DEXAMETHASONE 0.5 MG TAB KF Dexamethasone Kimia Farma
357 METHYLPREDNISOLONE 4 MG Methyilprednisolon Dexa Medica
358 METHYLPREDNISOLONE 16 MG Methyilprednisolon Dexa Medica
359 METHYLPREDNISOLONE 8 MG Methyilprednisolon Dexa Medica
360 METHYLPREDNISOLONE INJ Methyilprednisolon Dexa Medica
361 DEPO MEDROL INJ Methyilprednisolon Pfizer Inonesia, Tbk
362 LAMESON 4 MG Methyilprednisolon Lapi
363 LAMESON 8 MG Methyilprednisolon Lapi
364 LAMESON 16 MG Methyilprednisolon Lapi
365 THYMELON 125 MG INJ Methyilprednisolon Ethica
366 THYMELON 500 MG INJ Methyilprednisolon Ethica
367 KENACORT TAB 4 MG Triamcinolone Asetonide Bristol Myer-Squibb
368 KENACORT AID INJ 5 ML Triamcinolone Asetonide Bristol Myer-Squibb
369 KENACORT A IM Triamcinolone Asetonide Bristol Myer-Squibb
370 TRILAC INJ Triamcinolone Asetonide Novell

Klas farmakoterapi : 5e -- Trophic Hormones & Related Synthetic Drugs

No Nama Barang Nama Generik Nama Pabrik


371 BLESIFEN TAB 50 MG Clomiphene citrate Sanbe farma
372 PROFERTIL TAB 10`S X Clomiphene citrate Kalbe farma
373 PINFETIL TAB 50 MG Clomiphene citrate Novell
374 GONAL 75 IU INJ Recombinant follicle Dipa Pharmalab Intersains
Stimulating hormone
375 PREGNYL 5000 UI INJ HCG Organon
376 PARLODEL Bromcriptin Mesilate Novartis

Klas farmakoterapi : 5g --Other Hormone Related Drugs

No Nama Barang Nama Generik Nama Pabrik


377 AGNUCASTON Exct Of The Fruit Chaste Tree Darya varia
378 MOLOCO + B 12 Placenta Extr Darya-Varia /Bionorico
Vit B12
6. CONTRACEPTIVE AGENTS

Klas farmakoterapi : 6a --Depot Contraceptives

No Nama Barang Nama Generik Nama Pabrik


379 DEPO PROVERA Medroxyprogrest .AC Upjohn Ind PT
380 CYCLOFEM INJ 0,5 ML Medroxyprogrest .AC Tunggal Idaman Abadi

Klas farmakoterapi : 6b --Oral Contraceptives

No Nama Barang Nama Generik Nama Pabrik


381 MICROGYNON Levonorgestrel Scering AG
Ethynilestradiol
382 POSTINOR 2 Levonorgestrel Tunggal Idaman Abadi
383 CERAZETTE TABLET Desogestrel Organon
384 DIANE 35 Cyproterone asetat Scering AG

Klas farmakoterapi : 6c -- Other Contraceptives

No Nama Barang Nama Generik Nama Pabrik


385 NOVA T T shaped IUD Scering AG
386 COPPER T T shaped IUD Kimia Farma
387 FLEXI T T shaped IUD Kalbe farma
7. ANTIBIOTICS

Klas farmakoterapi : 7a --Aminoglycosides

No Nama Barang Nama Generik Nama Pabrik


388 MIKASIN INJ 250 MG Amikacin Sulfate Dankos
389 SAGESTAM INJ Gentamycin Sulfate Sanbe farma

Klas farmakoterapi : 7b -- Cephalosporins

No Nama Barang Nama Generik Nama Pabrik


390 CEFAT 500 TAB Cefadroxil Monohydrate Sanbe farma
391 CEFAT DRY SYR Cefadroxil Monohydrate Sanbe farma
392 CEFAT FORTE D.SYR Cefadroxil Monohydrate Sanbe farma
393 CEFADROXIL 500 MG Cefadroxil Monohydrate Kimia Farma
394 CEFADROXIL 250 MG Cefadroxil Monohydrate Kimia Farma
395 COMSPORIN CAPS 100 MG 30`S Cefixime Combiphar pharmaceutical
396 COMSPORIN D.S 30 ML/BTL Cefixime Combiphar pharmaceutical
397 SPORETIK D.SYR 100 MG/60 ML Cefixime Sanbe farma
398 SPORETIK 100 MG CAP 30`S Cefixime Sanbe farma
399 URTICEF TAB 100 MG Cefixime Darya Varia
400 CEPHALEXIN 500 MG INF Cephalexin Indofarma PT
401 CERADOLAN 200 MG TAB Cefotiam Takeda
402 VELOSEF TAB 250 MG Cephradine Bristol-Myers Squibb
403 VELOSEF TAB 500 MG Cephradine Bristol-Myers Squibb
404 VELOSEF INJ 1000 MG Cephradine Bristol-Myers Squibb
405 CEFTRIAXONE INJ Ceftriaxone Dexa Medica
406 FORICEF INJ Ceftriaxone Promed
407 TERFACEF VIAL 1 GR Ceftriaxone Sanbe farma
408 LACEDIM INJ Ceftazidime pentahydrate Lapi
409 CEFOTAXIME INJ Cefotaxime Indofarma PT
410 LAPIXIME INJ Cefotaxime Na Lapi

Klas farmakoterapi : 7c -- Chloramphenicols

No Nama Barang Nama Generik Nama Pabrik


411 CHLORAMFENICOL CAP 250 MG Chloramphenicol Sanbe farma
412 COLSANCETINE 250 MG Chloramphenicol Sanbe farma
413 COLCASENTINE INJ Chloramphenicol Sanbe farma
Inj : Na succinate
414 COLSANCETINE SYR Chloramphenicol Sanbe farma
Syr : Palmitate
415 CHLORAMPHENICOL 60 ML SYR Chloramphenicol Kimia Farma
416 THIAMPHENICOL 250 MG Thiamphenicol Kimia Farma
417 BIOTHICOL 500 CAP Thiamphenicol Sanbe farma
418 BIOTHICOL DRY SYR 60 ML Thiamphenicol Sanbe farma

Klas farmakoterapi : 7d --Macrolides

No Nama Barang Nama Generik Nama Pabrik


419 ERYTHROMYCIN 250 MG CAPS KF Erythromycin Kimia Farma
420 ERYTHROMYCIN 500MG CAPS INF Erythromycin Indofarma PT
421 ERYTHROMYCIN DRY SYRUP Erythromycin Indofarma PT
422 ERYSANBE CWBL 200 MG 100`S Erythromycin Sanbe farma
423 ERYSANBE DRY SYR 60 ML Erythromycin Sanbe farma
424 ERYSANBE 500 MG CAPL Erythromycin Sanbe farma
425 MEZATRIN 250 MG Azithromycin Sanbe farma
426 ZITHROMAX 500 MG TAB Azithromycin Pfizer Inonesia, Tbk
427 ZITHROMAX SYR Azithromycin Pfizer Inonesia, Tbk
428 SPIRAMYCIN Spiramycin Indofarma PT
429 SPIRASIN TAB 500 MG Spiramycin Sanbe farma
430 ABBOTIC DRY SYR Clarithromysin Abboth

Klas farmakoterapi : 7e -- Penicillins

No Nama Barang Nama Generik Nama Pabrik


431 AMOXICILLIN 500 MG TAB KF Amoxycillin Trihydrate Kimia Farma
432 AMOXICILIN 125 MG DRY SYR Amoxycillin Trihydrate Kimia Farma
433 CO-AMOXICLAV Amoxycillin Trihydrate Indofarma PT
434 AMOXSAN DRY SYRUP Amoxycillin Trihydrate Sanbe farma
435 AMOXSAN 250 MG Amoxycillin Trihydrate Sanbe farma
436 AMOXSAN 500 MG Amoxycillin Trihydrate Sanbe farma
437 AMOXSAN PAED DROPS Amoxycillin Trihydrate Sanbe farma
438 AMOXSAN DRY SYRUP FORTE Amoxycillin Trihydrate Sanbe farma
439 COMSIKLA TAB Amoxycillin Combiphar pharmaceutical
Asam Clavulanat
440 CLANEKSI TAB Amoxycillin Sanbe farma
Asam Clavulanat
441 CLANEKSI DRY SIR Amoxycillin Sanbe farma
Asam Clavulanat
442 AMPICILLIN 500 MG TAB KF Ampicillin Kimia Farma
443 AMPICILIN DRY SYR Ampicillin Kimia Farma
444 VICCILLIN 1 G INJ Ampicillin Meiji Indonesia
445 OSPEN 625MG TAB Phenoxymethylpenicillin Sandoz
446 AUGMENTIN 500 MG Amoxycillin 500 MG Glaxo Smith Kline
Clavulanis Acid
447 PEHAMOXIL SACHET Amoxycilin Phapros

Klas farmakoterapi : 7f -- Other Beta Lactams

No Nama Barang Nama Generik Nama Pabrik


448 PELASTIN IV Imipenem Sanbe Farma
Cilastatin

Klas farmakoterapi : 7g --Quinolones

No Nama Barang Nama Generik Nama Pabrik


449 BAQUINOR TAB 500 MG Ciprofloxacin Sanbe farma
450 CIPROFLOXACIN 500 MG Ciprofloxacin Indofarma PT
451 PEFLACINE TAB 400 MG Pefloxacin Aventis
452 NOFLEXIN TAB 400 MG Pefloxacin Novell
453 OFLOXACIN TAB 200 MG Ofloxacin Indofarma PT
454 OFLOXACIN TAB 400 MG Ofloxacin Dexa Medica
455 TARIFLOX TAB 400 MG Ofloxacin Lapi
456 LEVOCIN TAB 500 MG Levofloxacin Sanbe farma
457 LEXA TAB 500 MG Levofloxacin Sandoz
458 LEVOXAL TAB 500 MG Levofloxacin Sandoz

Klas farmakoterapi : 7h -- Tetracyclines

No Nama Barang Nama Generik Nama Pabrik


459 DOXYCYCLINE CAP KF Doxycycline Kimia Farma
460 SICLIDON 100 MG CAPS Doxycycline Sanbe farma
461 TETRA SANBE 500 MG CAPS Tetracycline Sanbe farma
462 TETRACYCLIN 500 MG Tetracycline Kimia Farma
463 MINOCIN 100 Minocycline HCL Lederle
Klas farmakoterapi : 7i -- Antifungals

No Nama Barang Nama Generik Nama Pabrik


464 KETOKONAZOLE 200 MG TAB Ketokonazole Indofarma PT
465 DIFLUCAN TAB 150 MG Fluconazole Pfizer
466 GOVAZOL TAB 150 MG Fluconazole Guardian
467 GRISEOFULVIN 125 MG TAB KF Griseofulvin Kimia Farma
468 NYMIKO DROP Nystatin Sanbe farma
469 MYCOSTATIN Nystatin Bristol-Myers Squibb

Klas farmakoterapi : 7j -- Anti Bacterial Combinations

No Nama Barang Nama Generik Nama Pabrik


470 COTRIMOXAZOL TAB 480 Co-trimoxazole & trimethoprim Indo Farma
471 COTRIMOXAZOL SYR Co-trimoxazole & trimethoprim Indo Farma
472 SANPRIMA F TAB Co-trimoxazole & trimethoprim Sanbe farma
473 SANPRIMA SYR Co-trimoxazole & trimethoprim Sanbe farma
474 BACTRIM SYR 200/40 MG 50ML Co-trimoxazole & trimethoprim Roche
475 BACTRIM FORTE TAB Co-trimoxazole & trimethoprim Roche

klas farmakoterapi: 7k--Other Antibiotics

No Nama Barang Nama Generik Nama Pabrik


476 CLINDAMISIN 150 MG 100`S Clindamycin Dexa medica
477 PROLIC 150 CAPSUL Clindamycin Sanbe farma
478 PROLIC 300 CAPSUL Clindamycin Sanbe farma
479 LINCOMYCIN 500 MG lyncomycin medikon

8. OTHER CHEMOTHERAPEUTICS

Klas farmakoterapi : 8a -- Antituberculous Agents

No Nama Barang Nama Generik Nama Pabrik


480 ETHAMBUTOL 500 MG TAB KF Ethambutol Kimia Farma
481 ETHAMBUTOL 250 MG Ethambutol Kimia Farma
482 ISONIAZIDE (INH)100 MG TAB KF Isoniazid Kimia Farma
483 ISONIAZIDE (INH)300 MG TAB KF Isoniazid Kimia Farma
484 TB VIT 6 SYR 225 ML INH Meprofarm
Vit B6
485 TB VIT 6 SYR 110 ML INH Meprofarm
Vit B6
486 PYRAZINAMIDE 500 TAB KF Pyrazinamide Kimia Farma
487 RIFAMPICIN 450 MG KAP KF Rifamficin Kimia Farma
488 RIFAMPICIN 300 MG Rifamficin Kimia Farma
489 RIFAMPICIN 600 MG Rifamficin Indo Farma
490 RIMACTANE SYR 100ML Rifamficin Sandoz
491 RIMACTAZID PAED 75/50 Rifamficin Sandoz
492 RIMCURE PAED Rifamficin Sandoz
493 RIMSTAR 4-FDC Rifamficin Sandoz

Klas farmakoterapi : 8c -- Antiamuba

No Nama Barang Nama Generik Nama Pabrik


494 METRONIDAZOLE 250 MG TAB KF Metronidazole Kimia Farma
495 METRONIDAZOLE 500 MG TAB KF Metronidazole Kimia Farma
496 FAGISTIN OVULE Metronidazole Combiphar Pharmaceutical
497 FLAGYL SUSP Metronidazole Aventis Pharma
498 FLAGYL FORTE 500 MG Metronidazole Aventis Pharma
499 METRONIDAZOL INF Metronidazole Fimedco

Klas farmakoterapi : 8d -- Antelmintics

No Nama Barang Nama Generik Nama Pabrik


500 PYRANTEL 125 MG TAB Pyrantel Kimia Farma
501 COMBANTRIN SUSP ORANGE Pyrantel Pfizer Inonesia, Tbk
502 COMBANTRIN 250 MG Pyrantel Pfizer Inonesia, Tbk
503 HELBEN SYR Albendazole Mecosin
504 HELBEN TAB Albendazole Mecosin

Klas farmakoterapi : 8f -- Antivirus

No Nama Barang Nama Generik Nama Pabrik


505 ACYCLOVIR TAB 200 MG Acyclovir Indofarma PT
506 ACYCLOVIR TAB 400 MG Acyclovir Hexpharm
507 ACYCLOVIR CREAM 5% Acyclovir Indofarma PT
508 HERCLOV TAB Valaciclovir Hcl Sanbe Farma
509 ISOPRINOSIN TAB Methisoprinol Darya varia
510 ISPRINOL SYR Methisoprinol Novell

Klas farmakoterapi : 8g -- Antineoplastics

No Nama Barang Nama Generik Nama Pabrik


511 METHOTREXATE LEDERLE 2.5 MG Metrotrexate Lederle
512 TAPROS INJ Leuprorelin Takeda

9. GENITO - URINARY SYSTEM

Klas farmakoterapi : 9a -- Preparation for Vaginal Conditions

No Nama Barang Nama Generik Nama Pabrik


513 VAGISTIN OVULE Metronidazole Combiphar Pharmaceutical
Nystatin
514 FLAGYSTATIN OVULE Metronidazole Aventis
Nystatin
515 BETADIN VAGINAL PAKAI ALAT 100 ML Povidone Iodine Mahakam Beta Farma
516 OVESTIN CREAM Estriol Organon Indonesia
517 LACTACYD FEMINIME HYGIENE Lactic Acid Sanofi-Synthelabo
Lactoserum
518 LACTACYD GEL Lactoserum Sanofi-Synthelabo
Lactid Acid
519 CANESTEN SD Clotrimazole Bayer

Klas farmakoterapi : 9b --Urinary Antiseptics

No Nama Barang Nama Generik Nama Pabrik


520 UROTRACTIN CAPS 60`S Pipemidic Acid Sanbe farma
521 PYRIDIUM Phenazopiridine Pfizer Inonesia, Tbk
522 GYNOXA SUPPO Nimorazole Kalbe farma

Klas farmakoterapi : 9c -- Druga Acting on Uterus

No Nama Barang Nama Generik Nama Pabrik


523 METHYLERGOMETRINE 0.125 MG TAB KF Methylergometrine Kimia Farma
524 METHERGIN TABLET Methylergometrine Novartis PT
525 METHERGIN INJ 1 ML Methylergometrine Novartis PT
526 SYNTOCINON AMP1 MLA-10UI Synthetic oxytocin Novartis
527 DUVADILAN Isoxsuprine Solvay Pharmaceuticals
528 HYSTOLAN Isoxsuprine Dexa Medica

Klas farmakoterapi : 9e--Other Drugs Acting in Genito- Urinary System

No Nama Barang Nama Generik Nama Pabrik


529 DETRUSITOL 2 MG TAB Tolterodine I-Tartrate Pfizer/ Pharmacia
530 PROSTACOM Finasteride Combiphar Pharmaceutical
531 BATUGIN ELIXIR 300 ML Ekstr Daun Kejibeling Kimia Farma
Ekstr Daun Tempuyung
532 KALKURENAL Ekstr berberidis Darya Varia
Ekstr Rubiae Dest
533 KETOSTERIL Essential Ketoacids Ikhapharmindo
534 URISPAS 200 MG Flavoxate Indofarma PT

10. ENDOCRINE & METABOLIC SYSTEM


Klas farmakoterapi : 10a -- Insulins

No Nama Barang Nama Generik Nama Pabrik


535 ACTRAPID 40 IU Insulin Novo Nordisk
536 MONOTARD HM 40 UI/VIAL Insulin Novo Nordisk
537 LANTUS CARTRIDGE 100 IU Insulin Aventis Pharma
538 ACTRAPID HM 100 IU/ML X 10 Insulin Novo Nordisk

Klas farmakoterapi : 10b --Oral Antidiabetic Agents

No Nama Barang Nama Generik Nama Pabrik


539 GLIBENCLAMID 5 MG TAB Gibenclamide Indofarma PT
540 DAONIL TAB Glibenclamide Hoechst marion roussel
541 AMADIAB TAB 1 MG Glimepiride Lapi
542 AMADIAB TAB 2 MG Glimepiride Lapi
543 GLUCOVANCE TAB 2.5 MG Glibenclamide Merck Indonesia
Metformin
544 METFORMIN TAB 500 MG Metformin Dexa Medica
545 DIABEX TAB 500 MG Metformin Combiphar Pharmaceutical
546 DIABEX FORTE TAB 850 MG Metformin Combiphar Pharmaceutical
547 GLUCOPHAGE 500 MG Metformin Merck Indonesia
548 GLUCOPHAGE 850 MG Metformin Merck Indonesia
549 GLUCOPHAGE XR TAB Metformin HCL Merck Indonesia
550 DIAMICRON TAB Gliclazide Darya varia
551 GLUCOBAY TAB 50 MG Acarbose Bayer Farma Indonesia
552 GLUCOBAY TAB 100 MG Acarbose Bayer

Klas farmakoterapi : 10c -- Thyroid Preparation

No Nama Barang Nama Generik Nama Pabrik


553 THYRAX DUOTAB 100 MCG 100`S L-thyroxine Na Abbott PT

Klas farmakoterapi : 10d Antithyroids

No Nama Barang Nama Generik Nama Pabrik


554 NEO MERCAZOLE TAB Carbimazole Nicholas

Klas farmakoterapi : 10e -- Antihyperlipiademic Agents

No Nama Barang Nama Generik Nama Pabrik


555 GEMFIBROZIL 300 MG Gemfibrozil Indofarma PT
556 LIPITOR TAB 20 MG Atorvastatin Ca Warner Lambert Ind PT
557 LIPITOR TAB 10 MG Atorvastatin Ca Pfizer Inonesia, Tbk
558 SIMVASTATIN TAB 10 MG Simvastatin Dexa Medica
559 SIMVASTATIN TAB 5 MG Simvastatin Dexa Medica
560 LIPANTHYL SUPRA TAB 160 MG Fenofibrate Fournier
561 CRESTOR TAB 10 MG Rosuvastatin Ca Astra Zeneca

Klas farmakoterapi : 10f -- Agents Affecting Bone Metabolism

No Nama Barang Nama Generik Nama Pabrik


562 BONE-ONE TAB 0.25 MG Alfacalcidol Dipa Pharmalab Intersains
563 BONE-ONE TAB 0.5 MG Alfacalcidol Dipa Pharmalab Intersains
564 KOLKATRIOL Calcitriol Phapros
565 CALCIT TAB Calcitriol Soho
566 ACTONEL TAB 35 MG Risedronate Na Aventis Pharma
567 OSTEONATE OD TAB Risedronate Na Kalbe Farma
568 NICHOSPHOR TAB Aledronate Nicholas
569 MIACALCIC 50 MG INJ Syntetic Salmon Calcitonin Novartis
11. VITAMINS & MINERALS

Klas farmakoterapi : 11a -- Vitamin A, D, E

No Nama Barang Nama Generik Nama Pabrik


570 SANTA E 200 Vit E Sanbe farma

Klas farmakoterapi : 11b -- Vitamin B With Vitamin C

No Nama Barang Nama Generik Nama Pabrik


571 NEUROBION INJ Vit B1 100mg Merck
NEUROBION TAB Vit B1 100mg Merck
572 NEUROSANBE TAB VIT B1 Sanbe farma
Vit B6
573 NEUROSANBE 5000 INJ Vit B1 Sanbe farma
Vit B6
574 PYRIDOXINE (VIT. B6) 10 mg Vit B6 Kimia Farma
575 VIT B12 50 MCG Vitamin B12 Tab Kimia Farma
576 VIT B1 25 MG VIT B1 Kimia Farma
577 VIT B1 100 MG SOHO VIT B1 Soho industri Farmasi
VIT B1 Soho industri Farmasi
Vitamin B Complex
578 ALINAMIN F TAB Alinamin Fursoltiamine Takeda Indonesia
579 ALINAMIN F INJ 25 MG/10 ML 5`S Alinamin Fursoltiamine Takeda Indonesia

Klas farmakoterapi : 11c -- Vitamin C

No Nama Barang Nama Generik Nama Pabrik


580 VIT C 100 MG Ascorbic Acid Soho industri Farmasi
581 EXTRACE INJ(VIT C INJ) 100 MG Ascorbic Acid Ethica
Calcium
582 BIFERCE Vit C Sanbe Farma

Klas farmakoterapi : 11d -- Calsium With Vitamins

No Nama Barang Nama Generik Nama Pabrik


583 OSSOPAN 800 Calcium Darya varia
Fosfor
584 CALCIDIN TAB Calcium Hidrogenfosfat Landson
Kalsium Glukonat
585 ELKANA SYR Vit A Sanbe farma
Vit D
586 OSTEOCARE TAB 30`S Calcium Vitabiotics
Vit D
587 OSTEOCARE SYR 100 ML Ca Vitabiotics
Mg
588 CAVIT D3 Calcium Hidrogenfosfat Merck Indonesia
Kolekalsiferol
589 CALCII GLUCONAS 10 ML INJ Ca Gluconate Ethica
590 OSFIT TAB Ca Carbonate Kalbe Farma

Klas farmakoterapi : 11e -- Multivitamin With Mineral

No Nama Barang Nama Generik Nama Pabrik


591 CURCUMA PLUS DHA+PREBIOTIK Vit B1 Soho industri Farmasi
Vitamin B2
592 GLOSTRUM SYR 60 ML Colostrum bovine Combiphar pharmaceutical
Vit A
593 BEVIZIL KAPLET ß-Carotine Sanbe farma
Vit C
594 MEGAZING TAB Vit E Lapi
Vit C
595 CALOMA DHA Cod liver oil Novell Pharma
Vit A
Vit B6
596 COLASKIN CAPS Marine Protein extr Ethica
Collagen
597 DIABETONE TAB Chromium Vitabiotics
Mg
598 FEROGLOBIN SYRUP Ca gylcerophosphate Vitabiotics
Copper
Vit B1
599 BECOM C Vit B1 50mg Sanbe Farma
600 BECOM ZET Vit E 30 iu Sanbe Farma
601 CAL-95 TAB Vit E 30 iu Lapi
Vit E
Calcium
Folid Acid
602 ELKANA TAB Calcium Hidrogenfosfat Sanbe farma
Calcium Lactate
Multivitamin
603 THERAGRAN M Multivitamin Bristol Myers Squibb
Ca. Panthothenate
604 CURVIT CL EMULSION Multivitamin Soho industri Farmasi
Cod liver oil

Klas farmakoterapi : 11g -- Pediatric Vitamins & Minerals

NO Nama Barang Nama Generik Nama Pabrik


605 APIALYS SYR 100 ML Vit A Lapi
Vit D
606 BIOSTRUM SYR Colostrum bovine Lapi
DHA
Niacinamida
607 FERLIN DROP Fe Pediatrica
Vit B1. B6,
Folid Acid
608 APIALYS DROP Vit A Lapi
Vit D

Klas farmakoterapi : 11h -- Elektrolytes & Minerals

NO Nama Barang Nama Generik Nama Pabrik


609 ASPAR - K K-l Aspartat Tanabe Abadi
K-l Aspartat
K-l Aspartat
610 PHAROLIT Na Citrate Pharos Indonesia
Glucose
611 PEDIALYTE SYR (AROMA PERMEN KARET) Na Abbott
K

Klas farmakoterapi : 11i -- Antianemia/Pre Post Natal vitamins

NO Nama Barang Nama Generik Nama Pabrik


612 CALMIN AF TAB Vit C Combiphar Pharmaceutical
Vit D
613 BIOSANBE Folic Acid Sanbe farma
Vit C
614 FEROFORT TAB VIT C Kalbe farma
Vit B1
615 FOLAVIT TAB Folic Acid Sanbe farma
616 HEMOBION Ferro Fumarate Merck Indonesia
Folic Acid
Folic Acid
617 PRENATIN DF Ferro Fumarate Soho
618 FOLAPLUS Folic Acid Meprofarm
Vit B6
619 FOLAMIL Vit B1 Dexa Medica
Vitamin B2
620 OBIMIN AF TAB Vitamin B12 Tab Medifarma lab
Vit B1
621 SULFAS FERROSUS TAB Ferrous Sulfate Kimia Farma
622 EMINETON TAB Fe Fumarate Dankos
Cupric Sulfate
623 PREGNACARE TAB ß-Carotene Vitabiotics
Vit D
624 VENOFER 100 MG INJ 5 ML Fe ( OH )3 Sucrose Complex Vifor
625 ELEVIT TAB Vit A4 Roche
626 FOLACOM TAB Folic acid Sanbe Farma
627 PROLACTA WITH DHA MOTHER Natural Fish Oil Novell
DHA
628 VICA NATAL Niacinamide Armoxindo Farma
Ca Carbonat
Vitamin A, B, C, D
629 BION 3 Lactobacillus Acidophillus Merck Indonesia
Bifidobacterium Bifidium
Vitamin A, B, C, D
630 VITAMAM 2 Multivitamin Novell
Mineral
631 VITAMAM 3 Multivitamin Novell
Mineral
632 OBIPLUZ Multivitamin Darya Varia
Mineral
633 OBICAL Kalsium Medifarma lab
Magnesium
634 MALTIRON PLUS TAB Vit B Meprofarm
Nicotinamide
Biotin
Fe Gluconate
12. NUTRITION

Klas farmakoterapi :12a Infant Nutrition

NO Nama Barang Nama Generik Nama Pabrik


635 NUTRILON LOW LACTOSE Protein Nutricia
Karbohidrat
Vitamin
636 NUTRILON ROYAL 1 400GR Protein Nutricia
Karbohidrat
Vitamin
637 NUTRILON HYPO - ALLERGENIC Protein Nutricia
Karbohidrat
Vitamin
638 NUTRILON ANTI REGURGITASI Protein Nutricia
Karbohidrat
Vitamin
639 NUTRILON PREMATURE Protein Nutricia
Karbohidrat
Vitamin
640 NAN HA Protein Nestle
Karbohidrat
Vitamin

Klas farmakoterapi : 12b--Enteral Nutrition

NO Nama Barang Nama Generik Nama Pabrik


641 PEPTISOL Protein Kalbe farma
Karbohidrat
642 KALBAMIN INFUS Asam Amino Kalbe farma
643 HEPAMERZ INFUS L ornitin L Asaparta Combiphar Pharmaceutical
644 CERNEVIT VIAL Multivitamin Kalbe farma
Folic Acid

Klas farmakoterapi : 12c--Parenteral Nutrition

NO Nama Barang Nama Generik Nama Pabrik


645 PANAMIN G Amino Acids Otsuka
Sorbitol
646 AMIPAREN Amino Acids Otsuka
Nitrogen

Klas Farmakoterapi :12D Supplement & Adjuvant therapy

NO Nama Barang Nama Generik Nama Pabrik


647 VISTRUM SYR ML 100 Colostrum bovine Pharos Indonesia
Fructo-oligosaccharide
648 BIOSTRUM SYR Colostrum bovine Lapi
Cod Liver Oil
649 PROTEXIN KAPS Echinacea Landson
650 PROZA SYR Echinacea extr Landson
Zinc picolinate
651 PROZA TAB Echinacea extr Landson
Zinc picolinate

Klas farmakoterapi : 12E--Apetite Stimulans

NO Nama Barang Nama Generik Nama Pabrik


652 CURCUMA PLUS SYR Vitamin B2 Soho industri Farmasi
Vit B6
653 CURVIT SYRUP 60 ML Kurkumoid Soho industri Farmasi
Vit B1
Lysin

Klas farmakoterapi : 12f -- Anti Obesity Agent

NO Nama Barang Nama Generik Nama Pabrik


654 DECASLIM 10 MG Sibutramine Harsen

13. EYE

Klas farmakoterapi : 13a -- Eye Anti-Infectives & Antiseptics

NO Nama Barang Nama Generik Nama Pabrik


655 BAQUINOR 0,3% EYE DROP Ciprofloxacin Sanbe farma
656 CHLORAMFENICOL ZALP MATA 1% Chloramphenicol Kimia Farma
657 CENDO FENICOL 0.5% EYE DROPS 5 ML Chloramphenicol Cendo
658 CENDO FENICOL 0.25% TM Chloramphenicol Cendo
659 CENDO FENICOL 1.0% TM Chloramphenicol Cendo
660 CENDO FENICOL CR 3.5 G TUBE 1% Chloramphenicol Cendo
661 CENDO XITROL TTS MATA 5 ML Dexamethasone Cendo
Neomycin Sulfate
662 TARIVID OTIC 5 ML TT X Ofloxacin Kalbe farma
663 TERRAMYCIN 1%SM 3.5 G Oxytetracycline Pfizer

klas farmakoterapi :13 C Eye Antiseptic With Corticosteroid


NO Nama Barang Nama Generik Nama Pabrik
664 CENDO MYCOS EYE OINT Hidrocortisone acetate 0,5% Cendo
665 POLIDEMISIN EYE DROP Dexamethasone Sanbe farma
666 TERRA CORTRIL 5 GR Dexamethasone Sanbe farma
Neomycin Sulfate

klas farmakoterapi :13 D Mydriatic Drugs

NO Nama Barang Nama Generik Nama Pabrik


667 CENDO MYDRIATYL Tropicamide Cendo
668 CENDO TROPINE Atropine Sulfate Cendo

klas farmakoterapi :13 E Miotic Drugs

NO Nama Barang Nama Generik Nama Pabrik


669 CENDO CARPINE Pilocarpine HCL Cendo

klas farmakoterapi : 13f Galucoma Preparation

NO Nama Barang Nama Generik Nama Pabrik


670 CENDO CARPINE Pilocarpine Cendo

Klas farmakoterapi : 13g -- Other Eye Preparation

NO Nama Barang Nama Generik Nama Pabrik


671 CENDO PANTOCAIN 0.5% EYE DROPS 5 ML Tetracaine Cendo
672 CENDO VISION 15ML Tetrahydrazoline Hcl Cendo
673 FLAMAR EYE DROP Diclofenac Na Sanbe farma
674 RETIFIT KAPLET 100`S ß-Carotine Sanbe farma
Vit C
675 CENDO CATARLENT 15 ML CACL2 Anhydrous Cendo
K. Lodiate

Klas farmakoterapi : 13h --Ear Anti-Infectives & Antiseptics

NO Nama Barang Nama Generik Nama Pabrik


676 COLME EAR DROPS 8 ML Chloramphenicol Interbat PT
677 ERLAMICETIN TT Chloramphenicol Erela
678 OTOLIN DROP TT 10 ML X Chloramphenicol Interbat PT
679 SAGESTAM E.DROP Gentamycin Sulfate Sanbe farma
680 TARIVID OTIC Ofloxacin Kalbe Farma

Klas farmakoterapi : 13j -- -Ear Antiseptics With Corticosteroid

NO Nama Barang Nama Generik Nama Pabrik


681 OTOPAIN X Polymyxin B Sulfate Abbott PT
Fludrocortisone Asetate

Klas farmakoterapi : 13K Other Ear Preparation

NO Nama Barang Nama Generik Nama Pabrik


682 WAXSOL Docusate Na Alpharma

Klas farmakoterapi : 13l -- Mouth/ Throat Preparation

NO Nama Barang Nama Generik Nama Pabrik


683 FG TROCHES TAB 100`S Gramicidin 0.05 Mg Meiji Indonesia
684 DAKTARIN ORAL GEL Miconazole Jansseen PT
685 KENALOG IN ORABASE Triamcinolone Asetonide Bristol-Myers Squibb
686 SALCOSERYL PASTA Polidocanol Pharos
Protein
Free Haemodialysate
687 TANTUM LOZENGES Benzydamine HCl Soho
688 TANTUM VERDE Benzydamine HCl Soho
689 LEMOCIN LEMON TAB Tyrothricin Novartis
Lidocaine
14. DERMATOLOGICALS

Klas farmakoterapi : 14a -- Topical Anti-Infectives

NO Nama Barang Nama Generik Nama Pabrik


690 CENTABIO Neomycin Sulfate Sanbe farma
Ekstr Plasenta
691 BIOPLACENTON JELLY X Ekstr Plasenta Kalbe farma
Neomycin Sulfate
692 DERMATOP CREAM 5 GR Prednicarbate Hoechst marion roussel
Neomycin Sulfate
693 SAGESTAM CREAM Gentamycin Sulfate Sanbe farma
694 GARAMYCIN CREAM Gentamycin Sulfate schering Plough Indonesia
695 BACTODERM 10 GR SK Mupirocin Ikapharmindo
696 BACTODERM 5 GR Mupirocin Ikapharmindo
697 BURNAZIN CREAM Perak Sulfadiazin Darya varia
698 IKAMICETIN OINT SK Chloramphenicol Ikapharmindo
699 OXYTETRACYCLIN ZALP KULIT 3 % Oxytetracycline Indofarma PT
700 TERRAMYCIN POLY S.K Oxytetracycline Pfizer Inonesia, Tbk
Polymyxin B Sulfate
701 PK KRISTAL Kalii Permanganat Nellco Indonesia
702 FULADIC CR Fusidic Acid Guardian Pharmatama
703 NEBACETIN POWDER Neomycin Sulfate Pharos
Bacitracin

Klas farmakoterapi : 14b -- Topical Anti-Infectives With Corticosteroid

NO Nama Barang Nama Generik Nama Pabrik


704 CHLORAMPHECORT 10 GR CREAM Chloramphenicol Kimia Farma
Hydrocortisone
705 CHLORAMPHECORT H 10 GR CREAM Chloramphenicol Kimia Farma
Prednisolon
706 FLUOCORT N CREAM 5 G Neomycin Sulfate Phapros
Fluosinolon Asetonida
707 KALCINOL N CREAM 5 GR Neomycin Sulfate Kalbe farma
Fluosinolon Asetonida
708 BENOSON N CREAM Betametason Bernofarm
Neomycin Sulfate
709 BETASON N CREAM Betametason Bernofarm
Neomycin Sulfate
710 LOTRIDERM CREAM 5 GR Clotrimazole Abbott PT
Betametason
711 DIPROSALIC OINT 5 GR Bethamethasone dipropionate Schering-Plough
Salicylic acids
712 DIGENTA CREAM Gentamycyne Interbat
Bethamethasone dipropionate
713 GENTASOLON CREAM Fluosinolon Asetonida Ikapharmindo
714 THECORT CREAM Niconazole Nitrate Guardian Pharmatama
Hydrocortisone
715 APOLAR N CREAM Desonide Alpharma
Neomycin Sulfate

Klas farmakoterapi : 14c -- Topical Corticosteroids

NO Nama Barang Nama Generik Nama Pabrik


716 BETASON CREAM 5 GR Betametason Valerat Kimia Farma
717 BETASON N CREAM 5 GR Betametason Valerat Kimia Farma
Neomycin Sulfate
718 ELOCON LOTION 10 ML Mometasone furoate Schering Plough Indonesia
719 ELOX CREAM 5 GR Mometasone furoate Guardian Pharmatama
720 ELOX CREAM 10 GR Mometasone guardian pharmatama
721 MOFACORT CREAM Mometasone furoate SDM Lab
722 INERSON OINT 15 GR Desoxymenthasone Interbat PT
723 TOPCORT 10 G CREAM Desoxymenthasone Sanbe farma
724 HIDROCORTISON 1% CREAM KLB Hydrocortisone Kalbe farma
725 HIDROCORTISON 2,5% CREAM INF Hydrocortisone Indofarma PT
726 HIDROCORTISON 2,5% CREAM KLB Hydrocortisone Kalbe farma
727 KENACORT A CREAM 10 GR Triamcinolone Asetonide Bristol-Myers Squibb
728 IKADERM OINT 10 GR Clobetasol propionat Ikapharmindo
729 IKADERM CREAM 10 GR Clobetasol propionat Ikapharmindo
730 APOLAR 0.5 MG CREAM 10 GR Desonide Dumex Alpharma Indonesia
731 DESOLEX CREAM 10 GR Desonide SDM Lab
732 DESOLEX LOTION Desonide SDM Lab
733 DESOLEX OINT Desonide SDM Lab
734 DERMANIDE CREAM Desonide Interbat
735 DERMANIDE OINT Desonide Interbat
736 KLODERMA CREAM 5 GR Clobetasol propionat SDM Lab
737 DERMASOLON CREAM Fluocinolone Acetonide Ikapharmindo

Klas farmakoterapi : 14d --Acne Preparation

NO Nama Barang Nama Generik Nama Pabrik


738 VITACID CREAM 0.05% 20 GR Retinoic Acid Surya Dermato Medica Lab
739 VITACID CREAM 0.025% Retinoic Acid Surya Dermato Medica Lab
740 VITACID CREAM 0.1% 20GR Retinoic Acid SDM lab
741 VITACID LOTION Retinoic Acid SDM lab
742 VITACID GEL 0.025% 20GR Retinoic Acid SDM lab
743 BENZOLAC CREAM 2.5% 5 GR Benzoylperoxide Surya Dermato Medica Lab
744 BENZOLAC CREAM 5 % 5 GR Benzoylperoxide Surya Dermato Medica Lab
745 BENZOLAC CL 10 GR Benzoylperoxide SDM lab
746 ERYMED SOLUTION 30 ML Erythromycin Surya Dermato Medica Lab
747 ERYMED CREAM Erythromycin Surya Dermato Medica Lab
748 DIANE 35 Ethinyloestradiol Schering
749 NIACEF CREAM Nicotinamide SDM lab
750 MEDI-KLIN GEL 15 GR Clindamycin phosphate SDM lab
751 MEDIKLIN TR GEL Clindamycin phosphate SDM lab

Klas farmakoterapi : 14e -- Antiseptics

NO Nama Barang Nama Generik Nama Pabrik


752 ALBOTHYL CONCENTRATE Policresulen Pharos Indonesia
753 PERHIDROL H2O2 Brataco Chemika
754 POVIDON IODINE Povidon Iodine Brataco Chemika
755 AVAGARD C 0.5% Chlorhexidine 3M
756 AVAGARD C 4% Chlorhexidine 3M
757 AVAGARD RAPID MULTI ENZYM Chlorhexidine 3M
758 OXOFERIN SOL Tetra chlorodeca-oxygen anion Pharos / Oxochemia

Klas farmakoterapi : 14f -- Medicated Surgical Dressings

NO Nama Barang Nama Generik Nama Pabrik


759 DARYANT TULLE STERILE GZ Framycetin Sulfate Darya varia
760 LOMATULLE Framycetin Sulfate Pharos Indonesia
761 SOFRATULLE Framycetin Sulfate Darya varia

Klas farmakoterapi : 14g -- Topical Fungicides

NO Nama Barang Nama Generik Nama Pabrik


762 MICONAZOLE CREAM Miconazole Kimia Farma
763 DAKTARIN DIAPER CREAM 10G Miconazole nitrate Jansseen PT
Zn oxide
764 KETOKONAZOLE CR Ketokonazole Dexa medica
765 FUNGASOL SS 1 % Ketokonazole Guardian Pharmatama
766 FORMYCO CR Ketokonazole Sanbe farma
767 FUNGASOL CREAM 10 GR Ketokonazole Guardian Pharmatama
768 LOTREMIN SOL 10ML Clotrimazole schering Plough Indonesia
769 LOTREMIN CR 5 GR Clotrimazole schering Plough Indonesia
770 TROSYD 1% POWDER 30 GR Tioconazole Pfizer
771 MYCOSPOR CREAM 5 GR Bifonazole Bayer Farma Indonesia
772 EXODERIL CR 5 G TUBE Naftifine Hcl Sandoz
773 MYCO-Z OINT Nystatin Bristol-Myers Squibb

Klas farmakoterapi : 14h -- Psoriaris, Seborrhea & Ichtyosis Preparation

NO Nama Barang Nama Generik Nama Pabrik


774 NIZORAL SS 1% Ketokonazole Jansseen PT
775 NIZORAL SS 2% Ketokonazole Jansseen PT
776 SELSUN BLUE Urea Roi Surya Prima

Klas farmakoterapi : 14k -- Skin Protectives

NO Nama Barang Nama Generik Nama Pabrik


777 BIOMOIST AHA Ikapharmindo Putramas
Vit E
Squalan
778 LACTACYD LIQ BIRU 60 ML Lactic Acid Sanofi-Synthelabo
Lactoserum
779 PABANOX CREAM 20 GR Pdimate Surya Dermato Medica Lab
Oxybenzone
Titanium Dioxyde
780 PARASOL CREAM 20 GR Titanium Dioxyde Surya Dermato Medica Lab
Oxybenzone
Paba
Lanolin
781 PARASOL 30 LOT Ethylhexyl-methoxycinnamate SDM Lab
782 PARASOL CREAM SPF 33 Ethyhexyl-methoxycinname SDM Lab
Oxybenzone
783 PASQUAM CR Dexpanthenaol Sanbe Farma
784 CARMED CREAM 20% Urea SDM Lab
Klas farmakoterapi : 14m -- Topical Analgesic & Anti Inflamatories

NO Nama Barang Nama Generik Nama Pabrik


785 FELDEN GEL 0.5% Piroxicam Pfizer Inonesia, Tbk
786 VOLTAREN EMULGEL1% 20G TUBE Diclofenac NA Novartis PT
787 CAPZACIN CREAM Capsaicin Combiphar
788 SAGALON CREAM Doxepin HCL SDM lab

Klas farmakoterapi : 14n -- Other Dermatological

NO Nama Barang Nama Generik Nama Pabrik


789 DECUBAL CREAM Lanolin Anhidrat Nellco Indonesia
Isopropil Myristat
790 MADECASSOL CREAM Ekstrak Centella Asiatica Corsa
791 DELSORALEN CAIR 10 ML Methoxsalen Darya varia
792 REGROU SOLUTION 30 ML Minodixil Surya Dermato Medica Lab
793 REGROU FORTE SOLUTION 30 ML Minodixil Surya Dermato Medica Lab
794 MEDERMA TOPICAL TUBE 20 G Copalin extr Combiphar/ Merz
Allantion
795 MADECASSOL POWD Asiatic acid Corsa
Madecassic acid
796 BEPANTHEN Panthenol Roche
797 MUSTELA Copalin extr Combiphar
798 BIOCREAM Hypoallergenic Cream Base Merck
799 VITAQUIN CR 15 GR Hydroquinone SDM Lab
800 MEDIQUIN CREAM Hydroquinone SDM Lab

Klas farmakoterapi : 14o--Skin Care & Protectives

NO Nama Barang Nama Generik Nama Pabrik


801 PHA FACIAL CLS NEOSTRATA Polihidroxy Acid Neostrata
802 PHA RENEWAL CREAM NEOSTRATA Polihidroxy Acid Neostrata
803 PHA LIP CONDITIONER NEOSTRATA Polihidroxy Acid Neostrata
804 PHA EYE CREAM NEOSTRATA Polihidroxy Acid Neostrata
805 AHA SMOOTHING CREAM NEOSTRATA Alfahidroxy Acid Neostrata
806 AHA SMOOTHING LOTION NEOSTRATA Alfahidroxy Acid Neostrata
807 AHA DAY TIME SMOOTHING CREAM NEOSTRATA Alfahidroxy Acid Neostrata
808 AHA SKIN LIGHTENING GEL Alfahidroxy Acid Neostrata
809 BIONIC FACE CREAM NEOSTRATA Lactobionic Acid Neostrata

15. ANAESTHETICS - LOCAL & GENERAL

Klas farmakoterapi : 15a -- Anaesthetics Local & General

NO Nama Barang Nama Generik Nama Pabrik


810 LIDOKAIN INJ 2% Lidocaine Indofarma PT
811 PEHACAINE INJ Lidocaine Phapros
812 ISOFLURANE Isoflurane Dexa Medica
813 FORANE INH 250 ML Isoflurane Abbott
814 KETALAR 100MG INJ Ketamine Hcl Pfizer
815 MARCAIN 0.5% HVY 4 ML 5`S Bupivacaine Hcl Astra Zeneca
816 MARCAIN 0.5% PDF 20 ML 5`S Bupivacaine Hcl Astra Zeneca
817 DORMICUM INJ Midazolam Roche Indonesia PT
818 HALOTHANE Halothane Asta Medica
819 TRACRIUM Atracurium Glaxo Smith Kline
820 ETHYL CHLORIDE Ethylchloride Kimia Farma
821 EMLA CR 5 GR Lidocaine Astra Zeneca
Prilocaine
822 FRESOFOL INJ Propofol Ikapharmindo
823 MILOZ INJ Midazolam Novell Pharma
824 BUCAIN SPINAL Bupivacaine Bernofarm
17. ALLERGY & IMMUNE SYSTEM

Klas farmakoterapi : 17a -- Antihistamines & Antiallergics

NO Nama Barang Nama Generik Nama Pabrik


825 RYZEN TAB Cetirizine HCL Kenrose Indonesia
826 RYZEN SYR Cetirizine HCL Kenrose Indonesia
827 CERINI KAPLET 20`S Cetirizine HCL Sanbe farma
828 TIRIZ DROP Cetirizine HCL Lapi
829 TIRIZ TAB Cetirizine HCL Lapi
830 DEXTROMETHORPAN TAB KLNG 1000`S Dextromethorpan Phapros
831 OCUSON TAB Betametason Sanbe farma
Dexchlorpheniramine
832 NILACELIN SYRUP Betametason Nicholas
833 HEPTASAN 4 MG Siproheptadine HCL Sanbe farma
834 TELFAS O.D 120 MG TAB Fexofenadine HCL Hoechst marion roussel
835 ALLORIS TAB Loratadine Sanbe farma
836 CHLORPHENIRAMINE 4 MG TAB KF Chlorpheniramine Maleate 2.5 M Kimia Farma
837 HISTAPAN 50 MG TAB Mebhydrolin Napadisylate Sanbe farma

Klas farmakoterapi : 17b. Vaccines, Antisera & Immunologicals

NO Nama Barang Nama Generik Nama Pabrik


838 VAKSIN HAVRIX Vaksin Hepatitis A GlaxoSmithKline
839 VAKSIN BCG Vaksin BCG Biofarma
840 VAKSIN CAMPAK Vaksin Campak Biofarma
841 VAKSIN DPT Vaksin Campak Biofarma
842 VAKSIN ENGERIK ADULT Vaksin Hepatitis B GlaxoSmithKline
843 VAKSIN ENGERIK PAED Vaksin Hepatitis B GlaxoSmithKline
844 VAKSIN TWINRIX Vaksin Hepatitis A+B GlaxoSmithKline
845 VAKSIN INFANRIX (DPT ASELULER) Vaksin DPT Aseluler Aventis pasteur
846 VAKSIN INFANRIK HIB Vaksin DPT Aseluler
847 VAKSIN TETRAC HIB Vaksin Tetanus Aventis pasteur
848 VAKSIN VARILRIX Vaksin Varicella
849 VAKSIN POLIO Vaksin Polio Biofarma
850 VAKSIN TRIMOVAX ( MMR II ) Vaksin rubella Aventis pasteur
Measles GlaxoSmithKline
851 VAKSIN TT Vaksin TT Biofarma
852 VAKSIN TYPERIX Vaksin thypoid GlaxoSmithKline
853 VAKSIN HIBERIK Vaksin influenza GlaxoSmithKline
854 VAKSIN FLUARIX Vaksin influenza GlaxoSmithKline
855 VAKSIN PREFENAR PFS 0,5 ML Vaksin Complete Sanofi Pasteur
856 GAMIMUNE N 10% Immune Globulin IV Dipa Pharmalab Intersains
857 BAY HEP Immune Globulin IV Dipa Pharmalab Intersains

Klas Farmakoterapi 17C Immunosuppressants

NO Nama Barang Nama Generik Nama Pabrik


858 SANDIMMUN NEORAL 25 MG KAPSUL Ciclosporin Novartis
19. INTRAVENOUS & OTHER STERILE SOLUTIONS

KLAS Farmakoterapi --19 Intravenous & Other Sterile Solution

NO Nama Barang Nama Generik Nama Pabrik


859 INFUSAN D5 1/2 NS 500 Dextrose Sanbe
NaCL
860 INFUSAN D5 1/4 NS 500 Dextrose Sanbe
NaCL
861 OTSUTRAN 40 Dextran Otsuka
NaCl
862 WIDA RL NaCl Widatra Bhakti
Na Lactate
KCL
863 OTSU ASERING Na Otsuka
Acetate
Ca
864 HAES STERIL Hydroxyethyl starch Fresenius Kabi
865 VOLUVEN 6% Hydroxyethyl starch Fresenius Kabi
866 HEMOMES INF Hydroxyethyl starch B Braun
867 OTSU MARTOS Maltose Otsuka
868 INFUSAN D5 500 Dextrose Sanbe
869 INFUSAN RL 500 NaCL Sanbe
Na Lactate
KCL
870 INFUSAN RING AS Na Sanbe
Acetate
Ca
871 INFUSAN NS 500 NaCL Sanbe
872 OTSU NS 1000 ML NaCL Otsuka
873 OTSU NS 100 ML NaCL Otsuka
874 OTSU NS 250 ML NaCL Otsuka
875 OTSU NS 25 ML NaCL Otsuka
876 OTSU KA EN MG3 500 Dextrose Otsuka
NaCL
Na Lactate
877 OTSU KA EN 1B 500 Dextrose Otsuka
NaCL
Na Lactate
878 OTSU KA EN 3B 500 Dextrose Otsuka
NaCL
Na Lactate
879 OTSU KA EN 3A 500 Dextrose Otsuka
NaCL
Na Lactate
880 WIDA D 10% Dextrose Monohydrate Otsuka
881 PLASBUMIN 25% Human Albumin Dipa Pharmalab Intersains
882 PLASBUMIN 20% Human Albumin Dipa Pharmalab Intersains
883 PLASBUMIN 5% Human Albumin Dipa Pharmalab Intersains
884 PLASMANAT 5% Plasma Protein Albumin Dipa Pharmalab Intersains
885 WIDA WATER IRIGASI 1000 ML Water Injection Widatra Bhakti
886 OTSU WATER INJECTION 25 ML Water Injection Otsuka
887 OTSU KCL 25 ML Potassium Chloride Injection Otsuka
888 PAN-AMIN G Amino Acid Otsuka
889 OTSU MANITOL Manitol Otsuka
20. MISCELLANEOUS

Klas farmakoterapi : 20 --Miscellaneous

NO Nama Barang Nama Generik Nama Pabrik


890 KALBAMIN INF Amino Acid Kalbe farma
891 VINAFLOUR TAB Fluxocaxillin Nicholas
Fitofarmaka

NO Nama Barang Nama Generik Nama Pabrik


892 HEPATIN Silybum marianum dried extr Phapros
893 HEMOROGARD Graptophylium pictum 30% Medikon
894 TENSIGARD CAPS Apii Herba Pharos Indonesia
895 VENOS Centella Asiatica
896 HEPAGARD Curcuma Rhizoma Phapros
897 CO-EN Q10 CPS 60`S Coenzyme Q10 Corsa
898 NUTRIFLAM Serratiopeptidase Tropica
Vit B1
Vit B6
Vit B12
Nicotinamide
899 VOSTEON Glucosamine Hcl Meprofarm
Chondroitin Sulfate
900 TRIOSTEE KAP Glucosamine Hcl Tropica Mas Pharma
Chondroitin Sulfate
901 OSTEOPOR Black cohost Extr Combiphar
Red Clover
902 OSTEOTIN Glucosamine Hcl Phapros
Chondroitin Sulfate
903 OSTEOKOM FORTE Glucosamine Hcl Lapi
Chondroitin Sulfate
904 OSTEOFLAM Glucosamine Hcl 250mg Soho
905 OSMETIN Condroitin Novell
906 OSTE ChondroitinSulfate Soho
Glucosamine Hcl
907 OSTE FORTE ChondroitinSulfate Soho
Glucosamine Hcl
908 CERETON Ginkgo biloba extr 60mg Meprofarm
909 ISOFEM TAB Isoflavone Meprofarm
910 GERIAVITA Betakaroten Phapros
911 SLIPY KAPLET 60`S Valerian Soho
Lemon balm
912 LYCOQ CAP Lycopene Meprofarm
Coenzyme Q10
913 IMUNOS CPLT 20`S Echinacea Lapi
Zinc picolinate
914 PROIMBUS Echinacea Meprofarm
Reishi mushrom
915 MENOSE Black cohosh extr 20mg Dankos
916 PROCARDIO Crataegi fructus extr 150mg Meprofarm
917 HP PRO 90`S Fructus Schizandrae Bio Life Medilab
918 PROVIGOR Cistanchis herba extr 180mg Meprofarm
919 MENOXA Cimicifuga Racemoga Soho
Vit D3
920 LEGRES Leucoselect Phytosome Soho
Lycopene
921 FITOGEN Red Clover Phapros
Multivitamin
922 GLUCOGARD Momordicae Fructus Extract Phapros
Morindae Folium Extract
923 FLAMIGON Melilotus Officinalis Fitrah Fito Farma
Soybean
924 FITOCHOSIL Silymarin Phytosome Extr Sejahtera
Curcuma Xanthorizae Rhizoma
Soybean
925 FITOSERIN Grape Seed Extr Sejahtera
Ginkgo Biloba Folium Extr
926 AMAROPO PLUS Betakaroten Phapros
Vit C
Vit E
927 LEGRESKIN Leucoselect Phytosome Soho
Lycopene
928 TEBOKAN Ginkobiloba Phapros
929 CURLIV TAB Schizandrae Extr Soho
Curcuma Extr
930 CURLIV PLUS Schizandrae Extr Soho
Curcuma Extr
931 LESIPAR Pure Lecithin Lapi
Vit B
Vit E
932 CURCUMA TAB Curcuma Soho
933 OCUGARD Lutein Phapros
Billbery
934 IMBOOST FORCE SYR Echinacea extr Soho
935 IM-BOOST SYR Echinacea extr Soho
936 IM-BOOST TAB Echinacea extr Soho
937 VITASLIM CAPLET Extr garcinia cambodia
Vit C Soho
Fitovarmaka

NO Nama Barang Nama Generik


NUTRIFLAM Serratiopeptidase
HEPATIN Silybum marianum dried extr
HEMOROGARD Graptophylium pictum 30%
TENSIGARD CAPS Apii Herba
TENSIGARD Apii herba extr 92mg
VENOS Centella Asiatica
HEPAGARD Curcuma Rhizoma
CO-EN Q10 CPS 60`S Coenzyme Q10
NUTRIFLAM Serratiopeptidase
Vit B1
Vit B6
Vit B12
Nicotinamide
VOSTEON Glucosamine Hcl
Chondroitin Sulfate
TRIOSTEE KAP Glucosamine Hcl
Chondroitin Sulfate
OSTEOPOR ChondroitinSulfate
Glucosamine Hcl
OSTEOFLAM Glucosamine Hcl 250mg
OSMETIN Condroitin
CERETON Ginkgo biloba extr 60mg
ISOFEM TAB Isoflavone
GERIAVITA Betakaroten
SLIPY KAPLET 60`S Valerian
Lemon balm
LYCOQ CAP Lycopene
Coenzyme Q10
IMULAN KAPSUL Phyllanthus niruri extr
Curcuma domestica rhizome extr
IMUNOS CPLT 20`S Echinacea
Zinc picolinate
PROIMBUS Echinacea
Reishi mushrom
MENOSE Black cohosh extr 20mg
PROCARDIO Crataegi fructus extr 150mg
HP PRO 90`S Fructus Schizandrae
PROVIGOR Cistanchis herba extr 180mg
MENOXA Cimicifuga Racemoga
Vit D3
LEGRES Leucoselect Phytosome
Lycopene
Nama Pabrik
Tropica
Phapros
Medikon
Pharos Indonesia
Phapros

Phapros
Corsa
Tropica

Meprofarm

Tropica Mas Pharma

Pharos Indonesia

Soho
Novell
Meprofarm
Meprofarm
Phapros
Soho

Meprofarm

Soho

Lapi

Meprofarm

Dankos
Meprofarm
BIO- LIFE MEDILAB
Meprofarm
Soho

Soho
farmako Nama Barang Nama Generik Nama Pabrik
11e becom c vit B1 50mg Sanbe Farma
11e becomzet vit E 30 iu Sanbe Farma
14n bepanten panthenol Roche
11c biferce vit C Sanbe Farma
11e cal-95-megazing vit E 30iu lapi
4c caltron-viostin viostin s 400 pharos
4k cereton ginkgo biloba extr 60mg Meprofarm
11i elevit vit A4 Roche
4c flamar tab 25/50 diclofenac Na Sanbe Farma
11b folacom-folavit folic acid Sanbe Farma
7i formyco tab ketoconazole Sanbe Farma
forumen-
10b glucophage xr metformin Hcl Merck
1h hemorogard-ambeven graptophylium pictum 30% medikon
1g hepatin-hepagard silybum marianum dried extr phapros
13a ikamicetin chloramphenicol ikapharmindo
8f isoprinosin methisoprinol darya varia
4b kamadol inj tramadol Hcl kimia farma
4c ketesse dexketoprofen trometamol ferron
7b lacedim ceftazidime pentahydrate lapi
7b lapixime cefotaxime Na lapi
12d lycoq lycopene 5mg Meprofarm
4k mecola-lapibal mecobalamin lapi
4c mediflex viostin com ds
12d menose black cohosh extr 20mg dankos
14n mustela-mederma cepalin extr 10% combiphar
11b neurobion inj 5000 vit B1 100mg merck
11d ossoral 200 ossein hydroxyapatite compd dexa medica
4c osteoflam glucosamine Hcl 250mg Soho
4c osteopor-viostin viostin s 400 pharos
5e pregnil hcg organon
11i prenatin df fe fumarate 135mg soho
12d procardio crataegi fructus extr 150mg Meprofarm
12d provigor cistanchis herba extr 180mg meprofarm
11d remifemin-isofem isoflavone 60mg Meprofarm
7b sporetik cefixime trihydrate Sanbe Farma
2h tensigard apii herba extr 92mg phapros
1a -- Antisida, Antiulserasi

NO Nama Barang Nama Generik


1 ANTASID DOEN 400 mg TAB KF Mg(oh)2 mg
Al (OH)3 200 Mg
2 ANTASID DOEN SYRUP 60 ML mg(oh)2
Al (OH)3 200 Mg
3
MYLANTA TAB Al (OH)3 200 Mg
mg(oh)2
4 Simethicone 20 Mg
MYLANTA LIQUID 150 ML Al (OH)3 200 Mg
mg(oh)2
5 Simethicone 20 Mg
SANMAG TAB mg(oh)2
Al (OH)3 200 Mg
papaverin
6
Chlordiazepoksid
7 SANMAG SYR Al (OH)3 200 Mg
Simethicone 20 Mg
8 POLYCROL 400 TAB Al (OH)3 200 Mg
Simethicone 20 Mg
9 POLYCROL TAB Al (OH)3 200 Mg
Simethicone 20 Mg
10
POLYCROL F TAB Al (OH)3 200 Mg
11 Simethicone 20 Mg
POLYCOL 400 SYR Al (OH)3 200 Mg
12 Simethicone 20 Mg
13 POLYCROL F SIR TAB Al (OH)3 200 Mg
14 Simethicone 20 Mg
15 ACRAN INJ Ranitidine Hcl
16
17 RANITIDIN 150 MG TAB KF Ranitidine Hcl
18 RANTIN Ranitidine Hcl
19 ZANTAC 150 30S Ranitidine Hcl
20 ZANTAC INJ Ranitidine Hcl
21 ACRAN TAB Ranitidine Hcl
22 ULSIKUR INJ Cimetidine
23 CIMETIDINE 200 MG Cimetidine
24
25 PUMPITOR CAPS Omeprazole
26 OMEPRAZOL 20 MG Omeprazole
27 COMPRAZ 30 MG Lansoprazole
28 PANTOZOL 40 MG TAB Pantoprazole
29 PANTOZOL INJ Pantoprazole
30 PANTOZOL 20 MG TAB Pantoprazole
31 PROSOGAN Lansoprazole
REGASTIN 20 MG Famotidine
32
33 REGASTIN 40 MG Famotidine
34 FAMOTIDIN Famotidine
35 NEXIUM Esomeprazol
STROCAIN P TAB Polymigel
Oxethazine

36
37
32
33
34
35

CYTOTEC Misoprostol
MUCOSTA TAB 100MG Rebamipide
ULSAFATE SYR Sukraflat
STOMACAIN TAB Oxethazine
36 Al (OH)3 200 Mg
37 Mg(OH)3
38
39
40
1b -- Regulator GIT, Antiflatulen & Anti-inflamasi
41
42
NO
43 Nama Barang Nama Generik
44 VOSEDON SUSP Domperidone
45 VOMETA TAB Domperidone
46 VOMETA DROPS 5 MG / 10 ML Domperidone
47 VOMETA 1 MG SYRUP 60 ML Domperidone
48
DAMABEN ORAL SYR Metoclorpramide
49
50 DAMABEN ORALPAED DROPS Metoclorpramide
51 DAMABEN TAB 100`S Metoclorpramide
METOCLOPRAMIDE 10 MG Metoclorpramide
PRIMPERAN 10 MG TAB Metoclorpramide
PRIMPERAN SYRUP 50 ML Metoclorpramide
SOTATIC INJ 2 ML Metoclorpramide
DISFLATYL 40 MG TAB 100`S Dimethylpolysyloxane
DISFLUX 5 MG TAB 50`S Cisapride
GUARPOSID 5 MG TAB Cisapride
ZELMAC 6 MG Tegaserod
BUDENOFALK Budesonide

52
53

54

55

56
57 1c -- Antipasmodik
58
NO Nama Barang Nama Generik
59
60 PAPAVERIN 40 MG TAB INF Budesonide
61 BRAXIDIN Clordiazepoxide,
Clidinium Bromide
LIBRAX Chlordiazepoxide
Clidinium Bromide
SPASMIUM DRAG 100`S Chlordiazepoxide
Phenil Ethyl Propilamine
62
63 BUSCOPAN TAB Hyoscine Butylbromide
64 BUSCOPAN PLUS TAB Paracetamol
65 Hyoscine Butylbromide
BUSCOPAN INJ 20 MGAMP 10`S Hyoscine-N-Butylbromide
66 ATROPINE INJ 0,25 MG/ ML Atropine Sulfat E.D
67
68

69
62
63
64
65

66
67 SYSTABON DRAGGE 100`S Pramiverine
68
PURUBEX CAPS 100`S teprenone

69
1d -- Antidiare

NO Nama Barang Nama Generik


NEW DIATABS TAB Attapulgite
LODIA Loperamide HCL
IMODIUM Loperamide HCL
70 NEO KAOLANA SYR 120 ML Pectin 50 MG
71 Kaolin
72 SMECTA Dioctahedral Smectite
73 GABRORAL 60ML SYR Paromomycin
74 DIAKUR Attapulgite
75 Psidii Folium
76 Curcuma Domestica
77 FITODIAR Attapulgite
78 Psidii Folium
79 Curcuma Domestica
80
81
1e -- Laksatif, Pencahar

NO Nama Barang Nama Generik


DULCOLAX TAB Bisacodyl
82 DULCOLAX SUPPO INFANS Bisacodyl
83 DULCOLAX SUPPO DWS Bisacodyl
84 DULCOLAX TAB 200"S Bisacodyl
LAXATAB TAB 50 MG 120`S NA-Dioctylsulfosuccinate
LAXADIN SYR 60 ML Fenolftaleina
85
86 Paraffin Liq
87 LAXOBERON 5 MG / 10 ML DROP Picosulfate Na
MICROLAX ENEMA 5 ML Lactulose
LACTULAX SYR 60 ML Lactulose
DUPHALAC SYR Lactulosa
DULCOLACTOL SYRUP 60 ML Lactulosa
LAXAL TAB Senna Folium
Aloe Vera Folium

88 1f -- Digestan

89
NO Nama Barang Nama Generik
TRIPANZYM Pancreatin
90 EXCELASE CAP Pancreatin
PRIMPERAN COMPOSITUM TAB Metoclorpramide Hcl
91
92 Pancretin
93 Dimetil Polisiloksan
COBAZIM 3000 CAPS 100`S Coenzyme B 12
COBAZIM 1000 CAPS 100`S Coenzyme B 12
94
95
90

91
92
93

94 PANKREOFLAT CAP Pankreoflat lipase


95
Pankreatic amylase
Pancreatic protease
Dimethilpolisiloksan

1g--Hepatoprotector-anticholesterol-cholagogues

96
No Nama Barang Nama Generik
97
LESICHOL 300 Lechitin Murni
98 Multivitamin
99 LESICHOL 600 Lechitin Murni
Multivitamin
100 LEPROVIT 300 Lechitin Murni
Multivitamin
CHENOFALK Chenodexycholic Acid
101
URDAFALK Ursodeoxycholic Acid
CURSIL 70 Pyto Cur
Silimarin
Xantrorizae
SHO SAIKOTO Fitofarmaka
NUTRIFLAM Serratiopeptidase
Pankreatin
Lechitin Murni

Klas farmakoterapi : 1h -- Haemorrhoidal

No Nama Barang Nama Generik


AETHOXYSKLEROL 3 % 2 ML Polidocanol 0.2 G
ANUSOL SUPP Bismuth Subgalat
Boric Acid
VENARON CAPS 100`S O-(Hydroxyethyl)-Rutoside
VENOS Centela Asitica
Butcer Broom
ULTRAPROCT SUPP Fluocortolone Pivalate
Fluocortolone caproate
Clomizale Undecylatde
ULTRAPROCT CREAM Fluocortolone Pivalate
Fluocortolone caproate
Clomizale Undecylatde
Nama Pabrik
Kimia Farma

Kimia Farma

Parke davis

Parke davis

Sanbe farma

Sanbe farma

Nicholas

Nicholas

Nicholas

Nicholas

Nicholas

Sanbe
Kimia Farma
Kalbe farma
Glaxo Smith Kline
Glaxo Smith Kline
Sanbe
Kalbe farma
Kimia Farma
Sanbe farma
Indo farma PT
Combiphar pharmaceutical
Pharos Indonesia
Pharos Indonesia
Pharos Indonesia
Takeda Indonesia
Combiphar pharmaceutical
Combiphar pharmaceutical
Indo farma PT
Astra zeneca
Eisai Indonesia PT
Pfizer / pharmacia
Otsuka
Combiphar pharmaceutical
Combiphar pharmaceutical

Nama Pabrik
Sanbe
Dexa Medica
Dexa Medica
Dexa Medica
Sanbe farma
Sanbe farma
Sanbe/A Menarini
Dexa Medica
Soho industri Farmasi
Soho industri Farmasi
Fahrenheit
Pharos / Solco
Corsa
Guardian Pharmatama
Novartis
Darya varia

Nama Pabrik
Kimia Farma
Sanbe

Roche Indonesia PT

Soho industri farmasi

Boehringer ingelheim PT
Boehringer ingelheim PT

Boehringer Ingelheim
Ethica
Merck Indonesia
Eisai Indonesia PT

Nama Pabrik
Medifarma lab
sanbe farma
Janssen
sanbe farma

Afifarma
Kalbe farma & Upjohn
Phytichemindo Reksa

Kimia Farma

Nama Pabrik
Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
Yupharin PT
Yarindi Farmatama

Boehringer ingelheim PT
Pharos Indonesia
Ikapharmindo
Solvay Pharmaceutical
Boehringer ingelheim PT
Phytichemindo Reksa

Nama Pabrik
sanbe farma
Meiji Indonesia
Soho / Delagrange

Interbat
Interbat
Solvay Pharmaceutical

Nama Pabrik
landson

landson

Tropica

Darya varia
Darya varia
Asta Medika

Natural Hi Life
Tropica

Nama Pabrik
Phapros
Warner Lambert Ind PT

teguhsindo Lestaritama PT
Soho industri Farmasi

Scheering AG

Scheering AG
Klas farmakoterapi : 2a -- Obat Jantung

No Nama Barang Nama Generik


102 DIGOXIN TAB 0.25 MG Digoxin
103 DIGOXIN TAB 0.25 MG NOVARTIS Digoxin
104 PROPANOLOL 10 MG propanolol
105 CORDARONE TAB 30`S Amiodarone
106 DOPAMIN INJ Dopamine Hcl
107 INDOP INJ Dopamine Hcl
108 INOTROP INJ Dobutamine Hcl

Klas farmakoterapi : 2b -- Obat Anti-Angina

Nama Barang Nama Generik


109 ISOSORBID DINITRAT 5 MG 100`S Isosorbide Dinitrate
110 CEDOCARD 5 MG TAB Isosorbide Dinitrate
111 CEDOCARD 10 MG TAB Isosorbide Dinitrate
112 PERSANTIN 25 MG Dipyridamole
113 CONCOR 5 MG TAB Bisolprolol Fumarate

Klas farmakoterapi : 2c -- ACE Inhibitor

No Nama Barang Nama Generik


114 TENSICAP 25 MG Captopril
115 TENSICAP12.5 MG Captopril
116 CAPTOPRIL 12,5 MG Captopril
117 CAPTOPRIL 25 MG Captopril
118 CAPTOPRIL 50 MG Captopril
119 CAPOTEN 12,5 MG TAB Captopril
120 CAPOTEN 25 MG TAB Captopril
121 CAPOTEN 25 MG TAB Captopril
122 TENACE 5 Enalapril Maleate
123 TENACE 10 Enalapril Maleate
124 TENAZIDE Enalapril Maleate
Hidroklorotiazid
125 TANAPRESS 10 MG Imidapril HCL
126 TANAPRESS 5 MG TAB Imidapril HCL
127 TRIATEC 10 MG Ramipril
128 TRIATEC 5 MG CAPS Ramipril
129 HYPERIL 2.5 MG TAB Ramipril
130 HYPERIL 5 MG TAB 60`S Ramipril
131 ZESTRIL 5 MG lisinopril dihydrate

Klas farmakoterapi : 2d -- Beta Bloker

Nama Barang Nama Generik


132 PROPANOLOL 40 MG propanolol
133 INDERAL 10 MG 50 TAB Propranolol Hcl
134 FARNORMIN TAB Atenolol
135 CONCOR 5 MG TAB Bisoprolol Fumarate
136 DILBLOC 6.25 MG carvedilol

Klas farmakoterapi : 2e -- Antogonis Kalsium

No Nama Barang Nama Generik


137 NIFEDIN 10MG TAB SANBE Nifedipine
138 NIFEDIPIN 10 MG TAB KF Nifedipine
139 ADALAT 5 Nifedipine
140 ADALAT 10 Nifedipine
141 ADALAT OROS 30 MG Nifedipine
142
143 NORVASK 5 MG Amlodipine besylate
144 NORVASK 10 MG Amlodipine besylate
145 TENSIVASK 5 MG TAB 50`S Amlodipine besylate
146 TENSIVASK 10 MG TAB 50`S Amlodipine besylate
HERBESSER 30 MG TAB Dilthiazem HCL
147 DILTIAZEM 30 MG 100`S Dilthiazem HCL
148 HERBESSER 60 MG TAB Dilthiazem HCL
149 HERBESSER CD 100 TAB Dilthiazem HCL
150 PLENDIL 5 MG Felodipine
151 ZANIDIP 10 MGTAB 28`S Lercanidipine Hcl
152
ISOPTIN SR Verapamil

Klas farmakoterapi : 2f -- Angiotensin II Antagonis

153 Nama Barang


No Nama Generik
154
155 MICARDIS 80 MG TAB Telmisartan
MICARDIS 40 MG Telmisartan
156 MICARDIS PLUS 40 MG Telmisartan
Hydrochlorothiazole
147 MICARDIS PLUS 80 MG Telmisartan
148 Hydrochlorothiazide
149 BLOPRESS TAB 8 MG Candesartan Cilexetil
BLOPRES 16 MG Candesartan Cilexetil
150
151 DELLASIDREX reserpin
Valsartan
152 DIOVAN 80 Valsartan
153 CO-DIOVAN Valsartan
154
155
156
149

150
151

152
153
154 Hydrochlorothiazide
155 APROVEL 150 MG Irbesartan
156
ACCUPRIL 20 MG TAB Quinapril HCL
CLONIDINE 0.15 MG Clonidine HCL
CATAPRES inj Clonidine HCL
CATAPRES 150 MCG TAB 100`S Clonidine HCL

157
158 Klas farmakoterapi : 2g -- Other Antihypertensives
159
160
No
161 Nama Barang Nama Generik
162 URESIX 40 MG TAB Furosemide
163 FUROSEMIDE 40 MG TAB KF Furosemide
164 LASIX TAB Furosemide
165 FARSIX TAB Furosemide
ALDACTONE 25 MG 100 TAB Spironolactone
166
ALDACTONE 100 MG 100 TAB Spironolactone
167 LETONAL 25 MG TAB Spironolactone
168 LETONAL 100 MG TAB Spironolactone
169 TORAL TAB 5 MG 30`S Torasemide
170 Hydrochlorothiazide
CO APROVEL 150/12.5 MG Irbesartan
Hydrochlorothiazide
DOPAMET 250MG TAB methyldopa
Clonidine Hcl Clonidine Hcl
CATAPRES AMP Clonidine Hcl
171 TENSIGARD CAPS Apii Herba
172 Orthosiphon Folium
173
174
175 Klas farmakoterapi : 2h Deuretik
176
177
No
178 Nama Barang Nama Generik
179 URESIX 40 MG TAB Furosemide
180 FUROSEMIDE 40 MG TAB KF Furosemide
181 LASIX INJ Furosemide
182 LASIX TAB Furosemide
DIAMOX TAB 250 MG 100`S Acetazolamide
NATRILIX SR TAB Indapamide
ALDACTONE 25 MG 100 TAB Spironolactone
ALDACTONE 100 MG 100 TAB Spironolactone
LETONAL 25 TAB Spironolactine
LETONAL 100 TAB Spironolactine
TORAL TAB 5 MG 30`S Torasemide
HYDROCHLOROTIAZIDE (HCT)25 MG TAB KF Hydrochlorothiazide

Klas farmakoterapi : 2j-- Vasodilator Perifer & Aktivator Serebral

No Nama Barang Nama Generik


183
184

185
186
187
188
183 GINGKAN TAB Gingkan
184 CAFERGOT TAB 100`S ergotamine tartrate
Caffeine
185 ADRENALINE BITARTRAS 100 AMP 1 CC Andrenaline
186 HYDERGIN INJ 1ML A-5 Co-Dergocrine Mesylate
187
188 BRAINACT 250 MG/2ML AMP 5`S citicoline
189 NICHOLIN INJ 250 Citicoline
190 SERMION 10 MG TAB nicergoline
191 STUGERON TAB 25 MG Cinnarizine
NEUROCHOL Lechitin
Vit e

Klas farmakoterapi : 2l-- Obat Migrain


192
No Nama Barang Nama Generik
BELLAPHEEN TAB Phenobarbital
Ergotamine Caffein

Klas farmakoterapi : 2m -- Hemostatik


193
194
No
195 Nama Barang Nama Generik
196 ADONA AC 17 TABLET Cerbazocrome NA Sulfonate
197 ADONA FORTE Cerbazocrome NA Sulfonate
198 CLONEX 250 MG TAB Tranexamic Acid
199 CLONEX 500 MG CPLT 100`S Tranexamic Acid
200 CLONEX 250 MG AMPL 10`S Tranexamic Acid
VIT K 10 MG Vitamin K
VIT K INJ Vitamin K
CAFERGOT TAB 100`S Ergotamine Tartrate
Caffein
201
202 Klas farmakoterapi : 2n -- Antikoagulan, Antitrombotik & Fibrinolitik
203
204
No Nama Barang Nama Generik
205
206 MADECASSOL CREAM Ekstrak Centella Asiatica
207 ASCARDIA 80 MG Acetylsalicylic Acid
208 ASCARDIA 160 MG Acetylsalicylic Acid
209 THROMBO ASPILET TAB Acetylsalicylic Acid
210 CARDIO ASPIRIN TAB Acetylsalicylic Acid
DICYNONE 500MG 20`S Ethamsylate
211 DICYNONE AMPUL 250MG/2ML Ethamsylate
212
VIT K3 INJ Menadione ( Hcl )
213
SIMARC 2 Warfarin NA
AGGRENOX TAB Dipiridamole
Acetylsalicylic Acid
PLAVIX TABLET Clopidogrel
214 PLETAAL TAB 50 MG 100`S Cilostrazol
215 TICURING TAB Ticlopidine HCL
216
Klas farmakoterapi : 2q-- Haemorrheological
217

218
214
215
216

217
No Nama Barang Nama Generik
TRENTAL 400 MG TAB Pentoxifylline
PRAXILENE 200MG TAB 100`S Naftidrofuril
LANAVEN TAB Soya Bean Extract
Hippocastani
218
219 Citrus Complex
ARDIUM Flavoniodic Fraction

Klas farmakoterapi : 2r -- Preparat Haemotopoietic

220
No Nama Barang Nama Generik
221
222 RECORMON 5000 IU PFS/0.3 ML Epoetin
HEMAPO 5000 IU INJ Epoetin

223 Klas farmakoterapi : 2s -- Obat Kardiovaskuler Gol Lain

No Nama Barang Nama Generik


224 HEPTAMYL 150 MG Heptamyl HCL
ATP KYOWA Adenosine Triphosphate
BIO ATP ATP 20 MG
Vit B1
225 Vit B6
226 Vit B12
MYOVITON TAB ATP 20 MG
Vit B1
Vit B6
Vit B12
NICHOVITON TAB ATP 20 MG
Vit B1
Vit B6
Vit B12
CO-EN Q10 CPS 60`S Coenzyme Q10
AKRINOR Cafedrine Hcl
Tiodrenaline Hcl
Nama Pabrik
Indofarma PT
Novartis PT
Dexa Medica
Sanofi PT
Kimia Farma
Fahrenheit
Fahrenheit

Nama Pabrik
Indofarma PT
Darya varia
Darya varia
Boehringer ingelheim PT
Abbott PT

Nama Pabrik
sanbe farma
sanbe farma
Indofarma PT
Abbott PT
Kimia Farma
bristol-myers squibb
bristol-myers squibb
bristol-myers squibb
Combiphar Pharmaceutical
Combiphar Pharmaceutical
Combiphar Pharmaceutical

Tanabe Abadi
Tanabe Abadi
Hoechst marion roussel
Hoechst marion roussel
Ferron
Ferron
astra zenace

Nama Pabrik
Kimia Farma
Astra Zeneca
Abbott PT
Merck
roche

Nama Pabrik
Sanbe
Kimia Farma
Bayer Farma Indonesia
Bayer Farma Indonesia
Bayer Farma Indonesia
Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Dexa Medica
Dexa Medica
Tanabe Abadi
Indofarma PT
Tanabe Abadi
Tanabe Abadi
Astra Zeneca
Combiphar Pharmaceutical
Abbott PT

Nama Pabrik
Boehringer ingelheim PT
Boehringer Ingelheim
boehringer ingelheim

boehringer ingelheim

Takeda Indonesia
Takeda Indonesia
Darya varia

Novartis
Novartis
Sanofi-Synthelabo
Pfizer Inonesia, Tbk
Kimia Farma
Boehringer ingelheim PT
Boehringer ingelheim PT

Nama Pabrik
sanbe farma
Kimia Farma
Hoechst marion roussel
Nellco Indonesia
Soho industri Farmasi
Soho industri Farmasi
Landson
Landson
kalbe farma
Kimia Farma
Sanofi-Synthelabo

alpharma
Indofarma PT
Boehringer Ingelheim
Pharos Indonesia

Nama Pabrik
sanbe
Kimia Farma
aventis
Hoechst marion roussel
Lederle
Servier
Soho industri Farmasi
Soho industri Farmasi
Otto
Otto
kalbe farma
Kimia Farma

Nama Pabrik
Medicon Prima Lab PT
novartis

Ethica
Novartis PT
dankos
Takeda
kalbe farma/pharmacia & upjohn
Janssen-Cilag
Landson

Nama Pabrik
Soho industri Farmasi

Nama Pabrik
Tanabe Abadi
Tanabe Abadi
Corsa
Corsa
Corsa
Kimia Farma
Kimia Farma
Novartis

Nama Pabrik
Corsa
Pharos Indonesia
Pharos Indonesia
Uap
Bayer
Corsa / Om Pharma
Corsa / Om Pharma
Kimia Farma
Fahrenheit
Boehringer ingelheim PT

Sanofi-Synthelabo
Otsuka
Lapi
Nama Pabrik
aventis
Merck
landson

Servier

Nama Pabrik
Roche
kalbe farma

Nama Pabrik
Corsa
Dankos Laboratories PT
Phapros

Pharos Indonesia

nicholas

Corsa
Asta Medica
Klas farmakoterapi : 3b -- Preparat Antiasma

No Nama Barang Nama Generik


227 CYCLOHALER Salbutamol
228 SALBUVEN EXP SYR Salbutamol
229 SALBUVEN SYR 100 ML Salbutamol
230 SALBUTAMOL 2 MG TAB KF Salbutamol
231
SALBUTAMOL 4 MG Salbutamol
232
233 LASAL SYRUP 100 ML Salbutamol
LASAL EXPECT SYR 100 ML Salbutamol
234 Guaiphenesin
FARTOLIN EXPECT 100 ML SYRUP Salbutamol
235 Guaiphenesin
236 VENTOLIN INH CFC FREE/CAN Salbutamol
237 VENTOLIN NEBULES 2.5 MG/AMP Salbutamol
238
239 VENTOLIN SYR Salbutamol
240 SALBRON MG 2 TAB Salbutamol
241 VENTOLIN EKSPEC SYR Salbutamol
242 ASTIFEN SIR Ketotifen
243 ASTIFEN TAB Ketotifen
244 PROFILAS Ketotifen
245 PROFILAS SYRUP 60 ML Ketotifen
246
BRONSOLVAN SYRUP Theophyllin
247
248 BRONSOLVAN TAB 150 MG Theophyllin
249 QUIBRON T SR TAB Theophyllin
250 THEOBRON KAPSUL Theophyllin
251 THEOBRON SYR Theophyllin
252 COMBIVENT MDI 10 ML Iratropium Bromide
253 COMBIVENT NEBULIZER Iratropium Bromide
254
AMINOPHYLLIN 200 MG TAB Aminophillin
255
256 AMINOPHYLLINUM 2,4% 24 AMP/10 CC Aminophillin
EPHEDRINE HCL 25 MG TAB KF Ephedrine HCL
257 EPHEDRINE HCL 50 MG/ML INJ/100 AMPUL Ephedrine HCL
FLIXOTIDE NEB Fluticasone Drop
258 SERETIDE INH 125 CANISTER Salmeterol
259 Fluticason Propinat
260 SERETIDE INH 50 CANISTER Salmeterol
261
262 Fluticasone Propinat
263 ACCOLATE TAB 20 MG Zafirlukast
BRICASMA TAB 2.5 MG 100`S Terbutaline Sulfate
264 MEPTIN 0.05 MG TAB Procaterol
265 MEPTIN SYR 60 ML Procaterol
266 SYMBICORT TURBUHALER Budesonide
267 SYMBICORT TURBUHALER 80" Symbicort
268
Budesonide
SPIRIVA REFILL Tiotropium Br
SPIROPENT TAB Clenbuterol Hcl
ETAPHYLLINE TAB 250MG Acefylline Piperazine
ETHAPHYLIN TAB Acefylline Piperazine
269 CARIAMYL TAB Heptaminol acefyllinate

270

271

272
273
269

270

271 Klas farmakoterapi : 3c -- Obat Batuk & Pilek

No
272 Nama Barang Nama Generik
273 TREMENZA TAB Pseudoephedrine HCL
Tripolidina Hcl
274 TREMENZA SYR 60 ML Pseudoephedrine HCL
Tripolidina Hcl
275
ACTIFED TAB Pseudoephedrine HCL
276 Tripolidina Hcl
RHINOFED SUSP 60 ML Pseudoephedrine HCL
277 TRIFED TAB Tripolidina Hcl
Pseudoephedrine HCL
278 SUDAFED TAB Pseudoephedrine HCL
Guafenesin
279
TRIAMINIC BATUK 60 ML Pseudoephedrine HCL
280 Dextrometropan
TRIAMINIC PILEK 60 ML Pseudoephedrine HCL
281 Guafenesin
TRANSPULMIN SYR 60 ML Pipazetate
282 Guafenesin
LAPIFED DM SYR 100 ML Tripolidina Hcl
283
284 Pseudoephedrine HCL
285 LAPIFED EXP SYR 60 ML Tripolidina Hcl
286 Pseudoephedrine HCL
287 LAPIFED SYR 60 ML Tripolidina Hcl
288 Pseudoephedrine HCL
289 RHINOS SR Loratadine
290 Pseudoephedrine HCL
291
TRIAMINIC EXP 60 ML Pseudoephedrine HCL
292
293 Guafenesin
294 ALCO DROPS ORAL 15 ML Pseudoephedrine HCL
295 ALCO PLUS DMP SYR 100 ML Pseudoephedrine HCL
296 ALCO DROP Pseudoephedrine HCL
297 EPEXOL SYRUP 120 ML Ambroxol HCL
298 EPEXOL TAB Ambroxol HCL
299
EPEXOL 30 MG TAB Ambroxol HCL
300
301 AMBROXOL SYR 60 ML Ambroxol HCL
302 AMBROXOL TAB 30 MG Ambroxol HCL
MUCOPECT 15 MG/5 ML SYRUP Ambroxol HCL
303 MUCOPECT 30 MG/5 ML ELIXIR Ambroxol HCL
304 MUCOPECT DROPS Ambroxol HCL
305 MUCOPECT TAB 30 MG Ambroxol HCL
306 MUCOPECT RETARD 75 MG TAB Ambroxol HCL
307 MUCOHEXIN 8 MG TAB Bromhexine HCL 10 Mg
308 MUCOHEXIN ELIXIR SYR Bromhexine HCL 10 Mg
MUCOHEXIN ELIXIR SYR Bromhexine HCL 10 Mg
309 BISOLVON ELIXIR 60 ML Bromhexine HCL 10 Mg
BISOLVON SYR STAW 60 ML Bromhexine HCL 10 Mg
310

311
312
313
314
307
308

309

310 BISOLVON TAB Bromhexine HCL 10 Mg


COMTUSI SYR Oksomemazine
311
312 Glyseril G
313 DEXTROMETHORPHANE 15 MG BOX TAB KF Dextromethorphan
314 DEXTROMETHORPHANE SIR Dextromethorphan
FLUIMUCIL SYR Acetyl Cytein
315 TUZALOS CAPL 15 MG Paracetamol
Dextrometropan
316
GLYCERIL GUAICOLAS 100 MG TAB KF Acetyl Cytein
317 INTUNAL F TABLET Paracetamol
Glyseril G
318 INTUNAL SYRUP 60 Paracetamol
Glyseril G
319 LACOLDIN SYR 60 Paracetamol
320 Phenylpropanolamine
321 LONGATIN 25 MG Noscapine
322 MUCOPRONT KAPSUL Carbocysteine
323 MUCOPRONT SIR 90 ML Carbocysteine
NIPE DROP 15 ML Isothipendyl
Phenyleprin
NIPE SYR 100 ML Isothipendyl
Phenyleprin
SANADRYL SYR 120 ML Amonium Klorida
Dipenhydramin
SILOMAT COMPOSITUM SYR 60 ML Clobutinol HCL
Orciprenalin
SILOMAT COMPOSITUM SYR 125 ML Clobutinol HCL
Orciprenalin
VECTRINE DRY SYR Erdosteine
VECTRINE TAB 300 MG 20`S Erdosteine
VENTOLIN ROTAHALER Salbutamol Sulfate
Brompheniraminem Maleate
LEVOPRONT Lepodroprovisine
CODIPRONT Codipront

Klas farmakoterapi : 3d -- Dekongestan & Preparat Nasal Lain

No Nama Barang Nama Generik


325 OTRIVIN NASAL DROPS 1%0 10 ML Xylometazoline
326 NASACORT AQ NASAL SPRAY Triamsinolone acetonide
327 FLIXONASE NASAL SPRAY Fluticasone Propionate
Nama Pabrik
Combiphar Pharmaceutical
Pharos Indonesia
Pharos Indonesia
Kimia Farma
Kimia Farma
Lapi
Lapi

Fahrenheit

Glaxo Wellcome Indonesia


Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia
Dankos
Glaxo Wellcome Indonesia
kalbe farma
kalbe farma
Dankos Laboratories PT
Dankos Laboratories PT
kalbe farma
kalbe farma
bristol-myers squibb
Interbat
Interbat
Boehringer ingelheim PT
Boehringer ingelheim PT
Indofarma PT
Ethica
Kimia Farma
Ethica
Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia

Glaxo Wellcome Indonesia

Asta Medica
Astra Zeneca
Otsuka
Otsuka
Astra Zeneca
Astra Zeneka

Boehringer ingelheim PT
Boehringer ingelheim PT
Corsa / Sanofi-synthelabo
Corsa
Corsa
Nama Pabrik
sanbe farma

sanbe farma

Glaxo Wellcome Indonesia

Dexa Medica
Interbat PT

GlaxoSmithKline

Novartis PT

Novartis PT

Astra Zeneca

Lapi

Lapi

Lapi

Dexa Medica

Novartis

Interbat
Interbat
Interbat
sanbe farma
sanbe farma
Sanbe
Kimia Farma
Kimia Farma
Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
sanbe farma
sanbe farma
sanbe farma
Boehringer ingelheim PT
Boehringer ingelheim PT
Boehringer ingelheim PT
Combiphar pharmaceutical

Kimia Farma
Kimia Farma
Pharos Indonesia
sanbe farma

Kimia Farma
Meprofarm

Meprofarm

Lapi

Dumex Alpharma Indonesia


Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Asta Medica

Asta Medica

sanbe farma

Boehringer ingelheim PT

Boehringer ingelheim PT

Dexa Medica
Dexa Medica
Glaxo Smith Kline

Combiphar pharmaceutical
Kimia Farma

Nama Pabrik
Novartis PT
Aventis Pharma
GlaxcSmithKline
Klas farmakoterapi : 4a -- Anti Inflammatory Enzymes

No Nama Barang Nama Generik


328 NUTRIFLAM Serratiopeptidase
Vit B1
Vit B6
Vit B12
Nicotinamide
329 PANKREOFAT Serratiopeptidase
Vit B1
Vit B6
Vit B12
Nicotinamide
330 Nonflamin Tinoridine

Klas farmakoterapi : 4b -- Analgesik & Antipiretik

No Nama Barang Nama Generik


331 ANTALGIN 500 MG TAB KF Methampyrone
332 NOVALGIN INJ Methampyrone
333 NOVALGIN SYR 60 ML Metamizole Na
334 NOVALGIN TAB Metamizole Na
335 MEFINAL 500 MG TAB 100`S Asam Mefenamat
336 ASAM MEFENAMAT 500 mg KAPL KF Asam Mefenamat
337 PONSTAN 500 MG Asam Mefenamat
338 PONSTAN SUSP 60 ML Asam Mefenamat
339 MEFINTER 500 MG TAB Asam Mefenamat
340 PROPYRETIC SUPP Paracetamol
341 SANMOL TAB Paracetamol
342 SANMOL SYRUP 60 ML Paracetamol
343 SANMOL DROP 30 ML Paracetamol
344 PARACETAMOL SYR 60 ML Paracetamol
345 PARACETAMOL 500 MG BOX TAB KF Paracetamol
346 TEMPRA SYRUP 60 ML Paracetamol
347 SOMADRIL COMP Paracetamol
Caffeine
348 SISTENOL TAB 60`S Paracetamol
n-Acetylcysteine
350 PRORIS FORTE SYR 60 ML Ibuprofen
351 PRORIS SYR 60 ML Ibuprofen
352 PRORIS CAPLET 50`S 200 MG Ibuprofen
353 BUFFECT F SYR Ibuprofen
354 BUFFECT SYR FORTE Ibuprofen
355 IBUPROFEN 400 MG TAB Ibuprofen
356 IBUPROFEN 200 MG TAB Ibuprofen
357 ARTHRIFEN Ibuprofen
358 DOLANA INJ 100MG 5`S Tramadol HCL
359 DOLANA INJ 50 MG Tramadol HCL
360 TRADOSIK CAPSUL Tramadol HCL
361 TRAMAL Tramadol HCL
362 TRAMAL INJ Tramadol HCL
363 TRAMAL RETARD TABLET Tramadol HCL
364 TRAMAL TABLET Tramadol HCL
365 TRAMADOL 50 MG KAPS Tramadol HCL
366 DOLO NEUROBION TAB Antalgin
Vit B1
Vit B6
Vit B12
367 NEUROSANBE PLUS CAPL Methampyrone
Vit B1
Vit B6
368 STILERAN TAB Methampyronee
Vit B1
Vit B6
Vit B12
369 ANALSIK Chlordiazepoxide
VIT B1
Vit B6
Vit B12
Methampyronee
370 CETALGIN Methampyrone
Diazepam
Vit B6
Vit B12
371 ASPIRIN 500 TAB 8`S Acetosal
372 KALTROFEN INJ Ketoprofen
373 UNALIUM TAB 5 MG 40`S Flunarizin
374 FENTANYL INJ 2 ML 5`S Fentanyl
375 SYNFLEX 550 MG Naproxen Na
376 SYNFLEX 275 MG Naproxen Na

Klas farmakoterapi : 4c -- Antireumatik, Analgesik Anti-inflamasi

No Nama Barang Nama Generik


377 ARAVA 10 MG TAB Leflunomide
378 ARAVA 20 MG TAB Leflunomide
379 OSTELOX 7.5 Meloxicam
380 OSTELOX 15 Meloxicam
381 MEL OXICAM TAB 15 MG GEN Meloxicam
382 MOVI COX AMP Meloxicam
383 MOVI COX TAB 15 MG 20`S Meloxicam
384 FELDENE CAP 10 MG Piroxicam
385 FELDENE GEL Piroxicam
386 FELDENE CAP 10 MG Piroxicam
387 FELDENE FLASH 20 MG TABLET Piroxicam
388 PIROKSIKAM 10 MG TAB KF Piroxicam
389 PIROKSIKAM 20 MG TAB KF Piroxicam
390 HYALGAN INJ 20 MG/2ML X Natrium Asam Hyaluronat
391 OSFLEX INJ Natrium Asam Hyaluronat
392 EFLAGEN 25 Diklofenac K
393 EFLAGEN 50 Diklofenac K
394 KALIUM DIKLOFENAK 25 MG Diklofenac K
395 KALIUM DIKLOFENAK 50 MG Diklofenac K
396 CATAFLAM 25 Diklofenac K
397 CATAFLAM 50 Diklofenac K
398 CATAFLAM D 50 MG Diklofenac K
399 DICLONEC 20 MG INJ Natrium Diklofenak
400 FLAMAR 50 MG TAB Natrium Diklofenak
401 FLAMAR TAB 25 MG 100`S Natrium Diklofenak
402 VOLTAREN 25 mg Natrium Diklofenak
403 VOLTAREN EMULGEL1%20G TUBE Natrium Diklofenak
404 VOLTAREN INJ Natrium Diklofenak
405 VOLTAREN SR75 Natrium Diklofenak
406 VOLTAREN TAB 50MG 50`S Natrium Diklofenak
407 NILAREN 25 Natrium Diklofenak
408 NILAREN 50 Natrium Diklofenak
409 ZEGREN Natrium Diklofenak
410 PROFECOM SUPP Ketoprofen
411 PROFENID SUPP Ketoprofen
412 PRONALGES E-50 TAB Ketoprofen
413 XIMEDE Nimesulide
414 AULIN 100 Nimesulide
415 NICOX Nimesulide
416 VIOSTIN-COM DS ChondroitinSulfate
Glucosamine Hcl
417 VOSTEON Glucosamine Hcl
Chondroitin Sulfate
418 TRIOSTEE KAP Glucosamine Hcl
Chondroitin Sulfate
419 CELEBREX 100 MG Celecobix
429 CELEBREX 200 MG Celecobix
430 GOFLEX 500 Nabumetone
431 LONENE 200 MG CPS 60`S Etodolac
432 LONENE 300 CAP Etodolac
433 NOTRITIS Tenoxicam

Klas farmakoterapi : 4d -- Preparat Gout

No Nama Barang Nama Generik


434 ALLUPURINOL 100 MG TAB KF Allupurinol
435 ZYLORIC 100 MG TAB Allupurinol
436 ZYLORIC 300 MG TAB Allupurinol
437 ALGUT TAB 300 MG Allupurinol
438 RECOLFAR Colchicin
Klas farmakoterapi : 4e -- Transkuiliser Minor

No Nama Barang Nama Generik


439 VALISANBE 2 Diazepam
440 VALISANBE 5 Diazepam
441 DIAZEPAM 2 MG Diazepam
442 DIAZEPAM 5 MG Diazepam
443 DIAZEPAM INJ 10 MG/2ML Diazepam
444 VALIUM 5 MG Diazepam
445 VALIUM 2 MG TAB Diazepam
446 STESOLID RECTAL TUBE 10 MG Diazepam
447 STESOLID RECTAL TUBE 5 MG Diazepam
448 XANAX 0.5 MG TAB Alprazolam
449 XANAX 0.25MG Alprazolam
450 XANAX 1 MG TAB Alprazolam
451 ALGANAX TAB I MG 40`S Alprazolam
452 ALGANAX TAB 0.25 MG 40`S Alprazolam
453 ALGANAX TAB 0.5MG 40`S Alprazolam
454 ATIVAN TAB 1.0 MG/ CE5.00 Lorazepam
455 ATIVAN TAB 2 MG Lorazepam
457 RENAQUIL 1 MG Lorazepam
458 CETABRIUM 5 MG Chlordiazepoxide
459 FRISIUM TAB 10 MG Clobazam
460 CLOBAZAM 10 Clobazam
461 LEXOTAN TAB 3 MG 100`S Bromazepam
462 NIRMADIL 5 MG TAB Felodipine
463 XIETY TAB 10 MG 100`S Buspirone Hcl

Klas farmakoterapi : 4f -- Transkuiliser Mayor

No Nama Barang Nama Generik


464 PHERPENAZIN 4 MG TAB KF Pherpenazine
465 CHLORPROMAZINE 100 MG Chlopromazine
466 CHLORPROMAZINE 25 MG Chlopromazine
467 HALOPERIDOL 1,5 MG INF Haloperidol
468 SERENACE 0.5 MG TAB 100`S Haloperidol
469 HALDOL 2 MG Haloperidol
470 CLOZARIL 25 MG Clozipine
471 STELAZINE 5 MG Trifluoperazine Hcl

Klas farmakoterapi : 4g -- Hipnotika & Sedativa

No Nama Barang Nama Generik


472 ESILGAN TAB 100`S 2 MG Estazolam

Klas farmakoterapi : 4h -- Antikonvulsan

No Nama Barang Nama Generik


473 PHENOBARBITAL 30 MG Phenobarbital
474 PHENOBARBITAL 50 MG Phenobarbital
475 PHENYTOIN CAP Phenitoin NA
476 PHENYTOIN INJ Phenitoin NA
477 CARBAMAZEPIN 200 MG TAB Carbamazepine
478 TEGRETOL 200 MG TAB Carbamazepine
479 NEURONTIN 300 CAPS Gabepantin
480 TRILEPTAL FCT 300 MG Oxcarbazepine

Klas farmakoterapi : 4i -- Antidepresan

No Nama Barang Nama Generik


481 AMITRIPTILIN 25 MG tab Amitriptilin
482 MUTABON-D TAB Pherpenazine
Amitriptilin
483 LUDIOMIL 10 MG TAB Maprotiline HCL
484 LUDIOMIL 25 MG TAB Maprotiline HCL
485 NOPRES TAB 20MG 30`S Fluoxetine

Klas farmakoterapi : 4k -- Nootropik & Neurotonik

No Nama Barang Nama Generik


486 MERISLON TAB Betahistine Mesylate Mesylate
NEUROSANBE TAB Vit B1
Vit B6
Vit B12
487 NEUROBION 5000 TAB Vit B1
Vit B6
Vit B12
488 NEUROBION TAB Vit B1
Vit B6
Vit B12
489 NEUROSANBE INJ Vit B1
Vit B6
Vit B12
490 NEVRAMIN Vit B1
Vit B6
Fursultiamine
491 LAPIBAL 500 MG Mecobalamin
492 LAPIBAL 250 MCG Mecobalamin
493 METHYCOBAL 250 Mecobalamin
494 METHYCOBAL 500 Mecobalamin
495 METHYCOBAL INJ 500MCG Mecobalamin
496 MECONEURON 500 Mecobalamin
497 ARCALION DRAG`200MG 60`S Sulbutiamine
498 PIRACETAM 400 MG Pirtacetam
499 PIRACETAM 800 MG Pirtacetam
500 PIRACETAM 1200 MG Pirtacetam
501 NOOTROPHIL 400 MG TAB Pirtacetam
502 NOOTROPIL 800 MG Pirtacetam
503 NEUROCET 1200 MG Pirtacetam
504 NEUROCET INFUS 12GR/60 ML Pirtacetam
505 INEURON INJ Pirtacetam
506 INEURON 1200 Pirtacetam
507 NERVITON E VIT B1
Vit B6
Vit B12
VIT E
508 NERVA PLUS VIT B1
Vit B6
Vit B12
Asam Folat

Klas farmakoterapi : 4l -- Obat Antiemetik & antivertigo

No Nama Barang Nama Generik


509 DIMENHIDRINAT TAB 50 MG Dimenhidrinat
510 DRAMAMINE TAB Dimenhidrinat
511 MEDIAMER B6 Phyratiazine
Vit B6
512 ANVOMER B6 Phyratiazine
Vit B6
513 MERISLON Betahistine Mesylate
514 BETASERC Betahistine Mesylate
515 CLAST Clebopride
516 NARVOZ INJ Ondansetron Hcl
517 NARVOZ TAB Ondansetron Hcl
518 CEDANTRON 10`S TAB Ondansetron Hcl
519 ONDAVELL 4 MG INJ 5`S Ondansetron
520 DOGMATIL 50 MG KAPSUL Sulpiride
521 PIPTAL PEDIATRIC DROP Phenobarbital

Klas farmakoterapi : 4m -- Obat Penyakit Neurodegeneratif

No Nama Barang Nama Generik


522 EXELON KAPSUL 3 MG Rivastigmine
523 Trihexyphenidil Trihexyphenidil
524 ARTANE Trihexyphenidil

Klas farmakoterapi : 4q -- Relaksan Otot

No Nama Barang Nama Generik


525 EPRINOC TAB Eperisone Hcl
526 MYONAL Eperisone Hcl
527 MYONEP TAB Eperisone Hcl
528 SIRDALUD Tizandine HCL
Klas farmakoterapi : 4p -- Neuromuscular Disorder Drug

No Nama Barang Nama Generik


529 MESTINON 60 MG 150 TABLET Pyridostigmine Br
Nama Pabrik
Tropica

Kimia Farma

Takeda

Nama Pabrik
Kimia Farma
Aventis
Aventis Pharma
Aventis Pharma
Sanbe farma
Kimia Farma
Parke davis
Parke davis
Interbat
Combiphar Pharmaceutical
Sanbe farma
Sanbe farma
Sanbe farma
Phapros
Kimia Farma
Bristol Myer-Squibb
Alpharma PT

Dexa Medica

Pharos Indonesia
Pharos Indonesia
Pharos Indonesia
Sanbe farma
Sanbe farma
Indofarma PT
Indofarma PT
Armoxindo Farma
Combiphar Pharmaceutical
Combiphar Pharmaceutical
Sanbe farma
Pharos Indonesia
Pharos Indonesia
Pharos / Grunenthal
Pharos / Grunenthal
Kimia Farma
Merck Indonesia

Sanbe farma

Combiphar pharmaceutical

Sanbe farma

Soho industri Farmasi

Bayer Farma Indonesia


Kalbe farma
Guardian Pharmatama
Janssen-Cilag
Darya-Varia Syntex
Darya-Varia Syntex

Nama Pabrik
Aventis Pharma
Aventis Pharma
Sanbe Farma
Sanbe Farma
Dexa Medica
Boehringer ingelheim PT
Boehringer ingelheim PT
Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Pfizer Inonesia, Tbk
Pfizer
Indo farma
Indo farma
Combiphar pharmaceutical
Novell
Sanbe Farma
Sanbe Farma
Dexa Medica
Dexa Medica
Novartis PT
Novartis PT
Novartis PT
Combiphar pharmaceutical
Sanbe farma
Sanbe farma
Novartis PT
Novartis PT
Novartis PT
Novartis
Novartis
Nicholas
Nicholas
Nicholas
Combiphar pharmaceutical
Rhone Poulenc Rorer
Dexa Medica
Combiphar pharmaceutical
Helsinn Birex Pharma
Novell
Pharos

Meprofarm

Tropica Mas Pharma

Pfizer
Pfizer
Guardian Pharmatama
Sunthi sepuri
Sunthi sepuri
Sanbe farma

Nama Pabrik
Indofarma PT
Glaxo Wellcome Indonesia
Glaxo Wellcome Indonesia
Merck
Fahrenheit
Nama Pabrik
Sanbe farma
Sanbe farma
Kimia Farma
Kimia Farma
Indofarma PT
Roche Indonesia PT
Roche Indonesia PT
Dumex Alpharma Indonesia
Dumex Alpharma Indonesia
Upjohn Ind PT
Pfizer / Pharmacia
Upjohn Ind PT
Guardian Pharmatama
Guardian Pharmatama
Guardian Pharmatama
Sunthi sepuri
Sunthi sepuri
Fahrenheit
Soho industri Farmasi
Hoechst marion roussel
Kimia Farma
Roche Indonesia PT
Fahrenheit
Lapi

Nama Pabrik
Kimia Farma
Kimia Farma
Kimia Farma
Indofarma PT
Soho industri Farmasi
Janssen-Cilag
Novartis
Pharos / Glaxo Smith Kline

Nama Pabrik
Takeda Indonesia

Nama Pabrik
Soho industri Farmasi
Soho industri Farmasi
Ikapharmindo Putramas
Ikapharmindo Putramas
Indofarma PT
Novartis PT
Pfizer Inonesia, Tbk
Novartis

Nama Pabrik
Indofarma PT
Schering Plough Indonesia

Novartis PT
Novartis PT
Ferron

Nama Pabrik
Eisai Indonesia PT
Sanbe farma

Merck Indonesia

Merck Indonesia

Takeda Indonesia

Lapi
Lapi
Eisai Indonesia PT
Eisai Indonesia PT
Eisai Indonesia PT
Novell
Servier
Dexa Medica
Dexa Medica
Dexa Medica
Darya varia
UCB Pharma
Kalbe Farma
Kalbe Farma
Indo farma
Indo farma
Combiphar Pharmaceutical

Pharmacia

Nama Pabrik
Kimia Farma
Pfizer / pharmacia
Darya varia

Dexa Medica

Eisai Indonesia PT
Solvay Pharmaceutical
Meiji Indonesia
Pharos Indonesia
Pharos Indonesia
Soho
Novell Pharma
Soho / Delagrange
Soho / Delagrange

Nama Pabrik
Novartis PT
Indofarma PT
Lederle

Nama Pabrik
Sanbe
Eisai Indonesia PT
Lapi
Novartis PT
Nama Pabrik
Valeant/Combiphar
Klas farmakoterapi : 5a -- Androgen & Preparat Sintetiknya

No Nama Barang Nama Generik


530 ANDRIOL TAB Testoteron Undekuonat
531 DANOCRINE 200 MG KAP Danazol

Klas farmakoterapi : 5b -- Estrogen & Progesteron & Preparat Sintetikny

No Nama Barang Nama Generik


532 ENDOMETRIL Lynestrenol
533 GYNAECOSID TAB 20`S Methyloestrenol 5 Mg
534 LIVIAL 2.5 MG X 1 X 28 Tibolon
535 LYNORAL Ethinyloestradiol
536 PREABOR TAB Allylestrenol
537 PREMASTON 5 MG TAB 30`S Allylestrenol
538 REGUMEN 5 MG Norethisterone
539 PRIMOLUT N 5 MG Norethisterone
540 PROTHYRA TAB Medroxyprogrest .AC
541 PROVERA 10 MG Medroxyprogrest .AC
542 DUPHASTON TAB Dydrogesterone
543 ESTREVA GEL Estradiol Hemihydrate
544 PREMARIN 0.625 MG Natural Conjugated Oestrogens
545 CERAZETTE Desogestrel

Klas farmakoterapi : 5d -- Hormon Kortikosteroid

No Nama Barang Nama Generik


546 BUDENOFALK CAP Budesonide
547 CORTIDEX TAB Dexamethasone
548 CORTIDEX INJ Dexamethasone
549 DEXAMETHASONE 0.5 MG TAB KF Dexamethasone
550 KALMETHASONE TAB X Dexamethasone
551 SANEXON Methyilprednisolon
552 METHYLPREDNISOLONE 4 MG Methyilprednisolon
553 METHYLPREDNISOLONE 16 MG Methyilprednisolon
554 METHYLPREDNISOLONE 8 MG Methyilprednisolon
555 DEPO MEDROL INJ Methyilprednisolon
556 SOLU MEDROL INJ Methyilprednisolon
557 MEDROL TAB 4 MG Methyilprednisolon
558 LAMESON 4 MG Methyilprednisolon
559 LAMESON 8 MG Methyilprednisolon
560 LAMESON 16 MG Methyilprednisolon
561 MEPROSON 4 MG Methyilprednisolon
562 THYMELON 125 MG INJ Methyilprednisolon
563 THYMELON 500 MG INJ Methyilprednisolon
564 PHADILON 500 MG INJ Methyilprednisolon
565 INTIDROL Methyilprednisolon
566 PHADILON 500 MG INJ Methyilprednisolon
567 KENACORT TAB 4 MG Triamcinolone Asetonide
568 KENACORT AID INJ 5 ML Triamcinolone Asetonide
569 KENACORT A IM Triamcinolone Asetonide
570 TRILAC INJ Triamcinolone Asetonide
571 NYLACETIN SYRUP

Klas farmakoterapi : 5e -- Hormon-hormon Tropik & Preparat Sintetiknya

No Nama Barang Nama Generik


572 BLESIFEN TAB 50 MG Clomiphene citrate
573 PROFERTIL TAB 10`S X Clomiphene citrate
574 GONAL 75 IU INJ Recombinant follicle
stimulating hormone
575 ORGABOLIN TAB 100`S Ethyestrenol
576 PREGNYL 5000 UI INJ HCG
577 PROFACY 10000 IU INJ HCG
578 PARLODEL Bromcriptin Mesilate

Klas farmakoterapi : 5g -- Preparat Hormon Lain

No Nama Barang Nama Generik


579 AGNUCASTON Exct Of The Fruit Chaste Tree
580 KLIMADYNON TAB Dried extr of cimicifuga Rhizoma
581 MOLOCO + B 12 Placenta Extr
Vit B12
Nama Pabrik
Organon Indonesia
Sanofi-Synthelabo

Nama Pabrik
Organon Indonesia
Phapros
Organon Indonesia
Organon Indonesia
sanbe farma
kalbe farma
Sanbe
Organon Indonesia
Sunthi sepuri
Pfizer Inonesia, Tbk
Solvay Pharmaceuticals
Merck
Sunthi sepuri / Wyeth-Ayerst
Organon Indonesia

Nama Pabrik
Darya varia
Sanbe farma
Sanbe farma
Kimia Farma
Kalbe farma
Sanbe farma
Dexa Medica
Dexa Medica
Dexa Medica
Pfizer Inonesia, Tbk
Pfizer / Pharmacia
Pfizer/ Phrmacia
Lapi
Lapi
Lapi
Meprofarm
Ethica
Ethica
Phapros
Interbat
Kimia Farma
Bristol Myer-Squibb
Bristol Myer-Squibb
Bristol Myer-Squibb
Novell

Nama Pabrik
Sanbe farma
Kalbe farma
Dipa Pharmalab Intersains

Organon
Organon
Serono
Novartis

Nama Pabrik
Darya varia
Darya-Varia /Bionorico
Darya-Varia /Bionorico

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