Professional Documents
Culture Documents
25 mg
100 UI/ml inj 100 UI/ml, pen @ 300 pen 701002 85000 85000 85000 2
100 UI/ml inj 100 UI/ml, flexp 300 flexpen 701002 85000 85000 85000 2
100 UI/ml inj 100 UI/ml, pen @ 300 pen 701002 85000 85000 85000 2
100 UI/ml inj 100 UI/ml, flexp 300 flexpen 701002 85000 85000 85000 2
100 UI/ml inj 100 UI/ml, flexp 300 flexpen 701002 110000 110000 110000 2
100 UI/ml Inj 100 UI/ml, prefi 300 prefilled 701002 110000 110000 110000 2
100 UI/ml Inj 100 UI/ml, Penfi 300 Penfill ca 701002 105000 105000 105000 2
100 UI/ml inj 100 UI/ml, flexp 300 flexpen 701002 110000 110000 110000 2
100 UI/ml Inj 100 UI/ml, prefi 300 prefilled 701002 110000 110000 110000 2
100 UI/ml Inj 100 UI/ml, Penfi 300 Penfill ca 701002 105000 105000 105000 2
100 UI/ml Inj 100 UI/ml, prefi 300 prefilled 701002 87000 87000 87000 2
100 UI/ml inj 100 UI/ml, flexp 300 flexpen 701002 87000 87000 87000 2
100 UI/ml inj 100 UI/ml, vial 1000 vial 701002 214995 214995 214995 2
100 UI/ml inj 100 UI/ml, pen @ 300 pen 701002 87000 87000 87000 2
100 UI/ml Inj 100 UI/ml, Penfi 300 Penfill ca 701002 87000 87000 87000 2
100 UI/ml Inj 100 UI/ml, prefi 300 prefilled 701002 87000 87000 87000 2
100 UI/ml inj 100 UI/ml, flexp 300 flexpen 701002 87000 87000 87000 2
100 UI/ml inj 100 UI/ml, vial 1000 vial 701002 214995 214995 214995 2
100 UI/ml inj 100 UI/ml, pen @ 300 pen 701002 87000 87000 87000 2
100 UI/ml Inj 100 UI/ml, Penfi 300 Penfill ca 701002 87000 87000 87000 2
1 mg tab 1 mg 1 tab 701002 34900 34900 34900 8
1 mg tab 1 mg 1 tab 701002 34900 34900 34900 8
400 mg komtab kunyah 400 tab 701002 62 62 62 1
400 mg ko tab kunyah 400 tab 701002 62 62 62 1
125 mg komkaps 125 mg komb 125 kaps 701002 1298 1298 1298 1
125 mg ko kaps 125 mg komb 125 kaps 701002 1298 1298 1298 1
80 mg tab 80 mg 80 tab 701002 114 114 114 1
100 mg tab 100 mg 100 tab 701002 130 130 130 1
80 mg tab 80 mg 80 tab 701002 114 114 114 1
100 mg tab 100 mg 100 tab 701002 130 130 130 1
5 mg tab 5 mg 5 tab 701002 99 99 99 1
0,4 mg tab 0,4 mg 0.4 tab 701002 63 63 63 1
5 mg tab 5 mg 5 tab 701003 99 99 99 1
0,4 mg tab 0,4 mg 0 tab 701002 63 63 63 1
6 mg/6 ml inj 6 ml 6 vial 701002 2209000 2209000 2209000 8
6 mg/6 ml inj 6 ml 6 vial 701002 2209000 2209000 2209000 8
4/100mL inj 5 ml 4 vial 701002 1500000 1500000 1500000 8
4/100mL inj 5 ml 4 vial 701002 1500000 1500000 1500000 8
10000 IU/v inj 10000 IU/vial 10000 vial 701002 1175000 1175000 1175000 8
10000 IU/vinj 10000 IU/vial 10000 vial 701002 1175000 1175000 1175000 8
100 mg tab 100 mg 100 tab 701002 748 748 748 1
50 mg tab 50 mg 50 tab 701002 330 330 330 1
100 mg tab 100 mg 100 tab 701002 748 748 748 1
50 mg tab 50 mg 50 tab 701002 330 330 330 1
50 mg tab 50 mg 50 tab 701002 7490 7490 7490 1
50 mg tab 50 mg 50 tab 701003 7490 7490 7490 1
20 mcg tab 20 mcg 20 tab 701002 4400 4400 4400 1
20 mcg tab 20 mcg 20 tab 701002 4400 4400 4400 1
6 mg tab 6 mg 6 tab 701002 149 149 149 1
6 mg tab 6 mg 6 tab 701002 149 149 149 1
100 mg/4 minj 4 ml 100 vial 701002 3202465 3202465 3202465 8
100 mg/4 inj 4 ml 100 vial 701002 3202465 3202465 3202465 8
50 mg tab 50 mg 50 tab 701002 49000 49000 49000 8
150 mg tab 150 mg 150 tab 701002 79000 79000 79000 8
50 mg tab 50 mg 50 tab 701002 49000 49000 49000 8
150 mg tab 150 mg 150 tab 701002 79000 79000 79000 8
5 mg tab 5 mg 5 tab 701002 330 330 330 1
2,5 mg tab 2,5 mg 2 tab 701002 650 650 650 1
5 mg tab 5 mg 5 tab 701002 330 330 330 1
2,5 mg tab 2,5 mg 2 tab 701002 650 650 650 1
15 mg/mL inj 15 mg/mL 15 amp 701002 345000 345000 345000 8
15 mg/mL inj 15 mg/mL 15 amp 701002 345000 345000 345000 8
2,5 mg tab 2,5 mg 2 tab 701002 8500 8500 8500 1
200 mcg/puinh 100 dosis 100 tbg 701002 101000 101000 101000 2
200 mcg/puinh 200 dosis 200 tbg 701002 106000 106000 106000 2
200 mcg/pinh 100 dosis 100 tbg 701002 101000 101000 101000 2
200 mcg/pinh 200 dosis 200 tbg 701002 106000 106000 106000 2
200 mcg/pinh 200 dosis 200 tbg 701002 100000 100000 100000 2
2 mg tab salut 2 mg 2 tab 701002 8204 8204 8204 8
2 mg tab salut 2 mg 2 tab 701003 8204 8204 8204 8
6,25 mg kap 6,25 mg 6 kap 701002 1360 1360 1360 1
500 mg/10 serb inj 500 mg/10 m 500 vial 701002 299750 299750 299750 8
500 mg/10serb inj 500 mg/10 m 500 vial 701003 299750 299750 299750 8
200 mg/20 inj 200 mg/vial 200 vial 701002 275000 275000 275000 8
200 mg/20 inj 200 mg/vial 200 vial 701002 275000 275000 275000 8
100 mg/via inj 100 mg/vial 100 vial 701002 87674 87674 87674 8
200 mg/20inj 200 mg/vial 200 vial 701002 275000 275000 275000 8
200 mg/20inj 200 mg/vial 200 vial 701002 275000 275000 275000 8
100 mg/viainj 100 mg/vial 100 vial 701003 87674 87674 87674 8
0,5 mg/via inj 0,5 mg/vial 0.5 vial 701002 353200 353200 353200 8
0,5 mg/viainj 0,5 mg/vial 0.5 vial 701003 353200 353200 353200 8
20 mg/vial inj 20 mg/vial 20 vial 701002 234300 234300 234300 8
20 mg/vialinj 20 mg/vial 20 vial 701002 234300 234300 234300 8
250 mg tab 250 mg 250 tab 701002 76000 76000 76000 2
500 mg tab 500 mg 500 tab 701002 150000 150000 150000 2
0,5 mg tab 0,5 mg 0.5 tab 701002 44 44 44 1
0,5 mg tab 0,5 mg 0 tab 701002 44 44 44 1
2 mg tab 2 mg 2 tab 701002 45 45 45 1
5 mg tab 5 mg 5 tab 701002 117 117 117 1
5 mg tab 5 mg 5 tab 701002 117 117 117 1
0,25 mg tab 0,25 mg 0.25 tab 701002 105 105 105 1
0,25 mg tab 0,25 mg 0 tab 701002 105 105 105 1
100 mg kap 100 mg 100 kap 701002 4290 4290 4290 1
200 mg kap 200 mg 200 kap 701002 4650 4650 4650 1
30 mg tab 30 mg 30 tab 701002 127 127 127 1
100 mg kap 100 mg 100 kap 701002 4290 4290 4290 1
200 mg kap 200 mg 200 kap 701002 4650 4650 4650 1
30 mg tab 30 mg 30 tab 701002 127 127 127 1
60 mg/5mL amp 5 ml 300 amp 701002 98725 98725 98725 8
60 mg/5mLamp 5 ml 300 amp 701002 98725 98725 98725 8
1 mg tab 1 mg 1 tab 701002 3480 3480 3480 1
2 mg tab 2 mg 2 tab 701002 5480 5480 5480 1
1 mg tab 1 mg 1 tab 701002 3480 3480 3480 1
2 mg tab 2 mg 2 tab 701002 5480 5480 5480 1
10 mg/vial serb inj 5 ml 10 vial 701002 49500 49500 49500 8
50 mg/vial serb inj 25 ml 50 vial 701002 253000 253000 253000 8
50 mg/vial serb inj 25 ml 50 vial 701002 253000 253000 253000 8
10 mg/vial serb inj 5 ml 10 vial 701002 49500 49500 49500 8
10 mg/vial serb inj 5 ml 10 vial 701002 49500 49500 49500 8
50 mg/vial serb inj 25 ml 50 vial 701002 253000 253000 253000 8
10 mg/vial serb inj 5 ml 10 vial 701002 49500 49500 49500 8
50 mg/vial serb inj 25 ml 50 vial 701002 253000 253000 253000 8
10 mg/vialserb inj 5 ml 10 vial 701002 49500 49500 49500 8
50 mg/vialserb inj 25 ml 50 vial 701002 253000 253000 253000 8
50 mg/vialserb inj 25 ml 50 vial 701002 253000 253000 253000 8
10 mg/vialserb inj 5 ml 10 vial 701002 49500 49500 49500 8
10 mg/vialserb inj 5 ml 10 vial 701002 49500 49500 49500 8
50 mg/vialserb inj 25 ml 50 vial 701002 253000 253000 253000 8
10 mg tab eff 10 mg 10 tab 701002 12485 12485 12485 1
5 mg tab 5 mg 5 tab 701002 2499 2499 2499 1
10 mg tab eff 10 mg 10 tab 701002 12485 12485 12485 1
5 mg tab 5 mg 5 tab 701002 2499 2499 2499 1
20 mg/vial inj 0,5 ml 20 vial 701002 400000 400000 400000 8
80 mg/2 ml inj 2 ml 80 vial 701002 1325000 1325000 1325000 8
20 mg/vial inj 0,5 ml 20 vial 701002 400000 400000 400000 8
20 mg/vial inj 0,5 ml 20 vial 701002 400000 400000 400000 8
80 mg/2 ml inj 2 ml 80 vial 701002 1325000 1325000 1325000 8
80 mg/2 ml inj 2 ml 80 vial 701002 1325000 1325000 1325000 8
20 mg/vial inj 0,5 ml 20 vial 701002 400000 400000 400000 8
80 mg/2 ml inj 2 ml 80 vial 701002 1325000 1325000 1325000 8
20 mg/vial inj 0,5 ml 20 vial 701002 400000 400000 400000 8
80 mg/2 ml inj 2 ml 80 vial 701002 1325000 1325000 1325000 8
20 mg/vialinj 0,5 ml 20 vial 701002 400000 400000 400000 8
80 mg/2 mlinj 2 ml 80 vial 701002 1325000 1325000 1325000 8
20 mg/vialinj 0,5 ml 20 vial 701002 400000 400000 400000 8
80 mg/2 mlinj 2 ml 80 vial 701002 1325000 1325000 1325000 8
20 mg/vialinj 0,5 ml 20 vial 701002 400000 400000 400000 8
80 mg/2 mlinj 2 ml 80 vial 701002 1325000 1325000 1325000 8
0,5 mg kaps lunak 0,5 mg 0.5 kaps 701002 7750 7750 7750 1
0,5 mg kaps lunak 0,5 mg 0 kaps 701002 7750 7750 7750 1
25 mg tab 25 mg 25 tab 701002 42600 42600 42600 8
25 mg tab 25 mg 25 tab 701002 42600 42600 42600 8
50 mg/vial serb inj 25 ml 50 vial 701002 475000 475000 475000 8
10 mg/vial serb inj 5 ml 10 vial 701002 99000 99000 99000 8
50 mg/vialserb inj 25 ml 50 vial 701002 475000 475000 475000 8
10 mg/vialserb inj 5 ml 10 vial 701002 99000 99000 99000 8
10 mg/vial serb inj 5 ml 10 vial 701002 99000 99000 99000 8
50 mg/vial serb inj 50 mg/vial 50 vial 701002 475000 475000 475000 8
10 mg/vial serb inj 5 ml 10 vial 701002 99000 99000 99000 8
50 mg/vial serb inj 50 mg/vial 50 vial 701002 475000 475000 475000 8
50 mg/vial serb inj 25 ml 50 vial 701002 475000 475000 475000 8
10 mg/vialserb inj 5 ml 10000 vial 701002 99000 99000 99000 8
50 mg/vialserb inj 50 mg/vial 50000 vial 701002 475000 475000 475000 8
50 mg/vialserb inj 25 ml 50 vial 701002 475000 475000 475000 8
50.000 IU kaps 50.000 IU 50000 kaps 701002 650 650 650 1
10.000 IU Susp 10.000 IU 10000 btl 701002 8000 8000 8000 1
100 mg tab 100 mg 100 tab 701002 295000 295000 295000 8
150 mg tab 150 mg 150 tab 701002 295000 295000 295000 8
100 mg tab 100 mg 100 tab 701002 295000 295000 295000 8
150 mg tab 150 mg 150 tab 701002 295000 295000 295000 8
250 mg tab 250 mg 250 tab 701002 314 314 314 1
500 mg tab 500 mg 500 tab 701002 451 451 451 1
400 mg tab salut 400 mg 400 tab 701002 404 404 404 1
400 mg tab salut 400 mg 400 tab 701002 404 404 404 1
20 mg/ml amp 5 ml 100 amp 701002 99500 99500 99500 8
100 mg kaps 100 mg 100 kaps 701002 10325 10325 10325 8
20 mg/ml amp 5 ml 100 amp 701002 99500 99500 99500 8
100 mg kaps 100 mg 100 kaps 701003 10325 10325 10325 8
0,5 mg tab 0,5 mg 0.5 tab 701002 23250 23250 23250 1
0,25 mg tab 0,25 mg 0.25 tab 701002 11813 11813 11813 1
0,5 mg tab 0,5 mg 0 tab 701002 23250 23250 23250 1
0,25 mg tab 0,25 mg 0 tab 701002 11813 11813 11813 1
100 mg kap 100 mg 100 kap 701002 154 154 154 1
100 mg kap 100 mg 100 kap 701002 154 154 154 1
50 mg kaps 50 mg 50 kaps 701002 5076 5076 5076 1
100 mg tab 100 mg 100 tab 701002 220 220 220 1
30 mg tab 30 mg 30 tab 701002 135 135 135 1
30 mg tab 30 mg 30 tab 701001 135 135 135 1
100 mg kaps 100 mg 100 kaps 701002 1073 1073 1073 1
300 mg kaps 300 mg 300 kaps 701002 1303 1303 1303 1
100 mg kaps 100 mg 100 kaps 701002 1073 1073 1073 1
300 mg kaps 300 mg 300 kaps 701002 1303 1303 1303 1
100 mcg/puinh 200 dosis 200 tbg 701002 80000 80000 80000 2
0,1% btl 50 mL 50 btl 701002 125750 125750 125750 2
100 mcg/pinh 200 dosis 200 tbg 701002 80000 80000 80000 2
0.10% btl 50 mL 50 btl 701002 125750 125750 125750 2
0,3 mg/0,5 inj 0,5 ml 300 pfs 701002 324995 324995 324995 8
0,3 mg/0,5inj 0,5 ml 0 pfs 701002 324995 324995 324995 8
5 mg tab 5 mg 5 tab 701002 2090 2090 2090 1
5 mg tab 5 mg 5 tab 701002 2090 2090 2090 1
10 mg tab 10 mg 10 tab 701002 330000 330000 330000 8
50 mg inj 50 mg/vial 50 vial 701002 1500000 1500000 1500000 8
10 mg tab 10 mg 10 tab 701002 330000 330000 330000 8
50 mg inj 50 mg/vial 50 vial 701002 1500000 1500000 1500000 8
20 mg kaps 20 mg 20 kaps 701002 250 250 250 1
20 mg kaps 20 mg 20 kaps 701002 250 250 250 1
250 mg/via inj 5 ml 250 vial 701002 24500 24500 24500 8
500 mg/via inj 10 ml 500 vial 701002 36050 36050 36050 8
50 mg/mL inj 10 ml 50 vial 701002 24200 24200 24200 8
500 mg/viainj 10 ml 500 vial 701002 36050 36050 36050 8
10 mg kaps 10 mg 10 kaps 701002 419 419 419 1
40 mg tab 40 mg 40 tab 701002 78 78 78 1
40 mg tab 40 mg 40 tab 701002 78 78 78 1
100 mg kaps 100 mg 100 kaps 701002 1397 1397 1397 1
300 mg kaps 300 mg 300 kaps 701002 1639 1639 1639 1
100 mg kaps 100 mg 100 kaps 701002 1397 1397 1397 1
300 mg kaps 300 mg 300 kaps 701002 1639 1639 1639 1
250 mg tab 250 mg 250 tab 701002 295000 295000 295000 8
250 mg tab 250 mg 250 tab 701002 295000 295000 295000 8
300 mg tab 300 mg 300 tab 701002 380 380 380 1
600 mg tab 600 mg 600 tab 701002 742 742 742 1
300 mg tab 300 mg 300 tab 701002 380 380 380 1
600 mg tab 600 mg 600 tab 701002 742 742 742 1
1000 mg/vi vial 25 ml 1000000 vial 701002 800000 800000 800000 8
200 mg/via vial 5 ml 200000 vial 701002 175000 175000 175000 8
1000 mg/vi vial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/via vial 5 ml 200 vial 701002 175000 175000 175000 8
1000 mg/vi vial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/via vial 5 ml 200 vial 701002 175000 175000 175000 8
1000 mg/vi vial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/via vial 5 ml 200 vial 701002 175000 175000 175000 8
1000 mg/vi vial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/via vial 5 ml 200 vial 701002 175000 175000 175000 8
200 mg/via vial 5 ml 200 vial 701002 175000 175000 175000 8
1000 mg/vi vial 25 ml 1000 vial 701002 800000 800000 800000 8
1000 mg/vivial 25 ml 1000000 vial 701002 800000 800000 800000 8
200 mg/viavial 5 ml 200000 vial 701002 175000 175000 175000 8
1000 mg/vivial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/viavial 5 ml 200 vial 701002 175000 175000 175000 8
1000 mg/vivial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/viavial 5 ml 200 vial 701002 175000 175000 175000 8
1000 mg/vivial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/viavial 5 ml 200 vial 701002 175000 175000 175000 8
1000 mg/vivial 25 ml 1000 vial 701002 800000 800000 800000 8
200 mg/viavial 5 ml 200 vial 701002 175000 175000 175000 8
5 mg tab 5 mg 5 tab 701002 56 56 56 1
2,5 mg tab 2,5 mg 2.5 tab 701002 56 56 56 1
2,5 mg tab 2,5 mg tab 701002 56 56 56 1
30 mg tab 30 mg 30 tab 701002 638 638 638 1
60 mg tab 60 mg 60 tab 701002 5665 5665 5665 1
80 mg tab 80 mg 80 tab 701002 235 235 235 1
80 mg tab 80 mg 80 tab 701002 235 235
Untuk kanker
payudara pada
postmenopause
dengan
reseptor ER/ PR positif.
NU NU NU 1/1/2016 Maks 30 tab/bln 27 2 0 4
Untuk kanker
payudara pada
postmenopause
dengan
reseptor ER/ PR positif.
NU NU NU 1/1/2016 Maks 30 tab/bln 27 2 0 4
Untuk kanker
payudara pada
postmenopause
dengan
reseptor ER/ PR positif.
NU NU NU 1/1/2016 Maks 30 tab/bln 27 2 0 4
Untuk kanker
payudara pada
postmenopause
dengan
reseptor ER/ PR positif.
NU NU NU 1/1/2016 Maks 30 tab/bln 27 2 0 4
NU NU NU 1/1/2016 a. Dpt digunakan untuk ka27 02 00 06
NU NU NU 1/1/2016 a. Untuk kanker payudara 27 02 00 06
NU NU NU 1/1/2016 a. Dpt digunakan untuk 27 2 0 6
NU NU NU 1/1/2016 a. Untuk kanker payudar 27 2 0 6
NU NU NU 1/1/2016 Maks 60 tab/bln 13 04 00 02
NU NU NU 1/1/2016 Maks 90 tab/bln 13 04 00 02
NU NU NU 1/1/2016 Maks 60 tab/bln 13 4 0 2
NU NU NU 1/1/2016 Maks 90 tab/bln 13 4 0 2
NU NU NU 1/1/2016 Maks 30 tab/bln 14 03 01 02
NU NU NU 1/1/2016 Maks 30 tab/bln 14 03 01 02
NU NU NU 1/1/2016 30 tab/ bulan 14 03 01 02
NU NU NU 1/1/2016 Maks 30 tab/bln 14 3 1 2
NU NU NU 1/1/2016 Maks 30 tab/bln 14 3 1 2
NU NU NU 1/1/2016 30 tab/ bulan 14 3 1 2
NU NU NU 1/1/2016 Harus dilakukan pemeriksa22 04 00 09
NU NU NU 1/1/2016 Harus dilakukan pemeriksa22 04 00 09
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 01 00 03
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 01 00 03
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 01 00 03
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 01 00 03
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 02 00 03
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 02 00 03
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 2 0 3
NU NU NU 1/1/2016 NULL 27 02 00 02
NU NU NU 1/1/2016 NULL 27 2 0 2
NU NU NU 1/1/2016 Untuk multiple myeloma 27 03 00 39
NU NU NU 1/1/2016 Untuk multiple myelom 27 3 0 39
NU NU NU 1/1/2016 NULL 27 03 00 47
NU NU NU 1/1/2016 NULL 27 3 0 47
NU NU NU 1/1/2016 Untuk: a. episode akut colit06 02 10 02
NU NU NU 1/1/2016 Hanya diberikan utk terapi04 02 00 04
NU NU NU 1/1/2016 Hanya diberikan utk tera 4 2 0 4
NU NU NU 1/1/2016 Maks 60 tab/bln 13 01 02 01
NU NU NU 1/1/2016 Maks 90 tab/bln 13 01 02 01
NU NU NU 1/1/2016 Maks 60 tab/bln 13 1 2 1
NU NU NU 1/1/2016 Maks 90 tab/bln 13 1 2 1
NU NU NU 1/1/2016 Selektif untuk wanita hami14 03 05 02
NU NU NU 1/1/2016 Selektif untuk wanita h 14 3 5 2
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 05 00 01
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 05 00 01
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 5 0 1
NU NU NU 1/1/2016 Maks 30 tab/bulan 22 5 0 1
NU NU NU 1/1/2016 Maks 10 tab/kasus 13 05 00 02
NU NU NU 1/1/2016 NULL 13 05 00 02
NU NU NU 1/1/2016 NULL 13 05 00 02
NU NU NU 1/1/2016 Maks 10 tab/kasus 13 5 0 2
NU NU NU 1/1/2016 NULL 13 5 0 2
NU NU NU 1/1/2016 1. Untuk khoriokarsinoma,27 03 00 08
NU NU NU 1/1/2016 1. Untuk khoriokarsinoma,27 03 00 08
NU NU NU 1/1/2016 1. Untuk khoriokarsinoma,27 03 00 08
NU NU NU 1/1/2016 1. Untuk khoriokarsinoma,27 03 00 08
NU NU NU 1/1/2016 1. Untuk khoriokarsinom 27 3 0 8
NU NU NU 1/1/2016 1. Untuk khoriokarsinom 27 3 0 8
NU NU NU 1/1/2016 Untuk kasus transplantasi o27 01 00 02
NU NU NU 1/1/2016 Untuk kasus transplantas 27 1 0 2
NU NU NU 1/1/2016 Hanya digunakan untuk kasu
27 03 00 16
NU NU NU 1/1/2016 Hanya untuk pemakaian pad
28 00 00 01
NU NU NU 1/1/2016 Hanya untuk pemakaian 28 0 0 1
NU NU NU 1/1/2016 Hanya utk pemakaian pada28 00 00 01
NU NU NU 1/1/2016 Hanya utk pemakaian pada28 00 00 01
NU NU NU 1/1/2016 Hanya utk pemakaian pada28 00 00 01
NU NU NU 1/1/2016 Hanya utk pemakaian pa 28 0 0 1
NU NU NU 1/1/2016 Hanya utk pemakaian pa 28 0 0 1
NU NU NU 1/1/2016 Hanya utk pemakaian pa 28 0 0 1
NU NU NU 1/1/2016 NULL 24 06 00 01
NU NU NU 1/1/2016 Maks 10 kaps/kasus 24 06 00 01
NU NU NU 1/1/2016 Maks 10 kaps/kasus 24 6 0 1
NU NU NU 1/1/2016 Maks 30 tab/bln 01 02 00 01
NU NU NU 1/1/2016 Maks 30 tab/bln 01 02 00 01
NU NU NU 1/1/2016 Maks 30 tab/bln 1 2 0 1
NU NU NU 1/1/2016 Maks 30 tab/bln 1 2 0 1
NU NU NU 1/1/2016 Maks 90 tab/bulan 14 03 03 01
NU NU NU 1/1/2016 Maks. 30 tab/bulan 14 03 03 01
NU NU NU 1/1/2016 Maks. 30 tab/bulan 14 03 03 01
NU NU NU 1/1/2016 Maks 90 tab/bulan 14 3 3 1
NU NU NU 1/1/2016 Maks. 30 tab/bulan 14 3 3 1
NU NU NU 1/1/2016 Maks. 30 tab/bulan
Hanya diresepkan oleh KHOM. 14 3 3 1
NU NU NU 1/1/2016 Untuk
Hanya kasus LGK/CML
diresepkan dengan
27 hasil philadelphia
oleh KHOM. 03 00
chromosome40positif atau BCR-ABL po
NU NU NU 1/1/2016 Untuk kasus LGK/CML dengan
27 hasil philadelphia
03 00
chromosome40positif atau BCR-ABL po
Hanya diresepkan oleh
KHOM.
Untuk kasus LGK/CML
dengan hasil
philadelphia
chromosome positif
atau BCR-ABL positif
yang resisten atau
intorelan terhadap
imatinib. Maks 120
NU NU NU 1/1/2016 tab/bln 27 3 0 40
a. Ca kolorektal
metastatik dgn hsl
KRAS wild type positif
(normal).
b. Sbg terapi lini dua
kanker kepala dan
leher jenis squamous
yg bkn nasofaring yang
residif. Intial dosis 400
mg stlh 1 mgg
dilanjutkan 200
mg/mgg atau 500
mg/mgg selama 24
NU NU NU 1/1/2016 mgg. Maks 12 27 3 0 32
NU NU NU 1/1/2016 Utk kanker payudara, limf27 03 00 09
NU NU NU 1/1/2016 Utk kanker payudara, limf27 03 00 09
NU NU NU 1/1/2016 Utk kanker payudara, limf27 03 00 09
NU NU NU 1/1/2016 Untuk: a. kanker payudara27 03 00 09
NU NU NU 1/1/2016 Utk kanker payudara, li 27 3 0 9
NU NU NU 1/1/2016 Utk kanker payudara, li 27 3 0 9
NU NU NU 1/1/2016 Utk kanker payudara, li 27 3 0 9
NU NU NU 1/1/2016 Untuk: a. kanker payuda 27 3 0 9
NU NU NU 1/1/2016 Untuk kasus transplantasi 27 01 00 01
NU NU NU 1/1/2016 Untuk kasus transplantasi 27 01 00 01
NU NU NU 1/1/2016 Untuk kasus transplanta 27 1 0 1
NU NU NU 1/1/2016 Untuk kasus transplanta 27 1 0 1
NU NU NU 1/1/2016 Adjunct tx diet pasien hi 16 00 00 01
NU NU NU 1/1/2016 Adjunct tx diet pasien hi 16 00 00 01
NU NU NU 1/1/2016 Adjunct tx diet pasien h 16 0 0 1
NU NU NU 1/1/2016 Adjunct tx diet pasien h 16 0 0 1
NU NU NU 1/1/2016 100 mg/m2/hari diulang ti 27 03 00 10
NU NU NU 1/1/2016 100 mg/m2/hari diulang ti 27 03 00 10
NU NU NU 1/1/2016 100 mg/m2/hari diulang 27 3 0 10
NU NU NU 1/1/2016 100 mg/m2/hari diulang 27 3 0 10
NU NU NU 1/1/2016 untuk leukemia akut dan l 27 03 00 11
NU NU NU 1/1/2016 untuk leukemia akut dan 27 3 0 11
NU NU NU 1/1/2016 Maks 30 tab/bln 12 01 00 05
NU NU NU 1/1/2016 Untuk penyakit sirosis hep12 01 00 05
NU NU NU 1/1/2016 Maks 30 tab/bulan 12 01 00 05
NU NU NU 1/1/2016 Untuk penyakit sirosis h 12 1 0 5
NU NU NU 1/1/2016 Maks 30 tab/bulan 12 1 0 5
0 1 NU NU NU 1/1/2016 Untuk Siros 12 1
0 1 NU NU NU 1/1/2016 Maks 30 ta 12 1
315 1 NU NU NU 1/1/2016 Maks 30 ta 12 1
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1 2.4E+10 0 30 0 30
2 2.4E+10 0 30 0 30
7 2.4E+10 30 30 0 0
3 2.4E+10 0 0 0 30
3 2.4E+10 0 0 0 30
1 2202000510 30 30 0 0
1 2.2E+10 30 30 0 0
1 2703003210 0 0 0 0
1 2.7E+10 0 0 12 0
2 2703000920 0 0 0 0
3 2703000930 0 0 0 0
4 2703000940 0 0 0 0
1 2703000910 0 0 0 0
2 2.7E+10 0 0 0 0
3 2.7E+10 0 0 0 0
4 2.7E+10 0 0 0 0
1 2.7E+10 0 0 0 0
1 2701000110 0 30 0 0
2 2701000120 90 30 0 0
1 2.7E+10 0 30 0 30
2 2.7E+10 90 30 0 0
2 1600000120 30 30 0 0
1 1600000110 30 30 0 0
2 1.6E+10 30 30 0 0
1 1.6E+10 30 30 0 0
1 2703001010 0 0 0 0
2 2703001020 0 0 0 0
1 2.7E+10 0 0 0 0
2 2.7E+10 0 0 0 0
1 2703001110 0 0 0 0
1 2.7E+10 0 0 0 0
1 1201000510 30 30 0 0
2 1201000520 30 30 0 0
1 1201000510 30 30 0 0
2 1.2E+10 30 30 0 0
1 1.2E+10 30 30 0 0
0 5 2 1.2E+10 30 30 0 0
0 5 1 1.2E+10 30 30 0 0
0 5 1 1.2E+10 30 30 0 0
1201000510 30 30 0 0
1 2301000410 60 30 0 0
1 2.3E+10 60 30 0 0
1 2701000410 0 30 0 0
2 2701000420 0 30 0 0
1 2.7E+10 0 30 0 30
2 2.7E+10 0 30 0 30
1 2702000110 30 30 0 0
1 2.7E+10 30 0 0 0
1 1202000410 30 30 0 0
2 1202000420 30 30 0 0
1 1.2E+10 30 30 0 0
2 1.2E+10 30 30 0 0
1 0606020310 0 30 0 0
1 6.06E+09 0 30 0 30
1 1403040310 30 30 0 0
2 1403040320 30 30 0 0
1 1.4E+10 30 30 0 0
2 1.4E+10 30 30 0 0
1 2703004310 0 0 0 0
2 2703004320 0 0 0 0
1 2.7E+10 0 0 0 0
2 2.7E+10 0 0 0 0
1 0606020610 0 30 0 0
1 6.06E+09 0 30 0 30
2 2401000520 30 30 0 0
3 2401000530 0 30 0 0
1 2401000510 0 30 0 0
3 2.4E+10 30 0 0 30
1 2.4E+10 0 0 0 30
2 1202000120 30 30 0 0
1 1202000110 30 30 0 0
2 1.2E+10 30 30 0 0
1 1.2E+10 30 30 0 0
4 2401000440 1 30 0 0
1 2401000410 0 30 0 0
4 2.4E+10 1 30 0 30
1 2.4E+10 0 0 0 30
1 1304000510 120 30 0 0
2 1304000520 90 30 0 0
1 1.3E+10 120 30 0 0
2 1.3E+10 90 30 0 0
1 1405000310 60 30 0 0
1 1.41E+10 60 30 365 0
1 1902050210 2 30 0 0
2 1902050220 0 30 0 0
1 2402000110 1 30 0 0
2 2402000120 30 30 0 0
1 2.4E+10 1 365 0 30
2 2.4E+10 30 30 0 0
3 3200000130 0 0 0 0
4 3200000140 0 0 0 0
5 3200000150 0 0 0 0
6 3200000160 0 0 0 0
3 3.2E+10 0 0 0 0
4 3.2E+10 0 0 0 0
5 3.2E+10 0 0 0 0
6 3.2E+10 0 0 0 0
3 0501000630 60 30 0 0
2 0501000620 0 30 0 0
1 0501000610 0 30 0 0
3 5.01E+09 60 30 0 0
2 5.01E+09 0 30 0 30
1 5.01E+09 0 30 0 30
1 2703002610 0 0 0 0
1 2.7E+10 0 0 8 0
1 1902050510 1 30 0 0
1 1.9E+10 1 30 0 30
1 0800000110 60 30 0 0
1 8E+09 60 30 0 0
2 0501000420 60 30 0 0
3 0501000430 60 30 0 0
1 0501000410 90 30 0 0
2 5.01E+09 60 30 0 0
3 5.01E+09 60 30 0 0
1 5.01E+09 90 30 0 0
2 1403040120 30 30 0 0
1 1403040110 30 30 0 0
2 1.4E+10 30 30 0 0
1 1.4E+10 30 30 0 0
1 1403030410 90 30 0 0
2 1403030420 30 30 0 0
1 1.4E+10 90 30 0 0
2 1.4E+10 30 30 0 0
1 2703001310 0 5 0 0
2 2703001320 0 5 0 0
1 2703001310 0 5 0 0
2 2703001320 0 5 0 0
1 2.7E+10 0 5 0 0
2 2.7E+10 0 5 0 0
1 2703002310 0 21 0 0
1 2.7E+10 0 21 0 0
1 2703002310 0 0 0 0
1 2500000510 30 30 0 0
1 2500000510 30 30 0 0
1 2.5E+10 30 30 0 0
1 2.5E+10 30 30 0 0
1 2500000410 30 30 0 0
1 2.5E+10 30 30 0 0
1 2500000310 30 30 0 0
1 2500000310 30 30 0 0
3 2500000330 30 30 0 0
1 2.5E+10 30 30 0 0
1 2.5E+10 30 30 0 0
3 2.5E+10 30 30 0 0
1 1002000310 0 30 0 0
1 1002000310 0 30 0 0
1 1E+10 0 30 0 30
1 1E+10 0 30 0 30
KDOBAT GENERIK DAGANG PABRIK
160103828 Aminofilin Aminofilin Erla
160100795 Aminofilin Aminopyline Mari
160102105 Amlodipin Besylat Amlodipine Land
160104096 Lorazepam Ativan Sunt
160104097 Lorazepam Ativan Sunt
160103330 Ipratropium Bromida Atrovent HFA Boeh
160101054 Karbamazepin Carbamazepine Infa
160103760 Bromocriptine Cripsa Capr
160100880 Fluorourasil Curacil Kalb
160104146 Dosetaksel Daxotel Fres
160104147 Dosetaksel Daxotel Fres
160102015 Pioglitazone Deculin Dexa
160102016 Pioglitazone Deculin Dexa
160102017 Pioglitazone Deculin Dexa
160102018 Pioglitazone Deculin Dexa
160103733 Gliclazide Diamicron MR Prad
160103705 Diazepam Diazepam Kifa
160104151 Doksorubisin Doksorubisin Sanb
160104152 Doksorubisin Doksorubisin Sanb
160103981 Dosetaksel Dosetaksel Sanb
160103982 Dosetaksel Dosetaksel Sanb
160103836 Ergokalsiferol (vitamin D3/D2) D-Vit FT Grac
160103837 Ergokalsiferol (vitamin D3/D2) D-Vit Syrup Grac
160104158 Epirubisin Epirubisin Sanb
160104159 Epirubisin Epirubisin Sanb
160103709 Etambutol Hidroklorid Etambutol Infa
160103707 Etambutol Hidroklorid Etambutol Kifa
160103953 Fenitoin Na Fenitoin Na KMKN
160103891 Fenobarbital Fenobarbital Infa
160104153 Fluorourasil Flourouracil Dank
160103810 Fluoxetine HCl Foransi 10 Grac
160103821 Litium Karbonat Frimania 200 Mers
160103822 Litium Karbonat Frimania 400 Mers
160104163 Gemsitabin Gemsitabin Sanb
160104162 Gemsitabin Gemsitabin Sanb
160100222 Glibenklamid Glibenklamide Infa
160103414 Lamivudin Heplav Kifa
160104166 Irinotecan HCl Irinotekan Sanb
160104165 Irinotecan HCl Irinotekan Sanb
160100560 Timolol Isotic Adretor 0,25% Prat
160100562 Timolol Isotic Adretor 0,5% Prat
160104144 Karboplatin Kemocarb Fres
160104145 Karboplatin Kemocarb Fres
160103956 Kolestiramin Kolestiramin KMKN
160103957 Lorazepam Lorazepam KMKN
160100611 Maprotilin HCl Ludios Soho
160100019 Lorazepam Meroplam 0,5 mg Mers
160103958 Mesalazine Mesalazin KMKN
160104148 Metilprednisolon Metilprednisolon Ifar
160104155 Metotreksat Methotrexate Ebewe Sand
160104154 Metotreksat Metotreksat Sanb
160103959 Mitomicin C Mitomycin C KMKN
160103962 N-Acetylcysteine N-asetil sistein KMKN
160100961 Vinorelbine Navelbine Mugi
160100259 Karbimazol Neo-Mercazole Nich
160104164 Oksaliplatin Oksaliplatin Sanb
160104161 Paklitaksel Paclitaxel Sanb
160104160 Paklitaksel Paclitaxel Sanb
160103964 Pyridostigmine Piridostigmin KMKN
160103960 Pravastatin Sodium Pravastatin KMKN
160104149 Prednison Prednison Ifar
160103520 Propiltiourasil Propiltiourasil Infa
160103781 Propranolol HCl Propranolol Holi
160100786 Teofilin Retaphyl SR Kifa
160103965 Salbutamol Salbutamol KMKN
160100220 Spironolakton Spironolacton Dexa
160103706 Karbamazepin Tegretol Syrup 100mgNova
160101642 Carvedilol Vbloc Kalb
160104156 Vinkristin Vincristine Sanb
160104157 Vinkristin Vincristine Sanb
160103963 Piridoksin HCl Vitamin B6 KMKN
OBAT KEKUATAN SEDIAAN SEDIA SATUAN
Aminofilin Erla 150 mg tab scored 150 mg 150 mg tab scored 150 mg 150 tab
Aminopyline Mari 200 mg tab scored 200 mg 200 mg tab scored 200 mg 200 tab
Amlodipine Land 10 mg tab 10 mg 10 mg tab 10 mg 10 tab
Ativan 1 mg Sunt tab 1 mg 1 mg tab 1 mg 1 tab
Ativan 2 mg Sunt tab 2 mg 2 mg tab 2 mg 2 tab
Atrovent HFA Boeh 20 mcg/puff inh 200 dosis 20 mcg/puf inh 200 dosis 200 tbg
Carbamazepine Infa 200 mg tab 200 mg 200 mg tab 200 mg 200 tab
Cripsa Capr 2,5 mg tab 2,5 mg 2,5 mg tab 2,5 mg 2 tab
Curacil Kalb 250 mg/vial inj 5 ml 250 mg/via inj 5 ml 250 vial
Daxotel Dosetaksel Fres inj 20 mg/ml 20 mg/vial inj 0,5 ml 20 vial
Daxotel Dosetaksel Fres inj 80 mg/4 ml 80 mg/2 ml inj 2 ml 80 vial
Deculin Dexa 15 mg tab 15 mg 15 mg tab 15 mg 15 tab
Deculin Dexa 15 mg tab 15 mg 15 mg tab 15 mg 15 tab
Deculin Dexa 30 mg tab 30 mg 30 mg tab 30 mg 30 tab
Deculin Dexa 30 mg tab 30 mg 30 mg tab 30 mg 30 tab
Diamicron MR Prad 30 mg tab 30 mg 30 mg tab 30 mg 30 tab
Diazepam Kifa 2 mg tab 2 mg 2 mg tab 2 mg 2 tab
Doksorubisin Sanb serb inj 10 mg/vial 5 ml 10 mg/vial serb inj 5 ml 10 vial
Doksorubisin Sanb serb inj 50 mg/vial 25 ml 50 mg/vial serb inj 25 ml 50 vial
Dosetaksel Sanb inj 20 mg/vial inj 0,5 ml 20 mg/vial inj 0,5 ml 20 vial
Dosetaksel Sanb inj 80 mg/2 ml 80 mg/2 ml inj 2 ml 80 vial
D-Vit FT Grac 50.000 IU kaps 50.000 IU 50.000 IU kaps 50.000 IU 50000 kaps
D-Vit Syrup Grac 10.000 IU Susp 10.000 IU 10.000 IU Susp 10.000 IU 10000 btl
Epirubisin Sanb serb inj 10 mg/5 mL 10 mg/vial serb inj 5 ml 10 vial
Epirubisin Sanb serb inj 50 mg/25 mL 50 mg/vial serb inj 50 mg/vial 50 vial
Etambutol Infa 500 mg tab 500 mg 500 mg tab 500 mg 500 tab
Etambutol Kifa 250 mg tab 250 mg 250 mg tab 250 mg 250 tab
Fenitoin Na KMKN kaps 50 mg 50 mg kaps 50 mg 50 kaps
Fenobarbital Infa tab 100 mg 100 mg tab 100 mg 100 tab
Fluorouracil Dank inj 50 mg/mL 50 mg/mL inj 10 ml 50 vial
Foransi 10 Grac 10 mg kaps 10 mg 10 mg kaps 10 mg 10 kaps
Frimania 200 Mers 200 mg tab 200 mg 200 mg tab 200 mg 200 tab
Frimania 400 Mers 400 mg tab 400 mg 400 mg tab 400 mg 400 tab
Gemsitabin 1000 Sanb inj 1000 mg/vial 1000 mg/vi vial 25 ml 1000 vial
Gemsitabin 200 Sanb inj 200 mg/vial 200 mg/via vial 5 ml 200 vial
Glibenklamide Infa 5 mg tab 5 mg 5 mg tab 5 mg 5 tab
Heplav Kifa 100 mg tab 100 mg 100 mg tab 100 mg 100 tab
Irinotekan Sanb 40 mg/2 ml amp 2 ml 40 mg/2 ml amp 2 ml 40 amp
Irinotekan Sanb inj 100 mg/5mL 100 mg/5mL amp 5 ml 100 amp
Isotic Adretor 0,25% Prat 0,25 %, 5 ml tts mata 5 ml 0,25 %, 5 tts mata 5 ml 5 btl
Isotic Adretor 0,5% Prat 0,5 %, 5 ml tts mata 5 ml 0,5 %, 5 m tts mata 5 ml 5 btl
Kemocarb Karboplatin Fres inj 150mg/15 ml 150 mg/15 inj 15 ml 150 vial
Kemocarb Karboplatin Fres inj 450 mg/45 ml 450 mg/45 inj 45 ml 450 vial
Kolestiramin KMKN serbuk 4 gram 4g serbuk 4 gram 4 sachet
Lorazepam tab 1 mg 1 mg tab 1 mg 1 tab
Ludios Soho 25 mg tab 25 mg 25 mg tab 25 mg 25 tab
Merlopam 0,5 mg Mers tab 0,5 mg 0.5 mg tab 0.5 mg 0.5 tab
Mesalazin KMKN tab 250 mg 250 mg tab 250 mg 250 tab
Metilprednisolon 16 Ifar Kap 16 mg 16 mg tab 16 mg 16 tab
Metotreksat Ebwe Sand serb inj 5 mg 50 mg/2 ml inj 2 ml 50 vial
Metotreksat Sanb inj 50 mg/2 ml 50 mg/2 ml inj 2 ml 50 vial
Mitomycin C KMKN serb inj 2 mg/mL 2 mg/ml serb inj 2 mg/ml 2 vial
N-Asetil Sistein KMKN kaps 200 mg 200 mg kaps 200 mg 200 kap
Navelbine Mugi 10 mg inj 10 mg/vial 10 mg inj 10 mg/vial 10 vial
Neo-Mercazole Nich 5 mg tab 5 mg 5 mg tab 5 mg 5 tab
Oksaliplatin 50 mg Sanb inj 50 mg/10 ml 50 mg inj 50 mg/vial 50 vial
Paklitaksel Sanb 100 mg/vial inj 16,67 ml 100 mg/via inj 16,67 ml 100 vial
Paklitaksel Sanb 30 mg/vial inj 5 ml 30 mg/vial inj 5 ml 30 vial
Piridostigmin KMKN tab 60 mg 60 mg tab 60 mg 60 tab
Pravastatin KMKN tab 10 mg 10 mg tab 10 mg 10 tab
Prednison Ifar tab 5 mg 5 mg tab 5 mg 5 tab
Propiltiourasil Infa 100 mg tab 100 mg 100 mg tab 100 mg 100 tab
Propranolol Holi 40 mg tab 40 mg 40 mg tab 40 mg 40 tab
Retaphyl SR Kifa 300 mg tab SR 300 mg 300 mg tab SR 300 mg 300 tab
Salbutamol KMKN Sirup 2 mg/ml btl 100 ml 2 mg/ml sir 100 ml 200 btl
Spironolacton Dexa 25 mg tab 25 mg 25 mg tab 25 mg 25 tab
Tegretol Syrup 100mg/5ml, 120ml Nova 100 mg/ml syr 10 100 mg/ml syr 100 mg/5ml,120 m 100 tab
Vbloc Kalb 6,25 mg kap 6,25 mg 6,25 mg kap 6,25 mg 6 kap
Vincristine Sanb 1 mg/vial serb inj 1 ml 1 mg/vial serb inj 1 ml 1 vial
Vincristine Sanb 2 mg/vial serb inj 2 ml 2 mg/vial serb inj 2 ml 2 vial
Vitamin B6 KMKN tab 25 mg 25 mg tab 25 mg 25 tab
JENPEL HDASAR HPKP HNPKP FAKTOR JENIS1 JENIS2 JENIS3 TGLAWAL
701002 80 80 80 1 NU NU NU 1/1/2016
701002 90 90 90 1 NU NU NU 1/1/2016
701002 330 330 330 1 NU NU NU 1/1/2016
701002 1000 1000 1000 1 NU NU NU 1/1/2016
701002 1000 1000 1000 1 NU NU NU 1/1/2016
701002 83500 83500 83500 2 NU NU NU 1/1/2016
701002 245 245 245 1 NU NU NU 1/1/2016
701002 8500 8500 8500 1 NU NU NU 1/1/2016
701002 24500 24500 24500 8 NU NU NU 1/1/2016
701002 400000 400000 400000 8 NU NU NU 1/1/2016
701002 1325000 1325000 1325000 8 NU NU NU 1/1/2016
701002 3120 3120 3120 1 NU NU NU 1/1/2016
701002 3120 3120 3120 1 NU NU NU 1/1/2016
701002 4525 4525 4525 1 NU NU NU 1/1/2016
701002 4525 4525 4525 1 NU NU NU 1/1/2016
701002 638 638 638 1 NU NU NU 1/1/2016
701002 45 45 45 1 NU NU NU 1/1/2016
701002 49500 49500 49500 8 NU NU NU 1/1/2016
701002 253000 253000 253000 8 NU NU NU 1/1/2016
701002 400000 400000 400000 8 NU NU NU 1/1/2016
701002 1325000 1325000 1325000 8 NU NU NU 1/1/2016
701002 650 650 650 1 NU NU NU 1/1/2016
701002 8000 8000 8000 1 NU NU NU 1/1/2016
701002 99000 99000 99000 8 NU NU NU 1/1/2016
701002 475000 475000 475000 8 NU NU NU 1/1/2016
701002 451 451 451 1 NU NU NU 1/1/2016
701002 314 314 314 1 NU NU NU 1/1/2016
701002 5076 5076 5076 1 NU NU NU 1/1/2016
701002 220 220 220 1 NU NU NU 1/1/2016
701002 24200 24200 24200 8 NU NU NU 1/1/2016
701002 419 419 419 1 NU NU NU 1/1/2016
701002 1050 1050 1050 1 NU NU NU 1/1/2016
701002 1850 1850 1850 1 NU NU NU 1/1/2016
701002 800000 800000 800000 8 NU NU NU 1/1/2016
701002 175000 175000 175000 8 NU NU NU 1/1/2016
701002 56 56 56 1 NU NU NU 1/1/2016
701002 2000 2000 2000 1 NU NU NU 1/1/2016
701002 423159 423159 423159 8 NU NU NU 1/1/2016
701002 795000 795000 795000 8 NU NU NU 1/1/2016
701002 10445 10445 10445 1 NU NU NU 1/1/2016
701002 11325 11325 11325 1 NU NU NU 1/1/2016
701002 175000 175000 175000 8 NU NU NU 1/1/2016
701002 407500 407500 407500 8 NU NU NU 1/1/2016
701002 375000 375000 375000 3 NU NU NU 1/1/2016
701002 3215 3215 3215 1 NU NU NU 1/1/2016
701002 1200 1200 1200 1 NU NU NU 1/1/2016
701002 685 685 685 1 NU NU NU 1/1/2016
701002 4455 4455 4455 1 NU NU NU 1/1/2016
701002 637 637 637 1 NU NU NU 1/1/2016
701002 21120 21120 21120 8 NU NU NU 1/1/2016
701002 38500 38500 38500 8 NU NU NU 1/1/2016
701002 70000 70000 70000 8 NU NU NU 1/1/2016
701002 825 825 825 1 NU NU NU 1/1/2016
701002 1229998 1229998 1229998 8 NU NU NU 1/1/2016
701002 875 875 875 1 NU NU NU 1/1/2016
701002 400000 400000 400000 8 NU NU NU 1/1/2016
701002 500000 500000 500000 8 NU NU NU 1/1/2016
701002 200000 200000 200000 8 NU NU NU 1/1/2016
701002 6952 6952 6952 1 NU NU NU 1/1/2016
701002 1650 1650 1650 1 NU NU NU 1/1/2016
701002 96 96 96 1 NU NU NU 1/1/2016
701002 279 279 279 1 NU NU NU 1/1/2016
701002 106 106 106 1 NU NU NU 1/1/2016
701002 1050 1050 1050 1 NU NU NU 1/1/2016
701002 4999 4999 4999 1 NU NU NU 1/1/2016
701002 315 315 315 1 NU NU NU 1/1/2016
701002 44770 44770 44770 1 NU NU NU 1/1/2016
701002 1360 1360 1360 1 NU NU NU 1/1/2016
701002 48500 48500 48500 8 NU NU NU 1/1/2016
701002 84250 84250 84250 8 NU NU NU 1/1/2016
701002 44 44 44 1 NU NU NU 1/1/2016
RESTRIKSI
NULL
NULL
Pemberian obat antihipertensi hrs didasarkan pd prinsip dosis titrasi, mulai dr dosis terkecil hingga tercapai dosis dgn outcome tekanan d
Maks 30 tab/bulan
Maks 30 tab/bulan
Untuk pasien PPOK dengan exacerbasi akut. Tidak untuk jangka panjang. Maks 1 tbg/bln
Maks 120 tab/bln
NULL
Untuk ca kepala dan leher, sal.cerna, payudara, leher rahim dan ca serviks. Dosis: 1000 mg/m2/hari selama 5 hari tiap 3 minggu
Untuk kanker kepala dan leher, paru, payudara, ovarium, prostat dan adenokarsinoma gaster. Rmaks untuk kombinasi 75 mg/m2 setiap 3
Untuk kanker kepala dan leher, paru, payudara, ovarium, prostat dan adenokarsinoma gaster. Rmaks untuk kombinasi 75 mg/m2 setiap 3
Tidak diberikan pada pasien dengan :a) gagal ginjal; b) gagal jantung; c) riwayat keluarga bladder cancer. Maks 30 tab/bln
Tidak diberikan pada pasien dengan gagal jantung dan/atau riwayat keluarga bladder cancer. Maks 30 tab/bln
Tidak diberikan pada pasien dengan gagal jantung dan/atau riwayat keluarga bladder cancer. Maks 30 tab/bln
Tidak diberikan pada pasien dengan :a) gagal ginjal; b) gagal jantung; c) riwayat keluarga bladder cancer. Maks 30 tab/bln
Maks 30 tab/bln
Maks 30 tab/bln
Dosis kumulatif maksimum (seumur hidup): 500 mg/m2 LPT
Dosis kumulatif maksimum (seumur hidup): 500 mg/m2 LPT
Untuk kanker kepala dan leher, paru, payudara, ovarium, prostat dan adenokarsinoma gaster. Rmaks untuk kombinasi 75 mg/m2 setiap 3
Untuk
atas dankanker
pasienkepala dan leher,pmrksaan
hipoparatiroid, paru, payudara, ovarium, prostat dan adenokarsinoma gaster. Rmaks untuk kombinasi 75 mg/m2 setiap 3
kadar kalsium
ion 1,1-2,5 mmol.
atas dan pasien hipoparatiroid, pmrksaan kadar kalsium
ion 1,1-2,5 mmol.
dosis kumulatif maks 750 mg/m2 LPT
dosis kumulatif
pemberian 3x maks 750 mg/m2 LPT
seminggu.
pemberian 3x
seminggu.
Maks 90 kaps/bln
Maks 60 tab/bln
Utk ca kepala dan leher, sal.cerna, payudara, leher rahim dan ca serviks. Utk nasofaring: 1000 mg/m2/hari selama 1mgg. Untuk kolorekt
untuk: a. Depresi mayor, b.Gangguan obsessive compulsive. Maks. 30 kaps/bln
Harus dilakukan pemeriksaan fungsi ginjal dan memonitor kadar lithium
Harus dilakukan pemeriksaan fungsi ginjal dan memonitor kadar lithium
untuk kanker pankreas, paru, payudara metastatik, ovarium dan kandung kemih. Maks 1000 mg/m2/minggu
untuk kanker pankreas, paru, payudara metastatik, ovarium dan kandung kemih. Maks 1000 mg/m2/minggu
Maks 90 tab/bln
Pasien Hepatitis B Kronik wajib dilakukan pemeriksaan HBV-DNA.
Hanya digunakan untuk Ca Colon dan rectum metastatic .Hrs diberikan bersama dengan 5 FU.
Hanya digunakan untuk kanker kolorektal. Harus diberikan bersama dgn 5-FU dan kalsium folinat (leukovorin, Ca). 125 mg/m2 LPT se
Maks 2 btl/bln
Maks 2 btl/bln
Maks tergantung AUC (Area Under The Curve) 5-6 tiap 3 minggu
Maks tergantung AUC (Area Under The Curve) 5-6 tiap 3 minggu
Maks 4 sachet/bulan
Maks 30 tab/bulan
Maks 30 tab/bulan
Maks 30 tab/bulan
Untuk: a. episode akut colitis ulcerativa, b. colitis ulcerativa yang hipersensitif terhadap sulfonamida.
NULL
1. Untuk khoriokarsinoma, kanker serviks, payudara, osteosarkoma, neuroblastoma, retinoblastoma, kolorektal, leukemia akut, limfoma
1. Untuk khoriokarsinoma, kanker serviks, payudara, osteosarkoma, neuroblastoma, retinoblastoma, kolorektal, leukemia akut, limfoma
Hanya digunakan untuk kasus yang tidak bisa diatasi dengan obat primer/lini pertama.
NULL
Untuk :a. Non Small Cell Lung Cancer (NSCLC); b. Terapi lini kedua pada kasus kanker payudara
Maks 120 tab/bln
hanya untuk kanker kolorektal metastase. Maks 12x pemberian
Untuk kanker ovarium 175 mg/m2/kali, setiap 3 minggu dilanjutkan sisplatin 75 mg/m2
Untuk kanker ovarium 175 mg/m2/kali, setiap 3 minggu dilanjutkan sisplatin 75 mg/m2
Maks.120 tab/bln.
Hanya untuk hiperlipidemia dengan kadar LDL > 160 mg, pada PJK dan DM disertai makroalbuminuria. Pemberian selama 6 bln, selanj
NULL
Untuk bulan pertama Maks 180/bulan
Maks 90 tab/bln
NULL
NULL
Maks 30 tab/bln
Maks 4 btl/bln
Hy utk gagal jantung kronis dgn penurunan fungsi ventrikular sistolik yg sdh terkompensasi
Untuk leukemia, Limfoma Maligna Non Hodgkins (LNH), rhabdomyosarcoma dan Ewing Sarcoma, osteosarcoma, throphoblastic ganas
Untuk leukemia, Limfoma Maligna Non Hodgkins (LNH), rhabdomyosarcoma dan Ewing Sarcoma, osteosarcoma, throphoblastic ganas
Maks 30 tab/bln
KLSTERAPI SUBKLS SUB2KLS KODEGENERIK KUAT KDJNSOBAT RMAXRJTL HRJTL
24 01 00 01 3 24010001301 0 30
24 01 00 01 1 24010001102 0 30
14 03 03 02 2 14030302214 30 30
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